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	<title>Comments on: Life and death decision our leaders can&#8217;t face</title>
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	<link>http://www.sarahcarey.ie/2006/03/19/life-and-death-decision-our-leaders-cant-face/</link>
	<description>An Irish woman's social, political and domestic commentary</description>
	<lastBuildDate>Sat, 19 Mar 2011 23:50:34 +0000</lastBuildDate>
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		<title>By: MB</title>
		<link>http://www.sarahcarey.ie/2006/03/19/life-and-death-decision-our-leaders-cant-face/comment-page-1/#comment-30425</link>
		<dc:creator>MB</dc:creator>
		<pubDate>Wed, 15 Nov 2006 18:23:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.sarahcarey.ie/archives/2006/03/19/life-and-death-decision-our-leaders-cant-face#comment-30425</guid>
		<description>Im only commenting on this as there is a new post referring to this subject. But just to clarify, the morning after pill can remove an implanted embryo from the uterus. This is not something that doctors are required to mention in Ireland. However in the US before the doctor can prescribe the morning after pill he/she is required to tell you the facts. The morning after pill can prevent implantation. It can also remove an implantated embryo by hormone induced shedding of the uterine lining (as in menstruation). The morning after pill can also damage a developing embryo or foetus and you are required here to take a pregnancy test before being allowed to take the pill. It is an abortifascient. I only wish that with such an emotional debate that people were on a level playing field and clear about all the facts and not working off hearsay.</description>
		<content:encoded><![CDATA[<p>Im only commenting on this as there is a new post referring to this subject. But just to clarify, the morning after pill can remove an implanted embryo from the uterus. This is not something that doctors are required to mention in Ireland. However in the US before the doctor can prescribe the morning after pill he/she is required to tell you the facts. The morning after pill can prevent implantation. It can also remove an implantated embryo by hormone induced shedding of the uterine lining (as in menstruation). The morning after pill can also damage a developing embryo or foetus and you are required here to take a pregnancy test before being allowed to take the pill. It is an abortifascient. I only wish that with such an emotional debate that people were on a level playing field and clear about all the facts and not working off hearsay.</p>
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		<title>By: GUBU &#187; Life begins at implantation</title>
		<link>http://www.sarahcarey.ie/2006/03/19/life-and-death-decision-our-leaders-cant-face/comment-page-1/#comment-30351</link>
		<dc:creator>GUBU &#187; Life begins at implantation</dc:creator>
		<pubDate>Wed, 15 Nov 2006 12:39:54 +0000</pubDate>
		<guid isPermaLink="false">http://www.sarahcarey.ie/archives/2006/03/19/life-and-death-decision-our-leaders-cant-face#comment-30351</guid>
		<description>[...] I see the Supreme Court agrees with me on this issue. [...]</description>
		<content:encoded><![CDATA[<p>[...] I see the Supreme Court agrees with me on this issue. [...]</p>
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		<title>By: Sarah</title>
		<link>http://www.sarahcarey.ie/2006/03/19/life-and-death-decision-our-leaders-cant-face/comment-page-1/#comment-11071</link>
		<dc:creator>Sarah</dc:creator>
		<pubDate>Thu, 04 May 2006 22:00:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.sarahcarey.ie/archives/2006/03/19/life-and-death-decision-our-leaders-cant-face#comment-11071</guid>
		<description>You went to town a bit all because of the little word &quot;tell&quot;. I didn&#039;t say order, force, or anything else. If your IVF is successful then I am absolutely delighted for you and I have enormous sympathy for anyone who has to face the misery of infertility - I know it would have broken my heart. I merely make two points:
- the existence of procedures like IVF has created very difficult ethical dilemmas such as that described in the article. What do you with the frozen embryos? Are they life? What chance do they deserve? Surely you must have addressed these issues yourself? 
- I would certainly advise someone to think very carefully and make sure they know exactly what they are getting into when they consider IVF. It IS miserable, it IS painful, it IS expensive, it HAS a high failure rate. Adoption is slow but what are you going to do? Start IVF when you are 36. Keep at it for 2 or 3 years? Give up, start the adoption process and half way through the process get turned down because you&#039;re 40? Bear in mind that you are not allowed ( unless you fib) start the adoption process until a certain time after your last IVF cycle....If you&#039;re a pretty standard middle class heterosexual couple with no major negative histories, I&#039;d think you have a better chance of having a successful adoption than a successful IVF baby. And if you&#039;re 37 or 38...If as you say there is a 30% chance of success (and I must check that figure) that still means there&#039;s a 70% failure rate. Pointing this out does not trample on your right to do anything to your own body.

With regard to the cost of adoption, I am not sure where you get the 35k from (travel costs for a foreign adoption?) but in any event my point still stands, these IVF vs adoption traumas are strictly for the middle classes. If you&#039;re poor you get neither.
As for your God/Mother Nature &quot;abortionist&quot; comment...what? Are you seriously trying to establish an equivalence between an abortion and a miscarriage?</description>
		<content:encoded><![CDATA[<p>You went to town a bit all because of the little word &#8220;tell&#8221;. I didn&#8217;t say order, force, or anything else. If your IVF is successful then I am absolutely delighted for you and I have enormous sympathy for anyone who has to face the misery of infertility &#8211; I know it would have broken my heart. I merely make two points:<br />
- the existence of procedures like IVF has created very difficult ethical dilemmas such as that described in the article. What do you with the frozen embryos? Are they life? What chance do they deserve? Surely you must have addressed these issues yourself?<br />
- I would certainly advise someone to think very carefully and make sure they know exactly what they are getting into when they consider IVF. It IS miserable, it IS painful, it IS expensive, it HAS a high failure rate. Adoption is slow but what are you going to do? Start IVF when you are 36. Keep at it for 2 or 3 years? Give up, start the adoption process and half way through the process get turned down because you&#8217;re 40? Bear in mind that you are not allowed ( unless you fib) start the adoption process until a certain time after your last IVF cycle&#8230;.If you&#8217;re a pretty standard middle class heterosexual couple with no major negative histories, I&#8217;d think you have a better chance of having a successful adoption than a successful IVF baby. And if you&#8217;re 37 or 38&#8230;If as you say there is a 30% chance of success (and I must check that figure) that still means there&#8217;s a 70% failure rate. Pointing this out does not trample on your right to do anything to your own body.</p>
<p>With regard to the cost of adoption, I am not sure where you get the 35k from (travel costs for a foreign adoption?) but in any event my point still stands, these IVF vs adoption traumas are strictly for the middle classes. If you&#8217;re poor you get neither.<br />
As for your God/Mother Nature &#8220;abortionist&#8221; comment&#8230;what? Are you seriously trying to establish an equivalence between an abortion and a miscarriage?</p>
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		<title>By: woodstar</title>
		<link>http://www.sarahcarey.ie/2006/03/19/life-and-death-decision-our-leaders-cant-face/comment-page-1/#comment-11067</link>
		<dc:creator>woodstar</dc:creator>
		<pubDate>Thu, 04 May 2006 16:00:07 +0000</pubDate>
		<guid isPermaLink="false">http://www.sarahcarey.ie/archives/2006/03/19/life-and-death-decision-our-leaders-cant-face#comment-11067</guid>
		<description>Since IVF is a miserable, painful, expensive procedure with a huge failure rate (over 80%) anyway, maybe it would be easier just to forget about the whole business and tell childless couples to adopt. 

I really can&#039;t believe you said this - it&#039;s easy to see that you have children already.  I may be part of an infertile couple but I don&#039;t think that gives anyone any right to tell me what I can and can&#039;t do with my body - and if I decide to try IVF that is a decision for my partner and I alone.  And I can assure you, it is a lot easier to say &#039;forget about having children of your own&#039; than to actually do it.  I thought you professed to be a feminist but you want to &#039;tell&#039; other adult women what to do with their bodies and their lives?????

Btw, your stats on the sucess rate are outdated - the success rate per embyro transfer is now between 30%-35%, but as most couples do multiple cycles the sucess rate per couple is higher again.  And yes, IVF is very expensive and it is not covered by the public health system or by private health insurers -  this adds greatly to the stress and misery of it all.  

Maybe you should read some adoption boards before offering that as some sort of panacea - again, due to this wonderful fantastic country of ours it takes 2 years to even get an appointment with a social worker, and approx. 5 years and 9 months from application to having a child placed with you.  Also, it costs approx. 35k to adopt - this puts huge pressure on infertile couples to end fertility treatment early as there is only so much money to go round.  Plus, make any complaints about delays and/or your social worker and they have the ultimate cop-out of &#039;haven&#039;t come to terms with their infertility&#039; to knock you out of the application process.  It&#039;s a bite-your-tongue yes-sir, no-sir process. Makes it look a slightly less rosier picture, no?

As only 30 - 35% of embyro transfers result in an on-going pregnancy, and even allow for some possible reduction due to the medical intervention, that still makes God/Mother Nature the greatest abortionist around.</description>
		<content:encoded><![CDATA[<p>Since IVF is a miserable, painful, expensive procedure with a huge failure rate (over 80%) anyway, maybe it would be easier just to forget about the whole business and tell childless couples to adopt. </p>
<p>I really can&#8217;t believe you said this &#8211; it&#8217;s easy to see that you have children already.  I may be part of an infertile couple but I don&#8217;t think that gives anyone any right to tell me what I can and can&#8217;t do with my body &#8211; and if I decide to try IVF that is a decision for my partner and I alone.  And I can assure you, it is a lot easier to say &#8216;forget about having children of your own&#8217; than to actually do it.  I thought you professed to be a feminist but you want to &#8216;tell&#8217; other adult women what to do with their bodies and their lives?????</p>
<p>Btw, your stats on the sucess rate are outdated &#8211; the success rate per embyro transfer is now between 30%-35%, but as most couples do multiple cycles the sucess rate per couple is higher again.  And yes, IVF is very expensive and it is not covered by the public health system or by private health insurers &#8211;  this adds greatly to the stress and misery of it all.  </p>
<p>Maybe you should read some adoption boards before offering that as some sort of panacea &#8211; again, due to this wonderful fantastic country of ours it takes 2 years to even get an appointment with a social worker, and approx. 5 years and 9 months from application to having a child placed with you.  Also, it costs approx. 35k to adopt &#8211; this puts huge pressure on infertile couples to end fertility treatment early as there is only so much money to go round.  Plus, make any complaints about delays and/or your social worker and they have the ultimate cop-out of &#8216;haven&#8217;t come to terms with their infertility&#8217; to knock you out of the application process.  It&#8217;s a bite-your-tongue yes-sir, no-sir process. Makes it look a slightly less rosier picture, no?</p>
<p>As only 30 &#8211; 35% of embyro transfers result in an on-going pregnancy, and even allow for some possible reduction due to the medical intervention, that still makes God/Mother Nature the greatest abortionist around.</p>
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		<title>By: Frank</title>
		<link>http://www.sarahcarey.ie/2006/03/19/life-and-death-decision-our-leaders-cant-face/comment-page-1/#comment-8292</link>
		<dc:creator>Frank</dc:creator>
		<pubDate>Sat, 25 Mar 2006 17:38:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.sarahcarey.ie/archives/2006/03/19/life-and-death-decision-our-leaders-cant-face#comment-8292</guid>
		<description>Ah, typo above - chimeras don&#039;t result from monozygotic twins but non-monozygotic twins.</description>
		<content:encoded><![CDATA[<p>Ah, typo above &#8211; chimeras don&#8217;t result from monozygotic twins but non-monozygotic twins.</p>
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		<title>By: Frank</title>
		<link>http://www.sarahcarey.ie/2006/03/19/life-and-death-decision-our-leaders-cant-face/comment-page-1/#comment-8291</link>
		<dc:creator>Frank</dc:creator>
		<pubDate>Sat, 25 Mar 2006 17:34:51 +0000</pubDate>
		<guid isPermaLink="false">http://www.sarahcarey.ie/archives/2006/03/19/life-and-death-decision-our-leaders-cant-face#comment-8291</guid>
		<description>&lt;i&gt;Fertilisation results in a new genetically complete human being. I think science agrees.&lt;/i&gt;

You think wrong. Fertilisation results in anything from 0 to 6+ human beings. Monozygotic twins can even fuse and result in a single human chimera. Genes are irrelevant to personhood and science has nothing to say on the subject.

Besides, most fertlised eggs do not make it. Over half die before birth. If that were happening to real children it would be the biggest public health emergency in all of recorded history. It would dwarf the death toll of the black death, nagasaki, hiroshima, and all of the wars ever fought. But since it is not happening to real children, nobody cares and neither do you.

Don&#039;t believe me? Imagine that you happened upon a burning school. Would you run in and save the children inside, even at risk to your own life?

Now imagine that you happened upon a burning IVF clinic. Would you run in and save the fertilised eggs inside, even at risk to your own life?

All of which goes to show that the &#039;pro-life&#039; don&#039;t care about fertilised eggs half as much as they pretend.</description>
		<content:encoded><![CDATA[<p><i>Fertilisation results in a new genetically complete human being. I think science agrees.</i></p>
<p>You think wrong. Fertilisation results in anything from 0 to 6+ human beings. Monozygotic twins can even fuse and result in a single human chimera. Genes are irrelevant to personhood and science has nothing to say on the subject.</p>
<p>Besides, most fertlised eggs do not make it. Over half die before birth. If that were happening to real children it would be the biggest public health emergency in all of recorded history. It would dwarf the death toll of the black death, nagasaki, hiroshima, and all of the wars ever fought. But since it is not happening to real children, nobody cares and neither do you.</p>
<p>Don&#8217;t believe me? Imagine that you happened upon a burning school. Would you run in and save the children inside, even at risk to your own life?</p>
<p>Now imagine that you happened upon a burning IVF clinic. Would you run in and save the fertilised eggs inside, even at risk to your own life?</p>
<p>All of which goes to show that the &#8216;pro-life&#8217; don&#8217;t care about fertilised eggs half as much as they pretend.</p>
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		<title>By: Feebee</title>
		<link>http://www.sarahcarey.ie/2006/03/19/life-and-death-decision-our-leaders-cant-face/comment-page-1/#comment-8279</link>
		<dc:creator>Feebee</dc:creator>
		<pubDate>Fri, 24 Mar 2006 00:03:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.sarahcarey.ie/archives/2006/03/19/life-and-death-decision-our-leaders-cant-face#comment-8279</guid>
		<description>Niall - I was just telling it as it is, not giving an opinion on the legalities of it.  But since you ask...

My opinion is not based on the biological viability of the embryo, but it does coincide with it.  A frozen embryo&#039;s chance of life is determined by its parents ability to give it life, or to continue its development.  It is simply not workable to guarantee a right to life of every embryo produced through IVF.  What happens if the parents&#039; circumstances change dramatically before transferral has taken place?  If one parent, in particular the mother, is diagnosed with a terminal illness?  If one parent, in particular the mother, dies or disappears?  How do we continue to give the remaining embryos life?  

In more likely circumstances, what if a couple want one child, but an IVF cycle produces 15 embryos?  Should they be forced to undergo transferrals until all embryos have been given an equal chance of life?  No matter how many children are born?  What if the first successful IVF happens when the couple are in their forties?  Should they be forced to endure procedures well into their fifties?

If your answer to all these questions is the IVF itself is unworkable because of the &quot;loss of life&quot;, then my response is that above all IVF creates life (and a desperately wanted one at that), it does not destroy it.

Which brings me back to the issue of viability.  It is not just that a frozen embryo is not viable until implantation, it is also not viable until the parents are willing and able to give it a 25% chance of implantation.</description>
		<content:encoded><![CDATA[<p>Niall &#8211; I was just telling it as it is, not giving an opinion on the legalities of it.  But since you ask&#8230;</p>
<p>My opinion is not based on the biological viability of the embryo, but it does coincide with it.  A frozen embryo&#8217;s chance of life is determined by its parents ability to give it life, or to continue its development.  It is simply not workable to guarantee a right to life of every embryo produced through IVF.  What happens if the parents&#8217; circumstances change dramatically before transferral has taken place?  If one parent, in particular the mother, is diagnosed with a terminal illness?  If one parent, in particular the mother, dies or disappears?  How do we continue to give the remaining embryos life?  </p>
<p>In more likely circumstances, what if a couple want one child, but an IVF cycle produces 15 embryos?  Should they be forced to undergo transferrals until all embryos have been given an equal chance of life?  No matter how many children are born?  What if the first successful IVF happens when the couple are in their forties?  Should they be forced to endure procedures well into their fifties?</p>
<p>If your answer to all these questions is the IVF itself is unworkable because of the &#8220;loss of life&#8221;, then my response is that above all IVF creates life (and a desperately wanted one at that), it does not destroy it.</p>
<p>Which brings me back to the issue of viability.  It is not just that a frozen embryo is not viable until implantation, it is also not viable until the parents are willing and able to give it a 25% chance of implantation.</p>
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		<title>By: Niall</title>
		<link>http://www.sarahcarey.ie/2006/03/19/life-and-death-decision-our-leaders-cant-face/comment-page-1/#comment-8273</link>
		<dc:creator>Niall</dc:creator>
		<pubDate>Thu, 23 Mar 2006 20:14:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.sarahcarey.ie/archives/2006/03/19/life-and-death-decision-our-leaders-cant-face#comment-8273</guid>
		<description>Feebee, why exactly do you consider viability important, and more importantly, why do you think that the law should based one&#039;s right to life on viability?</description>
		<content:encoded><![CDATA[<p>Feebee, why exactly do you consider viability important, and more importantly, why do you think that the law should based one&#8217;s right to life on viability?</p>
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		<title>By: Feebee</title>
		<link>http://www.sarahcarey.ie/2006/03/19/life-and-death-decision-our-leaders-cant-face/comment-page-1/#comment-8263</link>
		<dc:creator>Feebee</dc:creator>
		<pubDate>Thu, 23 Mar 2006 15:15:54 +0000</pubDate>
		<guid isPermaLink="false">http://www.sarahcarey.ie/archives/2006/03/19/life-and-death-decision-our-leaders-cant-face#comment-8263</guid>
		<description>Hey Ray - yeah, babies, blogs and bombardment by tear gas!

And let&#039;s not forget birthdays - we may meet again shortly...</description>
		<content:encoded><![CDATA[<p>Hey Ray &#8211; yeah, babies, blogs and bombardment by tear gas!</p>
<p>And let&#8217;s not forget birthdays &#8211; we may meet again shortly&#8230;</p>
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		<title>By: Ray</title>
		<link>http://www.sarahcarey.ie/2006/03/19/life-and-death-decision-our-leaders-cant-face/comment-page-1/#comment-8256</link>
		<dc:creator>Ray</dc:creator>
		<pubDate>Thu, 23 Mar 2006 13:28:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.sarahcarey.ie/archives/2006/03/19/life-and-death-decision-our-leaders-cant-face#comment-8256</guid>
		<description>Hi Feebee! I&#039;m Derval&#039;s Ray. We must stop meeting like this...</description>
		<content:encoded><![CDATA[<p>Hi Feebee! I&#8217;m Derval&#8217;s Ray. We must stop meeting like this&#8230;</p>
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