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Human Reproduction Vol.19, No.9 pp. 1952–1956, 2004 DOI: 10.

1093/humrep/deh360
Advance Access publication July 8, 2004

OPINION
Posthumous sperm retrieval for the purpose of later insemination or
IVF in Israel: an ethical and psychosocial critique
R.Landau
Paul Baerwald School of Social Work and Social Welfare, The Hebrew University of Jerusalem, Mount Scopus,
Jerusalem 91905, Israel
E-mail: mslanda@pluto.mscc.huji.ac.il

In October 2003, the Attorney General of the Government of Israel published guidelines allowing posthumous
sperm retrieval for the purpose of later insemination or IVF by the surviving female partner. This paper presents
an ethical and psycho-social critique of the guidelines, which challenges their basic premise that personal auto-
nomy over-rides any other ethical principle and argues that the autonomy of the adult should not over-ride the
well-being of the offspring. It also shows that, despite the centrality of autonomy in the guidelines, they actually
infringe on the autonomy of the deceased, and pose challenges to that of the surviving partner. It questions the
propriety and very possibility of ascertaining the ‘presumed wishes’ of the deceased for a posthumous child.
Finally, it argues against the document’s presentation of posthumous sperm retrieval as a medical procedure and
contends that, on the contrary, medicine and science are suborned to the exploitation of the dead.

Key words: ethics/Israel/posthumous sperm retrieval

Introduction centrality of autonomy in the guidelines, they actually


In October 2003, the Attorney General of the Government of infringe on the autonomy of the deceased, and pose chal-
Israel published guidelines for posthumous sperm retrieval lenges to that of the surviving partner. It questions the propri-
for the purpose of later insemination or IVF by the surviving ety and very possibility of ascertaining the ‘presumed
female partner. The decision to allow the procedure was wishes’ of the deceased for a posthumous child. Finally, it
made in response to requests for permission for sperm retrie- argues against the document’s presentation of posthumous
val by partners and parents of deceased men in Israel. This sperm retrieval as a medical procedure and contends that, on
paper presents an ethical and psycho-social critique of the the contrary, medicine and science are suborned to the
document and, more broadly, of the entire idea of posthu- exploitation of the dead.
mous conception.
The guidelines outline a two-step procedure. The first step
is sperm retrieval from the dying or deceased man at the Adults’ autonomy versus the rights and well-being
request of his partner, whether she is his wife or not. For of the child
this, it is enough that the wife or other partner make the The Attorney General’s guidelines state that there is no
request for the sperm to be retrieved. Requests from the reason to object to the use of a man’s sperm after his death if
man’s parents or other parties are not entertained. The second his sperm was cryopreserved before he died and he had con-
step is authorization for the use of the sperm. The document sented to its posthumous use. Thus, quite astonishingly, post-
makes it clear that sperm retrieval does not necessarily entail humous parenthood itself, as though it were a natural
authorization for its use. Permission to use the sperm is to be phenomenon, is not a significant issue in the document. The
determined on a case by case basis in a court of law, in keep- substantive issue involved in posthumous parenthood, i.e. the
ing with the man’s dignity and ‘presumed wishes’ (Ministry conception and birth of a planned orphan by a grieving per-
of Justice Guidelines of the Attorney General of the Govern- son who has only recently lost her partner, are not even men-
ment, guideline number 1.2202, 27 October 2003). tioned. The decisive factor is the deceased’s will. If the man
The following critique challenges the basic, though took concrete steps towards parenthood, the partner’s request
unstated, premise of the Attorney General’s guidelines that will be granted. If he made his wish not to become a posthu-
adults’ personal autonomy over-rides the rights and well- mous parent known, it will not. Underlying the primacy of
being of the child. It goes on to show that, despite the place given to the deceased man’s wishes is the principle
1952 Human Reproduction vol. 19 no. 9 q European Society of Human Reproduction and Embryology 2004; all rights reserved

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Posthumous sperm retrieval in Israeli—an ethical and psychosocial critique

of autonomy, which requires that competent individuals be intervention—has a good chance of leading a happy and
permitted to act as they choose so long as they do not harm healthy life.
others and that incompetent persons be given the right to pro- Paragraph 3 of the UN Convention on the Rights of the
tection when they need it. Child (UN General Assembly, 1989) explicitly states that, in
But what about the rights and well-being of the planned all issues involving children, the rights of the child have pri-
child? These are not even mentioned until page 12 of the ority over other interests. Despite this, the current document
13-page Hebrew document. In an earlier paper on planned clearly prefers the rights of the adults.
orphanhood (Landau, 1999), I discussed the application of
the principle of autonomy in detail and argued against the
reductive views that focus the discussion primarily on the The autonomy and welfare of the man and his partner
deceased person’s will. Based on arguments from Cate It is not only that the guidelines give excessive weight to the
(1994), Dworkin (1994), Rachels (1995), Callahan (1996) adult’s autonomy over the well-being of the child, it is also
and Murray (1996), it has been shown that procreation entails that they do not protect that autonomy and may actually
more than the parents’ personal interests. If the child is undermine it.
important in and of itself, then one must consider the pain Ironically, the primacy of place given to the deceased
and suffering of an orphan who is conceived without the man’s wishes in the guidelines does not prevent the use of
possibility of ever knowing his/her father. An adult’s desire his sperm in the absence of his explicit consent. The guide-
to give birth to an orphan should not have priority over the lines give considerable attention to the subject of personal
child’s basic right to two living parents, at least at the time wishes. When the deceased man’s wishes are unknown, the
of its conception. guidelines state, there must be very good reason for society
The Attorney General’s guidelines do attempt to address to impede any wish his living partner may have to bear his
some of the problems that the planned orphan will encounter. offspring. The stated assumption is that couples who live
In order to bestow on the child a minimum legal paternity, together, whether in marriage or a common law union, natu-
they stipulate that in authorizing the posthumous use of rally and almost invariably intend to have children at some
sperm, the court must instruct the Ministry of the Interior to time in the future. Thus, in the absence of an explicit objec-
register the deceased person as his or her father. This, how- tion, the assumption is that the deceased person would have
ever, does very little to resolve two core legal issues involved, wanted to have children with his partner, even after his
at least in Israel. One is the highly problematic status of chil- death. This assumption is questionable.
dren born of a father whose identity is not entirely certain. For one thing, we cannot be sure that a man who lives with
Because posthumous insemination can take place anywhere a woman necessarily wants to have children with her. While
from months to years after the man’s death, there is always, the guidelines do not require marriage, they do not specify
for the highly religious minded, the possibility of a creeping who would qualify as a partner. This means that, in principle,
doubt as to who the father really is. As long as that is in ques- women in co-habiting relationships may also be considered as
tion, the offspring’s possibilities of a Jewish marriage are partners. This ignores the growing trend of young people in
highly restricted so as to avoid any possibility of incest. The Israel, as elsewhere, to postpone marriage and to enter
other problem is that the offspring remains without the legal relationships, including co-habitation, without long-term com-
right to inherit, since the inheritance would already have been mitments or any desire for children by the partner.
dispersed. Yet, even though the guidelines themselves note Moreover, there are indications that men themselves object
these knotty, and perhaps unsolvable, problems, they do not to the assumption that living with a woman means that they
allow them to interfere with the adults’ autonomy. would want to become posthumous fathers. In evidence, we
We may also question whether the use of medical assist- may note the November 17, 2003 petition to the Israel
ance to bring such an orphan into the world shows proper Supreme Court jointly filed by the ‘Civil Coalition’ and by a
regard for its well-being, needs and dignity (Landau, 1999). man who defined himself as ‘belonging to the male sector of
In defence of such assistance, it has been argued that since the country’ to revoke the Attorney General’s decision where
existence is always preferable to non-existence, the question the petitioners claimed that the guidelines inflict harm on
of the child’s well-being is irrelevant (Strong et al., 2000). men by transforming them into sperm providers even after
This justification, however, is not without problems. In view their death. They also raise the issue of fatherless orphans,
of the role physicians are willing to play in both abortion and who will become more common with the implementation of
end of life decisions, the preference of existence over non- the guidelines (Yoaz, 2003). Nonetheless, in the view of the
existence cannot be taken as axiomatic. Physicians are will- guidelines, lack of explicit consent by the man prior to his
ing to co-operate in ending the life of an embryo if there are death does not necessarily constitute a bar to permitting the
medical indications that there may be physical impairment. posthumous retrieval and use of his sperm.
Throughout history, loss of a parent in childhood has been This waiver of the need for explicit consent contradicts
perceived as a major traumatic event in one’s life. Indeed, the accepted view that informed consent is an essential
the urologist Ohl (2001) maintains that in assisting in the element of freedom of choice. Indeed, some physicians would
creation of new life through the retrieval of sperm, it is the be uncomfortable with such a waiver. The urologists Zini and
treating physician’s duty to ascertain that the new individual Mak (2001) argue that posthumous sperm retrieval should
being created—due, in good measure, to the physician’s be performed only when the deceased had made a specific
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R.Landau

request in writing or on videotape when he was competent would have been. In outlining this endeavour, the guidelines
and of majority age. Ohl (2001) holds that it would be best if further over-ride his autonomy. The only way to obtain infor-
the wishes of the person whose sperm is to be retrieved and mation regarding the wishes of the deceased, the guidelines
used posthumously were recorded in a legal document. continue, is through his behaviour prior to his death. Accord-
The option of posthumous conception may also compro- ingly, indicate the guidelines, the deceased man’s wishes
mise the autonomy of the surviving partner. This may seem must be ‘assessed’ case by case. To this end, the guidelines
strange, since she is the only one who can set the process recommend that the court appoint a social worker to provide
in motion. However, by their very existence, the Attorney an objective report assessing the deceased man’s wishes.
General’s guidelines convey the message that an Israeli The ‘presumed wishes’ approach is based on the assump-
woman should bear her partner’s children, whether he is tion that, while few men think about the posthumous use of
alive or dead. The very availability of assisted conception their sperm, most desire continuity and would be interested
from the sperm of a deceased partner may create for some in having their sperm used even after their death, especially
women a moral and psychological obligation to make use of if their partner so wished. As noted above, this assumption is
it. This imagined obligation would infringe on the woman’s open to question.
liberty and autonomy (Aziza-Shuster, 1994). Beyond this, assessing the will of someone who is dead or
Moreover, whether wife or girlfriend, the surviving partner incompetent to make a decision about a future situation is
may well be subject to intense pressure from her husband’s highly anomalous. If it is indeed the deceased’s will that
parents to utilize his sperm. While a man’s widow or girl- counts, then he could have taken specific measures towards
friend may have alternatives for achieving motherhood, the expressing his wishes while alive. If he did not, then he may
only way for the man’s bereft parents to perpetuate their have thought differently at different times and with changing
son’s life, physically, rather than symbolically, is through his circumstances. He may, for example, have had some vague
sperm. Although the guidelines explicitly deny the parents’ ideas about becoming a parent some time in the future while
legal status in the request for sperm use, they cannot prevent he was young and healthy. But can we extrapolate from this
them from pressuring their son’s widow or girlfriend for a that he would still have wanted to have children were he ill
grandchild. Once the sperm have been retrieved and cryopre- or older or that he would have wanted them posthumously?
served, there are undoubtedly women who would be suscep- Moreover, assuming for the moment that we can somehow
tible to such pressure. answer this question in the affirmative, can we know whether
Nor does the option of posthumous procreation protect the his ‘presumed wishes’ reflect a desire for his partner to per-
welfare of the woman much better than it does that of the petuate his memory and remain tied to him even after his
child to be born of the procedure. The entire discussion in death or his consent that she raise his child under any future
the guidelines assumes that authorization for the retrieval and circumstances, whatever they may be.
later use of a man’s sperm would benefit his widow or girl- An equally daunting problem is that the deceased man’s
friend. It is not at all clear, however, that the option really wishes are to be ascertained on the basis of information
contributes to the well-being of a recently bereaved woman. obtained primarily from his bereaved partner and parents.
It exposes her to internal and external pressures to procreate These are interested parties, and there is little, if any, way of
at a time when she is particularly vulnerable. If she decides determining the accuracy of their perceptions or veracity of
to go ahead with the procedure, she will undergo physically their statements. If the parents and partner both want posthu-
and psychologically stressful IVF on her own. If the IVF is mous parenthood, they can say that the man did, and there is
successful, she is also likely to raise her deceased partner’s no way to prove that he did not. If the parents oppose the
child on her own, instead of coping with her loss, finding sperm use, they or others may claim that prior to his death he
new meaning in her life, and, in some cases, finding a new had told them of having second thoughts about the relation-
partner and creating a family with him. Bahadur (2002) ship with his partner. These are not sources of information
observes that a child can be an obstacle to the recovery of that enable the formation of an ‘objective’ assessment of the
the partner from her loss, especially with a new spouse. deceased’s wishes.
The guidelines seem to be oblivious to these issues. They Ethicists have dealt indirectly with the issue of ascertain-
disregard the likelihood that young women would be better ing a person’s wishes on the basis of testimony by family
off continuing their lives with a new attachment to a living members in connection with the question of family members
partner and that older women who had wanted children with wishing to take organs for transplants from living but coma-
their partners probably had plenty of time to become parents tose relatives who never gave consent (Associated Press,
when their partners were alive. They make no mention of the 2004). They noted that even the closest family members may
difficulties of IVF nor of the fact that it is currently under have personal and/or conflicting interests, and agreed that
scrutiny for its possibly adverse long-term effects (Helmer- allowing family members to decide to take organs from a liv-
host et al., 2004). ing but incapacitated relative should be discouraged, and per-
mitted only for patients who are in a persistent vegetative
state. They also averred that immediate family members
Presumed wishes should not receive the organs. Although organ donation is
According to the guidelines, the main issue in posthumous not like sperm retrieval (not that posthumous sperm retrieval
sperm use is to determine what the deceased man’s wishes cannot be thought of as being donated), the idea that organs
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Posthumous sperm retrieval in Israeli—an ethical and psychosocial critique

should not be taken from someone’s body without his or her who is unable to express his wishes, the guidelines stipulate
consent would seem also to apply to the retrieval of sperm. that the sperm are to be retrieved in accord with the Israel
Imposing the task of ascertaining the deceased’s wishes on Patient’s Rights Law (1996), paragraph 15, and to be
social workers is also extremely problematic. The very idea regarded as a ‘medical treatment’, defined as the first phase
of gathering information about a person’s wishes from of fertility treatment. According to the Patient’s Rights Law,
sources other than the person himself may be regarded as where it is not possible to obtain the patient’s consent or the
both unprofessional and unethical. While it was acceptable in consent of his/her legal representative, medical treatment may
the distant past for social workers to gather information be given without consent, unless it is known that the patient
about a client or case from various sources, current codes of previously had objected to that specific treatment. The fact
social work ethics both in Israel and abroad emphasize auto- that the guidelines do not allow posthumous sperm removal
nomy, privacy and confidentiality. where the man had explicitly objected to it is consistent with
Furthermore, since the person whose wishes are to be the law. However, since the purpose of the sperm retrieval is
ascertained is dead, it is unclear who the social worker’s cli- fertility treatment for the woman, it is hard to see how the
ent is and to whom the worker owes allegiance. The task of law properly applies to the deceased man. The guidelines
gathering information about a dead person for an unidentified detail the obligations of hospital fertilization units to female
client from interested parties is more the work of a detective partners regarding the procedures to be applied in the utiliz-
than that of a professional social worker. The Attorney Gen- ation of the retrieved sperm. These include informing her of
eral’s document explicitly indicates that the guidelines are the nature and ramifications of the fertility treatments, rates
the product of discussions among experts in medicine, law of success and failure, and the emotional and mental difficul-
and philosophy. Had some social workers been included in ties entailed in the procedures. The definition of sperm retrie-
the panels, they may have noted the practical and ethical val under these circumstances as a ‘medical treatment’ for the
quandaries that the guidelines create for them. dying patient can only be viewed as cynical.
The guidelines also assign to the court-appointed social When the sperm is to be retrieved posthumously, the
worker the task of determining whether the partner request- guidelines distinguish between situations where the retrieval
ing the sperm use is expressing her genuine, free and true does or does not require an invasive surgical procedure.
wish, and to rule out undue influence or pressure, presumably Where no surgical procedure is required, the guidelines apply
by the man’s parents. However, it would be very difficult for the rules for sperm retrieval from dying persons. It is enough
a social worker to ascertain whether the woman’s stated that the wife or partner request it and that the man had left
desire for a child by her deceased partner was genuine and no evidence of opposition. By implication, then, the guide-
not the product of pressure, especially where she did not lines also define non-surgical posthumous sperm retrieval as
know the woman beforehand. a ‘medical treatment’. The idea of corpses receiving medical
treatment is certainly novel and very incongruous. When sur-
gical intervention is required, the guidelines apply the Ana-
Suborning medicine and science for the exploitation tomy and Pathology Law (1953). This law requires both
of the dead the agreement of the partner and the non-objection of any
According to the Attorney General’s guidelines, requests to other family member for post-mortem procedures to be
retrieve sperm by a wife or partner should be granted without implemented. In other words, this law allows posthumous
further process. Promptness is necessary because sperm must surgery without the deceased’s prior consent.
be retrieved within several hours after death if they are to Be that as it may, these distinctions—between sperm
remain viable. Since the core issue is the use of the posthu- retrieval from the dying and dead, and between surgical and
mously retrieved sperm and this is to be decided by a court, non-surgical retrieval—seem besides the point. They are
the Attorney General sees no harm in allowing retrieval of legal distinctions, which miss the essence of the matter.
sperm posthumously. The guidelines treat such retrieval as Human gametes are not someone’s personal property that can
simply a medical procedure that does not harm the dead per- be given as a gift or legacy (Shalev, 2002).
son’s body or impair his dignity. Indeed, the authorization of posthumous conception turns
The idea that posthumous sperm retrieval is a harmless sperm into a commodity, a thing. This is suggested by the
medical procedure is open to question. UK law forbids carry- case of Diane Blood, an Englishwoman who won her case to
ing out any medical procedure on an incompetent person use her husband’s sperm after his death in a European Union
unless it can be justified as preventing deterioration or other- court on the grounds that not permitting her to do so would
wise deemed in the patient’s best interests (Simpson, 2001). deny the free movement of ‘goods and services’. According
The dying and dead, in my view, deserve similar consider- to Simpson (2001), who analysed the case, what helped was
ation. It is clear that sperm retrieval from a dying or dead the fact that sperm can be stored and transported, bought and
man will not prevent deterioration in his health, and it can be sold, imported and exported, and subject to the laws of
seriously questioned whether it is in his interest. What inter- supply and demand.
ests, after all, do the dead have? In addition, the retrieval and use of sperm from deceased
For legal purposes, the guidelines distinguish between men for the purpose of procreation blurs the boundary
sperm retrieval from a dying man and a dead man. When the between life and death. Until very recently in human history,
request is to retrieve sperm from a dying or unconscious man, death has been an end, a final retreat from life. Organ
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transplants from the dead started another era, in which organs All in all, the Attorney General’s guidelines are incongru-
of dead people could prolong the lives of sick people who ent with the recently published report of the President’s
would otherwise die. Posthumous retrieval of sperm and its Council on Bioethics (2004). This report maintains that bio-
use is entirely different. It uses medicine for non-medical technologies that touch on human reproduction should take
purposes. It exploits the dead not to prolong an existing life into consideration the health and well-being of all those
but to create a new one—an orphan with more than the usual directly affected by the technologies. This means, according
share of problems awaiting him or her. to the Report, not only the individuals or couples seeking
their use, but also and especially the children who may be
Closing remarks born with their aid. The Report also points to the need to pro-
The Attorney General’s guidelines state that enabling indi- tect human dignity, including the dignity of the human body
viduals to realize their right to parenthood is in the public and its parts, the dignity of important human relationships
interest. But is it, when this ‘right’ is realized after one of the and the humanity of human procreation. In view of the above
parents to be is dead? The legal possibility of posthumous analysis, I strongly recommend that the Attorney General’s
conception exposes the individuals involved and society as a guidelines on posthumous sperm retrieval and its use in Israel
whole to a myriad of new, unknown and unpredictable reali- be re-examined and re-considered.
ties. In particular, we know nothing about the likely psycho-
logical impact of being born from posthumously retrieved References
sperm on the resulting offspring.
Anatomy and Pathology Law (1953) (Hebrew).
Nor do we know where the authorization of posthumous Associated Press (2004) February 10, 2004. http://msnbcl.msn.com/id/
conception may lead. Although the guidelines explicitly indi- 4232585
cate that the use of the sperm is to be determined on a case by Aziza-Shuster E (1994) A child at all cost: posthumous reproduction and the
meaning of parenthood. Hum Reprod 9,2185–2189.
case basis in a court of law and that authorization of sperm
Bahadur G (2002) Death and conception. Hum Reprod 17,2769–2775.
retrieval does not constitute authorization for the use of the Callahan S (1996) The role of emotion in ethical decision-making. In Howell
retrieved sperm, practice in Israel shows that once a procrea- JH and Sale WF (eds) Life Choices: A Hastings Center Introduction to
tive procedure is allowed, its use will follow. Witness the pub- Bioethics. Georgetown University Press, Washington, DC, pp. 24–38.
lic funding in Israel of unlimited fertility treatments, up to the Cate FH (1994) Posthumous autonomy revisited. Indiana Law J 69,
1067–1073.
birth of two living children, to all women up to 51 years old. Dworkin RB (1994) Emerging paradigms in bioethics: introduction. Indiana
In addition, the use of multiple medical treatments in the Law J 69,945– 954.
service of procreation in Israel seems to be unlimited. To Helmerhost FM, Perquin AM, Donker D and Keirse MJNC (2004) Perinatal
outcome of singletons and twins after assisted conception: a systematic
take only one example, not long ago the legal advisor of the review of controlled studies. Br Med J 328,261.
Israeli Ministry of Health approved a request for posthumous Landau R (1999) Planned orphanhood. Soc Sci Med 49,185–196.
sperm use that involved several complex medical procedures. Ministry of Justice (2003) Guidelines of the Attorney General of the Govern-
The request was made by a woman whose husband had died ment, Guideline number 1.2202, 27 October 2003. Ministry of Justice,
Jerusalem (Hebrew).
some time after his sperm was obtained, with his consent, Murray TH (1996) The worth of a child. University of California Press,
when he was ill with cancer, with the help of ICSI. The Berkeley, CA.
request was granted even though his consent form did not Ohl DA (2001) Postmortem sperm retrieval is acceptable practice. Contemp
mention use of his thawed sperm after his death, and even Urol 13,36.
Patients’ Rights Law (1996). Book of Laws 1591 (Hebrew).
though the woman required an oocyte donation to use with President’s Council on Bioethics (2004) Reproduction and responsibility: the
the sperm. It may be mentioned that, as a result of the ferti- regulation of new biotechnologies. http://www.bioethics.gov/reports/
lity treatment, she gave birth to twins (Raziel et al., 2003). reproductionandresponsibility/exec_summary.html
We may well ask how many medical inputs are justified so Rachels J (1995) Can ethics provide answers? In Howell JH and Sale WF
(eds) Life Choices: A Hastings Center Introduction to Bioethics. George-
as to bring a planned orphan into the world. town University Press, Washington, DC, pp. 3–23.
While the Attorney General’s guidelines refer only to post- Raziel A, Friedler S, Schachter M, Strassburger D, Orna B and Ron-El R
humous sperm retrieval, one cannot rule out that in the near (2003) Birth of healthy twins resulting from donated oocytes and posthu-
mous use of frozen-thawed spermatozoa obtained prior to chemotherapy.
future posthumous retrieval of oocytes will be requested by J Assist Reprod Genet 20,382–384.
male partners of deceased women. Considering the legiti- Shalev C (2002) Posthumous insemination—may he rest in peace [Hebrew].
macy of surrogate parenthood in Israel, this seems a logical Med Law 27,96–99.
next step. Simpson B (2001) Making ‘bad’ deaths ‘good’: the kinship consequences of
posthumous conception. J R Anthropol Inst 7,1–18.
There is no legislation in Israel, with the exception of the Social Workers’ Law (1996) Book of Laws 1574 (Hebrew).
Surrogacy Law (1996), covering assisted conception, to say Strong C, Gringrich JR and Kutteh WH (2000) Ethics of sperm retrieval
nothing of posthumous conception. In addition, the regu- after death or persistent vegetative state. Hum Reprod 15,739–745.
lations governing assisted conception are made by the Minis- Surrogacy Law (1996) Book of Laws 1577 (Hebrew).
UN General Assembly (1989) Convention on the Rights of the Child. UN
try of Health without the participation of the wider public in Document A/Res/44/23. New York.
an informed debate. Moreover, the long-term effects of the Yoaz Y (2003) Petition: to revoke Rubinstein’s guidelines concerning sperm
inevitable changes in the structure of families and the quality retrieval from dead men. Haaretz 18 November 2003.
of relationships created by assisted conception are not widely Zini A and Mak V (2001) Postmortem sperm retrieval is not a urologist’s
duty. Contemp Urol 13,36.
discussed and have not yet become the subject of research in
the social sciences. Submitted on April 13, 2004; accepted on May 18, 2004

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