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From laboratories to chambers of parliament and beyond: Producing bioethics in France and Romania
Institution:1. Faculty of Management, University of Economics, Jindřichův Hradec, Czech Republic;2. The Czech Academy of Sciences, Institute of Information Theory and Automation, Prague, Czech Republic;1. Senior Consultant in Cardiothoracic Anesthesia, Department of Anesthesiology and Intensive Care Medicine, Otto-von-Guericke-University Magdeburg, Germany, and Research Anesthesiologist, Department of Surgical Sciences, Hedenstierna Laboratory, Uppsala University, Sweden;2. Consultant in Anesthesiology, Department of Anesthesiology and Intensive Care Medicine, Otto-von-Guericke-University Magdeburg, Germany;3. Professor of Anesthesia, Department of Anesthesiology and Intensive Care Medicine, Otto-von-Guericke-University, Magdeburg, Germany;4. Senior Professor in Clinical Physiology, Hedenstierna Laboratory, Department of Medical Sciences, Clinical Physiology, Uppsala University, Sweden;5. Senior Consultant, Department of Pulmonology, Otto-von-Guericke-University, Magdeburg, Germany;6. Professor of Pulmonology, Department of Pulmonology, Otto-von-Guericke-University, Magdeburg, Germany;7. Professor of Anesthesia and Chair of the Department of Anesthesiology and Intensive Care Medicine, Otto-von-Guericke-University, Magdeburg, Germany;1. Department of Radiology, UPMC Presbyterian, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania;2. UPMC Health Plan, Pittsburgh, Pennsylvania;3. Imaging Services, UPMC Presbyterian, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania;1. Departamento de Anestesiología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile;2. Anestesióloga, Clínica CES, Medellín, Colombia;3. Hospital Municipal de Oncología María Curie, Buenos Aires, Argentina;4. Complejo Hospitalario de la Caja de Seguro Social de Panamá, Panamá;5. Instituto de Previsión Social, Asunción, Paraguay;6. Servicio de Anestesiología, Hospital Británico de Montevideo, Uruguay;1. HCA Johnston-Willis Department of Pharmacy, 1401 Johnston Willis Drive, North Chesterfield, VA 23235, United States;2. Department of Pharmacotherapy & Outcomes Science, Virginia Commonwealth University School of Pharmacy, 410 N 12th Street, P.O. Box 980533, Richmond, VA 23298, United States;3. Office of Learning Innovation and Student Success, Virginia Commonwealth University, 1000 Floyd Ave. 4102K Academic Learning Commons, Richmond, VA 23284, United States;4. The Medical University of South Carolina Department of Pharmacy, 150 Ashley Avenue, Charleston, SC 29425, United States
Abstract:In a European context marked by heterogeneous Assisted Reproductive Technology (ART) practices, this article will elucidate and compare the norm elaboration processes pertaining to ART in France and Romania. Using an experimental five-phase model encompassing experimentation, excesses, social mobilization, legislation and contestation, I will examine the processes linking micro (everyday medical practices), meso (institutional regulation) and macro (legislation) levels of ART bioethics in the two countries since the 1980s. ART has developed in France and Romania on different time frames, and Romania's management of ART is decisively influenced by Ceauşescu's pro-natalist policy. However, I will show how the two countries share similar trajectories along the proposed model's first three phases of norm elaboration, and, in recent years, how both have witnessed the emergence of social actors' claims for a more liberal and state-sponsored access to ART, requiring a redefinition of bioethics in line with reproductive social justice at national levels. This is fed by contemporary medical practices and social values, and an increasing transnational interconnectedness between social actors.
Keywords:Assisted reproductive technology  Bioethics  Norm production  Social justice  Romania  France
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