Don't advise docs on reproductive medicine'

1. `Don't advise docs on
reproductive medicine'
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2. • Don't tell doctors how to practise reproductive
medicine. Using this dramatic ine, the country's
infertility specialists have written a 10-point rejoinder
to the central government's Assisted Reproductive
Technology (Regulation) Bill 2014.
• “The bill should not include technical details telling the
physician how to practice reproductive medicines. Even
the MTP (Medical Termination of Pregnancy) Act & the
PCPNDT (Pre-Conception & Prenatal Diagnostic
Techniques Act) do not advise physicians on how to
perform MTP, ultrasonography , amniocentesis, etc,“
said a letter by the Indian Society for Assisted
Reproduction (ISAR) last week.
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3. Contd..
• ISAR, an umbrella organisation of infertility specialists
in the country , wrote the letter in response to the
Centre's call for suggestions to its draft bill. “The law
should act as a guideline and not get into specifics,“
said ISAR past president Dr Manish Banker from
Ahmedabad.
• ISAR members have said the government should
rework certain provisions that duplicate functions laid
down by other Acts and hold another meeting with
doctors before approving the draft bill. “Why should
PIOs living overseas be banned from seeking surrogacy
here,“ asked ISAR chief Dr Hrishikesh Pai from Mumbai.
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4. Contd...
• “We have a good system developed by the home
ministry in 2013 that has been working well with
countries such as the US, the UK, Australia and Israel.
Why change it now?“ he added.
• One of the main contentions is “steep pe nalties“ laid
down in the ART bill 2014. “We have to remember that
assisted reproductive techniques are legitimate
medical procedures, and not a crime,“ said Banker.
• The doctors want “graded punishment“ for offences
such as clerical errors, lack of proper permission, harm
caused by wrong medical treatment and exploita tion
of surrogate.
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5. Contd...
• “The ART bill 2014 wants an in dependent legal entity
to se arch, seize and conduct raids.Won't these new
provisions lead to confusion as the MTP and PCPNDT
Acts have similar provisions?“ said a doctor.
• Doctors have pointed to many technical issues, such as
the in sistence that intrauterine insemination (IUI) can
only be done by infertility spe cialists.“Over 30,000
gynace ologists offer IUI as it's the most basic form of
IVF in which the husband's sperm are transferred to a
woman,“ said ISAR president elect Dr Narendra
Malhotra.
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6. Contd...
• They wondered why the government had chosen
23 years as the minimum age for seeking
surrogacy. “Why should a woman wait until 23
before taking up surrogacy if she was diagnosed
with ovarian failure right after marriage at 18 or
19,“ asked Dr Malhotra. As the new bill wants a
third party to oversee egg and sperm donation,
the cost of IVF treatment could increase, they
said. Dr Malhotra said, “The ART bill has been in
the process for over decade, so why the rush to
send notifications? We should hold a consensus
meeting and discuss the provisions.“
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