Document Detail


Should there be a female age limit on public funding for assisted reproductive technology?
MedLine Citation:
PMID:  23288441     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Should there be a female age limit on public funding for assisted reproductive technology (ART)? The question bears significant economic and sociopolitical implications and has been contentious in many countries. We conceptualise the question as one of justice in resource allocation, using three much-debated substantive principles of justice-the capacity to benefit, personal responsibility, and need-to structure and then explore a complex of arguments. Capacity-to-benefit arguments are not decisive: There are no clear cost-effectiveness grounds to restrict funding to those older women who still bear some capacity to benefit from ART. Personal responsibility arguments are challenged by structural determinants of delayed motherhood. Nor are need arguments decisive: They can speak either for or against a female age limit, depending on the conception of need used. We demonstrate how these principles can differ not only in content but also in the relative importance they are accorded by governments. Wide variation in ART public funding policy might be better understood in this light. We conclude with some inter-country comparison. New Zealand and Swedish policies are uncommonly transparent and thus demonstrate particularly well how the arguments we explore have been put into practice.
Authors:
Drew Carter; Amber M Watt; Annette Braunack-Mayer; Adam G Elshaug; John R Moss; Janet E Hiller;
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2013-01-04
Journal Detail:
Title:  Journal of bioethical inquiry     Volume:  10     ISSN:  1176-7529     ISO Abbreviation:  J Bioeth Inq     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-03-12     Completed Date:  2014-03-05     Revised Date:  2014-03-21    
Medline Journal Info:
Nlm Unique ID:  101250741     Medline TA:  J Bioeth Inq     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  79-91     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Australia
Cost-Benefit Analysis
Female
Health Care Rationing* / economics,  ethics
Health Policy*
Humans
Middle Aged
National Health Programs / economics,  ethics
New Zealand
Reproductive Techniques, Assisted* / economics,  ethics
Social Justice
Sweden

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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