Ought parents, in general, to value being biologically tied to their children? Is it important, in particular, that both parents be biologically tied to their children? I will address these fundamental questions by looking at a fairly new practice within IVF treatments, so-called IVF-with-ROPA ( Reception of Oocytes from Partner ), which allows lesbian couples to „share motherhood‟ with one partner providing the eggs while the other becomes pregnant. I believe that IVF-with-ROPA is, just like other IVF treatments, morally permissible; (...) but here I argue that the increased biological ties which IVF-with-ROPA allows for do not have any particular value beside the satisfaction of a legitimate wish, because there is no intrinsic value in a biological tie between parents and children; further, I argue that equality within parental projects cannot be achieved by redistributing biological ties. (shrink)

Joshua Shaw argues that one common belief among abortion opponents—that embryos possess full moral status—is inconsistent with their support for ‘parent-friendly’ in vitro fertilisation (IVF) policies, that allow the production of surplus embryos (which are then stored indefinitely or destroyed). These abortion opponents, Shaw argues, should conclude that it is morally objectionable to destroy, discard, or freeze embryos indefinitely. Thus, they should reject current IVF practices and should consider the millions of frozen embryos that currently exist to be an urgent (...) moral crisis. Yet, Shaw notes, many abortion opponents support ‘parent-friendly’ IVF. This raises doubts over their commitment to the claim that embryos possess full moral status. Shaw continues that, contrary to some scholars’ suggestions, artificial-gestation technologies—which could, theoretically, be used to “rescue” surplus embryos—are unlikely to resolve this tension. In fact, they seem likely to increase the number of surplus embryos, worsening existing problems. We agree with Shaw that if embryos possess full moral status, then current ‘parent-friendly’ IVF practices are morally objectionable. We also agree that artificial womb technology cannot change this fact. What those technologies could do, however, is (eventually) rescue frozen embryos that currently exist. Thus, we argue abortion opponents should do two things. First, advocate to alter current ‘parent-friendly’ IVF practices in more ‘embryo-friendly’ ways. Second, advocate to keep existing surplus embryos frozen until they may be rescued. (shrink)

Public defenses of abortion rights frequently rely on characterising early embryos as “just clumps of cells,” invoking a notion of moral thinness to reject compelled gestation and protect bodily autonomy. This abstraction, however, has been quietly repurposed within assisted reproductive technologies — especially in vitro fertilisation (IVF) — to morally sanitise the bulk production, selection, cryogenic storage, and routine destruction of embryos. -/- This paper argues that moral thinness, originally deployed to resist bodily conscription, has been illicitly converted into a (...) permissive solvent for reproductive industrialisation. By examining the telos of blastocyst creation in IVF, I distinguish between permissibility grounded in non-coercion and permissibility grounded in instrumentalisation. Drawing on feminist bioethics, Kantian anti-instrumentalisation ethics, and social theories of stratified reproduction, I contend that IVF is not merely an extension of natural conception but a biotechnical production system whose normalisation embeds an entitlement-based grammar of reproduction. -/- I conclude that opposition to compelled gestation does not entail a moral right to the industrial manufacture of genetically specific offspring, and that reproductive freedom can be coherently defended while remaining critical of reproductive bioproduction systems that convert human generation into inventory management. (shrink)

This review critically appropriates Stephanie Gray Connors’ On IVF through a Lonerganian method of inquiry: beginning from attentive experience, moving through intelligent understanding, reasonable judgment, and culminating in responsible evaluation. Connors’ work is praised for its empathetic attention to the existential pain of infertility, its clear articulation of the moral structure distinguishing ends from means, and its systematic unfolding of the layers of harm intrinsic to in vitro fertilization. Ascending from the immediate drama of suffering to the broader metaphysical horizon, (...) Connors situates human procreation within a theology of giftedness rather than technological production. Her advocacy for Restorative Reproductive Medicine exemplifies an ethics that collaborates with natural finality rather than subverting it. Furthermore, her pastoral call to repentance and healing reveals an understanding of moral failure not as condemnation, but as an opportunity for conversion and renewed fidelity to the dignity of life. Connors' inquiry thus fulfills, in the domain of bioethics, the transcendental precepts of authentic moral reflection: be attentive, be intelligent, be reasonable, and be responsible. In doing so, On IVF emerges not merely as a critique of a contemporary practice, but as a summons to a more reverent participation in the mystery of human life. (shrink)

This paper comes out of a panel honoring the work of Anne Donchin (1940-2014), which took place at the 2016 Congress of the International Network on Feminist Approaches to Bioethics (FAB) in Edinburgh. My general aim is to highlight the contributions Anne made to feminist bioethics, and to feminist reproductive ethics in particular. My more specific aim, however, is to have a kind of conversation with Anne, through her work, about whether reproductive justice could demand insurance coverage for in vitro (...) fertilization. I quote liberally from Anne’s work for this purpose, but also to shower the reader with her words, reminding those of us who knew her well what a wonderful colleague she was. (shrink)

Three-parent IVF is proceeding towards partial legalisation in the UK, but is this process too hasty?

Nove tehnologije omogućavaju nove postupke i prakse koji moraju da se moralno i pravno opravdaju. IVF i surogat materinstvo, pored ostalih, spadaju u takve nove prakse. Stara pravila o tome šta je dopušteno a šta mora da se zabrani ponekad nisu dovoljna, a ni analogije obično nisu dovoljne. Da bi se došlo do prihvatljive linije razdvajanja izmedju opravdanog i neopravdanog postupanja treba izvršiti adekvatnu etičku analizu tih fenomena. IVF, tehnologija oplodnje „in vitro“, iako na prvi pogled izaziva sumnjičavost, ne sadrži (...) u sebi nikakav prima facie moralni problem. IVF se može uzeti prosto kao tehnika lečenja neplodnosti ili smanjene plodnosti, što je jedan problem koji pogadja veliki broj ljudi danas. Prigovori koji se mogu staviti ne izgledaju odlučujući a koristi koje se ovom tehnikom postižu su očigledno veoma velike. Ali ta tehnika je povezana sa druga momenta, donacijom genetskog materijala i surogat materinstvom, koji povlače razne vrste pitanja koja mogu biti od velikog moralnog i pravnog značaja. U tekstu se, sa etičkog stanovišta, analiziraju najvažnija od tih pitanja i naznačava kriterijum demarkacije koji razdvaja opravdane postupke od onih koji nisu opravdani ili zahtevaju ograničenje kroz pravnu i moralnu regulaciju. (shrink)

Imagine a world where everyone is healthy, intelligent, long living and happy. Intuitively this seems wonderful albeit unrealistic. However, recent scienti c breakthroughs in genetic engineering, namely CRISPR/Cas bring the question into public discourse, how the genetic enhancement of humans should be evaluated morally. In 2001, when preimplantation genetic diagnosis (PGD) and in vitro fertilisation (IVF), enabled parents to select between multiple embryos, Julian Savulescu introduced the principle of procreative bene cence (PPB), stating that parents have the obligations to choose (...) the child that is expected to have the best life. In this paper I argue that accepting the PPB and the consequentialist principle (CP) that two acts with the same consequences are morally on par, commits one to accepting the parental obligation of genetically enhancing one's children. (shrink)

This article challenges the view most recently expounded by Emily Jackson that ‘decisional privacy’ ought to be respected in the realm of artificial reproduction (AR). On this view, it is considered an unjust infringement of individual liberty for the state to interfere with individual or group freedom artificially to produce a child. It is our contention that a proper evaluation of AR and of the relevance of welfare will be sensitive not only to the rights of ‘commissioning parties’ to AR (...) but also to public policy considerations. We argue that AR has implications for the common good, by involving matters of human reproduction, kinship, race, parenthood and identity. In this paper we challenge presuppositions concerning decisional privacy. We examine the essential commodification of human life implicit in AR and the systematicity that makes this possible. We address the objection that it is an ethically neutral way of having children and consider the problem of ‘existential debt’. After examining objections to the thesis that AR is illegitimate for reasons of public policy and the common good, we return to the issue of decisional privacy in the light of considerations concerning the legitimate role of the state in matters affecting human reproduction. (shrink)

Population is a key factor of national power. Declining fertility rates, especially in major economies, are reshaping global power dynamics by shrinking workforces amidst aging populations. In response, more nations are adopting techno-natalist policies, promoting reproductive technologies (“reprotech”) like IVF to increase birth rates. Advances in genetic embryo selection, gene editing, in vitro gametogenesis, and artificial wombs could further enhance these policies by improving birth rates, health, and human capital. This article examines current and emerging reprotechnologies, the policy landscape, socioeconomic (...) and geopolitical implications, and future research directions. By shaping national and global gene pools, reprotech policies and practices offer a paradigmatic case of gene–culture coevolution. If these technologies prove safe and effective, nations that embrace them are likely to gain geopolitical and evolutionary advantages over those that do not. (shrink)

Much work in contemporary bioethics defends a broadly liberal view of human reproduction. I shall take this view to comprise (but not to be exhausted by) the following four claims.1 First, it is permissible both to reproduce and not to reproduce, either by traditional means or by means of assisted reproductive techniques such as IVF and genetic screening. Second, it is permissible either to reproduce or to adopt or otherwise foster an existing child to which one is not biologically related. (...) Third, it is permissible either to bring into existence a child with the greatest chance of a life of maximum human flourishing or to bring into existence a child with a life worth living but with less than the greatest chance of a life of maximum human flourishing. Fourth, it is impermissible to bring into existence a child whose life is either certain or likely to fall below some baseline of a human life minimally worth living. (shrink)

Since the 1970s, there has been rapid and wide ranging development in the field of new reproductive technologies (NRT). With donor insemination (DI) and in vitro fertilization (IVF), previously infertile couples have been given new hope and the chance to have children. A more recent addition to these new methods of reproduction has been the combination of DI and IVF with surrogate mother arrangements.[1] This technique has subtly changed the realm of reproduction, for with the addition of a third party (...) (the surrogate) to the reproductive environment, the nature of motherhood, fatherhood, and the allocation of parental rights and duties has come into question.... In other words, has commercial surrogacy changed the traditional Western understanding of motherhood and does it do an injustice to the surrogate, the contracting mother, and/or women in general? I will argue that the fragmentation of the legal concept of ‘mother’ has created a range of social and ethical problems that need to be addressed; nevertheless, the basic societal definition of ‘motherhood’ remains substantially unchanged. (shrink)

It is well known that there is a shortage of human ova for in vitro fertilization (IVF) purposes, but little attention has been paid to the way in which the demand for ova in stem-cell technologies is likely to exacerbate that shortfall and create a trade in human eggs. Because the 'Dolly' technology relies on enucleated ova in large quantities, allowing for considerable wastage, there is a serious threat that commercial and research demands for human eggs will grow exponentially from (...) the combination of these two pressures. In the absence of legal regulation in the United Kingdom, and in the context of a globalized trade in human organs, we face a 'Wild West' situation in genetic and biotechnological research that involves human ova. (shrink)

In my previous paper I argued that if in vitro fertilization (IVF) is legal and practiced there is no moral ground to object to legalization of preimplantation genetic diagnosis (PGD). My opponent raises an objection that my paper “fails to address the ethical argumentation of one key opponent of IVF – the Catholic Church”. In this reply I show that her/his thesis that embryos created during IVF are in ‘ethical limbo’ and “fall outside the moral universe of Christian ethics” does (...) not undermine my argumentation and masks the serious problem Catholics have with the moral status of early embryos. (shrink)

Recent decades have seen the facilitation of unconventional or even extraordinary reproductive endeavours. Sperm has been harvested from dying or deceased men at the request of their wives; reproductive tissue has been surgically removed from children at the request of their parents; deceased adults’ frozen embryos have been claimed by their parents, in order to create grandchildren; wombs have been transplanted from mothers to their daughters. What is needed for requests to be honoured by healthcare staff is that they align (...) with widely shared expectations about what people’s reproductive potential ought to be, what marital relationships ought to result in, and which kinds of ties are desirable between parents and children. Costly and invasive technologies are not considered excessive when they are used to support the building of appropriate families. However, deviations from dominant reproductive norms, even if technologically simple and convenient to the participants, are unlikely to receive support. In this paper, we offer examples of such deviations and explore their implications. If reproduction is important as a way of creating genetic relationships, should reproductive material in storage be offered to genetic relatives other than the people from whom it originated? And if parents are allowed to have reproductive material collected from their offspring, or even to use it to create babies, should offspring likewise be allowed to use their parents’ reproductive material? We tackle these questions and suggest ways in which interests in genetic ties could be operationalised in a more coherent and less-invasive manner than they currently are. (shrink)

Nove tehnologije omogućavaju nove postupke i prakse koji moraju da se moralno i pravno opravdaju. IVF i surogat materinstvo, pored ostalih, spadaju u takve nove prakse. Stara pravila o tome šta je dopušteno a šta mora da se zabrani ponekad nisu dovoljna, a ni analogije obično nisu dovoljne. Da bi se došlo do prihvatljive linije razdvajanja izmedju opravdanog i neopravdanog postupanja treba izvršiti adekvatnu etičku analizu tih fenomena. IVF, tehnologija oplodnje „in vitro“, iako na prvi pogled izaziva sumnjičavost, ne sadrži (...) u sebi nikakav prima facie moralni problem. IVF se može uzeti prosto kao tehnika lečenja neplodnosti ili smanjene plodnosti, što je jedan problem koji pogadja veliki broj ljudi danas. Prigovori koji se mogu staviti ne izgledaju odlučujući a koristi koje se ovom tehnikom postižu su očigledno veoma velike. Ali ta tehnika je povezana sa druga dva momenta, donacijom genetskog materijala i surogat materinstvom, koji povlače razne vrste pitanja koja mogu biti od velikog moralnog i pravnog značaja. U tekstu se, sa etičkog stanovišta, analiziraju najvažnija od tih pitanja i naznačava kriterijum demarkacije koji razdvaja opravdane postupke od onih koji nisu opravdani ili zahtevaju ograničenje kroz pravnu i moralnu regulaciju. (shrink)

The Future of Human Reproduction and Family Structure -/- Introduction -/- The future of human reproduction and family structure is set to undergo profound transformations due to advancements in science, technology, and shifting societal values. Breakthroughs in artificial reproduction, gene editing, AI-assisted parenting, and new family models are poised to redefine what it means to conceive, raise children, and form families. As these changes unfold, they will challenge traditional concepts of marriage, parenthood, and biological reproduction. This essay explores the potential (...) future of human reproduction and family structure, examining the scientific, ethical, and social implications. -/- 1. The Future of Human Reproduction -/- A. Assisted Reproductive Technologies (ART) and Genetic Engineering -/- Scientific advancements are making reproduction more accessible and customizable, allowing individuals to control fertility and genetic traits like never before. -/- 1. Artificial Wombs (Ectogenesis) -/- Artificial wombs, or ectogenesis, could enable embryos to develop outside the human body. This technology would: -/- Help individuals unable to carry pregnancies. -/- Reduce health risks associated with childbirth. -/- Offer reproductive freedom to same-sex couples and single individuals. -/- However, artificial wombs may raise ethical concerns about the emotional and psychological impact on maternal bonding and child development. Additionally, they may lead to commercialized pregnancy, where companies provide “womb services” for those who can afford them. -/- 2. Gene Editing & Designer Babies -/- Gene-editing tools like CRISPR allow parents to modify embryos to: -/- Eliminate genetic diseases. -/- Enhance intelligence, physical abilities, and even personality traits. -/- While this technology offers great potential for eradicating inherited disorders, it could also create genetic inequality between those who can afford enhancements and those who cannot, leading to the emergence of a genetic upper class. Governments may implement strict regulations, but underground markets for genetic enhancements could emerge. -/- 3. Lab-Grown Gametes -/- Scientists are developing methods to create sperm and eggs from stem cells, which could enable: -/- Infertile individuals to have biological children. -/- Single individuals to conceive without a partner. -/- While this could redefine reproduction by making parenthood accessible to all, it also raises ethical questions about whether parenthood should be solely based on biological connection or expanded to include other forms of caregiving. -/- B. Cloning and Synthetic Biology -/- 1. Human Cloning -/- While human cloning is currently illegal in most countries, advances in genetic engineering may eventually make it possible. Cloning could: -/- Allow individuals to reproduce without a partner. -/- Be used for medical purposes, such as replacing lost children. -/- Raise existential concerns about individuality and identity. -/- However, human cloning raises profound ethical concerns, including human rights, consent, and the potential exploitation of cloned individuals for labor or military purposes. -/- 2. Synthetic Embryos & Artificial Life -/- Scientists are developing synthetic embryos without using sperm or eggs, which could: -/- Enable reproduction without biological parents. -/- Help infertile individuals conceive. -/- Lead to new ethical dilemmas regarding the moral status of artificially created life forms. -/- If synthetic embryos become a reality, society may need to redefine what it means to be “human” and whether artificial life forms deserve legal rights. -/- C. Population & Environmental Considerations -/- 1. Controlled Population Growth -/- As overpopulation threatens global resources, some governments may: -/- Regulate reproduction using artificial reproductive technologies. -/- Implement birth quotas to maintain ecological balance. -/- Encourage reproduction in aging societies facing workforce decline. -/- These policies would raise ethical questions about personal freedom versus societal needs. -/- 2. Reproduction in Space -/- If humans colonize planets like Mars, reproduction in space will require: -/- Artificial wombs to protect embryos from cosmic radiation. -/- Genetic modifications to help humans adapt to low gravity. -/- New family structures, as space-born humans may develop unique physical traits. -/- This could lead to divergent human evolution, with space-born individuals differing from Earth-born humans over generations. -/- 3. The Future of Family Structure -/- A. Non-Traditional Family Models -/- 1. Multi-Parent Families -/- Technologies like three-parent IVF already exist, and in the future, more than two people may be able to contribute genetic material to a child. This could: -/- Redefine legal parenthood. -/- Enable new forms of family structures. -/- Challenge traditional parenting norms. -/- Laws will need to adapt to recognize multi-parent families and their rights. -/- 2. Single-Parent by Choice -/- With advanced reproductive technologies, more individuals will choose to have children without a partner. This will: -/- Normalize single parenthood. -/- Reduce societal pressure to marry for reproductive purposes. -/- Create new legal structures for co-parenting agreements. -/- B. Changes in Marriage & Parenting Norms -/- 1. Declining Marriage Rates -/- With reproduction becoming independent of relationships, marriage may decline, as people prioritize: -/- Career advancement. -/- Personal fulfillment. -/- Alternative forms of companionship. -/- 2. Co-Parenting Arrangements -/- People may legally agree to co-parent a child without being romantically involved. This would: -/- Offer a stable upbringing without traditional marriage. -/- Encourage partnership-based parenting. -/- Reduce legal disputes over custody. -/- 3. Extended Family Networks -/- Due to economic pressures, multi-generational households may become more common, with grandparents playing a bigger role in raising children. -/- C. AI & Robotics in Parenting -/- 1. AI Parenting Assistants -/- AI-driven robots may assist in: -/- Childcare and education. -/- Emotional development and mentorship. -/- Reducing parental stress. -/- However, heavy reliance on AI could impact traditional parent-child bonding. -/- 2. AI-Generated Children (Digital Offspring) -/- In the future, some people may choose to raise AI-based virtual children in digital environments instead of having biological kids. These “children” could: -/- Simulate real human relationships. -/- Reduce the need for biological reproduction. -/- Raise ethical questions: If AI children learn and grow, are they “alive”? -/- 3. Key Ethical and Social Questions -/- As these technologies reshape reproduction and family life, several ethical concerns arise: -/- 1. Genetic Inequality: Will access to genetic enhancements create a class divide? -/- 2. State vs. Individual Rights: Should governments regulate reproduction? -/- 3. Redefining Parenthood: Who qualifies as a parent in multi-parent or AI-assisted families? -/- 4. Traditional vs. Technological Families: Will humans still value biological reproduction, or will artificial and digital life forms become part of the family? -/- Conclusion -/- The future of human reproduction and family structure will be radically transformed by scientific advancements, shifting social norms, and ethical dilemmas. While artificial wombs, gene editing, and AI parenting promise greater reproductive freedom and inclusivity, they also pose existential challenges about human identity, societal structures, and the ethics of life creation. As these technologies advance, societies must carefully navigate their implications to ensure that progress benefits all of humanity while safeguarding fundamental rights and values. -/- . (shrink)

Mitochondrial DNA (mtDNA) diseases are a group of neuromuscular diseases that often cause suffering and premature death. New mitochondrial replacement techniques (MRTs) may offer women with mtDNA diseases the opportunity to have healthy offspring to whom they are genetically related. MRTs will likely be ready to license for clinical use in the near future and a discussion of the ethics of the clinical introduction ofMRTs is needed. This paper begins by evaluating three concerns about the safety of MRTs for clinical (...) use on humans: (1) Is it ethical to use MRTs if safe alternatives exist? (2) Would persons with three genetic contributors be at risk of suffering? and (3) Can society trust that MRTs will be made available for humans only once adequate safety testing has taken place, and that MRTs will only be licensed for clinical use in a way that minimises risks? It is then argued that the ethics debate about MRTs should be reoriented towards recommendingways to reduce the possible risks of MRT use on humans. Two recommendations are made: (1) licensed clinical access to MRTs should only be granted to prospective parents if they intend to tell their children about their MRT conception by adulthood; and (2) sex selection should be used in conjunction with the clinical use ofMRTs, in order to reduce transgenerational health risks. (shrink)

The 14-day rule restricts the culturing of human embryos in vitro for the purposes of scientific research for no longer than 14 days. Since researchers recently developed the capability to exceed the 14-day limit, pressure to modify the rule has started to build. Sophia McCully argues that the limit should be extended to 28 days, listing numerous potential benefits of doing so. We contend that McCully has not engaged with the main reasons why the Warnock Committee set such a limit, (...) and these still remain valid. As a result, her case for an extension of the 14-day rule is not persuasive. (shrink)

With the recent report of a live birth after use of Mitochondrial replacement therapy, sometimes called ‘Three-parent IVF’, the clinical application of the technique is fast becoming a reality. While the United Kingdom allows the procedure under regulatory scrutiny, it remains effectively outlawed in many other countries. We argue that such prohibitions may violate individuals’ procreative rights, grounded in individuals’ interest in genetic affinity. The interest in genetic affinity was recently endorsed by Singapore’s highest court, reflecting an emphasis on the (...) importance of biological ties found across the globe. We apply that reasoning to make the case for a right to ‘Three-parent IVF’. (shrink)

Abstract Background The first live birth following the use of a new reproductive technique, maternal spindle transfer (MST), which is a mitochondrial replacement technique (MRT), was accomplished by dividing the execution of the MST procedure between two countries, the USA and Mexico. This was done in order to avoid US legal restrictions on this technique. -/- Sources of data Academic articles, news articles, documents obtained through freedom of information requests, laws, regulations and national reports. -/- Areas of agreement MRTs are (...) new reproductive techniques that present novel ethical and legal challenges, since genetic material from three people is employed to create a child. -/- Areas of controversy Could the first MST procedure that culminated in a live birth negatively impact reproductive medicine in Mexico? -/- Growing points The USA and Mexico need specific and clear legislation on MRTs, in order for such techniques not to be governed by prior existing legislation on assisted reproduction that is inadequate for dealing with the new challenges that these techniques present. -/- Areas timely for developing research There is a pressing need for work to be done on the international governance of new reproductive techniques. (shrink)

“In Vitro Gametogenesis” (IVG) is a transformative technology that allows individuals to derive gamete (Sperm or egg cells) from their own somatic cells, such a skin, enabling biological reproduction for infertile individuals and the LGBTQ+ community. Although promising, this technology poses significant systematic risk that remain under- analyzed. This paper provides a risk analysis on the potential for severe Gender Imbalance, Existential Demographic Shifts, and The Subsequent Strain on Infrastructure. Furthermore, it explore the societal implications, including the marginalization of the (...) male biological role and the resulting Socio-Political instability. (shrink)

The book discusses the development of reproductive medicine from the perspective of the parent-child relationship. -/- A könyv a reprodukciós medicina fejlődését vizsgálja a szülői felelősség szempontjából.