Regulatory responses to assisted reproductive technology: a comparative analysis of Spain and Israel


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Alon, Ido and Guimón, José and Urbanos Garrido, Rosa María (2019) Regulatory responses to assisted reproductive technology: a comparative analysis of Spain and Israel. Journal of Assisted Reproduction and Genetics, 36 (8). pp. 1665-1681. ISSN 1058-0468

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Purpose: The market of assisted reproductive technologies (ARTs) is rapidly evolving, raising growing ethical and social dilemmas. This paper compares the regulatory responses to technological and market developments in Israel and Spain, both intensive users of ART. We identify strengths and deficiencies in the regulation of ART in these two countries. Methods: We developed a conceptual framework to classify the factors affecting regulations and priority setting, and applied it using a Delphi survey combined with in-depth interviews. We selected two panels of experts from various fields, trying to simulate the bioethics committees of Israel and Spain. Results: ART is often wrongfully perceived as a solution to age-related infertility. Both panels embraced alternative solutions. The impact of private commercial interest on regulations is resulting in excessive practices such as the repeat of ineffective cycles and the push of sometimes unnecessary treatment add-ons. Our findings show experts dissatisfaction with the regulations of donor-eggs concerning reimbursement and registries in both countries. Conclusions: The adequacy of ART to solve age-related infertility should be confronted with alternative approaches, with emphasis on the distribution of accurate information. The magnitude of ART markets, particularly the use of donor-eggs, should raise the need for additional societal debate and the reform of regulations. The impact factors analysis leads us to question the current regulatory framework, which could be improved by nominating a non-governmental statutory central regulatory agency in Israel and by reforming the Spanish agency. © 2019, Springer Science+Business Media, LLC, part of Springer Nature.

Item Type:Article
Uncontrolled Keywords:Adult; Article; Bioethics; Conceptual Framework; Delphi study; Human; In vitro fertilization; Infertility. therapy; Israel; market; reimbursement; Spain; comparative study; female; infertility; Israel; legislation and jurisprudence; pregnancy; pregnancy outcome; questionnaire; register; Spain, Female; Humans; Infertility; Israel; Pregnancy; Pregnancy Outcome; Registries; Reproductive Techniques, Assisted; Spain; Surveys and Questionnaires
Subjects:Medical sciences > Medicine
Medical sciences > Medicine > Public health
Social sciences > Economics > Commerce
Social sciences > Economics > Public economy
ID Code:61228
Deposited On:30 Jun 2020 09:54
Last Modified:30 Jun 2020 10:49

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