Ectogenesisargument.pdf

O R I G I N A L A R T I C L E

Ectogenesis, abortion and a right to the death of the fetus

Joona Räsänen

Correspondence

Joona Räsänen.

Email: joona.rasanen@iki.fi

Abstract Many people believe that the abortion debate will end when at some point in the future it will be

possible for fetuses to develop outside the womb. Ectogenesis, as this technology is called, would

make possible to reconcile pro-life and pro-choice positions. That is because it is commonly

believed that there is no right to the death of the fetus if it can be detached alive and gestated in

an artificial womb. Recently Eric Mathison and Jeremy Davis defended this position, by arguing

against three common arguments for a right to the death of the fetus. I claim that their arguments

are mistaken. I argue that there is a right to the death of the fetus because gestating a fetus in an

artificial womb when genetic parents refuse it violates their rights not to become a biological parent,

their rights to genetic privacy and their property rights. The right to the death of the fetus, however,

is not a woman’s right but genetic parents’ collective right which only can be used together.

K E Y W O R D S

abortion, ectogenesis, genetic privacy, parenthood, property right, right not to become a parent

1 | INTRODUCTION

The most prominent advocates of abortion rights believe that there is a

right to terminate a pregnancy but not a right to the death of the fetus.

Peter Singer and Deane Wills phrase this in the following way: ‘Freedom to

choose what is to happen to one’s body is one thing; freedom to insist on

the death of a being that is capable of living outside one’s body is another.’1

Judith Jarvis Thomson2 believes this, and so do David Boonin3, Frances M.

Kamm4 and Mary Ann Warren.5 More recently Bertha Alvarez Manninen6

and Lindsey Porter7 have reached similar conclusions.

Whether there is a right to the death of the fetus, in addition to

the detachment, is not a question not explored in detail before. Michael

Hawking argued – using an interesting thought experiment, viable vio-

linist – that the Thomsonian defence of abortion gives the woman only

a right to detachment, not a right to end the life of the fetus once it

has reached the point of viability.8 Recently Eric Mathison and Jeremy

Davis considered in this journal whether there is a right to the death of

the fetus when ectogenesis is available.9 They concluded that there is

no such right. Therefore, the possibility of ectogenesis should end the

abortion debate to all these people.10 That is because it would then be

possible to reconcile (alleged) fetal rights with women’s rights.

1Singer, P. & Wells, D. (1984). The reproduction revolution: New ways of

making babies (p. 135). Oxford: Oxford University Press. 2Thomson, J. J. (1971). A defense of abortion. Philosophy & Public Affairs, 1,

47–66. 3Boonin, D. (2003). A defense of abortion (p. 257). Cambridge, UK:

Cambridge University Press. 4Kamm, F. M. (1992). Creation and abortion: A study in moral and legal

philosophy (p. 81). Oxford, UK: Oxford University Press. 5Warren, M. A. (1982). Postscript on infanticide, February 26, 1982. In J.

Feinberg (Ed.), The Problem of Abortion (pp. 116–119). Wadsworth, Belmont CA; Warren, M. A. (2010). The moral difference between infanticide and

abortion: A response to Robert Card. Bioethics, 14, 352–359. 6Manninen, B. A. (2013). Yes, the baby should live: A pro-choice response

to Giubilini and Minerva. Journal of Medical Ethics, 39, 330–335. 7Porter, L. (2013). Abortion, infanticide and moral context. Journal of

Medical Ethics, 39, 350–352.

8Hawking, M. (2015). Viable violinist. Bioethics, 30, 312–316. 9Mathison, E. & Davis, J. (2017). Is there a right to the death of the foetus?

Bioethics, 31, 313–320. 10I use the term ectogenesis as it is commonly used in bioethical literature.

Ectogenesis refers the use of artificial or mechanical wombs. Ectogenesis

could be understood as an alternative to the whole gestation process where

the embryo is never inside a woman’s uterus. Here the focus is on a form of ectogenesis which is sometimes referred to as an ectogenesis abortion

or partial ectogenesis, where the fetus removed from the woman’s uterus alive will be gestated in an artificial womb. Although the technology is not

yet possible, the ethical issues of ectogenesis deserve careful philosophical

attention. For the sake of argument, I assume that a fetus (or technically a

blastocyst) would become a candidate for ectogenesis soon after it has

implanted in the womb.

Bioethics. 2017;31:697–702. wileyonlinelibrary.com/journal/bioe VC 2017 John Wiley & Sons Ltd | 697

Received: 6 March 2017 | Revised: 10 July 2017 | Accepted: 13 August 2017 DOI: 10.1111/bioe.12404

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I disagree. I argue that there is a right to the death of the fetus, but

that right is not a woman’s right. A right to the death of the fetus is a

right of the genetic parents and only together can they use this right. I

also consider what should be done when biological parents disagree

upon the fate of a fetus.11

Mathison and Davis considered three arguments why a woman

might have a right to the death of the fetus: 1) a right not to become a

biological parent 2) a right to one’s genetic privacy and 3) a right to

property. They argue that none of the arguments succeed. I believe

Mathison and Davis’ argumentation does not show that there is no

right to the death of the fetus. I consider their argumentation sequen-

tially and argue why there is a right to the death of the fetus. I claim –

contrary to Mathison and Davis – that because people have a right not

to become biological parents, a right to genetic privacy and a right to

their property and because ectogenesis without the consent of the

genetic parents of the fetus violates these rights, genetic parents have

a right to the death of the fetus.

I do not consider here whether the fetus itself has a moral standing

or whether it has a right to life, although I admit – and agree with

Mathison and Davis here – that to settle the issue fully, that is some-

thing which should be done.12 At the end of the article, I make some

remarks about the practical implications of my position and raise some

new questions to explore.

2 | THE RIGHT NOT TO BECOME A BIOLOGICAL PARENT

An argument given in support of the right to the death of the fetus is

the right not to become a biological parent. Mathison and Davis (here-

after referred to as M&D) call this the ‘biological parents’ rights’ argu-

ment. Here, I frame the argument in detail and defend it against their

criticism. M&D state that spelling this argument out in more detail –

and perhaps the most common way, they say – is to argue that a right

to the death of the fetus is necessary for preventing certain harms

from befalling the biological parents. So, on this view, an abortion con-

sists of both terminating a pregnancy and preventing parenthood.

The harms in question are parental obligations which are linked to the

concept of attributional parenthood. That is the social attitude in which

others treat a genetic parent as though she still has the same moral obliga-

tions to the child as a custodial parent, even when the legal system has

absolved her of such obligations.13 Catriona Mackenzie explains this by

stating: ‘abortion is not a matter of wanting to kill this particular being,

which is, after all, as yet indistinguishable from oneself. It is rather a matter

of not wanting there to be a future child, so intimately related to oneself,

for which one either has to take responsibility or give up to another.’14

The insight of attributional parenthood leads to the Right Not to

Become a Biological Parent Argument:15

1. Becoming a biological parent causes harm to the couple because

of parental obligations towards the child.

2. The couple has the interest to avoid the harm of parental

obligations.

3. Therefore, the couple has a right to the death of the fetus to avoid

the harm of parental obligations.

M&D understand parental obligations in a way that the parents would

still feel morally responsible for the child, which then could cause them

significant psychological harm. They claim that such harm may be self-

or socially imposed. For example, others might discriminate the parents

by displaying negative attitudes or behaviour towards them. To support

this interpretation of parental obligations, M&D cite a study where sev-

eral women reported that ectogenesis would leave them with the lin-

gering sense of obligation towards the child, even if no legal obligation

were maintained.16

M&D reject the above argument. They admit that parents have a

right not to be discriminated against on the basis of attributional

parenthood, but they reject the argument by parity of reasoning. Put

another way, they claim that if the right not to become a biological par-

ent argument is sound, it leads to conclusions that are difficult to

accept (or at least which people do not currently accept). They claim

that:

[I]t does not follow from the fact that this treatment

[discrimination on the basis of attributional parenthood]

is wrong that one therefore possesses a right to the

death of the foetus. Indeed, there are reasons to doubt

that any such further right exists. To see why, consider

cases that look very similar to the one in question. Sur-

rogate mothers, egg and sperm donors, and women or

couples who give their child up for adoption may all

experience the harms of attributional parenthood, as

well as other felt obligations more generally. If the right

against the harms of attributional parenthood entail fur-

ther rights to prevent or avoid such harms in the case

we have been considering, they should entail similar

rights in these cases as well. And yet, in these other

cases, we do not typically think that the existence of

such harms gives rise to any further rights to the biolog-

ical mother or father.17

M&D seem to believe that the alleged intuitions against the claim

that gamete donors and surrogate mothers have rights towards the

child are a sufficient reason to believe that there are no such rights,

11In this article, I use the terms genetic parent and biological parent as

synonyms. 12Mathison and Davis also do not consider whether a fetus has a right to

life. 13Cohen, I. G. (2008). The right not to be a genetic parent. Southern

California Law Review, 81, 1115–1196. 14Mackenzie, C. (1992). Abortion and embodiment. Australasian Journal of

Philosophy, 70, 136–155. p. 152. Emphasis original.

15The formulation of the argument is my own, although M&D argue against

a similar argument. 16Cannold, L. (1995). Women, ectogenesis, and ethical theory. Journal of

Applied Philosophy, 12, 55–64. 17Mathison & Davis, op. cit. note 9, p. 315.

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and thus surrogate motherhood, gamete donation and adoption are

problem free practices. However, they omit the work of numerous phi-

losophers who argue, for example, that gamete donors do have parental

obligations (and perhaps rights) towards the child produced from their

gametes. Indeed, several scholars argue that no parental responsibility

theory can explain why the accidental father, who procreates due to

birth-control failure, has parental obligations towards the child but a

sperm donor does not. This notion has been brought forth by Rivka

Weinberg,18 as well as J.L Nelson,19 David Benatar,20 Melissa

Moschella,21 Reuven Brandt22 and Andrew Botterell23 – just to men-

tion a few.

It is also argued that mothers and fathers remain obliged, life-long,

to their birth children even when the child is adopted out. Lindsey Por-

ter frames this in the following way: ‘makers – that is, “birth parents”

and other causers – do not and cannot cease to be obliged to their

birth children, even when adoption takes place.’24

If these authors are correct, there is reason to believe that the

genetic parents have a right to the death of the fetus so that they could

avoid the obligations and harm of attributed parenthood. Adoption

won’t resolve the issue because parental obligations cannot fully be

transferred or delegated to someone else; such obligations are non-

transferrable in nature.

These claims might be against someone’s intuitions, but the intu-

itions alone are not a sufficient reason to believe that genetic ties, or

the fact that the parents have caused their child to exist, do not matter

in the case of gamete donation, surrogate motherhood and – ectogene-

sis abortion. Appealing to alleged intuitions is a somewhat common

way to argue in applied ethics, but without a proper theory that

explains why those intuitions are justified, the parity of reasoning argu-

ment fails. If one wants to reject the right not to become a biological

parent argument, one should offer a parental responsibility theory that

exonerates genetic parents from their parental obligations altogether

or give another reason why the argument fails. M&D do neither.

Because there are no alternative ways to avoid the harms of parental

obligations than the death of the fetus, the right to the death of the

fetus argument stands.

Some pro-choice philosophers have argued that abortion rights

include a right to the death of the fetus. Christine Overall, who has

recently changed her views about the right to the death of the fetus,

now states:

[W]omen who seek pregnancy termination are usually

choosing that there be no being at all who is their

genetic offspring. They are choosing not only not to be

social mothers, but also not to be biological mothers. In

other words, they are claiming a right not to reproduce.

(. . .) When women obtain a termination of pregnancy,

they are (. . .) acting upon their legitimate reproductive

right not to become a biological parent.25

I believe Overall is right when she claims that there is a legitimate

right not to become a biological parent. But she misses an important

point: procreation is a collective act involving two people, therefore the

biological father also has a right not to become a biological parent. The

fetus is not her project, as Overall claims, it is their project. Ergo, when

it is possible to gestate the fetus outside the womb, the fate of the

fetus is not her decision, but their decision.

3 | THE RIGHT TO GENETIC PRIVACY

Another way to argue for the right to the death of the fetus is to

claim that gestating the fetus, even if outside the womb, violates some

other rights the genetic parents possess. I believe ectogenesis abortion

violates two kinds of rights, in addition to a right of not becoming a

biological parent: a right to genetic privacy and a right to property.

There is at least in some cases a right to genetic privacy. For exam-

ple, if a mad scientist finds a way to clone humans, steals my DNA and

creates a fetus that is genetically identical to me, which he then ges-

tates in an artificial womb, my right to genetic privacy is violated.

Therefore, in such a case, I have a right to the death of the fetus.

Similarly, if ectogenesis abortions become reality, some women

(and men) will have genetic children out there who carry their genetic

material without their consent. In this scenario, their right to genetic

privacy has been violated, and the only way to avoid this is if they have

a right to the death of the fetus. Call this the Right to Genetic Privacy

Argument:26

1. People have a right to genetic privacy.

2. Ectogenesis abortion violates the genetic privacy of the genetic

parents of the fetus.

3. Therefore, genetic parents have a right to the death of the fetus.

I believe the mad scientist example shows that the first premise is true.

People in general have a right to genetic privacy. But does ectogenesis

abortion violate parents’ genetic privacy and if so, do genetic parents

18Weinberg, R. (2008). The moral complexity of sperm donation. Bioethics,

22, 166–178. 19Nelson, J.L. (1991). Parental obligations and the ethics of surrogacy: A

causal perspective. Public Affairs Quarterly, 5, 49–61. 20Benatar, D. (1999). The unbearable lightness of bringing into being.

Journal of Applied Philosophy, 16, 173–180. 21Moschella, M. (2014). Rethinking the moral permissibility of gamete

donation. Theoretical Medicine and Bioethics, 35, 421–440. 22Brandt, R. (2016). The transfer and delegation of responsibilities for

genetic offspring in gamete provision. Journal of Applied Philosophy, 33(4)

doi:10.1111/japp.12251 23Botterell, A. (2016). Why gametes are not like enriched uranium. Bioethics,

30, 741–750. 24Porter, L. (2012). Adoption is not abortion-lite. Journal of Applied Philoso-

phy, 29, 63–78.

25Overall, C. (2015). Rethinking abortion, ectogenesis, and fetal death.

Journal of Social Philosophy, 46, 126–140, p. 131. Emphasis original. 26Again, the formulation of the argument is my own, although M&D argue

against this argument.

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have a right to the death of the fetus? M&D are sceptical. They state

that even if there is a right to genetic privacy there will be considerable

limits to that right. M&D claim that at most, one has a right that her

entire genome not be released without her consent. But they don’t

argue why there is only a right that one’s entire genome not be released

– clearly more is needed than a mere declaration. M&D claim that

because the fetus’ genetic material comes only partly from the genetic

mother, the mother’s genetic privacy is not violated, in such a way that

she has a right to the death of the fetus. However, this line of reason-

ing explains only why the genetic mother has no right to the death of

the fetus. But the nature of this right has been misunderstood here.

A right to genetic privacy in the case of ectogenesis should not be

understood not as an individual but as a collective right. That is because

reproduction is not an individual but a collective action. Even though a

fetus shares 50% of its genetic material with each genetic parent

respectively, 100% of the fetus’ genetic material comes from its genetic

parents. Because having a genetic child in the world who carries the

genetic material of the parents without their consent is against their

right to genetic privacy, the genetic parents together have a right to

the death of the fetus. To use that right, however, they must be unani-

mous about it. Only if they both agree and want the death of the fetus

can they choose it to happen.

To conclude, a right to the death of the fetus is not an individual

right (as a right to terminate the pregnancy is), but a couple’s collective

right, therefore the right to genetic privacy argument stands. A right to

the death of the fetus is a right the genetic parents can only use

together.

4 | THE RIGHT TO PROPERTY

There is yet another way to claim that the genetic parents have a right

to the death of the fetus: the genetic parents own the fetus, and

because of that, their property rights are violated if the fetus is

gestated in an artificial womb without their consent. Call this the Right

to Property Argument:27

1. The fetus is property of the genetic parents.

2. People can destroy their property.

3. Therefore, genetic parents can destroy their fetus.

Common intuition seems to support both premises and therefore the

Right to Property Argument. For example, it is commonly believed that

the couple owns their (early) fetus or their embryos.28 Consider a cou-

ple who uses IVF treatment (in vitro fertilization) to get pregnant. Sur-

plus cryopreserved embryos are their embryos and no-one can use

them against the couple’s consent. In fact, it is commonly believed that

a couple using IVF has a right to destroy surplus cryopreserved

embryos. M&D share this intuition (and so do I).

Many people have inconsistent intuitions, as they believe it is

impermissible to kill the early fetus but permissible to destroy frozen

embryos. In both cases, there is an embryo involved that has a poten-

tial to develop into a fetus and then into an infant. The location of the

embryo is morally irrelevant so whichever position one holds, consis-

tency demands that the cases are treated the same, M&D claim. M&D

reject the claim that it is permissible to destroy cryopreserved embryos

and I reject the claim that it is impermissible to kill the fetus.

However, there is a way to make a moral distinction between cry-

opreserved embryos and early fetuses located inside a woman’s body.

One might claim, as Dale Jacquette does, that there are two kinds of

potentialities in question: naturally probable potentiality and merely

logically possible potentiality, and that only the former potentiality is

morally relevant.29 In the case of naturally probable potentiality, such

as what a fetus in a fully functioning womb has, the fetus’s develop-

ment into an infant is something we expect to happen, as long as there

is no fatal accident or interference involved. On the other hand, in the

case of merely logical possible potentiality, such as what cryopreserved

embryos would have, without outside interference these embryos do

not develop into anything. Although this distinction does not seem to

have implications for the ectogenesis debate, because a fetus has the

same kind of potentiality whether it is inside an artificial or a natural

womb, it does enable M&D to retain their intuitions regarding the

destruction of cryopreserved embryos while maintaining their position

about the death of the fetus. That is because a fetus located in a womb

has naturally probable potential for development, while a cryopre-

served embryo only has logically possible potential for it.

It is also commonly believed that people have a right to destroy

their property. As M&D state: ‘If we buy a rare piece of art, and sup-

posing that art can possess intrinsic value, we, as the owners, still

have the right to destroy it.’30 So why would there be no right to

destroy the fetus or the embryos? M&D argue that because even if

one owns something, there are limitations to what one can do to it.

They claim:

[C]ulturally protected buildings or artefacts can be pri-

vately owned but have use limitations. Buying a historic

building means we can occupy it, but we are not

allowed to raze it. (. . .) These limitations [to destroy] are

justified by appealing to the intrinsic value of the prop-

erty, or minimally the instrumental value the property

possess for those other than the owner.31

But why do I have a right to destroy a rare piece of art, as M&D

claim, but no right to destroy a historic building? They don’t give

any justification to why it would be permissible for the owner to27Again, the formulation of the argument is my own, although M&D argue against similar argument. 28Although it is not a philosophical argument, it is worth mentioning that in

November 2016 a Missouri court has ruled that a divorced couple’s frozen embryos should be treated as marital property. Retrieved from http://www.

bionews.org.uk/page_729067.asp

29Jacquette, D. (2001). Two kinds of potentiality: A critique of McGinn on

the ethics of abortion. Journal of Applied Philosophy, 18, 79–86. 30Mathison & Davis, op. cit. note 9, p. 318. 31Ibid: 318.

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destroy a rare piece of art but not a historic building – after all, they

both have intrinsic value and/or value to others. Perhaps M&D just

want to say that it is usually permissible to destroy one’s own prop-

erty but not always. So, is it permissible to destroy the fetus or the

embryos?

M&D think that because a fetus (and cryopreserved embryos)

shares only 50% of its genetic material with one individual, that individ-

ual cannot have a property right to it, and therefore has no right to

destroy it. But that is not a problem unless we want to claim that the

mother (or the father) alone has a right to the death of the fetus. That

is not the position I am arguing for. I claim that the fetus is collective

property of its genetic parents. When the genetic parents agree and

they both want the death of the fetus or the destruction of the

embryos, it is morally permissible for them to do so since they together

share 100% of the fetus’ or the embryos’ genetic material, and

gestating the fetus or the embryos against their consent violates their

rights.

Another reason why someone might reject the property right argu-

ment is that because many people are involved in the process of creat-

ing the embryos, it cannot be explained why only the parents own the

embryo. For example, M&D claim that in the process of in vitro fertil-

ization there are several people, most obviously, the doctor who

extracts the ova and performs the procedure – yet they do not have a

property right over the embryo. Therefore, we should reject this ver-

sion of the argument what M&D call the labour-mixing argument for

the property rights.

There are two responses I want to make here. First, as stated ear-

lier, many philosophers believe genetic ties are morally meaningful. If

they are right, that is a sufficient reason to believe that genetic parents

– and not the other parties – have a property right to the fetus and the

embryos. Because the doctor performing the IVF do not share genetic

material with them, he has no property right to the embryos – even

though he has taking a part of the process of creating the embryos.

Second, the objection against the labour-mixing argument for

property rights can be applied only to embryos created in the process

of IVF – not to a fetus created in normal sexual intercourse. When two

people have sex and it leads to fertilization, the two people are the

only ones bringing the fetus into existence by mixing their labour. So,

the labour-mixing argument for property rights explains why genetic

parents have property right to the fetus and why they do not have

property right to cryopreserved embryos.

Perhaps someone would object. For example, M&D argue that

because parents do not own their children, parents cannot own

their fetuses or embryos either. ‘If the justification for property is

that one has mixed one’s labour, then nothing about leaving the

womb explains why the baby is no longer the property of the

mother.’32 Obviously, children are not parents’ property. But that

has nothing to do with mixing labour. Children are not property

because children are persons: morally valuable individuals. Now,

whether a fetus is a person is a question outside the scope of this

article, although I admit that if an early fetus is a person, it might

change the outcome of the debate.33

5 | WHEN BIOLOGICAL PARENTS DISAGREE UPON THE FATE OF THE FETUS

I have argued that biological parents have a right to the death of the

fetus. But an obvious question then rises: what should be done to the

fetus when ectogenesis is available and the biological parents disagree

regarding the fate of their fetus. There are reasons to believe that the

fetus can be killed or let die only when both parents consent to it.

First, when a man and woman are having sex, they implicitly accept

the possible consequences of their activity. As Rivka Weinberg states: ‘If

we do things that put our gametes at risk of joining with others and grow-

ing into persons, we assume the costs (and rewards) of that risky activity.’34

Because for the conception to happen, there needs to be two persons per-

forming the action (intercourse), it is those two persons that together have

responsibilities for the consequences. A right to the death of the fetus,

therefore, and for the reasons mentioned earlier, is a collective right.

Second, when only one person wants to use a collective right, he

or she cannot use that right. When Bob wants to marry Jane, but Jane

does not want to marry Bob, Bob cannot use his right to marriage,

because a right to marriage is a collective right and therefore cannot be

used alone.35 Similarly, when Bob wants the fetus to die, but Jane

wants it to live, Bob cannot use his right to the death of the fetus

because this right is not an individual but a collective right.

Third, in cases where genetic parents disagree, I believe we should fol-

low what can be called the status quo approach. According to this approach,

change needs a stronger justification than keeping things as they are.36

32Mathison & Davis, op. cit. note 9, p. 319.

33I am of course familiar with the wide scope of literature concerning the

moral status of the fetus. The most important defences of fetal rights and

the moral status of the fetus include: Marquis, D. (1989). Why abortion is

immoral. Journal of Philosophy, 86, 183–202; Lee, P. (2004). The pro-life argument for substantial identity: A defense. Bioethics, 18, 249–263; Beck- with, F. (2007). Defending life: A moral and legal case against abortion choice.

New York, NY: Cambridge University Press; George, R. P. & Tollefsen, C.

(2008). Embryo: A defense of human life. New York, NY: Doubleday; Kaczor,

C. (2015). The ethics of abortion: Women’s rights, human life, and the question of justice (2nd edn.). New York, NY: Routledge. If these authors are correct

and killing a fetus is as wrong as killing any standard adult, then my argu-

ments might be refuted because a serious right to life could overweigh any

other rights the parents have. On the other hand, one might claim, if the

fetus has no value at all, so that killing the fetus is equivalent to, for exam-

ple, cutting one’s hair, then there would be no need to argue for the right of the death of the fetus. So, perhaps my argumentation would convince

those who believe the fetus does not have full moral status equivalent to a

standard adult human, but who believe that the fetus is not akin to one’s hair either. I think most people believe that a fetus has some but not a full

moral status, thus my argumentation should convince most people. 34Weinberg, R. (2015). The risk of a lifetime: How, when, and why procreation

may be permissible (p. 67). Oxford, UK: Oxford University Press. 35For defence of a right to marriage as a collective right see Williams, R. (2011).

Same-sex marriage and equality. Ethical Theory and Moral Practice, 14, 589–595. 36I cannot give a full defence of the status quo approach here but at least it

is intuitively compelling. Others have argued that humans prefer the status

quo approach so deeply that it is an irrational status quo bias. Bostrom, N.

& Ord, T. (2006). The reversal rest: Eliminating status quo bias in applied

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As long as there is no intervention to the pregnancy, the fetus will

naturally develop inside the woman’s womb. This means that there is

no change to the status quo and the fetus’ naturally probable potential

to develop into an infant would be actualized. Following the status quo

approach would mean that when one parent wants the death of the

fetus and the other does not, the fetus should not be killed or left to

die. Therefore, when, for example, a pregnant woman wants the fetus

to die, but the father wants it to live, the fetus should be detached and

implanted into an artificial womb where the fetus would continue its

development into an infant. Thus the status quo should be understood

from the point of view of the fetus: an already developing fetus would

continue its development in a womb – albeit an artificial one.

If the procedure of removing the fetus alive from the womb is

physically much more harmful to the woman than abortion, where the

result is the death of the fetus, she might have a right to choose the

latter. But at least when detaching the fetus alive is physically no more

harmful to the woman than abortion, she would be obligated to choose

ectogenesis abortion, the kind of abortion where the fetus detached

alive would be gestated in an artificial womb.

The status quo approach, together with a collective right to the

death of the fetus, would also mean that, for example, when an ex-wife

wants to gestate the cryopreserved embryos she and her ex-husband

have made, but the ex-husband refuses (as in Evans v UK), she cannot

gestate the embryos. But the ex-husband cannot have the embryos

destroyed either. This leads to what some might claim to be an odd con-

clusion: the embryos should be kept frozen indefinitely even though

they will never be used in any way. But until shown to be a totally unten-

able view, I am willing to accept that this is indeed what should be done.

What should be done when the biological father cannot be found

or the father is an anonymous sperm donor is beyond the scope of this

article. However, I am inclined to think that when the father is an anon-

ymous sperm donor he has already relinquished his demands regarding

the fate of the fetus. Therefore, the mother alone would have a right

to the death of the fetus.

6 | CONCLUSION

I have argued that genetic parents have a right to the death of the fetus.

That is because ectogenesis abortion without the consent of the genetic

parents violates their right not to become biological parents. It also viola-

tes their right to genetic privacy and their property rights. I have consid-

ered some recent objections against a right to the death of the fetus and

shown them to be flawed. I have claimed that Mathison and Davis omitted

important literature on how parental obligations are acquired and they

have not identified that a right to the death of the fetus is a collective –

rather than an individual – right. If my argumentation is correct, ectogene-

sis abortion will not solve the abortion debate since there will still be a

right to the death of the fetus. Therefore, we cannot reconcile pro-life and

pro-choice positions simply by gestating the fetus in an artificial womb.

I am not the first to argue that there is a right to the death of the fetus.

Stephen L. Ross37 has argued for it, as well as Catriona Mackenzie38 and

Christine Overall.39 However, my position differs from that of the aforemen-

tioned philosophers because I have claimed that the right to the death of the

fetus is not a genetic mother’s right but a couple’s collective right which they

can use only together. That right can also be used when the fetus is outside

a woman’s body – contrary to what Overall, for example, has argued. Of

course, nowadays a woman’s right to bodily autonomy outweighs other

arguments, but when ectogenesis becomes an option, this changes.

I have not argued that biological parents have a right to kill the fetus,

but that they have a right to the death of the fetus. Whether the fetus

should be left to die after the detachment but before putting it in an arti-

ficial womb, or whether it can be directly killed is for full discussion in

another paper. However, I am inclined to side with James Rachels that

there is no morally relevant difference between killing and letting die.40

My position has the value of equality because when ectogenesis

becomes possible, men and women can exercise equally their rights

not to become a genetic parent, their rights to genetic privacy and

property. Perhaps some feminists see this as a reason to object, but I

see it is a reason to value my position. As Tuija Takala suggests: ‘I sup-

pose the strong opposition to ectogenesis coming from many feminist

(sic) stems from the fact that it might increase the rights of males when

it comes to reproduction. But for anyone who is truly for equality this

should not be an unwelcome development.’41

ACKNOWLEDGEMENTS

I would like to thank Milla Miettinen for discussions on the subject

and her useful comments on earlier drafts of the manuscript. I also

thank two anonymous referees for their insightful comments on an

earlier version of the paper.

ORCID

Joona Räsänen http://orcid.org/0000-0002-7383-6138

AUTHOR BIOGRAPHY

JOONA RÄSÄNEN holds a Master’s degree in Social and Moral Philosophy

from University of Helsinki and a Master’s degree in Geography from

University of Oulu. He has research interests in applied philosophy and

bioethics, and he has previously published in this journal.

How to cite this article: Räsänen J. Ectogenesis, abortion and a

right to the death of the fetus. Bioethics. 2017;31:697–702.

https://doi.org/10.1111/bioe.12404

ethics. Ethics, 116, 656–679. Yet others have argued that it is rational to keep things as they are. Nebel, J. M., 2015, Status quo bias, rationality, and

conservatism about value. Ethics, 125, 449–476.

37Ross, S.L. (1982). Abortion and the death of the fetus. Philosophy and

Public Affairs, 11, 232–245. 38Mackenzie, op. cit. note 14. 39Overall, op. cit. note 25. 40Rachels, J. (1975). Active and passive euthanasia. New England Journal of

Medicine, 292, 78–80. 41Takala, T. (2009). Human before sex? Ectogenesis as a way to equality. In

F. Simonstein (Ed.), Reprogen-ethics and the future of gender (pp. 187–195, p. 190.). Dordrecht: Springer.

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