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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

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Official URL: http://doi.org/10.1111/bioe.12411

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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
Subjects: Q Science > QL Zoology
Q Science > QP Physiology
R Medicine > RG Gynecology and obstetrics
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
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:
DateEvent
1 January 2018Published
1 December 2017Available
14 September 2017Accepted
Volume: 32
Number: 1
Page Range: pp. 16-26
DOI: 10.1111/bioe.12411
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
AH/H034536/1Arts and Humanities Research Councilhttp://dx.doi.org/10.13039/501100000267
UNSPECIFIEDBirmingham Women's and Children's NHS Foundation Trust (England)‏UNSPECIFIED

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