title: Assisted reproductive technology in the USA: Is more regulation needed?
abstract: The regulation of assisted reproductive technologies is a contested area. Some jurisdictions, such as the UK and a number of Australian states, have comprehensive regulation of most aspects of assisted reproductive technologies; others, such as the USA, have taken a more piecemeal approach and rely on professional guidelines and the general regulation of medical practice to govern this area. It will be argued that such a laissez-faire approach is inadequate for regulating the complex area of assisted reproductive technologies. Two key examples, reducing multiple births and registers of donors and offspring, will be considered to illustrate the effects of the regulatory structure of assisted reproductive technologies in the USA on practice. It will be concluded that the regulatory structure in the USA fails to provide an adequate mechanism for ensuring the ethical and safe conduct of ART services, and that more comprehensive regulation is required.
authors.affiliation: Department of Health Service Research, University of Liverpool, Block B, Waterhouse Building, Brownlow Street, Liverpool, L69 3GL, UK. Electronic address: L.J.Frith@liverpool.ac.uk.
authors.forename: Lucy
authors.initials: L
authors.lastname: Frith
authors.affiliation: School of Human and Health Sciences, University of Huddersfield, Queensgate Huddersfield, HD1 3DH, UK.
authors.forename: Eric
authors.initials: E
authors.lastname: Blyth
mesh_terms: D026688:Bioethical Issues; D002487:Centers for Disease Control and Prevention, U.S.; D014487:Centers for Medicare and Medicaid Services, U.S.; D005260:Female; D006291:Health Policy; D006801:Humans; D007247:Infertility, Female / Q000628:therapy*; D007248:Infertility, Male / Q000628:therapy*; D007883:Legislation, Medical; D008297:Male; D017410:Practice Guidelines as Topic; D012042:Registries; D018456:Reproductive Medicine; D027724:Reproductive Techniques, Assisted / Q000941:ethics / Q000331:legislation & jurisprudence / Q000592:standards*; D014481:United States; D014486:United States Food and Drug Administration; D061349:Unrelated Donors; D014837:Voluntary Health Agencies
keywords: American Society for Reproductive Medicine (ASRM); assisted reproductive technologies; infertility treatment; legislation; policy; regulation