Towards responsible ejaculations: the moral imperative for male contraceptive responsibility

Journal of Medical Ethics 46 (5):328-336 (2020)
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Abstract

In this paper, I argue that men should take primary responsibility for protecting against pregnancy. Male long-acting reversible contraceptives are currently in development, and, once approved, should be used as the standard method for avoiding pregnancy. Since women assume the risk of pregnancy when they engage in penis-in-vagina sex, men should do their utmost to ensure that their ejaculations are responsible, otherwise women shoulder a double burden of pregnancy risk plus contraceptive responsibility. Changing the expectations regarding responsibility for contraception would render penis-in-vagina sex more equitable, and could lead to a shift in the discourse around abortion access. I describe the sex asymmetries of contraceptive responsibility and of pregnancy-related risk, and offer arguments in favour of men taking primary responsibility for contraception. My arguments centre on: (1) analogies between contraception and vaccination, and unwanted pregnancy and disease; (2) a veil-of-ignorance approach, in which I contend that if a person were not told their sex, they would find a society in which men were expected to acquire and use effective contraceptives the fairest arrangement for everyone.

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Arianne Shahvisi
Brighton And Sussex Medical School

Citations of this work

Still no pill for men? Double standards & demarcating values in biomedical research.Christopher ChoGlueck - 2022 - Studies in History and Philosophy of Science Part A 91 (C):66-76.
The Responsibility Objection to Thomson Re-imagined: What If Men Were Held to a Parallel Standard?Vicki Toscano - 2023 - International Journal of Feminist Approaches to Bioethics 16 (2):26-45.

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References found in this work

"Sovereign virtue" revisited.Ronald Dworkin - 2002 - Ethics 113 (1):106-143.
Abortion, intimacy, and the duty to gestate.Margaret Olivia Little - 1999 - Ethical Theory and Moral Practice 2 (3):295-312.
Is More Choice Better than Less?Gerald Dworkin - 1982 - Midwest Studies in Philosophy 7 (1):47-61.
Justice and gender.Susan Moller Okin - 1987 - Philosophy and Public Affairs 16 (1):42-72.
‘Forty acres and a mule’ for women: Rawls and feminism.Susan Moller Okin - 2005 - Politics, Philosophy and Economics 4 (2):233-248.

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