Hope and exploitation in commercial provision of assisted reproductive technologies

Anthony Wrigley, Gabriel Watts, Wendy Lipworth, Ainsley J. Newson

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)
22 Downloads (Pure)

Abstract

Innovation is a key driver of care provision in assisted reproductive technologies (ART). ART providers offer a range of add-on interventions, aiming to augment standard in vitro fertilization protocols and improve the chances of a live birth. Particularly in the context of commercial provision, an ever-increasing array of add-ons are marketed to ART patients, even when evidence to support them is equivocal. A defining feature of ART is hope—hope that a cycle will lead to a baby or that another test or intervention will make a difference. Yet such hope also leaves ART patients vulnerable in a variety of ways. This article argues that previous attempts to safeguard ART patients have neglected how the use of add-ons in commercial ART can exploit patients’ hopes. Commercial providers of ART should provide add-ons only free of charge, under a suitable research protocol.

Original languageEnglish
Pages (from-to)30-41
Number of pages12
JournalHastings Center Report
Volume53
Issue number5
DOIs
Publication statusPublished - Sept 2023

Bibliographical note

Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • assisted reproductive technologies
  • bioethics
  • exploitation
  • hope
  • physician-patient relationship

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