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Unravelling orders in a borderless Europe? Cross-border reproductive care and the paradoxes of assisted reproductive technology policy in Germany and Poland

机译:在无国界的欧洲解散订单?德国和波兰的跨境生殖保健和辅助生殖技术政策的悖论

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摘要

This article examines assisted reproduction policy and practices in Germany and Poland. Germany is among the most restrictive countries in the European Union (EU) with respect to assisted reproductive technologies. In contrast, Poland only recently passed legislation regulating assisted reproductive technologies. Before this, most practices were unregulated, despite vocal opposition to all forms of IVF from conservative Roman Catholic activists. Germany and Poland differ significantly regarding the cultural narratives and historical experience that impact attitudes toward reproduction. In Germany, discussions on assisted reproduction often invoke concerns about medical intervention in ethically complex matters, due – in part – to the country’s National Socialist past. My objectives in this article centre on examining assisted reproduction contexts in each of these two countries, with attention to the framing of debates on reproduction, the anxieties that inform them, and the resulting paradoxes. I consider the unintended consequences of domestic policy and their importance regarding cross-border reproductive care (CBRC). Within the borderless EU, the widespread practice of CBRC demonstrates the ineffectiveness of national policies. Moreover, this shift in location can impact practices and trends found in other accessible, but less restrictive countries. Of particular concern are the relocation of risk to ‘bioavailable’ populations in less affluent countries and the reification of cultural and socio-economic hierarchies.
机译:本文研究了德国和波兰的辅助生殖政策和做法。在辅助生殖技术方面,德国是欧盟(EU)限制最严格的国家之一。相比之下,波兰直到最近才通过了有关辅助生殖技术的法规。在此之前,尽管保守的罗马天主教激进主义者对各种形式的试管婴儿进行了声音反对,但大多数做法仍不受管制。德国和波兰在影响叙事态度的文化叙述和历史经验上有很大不同。在德国,有关辅助生殖的讨论通常会引起人们对涉及道德复杂问题的医学干预的担忧,这在一定程度上是由于该国的国民社会主义历史所致。我在本文中的目标是研究这两个国家中辅助生殖的情况,并注意有关生殖的辩论的框架,引起争论的焦虑以及由此产生的悖论。我考虑了国内政策的意外后果及其对跨境生殖保健(CBRC)的重要性。在无边界的欧盟内部,银监会的广泛实践证明了国家政策的无效性。此外,位置的这种变化会影响其他可访问但限制较少的国家中的实践和趋势。特别令人关注的是,风险在富裕程度较低的国家中转移到了“生物可利用”的人群上,以及文化和社会经济等级制度的调整。

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