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Final Report (all chapters)

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Table of Contents<br />

EXECUTIVE SUMMARY....................................................................................................................................... 1<br />

1 OVERVIEW ........................................................................................................................................................ 1<br />

1.1 Domain of Inquiry ................................................................................................................................... 1<br />

1.2 Embryo Politics ....................................................................................................................................... 2<br />

1.3 Regulation: General Considerations ..................................................................................................... 3<br />

2 SOURCES OF CONCERN..................................................................................................................................... 4<br />

2.1 General Ethical Principles ..................................................................................................................... 4<br />

2.2 Targets of Prohibition ............................................................................................................................. 5<br />

2.3 Targets of Regulation .............................................................................................................................. 6<br />

3 THE CURRENT LEGISLATIVE AND REGULATORY FRAMEWORK..................................................................... 7<br />

3.1 Federal Regulators.................................................................................................................................. 7<br />

3.2 Direct Legislative Intervention ............................................................................................................... 8<br />

3.3 Regulation by States ................................................................................................................................ 8<br />

3.4 Self-Regulation ........................................................................................................................................ 9<br />

4 RECENT REGULATORY INITIATIVES IN OTHER COUNTRIES ........................................................................... 9<br />

4.1 The British HFEA .................................................................................................................................... 9<br />

4.2 The Assisted Human Reproduction Agency of Canada....................................................................... 10<br />

4.3 Other Legislative Initiatives.................................................................................................................. 10<br />

5 PROS AND CONS OF ALTERNATIVE APPROACHES......................................................................................... 11<br />

5.1 Maintaining the Status Quo .................................................................................................................. 11<br />

5.2 Increment<strong>all</strong>y Expanding Statutory and Regulatory Authority .......................................................... 12<br />

5.3 Direct Legislative Intervention ............................................................................................................. 13<br />

5.4 Self-Regulation ...................................................................................................................................... 13<br />

5.5 Creating a New Regulatory Institution ................................................................................................ 14<br />

6 A NEW REGULATORY INSTITUTION .............................................................................................................. 14<br />

6.1 General Design Considerations ........................................................................................................... 14<br />

6.2 The Independent Commission............................................................................................................... 17<br />

6.3 The Permanent Advisory Board ........................................................................................................... 17<br />

6.4 Traditional Mechanisms of Public Consultation................................................................................. 18<br />

6.5 New Approaches to Public Consultation ............................................................................................. 19<br />

6.6 <strong>Final</strong> Remarks........................................................................................................................................ 23<br />

7 CONSTITUTIONAL CONSTRAINTS................................................................................................................... 23<br />

8 INTERNATIONAL CONSIDERATIONS............................................................................................................... 24<br />

ACKNOWLEDGEMENTS ................................................................................................................................... 25<br />

ABOUT THE AUTHORS ...................................................................................................................................... 27<br />

1 INTRODUCTION ............................................................................................................................................. 37<br />

29

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