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March 1991 (Volume 69)
Norma J. Wikler
Milbank Memorial Fund
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Classification of artificial insemination as a medical procedure has largely endured because the practice met the perceived needs of clients, physicians, and society. For nearly two decades, however, the success of self-insemination has challenged both the necessity of involving physicians in the process and the traditional understanding of the procedure as therapy for infertile couples. Demedicalization of artificial insemination as a matter of policy would entail changes in law, custom, and attitudes. The advent of safe and effective self-insemination makes critical a public debate on the issues of reproductive freedom, the meaning of parenthood, and the interests of children.
Author(s): Daniel Wikler; Norma J. Wikler
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Volume 69, Issue 1 (pages 5–40) Published in 1991
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The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, historical, legal, and ethical dimensions of health and health care policy.