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demagogic_schizoid
11 Apr 2007, 02:55 AM
interesting article from a blog I read

http://www.hurryupharry.bloghouse.net/

Law and justice and whether they are the same thing.
Posted by brownie

In 2001, Natallie Evans and her then partner, Howard Johnston, began IVF treatment. Later that same year, Miss Evans was diagnosed with ovarian cancer and six of her fertilised eggs were frozen in storage whilst she underwent treatment for her illness. At some point thereafter, following the end of the relationship, Mr. Johnston withdrew his consent to implantation. Since then, Miss Evans has been fighting for her last remaining chance to become a mother. Today, in the Grand Chamber of the European Court, that fight was lost.

The legal position in the UK is unambiguously clear: in the case of in vitro fertilisation, either party has the right to withdraw consent up to implantation. Today?s decision at the European court dealt with question of whether non-implantation represented a breach of the right to life for the embryos. I?m not an expert on human rights legislation, but I?m wholly unsurprised they ruled this was not so. Like the domestic judgments passed previously, I?m quite certain today?s ruling is legally correct. But is it just?

Following last year?s European Court of Human Rights decision that again found against Miss Evans, we had one of our better discussions on this blog. Forgive me, but I intend to rehash some of my own arguments from last year. Note, although I make specific reference to the Evans-Johnston case for obvious reasons, my points are general and should not be read as a commentary on the character of Evans or, more importantly, Johnston, neither of whom I know.

So, as before, I fully comprehend the legal position today, but I don?t believe there is a compelling reason why the law should be crafted the way it is. A man's right to withhold his consent to becoming a father ought to finish when he fertilises the egg. Where that egg happens to be at the time has zero relevancy so far as I can see.

If someone can provide a reason why fertilisation outside the body should be governed by a completely different set of laws and/or ethics than those that govern in vivo fertilisation, I'd love to hear it.

Here's the paradox:

A man and a woman get pissed at an office party and go home for a night of passion. She falls pregnant. Albeit the sex was consensual, there is no consent to fathering a child. At the outer reaches of moral reasoning, the man is passively consenting to fatherhood given his participation in unprotected sex. The fact remains that if the woman decides to go through with the pregnancy, there's not a damn thing the man can do about it. Which is exactly as it should be. The result is a man effectively forced into fatherhood, a state of affairs underwritten by the law.

Another couple who cannot have a baby naturally seek fertility treatment and all the pieces of paper are signed that eventually lead to a man fertilizing an egg outside the womb. At the very least, the man is implicitly consenting to fatherhood (I would argue, given the hours of counseling and procedural nature of the exercise that provides ample opportunity for either party to change their mind at any time prior to fertilisation, the consent is explicit.) Despite willingly giving this consent, the man is afforded later opportunities to renege.

So in one set of circumstances, a non-consenting male is forced into fatherhood; in another circumstance, a consenting male is given the chance to avoid the consequences of his freely given consent.

Men participating in fertility treatment with their partners who anticipate the possibility that they may, at a later date, prefer not to become a father, should keep their sperm to themselves. There are - or ought to be - consequences for certain actions. Whether we?re talking about marriage, getting a joint mortgage or planning a family, people are forever making decisions in the here and now that they may very well regret at a later date. You cannot be insulated against this in ?real? life and nor should we be ? we are all adults with free will.

I?m convinced that part of the problem with current legislation is the prescribed 5 year period within which fertilized eggs must be either implanted or destroyed. This window effectively invites the potential for one or both parties to change their minds about having a child. I wonder how many in vitro fertilised eggs are destroyed each year by couples who have a change of heart? I should like to see the 5 year window slashed to a 1 year maximum. This would have the effect of concentrating minds, as it were, because the last time I checked, men are not pinned down and forced to ejaculate into test-tubes and consent forms are not signed under duress. There is no man alive in Britain today who is not possessed of the right to avoid fatherhood if he so chooses. However, there is a responsibility to bear the consequences of your actions, including where you have willingly supplied sperm for the purpose of fertilising an egg.

I?m looking for some legal consistency because I don?t buy the notion that differences in the mechanics of egg fertilisation should mean special dispensation using one technique but not another. In the case of IVF there is, if anything, even less reason to allow men to avoid the consequences of their actions. The one-night-stand, drunken shag excuse just doesn?t apply.

The law has to step in when consent breaks down, whether we're talking about natural conception or IVF. If you believe, as I do, that in vitro fertilisation is the equivalent of intercourse in the natural world, then logic and consistency dictate that the man should have no retroactive right to withdraw consent after the fact. If you believe that implantation of the embryo is the equivalent of intercourse, I can at least understand why some people would argue the man has the right to withdraw consent at any time up to this point. My problem here would be the equivalence of implantation ? rather than in vitro fertilisation - with intercourse.

IVF is nothing more than a means to an end. Its purpose is to facilitate fertilisation of eggs where this would not be possible ? or extremely unlikely ? using natural processes. Dissenters may ask: ?Why deny the right to withdraw consent in the case of in vitro fertilisation simply because it isn?t available in natural conception?? I say it should be denied specifically because it is not available during the natural process. The fact it is possible to accommodate a man?s change of mind is simply a bi-product of the time it takes for the IVF process to run its course. You don?t permit couples to select sex (except in very rare circumstances as I understand it) or hair or eye colour even though modern techniques make this possible. We deny these rights because the intention is, or should be, to mirror the natural process in every possible way. To do anything other introduces ethical considerations and moral dilemmas that would otherwise not exist, and which lead to the kinds of mess we?ve witnessed with Evans and Johnston.

The availability of IVF should not be viewed as an opportunity to introduce other dynamics into the reproduction process over and above those required to facilitate the clinical effort to assist a couple in their endeavour to have a child. And the woman should not be forced to sacrifice her right to bodily integrity because the embryos are temporarily - and for medical reason only - sitting in a deep freeze and not her womb.

Whose embryos are they anyway?

nfinityi
13 Apr 2007, 12:56 AM
Personally, I think this woman should be allowed to get pregnant. Couldn't she sign an agreement forfitting child-support or something?

Ivy
13 Apr 2007, 01:04 AM
Personally, I think this woman should be allowed to get pregnant. Couldn't she sign an agreement forfitting child-support or something?

I disagree. Like it or not, there IS a difference between a drunken office shag and IVF. He has decided that he no longer wants to procreate with his ex-wife, and he should not have to do so. To force him to allow his biological progeny to come to fruition would, IMO, be akin to forcing a woman to carry a pregnancy to term so the father can raise the child. Granted, it won't take place in his own body (and that IS a big exception, sort of like "other than that, how did you like the play, Mrs. Lincoln?") but it would still be his offspring.

She isn't out of options for becoming a parent; she's out of options for becoming pregnant with her own eggs. She can still get donor eggs, adopt an embryo that another couple has decided not to use and consented to have adopted, or adopt an already-born child.

Edit: As for "whose embryos are they, anyway?": they are their embryos. And since there is no longer a "they" in this scenario, they're nobody's.

nfinityi
13 Apr 2007, 01:14 AM
I disagree. Like it or not, there IS a difference between a drunken office shag and IVF. He has decided that he no longer wants to procreate with his ex-wife, and he should not have to do so. To force him to allow his biological progeny to come to fruition would, IMO, be akin to forcing a woman to carry a pregnancy to term so the father can raise the child. Granted, it won't take place in his own body (and that IS a big exception, sort of like "other than that, how did you like the play, Mrs. Lincoln?") but it would still be his offspring.

She isn't out of options for becoming a parent; she's out of options for becoming pregnant with her own eggs. She can still get donor eggs, adopt an embryo that another couple has decided not to use and consented to have adopted, or adopt an already-born child.

Edit: As for "whose embryos are they, anyway?": they are their embryos. And since there is no longer a "they" in this scenario, they're nobody's.
On the other side of the "Other than that, Mrs. Lincoln" coin, then what do we say to women who refuse to get an abortion to the dismay and objection of the fathers of their children.

The eggs are already fertilized, personally I believe that makes them both responsible for them. For hypotheticality's sake, I personally wonder what the decision would be, had it been that the pregnancy were paused but the fertilized egg were already inside the mother.

I just find it odd that the location of the egg changes the circumstance.

Ivy
13 Apr 2007, 01:16 AM
On the other side of the "Other than that, Mrs. Lincoln" coin, then what do we say to women who refuse to get an abortion to the dismay and objection of they fathers of their children.

The eggs are already fertilized, personally I believe that makes them both responsible for them. For hypotheticality's sake, I personally wonder what the decision would be, had it been that the pregnancy were paused but the fertilized egg were already inside the mother.

I just find it odd that the location of the egg changes the circumstance.

Um. The location of the egg = inside the woman, or not inside the woman. Nobody but the woman is in charge of what happens inside the woman. Outside the woman, it's subject to the laws of the land. You honestly don't see a difference? Outside the woman, the man shares volition for what happens to the fertilized embryo.

nfinityi
13 Apr 2007, 01:18 AM
Um. The location of the egg = inside the woman, or not inside the woman. Nobody but the woman is in charge of what happens inside the woman. Outside the woman, it's subject to the laws of the land. You honestly don't see a difference? Outside the woman, the man shares volition for what happens to the fertilized embryo.
I see the difference, I just happen to side more with the potential child than with either parent. Sort of like I feel most sympathy for the children of parents going through an ugly divorce, even though that's a completely different situation.

darlets
13 Apr 2007, 01:22 AM
I disagree. Like it or not, there IS a difference between a drunken office shag and IVF. He has decided that he no longer wants to procreate with his ex-wife, and he should not have to do so. To force him to allow his biological progeny to come to fruition would, IMO, be akin to forcing a woman to carry a pregnancy to term so the father can raise the child. Granted, it won't take place in his own body (and that IS a big exception, sort of like "other than that, how did you like the play, Mrs. Lincoln?") but it would still be his offspring.

She isn't out of options for becoming a parent; she's out of options for becoming pregnant with her own eggs. She can still get donor eggs, adopt an embryo that another couple has decided not to use and consented to have adopted, or adopt an already-born child.

Edit: As for "whose embryos are they, anyway?": they are their embryos. And since there is no longer a "they" in this scenario, they're nobody's.

Well said, I agree, both parties in this situation should have to agree to go ahead. What would happen if he was in a new relationship and for whatever reason his new partner couldn't have kids. The couple wanted to take "his" embryo and implant it in the other women. Surely the biogical mother has the right to say no.

Ivy
13 Apr 2007, 01:22 AM
I see the difference, I just happen to side more with the potential child than with either parent. Sort of like I feel most sympathy for the children of parents going through an ugly divorce, even though that's a completely different situation.

Those are already-created children with lives and memories. These are frozen embryos. People opt out and dispose of frozen embryos all the time. Unless you object to the very custom of freezing embryos for later use (which I am not saying would be unreasonable), it doesn't make sense to object to this case in specific on the basis of seeing the embryos to fruition.

nfinityi
13 Apr 2007, 01:29 AM
Those are already-created children with lives and memories. These are frozen embryos. People opt out and dispose of frozen embryos all the time. Unless you object to the very custom of freezing embryos for later use (which I am not saying would be unreasonable), it doesn't make sense to object to this case in specific on the basis of seeing the embryos to fruition.
But not all of those embryos are fertilized, to my knowledge. And to say that he decided not to propogate with this woman is misleading. He and his ex-girlfriend created a fertilized embryo. They created children. Children who are esentially on the Pause function, but children none the less. Just as embryos inside a woman, if she wants to carry the pregnancy to term, despite the ending of a relationship, I think she should be able to. She hasn't donated them to stem cell research, she had them harvested with the expectation that she would someday be able to have children, and I think it's unfair to deny her that, no matter what the father's fears are.

nfinityi
13 Apr 2007, 01:32 AM
Well said, I agree, both parties in this situation should have to agree to go ahead. What would happen if he was in a new relationship and for whatever reason his new partner couldn't have kids. The couple wanted to take "his" embryo and implant it in the other women. Surely the biogical mother has the right to say no.
However think of the standard that this sets. It could then be claimed that both parents should have to consent to a woman carrying a pregnancy to term. It could lead to the right of men to force women to have an abortion if they did not want any part of the pregnancy. This woman isn't trying to get hold of someone else's fertilized egg, to the objection of said someone, she wants to impregnate herself with an egg which was her's to begin with.

Ivy
13 Apr 2007, 01:34 AM
But not all of those embryos are fertilized, to my knowledge.

Isn't an embryo fertilized by definition?


And to say that he decided not to propogate with his wife is misleading. He and his ex-girlfriend created a fertilized embryo. They created children. Children who are esentially on the Pause function, but children none the less. Just as embryos inside a woman, if she wants to carry the pregnancy to term, despite the ending of a relationship, I think she should be able to. She hasn't donated them to stem cell research, she had them harvested with the expectation that she would someday be able to have children, and I think it's unfair to deny her that, no matter what the father's fears are.

She had her eggs harvested. He donated sperm. They were put together in a lab to form embryos. What she brought to the table has been augmented by what he brought to the table, and so they're NOT just hers anymore. It would be wrong to allow her to use the fertilized embryos without his consent, just as it would be wrong to allow him to have them implanted into another woman without her consent.

Ivy
13 Apr 2007, 01:36 AM
However think of the standard that this sets. It could then be claimed that both parents should have to consent to a woman carrying a pregnancy to term. It could lead to the right of men to force women to have an abortion if they did not want any part of the pregnancy. This woman isn't trying to get hold of someone else's fertilized egg, to the objection of said someone, she wants to impregnate herself with an egg which was her's to begin with.

This is a total slippery slope. None of this follows. Quite simply, IVF is different from natural pregnancy, and it requires some enforced parameters because it is not a natural process.

The egg may have been hers, but the sperm was not, and the sperm was never in her body to begin with. With natural pregnancy, once the man ejaculates he has effectively "given" his sperm to the woman, but with IVF, the boundaries have to be laid out legally instead of naturally.

nfinityi
13 Apr 2007, 01:38 AM
Isn't an embryo fertilized by definition?
I guess so :blush:

She had her eggs harvested. He donated sperm. They were put together in a lab to form embryos. What she brought to the table has been augmented by what he brought to the table, and so they're NOT just hers anymore. It would be wrong to allow her to use the fertilized embryos without his consent, just as it would be wrong to allow him to have them implanted into another woman without her consent.
I still don't see a clear cut case for either side. I suppose I'm going to bail out on this matter as I

A) Have no experience in a situation like this.

B) Have always been a pretty moderate Right-to-Lifer and am therefore pretty biased.

Ivy
13 Apr 2007, 01:43 AM
I guess so :blush:

I still don't see a clear cut case for either side. I suppose I'm going to bail out on this matter as I

A) Have no experience in a situation like this.

B) Have always been a pretty moderate Right-to-Lifer and am therefore pretty biased.

I don't really have experience with IVF, either. I'm just shooting from the hip here. I think it's fair for you to be against all forms of embryo disposal, but it doesn't make a lot of sense to argue that point retrospectively in this case. I doubt the woman would have all six of these embryos implanted, anyway, so some of them are likely bound for disposal either way.

nfinityi
13 Apr 2007, 01:45 AM
I don't really have experience with IVF, either. I'm just shooting from the hip here. I think it's fair for you to be against all forms of embryo disposal, but it doesn't make a lot of sense to argue that point retrospectively in this case. I doubt the woman would have all six of these embryos implanted, anyway, so some of them are likely bound for disposal either way.
Well that's why I bowed out of the conversation. It's a tad hypocritical of me to be against taking away potential human life and at the same time support stem cell research, which I do.

CoHo
13 Apr 2007, 02:08 AM
There's no other woman related to her that can supply the eggs?

cafe
13 Apr 2007, 02:14 AM
I feel for her. It has to be pretty upsetting, especially since she can't make any more eggs now. It really is only fair, though. They are his embryos, too. The thing that is not fair is the drunken office thing, but biology is not fair and we don't really have the technology to make it so just yet.

omnirook
13 Apr 2007, 05:49 AM
Another one of those cases where there are so many sides where all of the sides have strong arguments for their points of view. It's very hard to choose.

And I am not choosing, you understand - because my choice is one of those "closing the barn door after the horses have escaped" things.

I can't help it - I've always been instinctively against monkeying about w/the reproductive system.

It's very difficult to reason w/myself about this.

Perhaps it's a remnant of my Roman Catholic upbringing, lodged somewhere deep in my psyche, but I've balked at the primal level against every new thing to come along in my lifetime: fertility drugs, in vitro fertilization, stem cell research, etc.

I'm particularly bothered by the idea of human genetic manipulation and engineering. (Eventually, it will be done, no matter what laws are passed because there's just too much money at stake, and no law has ever stood up against money.) Here I am clear: we are not wise enough for eugenics!

In this case - this case alone, as the law now stands - the court should include in its ruling a memo to the authorities to change the regulations so that women in this situation in the future will also freeze some unfertilized eggs, allowing for another father. That would solve this one problem.

That said, I would still prefer that infertile people accept that they are infertile and content themselves w/adopting some of the millions of orphans who are among us.

Yes - I realize - technically, the couple were not infertile. But treating ovarian cancer results in infertility. There, it's a case of closing the barn door before the horses leave. Is that cruel? Probably. Can't help feeling that way, though.

[Addendum: Knowing nothing about this couple but having seen such happen so many times, I can't help but feel that the ex-husband is a bit of a pig. I've seen so many husbands dump their wives after they got sick but I have never seen a wife do the same.]