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bringing the frozen embryo to term should not be a difficult embryos against the wishes of one of the gamete

e gamete providers.”
one. It does not involve concepts fundamentally different Second, the Report states that couples who “undergo expen-
than those underlying single parent adoption, single parent- sive” IVF procedures “in the reasonable anticipation of [cre-
hood by artificial insemination, state laws governing artifi- ating a child] . . . should not then be required to undergo
cial insemination, and those embodied in the Uniform Status additional procedures . . . to re-exert a right to procreate.”
of Children of Assisted Conception Act. Indeed, while not- These quotations from the Report justify our statement that
ing its view that under New York law “there does not appear its authors argue that the exorbitant price of IVF is a reason
to be any enforceable means of waiving support obligations, to allow unilateral decisions to implant.
even with the consent of the other parent,” the dissenting
Next, Dr. Wilder claims we have misread the Report and
opinion in the Kass appeal states, “A strong case can be
describe an analogy never advanced by its authors. The
made for legislation relieving the objectant of unwanted
Report states: “the issue of termination and relinquishment
parenthood by treating him as a sperm donor in cases such as
of parental rights and responsibilities . . . [d]oes not involve
this.”
concepts fundamentally different than those underlying sin-
That paragraph deals specifically with the issue of relin- gle parent adoption, single parenthood by artificial insemi-
quishment of parental rights and obligations in a particular nation, [etc].” The paragraph that Wilder quotes describes
set of circumstances and not with the broader issue of the flawed analogy precisely. Wilder has missed our point—
“concepts involved with the unilateral use of frozen embryos.” that the termination of rights and responsibilities in the case
Perhaps only after the legal issue of parental rights and of unilateral embryo use—is very different from the rights
obligations when an embryo is brought to term without the involved with single parent adoption and single parenthood
consent of a divorced or deceased biological parent is re- by artificial insemination. Not only is the intent of the parties
solved to relieve that person of liability, will we really be different, we believe there is something beyond legal rights
able to examine in a meaningful way the scope and limits of and responsibilities at stake. There is a moral responsibility
the rights to procreate or not to procreate when a couple later that accompanies genetic parenthood. A person who argues
disagrees about the disposition of their frozen embryos. against implantation may not simply be concerned with the
legal responsibilities of parenthood, he/she may not want to
Bruce Wilder, M.D., J.D. become a genetic parent against his/her will.
Wilder Mahood & Crenney, P.C.
Pittsburgh, Pennsylvania Wilder concludes that when the “legal issue of parental
June 10, 1999 rights and obligations” is resolved, the limits of the rights of
Reference procreational autonomy can be meaningfully examined. This
1. Forster H, Donley C, Slomka J. Comment on ABA’s proposed frozen narrow view of the law of parental rights as the answer to the
embryo disposition policy. Fertil Steril 1999;71:994 –5. issue of embryo disposition interferes with an analysis of the
PII S0015-0282(99)00370-2
moral rights and responsibilities of parenthood.
Heidi Forster, J.D.
Case Western Reserve University
Reply of the Authors: School of Law
School of Medicine (Center for Biomedical Ethics)
We thank Dr. Wilder for his comments. We do, however, Cleveland, Ohio
object to his claim that our article contains misstatements
regarding the Section of Family Law Report which sup- Jacquelyn Slomka, Ph.D., R.N.
Cleveland Clinic Foundation
ported the American Bar Association’s proposed embryo
Department of Bioethics
disposition policy.
Cleveland, Ohio
Although the Report does not contain the words “exorbi-
tant IVF price tag,” that phrase was our interpretation of Carol Donley, Ph.D.
Hiram College
references to the high-cost of IVF. First, in a discussion of
Center for Literature, Medicine, and the Health Care
the Davis case (where the Tennessee Supreme Court gave
Professions
embryo control to the gamete donor who did not wish to Hiram, Ohio
procreate), the Report’s authors criticize the court for not June 18, 1999
considering the “financial aspects of IVF . . . nor . . . the fi-
nancial . . . consequences of the destruction of frozen human PII S0015-0282(99)00369-6

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