Department of Bioethics and Health Humanities, Institute for Bioethics & Health Humanities, School of Public and Population Health, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555-1311, USA.
John Sealy School of Medicine, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555-1311, USA.
J Assist Reprod Genet. 2024 Sep;41(9):2253-2256. doi: 10.1007/s10815-024-03192-9. Epub 2024 Jul 20.
After the death of a loved one, family will occasionally request posthumous assisted reproduction (PAR). Professional medical societies in the US and Europe oppose such requests without written consent except from the surviving partner with whom the deceased presumably shared a joint reproductive project. Here, however, we argue that joint reproductive projects are not limited to two-person romantic partners and therefore ethical policies should not be either. In other words, we argue the criterion of being in a romantic partnership with the decedent is biased and unjustly excludes certain family formations. We begin by describing the professional society guidelines to highlight how they presume a two-person romantic couple is the ideal basis for reproductive projects and families. Then, we discuss examples of alternative parental projects, noting that they are usually grounded in feminist and queer values. Finally, we respond to potential objections about violating the autonomy of the deceased and conflating reproductive and parental projects. In sum, as long as medical societies continue to uphold a policy whereby romantic partners may seek PAR in the absence of written consent, we believe that these societies must also allow for the potential of family formations that do not fit into the dominant paradigm.
在亲人去世后,家属偶尔会要求进行死后辅助生殖(PAR)。美国和欧洲的专业医学协会反对这种未经书面同意的请求,除非是已故配偶提出请求,且该配偶与死者共同参与了一项联合生殖项目。然而,我们认为,联合生殖项目并不仅限于两人的浪漫伴侣,因此,伦理政策也不应如此。换句话说,我们认为与死者处于浪漫伴侣关系的标准存在偏见,不公正地排除了某些家庭形式。我们首先描述专业协会的指导方针,以强调它们假设两人的浪漫伴侣是生殖项目和家庭的理想基础。然后,我们讨论了替代的育儿项目的例子,指出它们通常基于女权主义和酷儿价值观。最后,我们回应了关于侵犯死者自主权和混淆生殖和育儿项目的潜在反对意见。总之,只要医学协会继续坚持一项政策,即浪漫伴侣可以在没有书面同意的情况下寻求 PAR,我们认为这些协会也必须允许那些不符合主流模式的家庭形式的出现。