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E-grāmata: Assisted Reproduction Policy in Canada: Framing, Federalism, and Failure

  • Formāts: 200 pages
  • Izdošanas datums: 24-Aug-2018
  • Izdevniecība: University of Toronto Press
  • Valoda: eng
  • ISBN-13: 9781487515300
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  • Formāts: 200 pages
  • Izdošanas datums: 24-Aug-2018
  • Izdevniecība: University of Toronto Press
  • Valoda: eng
  • ISBN-13: 9781487515300

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The world has undergone a revolution in assisted reproduction, as processes such as in vitro fertilization, embryonic screening, and surrogacy have become commonplace. Yet when governments attempt to regulate this field, they have not always been successful. Canada is a case in point: six years after the federal government created comprehensive legislation, the Supreme Court of Canada struck it down for violating provincial authority over health. In Assisted Reproduction Policy in Canada, Dave Snow provides the first historical exploration of Canadian assisted reproduction policy, from the 1989 creation of the Royal Commission on New Reproductive Technologies to the present day. Snow argues the federal government’s policy failure can be traced to its contradictory "policy framing," which sent mixed messages about the purposes of the legislation.

In light of the federal government’s diminished role, Snow examines how other institutions have made policy in this emerging field. Snow finds provincial governments, medical organizations, and even courts have engaged in considerable policymaking, particularly with respect to surrogacy, parentage, and clinical intervention. The result—a complex field of overlapping and often conflicting policies—paints a fascinating portrait of different political actors and institutions working together. Accessibly written yet comprehensive in scope, Assisted Reproduction Policy in Canada highlights how paying attention to multiple policymakers can improve our knowledge of health care regulation.



This is the first major exploration of the Canada’s assisted reproduction policy at the national and provincial levels. It explains the reasons that led to the federal government’s failed national framework, and the legacy it left behind.

Recenzijas

"Assisted Reproduction Policy in Canada is meticulously researched. Dave Snow is a punchy writer. Much of political science is concerned with answering one question: What drives politics? As Assisted Reproduction shows, it is an impulse for government over-reach, a fetish for control and regulation, and a mistaken suspicion that Canadian society is comprised of wolves and sheep."

- Holly Doan (Blacklocks Reporter )

Acknowledgments xi
1 Understanding Assisted Reproduction Policy
3(13)
The Canadian Case Study
5(2)
Assisted Reproduction Policy: Undefined Terms, Unexplored Actors
7(3)
Outline and Argument of the Book
10(6)
2 The Royal Commission on New Reproductive Technologies and the Legacy of Past Frames
16(19)
Historical Institutionalism and the Study of Unintended Consequences
17(2)
Proceed with Care: The Royal Commission on New Reproductive Technologies
19(4)
Framing Assisted Reproduction: Medical-Scientific with a Moral Asterisk
23(4)
Jurisdictional Framing: Assisted Reproduction and the National Interest
27(4)
Justifying National Action: A Weak Procedural Component
31(2)
Conclusion: The Commission's Unintended Consequences
33(2)
3 The Assisted Human Reproduction Act Comes to Fruition
35(21)
A Long Gestation: Parliament Debates Assisted Reproduction
36(9)
Bill C-47: Criminalizing Issues of Grave Concern
36(4)
The Brown Committee: Continuing Centralization
40(3)
Bills C-56, C-13, and C-6: The AHR Act Is Born
43(2)
The Royal Commission's Influence: Continued Medical-Moral Ambivalence
45(3)
The Persistence of the National Frame
48(4)
Frame Stability and Critical Junctures
52(2)
Conclusion
54(2)
4 The Assisted Human Reproduction Act Goes to Court
56(24)
Federalism in the Supreme Court, 1993--2004: A Shift in Emphasis
58(4)
The Quebec Court of Appeal Rules
62(3)
A Divided Supreme Court Rules
65(4)
Policy Framing, Legislative History, and the Division of Labour
69(4)
Fallout from the Reference: Federal Policy Diminished, but Not Extinguished
73(4)
Conclusion
77(3)
5 Surrogacy and Parentage Policy in the Provinces
80(30)
Surrogacy Policy in Canada
82(5)
Parentage Policy: A Framework for Measurement and Comparison
87(3)
Parentage Policy in the Canadian Provinces
90(15)
Parentage in Quebec
91(1)
Parentage in Alberta
92(2)
Parentage in British Columbia
94(1)
Parentage in Newfoundland and Labrador
95(2)
Parentage in Nova Scotia
97(1)
Parentage in Manitoba
98(1)
Parentage in Prince Edward Island
99(1)
Parentage in Saskatchewan
99(1)
Parentage in New Brunswick
100(1)
Parentage in Ontario
101(4)
Trends in Parentage Policy
105(2)
Conclusion
107(3)
6 Many Actors, Many Policies: Clinical Intervention Policy in Canada
110(22)
Defining Clinical Intervention
112(2)
Federal Clinical Intervention Policy
114(1)
Provincial Clinical Intervention Policy
115(5)
Quebec's Clinical Intervention Policy
116(3)
Ontario's Clinical Intervention Policy
119(1)
Medical Self-Regulation of Clinical Intervention
120(5)
Court-Ordered Clinical Intervention Policy? The Case of Donor Anonymity
125(5)
Conclusion
130(2)
7 Making Sense of Canadian Assisted Reproduction Policy
132(23)
The Royal Commission: The First Mover of Assisted Reproduction Policy
133(2)
Assisted Reproduction Policy in Canada: The Six Subfields
135(4)
Human Cloning, Embryonic Research, and Screening/Enhancement
136(1)
Clinical Intervention Policy: Intermediate, with Provincial Variation
137(1)
Surrogacy and Parentage Policy: One Size Does Not Fit All
138(1)
Summarizing Canada's Assisted Reproduction Policy
139(3)
A Policy Failure: Lessons for Canadian Politics
142(9)
Federal Institutions and Jurisdictional Framing Strategies
143(4)
The Judicialization of Assisted Reproduction Policy in Canada
147(1)
Yet Another Policymaker: The Role of Professional Medical Organizations
148(3)
Lessons for Comparative Assisted Reproduction
151(3)
Conclusion: Taking a Closer Look
154(1)
Appendix - List of Interviews 155(2)
Cases Cited 157(2)
Statutes and Regulations Cited 159(2)
Works Cited 161(18)
Index 179
Dave Snow is an assistant professor in the Department of Political Science at the University of Guelph.