Restricted access to assisted reproductive technology and fertility preservation: legal and ethical issues
| Autor: | Fernando M. Reis, Jhenifer Kliemchen Rodrigues, Brenda Lc Oliveira, Lauren M. Ataman, Telma de Souza Birchal |
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| Rok vydání: | 2021 |
| Předmět: |
Male
0301 basic medicine Economic growth Reproductive Techniques Assisted medicine.medical_treatment Universal design media_common.quotation_subject Developing country Health Services Accessibility 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Humans Fertility preservation Healthcare Disparities Reproductive health media_common 030219 obstetrics & reproductive medicine Assisted reproductive technology Reproductive Rights Right to health business.industry Constitution Infant Newborn Fertility Preservation Obstetrics and Gynecology 030104 developmental biology Reproductive Medicine Family planning Family Planning Services Infertility Female business Brazil Developmental Biology |
| Zdroj: | Reproductive BioMedicine Online. 43:571-576 |
| ISSN: | 1472-6483 |
| DOI: | 10.1016/j.rbmo.2021.06.018 |
| Popis: | Access to assisted reproductive technology (ART) and fertility preservation remains restricted in middle and low income countries. We sought to review the status of ART and fertility preservation in Brazil, considering social indicators and legislative issues that may hinder the universal access to these services. Although the Brazilian Constitution expressly provides the right to health, and ordinary law ensures the state is obliged to support family planning, access to services related to ART and fertility preservation is neither easy nor egalitarian in Brazil. Only a handful of public hospitals provide free ART, and their capacity far from meets demand. Health insurance does not cover ART, and the cost of private care is unaffordable to most people. Brazilian law supports, but does not command, the state provision of ART and fertility preservation to guarantee the right to family planning; therefore, the availability of state-funded treatments is still scarce, reinforcing social disparities. Economic projections suggest that including ART in the Brazilian health system is affordable and may actually become profitable to the state in the long term, not to mention the ethical imperative of recognizing infertility as a disease, with no reason to be excluded from a health system that claims to be 'universal'. |
| Databáze: | OpenAIRE |
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