University of Pennsylvania Law School
Penn Law: Legal Scholarship Repository Faculty Scholarship
2009
Race, Gender, and Genetic Technologies: A New Reproductive Dystopia? Dorothy E. Roberts University of Pennsylvania Law School , ,
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Follow this and additional works at: hp://scholarship hp://scholarship.law .law.upenn.edu/faculty_scholars .upenn.edu/faculty_scholarship hip Part of the Civil Rights and Discrimination Commons , Commons , Family Law Commons , Commons , Family, Life Course, and Society Commons , Commons , Gender and Sexuality Commons , Commons , Health Law Commons , Commons , Law and Gender Commons , Commons , Law and Race Commons , Commons , Law and Society Commons Commons , , Medical Jurisprudence Commons , , Privacy Law Commons , Commons Commons , Public Law and Legal eory eor y Commons , Commons , Race and Ethnicity Commons , , Science and Technology Commons , Commons Commons , and the W the Women omen Commons Recommended Citation Scholarship. Paper Roberts, Dorothy E., "R ace, Gender, and Genetic Technologies: Technologies: A New Reproductive Dystopia?" (2009). Faculty Scholarship. 1421. hp://scholarship.law.upenn.edu/faculty_scholarship/1421
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Re Gende nd Genet Tenie e Redtie ti?
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Magare Awood Gena Corea and oer femnis mag ned dysopas n wch whe women's reproducon was valued ad pvieged and he eprodcon of women of color was devalued ad
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Re Gende nd Genet Tenie e Redtie ti?
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Magare Awood Gena Corea and oer femnis mag
ned dysopas n wch whe women's reproducon was valued ad pvieged and he eprodcon of women of color was devalued ad Th Hand Handma' ma' Tal, Tal, pubhed n 1985,Awood envoned exploed. Th he repressve epubc of Gead, where handmads wee forced o serve as breedes for ee men and he nferle wves n order o perpeuae he whe ace, whle bak a wel a handmad who led o bea cldren were exed o toxc colones (Atood 1985) Tha same year n Mohr Mahn orea predced ha whe women woud hre surogaes of color n reprodcve brohels o be mplaed wh her eggs and gese the babes at ow cos (Corea 985) Two decades laer femns schoars have connued o crque he ierachy ha anhropologs ayna app apy cas "sraed repro ducon by conrasng he opposng reaonsps of whe women and women of coor o repoducon-asssng repoducon- asssng echnooge (999, 30) A he rn of he eny-rs ceny, even more advanced reproducive echnoloes a combne asssed concepon wh genec seecon or eprogenecs eprogenecs hreaen o nens nens s s opposon (obet 2005; 2005 ; Paens and Knowles 2007). Wh preplaaon genetc dagnos GD), c cans can bopsy a sngle ce from ealy embryos, dagnose for the hance of havng hundeds of genec condons, ad selec for mplan aon oly those embryos at ow k of havng ese condon (b erson 2003 Spar 2006; Singer 2007) A Repogene, a New Jersey genes laboaory ha specalzes n·GD pu s echnque allows
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fo the "repcmet e pe ose embro cssed by geec digosis om At a me wen wahy we wome hve access t echnoges h ssis tem ag he who nt oy e geecay eated o em or er ers but e so been geeca sceee, ws ad poes scouage women of colo fom hg cden a (obe 1998; Sm 2007) Rpp sted Rce Inste conferenc podue He e Twt Cn, i Otob 2004, Some women stgge asc eprocve eooes, le cc wee see codio mgh be aabe to peom C-secons wie oes t ctgge gec tecniques quoed n rexe 005. Ac Ameic sdes scho Masha Darlg sily we T g o boog s bg eed t epg ege pula coo seges especiay fo ow-cme a po wom co g we pro eceme e rubic f 'choce e eseed r eoomcay d cay piileg wme he gobal Nort" (200b . Wle wee erm aws o der wome ecig pub sis tance fm hg ee n dn l he bab Mnk 2002 S 200 gl unegaed eiy clcs (os 200 Pans Kwes 200 eg lge wome w tpe e bos wg e gh s mupe bihs pse f premre ei ad lw brth weig Hemehot e . 200 M 200 dd e . 200 e pbic begdges poo mthes meger incres in e fo oe moe d bu t cebes e b o gch sepul that reuie a te pubcl sppot hospi re (Aews 19, -61 e mltbnol ppa evoed o echoca cg ue coupl pceae desios s glag c to e gh e det amog blck peope wc remas m a ce e e f wites Maews McDoma 200 de e i moal e s clmbg Miisppi nd oe so sts (Ecom 200 M p wg on ths prce se sytem s o l· es ha peize poo bk womens chidbeng wth e hgt ety sy ht pmes cdbeg by moe ue w< wome (Rbe 99 2693. I recen ecosdeed t post of wite wome n women of co e epoducve heah h· ve (Rbrs 200 . Rar h pace ese women oppsin em ogee elat to e ebea ed tow pa 1 g W t htp://wrcprgens.omdeful.
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pnve goveance. Bo poplaon conol programs nd genec se lecion technologies renforce bioogical explaaons for socal probems and ace reproducive responsibil on women, tus privazing remedies for iness ad social ineqty Populaion cono deoogy atributes soial neues o cldbearng by poor women of coor heeby letmizing puitive reguaion of hese women's reproducve decsions (Rber 1998). Stereopes of black fe mae sexua and reproducive rresponsibili support welfae reform nd aw enfocement poces hat severey regulate poor back womens sexal ad chldbeag deisions (Neubeck 200) By identYng procreaon a e cause of deplobe social condons, reproducve punishmen dive aenion away om ste responsibl d e need for social change Black motes cack use, for exampe, became a pimary expla naon for igh rtes of lack ifat mortay, ahoug ts dspariy long predaed he cck epidemc Rober 998, 559; Zea and Baks 2002 McCaughey 200 ) Lke pishens fo poor womens cdbeaig repogenecs aso shs responsibi for pomotg well-beng om he goverent to he dvdal by malng women responsible for ensurig he genec ess of her cldren The ndvdul woma becomes he site of govence ogh sf-regulaion of geneic rsk Mykiuk 000. e medcal odel of dsabli hat promotes eugeic elmnaon of genec rik i tad of ndng dcmnaon agait iabed peope uppor tate e ace on ndividuas to secure he ow welbeng roug he use of enec techologes his dversion of attenion awy om soia auses d soluios reinforces privaaon, e haak of a neoberal state at seek reduce soial welre progrs whe promong he free arke condions conducive to capal accuulaon. hus, reproductve el poes invovng women at opposite ends of the reproducve iachy pay n importnt ole in he neoliberl states transfer of service he wefare tae he prae {eam of y d mket e last severl years, wile wokng on a book project eplog e growh of biotechnoogis hat ncoporte race as a genec categoy, ae come to reconsder once agan he opposon of wite women and en of color n te repoducive cate system relaon to reproducve chologes he posion I just described, lke he 980s reproducve stpias, sl cas white women as he ony consumes of reproducive enologes nd women of color ony as vcms of populaon conol ce I ame a whe womn e he ony on aes o ese technooges and at wome of coo play n prt in e poiics f repogenetcs, xcept by her exclusion or eploitaon
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Th cnt xpno o boh reprodcv gen eeng and rbad biomedie hoeve ga a dama chnge i e al o of repoduve echoogies First, e impotan roe o gtc ig which make ndiid izens esponsble or ensg good hat by edcng gnc k may pport d ioroon o epgee techooge nto e eoba hah cae ym Sod cpaies tat mre raceased boehoogies ow promie o exe bees o gee eac to peope of olo (Boe 2004; 7) Meda pomotng gee ehoogi promnenl feare peope oor n mages epreeg e geec age, n cos to p " poryal ta emphased whtnes as he ecusive adad gee e. Moreove som hat ofer hghtec repoduv i cldg PGD eplcy apal to cles o oor.' Women of oor ow pat o th maket ad imanay o he ew eoge We ned a ew reroducve dystopa that aun te hag c pos of geei d reprduon re cly e rl of rce d rim i emegee o reprodctve tehoo ha opoat adac i e ee Wat ae he impliaos o indig wome of o he market or epogenec ehooges parcy whe ti i d h e expeao a wome s ee technologe n genec rk/ vsgatg t qeto I hop to hd gh o t eaohp bewee cim eoibem d epodo
Epandig the market fo puv cholgs
Kng Bk I dssed te roe o rae i mage po he fey dsy (Robe 1998 5 I poited ou ha piu ig th e o rdcoassg tcnoloes we a o wite babis usay wih bod a ad be yes, a g e ral pi. We h N k Times ached a promie re e cd e ty Maket Jauy 996 for eap, he page dpayed a poogaph o he detor o a erlt i srouded by en wite chden cncvd t Gab 996 A : S te Web ie f DA Ties (h:/ /dnariescom}, eTree (// geeeem) d Natinl Gehi' enaphi Pjet (h/ / 3 tonagk/eg/dx. ee h Pcic Fiy ees ppe t sive dns a /J .ntg. d imn au dna t /pr //aeny_.
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The contnung page contaed a pcture of a set of beamng in to fertzaon (I tplets, also whte (Gabrel 1996, A8). In te 990s, the oy tme black babes gued meda coverage of these tecnooges as n soes nended to evoke revuson precsey because of ter ace One nstance was a hghly pubczed lawst brought by a whte woman aganst a fer clc she clamed had mstakenly semnated her wth a black ma's sperm, resulg n the bt of a mxedrace chld (Schatz 990; Sllva 1990. Two reporters coverg the stor pecuated hat "f the sut goes to ral, a jury could be faced wt the dcult ask of decng damages voled n asg an terraca chd (Kanowt and Kapa 990. The perceved harm to the mother of recevng he wrong sperm ws tensed by e cncs ue deer a whte baby Other nooous news stores om the 1990s clded he case·of twn boys bo to a whte Dutch cople who dscovered when he babes were o monhs od tat one was wte d one was black (Eot ad Endt 1995) The fer clc had ferlzed te mothers eggs wth sperm om both her whte husbad ad a black m A admak Calforna dspute frm 993 Johnon v. Calert, nvolved a black gesatonal "sur rogate, Ana Joson, who ws deed ay ghts to the chld she bore or the genetc parents, a whte man ad hs Fpa wfe, Mrk ad Cspna Cavert! The press pad more atenton to Ana ohnsons ce o ta of Cspa Cae t so porte e bab we By relyng on the Calver genetc e to he cd to determne legal pr enthood, he Cafora cor ered that a black woma woud not be consdered he natal mother of a wte chld (Roberts 998, 28081) Whe te stores volg whtes portayed the postve potenal of new reproductve technologes, the stores vog women and chdr�n of lor reveed ter potenal horror. oday, however, te hgh-tech fery busess, clug genetc reenng serces no onger appeals to an exclvey whte clentele lthough fert clcs perform sex selecon for a range of clent, the ntroversy suroundg servce h centred on Chese ad an me ovsy 2004 mgarner 2007 Image on er Web stes rotey show people of color aongsde cams adversg cnc evces ad ther benes To be sue, pctures of whe babes contnue doate some eb stes. The home page of te nehart Cener for eproducve Mecne n Ilos dsplays he head of a blondhaed baby 4 Johnsn v. lvert,
993).
Ca 4 84 19 Ca R 94 (993) cet denied 4 S C
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emergng e he su om biowng white oud t ustrt i prmis of "uing your dr f targ a miy into raiy' Sher Instituts fr prduv Medne, w nanwd las seam pht sp of i sus sris howing dozen of chidr a of wom appea to be white.• Simiary a -pg adesemnt for h Virgiiabsd Gis nd I Iitute wi rey appred in he N Y m Magazne feur a giant phot (tg up abut af th pae) f a whit baby wih bond hir bu y ad rosy e Th adne sk Oer 40 ad hng haing baby? fowd by th sun: "DONOR EGG Immdiate Aabiity I th txt bw h ompany b of oeg Dotora Dnors w adaned de d nurou or doo wi spia amphmnt ad tlent The assump tha whtns integn ad ent are onnted ad hereditary rem robust th reproge mrktpa Nthess h iage aoiated wh rpdue hnogi hae dramaly dred in ent yars Rprduie Heat Spe ts in Iinois dpy a phtgrph of a arg group of wht oup oding wht babi apoed Baby Pi 8 ut it Wb site so otns a ptgraph f a mig bak mn ad woman and a draig of a pregant bak woma attded t by a bk m patner nd fema pysiian Lkewis Huton I Web sit how a beamng bak u pe hodig a bk baby9 Th Inoibaed Karade and sts tk ry mtiutu apprah usng a photo of prgnt E sin woman for eduing an appointmnt a bak woman ad d fr i to d gg form d a th m hd fr th ian ifrman ik 0 Thre ae numo drsmets n riitom xpity oi ' S eht Cer fo Rpoduce Medn Wb sie a t:// ll isi.o See t S ss rodv diie Web e a p: jwby om/dx_s?&= ie S Gs ad Isie, d smt Y T 4z July 29, 200721. Se mags o he b i a
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ing egg donors of color. For exampe, a postng by Beverly Hls Egg Donaton notes "ALL EHNICTES COM! "11 F. Wlliams Dnor Ser vices' istng sates Etnic Divere Egg Donors Needed ad includes a photo f an Aian a whte and a bac woman12 Happy Benngs, LC aderses GG DONS WANTD A TINIC BACKGROUNDS specing "E HV A HGH DMND FO JEWSH ST INDIN MDD S N BOND ONOS Smlay, Pacic Fery Center boasts that it matains a divee egg dno da tabae inclding Jesh egg donr Aian egg dnos, ad a vae f ckgnd d enes 4 Some fet cnic eb sites n nly maret ther reprgenetic ser vces o peple f color bt they also perform ace-based genec tesng as part of thse sevces Pac Feril Centers e site inludes te statemen, Genec screenng is as remmendd ased n ehc bac grnd Reprductve Genes Instute in Ccago simlarly ncldes race in he ctors it es no accnt n its genet testng: Screening Reslts and Accuay By cmnng he resl of the utrasond ad bood test aong wih he age, race and weight f the mther a number can e geneae by compter wh represen he s o te pregnacy beng affected by Down synrome anohe chromosome probem. Experience ha shown ha, togeher, the lrasond and blod screen wl dent approxmey 90% f babes wi chrmsome bnrmalte. "16 Fert clcs use of race genec selectn prcedures may help to reinforce the eroneous bef that race is a bloca classicatn tha can e determined genecally or that genec traits occu in human bngs accorng to heir ace Scial siensts demnsaton ha ace is n nvented soia grping was comed y genomc studies of humn varian, ncluing the Hman Genome Project shwing hgh levs f
See evey Hs gg Doaion, adverse�ent, os Angees caglist.com S Vaey etcetera jobs ovembr 22 2008 See Wims onor Sevics advetsemen and mpre cristcom, etcee obs, Novembe 24 2008 3 See appy egings LLC advesemn eno cgsstcom, ecetea obs o vember 3 2008 14 See he Pacc ety ener's appea o pospectve dono at http:// donateyoureggsom 5 See he acic erty eners Web se a htp:/ / paccfetiityceecom/ trea/ageny_donaon 6 See the Repodcve Genecs sttte's Web page on st mese screeg a tp/ /wrepodcveenetcscom/strmesterhtm
geneti simlait among people of al rces (Graes 2001; Coope Kauf man, nd Ward 2003 . At e oset of te Human enome Proje some scos beeved ht e sence of humn genec des wod repace race te preemet mens of groupg peope for sien puroses Lewontin 95 eardon 2005) Yet the use of ce as a biologcal ct ego genei researh d biotehog is tensing Burhard et 2003 Bom hueBaer d ols 2005 Dser 2005). Th mreg of gtec reprodutie series to women of oor is part of broader ilusion of mnori groups the esng ad pro dcon o cg-edge ioeoog I June 2005 te Food and Dug Adison DA) apoved te st ce-sed pme, BiDl to rea hert faure speicaly n Ameran pens Saul 2005 BiDil is te combito of two genec drugs t dotrs were redy pesrg egaless of rae. e te FDA permtted it maker Nitomed t mare BD as a drg bk peope. Makg BD ce speci also aowed itromed o etend its pe to te ye 2020 ving the compay market elusivit ad te potential rep uge ps o drg a (K 2004) Te mucturr' uproe ty spporng e eed or re-spec erapy s t he reson fo ge mora rates among bl ert ptients les genec erences among "es in eier e reaon or geg ear disease o e eason fo espdng derey o mdcaos or i Ka 200 nar and 200). BiDl is oly one xample of the grog ted towad he saeg se of rce as a geec ategory to obai paet poeco nd dug pp K 2006 9 is svey of geereed ptent ap pcton ega shor onn Ka scovere t e se of ce s reased efold in te pa ten yes (200) Cls abou us siec resarch hve shied away om proeg sociay dsdan gd sec fom unehc pacces nd tod promotng access to cla trs d bioe produs Epsen 2007) Thee s sng sppor r al u mog some la des researher a p scans pres o redress pas discmon ad log-sg demnds for sence o tend o e ealt eeds of i Ameis (urin 200 see Rberts 2008 hs neased commerc nd pop lr demd for raespc prmaceutls thretns o eiorce a se beief i te bologica org of rae Advced repde tecnooges mrly conse form of rae bsed mene. Rte tan sere n excsivey we cnee, er s e maretg geet ecoloes to wome of olor on te bss of ace and etni and ncoog rce geeicscreeg proce
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dures Coempoy repoductive dystoa, te shoud not ctgocy ecud womn of coor fr imaed es of gec seo tchnoloes. A I explai beow, te exnsio of raebd boech ·oogy cg gene seco s tn he olibe td owad ptzaio d ptie goveac ad eurs adjuig femist re poduc ysopias.
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T keg of repogs o woe o co ing pae te cone: of oibe s goece ta my encorge he ep so o gecseg ecooges o ode en Wdesped pea estig h aady geeraed ra srvelace of egnat ome ad ssign em py rspob fo makg e "rt geetic dsios. t is ncsngly roune or prgn women o ge pe dgoe o ceri gee oo s Do sme o dwsm (Powe 2007; Sxto 2007) s o o epeced a e o fo aboron elec y b s ee by geec sg. Mny obserians prode hse te iout uc epno o dbeao ecase te cosde sh screnig be a ora pa of atg ther pgn pes he rector of po dcve geecs ag ero hosp eord a ea af of e wome ferd her th n borml ocenss were ucen o why ty een ad the tes Cosum Uio 1990 486) Moeoe crre ca aw creaes ce o of gee esig by posn leg dues o obseics t oe e! 200 5 Ossoro 2007 30). We tee ar ruly o eg coseqeces for doo who encorage genec ts doctors who to e hem ay b ab or dags "g b awus Aog genec coseg sho be ondcve my conso sow approv we att deid� agns slec aoo A genc conseo ased a wo who dcided o ar a cild wh ow ydr "Wa ae yo gong o say o epe we hy a o how yo cold bring a chd e o e wod/ quoed n H r For xampl, Supreme Cout of O cnly hld that arts of n ey born owg ign i diage ea dc ordia a g udr oJ p p ost g o h rgncy ad r o : & P M D d cc c c 08 h S 3 49 200--92 ( C 2006) F r agm vor ng aw a "av ju u by K
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anda, ad Chedd 1998 59). Ban Skoko' uey of985 ms w cived potnat dagoe f Down ndme f he ilden im dcd tat m f th motr we ctd b at cae po fi fo ot degig p ttng: "igt [m cid] ws bo e dct t out od m u and a hi cod ha been peeted o discned at n eae tge of e pgnny wot ne mot wo d a d wit DS n 2000 A mot w ad a chid n 993 cad "I d eident t c oom w I ard tat m daugt d DS Wen I ted to c I vrd m a Wht dd expct? S d penat ttg . Aot mt potd om e pece in 997, T attendg ot eedg ome fm of cmpsion matd f igoce no dig por etig and bgig t bd t ociey-og t ecmic ducao Qd ocia adip he wod ing egadng a visit a mohe w ad a chd n 992 ot M docto red e me ned fo ncene tt I cod coo to eminat. (2005 01)
A ut f uc p m pegnt wmen w ew gtc tg a equiem of espoi moheg (Hmon 200) Po wmen epeci wom of co cun c aia ad ote to cig gtec ett ec Et 2005). e cu gtc cng i ow codd ent pt f pe mdcie owe ecoogi e bcomg ntgatd to oci wee tm d pat c cme d a to becme nceang abe t po d wcm wmn V de Da 200; e 2009) U , w pm ppo cr frt GD ct to p wmn id tatng a pgc tht eti did getic ti F d Rbt 2006 9 e an1 of is to podc e ir of bay; the im f D and fea dagno t pet e it of ctan cden. W go ment wfe t e ddd ctng chding po wmn of co b decing t d ft tnt t ma te fo teat gntc ttg dnt Foe x of insurac ovg offr trtmnts, Aos {2007 8-13): "o cdy q om p o hh pla o o o c y o o mk c o b (). PGD o w k o m rs R 06 9
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'The cuent an on federa ding o aoton places a sgnicn lmt on sate genetc selecton pogams (Powel 2007, 49-50). In states hat do no povde Medcad ndng fo aboon poor women cn eceve sa te- poo ed geec te ng buthave to pay fo te cos o se ec tv e aotons hemselves Ye t s not had to fosee ue fedea and state legsaton tat exempts "heapeuc aboons ased on genet tesng rom the an on aoton ndng. Po to the 1973 passage of Ro v Wad, pholdng the consttona ght aoton may states pe mtted erpetc aoroecommded y pyci cma zng eecve aboons sogh y women wth unwned pegnnes (Schoen 200 386). Indeed some clent of reprogenecs hae claimed moa supeoy ove women who have had aboons fo nonselecve easons In a July 22 200 ped pece n te N Yrk Tim Baaa Eeech cas on women who had aboed feuses ased on penatal dagnoss o suppot the genel gh to aboon (200) he notes that these women some tme dstgsh hemses om woen who have"oay aboros Oe woman who aorted a fes wt Down syndome sttes " dont look at t as tough had an aoton even ough tha s ecncally wha t s Thees a deence wnted tis ay quoted n henrech 2004 A2). On a We ste fo a support goup caed "A Hea eang Choce mote wowet o a abotion cl com lai eet ed e fact hat had o e hee wth a these gs that dd not want the aes (uoted n henech 2004 A2 ) . he ncopoaton of egec vaues n aguments for womens epodctve eedom negect the hs toy of aoton eguaon whch lmted womens epoductve eedom by isngg eteen approed theapeuc and dappoed eece aortons atemp o solct suppotes of sece aoton o jo he cause of aoton ghs msundestand he naue of epodtve pos n te eobera age The expason of genetc eseah ad tecnologes has heped to ceae a new olocal czensip tha enliss patens to ake npecedened atho ove he healt at the molecla leve (Rose 200) Accodng o sh socolost Nkols Rose "our vey ologcal fe tsef has ne ed e oan of decon d choce 2007 0) So schols have hglghed the enhancement of huma agency as "paen ae n ceasngy ged o become acive and esponsble consmes of medical sevces and poduts angng fom pharmaceucals o epoductve ech nooes and genetc tess (2007 4) and to form aances wt physcans scet ad clncin o t adocae o f e teet (Fankad es 2006 xi).
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Bolocal iizenshp aso reecs the shi of responsibiliy for pubi wefae om he sate to he private reams of market and faily. A se obsees, esponsibiiy fo he maagement of heat and reprodu has devoved om he "formal appaaus of he govement to "qa autonomous regulaoy bodies' , such as boethis ommssons, proes sonl groups, ad pvae orpotons (2007 3). Seing gene tesng poduts diecty to onsumes is big busness for pvate eti cs and botechnology ompanies iomecal research and technolo have orresponngy become major sores of capitl accumlaon aded b edera patens on genec inorman, FDA approval of pharmaceua, and public nng of lucrave prvate researh ventues suh Cal oras stem cel reserh niiave In neoberl context genei testng serves s a form of pva ation ha makes he ndividual the site of govenane though he sel regaion of gene risk (Mykitiuk 000). epoducve genec tech nologes, n palar, inroduce a new gendered division of labor d surveane s women bea he brunt of reprogeneis ontibuton to the neoibera restcg of health care Myktiuk 000) Canadan ega shoar Rxnne Mykik pon out tat, contay to the deegaton ha ypclly ocs the sevie of bg busess, the new dues mposed on women onsitute a reregulaon ha supports captal nvesment n mket-based appoahes t heah e and oher soia need while sate invesment n pub resoures shnks 000) In addion, reprogees ncoporates a seemngly bengn form of eugen thkng in its reliane on epoductive sategies to eliminate genetc risk raher han soial saees to einae sysemi nequies Some sabi ights advoates oppose prenata geneic agnosis that leads o sadng embyos d feses prected o have disabies be � cause hese pocedues devaue peope who have sabilties senng the message ha they shoud never have been born Wende1996,15156; Paens ndsh 00 Saxton 00). They argue tat athough disabites ause vaios degrees of imparmen he man du in avng a s abty stems om pevasve scmnaton. Raher than mprovng he meca or soa staton of todays nd omorows dsabed iens we bioethiiss Erk Parens and Adrenne Ash prenata agnosis re nforces he medca model that saby tsef, not societ smnaon aganst people wt sabies, is h probem to be soved 00 ) The easons why some paen do not wa a dabed cd e vaed. l some women may use genetc seecton in an upway mobe ques fo the perfet hd, othes want to preven the ren om seng te pan, ness, and physial matons tat accompay sabtes or
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wo h a o pab o dang wh ss oc cnquene Wende 16 283 Frain ad ober 26 326 Bay 2 Yet gven meal professoals' impt rve avog genec selecon d powel stereoypes h negatvly dep dsbled peope an women ae wt se mpreon o e atue of prentng a isbld d ad he quaty o abled peopl' live (wih · gnec etng canot prc; me 2 Prgnn women e y l to mke t informed dsio bou wh o do s esus becae they obsetcs nd cnelor yiay hv te ormao abo e iv of disbed peope and ther s d16 814 Pres ad As 2 33 3 Moreover some of the undeable evs kly o appn to a cild wh a serous ibi t pans may eaonably w to prevent c as ted edcton d empoymn oppout a by o a mch as pysca mpedmn Senboc 2 Une o o on socea ac or sppor ma wm f cmpd to trn to genet esng o enue hei hen wfae (Lippmn 1 3 Kay 8 . o jg he mora o d women dons, e must cay vauat e soca, poia nd eg ncen ves fo gene sg as we as cnsqunce o gnic esig o people wt abes. Bidng on te salt i, we mu so queson he roe t e eugi appro ab p i noibera govenanc Re e Brish ooogis diced bove, eets ciica nl ' se f eugencs hoi to ones GD ad oher ass of con empry bologca pol (27 546 He gues h e euge d of y w pa bopoca sttegy hat sough to improve th populon whoe hough berte ste on. Ths r "o cono the oogca mkep of ppon as a woe, he ams sgue eugei om e ew bopoics one w e gene heah of ndas 2, 6. ha we hve hre hen no euges b is shaped b form of sefvernmen ipsed by obgaons of hoce th desie for sefle d e wh of prens for h b J fo her ldn se oncdes 2 6 Roe dsise e elevance of eugen o cotemporar bioplts � A recnt sy ofeseach e xpec diabi m cuded, "T s a inresigy dm ody o ese ggg e f ov djs mn we-g o crs gos o es wit d chld wh st (Fun Gart d Lk 2007, 85).
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to categcy. He dwplays ic aspects of the past eugenics regme tat cteie bot ctempoy popuo cnt pocies ad ge nec-sceeg ehnoges suc as PGD By eugenc g vues efe t he beef a epoducte sttegs ca mpve soce by edcng e s f scy mrgazed peope e egeic ppac to socal problems locas thm in rproducon ae han socia sce d eefe ee to e hem lmnang dsvod epe ed of soca neqe I cef epistmologcal dece s mae the sc de eem nau b csg ts fe s bgic facs A onad MacKenze bsees, egec theo is "a way of eag the stucte of soi clsses to ate ; Pgms based o sch a beef set p standds fo epducio at sbsume hdbeag de e aing iecies f pwe Eugnis d o ncn y "i e sece f a boca stuggle eween n-sat (ose 2007 66); ced t mta te cia gede ad cass ode 'thin e ntn (Meoe ace / beeen Amecan ad Nai eugeniiss i te 1930s sow a \gness t coss ato bodaes te tees of wte supemac. )21 T ontempay ppss to sove sca pbems by cubng bck epo dcn, sc as e Phadepa Iqure sgges to ste te g-cng ccepe N s a emed f ack pve a ma pas egeic ls ha he e eq p pe o e podct f nue e han powe memn 90 deg pcen as e case of bac pepes nin, e vet attenn away om the poca scia ad ecmc foces that mt te US a de. I teefoe beiee i s acte and hepl idei te ways i w ctempray epductie ea pcies ncopote esseti feaes of eugeic deogy despie te mpont dieences at se iggs Fueme te dsc bewen pst sateimposd nd cuent vuy ogms s s ecut as se suggests O he one nd Rse goe te system f puntive geae t accompes te ebel shi t nivida sef-goenane Wefae s ge a sysem l f ad but ate a system of beaio mocon ta aempts to eg ! ae e sexua mita, ad cdbearng deciss f po ed me pag cni o e eceipt f sae assce e n Wen the ledig Ameican unis Hry Lhin eeived honoay degee om te Uniesity of edb n 936 e wroe o Gm oca ta e wad epe "evdee o omo ue o e e o th e o euei (quoed in K 985 8)
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1998; Mink 2002 Smih 2007). Meanwhle, fedeal and state gove mens aggessivey inevene in manalied comuts o manage he ocia depivaon wih especialy punive meases The US. pison pop ulaion has gown to popotons npecedented n te histoy of Weste democcies as an astodig nmbe of yong black m ae ocked p (Galand 200 the Sentencg Poject 2005 The acial dispaity n he ste cae poplaon miros that of he pison sysem s chid potecon athoites emove gossly dspopotionate nmbes of back childen om hei homes bets 2002 oplaon contol pocies that at ibte socia eqies to he chldbeang of poo minoiy women ae a cical component of hs pitve tend away om stae sppot fo mes and commniies Robets 998 Smih 2007. ose's efeence to "the enablng sae he ciliaing sate te state as aimao 2007 63 does not appy to polcies desied t penaize childbearng by poo women and women o coo. On the oe and Roses ocs on state diecion of weneth-ceny egenc pogams obsces he ccia ole of pate entepises in dis seiating and plemenng egencs Jst as enta as he man datoy steiaon aws passed in most states wre he campaign waged by pivate gops sch as he Amecan Egenc Society the Human Betement Associaon, and the Ameican Genecs Assocaon o edcate the Aeican pblc abot the benets of egenics s wel as the America Br Control Leages poams o distbte bih conol to the nt Kevles985) As Rose acknowedges "gens not dsepabe o magnal: i deed one dimension of mainsteam thking abot he esponbes o pocas possos scensts d d the mode wod 2007 59 Some fenss wo se egencs hetoic t citie moden gnec seection technologes explcity acknowedge the disincon beteen staemposed pogas ad pivae decisions made by ndvidals Fo example S sociolost Babar K Rotman calls he maketig of penata agnosic tecnoogies a fo� of micoegenics focsed on he ndvdal in conast to macoegencs focsed on poplatons 200 aso expcly dsgish beeen popaton conol polics ad hose hat pomote epogenecs while dawing attenton to hir common sppot of neobeal appoaches to social nees Robets 2005 Ths tnction, owee hod not eclpse te coece nate ad socia con o contempoay eponetcs Wedel9656 Wd 2002 As I dscss above genetc selecon pocedes ae nceasngly teated s socia esponsbities renfoced not ony by cutal exectatons bt also by ega peales and ncentves Does the tatesppoted epo
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duce genecs indur est ol to e diidul ciens more reproducve choices, r as Lua Hehey ak is it piaily for he beet of a ociet uwlg o support disbiltyrelated needs?" (99 31; see lo Wendell 996 54) Roses nlysis of contempor biopolics helps to llumate h rd ical chnge om ste maagement ofhe populao's helh to dvidul magemet of geec risk, aided by new geetic techologie These technoloes ciite he sh om stte reposbly for ensung helh d welre to prvate espoibiit wihi the cotex of pesistet race gender ad clas nequites dettng reductos i socia pro grms; d itense stte surelce f mginalzd cmmes Geetc screeng is ireasigly recommended ot ol to void hig chdn wh serio ely onet disbles or dses wh a gh like lhood of occurrig but to elminte h rsk of developing certai dseaes as n adut Obaogie 006 A recnt cle he Jorn ofthe Ar Mial Aocao for exmple, ecoaged mlies affected b hereditry cncer yndrmes cluding bret oin and colon ccer to use PGD to scren out embro geetlly redisposed t develop ccer Ot Sa nd Hurley 2006). I he neolibe ture he stte my re on he expecao that all pegat wome wl udergo geetc tesg ege o ony t re to uppot he cr of dbled cldr but l is deal of broder clais for public prision ofhelh ce
g ho o wom of oor he roe reprgeecs py i ebem negrted tem f p ato and punitie goernnce s obscured b lbe noos of re prducte choice espite he pottil r repogentics to dimiish pubic he ce d ne regon of wome's eproducve de cisios is sponsos oe dend the dustrys immi om ate regulio in he ame of women's repoduce eedom m 1989 6 ag 2004. Exendng he vb of gene seeco tech nologies to women f color doe not corect he role pled by reprogeetics adacg neolbera agenda. e depleton of pubc r sources for genera he ca d or supportg people wth dabe would exacerbate ecoomic ineqies alog racil ines hitting poor mi oit communies he hadest dditio, e epeco of genc lfregulaon ma fll espcill harshy o blk ad La wome who are teeopicll dened as lcking he capaci for selfcool The use of hightech epeie techologies b piileged slice of wome of
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color suggess hat ho who do not use hm fo nc social, or hic rsons may be bamed or e oci consqunces. Thr ma was be crn rproducve nooe ha r rservd for h wahet pope and outside he rac of mos womn of coor Th mak pg a y eie among peopl of coor wo cn aord igh-tech rroducve novaion wh regang vast majoiy o h ate' mos inn rprodcve urviance Indeed, t nobel rcaon o ma oc s kely to expand he ing o poor nd ow-incom women of coor for heir rprodcv sev T cidnc o paymns o es womn o ges tus or o poduc egg for gneic rsach coud ntni (Haworh 2007) ven as ey r ncogd o use gneic oogie to screen eir own chldren addon mrkeing rac-bad bioechnologes to conumrs of coor cn rnforce h bioloca meaning of rac By ncooaing vntd ci caegors no gnec rearh cienis nd nrpreneur ar producing bioehnooe at vida popes bif tha rac i a naua caicaon rnwed us in inhrnt rcia dirncs po vids aeaiv expnaon for prisen gross inequies n bacs hea and wlre despt he nd o de jure scminaon. Ths ech nooe promoe he vw ha depening rci inquiies ha rs om neolibr poics ae acly ud by gnec drnce bween whes nd ohr ciized goup The bioogic expnaon for acia dspariies provids a ready logc for h aggrng disacimen of peop o coor oug mass incrceaon d ohr pniv poicis a w a he prfc compmen o coord poici mpmng cam a ism s casd o be e cas o hir predicme Incuding women o coor mrk for rprogentic cnoogs do no dca as ysem undeying eproucve caion reproducve dysopia for e tweny cenry cod no ong ede om of coo om me fo hgc epogec Rathr i wod k pace in a soey which raci nd conomic divsion ar renocd by h gnc sng exndd o hm n is n dopa, he boogca do of ce tonge ve idated by gnic scinc and cmened in popuar cue b race-bd biochnolos The sae hs dscaimed responsbiy o supporng i i pacg h dt o eng pubic wer in wom' sergaon o genec risk h mdica mod o disabiiy embedded n a oibr halh poicy hat rs on widspread us o geneic h noogis o dquai cn om caimg pbic uppor d to avoid h ned for ocia chng he nw boogiaion of ace may sm o
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ute blacks, ad oer nonwhie "races, by corng he geec u formy o people beongg o e same ace and eir genec erence om others he new dysopa however, geec selecion ecnologes ha ncorpoate race as a ologcal caegoy rerce class vsons be een ee peope o color wo can aord he ll aray o igh-ec procedures and e masses wo ser mos om obeal poces bo sered y hese very biolocal explaaions o racal neques. But ca also magie a new uopa arsng om emnss' raical ressace to enlstng wome genec screeers sevce o a eoberal agenda a ressace a s emboldened by ew alliacesjoing reproductie us tce wth atacs, saby rghs; and ecoomic usce movemens ta recogze he commo neres conesig a racebased reprogeec re
Insitut for Poli Rsarch Northwst Univrsi School of L
r ndrews, r B 1999. Clon : Adnur in th N World ofRpro· ducti chnog New Yok: Holt Aons, Jessca 2007 "Fue Choices Assised eprodcve Techooges ad e Law epo Ceter for Amecan Poess Wshigto DC. Awood Magae 1985. Handmaid's Tal Toronto McCeland &Sewa Bily May n 2007 "Why I Had mocentess. In Prnatal Ting ad Disabili Rh ed. Eik Pres and Adrenne sch, 64-71 Wasingto DC: Georgeown Uivesy Press Bumgane Asey. 2007 "A g to Coose? Sex Seeco n he neaol Coe Duk Joual of Gndr Law and oli 14 (May) 1289-1309 Boche M Gregg. 2004 "RaceBased Thepeucs Nw Engnd Joual of
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ofMdicin 348(12)117075. Cosmes nion. 1990 "e elae Gee Conumr Rpors 55748388
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Cooper Ricrd S, Jay . Kaan, and yk Ward 2003. "Race and Genomics. Ne ngnd ua Mediine 348(12)1166-70 Coea, Gena 985. e Me Macine Repducive Tecngiesm iia Inseminain ticia Wmbs New York: aper & w Dlg, M J Tyson. 20a. "Egen Unbond ce, Gendr nd Gene. Pa deieed a Gnder Js the Gene Age N ok, May 6 h:// .ocoerce.p?aon mu dond 62 2004b. Gendeed Gobaizon Sate Ineests Women o Coo and Marnalzed Woen. Paper delvered at Gnder and ]ustce in e Gene Age, New ork May 6 hp//gjga.org/conrencesp?acon =tem&source = doumen&id = 65 Darnovsy May 2004. "Rvsng Sx Slcon The Grong Poplariy of New Sex Seecon Methods Rvvs an Old Deate ene Wa 17:3-6. Dxer, Madeine. 200 "Rpode Helh n he Twen-ft Cenu" Radce Qae te htp//dcleed/pn/about/quaery/05 ealh. Dste, roy 2005 "Race d icaon i Sciece Scinc 307(571210505. Eckholm, Erk. 200. "In Tunabout Int Deats Cim Sot N Y Tims Apri 22 . Ehrenreich, Barbar 2004 "Ownng p to Aboon. N Y Times July 22, A21. Elio, Dornda, d Fo Endt 995. "Tinwi wo Fates The Ne erlands; A ely Clic's Srlng Error. Nese y 3, 38. Elser Nanete 2005. "AT o he Maes? cia and Enic neuality i sisted eproducive Tenooes ePauuna Hea Ca w 9( 719-33. Epstein, Steven 2007 ncuin e Pi enc in Medica Reac Chcago Uvesiy of Ccago Pss. rgson lp M, Gner and Doty psky 200 Te Experence o isailty n Famlies: A Synesis of sear nd Parent Narves In Penaa Tesing and sabii R, ed Ek Parens and Adree Asch, 72-94 Wshingon, DC: Georgeow Unvrsy Press F, Sah and Cea oer. 2006 Bn and Made: n ngap Peimpnain Geneic iagn Pceton, NJ Princeon Unty Prss Gabe, rip. 1996 "HighTech Pregncies Tet ope's L Nw Y Tim, January 7 A, A8. Galnd, Davd 200 ntoducon The Meanng o Mass Ipisonmen. In M Impsnmen Scia Caues and nsequenc, 13. Thouand Oas, C: Sage Gaves, Joeph L, Jr. 200. e mpe Ne C Bigica ei ce a te Minnium. New Bck NJ us Uiersty Pre. Hmon, Ay 2007. "Genec Tesng + Aborion ??? Ne Times May 13, sec 4, 1. Hawor, Abigal. 2007 "Wom for Rnt " Maie Cie Augs, 2529
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Hem, Dvd T., S Mnd, nd Nomi ngo Chedd 1998 "Prent D gnosis of Down Synrome: Mohes' ectons on Sppos Needed om Dgnois to Bh Mnta Rtardation 361):5561 emerhost, Frn M, Denise A M Pequn, Dne Danke nd Mrc ] N C Kerse 2 "Pern Ocome o Sngetons nd Twns e sed Con cepion: A Sysec Review of Controled Sues Brih Mdica oua 328(73):2616. ersey 99 "Choosng Dsbty Ms., Jy/Agust 2632 K Jonn 2 "ow Dg Becomes Enc Lw Commece, nd he Poducon of c Cegoes n Medcne aJourna ofath Poic Law and Ehi 116 26 "Ptenng ce Nat Biotchnoo 2()395 27 "ce n Botle cintic mrican 297(2)5 Knowiz, B, nd Dvd A Kpn 199. �Not te g Fhe Nwswk, Mch 19, 5 vles, Dne J 1985 In th Nam ofEugnics: Gnti and th Uss ofuman rdi. New Yok: Knopf Kmmn, Dond. 199 "Povety nd Norpnt: Cn Contcepon Rduce he Undeclss? Phiadphia Inquirr Decembe 12, 8 Kty, Ev Fede 27 On e Expressvy nd Ethcs o Seecve Aboron or Dsbty: Conversons wt My Son Wt Leo Kty In Prnata Tting and Disabii Rhts, ed Ek Prens nd Arenne sc, 6595 Ws ngon DC: Geogeown Unvesty Press Keined, Joshu 25 To Lw nd n Vto Feron The Need or cognon oPocreve Injry. a Law Joua 115(1375. Lewonn Rcd. 1995 uman Dirsi. Boston: Feem Lppmn, Ay 1991. "Pen Genec Tesng nd Sceenng: Concng Nees nd Rnfocing Inees mrican Journa ofLaw and Mdicin 7-2):15-5 McKenze, Dond A 1981 Stati in Britain 865-93 Socia Consuction ofcintc Knowdg Enburgh: Eng Unvesty Pess Mhews T J , nd Mn F McDormn 27 "Inn Motty Stscs om e 2 Perod Lnked Bh/Inn Det Dt Set. Nationa Vita Staitics Rports 55()-32 McCgey, Besy. 25. "Wy re Inns t Rsk n mec Lete to the eio Nw ork Tims Jnry , 22 Mk, Gwendoyn 22 ars nd Ihc, : Conel Unversty Pess Mndy, Lz. 27. Evrthing Concivab: ow d Rproduction Is Changing Mn omn and th ord. New ork Knop£ My, nne 2 The New Geneics n te Postynesn Se Un plsed mnuscpt, Cnn Womens elt Netok ://wcwn c/goups/boech/vldocs/15myu.p Neeck, ennet J 21 ar Racm: Ping th Rac Card agaitmricas Poor. New ok: uledge
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Obasogie, Osae 2006 Slippery Wen Wet" Bioplical Tims blog De cembe 15. htp/fw.biopoicalmes.og/aricephp?id=209 O, Keh Mchal Sa ad rn Hrley 2006 Prempano Gec Dagois r Cncer Sydome" Jua fe Aecan Medica Aciain 296(22)272730 Osoo 2007 eaal Gic esng and he Cout." In enaa ing and Dabii R ed Er ar ad Aee Asc 30833. Wsgt, DC Geoge Uves es. arens Erk ad Adee Asc 2007 he Dsabili Rg Cqe orna Geec sig econ and Rcommendaons" her enaa ng nd Dabii R 343. Washngon DC Geogetow Univert res ens, Erik, and owes 2007. progecs and blic olicy: econs and Rcommendions" In Rgenei P and Eica e, d Knoles and Gregoy E abick 25394 Bamore Jos opkis versity res owel Cynia M 2007 he Crrn Stae o reaa Geneic eng i h ed Stes" n enaa Teing and Diabi R ed. Erk ars ad Aenne 4453 Wasngton C Georgeton Uivsiy ress ckren, Gary 2006 BiDil From Anotr Vanage oi" Hea Aai e iJuna fe Hea Spe 25(536874 app yna 1999. Tng en Teing e Feu e Scia pa fA icenei in Aeca. N Yok otledge ado Jeny. 2005 Race e Fin deni and Gnance in an e f eni inceto NJ nceto Uivert s Rey Um M. J Wape, br W ba nd Rcar J . 2007 neit Asssted prodcve echnology, and Adverse rgacy Out comes Execve Smmary o a Naona Ite o Cild Hth and Hma Devlopment Woshop" Obe and ne 109496777 bet Doroy 1998 Kiing e Back Bdy: Race Repducin and e Meaning fibe. N York Vntge. 2002. Saeed Bn e fCid >ae. Ne York Bac . 2005. vazaon ad nismnt n te New Age o�progenes" E Juna 5(3)13360 2008. Is ace-Based Medine· God r Us Acan-Amca Ap poas o ace Bioecnology and Eq" Jua f Medicine and Ei 36(3)5375 berso, John A 2003 Eca sses in Ne Uses oreimpanaton Geetic agosis" Huan Repducin 1836571 se Nola 2007 e i f e Biedicine P and Subjeci in e Ten enu rceto NJ rncon Uversiy ress ma aaa atz. 989. Recing Med e and n in a Paaa Sc. Nw Yok N 2001. e Bk ffe A Pena and Eica uide Race ai nd e pcaion fe Huan ene Pec. Boson Beaco
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Sanka, Pamea and Jonathan K. 2005. BD: ace Medcine or ace Mar keng?" Supp Web excsve Halth Aars: Poyoual ofth Halth ph Octobe 1 W455W463 ht//content.heth orc/contnt/ lthaw5.455/DC. Sa Stephae. 2005 FD.A Approves a Heat Dg for ican-mecans. N Yrk Tms ne 24 C2. Saxton Masha. 2007. Why Membe o te Dsab Commn Oppose Pe nata Dagnoss an Seecve Abotion. In Prnatal Tstng and Dabl Rhts ed Eik Paens an Aennesch 1764 Wasingon DC Geoge town Unversity Pess. Schatz Robin 990. Sperm Bank MxUp Ca Wom Ses Doctor Ban; Says Wrong Depost Use. Nsdy March 9 5 Schoe, Johana. 2005 Cho and Coron Brth Control trlzaton and Aboron n Publ Halth and War Chape i ners o Noh Car oina Pess The Sentencg Project 2005 N Inarraton Furs Groth n Populaton Contnus npbishe manscpt he Sentencng Project Wasngo, DC http//wsentencngproject.org/pd/044p£ Sger Emy. 2007 Choosng Babes MIT hnolo Rv, Mach/Apr. htp//wtechnoogyrevewcom/Botech/8303/ Skoo Bian 2005. Mohers of Chden wh Dow Snme Reect on The Posata Sppot. Pdatr 5()64 Smth na Mae. 2007 War Rform and xual Rgulaton New Yor Cambdge ves Pess Spar Debora 2006 Ba Busnss: Ho Mon Sn and Polts Drv th Commr of Conpon oston avard Bsiness Schoo Press Steinbock Bonne 2007 Dsabiity Prenat Tesng an Seecve Aboon In natal Tng and Dabl Rhts ed E Pens an Adrenne sch 10823. Washngton DC Geogetown vesy Pess Sv Ronad 990. Mothe Accses Spem Bank of a ixp. N ork Tms, Mach 9 B. Van en Daee Wofgang 2006 he Specte of Coerco Is Pbic ea Genecs the Route to Poices of Enforce Dsease Prevention Commun Gnts 9(409. Ward ina M. 2002. Whose ght to Choose The 'New Genecs Penata esg d Peope wth Learing Dces Crtal Publ Halth 2(2 8200 We Eiabeh 2006 A Won Bit N ork Tms Magazn Mch 2 853 Wende Susan 996 Rjtd Body Fmnst Phlosophal Rons on Dabl. New York Roege. Zera ssat d ae Bas. 2002. Dhumanng Dours Antdrug and Poly n Amra A «Crak Mothr" Nhtmar ershot Ashgate
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