...Ethical Dilemmas of Foreign Surrogacy Marek J. Piszczatowski Valparaiso University ¬¬¬¬ Ethical Issues in Advanced Practice Nursing Dr. Christina Cavinder September 25, 2017 Ethical Dilemmas of Foreign Surrogacy Medical tourism is a rapidly growing phenomenon that, over the years, has become a multibillion-dollar international business. The advancement of Assisted Reproductive Technologies and increasing globalization, has made international surrogacy a popular option of acquiring a child for infertile couples from all over the world. Foreign surrogacy is not only a new and filled with potential practice but also a subject of legal and ethical debates. The purpose of this paper is to examine ethical issues surrounding intercountry...
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...ETHICAL ISSUES RELATED TO REPRODUCTION Oghenebrume Pela Grand Canyon University: HLT 305 11/22/2014 Assisted reproductive technology otherwise known as fertility treatment uses various methods to achieve pregnancy. According to the CDC, the use of these methods has doubled in the last ten years. There has also been an increase in the number of successes based on the most recently collected data as at 2012. The current percentage of people born through ART (assisted reproductive technology) living in the United States is at 1% which, quite frankly, is a lot of people (Assisted Reproductive Technology (ART), 2014). In the case of surrogate parenting, an agreement is reached typically between an infertile couple and a woman who is to carry a baby for this couple. There are two main types which are gestational surrogacy and traditional surrogacy. In gestational surrogacy, conception takes place by means of IVF (in vitro fertilization) which would mean that the surrogate mother will have no genetic relationship with the resultant child. In traditional surrogacy, conception will take place either naturally or artificially which would mean that there will be a genetic relationship between the surrogate mother and the pregnancy. Sperm and egg donation as the name implies is a practice in which sperm and eggs or embryos have been donated by a third party to enable the infertile individual or couple to conceive. The donors are usually screened before they can donate and are...
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...Surrogacy Laws in other parts of the world Surrogacy not only involves the personal desire of intended parents or surrogate mother but it also has to deal with different beliefs, culture, ethical dilemmas and local jurisdictions of different countries all around the world & hence the laws regarding surrogacy varies accordingly in different countries. Below are the summarised form of such variations in few relevant countries: 1. Australia: In Australia, commercial surrogacy is strictly prohibited & hence is against the law however a surrogate is free to choose it altruistically. In most of the states of Australia carrying out commercial surrogacy is a criminal offense, although the Northern Territory has no legislation governing surrogacy at...
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...briefly explain the different types of surrogate motherhood and display three common arguments which are; ethical, health and legal issues. Surrogate motherhood is not only degrading to women it is morally wrong, and takes away all meaning to pregnancy. A New Look at Surrogate Motherhood Would you rather be a genetic or a birth mother? There was a study done, fifty women were asked this question as a result the majority of the women preferred to be a birth mother rather than a genetic mother. (Would you rather be a 'birth' or a 'genetic' mother? if so, how much?, 1994). The bonds a woman establishes with her child while pregnant is one that can never be replaced. If the majority of women would rather bear a child themselves for this particular reason; why is commercial surrogate motherhood on the rise? Some women are beginning to consider commercial surrogate motherhood as a better alternative than adoption. To enforce a contract on something that is so personal to women like labor and childbirth is not only ethically wrong but morally wrong as well. What is surrogacy? Surrogacy is when one woman bears a child for another that for some reason cannot do on their own. There are several types of surrogacy; Altruistic, commercial, genetic and gestatory. Altruistic surrogacy is when the person bearing the child is doing it for a family member or friend. Commercial surrogacy is when the potential parents seek an individual to bear their child and usually involves payment to the...
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...PROJECT WORK ON “Surrogacy Motherhood” Under the Keen Supervision of:- Prof. Dr. M. Shabbir (Ambedkar Chair Professor of Law) Incharge & Chairman Department of Law, A.M.U. Aligarh Submitted by:- Faisal Ashfaq LL.M. (P) 13-LLM-20 GB1586 Synopsis * Introductory Remarks * Surrogacy and its Types * Necessity for Surrogacy * Hague Conference on Private International Law, March 2011 * National Guidelines for Accreditation, Supervision and Regulation of ART Clinics in India * The Assistive Reproductive Technology Regulation (Draft) Bill, 2010 * Socio Legal Issues * The Present Indian Scenario * International Perspective on Surrogacy * Conclusion * Bibliography Introductory Remarks The very word surrogate means “substitute”. That means a surrogate mother is the substitute for the genetic-biological mother. In common language, a surrogate mother is the person who is hired to bear a child, which she hands over to her employer at birth. According to the Artificial Reproductive Technique (ART) Guidelines:- Surrogacy is an “arrangement in which a woman agrees to a pregnancy, achieved through assisted reproductive technology, in which neither of the gametes belong to her...
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...The desire to reproduce is at the core of one’s biological being. The aspiration to pass on genetic makeup through offspring is perhaps the most innate evolutionary urge that is shared among all animals. The ability to pass on one’s DNA through offspring is one of the most basic, evolutionary and universal trait that is shared among all species and one that has stood the test of time. It is a natural form of ensuring that a part of one’s legacy will remain long after one’s passing. Regardless, of whether or not one is afflicted with the biological urge to conceive, one cannot underestimate the societal pressure that is placed on having children. Everyone, at one point or another, has to face the inevitable question by family or friends: “When are you planning to have kids?” or “Why don’t you have children?” Society views having children as a rite of passage and is a universally shared expectation of individuals. Therefore, naturally it is quiet distressing when one is unable to reproduce by natural means. In today’s contemporary society, man is so used to controlling its world and has devised many ways to overcome the constraints set forth by nature. For example proper family planning often involves the use of contraceptives in order to avoid an unplanned pregnancy, and when people are ready to have a child, they sometimes discover that achieving conception is not as easy as they imagined. According to World Health Organization (WHO) and the National Center of Health Statistics...
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...Death, dying and other ethical dilemmas Anand Chatoorgoon University of Phoenix Death, dying and other ethical dilemmas are issues that all Intensive Care Units (ICUs) throughout the world have to face and address. In the Current Opinion in Critical Care, Vol 16, No 6, December 2010, p. 640, Dixon-Woods and Bosk, writing on the topic of “Death, dying and other ethical dilemmas” under the journal’s section of ‘Ethical, legal and organizational issues in the ICU’, have stated that “Recent ethnographic work suggests that ethical dilemmas associated with end-of-life care in ICU clearly persist, even if clinicians are now more open about patients’ chances of surviving. An Australian study identified how decisions and actions made outside the ICU—such as proceeding with surgical procedures with very poor prognosis or admitting moribund patients who had sustained severe respiratory or cardiac arrest—led to a higher than expected rate of non-booked admissions. Staff believed these to be the result of futile interventions by staff outside the ICU that then resulted in ICU staff having to manage the patient and family through the dying process. ICU staff believed that this practice was detrimental to families by offering false hope of recovery, and that they were left to ‘clear up the unfinished work of medical staff’. Other studies have also documented the problems faced by staff confronted by patients whose potential for recovery is, at best, marginal, or when patients’...
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...In this essay I am going to look at the ethical issues of reproductive medicine (RM), focusing on in vitro fertilization (IVF), embryo selection and surrogacy. I will present, discuss and evaluate arguments put forward and echoed by both sides of the dilemma. RM is directed at helping people overcome their medical problems with procreating, i.e. creating new human life. However, as long as some RM techniques produce technically superfluous pre-embryos, RM has to deal with life and death decisions about inchoate human beings that are in a developmental phase about whose moral status hardly anyone has well-grounded intuitions or generalizable beliefs (Human Reproduction Update 1996, Vol. 2, No. 5 pp. 447–456). The ethics of reproductive medicine...
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...I chose procreation as a topic for this paper for a few reasons. First, because of complicity of the issue. Scope of this problem almost unlimited and correlates not only with modern legal and ethical general acceptable principals, but also with core issues of human existence. Second, I do believe, that understanding of origin of procreation and ability to build personal approach in this issue plays significant role for every professional in the Health Care System. Even if in real life situation some of us will never directly participate in solving such problem, still establishing firm personal position on this issue will benefited everyone who involved in running of human services. Third, I think that in the scope of course “Legal and Ethical issues in Health Care”, procreation could be a best example to justify my personal opinion on the social role of ethics and its priority over the social role of legal system. In comparing law and ethics, many people thinking about law as a sphere of clearly identified and easy to recognize points, while sphere of ethical issues for many, more-less limited to the individual stand points in terms of what is good and what is bad. However, it is an ethics established law, not law established ethics. Especially in the procreation dilemma, it turns out ethics plays a big part in all aspects of breeding, in the sense that ethics makes our choices relevant to other people. The decision to have or not to have children has a profound impact on all...
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...Chapter 1: Ethical Theory Meta-ethical positions include: * Ethical non-cognitivism (concept that ethics is a matter of feelings) * Ethical relativism (concept that ethics is relative to a particular point of view) * Ethical objectivism (notion that ethics is objective in nature). Meta-Ethical Positions Ethical Non-cognitivism The basis of ethical non-cognitivism is that ethical disagreement can be a highly emotional affair where no amount of reasoning is likely to convince the other party. * Example: “Let’s just agree to disagree” Ethical Relativism * Ethical relativism says that while ethical statements are cognitively meaningful, they do not hold in any objective sense because they depend on our point of view. * If we accept ethical relativism, then ethical disagreement among people who do not share the same perspective becomes impossible. * It assumes that if people agree on something, then it must be true. * Ethical relativism is suspect for a pragmatic reason: it is fundamentally at variance with our social practice. * Example: “To each his own”, or the belief that what’s right for one group isn’t necessarily right for another Ethical Objectivism * Ethical objectivism holds that right and wrong are objective phenomena. * Example: “I’m right and you’re wrong” What is Ethics? * As a discipline, ethics is a branch of philosophy. * It deals with questions of right and wrong conduct, and with what we ought to do and what...
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...ETHICAL DILEMMAS FACING NURSES ON END-OF-LIFE ISSUES BASED ON CONFERENCE PROCEEDINGS HELD IN ELDORET, KENYA Author: Kamau S. Macharia: BScN (Moi), MSc (studying) Nursing Leadership & Health Care Systems Management (University of Colorado, Denver), Higher Dip. Critical Care Nursing (Nbi). Graduate Assistant, School of Nursing & Biomedical Sciences, Kabianga University College (A Constituent College of Moi University), . P 0 Box 2030 20200 Kericho, Kenya , Tel +254 722224577, Email: symomash@gmail.com ETHICAL DILEMMAS FACING NURSES ON END-OF-LIFE ISSUES BASED ON CONFERENCE PROCEEDINGS HELD IN ELDORET, KENYA ABSTRACT Problem Statement: A conference to discuss on ethical dilemmas is thought to be a good way of airing out issues. It is unfortunate that at times a patient in our care may die no matter what we do. Profound ethical questions on end of life issues confront the medical personnel as they watch and wait helplessly. This paper touches on ethics, law, social and public policy as they affect nursing practice. Setting: This is a conference proceedings report augmented with a case study of Nelly from a local setting and compares it with two others from elsewhere which were also presented during the conference. Conference was organized by Federation of African Medical Students Associations (FAMSA), Eldoret 2011. The author was a presenter...
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... 3) ETHICAL THEORY 4) ETHICAL DECISION MAKING 5) NEGLIGENCE 6) CONSENT IN COMPETENT ADULTS 7) CONSENT IN CHILDREN 8) CONSENT IN INCOMPETENT ADULTS 9) CONSENT CONCERNING UNUSUAL IDEAS 10) ADVANCE DIRECTIVES 11) CONFIDENTIALITY 12) CONFIDENTIALITY AUDIT 13) EUTHANASIA 14) ABORTION 15) BIOTECHNOLOGY 16) SUGGESTED READING ONE – INTRODUCTION (Registrar) The importance of Ethical thinking in General Practice is becoming more and more apparent. It should not be thought that Ethics merely relates to the “Life and Death” issues in our Professional life – Abortion, Contraception, Euthanasia and the like. Ethical issues affect some part of almost every consultation, even if the ethical issue is something more mundane like obtaining adequate consent for an examination or respecting a patient’s dignity. Indeed, it could be argued that the Consultation skills that we foster so assiduously are actually Ethical skills – and that we need to know the patient’s “Ideas, Concerns and Expectations” in order to respect his Autonomy as well as in order to improve the outcome of the Consultation. In the 1998/99 academic year, I was appointed the deanery’s Medical Ethics fellow with a bursary from the MDU. I developed an approach to the teaching of GP ethics based on two half day sessions, which I presented in each VTS scheme in the deanery. The first session involved a consideration of Ethical theory....
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...clusive use at Institute of Management Technology, Hyderabad (IMT,HYD), 2015 9-109-017 REV: FEBRUARY 18, 2009 ROBERT SIMONS KATHRYN ROSENBERG NATALIE KINDRED Sydney IVF: Stem Cell Research At Sydney IVF we absolutely respect your beliefs. Because of this, we have taken the care to devise acceptable assisted conception programs for virtually all faiths—Christianity (including the Brethren), Islam, Judaism (including supervised kosher treatment cycles), Hinduism, and Buddhism. We guarantee that your eggs and your sperm will never be used in a way that you have not explicitly or implicitly consented to. — (Sydney IVF website) This case study describes the strategy implementation choices made by executives at Sydney IVF Limited: an Australian business that tested and performed research using human embryos derived from in vitro fertilization. In vitro fertilization (IVF) was a process that allowed human eggs to be fertilized outside a woman’s womb. In a typical IVF cycle, a woman’s ovaries were stimulated with fertility drugs to encourage the production of anywhere from 3 to 30 eggs. These eggs were then retrieved from the ovaries and fertilized with sperm in a glass test tube or petri dish—hence the Latin term in vitro, which means “in glass.” The fertilized eggs grew in a specialized culture medium (a nutrient-rich salt solution) for several days. The resulting embryos—clusters of cells that form after an egg is fertilized—were then transferred back to...
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...ram4577X_ch03.qxd 4/16/04 11:50 Page 37 Legal and Ethical Issues in Medical Practice, Including HIPAA AREAS OF COMPETENCE 2003 Role Delineation Study CLINICAL Fundamental Principles ɀ Apply principles of aseptic technique and infection control ɀ Comply with quality assurance practices Patient Care ɀ Coordinate patient care information with other health-care providers GENERAL Legal Concepts ɀ Perform within legal and ethical boundaries ɀ Prepare and maintain medical records ɀ Document accurately ɀ Follow employer’s established policies dealing with the health-care contract ɀ Implement and maintain federal and state health-care legislation and regulations ɀ Comply with established risk management and safety procedures ɀ Recognize professional credentialing criteria CHAPTER OUTLINE ɀ ɀ ɀ ɀ Medical Law and Ethics OSHA Regulations Quality Control and Assurance Code of Ethics ɀ HIPAA ɀ Confidentiality Issues and Mandatory Disclosure OBJECTIVES After completing Chapter 3, you will be able to: 3.1 Define ethics, bioethics, and law. 3.2 Discuss the measures a medical practice must take to avoid malpractice claims. 3.3 Describe OSHA requirements for a medical office. KEY TERMS abandonment agent arbitration assault authorization battery bioethics breach of contract civil law contract crime criminal law defamation disclosure durable power of attorney electronic transaction record ethics expressed contract felony fraud ...
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...ACKNOWLEDGEMENTS All praises due to Almighty Allah who enabled me to complete the research work. I am pleased to avail myself of the opportunity to express my deepest sense of respect, sincere appreciation and heartfelt gratefulness to my Anthropology department, to honorable supervisor & teachers who helped me for increasing anthropological insights by their guidance in planning and execution of present research work, suggestions, inspirations, affectionate feelings and constructive criticism through the work. I am very grateful for the support that our seminar librarian has shown by allowing me to take books in case of necessity and within short notice. The support will always be remembered. I am indebted to my parents and my friends for their immense mental support and courage to perceive through all sorts of difficulties until this research work was completed. I really feel proud of my honorable respondents who helped me to collect data in regard of my research title. Their helping mind really impressed me. So, I show my deepest sense of respect to them. My supervisor, I thank you for your guidance that brought me to the end of this work. Your politeness & cordial behavior added encouragement to my work. December, 2014 | Roll No:09203219Registration no: 3552Session: 2008-2009MSS, Department of Anthropology | ABSTRACT Being the main force conditioning human relationship, sex is essentially political. In any social context, the construction of...
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