Bioethics L2 Reproductive ethics

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Questions and Answers

Which of the following is a primary ethical consideration related to contraception?

  • Its potential to alter genetic diversity.
  • Its alignment with religious and cultural beliefs. (correct)
  • Its role in reducing the need for advanced medical interventions.
  • Its impact on global economies.

What ethical dilemma is most closely associated with performing sterilization without full informed consent?

  • Increased healthcare costs.
  • Potential for genetic abnormalities.
  • Societal pressure to reproduce.
  • Violation of individual autonomy. (correct)

The debate surrounding the termination of pregnancy primarily involves which conflicting considerations?

  • Economic stability and workforce participation.
  • Technological advancements in prenatal care.
  • Fetal rights, women's autonomy, and the definition of when life begins. (correct)
  • Environmental impacts and resource allocation.

What is a major ethical concern related to Artificial Insemination and In Vitro Fertilization (IVF)?

<p>The commodification of reproduction. (B)</p> Signup and view all the answers

Which ethical issue is most closely associated with Preimplantation Genetic Diagnosis (PGD)?

<p>The potential for eugenics and societal pressure to create 'designer babies'. (C)</p> Signup and view all the answers

What ethical debate is central to the discussion of surrogacy?

<p>The potential exploitation and commercialization of childbirth. (B)</p> Signup and view all the answers

The concept of 'procreative autonomy' emphasizes the right of individuals to:

<p>Decide when and how to reproduce, free from external interference. (B)</p> Signup and view all the answers

Which ethical perspective suggests that parents should strive to have the 'best' possible child?

<p>Procreative Beneficence. (C)</p> Signup and view all the answers

Concerns about the well-being of a child potentially born with disabilities are central to which ethical perspective on procreative choice?

<p>Interests of the Future Child. (B)</p> Signup and view all the answers

When governments regulate reproduction to address concerns like overpopulation or genetic screening, which ethical perspective comes into play?

<p>Interests of the State. (D)</p> Signup and view all the answers

What ethical argument is often raised against abortion and embryo selection from the perspective of 'Preserving Life'?

<p>All human life has moral worth from conception. (A)</p> Signup and view all the answers

Which ethical viewpoint defines an embryo as a human being from the moment of conception?

<p>Identity as a Human Organism. (A)</p> Signup and view all the answers

The view that an embryo has moral status due to its capacity to develop into a fully formed human being aligns with which ethical perspective?

<p>Potential to Be a Person. (D)</p> Signup and view all the answers

Which perspective grants personhood based on specific traits like consciousness and self-awareness?

<p>Identity as a Person. (D)</p> Signup and view all the answers

The concept of 'Conferred Status' suggests that the moral status of an embryo is determined by:

<p>Society or individuals. (D)</p> Signup and view all the answers

Which social value most directly promotes the use of assisted reproduction by emphasizing childbearing as a central life goal?

<p>Pronatalism. (B)</p> Signup and view all the answers

The desire for genetic connection primarily drives the demand for which assisted reproductive technologies?

<p>IVF and surrogacy. (B)</p> Signup and view all the answers

How have medical advancements influenced the acceptance of assisted reproduction?

<p>By making assisted reproduction more effective and accessible. (D)</p> Signup and view all the answers

Changing attitudes toward non-traditional families has primarily led to increased support for:

<p>Assisted reproduction. (C)</p> Signup and view all the answers

An ethical objection to assisted reproduction centers on the idea that reproduction should remain a natural process. This concern is most likely rooted in:

<p>Religious or philosophical beliefs. (A)</p> Signup and view all the answers

How does assisted reproduction potentially challenge conventional ideas of parenthood and family structures?

<p>By altering traditional relationships and creating moral and legal debates. (A)</p> Signup and view all the answers

Which ethical concern arises from the demand for egg donors and surrogates?

<p>The exploitation of women. (C)</p> Signup and view all the answers

What ethical question is raised by the creation and potential destruction of embryos in IVF?

<p>Their moral status. (A)</p> Signup and view all the answers

The use of technologies like PGD could lead to what ethical concern in society?

<p>Selective breeding, reinforcing social inequalities and discrimination. (B)</p> Signup and view all the answers

What is a primary ethical concern related to screening sperm donors?

<p>Adequacy of screening for genetic and infectious diseases. (C)</p> Signup and view all the answers

What ethical debate exists regarding donor-conceived individuals?

<p>Their right to know their biological origins. (A)</p> Signup and view all the answers

The use of donor sperm can create complex issues primarily in what area?

<p>Defining parenthood. (D)</p> Signup and view all the answers

What ethical problem is raised by the commercialization of sperm donation?

<p>Commodification of reproduction. (A)</p> Signup and view all the answers

What is a moral concern linked to the creation and discarding of embryos during In Vitro Fertilization (IVF)?

<p>Moral status of embryos. (D)</p> Signup and view all the answers

What is the main health risk associated with IVF for mothers?

<p>Ovarian hyperstimulation. (A)</p> Signup and view all the answers

The high cost of IVF primarily leads to what type of concerns?

<p>Justice-related concerns. (B)</p> Signup and view all the answers

What medical complication is most often associated with IVF?

<p>Multiple pregnancies. (B)</p> Signup and view all the answers

What ethical issue related to surrogacy involves the transformation of childbirth into a commercial service?

<p>Commodification. (C)</p> Signup and view all the answers

What type of disputes commonly arise as legal issues with surrogacy?

<p>Parental rights. (A)</p> Signup and view all the answers

What is a key ethical challenge related to genetic testing before birth?

<p>Discrimination. (C)</p> Signup and view all the answers

What concern stems from inaccurate pre-birth test results?

<p>False Positives/Negatives. (D)</p> Signup and view all the answers

The potential for selecting desirable traits in pre-birth testing raises fears regarding what ethical concern?

<p>Eugenics. (D)</p> Signup and view all the answers

What is one technology used for sex selection?

<p>Selective Abortion. (A)</p> Signup and view all the answers

What ethical objection is raised regarding sex selection because it reinforces gender biases?

<p>Sexism. (B)</p> Signup and view all the answers

Flashcards

Procreative liberty

The ability of individuals to make choices regarding reproduction.

Contraception

A method allowing individuals to control if and when they conceive.

Sterilization

A permanent method of contraception, sometimes controversial without full informed consent.

Termination of pregnancy

A deeply debated topic involving arguments about fetal rights and women's autonomy.

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Artificial Insemination and IVF

Enable conception through medical intervention, raising concerns about commodification.

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Preimplantation Genetic Diagnosis (PGD)

Genetic selection to avoid hereditary diseases, raising eugenics concerns.

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Surrogacy

Offers an option for those who cannot carry a pregnancy, but raises exploitation concerns.

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Procreative Autonomy

Emphasizes individuals' rights to decide when and how they reproduce, free from interference.

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Procreative Beneficence

Suggests parents should aim to have the “best” possible child.

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Interests of the Future Child

Focuses on ensuring the child's well-being when making reproductive choices.

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Interests of the State

Involves governments regulating reproduction to address concerns like overpopulation.

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Identity as a Human Organism

An embryo is considered a human being from conception.

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Potential to Be a Person

The embryo has moral status due to its potential to become a fully developed human.

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Identity as a Person

Personhood is granted based on specific traits like consciousness and self-awareness.

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Conferred Status

Moral status is assigned by society or individuals.

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Pronatalism

Many societies emphasize childbearing as a fundamental life goal.

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Biological Relationships

The desire for genetic connection often drives the demand for IVF and surrogacy.

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Medical Advancements

Technological progress has made assisted reproduction more effective.

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Social Acceptance

Changing attitudes toward non-traditional families increase support for assisted reproduction.

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Exploitation of Women

The demand for egg donors and surrogates may lead to exploitation.

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Moral Status of Embryos

The creation and potential destruction of embryos in IVF raise questions about their moral worth.

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Eugenics Concerns

Technologies like PGD could lead to selective breeding.

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Screening (AID)

Whether sperm donors are adequately screened for genetic and infectious diseases.

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Anonymity (AID)

Whether donor-conceived individuals have the right to know their biological origins.

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Family Relationships (AID)

The use of donor sperm can create complex emotional and legal issues

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The practice of creating and discarding embryos raises ethical concerns.

Moral Status of Embryos

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Health Risks (IVF)

IVF carries risks for both mothers (e.g., ovarian hyperstimulation) and children (e.g., increased risk of birth defects).

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Cost and Access (IVF)

IVF is expensive, creating disparities in access and raising justice-related concerns.

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Multiple Pregnancies (IVF)

IVF often results in twins or triplets, which can lead to medical complications.

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Exploitation (Surrogacy)

Women, especially those in financial need, may be pressured into becoming surrogates.

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Commodification (Surrogacy)

There are concerns that surrogacy turns childbirth into a commercial transaction.

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Legal Issues (Surrogacy)

Disputes over parental rights can arise, especially if the surrogate changes her mind.

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Psychological Impact (Surrogacy)

Emotional consequences for the surrogate, child, and intended parents must be considered.

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Discrimination (Pre-birth)

Selecting against embryos with disabilities raises concerns about societal attitudes toward disability.

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False Positives/Negatives

Inaccurate test results can lead to unnecessary emotional distress or misguided decisions.

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Burden on Women

Women often face significant emotional and medical pressures related to testing.

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Eugenics fears

The potential for selecting desirable traits raises fears of a slippery slope toward genetic engineering.

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Sperm Sorting

Pre-conception method to influence the sex of a child.

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Selective Abortion

Termination of fetuses based on sex.

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Sexism (Sex Selection)

Reinforces gender biases, particularly in cultures that favor male children.

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Imbalanced Sex Ratios

Can lead to long-term demographic challenges.

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Study Notes

  • Procreative liberty is the ability of individuals to make reproductive choices
  • Methods to promote procreative liberty carry ethical considerations

Methods Supporting Procreative Liberty & Ethical Considerations

  • Contraception: Allows control over conception timing, but raises religious and cultural debates
  • Sterilization: Permanent method, controversial if performed without informed consent or under societal pressure
  • Termination of pregnancy: Deeply debated, involves fetal rights, women's autonomy, and when life begins
  • Artificial Insemination and In Vitro Fertilization (IVF): Enables conception via medical intervention, but raises concerns about commodification and unused embryos
  • Preimplantation Genetic Diagnosis (PGD): Genetic selection to avoid hereditary diseases, but raises eugenics concerns and pressure to create "designer babies"
  • Surrogacy: Option for those unable to carry a pregnancy, but raises ethical debates on exploitation and commercialization

Perspectives Shaping Procreative Choice & Ethical Tensions

  • Procreative Autonomy: Emphasizes individual rights to decide on reproduction, but societal and familial pressures can complicate autonomy
  • Procreative Beneficence: Suggests parents should aim for the "best" child, raising debates on genetic selection, disability rights, and societal expectations of normality
  • Interests of the Future Child: Focuses on ensuring the child's well-being and raises questions about the ethics of certain reproductive choices (e.g., selecting embryos with disabilities)
  • Interests of the State: Governments may regulate reproduction for public health or genetic screening, which may conflict with personal freedoms
  • Preserving Life: Argues all human life has moral worth from conception, often in opposition to abortion and embryo selection

Ethical Views on the Moral Status of the Embryo & Their Limitations

  • Identity as a Human Organism: An embryo is considered a human being from conception;Critics argue biological existence does not necessarily grant personhood
  • Potential to Be a Person: Embryo has moral status due to its potential to become fully human, but potentiality does not equate to actual personhood
  • Identity as a Person: Personhood is granted based on traits like consciousness and self-awareness, but this is debated because newborns/disabled individuals might not meet these criteria
  • Conferred Status: Moral status is assigned by society/individuals, making it flexible but potentially inconsistent

Social Values Promoting Assisted Reproduction & Shaping Public Opinion

  • Pronatalism: Emphasizes childbearing as a life goal, influencing attitudes toward fertility treatments
  • Biological Relationships: The desire for genetic connection drives demand for IVF and surrogacy
  • Medical Advancements: Technological progress has increased effectiveness of assisted reproduction, leading to greater acceptance
  • Social Acceptance: Changing attitudes toward non-traditional families increased support for assisted reproduction

Ethical Objections to Assisted Reproduction

  • Separation of Sex and Reproduction: Argues reproduction should remain natural due to religious/philosophical beliefs
  • Alteration of Traditional Relationships: Challenges conventional family structures, leading to moral and legal debates
  • Exploitation of Women: Demand for egg donors/surrogates may lead to exploitation of economically disadvantaged women
  • Moral Status of Embryos: Creation and potential destruction of embryos in IVF raises moral questions
  • Eugenics Concerns: Technologies like PGD could lead to selective breeding

Ethical Concerns Associated with Artificial Insemination by Donor (AID)

  • Screening: Concerns over adequate screening of sperm donors for genetic/infectious diseases
  • Anonymity: Debates whether donor-conceived individuals have right to know biological origins
  • Family Relationships: Donor sperm use can create complex emotional and legal issues in defining parenthood
  • Exploitation: Commercialization of sperm donation raises concerns about commodifying reproduction

Ethical Challenges Associated with In Vitro Fertilization (IVF)

  • Moral Status of Embryos: Creating and discarding embryos raises ethical concerns
  • Health Risks: Risks for mothers (e.g., ovarian hyperstimulation) and children due to IVF
  • Cost and Access: IVF is expensive, creating disparities and justice-related concerns
  • Multiple Pregnancies: IVF often results in twins/triplets, leading to medical complications

Ethical Concerns with Surrogacy

  • Exploitation: Coercion of women, particularly the financially needy, to become surrogates
  • Commodification: Surrogacy turns childbirth into a commercial transaction
  • Legal Issues: Disputes over parental rights if the surrogate changes her mind
  • Psychological Impact: Consequences for the surrogate, child, and intended parents

Ethical Dilemmas Raised by Pre-Birth Testing

  • Discrimination: Selecting against embryos with disabilities raises concerns about societal attitudes toward disability
  • False Positives/Negatives: Inaccurate test results can lead to emotional distress or misguided decisions
  • Burden on Women: Significant emotional and medical pressures related to testing
  • Eugenics: Potential for selecting desirable traits raises genetic engineering fears

Technologies Used for Sex Selection & Ethical Objections

  • Sperm Sorting: Pre-conception method to influence the sex of a child
  • Selective Abortion: Terminating fetuses based on sex
  • Ethical objections - Sexism: Reinforces gender biases, especially cultures favoring male children
  • Imbalanced Sex Ratios: Can lead to long-term demographic challenges
  • Moral Concerns: Raises broader issues about selecting traits in children

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