Women with Disabilities: Ethics of Access and Accommodation for Infertility Care

Ethical Issues in Women's Healthcare: Practice and Policy (2019)

University of Utah College of Law Research Paper

24 Pages Posted: 13 Apr 2019

See all articles by Leslie P. Francis

Leslie P. Francis

University of Utah - S.J. Quinney College of Law

Anita Silvers

San Francisco State University - Department of Philosophy

Brittany Badesch

University of Colorado School of Medicine, Students

Date Written: 2019

Abstract

Women with disabilities face challenges related to their disabilities of access and accommodation for infertility care. This chapter explores the societal and structural barriers to infertility care these women experience, including legal issues, training and attitudes of physicians, ability to pay, lack of adaptive equipment, inexperience of providers in treating these patient populations, and lack of access to health insurance coverage for infertility care. Ethical arguments respond to providers’ concerns about offering reproductive care to women with disabilities, including concerns about physician competence, physician choice, risks to the woman, inability to consent, risks to any offspring, conscientious objection, and ability to pay. It concludes that there is at best limited and partial justification for many of these concerns, especially in the context of background injustice. The chapter ends with an account of reasonable modifications and accommodations to allow women with disabilities to enjoy reproductive services on equal terms with other women.

Keywords: ADA, access, accommodation, disability, ethics, infertility care, justice, pregnancy, rights, women

Suggested Citation

Francis, Leslie P. and Silvers, Anita and Badesch, Brittany, Women with Disabilities: Ethics of Access and Accommodation for Infertility Care (2019). Ethical Issues in Women's Healthcare: Practice and Policy (2019); University of Utah College of Law Research Paper . Available at SSRN: https://ssrn.com/abstract=3370556 or http://dx.doi.org/10.2139/ssrn.3370556

Leslie P. Francis (Contact Author)

University of Utah - S.J. Quinney College of Law ( email )

383 S. University Street
Salt Lake City, UT 84112-0730
United States

Anita Silvers

San Francisco State University - Department of Philosophy ( email )

1600 Holloway Avenue
San Francisco, CA 94132
United States

Brittany Badesch

University of Colorado School of Medicine, Students ( email )

Building 500 - 13001 E. 17th Place, Campus Box C29
Aurora, CO 80045
United States

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