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Assisted reproductive technology (ART) shapes family formation along racial lines, creating monoracial families. Unequal access to ART exacerbates health disparities, maintaining racial inequalities.

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Area of Science:

  • Bioethics
  • Public Health
  • Family Law

Background:

  • Antimiscegenation laws were deemed unconstitutional in Loving v. Virginia.
  • Assisted reproductive technology (ART) raises questions about racial futures and family formation.
  • Both state and private entities influence family creation along racial lines through ART.

Purpose of the Study:

  • To examine the regulatory environment of ART and its impact on procreative decisions and inequalities.
  • To analyze how ART shapes family formation along racial lines.
  • To intervene in bioethics debates by highlighting access inequalities in ART.

Main Methods:

  • Case study of the Sperm Bank of California (SBC).
  • Application of a public health "burdens of disease" analytic.
  • Examination of racial disparities in access to health technologies.

Main Results:

  • ART facilitates the creation of monoracial families, representing a new mode of family governance.
  • The reproduction of monoracial families has population-level health consequences.
  • Racially disparate access to ART services mirrors and perpetuates broader health disparities.

Conclusions:

  • ART, as currently accessed, maintains racial hierarchies in health outcomes due to unequal access.
  • The study highlights the population-level health effects of ART.
  • Bioethical considerations of ART must address access inequalities.