Explain the Ethical Considerations for each of the examples below relating to IVF Explanation. Provide your own thoughts on each topic below. When does the concept of a ‘person’ begin? Historically speaking a human was only considered a person after birth. As science advanced, there was a push to agree that personhood arose at conception. A more conservative view is that up to 14 days after conception cells lack differentiation and therefore has no identity or personhood. Consent of all parties As fertilisation occurs outside the body, it is possible that consent may not have been granted by one or more persons involved. Sperm or Ova could have been collected for other investigative or diagnostic purposes then used of IVF without that person’s permission. Q. Does the donor party still own their genetic material? Q. What implication does this have for egg/sperm donation and surrogacy? Storage and Fate of Surplus Embryos During egg harvest a number of Ova are taken. During IVF multiple eggs will be fertilised but not all of them will be implanted. Q. What should happen to these embryos? Q. Is it considered murder should they be destroyed? Q. Should all embryos have the chance at life? Either be implanted into the mother or given to another couple to use?? Parental Motivation - Gender Are the parents unable to have children naturally and are seeking help to do so? Or are they hoping to pick the characteristics of their child. Q. Should couples be able to decide the gender of their child? Q. China used to have a one-child policy. Couples would often have a gender preference for boys. There were a number of orphanages for abandoned girls. IVF gender selection may have decreased the rate of abandoned baby girls. Parental Motivation – Health Perhaps one or both of the parents have a genetic medical condition which could be passed on to the child, eg. Cystic Fibrosis. Q. Should parents be able to use IVF to select embryos without the disease. Q. What should happen to the embryos which have the disease? Q. What about selecting for general health? Should parents be able to select for athletic ability, strength, height? Etc. Parental Motivation – Designer Babies The concept of beauty, height and success are often tied together in many cultures. Q. Should parents, who just want the best for their offspring, be able to select embryos based on characteristics such as eye colour, hair colour, skin colour etc if the technology was available? Q. Should parents be able to alter the DNA of their offspring? In 2018 twins were born in China after a researcher had altered their DNA with CRISPR technology. He did it to help stop the babies from getting HIV from their father. What if they had used the technology to give the babies super strength instead? Natural Selection Perspective Recent investigation has suggested that children conceived through assisted reproductive technology like IVF may have increased health risks after birth and as an adult. Examples: - Cardiovascular (heart) disease - Insulin resistance (leads to diabetes) - Development of mild to severe cognitive impairment - Infertility, also require ARTs Q. In natural fertilisation the successful sperm is considered to be the ‘best’. IVF does not necessarily select the strongest sperm. Should parents be concerned about the increased risks? IVF a religious perspective Traditional Christian view – starting at conception, the embryo has moral status as a human therefore IVF is forbidden. Islam – Can be used but only for a husband and wife, must be married. Judaism – Talmud, soul enters the embryo 40 days after conception and there is an obligation to be fruitful and multiply. IVF is obligatory when medically needed. Q. Some Christians think IVF is okay if you only fertilise one egg at a time and implant it so there is no wastage. What do you think?