The Council on Contemporary Families held its 19th Annual Conference, “Conceiving Families in the 21st Century: Reproductive Policies, Practices, and Technologies” on March 2, 2018 at the DoubleTree Hotel in Austin, TX.
Description
Technology, medical advances, health policies, and social change have shaped the new frontier of reproductive health care. Those who receive and provide services face new possibilities, as well as uncharted risks. In contemporary US society, the concepts and lived realities of sex, gender, sexuality, parenthood, and family reflect increasingly more complex and inclusive definitions. With technological developments, medical interventions and growing inequality popularizing ideas like “fertility tourism” and “designer babies,” the need for research-based dialogue is paramount. At our highly interactive conference, leading scholars and practitioners will come together to address national issues as well as US reproductive health topics in a global context. With attention to access and affordability, as well as ethics and legality, this one-day conference will bring together a diverse group of experts — from fields such as medicine, law, psychology, sociology, and public policy — to discuss the rapidly growing field of reproductive science and health care.
Highlights
Illness prevented keynoter, Mary Mason, from coming at the last minute so her Babies of Technology co-author and son, Tom Eckman, took the podium alone. We heard startling stats on the $100 billion worldwide assisted reproduction market, and examples of how the rights of the child can get lost in the for-profit designer baby marketplace. We learned about new technologies such as CRISPR-Cas9 gene editing techniques that can snip defective disease-causing genes and keep them from being passed on to offspring. When or if this technology is ready for prime time, who will have the right to decide what genetic defects will be permanently removed from family lineage? What will be the unintended consequences of permanently altered DNA?
Our second keynoter, Carole Jaffe, gave us stunning examples of coercive reproductive policies, and how denial of access to adequate family planning services disproportionately affect poor, black, and brown women. She noted that maternal mortality is three times higher for black women than white women, and fifty-five percent of births today are to mothers receiving Medicaid. These women are trapped in a system with insufficient birth control choices, lack of access to termination of unwanted pregnancies, and adequate healthcare after birth. In her talk, Amanda Stevenson also pointed out the coercive state policies that result in disproportionate distribution of IUDs and implants to Medicaid recipients in Texas.
Lisa Ikemoto and Sharmila Rudrappa eloquently illustrated how laws banning commercial surrogacy, which are intended to protect working-class women’s rights to fair compensation and treatment, can backfire. In some countries, women end up even more vulnerable as they move across borders to places where state immunity decreases their control over compensation and care. We learned how regulation rather than outright banning can protect women’s rights and give women more control over their surrogacy.
Teresa Morris raised questions about who is protected and who is vulnerable during prenatal care and delivery. For example, although 99.8% of the problems detected via continuous fetal monitoring are false positives and expose the mother to additional radiation, continuous monitoring persists to lower malpractice risk. Since the C-section is the “gold standard of care” in malpractice court cases, a dramatic rise in U.S. C-sections may also be attributed to provider liability concerns that trump maternal health considerations.
All our presenters brought something new, enlightening, counter-intuitive, or clarifying to the table.
A hallmark of all CCF conferences is the generous time devoted to Q & A. Negative and positive reproductive rights dominated these lively discussions as well. Some hot topics were: How will legal and ethical codes regulate the eugenics of commercial surrogacy, when cryobanks broker higher prices for “fair complexion” “Ivy League”, and “celebrity look-alike”? How are babies being treated like commodities rather than a public good? What complex immunities and injustices will the new Conscience and Religious Freedom rule usher in? For example, under this rule, what happens to frozen embryos when the private hospital that stored them is taken over by a Catholic hospital?
CCF’s mission is to disseminate robust family research and best practice findings from diverse disciplines to a broad audience. This year we expanded our reach by including two non-academic speakers who founded community organizations that educate the public about family issues. Mo Cortez is an intersex, trans, Latino man who co-founded the Houston Intersex Society for this purpose. His personal stories about reproductive injustices and denied rights in the intersex and transsexual communities hit home viscerally. Marsha Jones, co-founder and executive director of the Afiya Center, shared stories of black women who are not supported for fertility control, pregnancy termination, healthy pregnancy or healthy baby. Both speakers contributed such rich additions to the human rights and justice conversation that we will hopefully be adding more community educators to our rosters in the future.
Several features that make CCF conferences special were brought back by popular demand. Flash Sessions, which allow budding researchers to present their work in five minute summaries, were thought-provoking and left us wanting more. We were also left wanting more at our fabulous Media Workshop. Stephanie Coontz, CCF Director of Research and Public Education, gave us cutting edge tools for producing op-eds that stand out. Board member Philip Cohen, who founded the SocArXiv.org open archive for social sciences, and the popular FamilyInequality blog, brought us up to speed on social media and blogging do’s and don’ts. Board member and UMass economics professor, Lee Badgett, shared her insights from her latest book, The Public Professor.
The CCF Media Award went to noted ProPublica and NPR reporter, Nina Martin, for her outstanding reporting on abortion, pregnancy, and maternal health.
-Conference Report provided by Linda Young, Ph.D.