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Distinctions in Disclosure: Mandated Informed Consent in Abortion and ART
1Professor of Law at Whittier Law School and a Clinical Professor of Medicine at the University of California Irvine School of Medicine. She currently serves as Chair of the Ethics Committee of American Society for Reproductive Medicine and on the Society for Assisted Reproductive Technology's Committee on Informed Consent.
Mandated disclosures for abortion and assisted reproductive technology (ART) services differ significantly. Unlike ART, abortion disclosures use scientifically questionable messages to discourage women from terminating pregnancies, necessitating separate analysis.
Area of Science:
- Reproductive Health Law
- Informed Consent
- Bioethics
Background:
- Recent years have seen increased enactment of mandated pre-procedure disclosures for abortion and assisted reproductive technology (ART) services.
- These mandates are often presented as neutral patient protection tools.
- However, significant differences exist in their application and intent.
Purpose of the Study:
- To analyze the substantive and structural differences between mandated disclosures in abortion and ART services.
- To argue against the undifferentiated treatment of these mandates as equivalent informed consent tools.
- To highlight the distinct nature of abortion disclosures compared to ART disclosures.
Main Methods:
- Comparative analysis of legal mandates and their underlying messaging.
- Examination of physician discretion and patient protection in both contexts.
- Assessment of the scientific basis of information provided in disclosures.
Main Results:
- ART mandates allow physician judgment to protect vulnerable parties like egg donors and gestational carriers.
- Abortion disclosures often contain scientifically suspect information intended to dissuade patients from termination.
- Key substantive and structural differences exist between abortion and ART mandates.
Conclusions:
- Abortion and ART mandated disclosures should not be regarded as equivalent informed consent tools.
- The unique characteristics of abortion disclosures warrant separate consideration and analysis.
- Distinguishing between these mandates is crucial for accurate understanding of reproductive healthcare regulations.
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