Universiteit Gent, Bioethics Institute Ghent (BIG), Department of Philosophy and Moral Science, Gent, Belgium.
Reprod Biomed Online. 2023 Jul;47(1):151-156. doi: 10.1016/j.rbmo.2023.03.019. Epub 2023 Apr 2.
Many people hope that the unused and unwanted eggs frozen by women for self-use could be applied to reduce the shortage of donor eggs. However, several practical (additional screening and counselling) and ethical (informed consent and reimbursement) issues may dampen this hope. This paper also considers the question of whether elective egg freezers who want to donate their eggs should be reimbursed for the costs they have met for the IVF cycle and storage. It is argued that a partial reimbursement for the collection (hormonal stimulation and retrieval) is morally acceptable because it is limited to proven expenses (and does not violate the altruism rule) and because the recipients should contribute to the costs of a scheme from which they are benefiting. The storage fee should be paid by the egg freezer herself and no reward for effort, time and inconvenience should be given. This compromise benefits both donors and recipients.
许多人希望女性为自用而冷冻的未使用和不需要的卵子能够被应用,以缓解捐赠卵子的短缺。然而,一些实际的(额外的筛选和咨询)和伦理的(知情同意和补偿)问题可能会使这一希望破灭。本文还考虑了一个问题,即希望捐赠卵子的选择性冻卵者是否应该为他们的试管婴儿周期和存储所花费的费用得到补偿。有人认为,对收集(激素刺激和提取)进行部分补偿在道德上是可以接受的,因为这仅限于已证明的费用(并且不违反利他主义规则),而且因为接受者应该为他们受益的计划的费用做出贡献。存储费用应由卵子冷冻者自己支付,并且不应给予其努力、时间和不便的任何奖励。这种妥协对捐赠者和接受者都有利。