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部分外生性:自由、平等与政治视角。

Partial ectogenesis: freedom, equality and political perspective.

机构信息

Centre for Social Ethics and Policy, Department of Law, University of Manchester, Manchester M13 9PL, UK

出版信息

J Med Ethics. 2020 Feb;46(2):89-90. doi: 10.1136/medethics-2019-105968. Epub 2020 Feb 3.

Abstract

In this commentary, I consider how Giulia Cavaliere's arguments about the limited reach of the current justifications offered for full ectogenesis in the bioethical literature apply in the context of partial ectogenesis. I suggest that considering the extent to which partial ectogenesis is freedom or equality promoting is more urgent because of the more realistic prospect of artificial womb technology being utilised to facilitate partial gestation extra uterum as opposed to facilitating complete gestation from conception to term. I highlight concerns about potentially harmful social narratives surrounding pregnancy and about the current legal framework surrounding gestation limiting access to technology in the advent of partial ectogenesis. I do not advocate that these concerns mean that we ought not develop artificial wombs, but like Cavaliere I suggest that we must be mindful of these concerns, and I posit that legal reform must accompany technological developments. Ectogenesis as a political perspective, through which we consider the value in social reproduction and the experiences of pregnant people, is useful to prevent political capture of this technology for regressive policies. Using this perspective to examine the law is also a useful tool to expose just how restrictive the law is in relation to gestation and female reproductive health.

摘要

在这篇评论中,我考虑了朱莉亚·卡瓦列雷(Giulia Cavaliere)关于当前生物伦理文献中为全面体外生育提供的理由的有限性的论点如何适用于部分体外生育的情况。我认为,考虑到部分体外生育在多大程度上促进了自由和平等,这更为紧迫,因为人工子宫技术更有可能被用于促进部分妊娠宫外,而不是促进从受孕到足月的完全妊娠。我强调了围绕妊娠的潜在有害社会叙事以及当前围绕限制妊娠的法律框架,这些叙事可能会限制技术的获取,特别是在部分体外生育的情况下。我并不主张这些担忧意味着我们不应该开发人工子宫,但我像卡瓦列雷一样认为,我们必须意识到这些担忧,我认为法律改革必须伴随技术的发展。作为一种政治观点的体外生育,通过这种观点我们可以考虑社会再生产的价值和孕妇的体验,这有助于防止这项技术被用于倒退政策的政治俘获。从这个角度来审视法律也是一个有用的工具,可以揭示法律在与妊娠和女性生殖健康有关的方面是多么的具有限制性。

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