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Reproductive liberty through a public health ethics lens: from individual rights to the public good of procreating populations

Konferensbidrag (offentliggjort, men ej förlagsutgivet)
Författare Christian Munthe
Publicerad i 13th World Congress of Bioethics, Edinburgh, June 14-17, 2016
Publiceringsår 2016
Publicerad vid Institutionen för filosofi, lingvistik och vetenskapsteori
Språk en
Länkar https://gup.ub.gu.se/file/190848
Ämnesord Ethics, Public health ethics, reproduction, population, public good
Ämneskategorier Reproduktionsmedicin och gynekologi, Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi, Folkhälsovetenskap, Medicinsk etik, Barn, Teknik och social förändring, Praktisk filosofi, Etik

Sammanfattning

Reproductive bioethics has almost entirely proceeded within an individualist paradigm, where rights of parties are set against each other or societal interests. This paper takes some steps to analyse what happens if the ethical analysis of reproductive medicine and policy is instead approached based on public health ethical assumptions. That is, the general issues are about how society should organise itself with regard to the procreation of its population, and particular issues regarding, e.g., abortion, ART, contraception, pregnancy care, prenatal testing, etc. are analysed from that standpoint. Albeit there has been some public health ethical attention to sexual health issues, this way of approaching reproductive ethics has been ignored almost entirely, with a handful of exceptions the last few years taking account of, e.g., public expenditure on ART and environmental concerns linked to population policy. This presentation aims to sketch a preliminary theoretical framework for a general theory of reproductive public health ethics, within which such and further attempts may be placed and critically analysed, and to compare it to the traditional formats of reproductive bioethics. A general theory of reproductive public health ethics will view reproductition as a social rather than biological process, taking place at a collective level, and its values will hence be public goods and aggregates, while notions of individual rights will not be primary. This view also means that there is no basic relevant distinction to be made between procreating a population through migration and through biological reproduction.

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