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The argument from transfer.

Utilitarian arguments on bioethical issues regarding human reproduction typically start with the view that it is wrong, other things being equal, not to procreate when this would have resulted in an additional being with a life worth living. The paper takes this view for granted and examines the common utilitarian claim that overpopulation and destitution in the world mean that, in practice, this obligation to procreate, other things being equal, often turns into a (categorical) obligation not to procreate. A version of this argument is defended -- a version called the argument from transfer -- according to which, rather than having additional children and care for them in order to make them happy, many people in the West ought to abstain from procreation and take care of destitute children already existing. The reasoning leading up to this conclusion raises some philosophical questions, seldom discussed in connection with bioethics, which indicate that the argument from transfer, although supporting the claim above, cannot neutralise the obligation to create more happy people as easily as assumed by utilitarians. It is argued that the argument from transfer may place many people facing the choice of procreation in a peculiar moral dilemma.

Child↗

Ethical considerations of the new reproductive technologies. Ethics Committee of The American Fertility Society.

In September 1986, The American Fertility Society issued a report, Ethical Considerations of the New Reproductive Technologies, setting forth the then-held ethical position of the Society on the various new reproductive technologies. In 1987, the Congregation for the Doctrine of the Faith issued the Instruction on the Respect for Human Life and Its Origin and on the Dignity of Procreation. While both documents state that very similar moral criteria were used to derive ethical positions with respect to various reproductive procedures, the conclusions as to the ethical acceptability of the various procedures differ sharply in the two documents. The question can be raised about the procedure used by the Congregation of the Faith to derive its conclusions from the stated premises. Thus, while stating that "the individual integrally and adequately considered" is to be the basis of the moral judgment, the fact is that most conclusions are based on and referenced to past Catholic statements. While the difference in conclusion from similar premises may be troubling to society, it can be especially paralyzing to four groups: (1) those who face problems that might be solved by one or another of the new reproductive technologies; (2) those who are involved in applying them; (3) those who are responsible for institutional policies where such techniques may be applied; and (4) those who are in a position to influence public policy in a legislative or regulatory way. Because of the conflicting conclusions of the two documents, the present Ethics Committee (1986-87) of The American Fertility Society was convened and considered these guidelines in the light of the Instruction. For reasons set forth previously, the Committee reaffirmed the finding of the 1985-86 Committee that basic in vitro fertilization with homologous gametes is ethically acceptable. The Committee reaffirmed the finding that the use of heterologous gametes is also ethically acceptable, provided that various precautions and guidelines are observed, as outlined in its previous report. The Committee recognized and re-evaluated the long-debated and very complex issue of the moral status of the gamete, zygote, pre-embryo, embryo, and fetus. The reasons for believing that progressive degrees of respect are due with progressive development were set forth here and in the previous document. The Committee reaffirmed the position that experimentation on the pre-embryo in conformity with the policies and guidelines, as previously expressed, can be ethically justifiable and, indeed, necessary, if the human condition is to be improved.(ABSTRACT TRUNCATED AT 400 WORDS)

Endocrinology↗

Detection of HIV-1 in seminal plasma and seminal cells of HIV-1 seropositive men.

It is of critical importance to precisely understand the modalities of HIV presence in semen, especially with regard to procreation. In this study, paired blood and semen samples from 31 human immunodeficiency virus type 1 (HIV-1)-positive men were assessed for cell-free HIV-RNA load in blood plasma (BP) and seminal plasma (SP), and for detection of HIV by culture, PCR and RT-PCR in semen cellular fractions separated by centrifugation on Percoll gradient. HIV-RNA was detected in 94% of BP and 84% of SP samples. For 11 men (35%), HIV-RNA load in SP was equal or superior to that observed in blood. HIV-DNA presence was demonstrated (either by PCR or culture positivity) in 39% of the non-spermatozoal cells (NSC)-enriched fractions, and in one Percoll-selected sperm pellet. HIV-RNA was detected in 17% (4/23) of the sperm pellets. This positivity was associated with an HIV-RNA load in SP equal or superior to the HIV-RNA load in blood, a high rate of HIV-DNA detection in the NSC fraction, and a low CD4+ cell count. In such conditions, a significant viral production inside the genital tract is more likely to be present, and a close association between HIV and gametes might occur. Assisted procreation with selected spermatozoa should be preceded by accurate assessments of viral presence in blood, SP and semen cellular fractions.

Cell Fractionation↗

[Adverse health effects of cadmium and related factors].

Cd is a very toxic chemical to animal and human beings. Cd contamination has been ubiquitous because of industry and the human activities. Cd not only affects adversely the growth, yield and quality of crops but also effects on the health of animal and human being. The damage of Cd on bone, kidney, liver, immune and procreation systems as well possible factors that influence Cd absorption, accumulation and damage in the body are summarized in this paper.

Animals↗

[Eros, Thanatos and a cloned child].

The paper discusses and confirms the opinion that modern Western European culture is characterised by a high level of fear of death, which shows all features of a thanatic crisis. This is a consequence of wearing-out of culture-made means used to alleviate the fear induced by human finity. In this situation, modern societies put more and more hope in supported procreation and cloning of Homo sapiens as methods of reducing thanatic fears.

Attitude to Death↗

Male infertility associated with multiple mitochondrial DNA rearrangements.

Male sterility results from a number of characterized exogenous or genetic dysfunctions preventing normal differentiation into mobile spermatozoa. This may now be overcome by intra cytoplasmic sperm injection (ICSI). This practice does not require mobile, or even mature spermatozoa for in vitro fecondation. However, a functional respiratory chain, partly encoded by the mitochondrial DNA (mtDNA), is required for the mobility of the spermatozoa. We report the case of an infertile patient who wished to procreate. ICSI was proposed but he displayed multiple mtDNA deletions of possible nuclear origin in the spermatozoa and in the deltoid muscle. Even though mtDNA is maternally inherited, the possibility of a nuclear-driven mutation affecting the integrity of the mtDNA should be taken into account when ICSI is to be performed. Together with recent genetic in vitro manipulations in mammals, our data point to the importance of studying the mtDNA structure in human spermatozoa, and the potential risks of these non-natural practices for procreation.

Adult↗

The law of February 19th 2004, No. 40: procreation and punishment.

The Parliament of the Italian Republic, on 19 February 2004, has approved Law no. 40 on Medically Assisted Procreation. This law was adopted by the majority of the members of the Chamber, including both catholic as well as non-catholic members. The main opposition comes from the Church, which is against any form of artificial procreation. In spite of this, we must not forget that this law sets numerous limitations to Medically Assisted Procreation, which makes it unique in the matter. Examples are the prohibition to conceive a human being using in vitro fertilisation with sperm that is not from the parents, or the prohibitions of having parents of an advanced age or using the sperm once the donor is dead. Therefore, this article is based on the idea that every regulation on Assisted Procreation must be done from a rational perspective. The article analyses section by section the law emphasizing the importance that the legislator has. Stating that the legislator must take into account the constitutional personal rights (human dignity) and must likewise include punitive sanctions within the framework of the modern penal law.

Criminal Law↗

Ideology and technology: the social context of procreative technology.

Biomedical practices and research in procreation are shaped by three ideologies deeply rooted in American society: patriarchy with its control of women's bodies in the interest of men's procreative concerns and with its focus on 'seeds' and therefore genetics; technology as an ideology of efficiency, productivity, rationality, and control; and capitalism both as an ideology and as a practice, a mechanism that markets technologies of procreation.

Female↗