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Who gets the gametes? An argument for a points system for fertility patients
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Jenkins , Simon, Ives, Jonathan , Avery, Sue and Draper, Heather (2018) Who gets the gametes? An argument for a points system for fertility patients. Bioethics, 32 (1). pp. 16-26. doi:10.1111/bioe.12411 (In Press)
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Official URL: http://doi.org/10.1111/bioe.12411
Abstract
This paper argues that the convention of allocating donated gametes on a “first come, first served” basis should be replaced with an allocation sys-tem that takes into account more morally relevant criteria than waiting time. This conclusion was developed using an empirical bioethics method-ology, which involved a study of the views of eighteen staff members from seven UK fertility clinics, and twenty academics, policy-makers, representa-tives of patient groups, and other relevant professionals, on the allocation of donated sperm and eggs. Against these views, we consider some nu-anced ways of including criteria in a points allocation system. We argue that such a system is more ethically robust than “first come, first served”, but we acknowledge that our results suggest that a points system will meet with resistance from those working in the field. We conclude that criteria such as a patient’s age, potentially damaging substance use, and parental status should be used to allocate points and determine which patients re-ceive treatment and in what order. These and other factors should be ap-plied according to how they bear on considerations like child welfare, pa-tient welfare, and the effectiveness of the proposed treatment.
| Item Type: | Journal Article | |||||||||
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| Subjects: | Q Science > QL Zoology Q Science > QP Physiology R Medicine > RG Gynecology and obstetrics |
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| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Gametes , Fertility, Human, Fertilization in vitro, Human | |||||||||
| Journal or Publication Title: | Bioethics | |||||||||
| Publisher: | Wiley-Blackwell Publishing Ltd. | |||||||||
| ISSN: | 0269-9702 | |||||||||
| Official Date: | 1 January 2018 | |||||||||
| Dates: |
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| Date of first compliant deposit: | 21 September 2017 | |||||||||
| Volume: | 32 | |||||||||
| Number: | 1 | |||||||||
| Page Range: | pp. 16-26 | |||||||||
| DOI: | 10.1111/bioe.12411 | |||||||||
| Status: | Peer Reviewed | |||||||||
| Publication Status: | In Press | |||||||||
| Access rights to Published version: | Open Access | |||||||||
| RIOXX Funder/Project Grant: |
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