How to address the ethics of reproductive travel to developing countries: a comparison of national self-sufficiency and regulated market approaches

Dev World Bioeth. 2012 Apr;12(1):45-54. doi: 10.1111/j.1471-8847.2012.00316.x.

Abstract

One of the areas of concern raised by cross-border reproductive travel regards the treatment of women who are solicited to provide their ova or surrogacy services to foreign consumers. This is particularly troublesome in the context of developing countries where endemic poverty and low standards for both medical care and informed consent may place these women at risk of exploitation and harm. We explore two contrasting proposals for policy development regarding the industry, both of which seek to promote ethical outcomes and social justice: While one proposal advocates efforts to minimize cross-border demand for female reproductive resources through the pursuit of national self-sufficiency, the other defends cross-border trade as a means for meeting the needs of vulnerable groups. Despite the conflicting objectives of the proposed strategies, the paper identifies common values and points of agreement between the two, including the importance of regulations to safeguard those providing ova or surrogacy services.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Commerce
  • Delivery of Health Care / ethics
  • Delivery of Health Care / standards
  • Developed Countries
  • Developing Countries*
  • Female
  • Health Care Sector / ethics*
  • Health Care Sector / legislation & jurisprudence*
  • Health Care Sector / standards
  • Humans
  • India
  • Informed Consent / ethics
  • Informed Consent / standards
  • Internationality
  • Male
  • Medical Tourism / ethics*
  • Oocyte Donation / ethics
  • Policy Making*
  • Poverty
  • Reproductive Techniques, Assisted / ethics*
  • Social Justice
  • Surrogate Mothers
  • Thailand
  • Vulnerable Populations*