21 Comments

This is a personal question for me. I declined doing IVF on moral grounds and used the Catholic church's Napro Technology. I have a healthy, happy 13 year old conceived naturally and no ethical/moral quandary about unused embryos. More people should know this is possible.

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Mar 4Liked by Aaron Kheriaty, MD

As always with complex and thorny ethical problems, there are many who are ready to offer simple Gordian knot solutions that strip away the complexities of the problem and lead us into oblivion. While the moral dilemmas of IVF clearly call for a thoughtful discussion, who will make it happen, who will participate in the discussion, who will assure that the discussion is fair-minded and not overly influenced by bias? When we enter the world of medical ethics, subjectivity quickly rises to the surface and is not easily corralled. It is always a risk that we enter the Socratic world where nearly any postulate inevitably brings us to a place of absurdity. Yet tackle it we must. Good article. I hope many will read it.

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Mar 4Liked by Aaron Kheriaty, MD

Wow Doc what a can of worms is IVF!

What you haven't touched on is the foundational philosophical and biological and environmentally ethical issue of the health of such people who are born via IVF.

If such people can not be reproduced in a natural biological environment, by normal healthy parents, then will such people be expressing the healthiest biological requirements for living in this world?

Is IVF undermining and eroding the natural selection process that occurs in the natural process of reproduction, thus reversing the evolutionary natural selection process that has been the foundation of our biological stamina and health?

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Mar 5Liked by Aaron Kheriaty, MD

Amen to your headline. It's not rocket science. Human life begins at conception!

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Mar 4·edited Mar 4Liked by Aaron Kheriaty, MD

Here's another, perhaps complicating perspective. https://anniegottlieb.substack.com/p/extrauterine-children

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founding

There's no ethical dilemma here. Our utilitarian society allows experimentation on children, murder of unwanted children, and freezing of children to be held in Limbo until further notice. And what will we do with those children when they are unwanted? Or when the power goes out? How do you baptize an embryo you can't even see?

Do you really want to explain to the good God what you did with the children He sent you, as you inevitably must? Oh, wait. I have an answer. There's no God, and we can do anything we want. Don't complain if you get axed. Embryos? Ha ha ha.

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I wonder if it's not somewhat intentional, to only show interest in increased fertility for wealthy couples? It doesn't surprise me that there is a lack of interest in low-cost fertility options; the Malthusians running our society don't seem interested in producing more "useless eaters."

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A dollar not invested in Apple could have been worth a fortune. But it wasn't. A redwood sprout in the shade could have become a towering tree that lived for thousands of years. An embryo implanted in 2024 could have become a citizen in the wonderful world of 2124, when lifespans have been extended and all disease cured. When reality in potentia becomes reality de facto it is imagination-based.

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The other elephant in the room of the foundational philosophical, biological and ethical ramifications of IVF is the very nature of the family and it's role in our society.

The ideal of a mother, father and children as the basic building block of society, with its close blood relationship to the extended family, tribe, community and larger society in general, is greatly undermined by acceptance of IVF.

These bonds are very real, as is evident by the millions of people who spend a lot of time and money tracing their physical ancestors and living relations.

Yet IVF from unknown donors removes this relationship, as does adoption in any form of surrogacy as does children born from adultery and any form of acceptance as "normal" of children being born outside of the marriage structure.

Acceptance of IVF is closely linked philosophically to acceptance of the unmarried parent and then to the acceptance of the "queer" parent - each being a large step away from the family structure with the extended family support systems that have and are still so vital to the purpose and meaning of our societies.

All of this is in our society has of course been supported by the Christian values that are also foundations in our society.

Jesus tells us clearly:

"from the beginning of the creation God made them male and female. For this cause a man shall leave his father and mother and shall cleave to his wife. And the two of them shall be one flesh. So then they are no longer two, but one flesh. Therefore what God has joined together, let not man put apart."(Mark 10:6-9)

Yet IVF, and the ramifications of it, certainly do put man and woman apart, and as such clearly undermines the very fabric of our society.

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Weird, I didn't have any trouble with the original link. And it definitely does not sound like botspeak.

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