About

Cheryl Miller is a 2007 Phillips Foundation Journalism Fellow and the editor of Doublethink magazine. Her work has appeared in such publications as The Philadelphia Inquirer, The Wall Street Journal, Reason, and The Claremont Review of Books.

She can be contacted at cheryl [at] americasfuture [dot] org.

Read my other blog. The one that's not obnoxious and self-absorbed!


Recent publications

"The Master" in The Claremont Review of Books

"Scary Rise of the 'Sanctimommy'" in The Washington Times

"Why Malamud Faded" in Commentary

"Blogging Infertility" in The New Atlantis

"Outsourcing Childbirth" in The Wall Street Journal

"The Painless Peace of Twilight Sleep" in The New Atlantis

"The Genius of Old New York" in The Claremont Review of Books

"Parenthood At Any Price" in The New Atlantis

"Modern Girls and the Moral Revival They Are Leading" in The Washington Times


ARTICLE ARCHIVE



Links



Tuesday, February 12, 2008

Family Matters

I've just returned from San Francisco, where the American Fertility Association hosted an all-day patient education conference, "Family Matters," last Sunday.

Never have I seen so many sperm-shaped pens. The best of the tchotchkes was hands-down the California Cryobank pen. Not only does it light up (in several different colors, I might add), but the sperm--along with some decorative glitter--travels half-way down the pen when you shake it. The slogan on it reads "Heads and Tails Above the Rest." Since I have no shame, I talked the rep into giving me two. Clearly, I should have been more craven since all my friends now covet my pen. (Cryobanks of the world: I can be bought!) A distant second place goes to the egg-shaped mint holders handed out by Fertility Futures.

Now onto important matters...

At the exhibition hall:
  • One of the booths I noticed right away was that of Pacific Reproductive Services (a "lesbian-owned sperm bank" based in Sam Francisco, natch). They had a rather prominent flyer advertising their services to male-to-female transgender clients who are interested in freezing their sperm prior to their sex-change operations. Sadly, no one picked up a flyer while I was around. The booth had a hippie, alternative vibe; both the reps had body piercings (a nose ring and a tongue ring, as I recall).
  • I talked a bit with a friendly communications rep for the California Cryobank, based in L.A., about some of the challenges facing clinics. The rep--this one sans piercings--talked about the many new services the clinic was offering clients, in part to keep up with the fierce competition among sperm banks.
CA Cryobank already has an unbelievable sperm donor catalog available on their website, complete with baby pictures, personal information (e.g., physical description, medical history, education) staff impressions, and handwritten essays from their donors. To this, they've added a number of premium services, including handwriting analysis (which the rep insisted was crazy accurate; he said they tested it on some of their staff before offering it to their customers), a personality test, and audio CDs. Currently, they're working on producing short films with the donors. The films will include voice-overs and show the donor (neck-down only to protect his identity) participating in favorite activities, like playing soccer.
I asked about privacy issues for anonymous donors. One of the donors listed his major as "Danish Literature." Surely, I said, there aren't many schools offering this major, and combined with the other information available, you could probably track the guy down after some avid googling? The rep agreed this was a concern, and said the clinic had hired a few private detectives to check the profiles and flag possible problems.
  • Of course, donor anonymity might not be much of an issue for too long. Almost every clinic at the conference offers an "identity-release"or "open-donor" program to clients. Generally, the donors in these programs agree to have their identities released to their offspring when they turn 18 (though one program releases the donor's identity three months after the child is born).
The Sperm Bank of California (located in Berkeley) was the first to offer such a service, and other clinics have quickly followed suit. (Pacific Reproductive Services now claims the "most willing to be known donors.") The demand has largely come from gay and lesbian couples and single mothers.

UPDATE: On the rise of "open donor" programs, there's a paper on the subject by UC Davis prof Joanna Scheib (who I interviewed moments ago). Just in case you wanted actual data for once: Scheib, J.E. & Cushing, R.A. (2007). Open-identity donor insemination in the United States: Is it on the rise? Fertility & Sterility, 88, 231-232.
More to come...

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posted by Cheryl  # 3:46 PM
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Monday, February 4, 2008

The Infertility Community?

Melissa at Stirrup Queens has an interesting post on robots and infertility. It's a riff on David Levy's new (and much discussed) book, Love and Sex With Robots. Basically, Melissa asks, if Levy is right and we do start falling in love with robots, will those couples have children, and what will that mean for infertility?

This might all sound far out or outlandish, but it got me re-thinking many of the questions I discuss in an upcoming article on fertility bloggers in The New Atlantis. What does it mean to be infertile? Is infertility a "lifestyle choice" or a medical condition? And are the infertile really a unified bloc or community?

Melissa's post puts these questions into sharp relief, particularly the divide between the socially or functionally infertile and the biologically infertile. People might not be having children with robots anytime soon, but many of the functionally infertile are--e.g., gay and lesbian couples, single mothers by choice, older mothers, etc. Do their interests diverge with those of the biologically infertile?

Melissa is pretty optimistic on this front. Her post ends with the suggestion that as more people join the ranks of the functionally infertile, there will be more understanding and sympathy for all infertiles. I have my doubts, especially when it comes to the holy grail of infertility activism: mandated coverage for infertility.

It seems here that the interests of the functionally infertile and socially infertile diverge. Most states that mandate coverage have some kind of criteria for who's eligible: e.g., age limits, married heterosexual couples only, etc.

This seems unlikely to change, especially as health costs continue to rise. Are we really going to delay granny's hip replacement so Joe and his cyborg girlfriend can have a baby together? Doubtful.

Exhibit A: Wesley Smith's post on the recent debate in the U.K. over whether to cover surrogacy for the infertile. He writes:
This is unbelievable: The NHS is seriously considering paying 15,000 Pounds (about $32,000) to surrogate mothers to gestate babies for infertile couples. This, from the same NHS that rations care to the elderly[...]

The issue isn't gay couples, the issue is restricting care to some populations while going to extreme measures to assist others. More to the point, paying women to be surrogate mothers is to include an expensive non medical procedure as a health benefit.

Moreover, I think this will not only be the attitude of fertiles, but of many infertiles too. I recently had an interview with Gabrielle of Fertility Notes where we discussed just this question. (N.B.: I sort of blindsided her, so you probably shouldn't take this as her considered views on the subject.) She's a strong supporter of mandated coverage and an active "blogtavist." She's also a very sympathetic case: a young, married woman whose childhood cancer left her unable to have children. Most people would say her treatment should be covered.

But her case, I pointed out, is weakened when combined with the functionally infertile. Resources are limited, and while most people would probably see Gabrielle's situation as deserving, they'd likely balk at the idea of funding a 62-year-old woman's IVF cycle with tax money. Gabrielle saw the problem, and agreed that there might need to be some limits on what we cover, though she wasn't sure what those limits should be.

I think a lot of the biologically infertile would agree. So is it really "all for one, one for all" in the infertility community? Given the limits on the public purse (and public sympathy), is it better to get coverage for the few? And how do we decide who those few should be?

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posted by Cheryl  # 11:58 AM
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