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过多的股权——有这样的事情吗?围绕以色列选择性卵子冷冻补贴的公共讨论。

Too much equity - is there such a thing? The public discourse surrounding elective egg freezing subsidy in Israel.

机构信息

Department of Nursing, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.

出版信息

Int J Equity Health. 2023 Feb 18;22(1):34. doi: 10.1186/s12939-023-01831-8.

Abstract

BACKGROUND

The preservation of human ova for future fertilization has been made available to healthy women in 2011-2012. This treatment, dubbed elective egg freezing (EEF), is undertaken primarily by highly educated unpartnered women without children, concerned of age-related fertility decline. In Israel, treatment is available to women aged 30-41. However, unlike many other fertility treatments, EEF is not state subsidized. The public discourse of EEF funding in Israel is the focus of the present study.

METHOD

The article analyzes three sources of data: press presentations of EEF; a Parliamentary Committee discussion dedicated to EEF funding; interviews with 36 Israeli women who have undertaken EEF.

RESULTS

Numerous speakers raised the issue of equity, claiming that reproduction was a state interest and therefore, a state responsibility, including securing equitable treatment to Israeli women of all economic strata. Highlighting the generous funding of other fertility treatments, they claimed that EEF was inequitable, discriminating against poorer single women, who could not afford it. Few actors, however, rejected state funding as intervention in women's reproductive lives and called for reconsideration of the local reproductive imperative.

CONCLUSION

The invocation of equity by Israeli users of EEF, clinicians and some policy makers as grounds for a call to fund a treatment that serves a well-established subpopulation seeking to relieve a social rather than a medical problem, illustrates the profound context-embeddedness of notions of health equity. More generally, it may suggest that using an inclusive language in a discourse of equity may potentially be invoked so as to promote the interests of a particular subpopulation.

摘要

背景

2011-2012 年,健康女性可选择将卵子冷冻以备未来受精。这种治疗方法被称为选择性卵子冷冻(EEF),主要由没有孩子的高学历单身女性进行,她们担心生育能力会随着年龄的增长而下降。在以色列,30-41 岁的女性可以接受这种治疗。然而,与许多其他生育治疗不同,EEF 没有得到国家补贴。本文聚焦于以色列 EEF 资金的公共话语。

方法

文章分析了三种数据来源:EEF 的新闻报道;专门讨论 EEF 资金的议会委员会讨论;对 36 名接受 EEF 的以色列女性的访谈。

结果

许多发言者提出了公平问题,声称生殖是国家利益,因此是国家的责任,包括确保所有经济阶层的以色列妇女都得到公平的待遇。他们强调了其他生育治疗的慷慨资助,声称 EEF 不公平,歧视那些负担不起的贫穷单身女性。然而,很少有参与者反对国家资助,认为这是对女性生殖生活的干预,并呼吁重新考虑当地的生殖要求。

结论

以色列 EEF 用户、临床医生和一些政策制定者援引公平原则,呼吁为一种服务于已确立的亚人群的治疗提供资金,该亚人群寻求缓解社会问题而非医疗问题,这说明了健康公平观念的深刻背景嵌入性。更普遍地说,在公平话语中使用包容性语言可能会被援引,以促进特定亚人群的利益。

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