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Voluntary sterilisation and access to IVF in Québec.

Katharine Browne

Journal of Medical Ethics

|August 7, 2017

Summary

New Quebec healthcare law excludes voluntary sterilization from in vitro fertilization (IVF) funding. This policy is challenged for contradicting Canadian healthcare values and unfairly assigning personal responsibility for health.

Area of Science:

Healthcare policy
Bioethics
Reproductive medicine

Background:

Bill 20, enacted in November 2015, aims to reduce healthcare costs in Quebec, particularly for assisted reproduction.
The law introduced new eligibility criteria for in vitro fertilization (IVF) funding.

Purpose of the Study:

To critically evaluate the exclusion criterion of prior voluntary sterilization for IVF funding.
To analyze the justifications provided for this exclusion and their alignment with Canadian healthcare principles.

Main Methods:

Analysis of Bill 20 and its legislative provisions.
Ethical and policy critique of the justifications for excluding sterilized individuals from IVF funding.

Main Results:

Keywords:

allocation of healthcare resources bill, laws and cases in vitro fertilization and embryo transfer sterilization

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The justifications for excluding voluntary sterilization from IVF funding are deemed unsatisfactory.

The exclusion contradicts core Canadian healthcare values and current practices.

Conclusions:

The policy unfairly places the onus of responsibility for infertility on individuals who have undergone voluntary sterilization.
The exclusion criteria for IVF funding require re-evaluation to align with principles of equitable healthcare access.