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Everything Conceivable: How Assisted Reproduction Is Changing Our World [Hardcover]

Liza Mundy


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Book Description

April 24 2007
Skyrocketing infertility rates and the accompanying explosion in reproductive technology are revolutionizing the American family and changing the way we think about parenthood, childbirth, and life itself. In this riveting work of investigative reporting, Liza Mundy, an award-winning journalist for The Washington Post, captures the human narratives, as well as the science, behind what is today a controversial, multibillion-dollar industry, and examines how the huge social experiment that is assisted reproduction is transforming our most basic relationships and even our destiny as a species.

Based on in-depth reporting from across the nation and around the world, using riveting anecdotal material from doctors, families, and children—many of them now adults—conceived through in vitro fertilization, Mundy looks at the phenomena created by assisted reproduction and their ramifications. Never before in the history of humankind has it been possible for a woman to give birth to an infant who is genetically unrelated to her. Never before has it been possible for a woman to be the genetic parent of children to whom she has not given birth. Never before has the issue of choice had such kaleidoscopic implications. If you support reproductive freedom, does that mean you support everything being offered in the reproductive marketplace? Thawing frozen embryos and letting them expire? Selecting the sex of your baby? Conceiving triplets and “reducing” the pregnancy down to twins? Everything Conceivable explores the personal impact on individuals using assisted reproduction to conceive, and the moral, ethical, and pragmatic decisions they make on their journey to parenthood. It looks at the vast social consequences: for hospital neonatal wards, for family structure, for schools, for our notion of genetic relatedness and whether it matters, for adoption; for our nation as a whole, and how we think about the earliest human life-forms. The book explores questions of social justice: the ethics of buying or borrowing some part of the reproductive process, as with egg donation and surrogacy. It looks at entirely new family structures being created by families who have conceived using sperm donors, so that children may have half-siblings around the country with whom they are, or are not, in contact. And it looks toward the future, to the impact today’s technology may have on coming generations.

Fascinating, commanding, keenly observed and reported, rich in personal drama as well as in the science of evolution and reproduction, Liza Mundy’s Everything Conceivable is a groundbreaking consideration of the changes sweeping through our culture and the world.

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Product Details

  • Hardcover: 432 pages
  • Publisher: Knopf; 1 edition (April 24 2007)
  • Language: English
  • ISBN-10: 1400044286
  • ISBN-13: 978-1400044283
  • Product Dimensions: 23.1 x 16.5 x 3.6 cm
  • Shipping Weight: 658 g
  • Amazon Bestsellers Rank: #1,034,408 in Books (See Top 100 in Books)

Product Description

From Publishers Weekly

Starred Review. A revolution is taking place and it's being driven by the most fundamental of all human urges—the desire to reproduce. This revolution is the subject of Mundy's utterly fascinating book on assisted reproduction. The breadth and thoroughness of Mundy's investigation makes it nearly impossible to come away without having your opinions challenged if not changed altogether. Mundy, a feature writer for the Washington Post, combines a science reporter's objectivity with a mother's understanding, and she delivers her emotionally charged and often scientifically complex material in clear, bright and eminently readable prose. Mundy's research starts with the facts: 80 million people worldwide suffer from infertility; 500,000 frozen embryos exist in America alone; and fertility drugs are a $3-billion a year business. From there she interviews mothers, fathers, infertility doctors, surrogate mothers, egg donors, sperm donors and adult children conceived through surrogacy and in vitro fertilization. The picture that emerges is one of a social experiment so new and untested—legally, medically, ethically and socially—that it behooves us all to be as informed as possible. There couldn't be a better starting point than this book. 75,000 first printing. (Apr. 24)
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.

From Booklist

*Starred Review* Mundy applies prodigious journalistic and research skills to a topic as compelling and timely as assisted reproduction, and the result is a one-night read. From its inception, the practice of assisted reproduction, initially limited to in vitro fertilization (IVF), has been a hot-button issue, with emotionally charged opinions weighing in on all sides. But since the comparatively halcyon days of what now seem relatively simple choices, relentless scientific advancement has continued to upgrade the pavement for anyone, female and male, who wishes to join the march toward motherhood. It may take a village to raise a child, but what are the cultural, social, and personal implications when a mixed-gender basketball team can create a child? What happens when it is not inconceivable (no pun intended) for a child to have five "parents"? A couple of any gender combination to have a child via an egg donor, a sperm donor, and a surrogate mother? What about regulating ethics in the reproductive resources industry involved in brokering eggs and sperm, recruiting a stable of gestational surrogates, and so forth, to anyone with the financial wherewithal and emotional vigor to go through the grueling assisted reproduction process? Mundy covers all bases, seamlessly merging scientific fact, real-life experiences, and philosophical implications. Donna Chavez
Copyright © American Library Association. All rights reserved

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Most Helpful Customer Reviews on Amazon.com (beta)
Amazon.com: 4.4 out of 5 stars  9 reviews
5 of 5 people found the following review helpful
5.0 out of 5 stars Fascinating for all! A must read! Aug 1 2007
By WpC - Published on Amazon.com
Format:Hardcover
"Everything Conceivable" by Liza Mundy is fascinating to say the very least. This book takes the reader on a thorough, unbiased trip through the world of Assisted Reproductive Technology (ART). As Liza Mundy proves with every turn of the page "reproductive technology is mirroring social change, but it also enables and drives that change, in ways that will affect every single citizen, and probably already have." Thus this book should intrigue everyone, both male and female, fertile and infertile because these issues indeed "affect every single citizen."
Liza literally takes the reader with her into reproductive clinics where doctors are performing selective reduction or stirring up humans in petri dishes. She brings the reader into the homes of the loving parents who's child came from those petri dishes and talks with both male and female gamete donors. "So broad is the patient base, and so eager is the field to accommodate them, that assisted reproduction has gone from being an oddball fringe technology to being perhaps the most socially influential reproductive technology of the twenty-first century." This exsquisite compilation is not just of facts and figures but stories full of raw emotion, real people, real life right here and now with consequences so far reaching that soon no one will escape them.
Meet same sex couples, their egg donors and surrogates. Meet the children of IVF and hear how they feel about not being biologially related to one of their parents. Hear tales of motherly exchanges via a website dedicated to mothers and children of sperm donor #1476. Ask yourself how you feel about a man donating sperm to his infertile son's wife so that his son will be raising his literal half brother. The situations are endless as are the opportunities, decisions, and repercussions.
A scientific masterpiece, that reads like the most captivating novel, this book begs the answers to questions such as when does life begin? What is life? and morally what can and should be done with it?
Along with bringing these soul-searching questions to the surface this book is simply an entertaining read. On all levels, this book is a must read!
6 of 7 people found the following review helpful
5.0 out of 5 stars Gracefully written, meticulously researched, compassionately reported May 15 2007
By Nell Minow - Published on Amazon.com
Format:Hardcover|Amazon Verified Purchase
Gracefully written, meticulously researched, compassionately reported, this is a Sorcerer's Apprentice story of technology that has vastly outstripped anyone's judgment. For once, the problem is not political or corporate corruption -- the failure to consider the most fundamental notions of policy or ethics is due, more than any other cause, to the overwhelming passion of people who want to be parents, as Mundy notes more committed and unselfish than any other people classified as "patients" in our health care system. Filled with heart-wrenching -- and heart-lifting -- stories, scientific and technological developments that seem like something out of a comic book but are going on right now in your neighborhood, unforgettable characters, mind-bogglingly difficult choices, and Mundy's own wisdom, this is one of the finest and most important non-fiction books I have read in years.
8 of 10 people found the following review helpful
4.0 out of 5 stars As interesting as a New York Times Magazine special feature July 17 2007
By Veronica Singh - Published on Amazon.com
Format:Hardcover
For those who don't know anything about the field of assisted reproductive technologies, this serves as a great, though rather wordy, introduction to the $5-billion U.S. fertility industry. Mundy's style is engaging in general, and the content is captivating on its own because it is so sci-fi to most people. This book is packed full with personal stories from the front lines of "investigative reporting": meet real egg donors and gestational surrogates and their recipients, agonize with real families who are deciding which of their triplets to "selectively reduce," meet real lesbian couples who conceived with donor sperm, etc.

One thing that I didn't like about this book is that Mundy missed, it seems to me, an opportunity to give more of a voice to the children conceived with donor gametes, and more consideration and thought to their rights, problems and concerns. In the one chapter that she does have on the subject of children's rights, the children themselves actually don't get much of a voice. Much of the chapter is again devoted to the perspective of parents and professionals in the fertility industry, who also get the whole rest of the book. The fact that the children only get what is in essence half or less than half of a chapter in a whole book about repro tech is in itself very telling. It seems that the resulting children are often an afterthought in an industry that is geared entirely to satisfying the desires of infertile adults.

The other thing I didn't like was Mundy's occasional editorializing in this book. She is obviously in favor of using the reproductive technologies she writes about, she is pro-choice, and also clearly a Democrat -- and whenever she talks about anyone who has different opinions they are inevitably labeled "far Right". But if that doesn't bother you or you can get past it, then this book is a fairly good read - and certainly an eye-opening first-person account of an enormous industry that most people are not too aware exists.

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