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ISBN: 9781552214886-09

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Self-Sufficiency for Surrogacy and Responsibility for Global Structural Injustice

From: Surrogacy in Canada

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Katy Fulfer, in Chapter 8, argues that Canada has a moral and political responsibility to address the ethical challenges raised by transnational surrogacy and takes the position that self-sufficiency is an important mechanism for taking responsibility for this practice. She explains that “self-sufficiency” refers to meeting a community’s needs for a medical product or service, usually with unpaid donations from community members rather than commercial payments or from services outside the community. Fulfer argues for a relational approach to self-sufficiency and for broadening the scope of collective responsibility to include responsibilities for global structural injustice. She takes the position that self-sufficiency provides a mechanism for Canada to take responsibility for its role in maintaining injustices in the area of transnational surrogacy. She notes that her advocacy of the principles of self-sufficiency is consistent with the principle of non-commercialization entrenched in the AHRA, although she acknowledges that her approach may result in tensions with the current receipted expense model in the Act.

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Katy Fulfer

Katy Fulfer is an assistant professor of philosophy and women’s studies at the University of Waterloo. Her research interests are primarily in the field of feminist bioethics. Some of her previous publications, which have appeared in journals such as Hypatia, Developing World Bioethics, and IJFAB: International Journal of Feminist Approaches to Bioethics, examine the ethics of transnational surrogacy. Her current research examines surrogacy in the Canadian context. She is specifically interested in questions of commodification, exploitation, agency, and moral deliberation in assisted reproduction. In addition, Fulfer’s research examines these concepts in the context of animal ethics and in the context of the philosophy of Hannah Arendt.