The importance of being pregnant: On the healthcare need for uterus transplantation

Researchers have recently provided proof of concept for uterus transplantation, giving rise to a discussion about priority setting. This article analyses whether absolute uterine-factor infertility (AUFI), the main indication for uterus transplantation, gives rise to a healthcare need and the extent...

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Autore principale: Sandman, Lars (Autore)
Tipo di documento: Elettronico Articolo
Lingua:Inglese
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Interlibrary Loan:Interlibrary Loan for the Fachinformationsdienste (Specialized Information Services in Germany)
Pubblicazione: [2018]
In: Bioethics
Anno: 2018, Volume: 32, Fascicolo: 8, Pagine: 519-526
Notazioni IxTheo:NCH Etica della medicina
Altre parole chiave:B Adozione
B health-care need
B Surrogacy
B priority-setting
B uterus transplantation
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Riepilogo:Researchers have recently provided proof of concept for uterus transplantation, giving rise to a discussion about priority setting. This article analyses whether absolute uterine-factor infertility (AUFI), the main indication for uterus transplantation, gives rise to a healthcare need and the extent to which such a need places justified claims on public funding in a needs-based welfare system. It is argued that, regardless of the concept of health to which one subscribes, there is a healthcare need for uterus transplantation in women with AUFI. The provision of alternative ways of addressing this need, such as surrogacy and adoption, reduces its severity. Hence, where such alternatives are publicly funded, uterus transplantation is unlikely to become cost-effective. However, where surrogacy and adoption are not publicly funded, uterus transplantation should be given a similar priority level to other assisted reproductive technologies. In these circumstances, public funding for uterus transplants may well be justified, particularly in well-funded healthcare system with relatively generous cost-effectiveness thresholds.
ISSN:1467-8519
Comprende:Enthalten in: Bioethics
Persistent identifiers:DOI: 10.1111/bioe.12525