Laura Purdy

The Religious RightReligious right is using every means to impose its restrictive view of sexual and reproductive rights on everyone under the umbrella of a so-called culture of life (CL). The CL prohibits the direct killing of innocents (but not, apparently, letting them die), and requires that all sexual activity be open to procreation, thus restricting access to abortionAbortion and contraception. All this is alleged to be based on God’s will and to constitute the only objective moralityMorality. But there is no epistemological basis for this claim, the strictures are inconsistent, and the rules create unnecessary misery. Those most at risk from the sexual strictures are women, children, and gay men. The risks are greatly magnified in Third World countries because of povertyPovertyand lack of accessHealth/ healthcare, right toaccess to even the most basic health care. Yet the Bush administration is doing everything in its power to impose the CL on such countries by means of its foreign policyForeign policy and aid programs.

Medical issues affecting health care have become everyday media events. In response to mounting public concern, growing numbers of bioethicists are being appointed to medical school faculties and public policy panels. However the ideas voiced in these forums are seldom informed by feminist perspectives. In this important book, a distinguished group of feminist scholars and activists discuss crucial bioethics topics in a feminist light. Among the subjects explored are the care/justice debates, transforming bioethics, practice, and reproduction. The book also covers less commonly discussed issues, such as culturally appropriate responses to reproductive health problems in developing countries

Pronatalism—the social bias toward having children—is at the core of much violence against women. Its chief characteristic, and its moral Achilles heel, is that it undermines autonomous decision-making about childbearing. Together with its soulmates misogyny and geneticism, it harms children, male partners, and humanity as a whole, given the serious environmental challenges now facing us. But, of course, biology requires women to gestate offspring, and women are generally expected to be responsible for childrearing. Female gender roles incorporate these facts, and thus pronatalism’s negative impact on women—both their bodies and their lives—is of another order of magnitude. Yet, this state of affairs is so taken for granted that it is almost invisible, and is therefore especially hard to eradicate. Attempts to do so are also often erroneously confused with, and undermined by, negativism about having children.

In Neutrality and the Academic Ethic, distinguished philosopher Robert L. Simon explores the claim that universities can and should be politically neutral. He examines conceptual questions about the meaning of neutrality, distinguishes different conceptions of what neutrality involves, and considers in what sense, if any, institutional neutrality is both possible and desirable. In Part II, a collection of original and previously published essays provides different views on these and related issues

This article is an expansion of comments I was honored to present at a celebration of the life and work of Anne Donchin at the June 2016 meeting of the International Network on Feminist Approaches to Bioethics in Edinburgh. It is obviously far from comprehensive, but I hope it gives readers a glimpse of an Anne of whose depths many of us were not fully aware. One of the most difficult parts of talking about someone who has died is highlighting the positive without overdoing it to the extent that their friends and loved ones find themselves rolling their mental eyes a bit, since most of us—no matter how wonderful—are a little less than perfect. But my problem here is that the more I have found out...

Reproductive autonomy is central to women’s welfare both because childbearing takes place in women’s bodies and because they are generally expected to take primary responsibility for child rearing. In 2005, the factors that influence their autonomy most strongly are poverty and belief systems that devalue such autonomy. Unfortunately, such autonomy is a low priority for most societies, or is anathema to their belief systems altogether. This situation is doubly sad because women’s reproductive autonomy is intrinsically valuable for women and also instrumentally valuable for the welfare of humankind. This paper takes for granted the moral and practical necessity of such autonomy and digs deeper into the question of what such a commitment might entail, focusing on the mid-level policy making that, at least in the US and Canada, plays a significant role in shaping women’s options. This paper examines a large teaching hospital’s policy on reduction of multifetal pregnancies. The policy permits reduction of triplets to twins, but not twins to a singleton. As there is no morally relevant difference between these two types of reduction, it is evident that inappropriate medicalisation can still limit women’s autonomy in undesirable ways

Controversies about abortion and women's reproductive technologies often seem to reflect personal experience, religious commitment, or emotional response. Laura M. Purdy believes, however, that coherent ethical principles are implicit in these controversies and that feminist bioethics can help clarify the conflicts of interest which often figure in human reproduction. As she defines the underlying issues, Purdy emphasizes the importance of taking women's interests fully into account. Reproducing Persons first explores the rights and duties connected with conception and pregnancy. Purdy asks whether conceiving a child or taking a pregnancy to term can ever be morally wrong. She challenges the thinking of those who feel the prospect of disability or serious genetic disease should not constrain conception or justify abortion. The essays next look at abortion from a variety of angles. One contends that killing fetuses is not murder; others emphasize the moral importance of access to abortion. Purdy considers the conflicting interests of women and men regarding abortion, and argues against requiring a husband's consent. The book concludes with a consideration of new reproductive technologies and arrangements, including the controversial issue of surrogacy, or contract pregnancy. Throughout, Purdy combines traditional utilitarianism with some of the most powerful insights of contemporary feminist ethics. Her provocative essays create guidelines for approaching new topics and inspire fresh thinking about old ones.

New and proposed medical technologies continually challenge our vision of what constitutes appropriate medical treatment. As scholars and consumers grapple with the meaning of innovation, one common critical theme to surface is that it constitutes undesirable medicalization. But we are embodied creatures who can often benefit from medical knowledge; in addition, rejection of medicalization may be in some cases based on an untenable appeal to nature. Harnessing the power of medicine for women’s welfare requires us to rethink the goals of medicine as well as implement fundamental reforms.