Virtual Mentor

Virtual Mentor. January 2014, Volume 16, Number 1: 1-88.

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January 2014 Contents

Ethics and Assisted Reproductive Technology

Ethics Poll

The American Society for Reproductive Medicine (ASRM) has set $4,800 as a guideline cap for payment to women who provide eggs for use in in vitro fertilization (IVF). Which of the following best expresses what you think about this cap?
It’s good because it keeps people from treating body parts or traits like commodities.
It’s good because it keeps payments from becoming so high that women who need money are induced to participate in egg donation, which entails discomfort and some risk, when they should not.
It’s good because it helps control the price of treatments for infertility.
It’s bad because egg donors deserve more money for the discomfort and risk they experience.
It’s bad because it cuts down on the number of eggs available for IVF.
It’s bad because it does not effectively control the price of treatment for infertility.

Read about a current legal challenge to these caps in this month’s policy forum section.

It is possible for a postmenopausal woman to have an egg provided by a younger woman and fertilized by her husband’s sperm implanted so that she can carry the fetus to term and deliver the baby. What do you think about this practice? Select one answer.
There is no reason why a woman should not be able to use this method of assisted reproduction if she wants to become pregnant and can afford the services.
I don’t see a problem; women this age have been taking care of their grandchildren for centuries.
It should not be allowed because is riskier for the woman and her fetus.
It should not be allowed because women’s anatomy and physiology have evolved so that there is a natural limit on childbearing years.
It should not be allowed because the child’s mother might die when the child is still young.

Find out what two infertility experts say about this practice in this month’s ethics case 1.

Should health insurance pay for assisted reproductive technology?
Yes.
No.
Don’t know.

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From the Editor

ART and the Art of Medicine
Katie Falloon
Full Text | PDF
Virtual Mentor. 2014; 16:3-4.

Educating for Professionalism

Ethics Cases

Assisted Reproduction for Postmenopausal Women
Commentary by Senait Fisseha and Natalie A. Clark
Full Text | PDF
Virtual Mentor. 2014; 16:5-9.

Physician Responsibility When a Surrogate Mother Breaks Her Contract
Commentary by Saima Rafique and Alan H. DeCherney
Full Text | PDF
Virtual Mentor. 2014; 16:10-16.

Are IVF Risk-Sharing Programs Ethical?
Commentary by Leslie P. Francis
Full Text | PDF
Virtual Mentor. 2014; 16:17-23.

Shared Decision Making about IVF for Savior Siblings
Commentary by Emily S. Jungheim
Full Text | PDF
Virtual Mentor. 2014; 16:24-29.

The Code Says

AMA Code of Medical Ethics’ Opinions on Assisted Reproductive Technology
Full Text | PDF
Virtual Mentor. 2014; 16:30-33.

Journal Discussion

Health and Development of Children Conceived through Assisted Reproduction
Clinton Wang
Full Text | PDF
Virtual Mentor. 2014; 16:34-37.

State of the Art and Science

Expanded Genetic Testing in Assisted Reproduction: Lessons Learned from Prenatal Testing
Susan Klugman and Siobhan M. Dolan
Full Text | PDF
Virtual Mentor. 2014; 16:38-42.

Law, Policy, and Society

Health Law

Physician Duties in the Face of Deceitful Gamete Donors, Disobedient Surrogate Mothers, and Divorcing Parents
Judith Daar
Full Text | PDF
Virtual Mentor. 2014; 16:43-48.

Fully Informed Consent for Prospective Egg Donors
Naomi Cahn and Jennifer Collins
Full Text | PDF
Virtual Mentor. 2014; 16:49-56.

Policy Forum

Egg-Donor Price Fixing and Kamakahi v. American Society for Reproductive Medicine
Kimberly D. Krawiec
Full Text | PDF
Virtual Mentor. 2014; 16:57-62.

Medicine and Society

Who Pays? Mandated Insurance Coverage for Assisted Reproductive Technology
Katie Falloon and Philip M. Rosoff
Full Text | PDF
Virtual Mentor. 2014; 16:63-69.

Resources

Suggested Readings and Resources
PDF
Virtual Mentor. 2014; 16:70-85.

About the Contributors
Full Text | PDF
Virtual Mentor. 2014; 16:86-88.