front cover of Babies In Bottles
Babies In Bottles
Susan Merrill Squier
Rutgers University Press, 1994
There is a forgotten history to our current debates over reproductive technology - one interweaving literature and science, profoundly gendered, filled with choices and struggles. We pay a price when we accept modern reproductive technology as a scientific breakthrough without a past. Babies in Bottles retrieves some of that history by analyzing the literary and popular science writings of Julian Huxley, J.B.S. Haldane, Charlotte Haldane, Aldous Huxley, and Naomi Mitchison - writings that include representations of reproductive technology from babies in bottles to surrogate mothers. It is to these images, fantasies, practices, and narratives of scientific intervention in reproduction that we must look if we want to understand what acts of ideological construction have been carried out, and are currently being performed, in the name of reproductive technology. Susan Merrill Squier shows how the imaginative construction of reproductive technology helps to shape our contemporary practices. Susan Merrill Squier is Julia Gregg Brill Professor in Women's Studies and English at the Pennsylvania State University, University Park. She is the author of Virginia Woolf and London: The Sexual Politics of the City, editor of Women Writers and the City: Essays in Feminist Literary Criticism, and co-editor of Arms and the Woman: War, Gender, and Literary Representation.
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Clinical Labor
Tissue Donors and Research Subjects in the Global Bioeconomy
Melinda Cooper and Catherine Waldby
Duke University Press, 2014
Forms of embodied labor, such as surrogacy and participation in clinical trials, are central to biomedical innovation, but they are rarely considered as labor. Melinda Cooper and Catherine Waldby take on that project, analyzing what they call "clinical labor," and asking what such an analysis might indicate about the organization of the bioeconomy and the broader organization of labor and value today. At the same time, they reflect on the challenges that clinical labor might pose to some of the founding assumptions of classical, Marxist, and post-Fordist theories of labor.

Cooper and Waldby examine the rapidly expanding transnational labor markets surrounding assisted reproduction and experimental drug trials. As they discuss, the pharmaceutical industry demands ever greater numbers of trial subjects to meet its innovation imperatives. The assisted reproductive market grows as more and more households look to third-party providers for fertility services and sectors of the biomedical industry seek reproductive tissues rich in stem cells. Cooper and Waldby trace the historical conditions, political economy, and contemporary trajectory of clinical labor. Ultimately, they reveal clinical labor to be emblematic of labor in twenty-first-century neoliberal economies.
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Conceiving Normalcy
Rhetoric, Law, and the Double Binds of Infertility
Elizabeth C. Britt
University of Alabama Press, 2001

This ground-breaking rhetorical analysis examines a 1987 Massachusetts law affecting infertility treatment and the cultural context that makes such a law possible

Elizabeth C. Britt uses a Massachusetts statute requiring insurance coverage for infertility as a lens through which the work of rhetoric in complex cultural processes can be better understood. Countering the commonsensical notion that mandatory insurance coverage functions primarily to relieve the problem of infertility, Britt argues instead that the coverage serves to expose its contours.

Britt finds that the mandate, operating as a technology of normalization, helps to identify the abnormal (the infertile) and to create procedures by which the abnormal can be subjected to reform. In its role in normalizing processes, the mandate is more successful when it sustains, rather than resolves, the distinction between the normal and the abnormal. This distinction is achieved in part by the rhetorical mechanism of the double bind. For the middle-class white women who are primarily served by the mandate, these double binds are created both by the desire for success, control, and order and by adherence to medical models that often frustrate these same desires. The resulting double binds help to create and sustain the tension between fertility and infertility, order and discontinuity, control and chaos, success and failure, tensions that are essential for the process of normalization to continue.

Britt uses extensive interviews with women undergoing fertility treatments to provide the foundation for her detailed analysis. While her study focuses on the example of infertility, it is also more broadly a commentary on the power of definition to frame experience, on the burdens and responsibilities of belonging to social collectives, and on the ability of rhetorical criticism to interrogate cultural formations.

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Contested Reproduction
Genetic Technologies, Religion, and Public Debate
John H. Evans
University of Chicago Press, 2010

Scientific breakthroughs have led us to a point where soon we will be able to make specific choices about the genetic makeup of our offspring. In fact, this reality has arrived—and it is only a matter of time before the technology becomes widespread.

Much like past arguments about stem-cell research, the coming debate over these reproductive genetic technologies (RGTs) will be both political and, for many people, religious. In order to understand how the debate will play out in the United States, John H. Evans conducted the first in-depth study of the claims made about RGTs by religious people from across the political spectrum, and Contested Reproduction is the stimulating result.

Some of the opinions Evans documents are familiar, but others—such as the idea that certain genetic conditions produce a “meaningful suffering” that is, ultimately, desirable—provide a fascinating glimpse of religious reactions to cutting-edge science. Not surprisingly, Evans discovers that for many people opinion on the issue closely relates to their feelings about abortion, but he also finds a shared moral language that offers a way around the unproductive polarization of the abortion debate and other culture-war concerns. Admirably evenhanded, Contested Reproduction is a prescient, profound look into the future of a hot-button issue.

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Cultural Conceptions
On Reproductive Technologies and the Remaking of Life
Valerie Hartouni
University of Minnesota Press, 1997

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Ethics and Economics of Assisted Reproduction
The Cost of Longing
Maura A. Ryan
Georgetown University Press, 2001

For those who undergo it, infertility treatment is costly, time-consuming, invasive, and emotionally and physically arduous, yet technology remains the focus of most public discussion of the topic. Drawing on concepts from medical ethics, feminist theory, and Roman Catholic social teaching, Maura A. Ryan analyzes the economic, ethical, theological, and political dimensions of assisted reproduction.

Taking seriously the experience of infertility as a crisis of the self, the spirit, and the body, Ryan argues for the place of reproductive technologies within a temperate, affordable, sustainable, and just health care system. She contends that only by ceasing to treat assisted reproduction as a consumer product can meaningful questions about medical appropriateness and social responsibility be raised. She places infertility treatments within broader commitments to the common good, thereby understanding reproductive rights as an inherently social, rather than individual, issue. Arguing for some limits on access to reproductive technology, Ryan considers ways to assess the importance of assisted reproduction against other social and medical prerogatives and where to draw the line in promoting fertility. Finally, Ryan articulates the need for a compassionate spirituality within faith communities that will nurture those who are infertile.

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front cover of Ethics of Procreation and the Defense of Human Life
Ethics of Procreation and the Defense of Human Life
Contraception, Artficial Fertilization, and Abortion
Martin Rhonheimer
Catholic University of America Press, 2010
Building on the renewal of Thomistic ethics encouraged by key moral encyclicals including Humanae Vitae, Veritatis Splendor, and Evangelium Vitae, Swiss philosopher Martin Rhonheimer revisits some of the most difficult questions regarding the ethics of procreation and human life.
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Human Embryos, Human Beings
A Scientific and Philosophical Approach
Samuel B. Condic
Catholic University of America Press, 2018
The overall purpose of Human Embryos, Human Beings is to establish the ontological status of the human embryo, in light of the most recent biological evidence. The thesis of the book is that sound philosophical reasoning and the available scientific evidence support the claim that a human being is present from the moment of fertilization onward (the “immediate hominization” view) and does not support the contrary claim that a human being appears only after a time following fertilization (the “delayed hominization” view). Included in the scope of this argument is an examination of several long-standing philosophical arguments claiming that immediate hominization is false; a detailed examination of several arguments claiming that though immediate hominization is possible, both evidence and argument best support the delayed hominization view or some alternate view; and an examination of several cases where natural defect or scientific manipulation make determining the ontological status of the embryo more difficult. The book also includes a presentation of hylomorphism, as this is the philosophical viewpoint employed by the authors to analyze the question. Human Embryos, Human Beings is based on the premise that philosophical and scientific approaches are not in conflict, with the most comprehensive understanding of human embryos being achieved by application of a rigorous hylomorphic philosophy to the best available scientific data. Often, one finds either a thorough and well-reasoned philosophical account or a detailed scientific account. This book makes a welcome addition to the field by integrating both of these needed elements into a single text.
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front cover of In Search Of Parenthood
In Search Of Parenthood
Coping with Infertility and High-Tech Conception
Judith N. Lasker and Susan Borg
Temple University Press, 1994
"Anyone considering a new method of conception or struggling to resolve infertility should read this book. The authors point to the need for more public discussion of infertility and more social support groups for the infertile. Reading and discussing this book is a first step. It is also an excellent supplementary text for courses in human sexuality, sex and gender roles, women and society, or medical ethics, and is guaranteed to provoke lively class discussion." --Contemporary Sociology This revised and updated edition provides an accessible discussion of how new reproductive technologies work and how well they work. Includes gripping personal and professional accounts from infertility specialists and would-be parents who have used in vitro fertilization, donor insemination, surrogacy, and other technologies. Would-be parents speak candidly about the difficult process--repeated office visits, frequent tests, and anxious waiting for results--and the staggering costs--in dollars, stress, and physical consequences. "This book will be useful for several audiences. Infertile women and men considering the new reproductive technologies will find this book an invaluable resource. Health professionals working with infertility patients will find that the book offers helpful insights into the experiences and concerns of their clients. Finally, researchers studying infertility will find this book to be a rich source of interesting hypotheses." --Contemporary Psychology "Lasker and Borg present a thoughtful and sensitive examination of the world of the new reproductive technologies. Most importantly, they offer us the voices of the women and men who have been there: in infertility clinics, in in vitro programs, in so-called 'surrogacy' contracts. They share with us the success and failure, joy and grief of our brave new world of reproduction." --Barbara Katz Rothman, author of The Tentative Pregnancy: Prenatal Diagnosis and the Future of Motherhood
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front cover of Intimate Associations
Intimate Associations
The Law and Culture of American Families
J. Herbie DiFonzo and Ruth C. Stern
University of Michigan Press, 2013

The rise in divorce, cohabitation, single parenthood, and same-sex partnerships, along with an increase in surrogacy, adoption, and assisted reproductive technologies, has led to many diverse configurations of families, or intimate associations. J. Herbie DiFonzo and Ruth C. Stern chart these trends over the past several decades and investigate their social, legal, and economic implications.

Drawing upon a wealth of social science data, they show that, by a number of measures, children of married parents fare better than children in a household formed by cohabiting adults. This is not to condemn nontraditional families, but to point out that society and the law do not yet adequately provide for their needs. The authors applaud the ways in which courts and legislatures are beginning to replace rigid concepts of marriage and parenthood with the more flexible concept of “functional” family roles. In the conclusion, they call for a legal system that can adapt to the continually changing reality of family life.

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front cover of Labor of Love
Labor of Love
Gestational Surrogacy and the Work of Making Babies
Jacobson, Heather
Rutgers University Press, 2016
While the practice of surrogacy has existed for millennia, new fertility technologies have allowed women to act as gestational surrogates, carrying children that are not genetically their own. While some women volunteer to act as gestational surrogates for friends or family members, others get paid for performing this service. The first ethnographic study of gestational surrogacy in the United States, Labor of Love examines the conflicted attitudes that emerge when the ostensibly priceless act of bringing a child into the world becomes a paid occupation.  
 
Heather Jacobson interviews not only surrogate mothers, but also their family members, the intended parents who employ surrogates, and the various professionals who work to facilitate the process. Seeking to understand how gestational surrogates perceive their vocation, she discovers that many regard surrogacy as a calling, but are reluctant to describe it as a job. In the process, Jacobson dissects the complex set of social attitudes underlying this resistance toward conceiving of pregnancy as a form of employment. 
 
 
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front cover of Legitimating Life
Legitimating Life
Adoption in the Age of Globalization and Biotechnology
van Wichelen, Sonja
Rutgers University Press, 2019
The phenomenon of transnational adoption is changing in the age of globalization and biotechnology. In Legitimating Life, Sonja van Wichelen boldly describes how contemporary justifications of cross-border adoption navigate between child welfare, humanitarianism, family making, capitalism, science, and health. Focusing on contemporary institutional practices of adoption in the United States and the Netherlands, she traces how professionals, bureaucrats, lawyers, politicians, social workers, and experts legitimate a practice that became progressively controversial. Throughout the past few decades transnational adoption transformed from a humanitarian response to a means of making family. In this new manifestation, life becomes necessarily economized. While push and pull factors, demand and supply dynamics, and competition between agencies set the stage for the globalization of adoption, international conventions, scientific knowledge, and the language of human rights universalized the phenomenon. Van Wichelen argues that such technoscientific legitimations of a globalizing practice are rearticulating colonial logics of race and civilization. Yet, she also lets us see beyond the biopolitical project and into alternative ways of making kin. 

 
 
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front cover of Liminal Lives
Liminal Lives
Imagining the Human at the Frontiers of Biomedicine
Susan Merrill Squier
Duke University Press, 2004
Embryo adoptions, stem cells capable of transforming into any cell in the human body, intra- and inter-species organ transplantation—these and other biomedical advances have unsettled ideas of what it means to be human, of when life begins and ends. In the first study to consider the cultural impact of the medical transformation of the entire human life span, Susan Merrill Squier argues that fiction—particularly science fiction—serves as a space where worries about ethically and socially charged scientific procedures are worked through. Indeed, she demonstrates that in many instances fiction has anticipated and paved the way for far-reaching biomedical changes. Squier uses the anthropological concept of liminality—the state of being on the threshold of change, no longer one thing yet not quite another—to explore how, from the early twentieth century forward, fiction and science together have altered not only the concept of the human being but the contours of human life.

Drawing on archival materials of twentieth-century biology; little-known works of fiction and science fiction; and twentieth- and twenty-first century U.S. and U.K. government reports by the National Institutes of Health, the Parliamentary Advisory Group on the Ethics of Xenotransplantation, and the President’s Council on Bioethics, she examines a number of biomedical changes as each was portrayed by scientists, social scientists, and authors of fiction and poetry. Among the scientific developments she considers are the cultured cell, the hybrid embryo, the engineered intrauterine fetus, the child treated with human growth hormone, the process of organ transplantation, and the elderly person rejuvenated by hormone replacement therapy or other artificial means. Squier shows that in the midst of new phenomena such as these, literature helps us imagine new ways of living. It allows us to reflect on the possibilities and perils of our liminal lives.

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front cover of Making Gaybies
Making Gaybies
Queer Reproduction and Multiracial Feeling
Jaya Keaney
Duke University Press, 2023
In Making Gaybies Jaya Keaney explores queer family making as a site of racialized intimacy. Drawing on interviews with queer families in Australia, Keaney traces the lived experiences of choice and constraint as these families seek to craft likeness with their future children and tell stories of chosen family made through love. Queer family building often involves multiracial and multicultural encounters, as intending parents take part in the global fertility industry. Keaney follows queer family making through reproductive technologies and highlights the confines of varied transnational reproductive markets and policies as well as changing formations of race, gender, sexuality, and kinship. Whether sharing the story of white gay men choosing Indian and Thai egg donors to make their surrogate-born children’s ethnicities visually distinct from their own or that of an Aboriginal lesbian and her white partner choosing a Cherokee donor from the United States to articulate a global Indigeneity, Keaney foregrounds the entwinement of reproduction, race, and affect. By focusing on queer family making, Keaney demonstrates how reproduction fosters a queer multiracial imaginary of kinship.
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The Oocyte Economy
The Changing Meaning of Human Eggs
Catherine Waldby
Duke University Press, 2019
In recent years increasing numbers of women from wealthy countries have turned to egg donation, egg freezing, and in vitro fertilization to become pregnant, especially later in life. This trend has created new ways of using, exchanging, and understanding oocytes—the reproductive cells specific to women. In The Oocyte Economy Catherine Waldby draws on 130 interviews---with scientists, clinicians, and women who have either donated or frozen their oocytes or received those of another woman---to trace how the history of human oocytes' perceived value intersects with the biological and social life of women. Demonstrating how oocytes have come to be understood as discrete and scarce biomedical objects open to valuation, management, and exchange, Waldby examines the global market for oocytes and the power dynamics between recipients and the often younger and poorer donors. With this exploration of the oocyte economy and its contemporary biopolitical significance, Waldby rethinks the relationship between fertility, gendered experience, and biomedical innovation.
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Playing Dolly
Technocultural Formations, Fantasies, and Fictions of Assisted Reproduction
Kaplan, E. Ann
Rutgers University Press, 1999

Reproductive technology spans techniques ranging from cloning, surrogate motherhood, egg donation, and prenatal testing. In the early nineties, when public debate about this topic was new, the discourse focused on the moral and ethical issues that these new technologies evoked. Less than a decade later, the editors in Playing Dolly state, ethical questions seem less urgent. Enormous changes have taken place in the way that reproduction is represented, understood, and discussed.

The pieces, which range from the biomedical to the sociocultural and include even fiction, reflect the shift in public perception of these complex topics. They testify to the increasing acceptance of reproductive technology, and the resulting reduction in concern over the ethical issues raised by technological intervention.

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The Political Geographies of Pregnancy
Laura R. Woliver
University of Illinois Press, 2002

A searing study of how modern reproductive politics shapes women's bodily agency

Pregnancy indisputably takes place within a woman's body. But as reproductive power finds its way into the hands of medical professionals, lobbyists, and policymakers, the geographies of pregnancy are shifting, and the boundaries need to be redrawn, argues Laura R. Woliver. The Political Geographies of Pregnancy is a vigorous analysis of the ways modern reproductive politics are shaped by long-standing debates on abortion and adoption, surrogacy arrangements, new reproductive technologies, medical surveillance, and the mapping of the human genome.

Across a politically charged backdrop of reproductive issues, Woliver exposes strategies that claim to uphold the best interests of children, families, and women but in reality complicate women's struggles to have control over their own bodies. Utilizing feminist standpoint theory and promoting a feminist ethic of care, Woliver looks at abortion politics, modern adoption laws that cater to male-headed families, regulations that allow the state to monitor pregnant women but not always provide care for them, and the power structures behind the seemingly benign world of egg-selling and surrogate parenting. She also considers the potentially staggering political implications of mapping the human genome, and the exclusion of women's perspectives in discussions about legislation and advancements in reproductive technologies.

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front cover of The Politics of Women's Biology
The Politics of Women's Biology
Hubbard, Ruth
Rutgers University Press, 1990
For a range of historical and contemporary issues in eugenics, human evolution, and procreative technology, Ruth Hubbard explains why scientific descriptions and choices should not generalize human, or female, attributes without acknowledging the realities of people's lives. Sophisticated in its analysis, yet not at all technical in its exposition, this book will find a wide readership among feminists, the general public, and the scientific community.
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A Question of Identity
Women, Science, and Literature
Benjamin, Marina
Rutgers University Press, 1993
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Reproducing Jews
A Cultural Account of Assisted Conception in Israel
Susan Martha Kahn
Duke University Press, 2000
There are more fertility clinics per capita in Israel than in any other country in the world and Israel has the world's highest per capita rate of in-vitro fertilization procedures. Fertility treatments are fully subsidized by Israeli national health insurance and are available to all Israelis, regardless of religion or marital status. These phenomena are not the result of unusually high rates of infertility in Israel but reflect the centrality of reproduction in Judaism and Jewish culture.

In this ethnographic study of the new reproductive technologies in Israel, Susan Martha Kahn explores the cultural meanings and contemporary rabbinic responses to artificial insemination, in-vitro fertilization, egg donation, and surrogacy. Kahn draws on fieldwork with unmarried Israeli women who are using state-subsidized artificial insemination to get pregnant and on participant-observation in Israeli fertility clinics. Through close readings of traditional Jewish texts and careful analysis of Israeli public discourse, she explains how the Israeli embrace of new reproductive technologies has made Jewish beliefs about kinship startlingly literal. Kahn also reveals how a wide range of contemporary Israelis are using new reproductive technologies to realize their reproductive futures, from ultraorthodox infertile married couples to secular unmarried women.

As the first scholarly account of assisted conception in Israel, this multisited ethnography will contribute to current anthropological debates on kinship studies. It will also interest those involved with Jewish studies.

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Romancing the Sperm
Shifting Biopolitics and the Making of Modern Families
Diane Tober
Rutgers University Press, 2019
The 1990s marked a new era in family formation. Increased access to donor sperm enabled single women and lesbian couples to create their families on their own terms, outside the bounds of heterosexual married relationships. However, emerging “alternative” families were not without social and political controversy. Women who chose to have children without male partners faced many challenges in their quest to have children. Despite current wider social acceptance of single people and same sex couples becoming parents, many of these challenges continue.
 
In Romancing the Sperm, Diane Tober explores the intersections between sperm donation and the broader social and political environment in which “modern families” are created and regulated. Through tangible and intimate stories, this book provides a captivating read for anyone interested in family and kinship, genetics and eugenics, and how ever-expanding assisted reproductive technologies continue to redefine what it means to be human.  
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front cover of Sex in an Age of Technological Reproduction
Sex in an Age of Technological Reproduction
ICSI and Taboos
Carl Djerassi
University of Wisconsin Press, 2008
Carl Djerassi is one of “the fathers of the Pill”—he was awarded the National Medal of Science for the first synthesis of a steroid oral contraceptive—and has had a prolific additional career as a writer of fiction, plays, and dialogues about science. In these two plays, ICSI and Taboos, he dramatizes the social transformations and contested viewpoints created by advances in reproductive science and technology.
            Two of the most startling developments in contemporary science have radically disrupted the historical connection between sex and reproduction: in vitro fertilization and intracytoplasmic sperm injection (ICSI)—an assisted reproductive technique that directly injects a single sperm into an egg. The word play ICSI—designed for classroom readings—presents, in the format of a contentious talk-show dialogue, the science of direct-injection fertilization and the ethical issues connected with it. A DVD included in the book provides video of the ICSI injection process as viewed through a microscope, to be used in performances of the ICSI one-act dialogue. Taboos, a full-length play,turns the screws on characters that reflect a polarized America. Two couples—lesbian partners and a conservative husband and wife struggling with infertility—must make choices in a drama that examines the disjunction of sexual reproduction and the physical act of sex.
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front cover of Surrogates and Other Mothers
Surrogates and Other Mothers
The Debates over Assisted Reproduction
Ruth Macklin
Temple University Press, 1994

Developments in new reproductive technologies have confounded public policy and created legal and ethical quandaries for professionals and ordinary citizens alike. Drawing from the most current medical, psychiatric, legal, and bioethical literature, Ruth Macklin, noted author and philosopher, presents the arguments surrounding these advances through the voices of fictional characters. The episodes she narrates are based on real-life situations, both from her personal experience as a hospital ethicist and from the public arena, where such controversial court cases as that of Baby M have sparked a multitude of disparate opinions on surrogacy, in vitro fertilization, and egg and sperm donor program.

Macklin's hypoethical tale centers on Bonnie and Larry, an infertile couple longing for a child. As the couple's quest to become parents begins, they discover that Bonnie is physically incapable of carrying a pregnancy to term. Desperate to explore their options, Bonnie and Larry attempt adoption but are rejected by the agency without explanation. Finally, they contemplate surrogacy as their last chance to have a child. Seeking advice and answers, they consult health professionals, lawyers, pastoral counselors, and a bioethicist. In the course of this complicated and often painful decision-making process, they attend meetings of a government task force on reproduction where they hear both radical and liberal feminist positions.

Their experiences with friends, family members, two surrogates, hospital ethics committees, and special interest groups underscore the difficulty of coming to a consensus on such issues as AIDS, the right to privacy, premenstrual syndrome, the violation of surrogate contracts, and the responsibilities of therapists and physicians to their patients and to the community at large.

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front cover of Undoing Motherhood
Undoing Motherhood
Collaborative Reproduction and the Deinstitutionalization of U.S. Maternity
Katherine M. Johnson
Rutgers University Press, 2023
In 1978 the world’s first “test-tube baby” was born from in vitro fertilization (IVF), effectively ushering in a paradigm shift for infertility treatment that relied on partially disembodied human reproduction. Beyond IVF, the ability to extract, fertilize, and store reproductive cells outside of the human body has created new opportunities for family building, but also prompted new conflicts about rights to and control over reproductive cells. In collaborative forms of reproduction that build on IVF technologies, such as egg and embryo donation and gestational surrogacy, multiple women may variously contribute to conception, gestation/birth, and the legal and social responsibilities for rearing a child, creating intentionally fragmented maternities. Undoing Motherhood examines the implications of such fragmented maternities in the post-IVF reproductive era for generating maternity uncertainty—an increasing cultural ambiguity about what does and should constitute maternity. Undoing Motherhood explores this uncertainty in the social worlds of reproductive medicine and law.
 
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front cover of What It Means to Be Human
What It Means to Be Human
The Case for the Body in Public Bioethics
O. Carter Snead
Harvard University Press, 2020

A Wall Street Journal Top Ten Book of the Year
A First Things Books for Christmas Selection
Winner of the Expanded Reason Award


“This important work of moral philosophy argues that we are, first and foremost, embodied beings, and that public policy must recognize the limits and gifts that this entails.”
Wall Street Journal

The natural limits of the human body make us vulnerable and dependent on others. Yet law and policy concerning biomedical research and the practice of medicine frequently disregard these stubborn facts. What It Means to Be Human makes the case for a new paradigm, one that better reflects the gifts and challenges of being human.

O. Carter Snead proposes a framework for public bioethics rooted in a vision of human identity and flourishing that supports those who are profoundly vulnerable and dependent—children, the disabled, and the elderly. He addresses three complex public matters: abortion, assisted reproductive technology, and end-of-life decisions. Avoiding typical dichotomies of conservative-liberal and secular-religious, Snead recasts debates within his framework of embodiment and dependence. He concludes that if the law is built on premises that reflect our lived experience, it will provide support for the vulnerable.

“This remarkable and insightful account of contemporary public bioethics and its individualist assumptions is indispensable reading for anyone with bioethical concerns.”
—Alasdair MacIntyre, author of After Virtue

“A brilliantly insightful book about how American law has enshrined individual autonomy as the highest moral good…Highly thought-provoking.”
—Francis Fukuyama, author of Identity

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