Gamete donation in a system of need-adjusted reciprocity

doi:10.1093/humrep/dei200

Hum. Reprod. Advance Access published online on July 8, 2005
Human Reproduction, doi:10.1093/humrep/dei200

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© The Author 2005. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved.
Received April 26, 2005
Revised June 3, 2005
Accepted June 14, 2005

Article

Gamete donation in a system of need-adjusted reciprocity

Guido Pennings ¹^*

¹ Ghent University Centre for Environmental Philosophy and Bioethics, Department of Philosophy, Blandijnberg 2B-9000, Gent, Belgium

^* To whom correspondence should be addressed.
Guido Pennings, E-mail: Guido.Pennings{at}UGent.be

Abstract

A new paradigm to collect and allocate donor gametes is proposed.In the system, called indirect mirror exchange, the partnerof the person who needs donor gametes, donates in exchange forbonus points that are awarded to the infertile person. All candidaterecipients of donor gametes are ranked on a waiting list andreceive points according to waiting time, medical urgency, phenotypicresemblance and contribution. According to the principle offairness, persons who benefit from a system are obliged to contributetheir share. However, strict reciprocity is rejected as unfair.A contribution by the couple is thus not a necessary conditionfor access to the waiting list. The system of reciprocity isadjusted by taking account of need considerations. The numberof bonus points awarded to contributors should be high enoughto move them to the front section of the waiting list.

Keywords: gamete donation/mirror exchange/need/oocyte/reciprocity.

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