Reframing the debate around state responses to infertility: considering the harms of subfertility and involuntary childlessness

Many countries are experiencing increasing levels of demand for access to assisted reproductive technologies (ART). Policies regarding who can access ART and with what (if any) support from a collective purse are highly contested, raising questions about what state responses are justified. Whilst mu...

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Main Authors: Brown, R, Rogers, W, Entwistle, V, Bhattacharya, S
Format: Journal article
Published: Oxford University Press 2016
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author Brown, R
Rogers, W
Entwistle, V
Bhattacharya, S
author_facet Brown, R
Rogers, W
Entwistle, V
Bhattacharya, S
author_sort Brown, R
collection OXFORD
description Many countries are experiencing increasing levels of demand for access to assisted reproductive technologies (ART). Policies regarding who can access ART and with what (if any) support from a collective purse are highly contested, raising questions about what state responses are justified. Whilst much of this debate has focused on the status of infertility as a disease, we argue that this is something of a distraction, since disease framing does not provide the far-reaching, robust justification for state support that proponents of ART seem to suppose. Instead, we propose that debates about appropriate state responses should consider the various implications for health and broader well-being that may be associated with difficulties starting a family. We argue that the harms and disruption to valued life projects of subfertility-related suffering may provide a stronger basis for justifying state support in this context. Further, we suggest that, whilst ART may alleviate some of the harm resulting from subfertility, population-level considerations can indicate a broader range of interventions aimed at tackling different sources of subfertility-related harm, consistent with broader public health aims.
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spelling oxford-uuid:4988c698-a369-456d-8cb3-2e1f7fd782722022-03-26T15:32:12ZReframing the debate around state responses to infertility: considering the harms of subfertility and involuntary childlessnessJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4988c698-a369-456d-8cb3-2e1f7fd78272Symplectic Elements at OxfordOxford University Press2016Brown, RRogers, WEntwistle, VBhattacharya, SMany countries are experiencing increasing levels of demand for access to assisted reproductive technologies (ART). Policies regarding who can access ART and with what (if any) support from a collective purse are highly contested, raising questions about what state responses are justified. Whilst much of this debate has focused on the status of infertility as a disease, we argue that this is something of a distraction, since disease framing does not provide the far-reaching, robust justification for state support that proponents of ART seem to suppose. Instead, we propose that debates about appropriate state responses should consider the various implications for health and broader well-being that may be associated with difficulties starting a family. We argue that the harms and disruption to valued life projects of subfertility-related suffering may provide a stronger basis for justifying state support in this context. Further, we suggest that, whilst ART may alleviate some of the harm resulting from subfertility, population-level considerations can indicate a broader range of interventions aimed at tackling different sources of subfertility-related harm, consistent with broader public health aims.
spellingShingle Brown, R
Rogers, W
Entwistle, V
Bhattacharya, S
Reframing the debate around state responses to infertility: considering the harms of subfertility and involuntary childlessness
title Reframing the debate around state responses to infertility: considering the harms of subfertility and involuntary childlessness
title_full Reframing the debate around state responses to infertility: considering the harms of subfertility and involuntary childlessness
title_fullStr Reframing the debate around state responses to infertility: considering the harms of subfertility and involuntary childlessness
title_full_unstemmed Reframing the debate around state responses to infertility: considering the harms of subfertility and involuntary childlessness
title_short Reframing the debate around state responses to infertility: considering the harms of subfertility and involuntary childlessness
title_sort reframing the debate around state responses to infertility considering the harms of subfertility and involuntary childlessness
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