Britská lotéria s výhrou in vitro oplodnenia znepokojuje verejnosť | Medicínske právo
              

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Britská lotéria s výhrou in vitro oplodnenia znepokojuje verejnosť


 | 26.7.2011 | komentárov: 284

Britským dvojiciam s problémami s neplodnosťou sa od budúceho mesiaca zvýšia šance mať dieťa. Môžu sa zapojiť do lotérie s výhrou in-vitro oplodnenia, ktorú zriadila britská charitatívna organizácia “To Hatch (vyliahnuť sa)“. Lotériu nedávno schválila Komisia pre hazardné hry, pričom licencia nadobudne účinnosť 30. júla. Žreb do lotérie stojí 32 dolárov s možnou výhrou 40 000 dolárov na liečbu neplodnosti. Zatiaľ nie je jasné, kde ho bude možné zakúpiť.

Obrazok

Nad lotériou, ktorú britská tlač nazvala “vyhraj dieťa“, už dvíhajú obočie odborníci zaoberajúci sa medicínskou etikou. „Narodenie dieťaťa je už samo o sebe šťastie. Teraz sa páry  pokúsia tieto šance zvýšiť prostredníctvom  lotérie,“  povedala pre MedPage Today  Felicia Cohn ,riaditeľka  bioetiky spoločnosti Kaiser Permanente v kalifornskej Orange Country. Ak z lotérie spravíte prostriedok na uhradenie zdravotnej starostlivosti, je vlastne spoločensky prospešná.“

Camille Strachan, zakladateľka a predsedníčka charity To Hatch, sa v Reuters Report vyjadrila, že ústrednou myšlienkou lotérie je poskytnúť prostriedky na uhradenie liečby, ktorá je len  čiastočne pokrytá prostriedkami z National Health Service (NHS, Národna zdravotná služba).  Ako vyhlásila,  in-vitro oplodnenie je prvé na zozname  britských fondov zabezpečujúcich primárnu starostlivosť (primary care trusts)  na skrátenie rozpočtu.  

Allison McTavish, tajomníčka British Fertility Society vo svojom vyhlásení potvrdila , že pokrytie nákladov IVF je vo Veľkej Británii naozaj „nejednotné a drahé pre tých,  ktorí sa vyberú  súkromnou cestou“. Napriek tomu, má z lotérie obavy.„Súťaž ako táto , kde len niekoľko šťastlivcov dostane šancu založiť si rodinu, len kopíruje „lotériu podľa smerovacieho čísla“,ktorým sa riadi poskytovanie prostriedkov NHS (National Health Service) na in vitro oplodenie. Je rovnako nespravodlivá“, tvrdí Alisson McTavish.  Namiesto toho naliehala na fondy zabezpečujúce primárnu starostlivosť po celej krajine, aby  ponúkli uhradenie troch plných cyklov in-vitro oplodnenia, čo je množstvo, ktoré odporúča Národná Inštitúcia pre zdravie a klinickú odbornosť (National Institution for Health and Clinical Excellence – NICE) vo svojich pokynoch z  roku 2004.

Camille Strachan túto požiadavku ďalej nekomentovala.  Na účte charity na sociálnej sieti Twitter uviedla,  že „rešpektuje všetky pohľady na lotériu“. Reuters Report ďalej prezradila, že ak u víťazov lotérie zlyhá štandardný spôsob in-vitro oplodnenia, budú môcť využiť iný spôsob oplodnenia ako napríklad operatívny zákrok, darovanie vajíčok alebo spermií alebo náhradné vynosenie dieťaťa. vybrať si budú môcť len jeden  spôsob. V článku sa tiež uvádza, že víťazi lotérie budú pred zákrokom ubytovaní v luxusnom  hoteli  a budú mať k dispozícii mobilný telefón,  osobného asistenta a osobného šoféra, ktorý ich zavezie do liečebného centra.

Väčšina etikov lotériu otvorene odmieta, tvrdiac, že je to vykorisťovateľské a ponižujúce voči ľudskému rozmnožovaniu. Robert Field, profesor práva na univerzite Drexel, v emaili pre MedPage napísal:Táto lotéria žije z nádejí a frustrácie ľudí, ktorých neplodnosť mučivo zaťažuje. Aby bola lotéria fungovala, mnohí z tých, ktorí sa do nej zapoja, musia prehrať. Bohužiaľ, ľudia trpiaci neplodnosťou tento matematický fakt vo svojom zúfalstve ignorujú a lotéria zarába na ich zraniteľnosti. Je obzvlášť znepokujúce, že lotéria môže ťažiť z utrpenia  svojich zákazníkov.“

James Coyne, zdravotný psychológ na Univerzite v Pensylvánii, vyhlásil, že britské charitatívne organizácie, ktoré možno porovnať s neziskovými organizáciami v USA, hrajú veľkú rolu vo financovaní zdravotníckých služieb a výskumu. To Hatch na svojej webovej stránke tvrdí, že jej cieľom je poskytnúť informácie o liečbe neplodnosti sprostredkovanej fondmi primárnej zdravotnej starostlivosti.  V čase vydania tohto článku neboli na jej web stránke dostupné žiadne konkrétne informácie o lotérii.

Coyne ďalej uviedol, že jednotlivé charitatívne organizácie sú medzi sebou v pomerne tvrdej  konkurencii, čo znamená, že akékoľvek zviditeľnenie sa môže byť prínosom pre biznis.  Či už úmyselne alebo nie, lotéria pritiahne najmä pozornosť  zraniteľných ľudí plných nádeje, ktorí sa vystavia riziku sklamania a zneužitia.

Rosamond Rhodes, riaditeľka bioetickej výchovy na Lekárskej fakulte Mount Sinai v NewYorku, hoci je znepokojená tým, ako to celé skončí, nesúhlasí s ostatnými etikmi. Z hľadiska vyhliadok žien, ktoré potrebujú umelé oplodnenie, je lepšie mať malú a cenovo prístupnú šancu ako ho zabezpečiť  ako nemať žiadnu šancu.

Zdroj: ABCNews

Preklad: Ján Somoši, Romana Gajdošová

Editoval: Zuzana Zoláková

Obrázok: southafricacasino.co.za




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