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Child welfare assessments and the regulation of access to publicly funded fertility treatment
Linköping University, Department of Thematic Studies, Department of Child Studies. Linköping University, Faculty of Arts and Sciences.ORCID iD: 0000-0001-7553-5788
2020 (English)In: Reproductive biomedicine & society online, E-ISSN 2405-6618, Vol. 10, p. 19-27Article in journal (Refereed) Published
Abstract [en]

Assessment of the psychological and social circumstances of candidates for assisted reproduction is commonly justified with references to the welfare of the intended child. In nine focus group discussions with 64 clinic staff at four public fertility clinics in Sweden, the responsible use of public resources constituted another important justification for such assessments. Theoretically, this study draws on Julia Black’s (2002) identification of the role of regulatory conversations in decision makers’ policy interpretations. Focus groups defined the desired outcome of assisted reproductive technology (ART) treatment as a well - functioning family , and represented the aim of ART treatment as solving problems without creating new problems for the candidates, the intended child or society. In the discourse of solving and preventing problems, the welfare of the child argument, the responsible use of resources argument and the discourse of personal responsibility merge. Lack of consideration for the circumstances in which the child will grow up was not considered a responsible use of resources because ART treatment would then risk creating more problems than it solved. The results of this study suggest that while publicly funded subsidization of fertility treatment has increased accessibility to ART treatment for candidates who lack the financial means to pay, clinic staff justified restricting access to ART treatment with concern for how public resources are spent.

Place, publisher, year, edition, pages
Elsevier, 2020. Vol. 10, p. 19-27
Keywords [en]
assisted reproduction, parenting capacity, parent suitability, welfare of the child, public resources, assessment
Keywords [sv]
assisterad befruktning, barnets bästa, föräldralämplighet
National Category
Social Sciences
Identifiers
URN: urn:nbn:se:liu:diva-164932DOI: 10.1016/j.rbms.2020.01.003Scopus ID: 2-s2.0-85083756358OAI: oai:DiVA.org:liu-164932DiVA, id: diva2:1421592
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016 -00583Available from: 2020-04-03 Created: 2020-04-03 Last updated: 2025-09-18Bibliographically approved

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Lind, Judith

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf