'Egg Rebate' Cracks Open an Ethics Mess When
automobile sales get sluggish, as they are these days for many U.S.
automakers, Detroit often turns to rebates. But is what works for cars right for human eggs? by Arthur L. Caplan
When automobile sales get sluggish, as they
are these days for many U.S. automakers, Detroit often turns to
rebates. A little cash back can help nudge a reluctant customer out of
the recliner and into the showroom.But is what works for cars right for human eggs? Some
British scientists propose offering rebates to women seeking
infertility services in exchange for giving up some of their eggs to be
used in stem cell research. So, if you are desperate to become pregnant
and can't afford the pricey treatment, your extra eggs can serve as a
half-price coupon. If
that is morally OK, and I have my doubts, would it then be ethically
acceptable just to create a market for fertile women who want to sell
eggs directly to researchers? Proponents
of human egg farming make a fairly straightforward case for why rebates
or markets in eggs should be allowed. The core of their argument is
that women, often college students, are already selling their eggs for
cash to help infertile people who want to have babies. Indeed,
you can get a better idea of the relative standing of colleges than
anything U.S. News and World Report has come up with by checking the
going rate for eggs from coeds at prestigious universities. So the
idea of paying for eggs is nothing new. Sure,
unlike obtaining sperm, where all you need is a man, a plastic cup and
the right DVD, there are some risks associated with harvesting a
woman's eggs. But as proponents of rebates and markets in eggs note,
women (and men) do plenty of risky things for money. Women are
soldiers, cops, construction workers, farm workers and pilots of small
planes. Unlike the risks of these jobs, there are very few reported
deaths and relatively few complications among women trying to make eggs
either to get pregnant or to sell to third parties. The
clincher in the "why we should allow pay for eggs" argument is that
getting them from volunteers does not work. A few infertility programs
have asked women to donate eggs as part of their treatment and they
have gotten next to none. If research is to move ahead then money in
the form of rebates or direct payment is needed to fuel egg production. Donors vs. sellers Still,
something clearly makes us uncomfortable with the idea because no one
who argues for rebates or freewheeling egg markets ever refers to the
women getting paid for their eggs as "sellers." They're always
"donors." Of course women who get paid $5,000 or get half-off on the
price of a cycle of in vitro fertilization, which is worth at least
that much, are, in truth, sellers. No amount of rhetorical evasion can
change that reality.
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I
think I know why it is hard to call an egg seller an egg seller. And
it's not because we think it is wrong to pay people to take risks.
Rather we think it is wrong to pay people to reproduce for money. It is
the old moral issue of the commodification of sex that is lurking under
the shell of the great egg rebate debate. Many
people have no problem with the law allowing people to pay other people
for sex. Few, however, want to defend the practice as ethical. Even
fewer want to recommend it as a way to earn money for their mothers,
sisters or daughters. That uneasy feeling Giving
rebates for eggs smacks of commercializing reproduction. On its face it
is not quite as bad as instituting a market but it still feels
ethically queasy. Who really wants their mother, sister or daughter to
have to give away half their eggs and reduce their own chance of having
a baby in order to gain access to infertility treatment? Worse still,
who really wants their sister or daughter working their way through
college as an egg seller? It
is one thing to argue that we should be using spare or unwanted embryos
that already exist for research since they will be destroyed anyway.
But making eggs for money is a different matter. The market in eggs
tries to incentivize women to do something they otherwise would not do.Egg
sales and egg rebates are not the ethical way to go. We need better
alternatives. Maybe women seeking in vitro fertilization could have
some of their eggs frozen and then used for research if they do get
pregnant. That way they are not forced to compromise their odds at
making a baby just to get a chance at all. And maybe instead of buying
eggs from students and the financially disadvantaged we could procure
them from women who are willing to donate their ovaries when they die.
It's not that
markets or rebates for eggs ought to be illegal, but we should not let
proponents egg us on into thinking that it is ethical.
Posted: 2007-01-22 |