Humboldt University, Berlin.
Signs (Chic). 2011;36(2):280-88. doi: 10.1086/655978.
“Fertility tourism” is a journalistic eye‐catcher focusing on the phenomenon of patients who search for a reproductive treatment in another country in order to circumvent laws, access restrictions, or waiting lists in their home country. In Europe, the reasons why people seek reproductive treatments outside their national boundaries are quite diverse, in part because regulations differ so much among countries. Beginning with four examples of people who crossed borders for an in vitro fertilization (IVF) treatment with gamete donation, this article provides some insight into these transnational circumvention practices based on material from ethnographic fieldwork and interviews in Spain, Denmark, and the Czech Republic. In all three countries, gamete donation is made strictly anonymous. Clinical practices such as egg donor recruitment and phenotypical matching between donors and recipients serve to naturalize the substitution of gametes and to install social legitimacy through resemblance markers with the prospective child. In comparison to other areas of medical tourism, which are subjects of debate as a consequence of neoliberal health politics and international medical competition, mobility in the area of reproductive technologies is deeply intertwined with new forms of doing kinship. For prospective parents, it holds a promise of generating offspring who could pass as biogenetically conceived children. Therefore, IVF with gamete donation is mostly modeled after conceptions of nature. Through anonymity and concealment it creates forms of nonrelatedness that leave space for future imaginings and traces of transnational genetic creators.
“生育旅游”是一个新闻热点,主要关注的是这样一种现象:患者为了规避本国的法律、获取限制或等待名单,前往其他国家寻求生殖治疗。在欧洲,人们选择到国境之外寻求生殖治疗的原因多种多样,部分原因是各国之间的规定差异很大。本文以四位跨境接受配子捐赠体外受精(IVF)治疗的患者为例,基于在西班牙、丹麦和捷克共和国进行的民族志实地调查和访谈资料,对这些跨国规避行为进行了一些分析。在这三个国家,配子捐赠都是严格匿名进行的。临床实践如招募卵子捐赠者以及在供体和受体之间进行表型匹配,旨在使配子替代合法化,并通过与潜在孩子的相似性标记来建立社会合法性。与作为新自由主义卫生政策和国际医疗竞争的后果而备受争议的其他医疗旅游领域相比,生殖技术领域的流动性与建立亲属关系的新形式密切相关。对于准父母来说,这一选择有望生育出外表上像通过生物手段受孕的孩子。因此,配子捐赠的 IVF 主要是根据自然受孕的概念来进行的。通过匿名和隐瞒,它创造了非亲缘关系的形式,为未来的想象和跨国基因创造者的痕迹留下了空间。