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CHAPTER ONE THE ECONOMICS OF INFERTILITY 16 Myths and Realities in the Economics of Infertility 17 Intersection: Ethics and Economics 30 Distributive Justice and Assisted Reproduction 30 CHAPTER TWO THE ETHICS OFASSISTED REPRODUCTION 42 The Ethics of Assisted Reproduction 43 What about Adoption? 56 Reproduction and the Common Good 60 CHAPTER THREE ASSISTED REPRODUCTIONAND THE GOALS OF MEDICINE 66 Infertility, Suffering, and the Goals of Medicine 68 Living with Infertility 70 Inside/Outside: The Medical Construction of Infertility 74 Some Preliminary Conclusions 78 Reflecting on the Goals of Medicine 80 CHAPTER FOUR RECONCEIVING PROCREATIVE LIBERTY 91 John Robertson and the Meaning of Procreative Liberty 93 Rights Talk and the Critique of Procreative Liberty, American-Style 96 Border Tensions 101 Procreative Liberty and Catholic Social Teaching 106 Conclusion 115 CHAPTER FIVE ASSISTED REPRODUCTION AND ACCESS TO HEALTH CARE 122 Human Dignity and Access to Health Care 125 A Decent Minimum 127 Sufficiency 129 Investments in Reproducing 132 Equity and Access 134 At the Boundaries 139 Setting Limits 142 Conclusion 144 CHAPTER SIX FAITH AND INFERTILITY 150 Mixed Messages and Missed Opportunities 151 Creating a Context 158 From Spiritual Crisis to Spiritual Quest 160 Conclusions and the Work Yet to Be Done 164 CONCLUSION 171 INDEX 177