Programmes de bioethique, Departement de medecine sociale et preventive, Université de Montreal, succ. Centre-ville Montreal, Quebec, Canada.
Dev World Bioeth. 2010 Aug;10(2):59-69. doi: 10.1111/j.1471-8847.2009.00256.x. Epub 2009 Jun 8.
A subcategory of medical tourism, reproductive tourism has been the subject of much public and policy debate in recent years. Specific concerns include: the exploitation of individuals and communities, access to needed health care services, fair allocation of limited resources, and the quality and safety of services provided by private clinics. To date, the focus of attention has been on the thriving medical and reproductive tourism sectors in Asia and Eastern Europe; there has been much less consideration given to more recent 'players' in Latin America, notably fertility clinics in Chile, Brazil, Mexico and Argentina. In this paper, we examine the context-specific ethical and policy implications of private Argentinean fertility clinics that market reproductive services via the internet. Whether or not one agrees that reproductive services should be made available as consumer goods, the fact is that they are provided as such by private clinics around the world. We argue that basic national regulatory mechanisms are required in countries such as Argentina that are marketing fertility services to local and international publics. Specifically, regular oversight of all fertility clinics is essential to ensure that consumer information is accurate and that marketed services are safe and effective. It is in the best interests of consumers, health professionals and policy makers that the reproductive tourism industry adopts safe and responsible medical practices.
医疗旅游的一个分支,生殖旅游近年来一直是公众和政策辩论的主题。具体的关注点包括:个人和社区的剥削、获得所需医疗保健服务的机会、有限资源的公平分配,以及私人诊所提供的服务的质量和安全性。迄今为止,人们关注的焦点一直是亚洲和东欧蓬勃发展的医疗和生殖旅游部门;而对于拉丁美洲最近的“参与者”,即智利、巴西、墨西哥和阿根廷的生育诊所,关注要少得多。在本文中,我们研究了通过互联网营销生殖服务的阿根廷私人生育诊所的具体背景下的伦理和政策含义。无论人们是否同意将生殖服务作为消费品提供,事实上,世界各地的私人诊所都将其作为此类服务提供。我们认为,像阿根廷这样向当地和国际公众营销生育服务的国家,需要基本的国家监管机制。具体来说,所有生育诊所都需要定期监督,以确保消费者信息准确,营销服务安全有效。生殖旅游行业采用安全和负责任的医疗实践符合消费者、卫生专业人员和政策制定者的最大利益。