Isasi Rosario M, Knoppers Bartha M
Centre de Recherche en Droit Public, Université de Montréal, Centre-ville, QC, Canada.
Stem Cell Res. 2007 Oct;1(1):37-44. doi: 10.1016/j.scr.2007.09.003. Epub 2007 Sep 18.
The debate on both the appropriateness of allowing healthy women to provide oocytes for research use and the use of financial incentives is increasingly reduced to a confrontation between ethics, science, and the welfare of women. It is plausible that the expansion of national and international research efforts, paired with the growing trend toward liberalizing stem cell research policies, will inevitably result in increased demand for the materials needed to conduct such research. The scarcity of human reproductive materials that are available for research generates concerns over, the emergence of a "black market", an increase in financial incentives for donors, and the appropriateness of current regulatory frameworks that aim to safeguard donors. In this article we explore the conceptual models for categorizing oocyte donors and analyze the use of financial incentives as well as the compensation models proposed and implemented in various jurisdictions. Finally, we propose the adoption of a mixed model that both respects altruism and provides a feasible solution to an issue that could be situated only in the context of the overall acceptability of providing financial rewards to donors of human reproductive materials for assisted reproductive technologies.
关于允许健康女性提供用于研究的卵母细胞是否合适以及使用经济激励措施的争论,日益演变成伦理、科学与女性福祉之间的对抗。随着国家和国际研究力度的加大,以及干细胞研究政策日益自由化的趋势,开展此类研究所需材料的需求必然会增加,这似乎是合理的。可用于研究的人类生殖材料的稀缺引发了人们对“黑市”出现、对捐赠者经济激励增加以及旨在保护捐赠者的现行监管框架是否合适的担忧。在本文中,我们探讨了对卵母细胞捐赠者进行分类的概念模型,分析了经济激励措施的使用以及不同司法管辖区提出和实施的补偿模式。最后,我们建议采用一种混合模式,既尊重利他主义,又为一个只有在向辅助生殖技术的人类生殖材料捐赠者提供经济奖励的整体可接受性背景下才会出现的问题提供可行的解决方案。