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An Ethic of Care and Responsibility: Reflections on Third-Party Reproduction

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Medicine Studies

Abstract

The rapid development of assisted reproduction technologies for the treatment of infertility appears to empower women through expanding their individual choice, but it is also creating new forms of suffering for them and their collaborators, especially in the context of transnational third-party reproduction. This paper explores the possibility of framing the ethical discourse around third-party reproduction by bringing attention to concerns of altruistic empathy for women who collaborate in the reproductive process, in addition to those of individualistic choice. This would entail moving beyond an ethic of liberty that is based on self-interest and the language of rights, to an alternative ethic of care that is based on self-restraint and the language of responsibilities. An ethic of care and responsibility would cultivate the empathetic self-reflection of the autonomous actor in relation to those others who are part of the enterprise of bringing a child into the world.

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Notes

  1. The term “suffering” is used in its common sense, meaning the bearing of pain, sorrow or distress.

  2. The language of “right” is a misnomer. Strictly speaking, a “right” as such exists only in relation to a duty holder, for example, by virtue of contract. As for human “right”s, these have universal application regardless of personal economic resources, while the market is an arena of “privilege” for those with the ability to pay, from either personal or collective resources. Under present conditions, the use of repro-genetic technology is dependent on economic ability, and in many parts of the world, it is not accessible for most people. From a human rights perspective, the question is how to render the technologies universally accessible to those who essentially need them, and to prioritize them in relation to other much needed essential technologies, including safe child birth.

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Correspondence to Carmel Shalev.

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Shalev, C. An Ethic of Care and Responsibility: Reflections on Third-Party Reproduction. Medicine Studies 3, 147–156 (2012). https://doi.org/10.1007/s12376-012-0074-z

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