Caplan A L
Prim Care. 1986 Jun;13(2):241-53.
Advances in medicine's ability to assist reproduction in those afflicted with infertility raise numerous ethical questions both for potential recipients of the techniques and for society as a whole. Society must decide what level of resources should be committed to the treatment of infertility in light of the fact that many children are not readily placed in adoptive or foster homes and the increasing competition that exists for scarce health care resources. The ethical uncertainty about the moral status of embryos and the moral acceptability of nonstandard techniques of in vitro fertilization raise further troubling questions about the adequacy of consent, committee review, and other protections for the welfare of families. Although it may not yet be appropriate to call for legislation or regulation in this area, there is a very real need to increase professional and public discussion of the ethical and policy questions raised by assisted reproduction.
医学在帮助不孕症患者进行生殖方面的进展，给这些技术的潜在接受者以及整个社会都带来了众多伦理问题。鉴于许多儿童难以被安置到收养家庭或寄养家庭，且稀缺的医疗资源竞争日益激烈，社会必须决定应投入多少资源用于治疗不孕症。关于胚胎道德地位的伦理不确定性以及体外受精非标准技术的道德可接受性，引发了关于同意的充分性、委员会审查以及对家庭福利的其他保护措施的更多棘手问题。尽管目前在这一领域呼吁立法或监管可能还不合适，但确实非常有必要加强专业人士和公众对辅助生殖引发的伦理和政策问题的讨论。
