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We're back with another edition at the
Federalist Radio Hour. I'm Emily Dashinsky,

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culture editor here at the Federalist.
As always, you can email the show

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at radio at the Federalist dot com, follow us on ex at fdr LST.

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Make sure to subscribe wherever you download
your podcasts, and of course to

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the premium version of the Federalist dot
com as well. You get an ad

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free experience comments with staff. It's
a lot of fun, so join us

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over there now. I am joined
today by Emma Waters. Emma is the

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senior Research Associate at the Richard and
Helen Devas Center for Life, Religion,

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and Family at the Heritage Foundation.
She covers IVF and reproductive technology in general,

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very very closely. She is one
of the most clarion voices on this

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topic and it has been a busy
couple of weeks. Emma, thank you

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for joining the show. Yeah,
of course, Emilie, thanks for having

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me on today. I was just
telling you before we started recording that I

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scrolled through your Twitter for kind of
inspiration before we were starting this conversation.

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And man, you have been on
c SPIN, you have been on EWTN,

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you have been quoted in a bunch
of different places ever since the Alabama

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IVF ruling was handed down. What
was that, Emma, two weeks ago?

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Now, maybe three going on three
weeks? Yeah, from February sixteenth

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to today, Okay, And just
to set the stage a little bit,

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when we recorded today, this very
morning, I opened an email from one

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of my favorite publications, the Free
Press. Emma, I don't know if

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you opened that email. It was
riffing. The headline was riffing on and

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Colter's argument that abortion has become the
rights, defund the police. And it

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was talking to women who had supported
Ron de Santis in Florida but because of

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the six week ban, and then
because they were associating and I think actually

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this was just a woman in Alabama, so not a desantist votter, but

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because they were associating the ruling in
Alabama with the Republican Party, they were

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falling out of sort of love with
the Republicans, or questioning pro life views,

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all of that in the mix.
And I set the table with all

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of this just to say I want
to start with the moral questions and not

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the political ones, because I think
what we're doing, not you, of

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course, but I think what the
media is doing, and even the Republican

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Party is doing, is sort of
conflating these things. So, just in

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the last couple of weeks since the
ruling came down, can you talk to

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us a little bit about whether you've
been surprised by the response? Is about

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what you would expect. Did anything
interesting happen in the last couple of weeks

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as you watched this sort of morph
into a huge national news story. Yeah,

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it's a really good question. Emily. On the one hand, I'm

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not at all surprised by the response
that we've seen among a lot of people

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who especially feel very sensitive about anything
related to reproduction, be it an abortion

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or IVF, and feel a very
personal sense of autonomy and even a personal

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threat when these topics are brought up, because we are dealing with some of

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the most intimate questions in life,
the question of procreation, the ability to

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have or not have children, and
I think that those questions really get at

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the deepest part of who a person
is, the values that they hold.

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Imagine all of the discourse on this
and how emotionally people respond when in future

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fertilization in particular is brought up,
and think of like the AOC comment recently

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where she said she's not having children
due to climate change, and her mother

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in Puerto Rica was like, no, She's absolutely having kids. What are

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you guys talking about? And just
this funny interplay of what you value ultimately

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comes out and what you think of
children one way or the other. And

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so thinking about in future fertilization,
I think the thing that has really surprised

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me has been specifically within the pro
life movement and among pro life Christians or

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among pro life conservatives. So in
future fertilization as well as in natural conception

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inside of a woman's body. I
believe that life begins at conception. The

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Alabama decision, both the fertility clinic
and the parents affirm that life begins at

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conception. This is our basic medical
biological definition. And because of that,

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I also attach a moral duty and
responsibility to that that because life begins a

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conception, because this is a live, unique, distinct human being that has

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not come into existence, that that
human being, even at this very early

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and undeveloped stage of life, deserves
the full force of the laws protections to

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protect its life, to preserve its
life, and to treat in a humane

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way. And so I think the
thing that has been surprising here has not

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been the less response that's exactly part
for the course, but it's those who

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are consistently and affirmatively pro life when
it comes to children in the womb.

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But then the moment we begin talking
about children created outside of the womb,

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where we know that in a future
fertilization the routine, normal way that it's

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practiced right. There are certainly exceptions
to this, but the common way that

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IVF is practiced involves the creation of
a surplus of embryos that are then tested

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for genetic issues for the sex of
the child, even for secondary features like

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ones IQ or skin color. This
technology is available throughout the United States,

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and then that embryo, those embryos
are then selected and the ones who are

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wanted are implanted in the woman or
frozen for later use, and the embryos

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that are unwanted are routinely destroyed or
donated to research. And so, even

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if there is a pro life argument
to make for IVF, or way that

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one chooses to use IVF in a
way that is life affirming, we can't

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talk about IVF without actually taking in
the full picture. And so it's been

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very surprising to see a mini pro
lifeer say, well, of course,

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we're fully in favor of IVF.
Why would we ever be opposed to this?

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This is a great thing, like
IVF creates children. We're pro life,

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we want more children. And it's
the lack of depth and substance that

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a lot of people have brought to
that in not making a distinction between something

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that certainly does create life, but
then also the factors in a beuture fertilization

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that are certainly not pro life and
are not life affirming in how many clinics

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practice it. So I trust your
take, I trust my colleague Jordan Boyd's

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take on the shore and send some
excellent coverage on this. And I'm wondering,

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Emma, if you agree with Michael
Knowles that IVF is sort of inherently

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I think he used the word evil
something like that because he said it separates

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the reproductive act from the conjugal act. That's probably farther than I would go,

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although I see where sort logically he's
making that point. What do you

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think about that? Because a lot
of what you focus on actually is technology,

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and there's no way around it.
IVF is obviously a technological modification to

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reproduction, and you've sort of started
pulling at that thread and finding different ways,

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different things that have become normalized,
different things that we're on the path

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to normalize. So are people like
me who say, you know, I

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think it's perfectly moral to separate the
conjugal and the reproductive in these cases?

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Are we sort of normalized? Have
we sort of been conditioned in your perspective,

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to accept things we shouldn't. Yeah, this is a really great question,

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and I'll start off with saying I
think there are many Christians, there

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are many pro lifers. There are
many people across the spectrum who are going

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to come to different conclusions on this
question, who are going to worship together

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in the same churches, work together. So I do think that this is

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a multifaceted issue where you will have
people that you respect on different sides when

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I come to this issue. So
I'm in the Protestant tradition, so thinking

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about this as a moral issue,
as a theological issue, apart from the

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policy discussion explicitly, I in January
actually wrote two long form essays for American

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Reformer on how Protestants should think about
reproductive technology, specifically focusing on in future

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fertilization, and so to address this
question, I looked at an overview of

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what Protestant denominations currently teach on the
topic, an overview of a biblical theology

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of infertility, how to Scripture inform
the way that we think about this question,

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And then I also looked at the
question of technology itself. How do

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we think about technology, because,
as you said in vieuture, fertilization is

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a reproductive technology and can't be separated
from that. So I will take each

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of those in part here. So
the first thing is doing a deep dive

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into the biblical theology. There are
certainly many Catholics who have a very firm

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stance on in future of fertilization,
like Michael Knowles where per poch On pull

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the Second and other teachings, any
act that separates the conjugal act, be

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that contraception or in future of fertilization, is actually inherently separating something that God

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meant to remain together. And I
think that there is a lot that's very

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compelling about that argument, But particularly
for Protestants, they're not necessarily going to

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then take on the Catholic Church's teaching
as much as they're going to ask the

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question of what does the Bible say
about this? And how can we discern

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guidance from scripture to help inform our
view of this, And so going through

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scripture very briefly, we begin with
Genesis one twenty seven where God creates a

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man and woman he blesses them.
I have to la you are like going

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through scripture very briefly, starting with
Genesis one and work our way to Revelation.

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No, no, no, Genesis. We will get you through a

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whole Bible. It's actually incredible.
I am like a huge fan of Like

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Genesis one through three is like kind
of the greatest thing ever. It tells

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you what you need to know about
every other piece, including right becoming of

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Christ. It's amazing. So Genesis
one, God creates man and woman.

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He blesses them in his image,
and then he blesses them to be fruitful

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and multiply and take dominion over the
earth. And so this is a blessing

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that includes per creation, but it
is not a command in the sense that

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one must absolutely pro create in order
to be fruitful and multiply. It is

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a blessing to do so. And
there's a big distinction between the duties one

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has to a blessing and the duty
one has to a command, which I'll

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get into in a second. We
then shift to Genesis two and we see

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Adam and Eve brought together in marriage, and Scripture says that man will leave

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his mother and father, woman will
leave her mother and father, and they'll

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be united in one flesh, this
sort of leave and cleave model. And

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so in Genesis one we get the
what man and woman in part are created

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to be fruitful in a way that
that can be manifested as through procreation,

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and Genesis two we get the how. How that procreation in particular takes place

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is through the marriage of man and
woman. So right from the beginning we

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see that when it comes to reproductive
technology like IVF, it is meant to

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be within marriage between man and woman, and that that is a blessing to

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procreate, but not a command to
do so by necessarily any any means necessary.

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And then from here I think it's
really interesting just to think about how

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Scripture then talks about what I call
this sort of package deal of marriage,

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sex and procreation. And so I
go through many examples in the American Reformer

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piece, but Basically, every time
you see marriage, sex, and procreation

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discussed, you see all three of
them together. So Mica two fifteen is

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the perfect example of this, where
within a single verse it talks about all

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three of those factors, and every
single time they're brought up, you see

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scripture constantly leaving them back together.
In the Anglican tradition, for example,

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we say that like one of the
blessings or the purpose of marriage is the

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procreation of children, and that from
marriage comes sex, and within the boundaries

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of sex comes pro creation. And
it's meant when the world is functioning as

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it ought, though with sin and
the brokeness of humanity, it's often not

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that children should come from that unified
bond. I am. Rather, that

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seems very compelling to me as a
vision for pro creation, and particularly them,

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being very skeptical of any technologies that
seek to separate those acts. So

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the use of certain contraceptions certainly create
a divide between sex and pro creation.

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The use of them viature fertilization creates
a divide between marriage, sex and procreation.

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And it's not to say that I
think those things are inherently evil.

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So to say something as a sin
right is to say that it is wrong

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at all times, in all places, for all people, and that is

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a very bold predicament. But I
do think that this suggests that it's something

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that should be considered not as a
first option for Christians, but certainly as

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maybe like a last result, a
resort that if you're struggling with infertility and

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you reach a point where perhaps nothing
else has worked, that one can prayerfully

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potentially consider in future fertilization. But
we see again in Scripture there are blessings

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for when these things are kept together. But then in the case of Abraham

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and Sarah, right and the use
of Hagar as effectively a concubine to have

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the child that they desire, this
circumventing of their problem of infertility actually is

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one not blessed by God, but
is in fact brings down a bunch of

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purses on and each of their lives. Right, Sarah is incredibly cruel to

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Hagar such the Abraham. Since Hagar
away, Hagar is then found in a

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desert with her son Ishmael, Ishmael
and Isaac, their future generations end up

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being in a lot of conflicts,
sort of indefinitely right, and yet God

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cares for Hagar right, and Hagar
is actually the only person in scripture,

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the only woman in scripture who names
God and says you were the God who

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sees me. So we still see
the hand of God and the care of

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God upon these deviant forms of childbearing, but it certainly is clear that this

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was not the model initially step forward
and then thinking about the question from the

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technological angle, Oliver adonovan, an
Anglican ethicist, and then Marshall mcclewan,

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a Canadian philosopher, have provided I
think some of the best insight on this

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question. So Oliver O'Donovan points out
that in future of fertilization does not heal

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infertility. Infertility point to underlying causes
within a man and or a woman's body

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that contribute to the outcome of infertility. But when a couple uses infertility to

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create a child, at the end
of the day they are just as fertile

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or just as infertile as they were
to begin with. It in no way

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actually heals the underlying conditions here.
So instead it actually circumvents the problem.

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And so which isn't to say we
don't use technology to circumvent problems frequently,

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but it is to say that we
should be very clear and thoughtful about how

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we are using technology to circumvent not
only infertility infertility but also an aspect of

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per creation. But then Marshall mccluan, he talks about how that we should

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not assess a given technology simply based
on what it does. So IVF creates

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embryos literally, right, But we
should assess a given technology based on the

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social and psychic consequences that it bears
on society. So how does the presence

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and use of this technology actually reshape
society and shape the way that we think

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about marriage, sex and procreation.
And frankly, that part of the discussion

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is the one that I find the
most compelling, even more than what we

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can discern from scripture and other facets. It's the question of how has the

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presence and availability of IVF shaped us
as people, shaped us as a nation.

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And so this isn't just looking at
this individual example of IVF, but

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the widespread use and availability of IVF
and what we have seen from the presence

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of IVF, the widespread accessibility of
IVF is this move away from valuing the

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inherent dignity and worth of each child
to a fertility industry that profits from the

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creation and destruction of human life,
and in some sense this view of children

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as a commodity right because in future
of fertilization is not only for and fertile

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man, woman, married couples,
right, and feature fertilization is legally available

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for anyone who chooses to use that, and we have no legal regulatory limitations

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on that right, not even background
checks for people who should not are not

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safe to be with children. And
so I think the question of how IVF

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has shaped and deformed or view of
children such that they're commodity and specifically that

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they're an act of the will,
that adults exert their will on the process

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of procreation, the decision of when
to create, and that children are a

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byproduct of that. That seems to
be the most corrupt part of this that

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I think to just simply say we
support IVF it's amazing actually misses the much

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deeper concerns here, and frankly,
I think should cause us to then step

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back and say, can we in
good faith use this technology without further contributing

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to that commodification and in some sense
to humanization of children based on the widespread

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use I don't think that individuals who
use IVF are typically doing that or intend

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anything bit other than the best right, But it's just in how the industry

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functions, how the technology shapes us. There's potentially more going on here than

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of seventy five dollars or more.
Absolutely, and I was hoping you could

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00:20:07,279 --> 00:20:11,039
talk about that, actually, because
you know, as you were walking through

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all the research and the logic that
you put into the American Reformer articles,

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I was curious how those articles were
received. But I'm extra curious if you

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could just talk em because I think
these things are connected actually about what people

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who are generally pro IVF and you
know, again understand like I do,

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and or believe like I do,
that there are circumstances in which IVF is

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moral and wonderful. Even so,
this is an industry with incredible excesses.

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It is underregulated, It has a
very dark side, the commodification angle.

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You sounded like Katie Faust there wonderful
hue compliment because her organization, it's just

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been on to sow many times,
is called them before us, this idea

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that children exist to serve adults,
and she draws that line into other conversations

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about marriage and such. I know
this is a big question, but if

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you had to talk a little bit
about what people who are pro IVF and

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have seen it used to wonderful ends, what they aren't seeing under the hood

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basically of this industry, because honestly, the media never covers it, you

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would really have to dig to get
a lot of this information. Great,

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and yeah, I don't think that
we would have the language to address this

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issue without Katie Faust. Her impact
on this movement is just huge. We

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are all indebted to her, to
say the least. But yeah, so

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this is a really good question about
the actual industry, the practice, the

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nuts and bolts of in future fertilization. So, typically when a couple is

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experiencing infertility, which in some states
is defined as the inability to procreate without

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technology, So same sex couples or
single people could be deemed infertile, and

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typically and medically, it has to
do with the inability to naturally conceive a

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child after a year of trying.
So when this happens, oftentimes doctors say,

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okay, we've run a test or
to you, we're not sure what's

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causing this infertility. You should go
meet with a fertility clinic. So at

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this point, you have a couple
who deeply desires to have children, who

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are going through a very emotionally difficult
and fraught time trying to seek answers,

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and so they come to a fertility
clinic, and effectively, fertility clinics,

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like you said, are underregulated.
We have one federal law that governs the

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practice of IVF, but it really
only focuses on success rate reporting from clinics

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and then tracks a few basic outcomes
associated with the practice. But there is

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no legally enforceable regulations that this federal
law really confers on the practice of IVF

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itself, and then certain states have
different practices governing the moral and ethical side,

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but those are rare and frankly few
and far between. So in a

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future of fertilization, a normal round
would involve artificially stimulating a woman's hormones or

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her ovaries in particular, so that
she actually produces not one egg at a

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given time, as a woman naturally
does in a month, but produces anywhere

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from five to twenty eggs at a
given time. You can create more than

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that, but that's usually the range. So a woman's body goes through the

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deeply painful and difficult process of the
hormone shots manipulation, and then there's the

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egg retrieval process, which, if
anyone has listens to the New York Times

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Retrievals podcast, can go really well
or it can go really really poorly if

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things are going on. Basically,
the hormones are incredibly difficult on her body.

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Once the eggs are retrieved, they
then receive sperm from the man.

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If it's between a husband and a
wife, I'll get into the third party

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in a second. They receive sperm
from the man, which like the unsavory

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reality is oftentimes this is a man
going into a specific room with a plastic

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covered chair, access to pornography and
a cup, and he's asked to rich

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and it's pretty gnarly. So a
lot of people have concerns even just in

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how the use of pornography in a
fertility industry, which is not required,

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and I certainly don't think that everyone
does it, but this is what's readily

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available. At that point, the
fertility clinic will then take the available eggs

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and the available sperm and they will
fertilize individual eggs and Petrie dishes in the

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process of a viture fertilization. At
that point they assess the number of embryos

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they've created, and this is where
it gets really interesting. We don't actually

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have any laws or recommendations governing how
many embryos should be created in a single

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round of IVF, and we don't
really have firm numbers on how many are

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really created at a given time.
So the most conservative estimate we have is

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that about eight embryos are created in
a single round of IVF, so eight

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eggs fertilized by sperm. On the
other hand, we have popular accounts from

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people like Paris Hilton, who created
twenty embryos in a single round of IVF

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in order to hopefully select the sex
that she wanted. And so at that

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point, the embryos are created,
and then they can undergo testing to see

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which embryos are healthy, which embryos
do they think are the most viable,

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are the most likely to successfully implant
in a woman. But they can also

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test for a host of other features. They can test for the sex of

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the child, for any genetic problems. It's this child more likely to have

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Down syndromes, this child more likely
to have another problem, right, But

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they can also select for things like
the skin color, the IQ of your

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child, the hair and eye color. And there have been a few many

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controversies in California where clinics openly advertised
on the ability to design your own child,

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to choose your perfect baby. And
so that's a seventy five percent of

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clinics in the US offer pre implantation
genetic testing, which is what they used

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to test them. Seventy three percent
of them will let you choose the sex

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and other secondary features. So then
at that point the parents are then presented

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with the options, and so one
of the really heartbreaking parts of this is

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that we have a number of reports
where parents entering the process, we're not

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aware of how many embryos were going
to be created, right, So on

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average families want to have around three
kids, right, and especially if you're

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using IVF, you're probably not going
to use IVF for many more than three

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children. So there have been heartbreaking
instances where parents are then told, okay,

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we have ten embryos here, what
do you want to do? And

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the parents are like, okay,
we thought we were only going to have

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a couple of embryos. This is
a lot, all right, what do

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we do from here? Placed in
a really difficult position where certainly it can

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00:27:02,799 --> 00:27:07,000
take multiple embryos before you have a
successful child that's conceived in the womb,

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so you may need all ten embryos, But in many cases, parents have

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the number of children they hope to
have and then still have leftover embryos because

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of the number that we're created,
and in many cases are put in just

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impossible situation whether than ask to decide
the fate of these embryos of their children.

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And I think that this reality is
present not only for self avowed pro

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life people, right, but look
at the statistics. So in the United

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States, we have reports show about
a million encounting frozen embryos in the United

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States currently. Many of these embryos
have been frozen for years or decades at

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a time, even parents keeping them
even when they have the number of children

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they want to have. And so
what this tells us is that parents are

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uncomfortable with the idea of destroying their
embryos or donating them to research. Right,

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they're choosing to continue to pay every
month to maintain the lives, but

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they also don't intend to use them
themselves, and so they're left in this

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difficult position where they don't want to
destroy them, but they also don't know

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what to do with them. And
I think this is the most heartbreaking part

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of the industries because we have no
safeguards in place to really protect parents from

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the emotional turmoil. And not only
parents, but think about the children that

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they do have. I have a
number of friends who are now in their

356
00:28:30,400 --> 00:28:34,440
twenties and they still have siblings that
are frozen as embryos, and they are

357
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living with the reality of I was
chosen, But what about my embryonic siblings

358
00:28:40,480 --> 00:28:44,039
who have not been chosen? And
it is. So that's just like a

359
00:28:44,079 --> 00:28:47,960
whole other thing that I think is
going to grow into a really pressing problem

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for future generations. Do we try
to carry our own siblings in the what

361
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do we do with these children that
are there? So that's the industry,

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aside from its huge because that's interesting
because it's also what the Alabama case are

363
00:29:02,519 --> 00:29:08,319
revolved around, which people suing for
wrongful death because something life ended, their

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embryos lost their lives, which is
why they brought a suit under wrongful death,

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and they were very upset about it. And then it created a situation

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where I'm curious as to what regulations
are like around the country on this.

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People lost ownership over their embryos,
and so some of the backlash to the

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00:29:26,359 --> 00:29:30,480
Alabama ruling was from people who were
upset that these lives, what they saw

369
00:29:30,480 --> 00:29:36,839
as human lives, no longer belonged
to them and in the future, indefinitely,

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you could cryogenically freeze for centuries theoretically
longer than that, So the ownership

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question becomes absolutely terrifying. And I
don't know that we're prepared to deal with

372
00:29:51,200 --> 00:29:55,279
that. No, we like certainly
or not. We don't have the legal

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practice we don't have the precedent for
it, and frankly, there doesn't seem

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to be much of an interest in
the bioethic considerations when it comes to this

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00:30:02,599 --> 00:30:07,640
technology. It's oftentimes just oftentimes just
reduced to this couple or person wants a

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00:30:07,720 --> 00:30:11,920
child. This technology can create a
child. We should do that because we

377
00:30:11,039 --> 00:30:15,400
value children, we want to see
them happy, right, But then we

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00:30:15,519 --> 00:30:19,680
ignore all the other aspects of this, of what happens to the embryos that

379
00:30:19,720 --> 00:30:26,720
are frozen indefinitely. One massive problem
is what happens when the couple divorces.

380
00:30:26,000 --> 00:30:33,759
So anecdotally, divorce rates seem to
be rather high with couples pursuing children through

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00:30:33,759 --> 00:30:37,799
in future of fertilization, and so
in many instances we've seen lawsuits across the

382
00:30:37,799 --> 00:30:41,079
country where the couple then gets a
divorce, they still have a number of

383
00:30:41,079 --> 00:30:44,920
frozen embryos, and the woman's like, well, we're getting a divorce,

384
00:30:44,960 --> 00:30:48,440
but I still want to have their
children, like I want them and planted,

385
00:30:48,559 --> 00:30:51,160
I want the chance to bring them
into the world. And then in

386
00:30:51,200 --> 00:30:52,519
some cases the father wants nothing to
do with that, and he's like,

387
00:30:52,559 --> 00:30:56,279
no, we're getting a divorce.
I don't want these children anymore. I

388
00:30:56,279 --> 00:30:59,920
don't want to be responsible for them, right, because that introduces all the

389
00:31:00,079 --> 00:31:03,599
custody issues of child support and are
you going to be a present father are

390
00:31:03,599 --> 00:31:08,119
you not? And in many cases, the court's rule in favor of not

391
00:31:08,279 --> 00:31:14,079
bringing the embryos into the world.
In most instances they rule against the right

392
00:31:14,119 --> 00:31:18,880
for the embryos to have a chance
in life. And so thinking of ownership,

393
00:31:18,960 --> 00:31:22,039
now, this woman has children,
her children in an embryonic form that

394
00:31:22,079 --> 00:31:26,759
she is legally not allowed to bring
into the world because we've separated marriage,

395
00:31:26,759 --> 00:31:32,680
sex and procreation such that you introduce
a host of other issues that can now

396
00:31:32,880 --> 00:31:38,279
manipulate the experience. And even our
rights are our desire to write naturally care

397
00:31:38,359 --> 00:31:42,799
for our children and interact with them
as persons in that way. And of

398
00:31:42,839 --> 00:31:48,440
course there's the money question, right. This is not a philanthropic, altruistic

399
00:31:48,519 --> 00:31:53,960
industry. This is a highly lucrative
industry that makes much money off of in

400
00:31:55,000 --> 00:32:00,000
future fertilization. Fifteen to thirty thousand
dollars for a single round of IBA on

401
00:32:00,160 --> 00:32:05,279
average, it costs about sixty one
thousand dollars from start to finish before a

402
00:32:05,279 --> 00:32:09,039
couple will actually successfully birth a child. So multiple rounds of IVF paying for

403
00:32:09,079 --> 00:32:15,400
the medications, paying for any storage
fees, usually before they're able to successfully

404
00:32:15,440 --> 00:32:20,160
birth a child. And on top
of this, we have a lucrative egg

405
00:32:20,200 --> 00:32:28,000
and sperm quote unquote donation market where
men and women can sell their egg or

406
00:32:28,039 --> 00:32:31,559
sperm and then other men, women
are couples can buy their egg or sperm.

407
00:32:31,960 --> 00:32:35,720
And this is not a one size
fits all. There are different prices

408
00:32:35,759 --> 00:32:39,440
for different types of egg and sperm
that are available depending on who the parent

409
00:32:39,599 --> 00:32:45,400
is. So, for example,
it is illegal for credit card companies to

410
00:32:45,519 --> 00:32:49,920
advertise on a college campus because we
recognize that college students are probably going to

411
00:32:49,960 --> 00:32:52,720
make some foolish decisions if they have
unfettered access to a credit card. It

412
00:32:52,799 --> 00:32:58,440
is not illegal for egg donation banks
to advertise on college campuses saying, hey,

413
00:32:58,559 --> 00:33:00,680
if you donate your eggs, we
can pay you up to fifty thousand

414
00:33:00,680 --> 00:33:06,279
dollars. Isn't that amazing? Come
donate your eggs without any consideration of the

415
00:33:06,400 --> 00:33:09,400
risks involved in this or the moral
considerations of like this will now be your

416
00:33:09,519 --> 00:33:13,920
DNA going out in the world.
Yeah, so this is sort of like

417
00:33:14,000 --> 00:33:17,720
looking under the hood. What we're
looking at here is a business model that

418
00:33:17,880 --> 00:33:23,440
is devoted to as little regulation as
possible, limiting the way that they function

419
00:33:23,559 --> 00:33:28,200
in the world. Which isn't it
all a reflection on oftentimes the couples coming

420
00:33:28,240 --> 00:33:31,680
into it, but it is a
reflection on the fertility industry and their desire

421
00:33:31,759 --> 00:33:39,920
to keep as much of this under
wraps as possible. Don't believe the bs.

422
00:33:40,000 --> 00:33:44,480
The watch Doot on Wall Street podcast
with Chris Markowski. Every day Chris

423
00:33:44,519 --> 00:33:47,359
helps unpack the connection between politics and
the economy and how it affects your wallet.

424
00:33:47,480 --> 00:33:52,359
What's next for the Biden propaganda machine. Biden nomics one over like a

425
00:33:52,400 --> 00:33:54,880
lead balloon. Ahead of Biden's State
of the Union address, he plans to

426
00:33:54,960 --> 00:34:00,240
address shrink flation while blaming grocery store
chains for gouging its customers. Whether it's

427
00:34:00,240 --> 00:34:04,160
happening in DC or down on Wall
Street, it's affecting you financially. Be

428
00:34:04,200 --> 00:34:07,640
informed. Check out the Watchdot on
Wall Street podcast with Chris Markowski on Apple,

429
00:34:07,720 --> 00:34:14,880
Spotify or whatever you get your podcasts. You caught and I'm sure you're

430
00:34:14,880 --> 00:34:17,639
aware of this. I'm not bringing
into some mockery for a headline you wrote

431
00:34:17,679 --> 00:34:22,920
for Heritage last week about how sex
offenders basically would have access to the creation

432
00:34:22,000 --> 00:34:28,840
of children with IVF you mentioned earlier, people could theoretically carry their siblings if

433
00:34:28,840 --> 00:34:35,760
they've been and definitely cryogenically frozen.
Like the future of this industry without not

434
00:34:35,920 --> 00:34:40,960
just some sort of precise moral clarity
in the regulatory space, but also in

435
00:34:42,039 --> 00:34:45,559
the sort of cultural space, because
and this is a good segue to just

436
00:34:45,760 --> 00:34:51,000
asking you again about the reaction over
the last couple of weeks, which you

437
00:34:51,480 --> 00:34:58,159
said, you know, even pro
life Christians sort of rushed to endorse things

438
00:34:58,639 --> 00:35:02,960
that if they fully thought and paused
about the ramifications of and sort of thought

439
00:35:04,000 --> 00:35:06,440
ten years down the line, twenty
years down the line, one hundred years

440
00:35:06,440 --> 00:35:10,039
down the line, they might not
endorse. It's just sort of easy because

441
00:35:10,039 --> 00:35:15,960
the media pressure is so strong to
kind of jump to different ends here.

442
00:35:15,000 --> 00:35:22,000
But this is moving really quickly in
some very very dark directions, and without

443
00:35:22,039 --> 00:35:28,000
the cultural appetite for that regulation and
that moral clarity, it doesn't matter if

444
00:35:28,039 --> 00:35:30,440
you regulate, if you try to
regulate it, because in the last couple

445
00:35:30,440 --> 00:35:37,239
of weeks it's looked a whole lot
like nobody wants to nobody has the stomach

446
00:35:37,480 --> 00:35:44,960
to do appropriate regulations here because the
politics of this are devastating for Republicans and

447
00:35:45,000 --> 00:35:47,320
I just don't think there's any question
about that. I think a lot of

448
00:35:47,360 --> 00:35:52,320
women it fits this very powerful narrative, like the War on Women from twenty

449
00:35:52,360 --> 00:35:54,960
twelve. You go back further to
that, your cover photo on Twitter is

450
00:35:55,000 --> 00:36:01,519
Phyllish Schlaffley, and the era absolutely
smeared. The continue to smear her for

451
00:36:01,719 --> 00:36:07,760
appousing equal rights of thement in ways
that are utterly false and just completely ignore

452
00:36:07,800 --> 00:36:14,000
her pressions. So what can be
done, Emma? What can be done?

453
00:36:14,639 --> 00:36:16,840
And so you bring up the crux
of the matter that every time this

454
00:36:16,920 --> 00:36:22,000
topic is brought up, we talk
about it specifically through the lens of protecting

455
00:36:22,239 --> 00:36:28,599
access to IVF, which, to
clarify, is not focusing on how do

456
00:36:28,639 --> 00:36:32,559
we help infertile couples receive the care
that they need in order to heal their

457
00:36:32,559 --> 00:36:37,119
infertility and have the children they desire. That is a very good conversation we

458
00:36:37,159 --> 00:36:42,679
should be having, and that opens
the playing field to actually focusing on the

459
00:36:43,960 --> 00:36:46,840
problem at hand, which is a
couple who desires to have children struggling with

460
00:36:46,880 --> 00:36:52,400
a medical issue that doesn't allow them. But by focusing on IVF in particular,

461
00:36:52,559 --> 00:36:58,039
right, we're actually saying, how
can we make this technology available?

462
00:36:58,079 --> 00:37:00,239
And in many cases it's about how
do we make it available to anyone who

463
00:37:00,280 --> 00:37:07,159
wants to use it. So Senator
Duckworth recently introduced and pushed for a unanimous

464
00:37:07,159 --> 00:37:10,960
consent vote, which was blocked by
Senator Cindy Smith Hyde for the second year

465
00:37:10,960 --> 00:37:17,360
in a row, that would for
her Access to Family Building Act, So

466
00:37:17,400 --> 00:37:21,840
her Access to Family Building Act,
which is is a really good example for

467
00:37:21,920 --> 00:37:23,840
a lot of the sorts of legislation
that we're seeing on the federal and state

468
00:37:23,960 --> 00:37:30,159
level that are aiming to quote protect
access to IVF. It would make IVF

469
00:37:30,199 --> 00:37:35,320
a statutory right for adults, no
age limit, no requirements on who those

470
00:37:35,320 --> 00:37:37,480
adults are, no background checks for
are these adults fit to have children?

471
00:37:37,519 --> 00:37:43,280
But simply IVF is a statutory right
for adults and adults, these adults have

472
00:37:43,400 --> 00:37:45,920
an absolute right to decide what happens
to the gam meets they create, the

473
00:37:45,920 --> 00:37:50,639
embryos that they create. Should they
want to destroy them, freeze them,

474
00:37:50,719 --> 00:37:53,760
test them, genetically edit them,
clone them, turn them into designer babies.

475
00:37:53,880 --> 00:37:58,639
They have an absolute right to that, and the law covers that,

476
00:37:59,159 --> 00:38:04,199
and the CRS assessment of this law
affirms those things. So that reminds me

477
00:38:04,239 --> 00:38:07,920
so much actually of the Equal Rights
Amendment. It reminds me of the Equality

478
00:38:07,000 --> 00:38:13,480
Act. These laws that media picks
up talking points from left wing groups,

479
00:38:14,960 --> 00:38:22,320
but those talking points completely ignore the
obvious legal ramifications that would come from these

480
00:38:22,360 --> 00:38:27,719
things, and then conservatives cave to
that media pressure and adopt the same sort

481
00:38:27,719 --> 00:38:30,239
of talking points and all of the
potential consequences down the road, which with

482
00:38:30,280 --> 00:38:35,320
the Equal Rights Amendment, for example, we've seen are I we'll deal with

483
00:38:35,360 --> 00:38:37,519
that when we get to it.
Yeah, which I'm always happy to talk

484
00:38:37,519 --> 00:38:39,679
about Equal Rights Amendment, right,
But like, this is a very broad

485
00:38:39,760 --> 00:38:45,119
and far reaching policy that, in
failing to account for the narrow and particular

486
00:38:45,199 --> 00:38:52,079
instances, opens the flood dates for
a host of politically unpopular and very harmful

487
00:38:52,159 --> 00:38:57,519
realities. And so what's so interesting
to me is, as you're saying,

488
00:38:57,679 --> 00:39:01,079
we're not only dealing with the IVF
today, but we are legislating and building

489
00:39:01,119 --> 00:39:07,280
a moral framework about the use of
reproductive technologies for decades to come. And

490
00:39:07,440 --> 00:39:10,880
that is why it's so important that
we get things right and how we talk

491
00:39:10,880 --> 00:39:16,719
about and think about and legislate IVF
now. And here's why. So the

492
00:39:16,840 --> 00:39:22,519
predominant focus on the federal and state
level is to protect access to IVF,

493
00:39:22,480 --> 00:39:29,039
building out a legal framework that enables
any adult, regardless of the family structure

494
00:39:29,079 --> 00:39:32,840
the lack thereof their background, to
have the right to use IVF to create

495
00:39:32,920 --> 00:39:39,559
children. There are, of course, still medical and natural law limitations on

496
00:39:39,599 --> 00:39:44,079
what a person can do. So
one individual who is mocking me on Twitter,

497
00:39:44,199 --> 00:39:45,840
was like, well, should we
have the same limits to IVF as

498
00:39:45,840 --> 00:39:50,599
we do for natural born children?
And I was like, well, if

499
00:39:50,639 --> 00:39:52,599
we do, then only a man
and a woman can use IVF, because

500
00:39:52,679 --> 00:39:58,599
those are the literal, physical,
natural limits we have. Right if he's

501
00:39:58,599 --> 00:40:01,280
in favor of that, I will
not stop him in the slightest But there

502
00:40:01,320 --> 00:40:06,880
are certain biological limits that we have
right now that we are using law to

503
00:40:07,000 --> 00:40:14,079
obscure but are still in place.
But IVF is actually a somewhat outdated and

504
00:40:14,159 --> 00:40:20,320
fairly ineffective way at addressing this problem. But something that we are currently actively

505
00:40:20,400 --> 00:40:28,760
and successfully testing on mice is in
vitro gammotogenesis, so it's called IVG for

506
00:40:28,880 --> 00:40:37,639
short. In twenty sixteen, Japanese
researchers successfully tested and produced multiple generations of

507
00:40:37,679 --> 00:40:43,159
mice using IVG in twenty twenty two
and twenty twenty three. One of those

508
00:40:43,239 --> 00:40:47,800
years, Brown University hosted a huge
seminar on this issue, and basically what

509
00:40:47,920 --> 00:40:57,920
IVG is is it allows scientists to
reprogram modify any cell into a viable egg

510
00:40:58,119 --> 00:41:01,199
or sperm, which means they could
take a skin cell from your face,

511
00:41:01,440 --> 00:41:09,239
from your cheek, from your leg, and reprogram that cell into a viable

512
00:41:09,280 --> 00:41:15,199
egg and sperm cell such that you
no longer need egg and sperm from individual

513
00:41:15,239 --> 00:41:22,119
and distinct men and women, but
you simply need DNA that you can remodify,

514
00:41:22,280 --> 00:41:28,559
modify, reprogram into the given egger
sperm. They've done this with mice,

515
00:41:28,760 --> 00:41:31,559
using skin cells from the mouse's tell
to then make an egg or sperm,

516
00:41:32,000 --> 00:41:37,719
and then fertilize that egger sperm,
either with the mouse's own whether they're

517
00:41:37,719 --> 00:41:43,400
a man or woman, or with
another mice, implant those embryos once they've

518
00:41:43,440 --> 00:41:47,119
been created into the egger mice,
and then birth children. But children not

519
00:41:47,239 --> 00:41:52,679
conceived from egg and sperm. In
IVF or egg and sperm, naturally conceived

520
00:41:52,760 --> 00:41:57,519
children can sive from skin cells that
were genetically reprogrammed. Now some of those

521
00:41:57,559 --> 00:42:04,320
mice since twenty sixteen have been born
without a brain or with significant genetic physical

522
00:42:04,320 --> 00:42:08,559
deformities. But some of those mice
have been born normal and able to naturally

523
00:42:08,599 --> 00:42:15,440
reproduce with other mice and live a
seemingly normal life. And so there's been

524
00:42:15,480 --> 00:42:22,559
a massive shift in the scientific literature
on reproductive technology to effectively say that when

525
00:42:22,599 --> 00:42:28,000
we get to the point of testing
IVG on humans, which is about fifteen

526
00:42:28,000 --> 00:42:30,480
to twenty years down the road,
that's like the sort of further end of

527
00:42:30,519 --> 00:42:36,880
what people have estimated. What we're
looking at here is an end to the

528
00:42:36,920 --> 00:42:39,880
IVF industry as we know it.
It's an end to the donor egins ferm

529
00:42:39,920 --> 00:42:44,159
industries we know it because we no
longer need those things. We only need

530
00:42:44,239 --> 00:42:51,039
skin cells that can be reprogrammed.
But with that it will biologically enable through

531
00:42:52,000 --> 00:42:59,280
insane artificial reconstruction, a sexual reproduction, reproduction with two men or two women,

532
00:42:59,719 --> 00:43:04,599
or even poly reproduction with multiple strands
of DNA being used in the creation

533
00:43:05,480 --> 00:43:10,079
of children. And so the thing
to highlight here is right now in IVF,

534
00:43:10,199 --> 00:43:17,440
we're establishing legal structures that enable any
sorts of individuals to legally create children

535
00:43:17,480 --> 00:43:23,119
through IVF the law. As a
teacher, it reflects our morality it shapes

536
00:43:23,159 --> 00:43:25,679
the way that we think, and
it shapes what we value to some degree.

537
00:43:27,559 --> 00:43:30,760
If we have widespread laws in place
that only view IVF as a question

538
00:43:30,840 --> 00:43:37,119
of access and legal access, then
in twenty to thirty years, when IVG

539
00:43:37,360 --> 00:43:43,159
allows scientists to medically and biologically create
children through any of these means necessary,

540
00:43:43,519 --> 00:43:45,599
we will have the legal structure in
place to affirm it, and then the

541
00:43:45,679 --> 00:43:52,840
medical technology to enable the creation of
children from any sorts of human beings,

542
00:43:52,880 --> 00:43:55,760
with any sorts of human beings based
on skin cells, not the egg and

543
00:43:55,800 --> 00:44:00,679
sperm, than a man or woman
naturally create. That makes sense because this

544
00:44:00,760 --> 00:44:05,239
is like it seems really far out, but like also is like literally just

545
00:44:05,239 --> 00:44:07,880
being talked about normally in the literature
today. Of course, yeah, I

546
00:44:07,920 --> 00:44:10,760
mean, of course it's not surprising
at all. It does make sense.

547
00:44:12,599 --> 00:44:16,039
And I'm impressed that you've followed the
science, as Anthony Fauci would say,

548
00:44:16,039 --> 00:44:21,000
as well as you have, because
that's there's just so much going on there.

549
00:44:21,039 --> 00:44:28,000
And I think actually one of the
ways these things metastasize is because there's

550
00:44:28,039 --> 00:44:34,360
sort of a gatekeeping if you're not
in the academic sort of world of bioethics,

551
00:44:34,519 --> 00:44:39,800
if you're not in the world of
these types of experiments, the places

552
00:44:39,840 --> 00:44:43,679
that are doing this research, the
institutions that are doing these research. This

553
00:44:43,760 --> 00:44:47,000
research A, if you object to
it, you're not an expert, so

554
00:44:47,320 --> 00:44:52,360
you're not credible. And then B
it's hard to follow in the first place,

555
00:44:52,440 --> 00:44:57,039
because if you're not an expert,
it actually is hard to dive into

556
00:44:57,079 --> 00:45:00,639
all of this. So it I
mean it, it has to be pretty

557
00:45:00,639 --> 00:45:04,880
difficult to follow all of the developments
because they're sort of intentionally gate kept from

558
00:45:04,880 --> 00:45:08,719
people who oppose them. Yeah,
and they're just right like not broadly available

559
00:45:08,800 --> 00:45:13,880
yet. But I give that example
to highlight why it's so important that we

560
00:45:13,920 --> 00:45:19,800
do think very carefully about how we
address current reproductive technologies, because if we

561
00:45:20,199 --> 00:45:22,079
either a stay in the position where
we're like, oh, I don't know.

562
00:45:22,159 --> 00:45:25,639
IVF seems fine, Sure everyone has
access, that's okay, right,

563
00:45:25,639 --> 00:45:29,159
like kind of throw our hands up, like this is morally complicated, it's

564
00:45:29,159 --> 00:45:35,559
personally complicated. We are not only
failing to address the bioethic issues of our

565
00:45:35,679 --> 00:45:40,320
day, but we're actively setting our
children up for a much worse crisis when

566
00:45:40,320 --> 00:45:45,639
it comes to these issues. Yeah, so I think just like this is

567
00:45:45,679 --> 00:45:49,239
not just a matter of like the
access of today, it's the technology of

568
00:45:49,239 --> 00:45:52,400
tomorrow that will really reform member shape
what we even think is possible now.

569
00:45:53,960 --> 00:45:59,199
And one thing that I wanted to
highlight on on IVF, especially along the

570
00:45:59,199 --> 00:46:01,280
pro life question, and right again, I think that there are many pro

571
00:46:01,320 --> 00:46:07,199
life people who are also pro IVF, and I think that you certainly can

572
00:46:07,239 --> 00:46:10,719
practice IVF in a way that is
life affirming, and so we need to

573
00:46:10,800 --> 00:46:15,119
make room for that in our discourse. Right this isn't a strict binary between

574
00:46:15,159 --> 00:46:20,639
either you support IVF no limitations or
you're an anti IVF, anti woman bigot,

575
00:46:20,719 --> 00:46:22,800
right Like, there's actually a lot
of ground in between that we can

576
00:46:23,000 --> 00:46:29,840
responsibly use this technology. How dare
you call Michael Knowles a bigot? Ms?

577
00:46:30,920 --> 00:46:34,719
Michael Wold appreciate the joke. I'm
sure he would. So you know

578
00:46:34,960 --> 00:46:40,840
from twenty twenty one data from the
CDC that in that year a little over

579
00:46:40,920 --> 00:46:46,239
four hundred and thirteen one hundred thousand
rounds of IVF were practiced and of those

580
00:46:46,280 --> 00:46:51,880
four hundred and thirteen hundred thousand rounds
of IVF, about ninety seven thousand children

581
00:46:51,920 --> 00:46:57,079
were born, which means that overall
IVF has about a twenty three percent success

582
00:46:57,159 --> 00:47:00,480
rate, which is a very low
success rate. If you're viewing IVF as

583
00:47:00,840 --> 00:47:05,800
the best or the only way to
address in fertility, it's actually going to

584
00:47:05,840 --> 00:47:08,559
be a very fraught and expensive process
to try to have a child. If

585
00:47:08,559 --> 00:47:13,480
you break that down by age groups, women in their twenties and thirties typically

586
00:47:13,519 --> 00:47:19,159
have higher success rates base they typically
have higher quality eggs or healthier bodies.

587
00:47:20,239 --> 00:47:23,360
Once you reach the age of forty, the chances that a woman is able

588
00:47:23,360 --> 00:47:29,159
to conceive a child with IVF drops
well below ten percent. By forty five,

589
00:47:29,239 --> 00:47:31,559
it's like a three percent chance.
I think it's very very low.

590
00:47:31,599 --> 00:47:36,760
But what these numbers don't tell us
that I think is so important for pro

591
00:47:36,840 --> 00:47:42,480
life people to keep in mind in
particular, is that a single round of

592
00:47:42,559 --> 00:47:50,519
IVF can create anywhere from eight to
twenty embryos conservatively. So if you say,

593
00:47:50,639 --> 00:47:54,480
on average, a single round of
IVF creates about ten children, and

594
00:47:54,519 --> 00:48:00,760
we had over four hundred and thirteen
thousand children create rounds of ib in a

595
00:48:00,800 --> 00:48:05,119
single year, that means that,
based on twenty twenty one data, in

596
00:48:05,159 --> 00:48:10,280
a single year, over four point
one million embryos were created in the United

597
00:48:10,320 --> 00:48:16,239
States. Of those, four point
one million embryos, only about ninety seven

598
00:48:16,280 --> 00:48:22,920
thousand children were actually born, which
meant that the other embryos are either frozen,

599
00:48:22,400 --> 00:48:28,039
failed to implant, were destroyed,
or were donated to research. Those

600
00:48:28,079 --> 00:48:32,280
are the only four options, which
means that the success rate of IVF for

601
00:48:32,360 --> 00:48:39,480
the embryos created is only about two
point three percent, because ninety seven percent

602
00:48:39,519 --> 00:48:45,320
of embryos on average that are created
in a given year don't result in the

603
00:48:45,320 --> 00:48:51,119
birth of a child. So these
are very very low numbers and not numbers

604
00:48:51,159 --> 00:48:54,000
right. We're talking about human beings, distinct human beings, embryonic human life

605
00:48:55,039 --> 00:49:00,519
that through the current practice of IVF, don't actually aren't actually born as children.

606
00:49:00,599 --> 00:49:06,920
There's just so much waste that's embedded
in the practice of IBF, such

607
00:49:06,960 --> 00:49:12,599
that we are creating millions of embryos
in a given year for about one hundred

608
00:49:12,639 --> 00:49:15,920
thousand children that are being born,
which again isn't to say that that means

609
00:49:15,960 --> 00:49:20,840
that one should never practice c IBF, but it does mean that one we

610
00:49:20,920 --> 00:49:25,360
need much better regulations in place to
ensure that we're actually creating the number of

611
00:49:25,360 --> 00:49:30,880
embryos that we're intending to use,
but also ensuring that the mbryos we do

612
00:49:30,920 --> 00:49:37,000
create. We have the technology and
we have the highest standard of medical care

613
00:49:37,039 --> 00:49:42,079
in place such that they're not being
destroyed or treated frivolously by the fertility industry,

614
00:49:42,480 --> 00:49:45,559
such that a clinic can, as
they did in Alabama, right leave

615
00:49:45,599 --> 00:49:49,400
a door open for an unauthorized patient
in the adjoining hospital to come and just

616
00:49:49,519 --> 00:49:53,519
destroy a batch of embryos. Yeah, so I just think like we're creating

617
00:49:53,519 --> 00:49:58,920
millions of embryos, very few children
are born. It's a very low success

618
00:49:58,960 --> 00:50:02,159
rate for the embryos. And again
for people who care deeply for that question,

619
00:50:02,760 --> 00:50:07,719
I think it brings a lot of
concerns to the sort of wanton way

620
00:50:07,840 --> 00:50:12,599
IVF treats human life or the fertility
industry treats human life. Some of this

621
00:50:12,639 --> 00:50:17,719
also reminds me of the Terry Schivo
debate of the early aughts, because you

622
00:50:17,760 --> 00:50:21,960
know, even in that Free Press
article we were talking about at the beginning,

623
00:50:22,000 --> 00:50:25,840
there's a woman in it who says
she I think she used the phrase

624
00:50:27,079 --> 00:50:30,159
m babies, which I'm sure you've
heard, Emma, but is referring to

625
00:50:30,159 --> 00:50:37,440
the embryos. And I have a
pretty clear perspective on why we should,

626
00:50:37,719 --> 00:50:40,800
uh you know, respect embryonic life
and why we should respect the life of

627
00:50:42,119 --> 00:50:47,000
uh non sentient uh you know,
derisively referred to as vegetable adults like Terry

628
00:50:47,039 --> 00:50:52,239
Schivo. But what would you say. I'm to a woman who you know

629
00:50:52,320 --> 00:50:55,880
loves her m babies but says in
the Free Press article they're not the same

630
00:50:55,920 --> 00:50:59,719
as her children. I think she
said, like, they're not the same

631
00:50:59,719 --> 00:51:02,039
as my three children who are here
right now. I can see them,

632
00:51:02,039 --> 00:51:06,400
I can hold them, right,
and it's right. So there is a

633
00:51:06,440 --> 00:51:12,280
difference in our perception of the status
of embryos versus the status of children who

634
00:51:12,320 --> 00:51:16,199
were born that we're engaging with.
And I think a really interesting example of

635
00:51:16,280 --> 00:51:22,280
this is in the development of the
sonogram machine. So sonograms are used to

636
00:51:22,559 --> 00:51:29,480
observe the baby in uterow and when
sonograms were introduced prior to that, for

637
00:51:29,599 --> 00:51:30,880
like all the human history, right, because they were introduced them like the

638
00:51:30,880 --> 00:51:37,159
twentieth century, you only saw a
belly. You could sometimes feel the baby,

639
00:51:37,280 --> 00:51:39,719
right, but you never saw the
child inside the woman's body until the

640
00:51:39,800 --> 00:51:45,440
child came out in birth right.
And so the moment sonograms were introduced,

641
00:51:45,519 --> 00:51:46,559
all of a sudden, you see
a lot of people be like, wait,

642
00:51:47,079 --> 00:51:50,679
that's a baby inside the woman.
Right, Like, this isn't just

643
00:51:50,840 --> 00:51:54,480
like a fetus or a block or
some unknown object, right, Like,

644
00:51:54,519 --> 00:51:59,400
this is a child that's moving,
sucking, gets thumb, smiling when it

645
00:51:59,400 --> 00:52:01,280
eats care It's like frowning when it
eats broccoli, like some of the really

646
00:52:01,320 --> 00:52:05,840
funny videos they've done as sonograms while
others are eating. Right. And so

647
00:52:05,840 --> 00:52:09,239
sonograms in many states are required before
a woman chooses an abortion because they want

648
00:52:09,280 --> 00:52:13,960
her to have to the best of
her knowledge and understanding of what it is

649
00:52:14,000 --> 00:52:19,199
inside of her body. I think
that same analogy should be very insightful for

650
00:52:19,280 --> 00:52:23,559
how we think about embryonic human life. It's incredibly small, right, it

651
00:52:23,559 --> 00:52:28,280
doesn't look like a human. We
can't perceive of it or see it in

652
00:52:28,320 --> 00:52:30,159
the same way as we would a
child who was born or a child in

653
00:52:30,199 --> 00:52:36,280
the womb. But that doesn't mean
that our perception is necessarily correct, right,

654
00:52:36,400 --> 00:52:38,320
or seeing the full picture here.
And so the thing that I would

655
00:52:38,320 --> 00:52:45,880
say to this is we get into
a very very very murky and very very

656
00:52:45,000 --> 00:52:52,679
compromising waters the moment we try to
choose an arbitrary line of what life is

657
00:52:52,760 --> 00:52:58,320
valuable, what life is sentient,
what life is worth preserving, and what

658
00:52:58,400 --> 00:53:01,559
life isn't right. Quickly get into
ablest lines of like, well, this

659
00:53:01,639 --> 00:53:07,280
person has the ability can do this, and person who does oftentimes, whether

660
00:53:07,320 --> 00:53:12,000
we intend to or not, reduced
to the capabilities of the person involved,

661
00:53:12,320 --> 00:53:19,480
be it the capabilities of an embryo
or of a severely disabled person, right,

662
00:53:20,000 --> 00:53:23,199
or of a child. Right.
So, my daughter now is eleven

663
00:53:23,239 --> 00:53:29,360
months old. She has just started
to walk, She's started to say Mama,

664
00:53:29,519 --> 00:53:31,400
Dad, Dad, is just like
actually the cutest thing in the entire

665
00:53:31,480 --> 00:53:36,639
world. Right, But she still
doesn't have the ability to speak in full

666
00:53:36,679 --> 00:53:40,920
sentences. She can't ride a bike, she can't walk to the door and

667
00:53:42,159 --> 00:53:45,199
you know, open it to welcome
a guest that's coming in. Right,

668
00:53:45,679 --> 00:53:49,920
She is unable to do many of
the things that we would associate with a

669
00:53:50,000 --> 00:53:52,840
normal, functioning, healthy human being, And yet she is no less a

670
00:53:52,920 --> 00:53:57,239
human being, right, She is
just a human being at a different stage

671
00:53:57,239 --> 00:54:00,880
of development than say, you or
I are right, and we happen to

672
00:54:00,880 --> 00:54:05,519
be what most adults tend to act
and function as. Right, But in

673
00:54:05,519 --> 00:54:09,480
no way are those usually usually right? Maybe from what I got after a

674
00:54:09,480 --> 00:54:15,519
couple of drinks, yeah, right
again, are drunk humans still humans?

675
00:54:15,639 --> 00:54:20,280
Or like children? I don't know
these questions right exactly, so, right

676
00:54:20,360 --> 00:54:23,559
like, we can't decide the status, personhood, or worth of a human

677
00:54:23,559 --> 00:54:28,679
person based on their abilities or based
on our perception of them, because that

678
00:54:28,760 --> 00:54:34,960
perception will always change his technology improves, and the abilities of a given child

679
00:54:35,039 --> 00:54:38,519
or person, right like shouldn't determine
their worth. My grandfather recently passed away,

680
00:54:39,599 --> 00:54:42,880
and for the last five years of
his life, he had a really

681
00:54:42,920 --> 00:54:49,239
severe form of dementia, and so
he was losing the ability to do the

682
00:54:49,280 --> 00:54:52,960
things that he had been able to
do his entire life, except he like

683
00:54:52,199 --> 00:54:55,039
loved our daughter. And what was
so funny is, in a lot of

684
00:54:55,039 --> 00:54:58,440
ways, my grandfather at the end
of his life and my daughter at the

685
00:54:58,480 --> 00:55:01,960
beginning of her life function and very
similarly, right they were delighted and very

686
00:55:01,960 --> 00:55:07,039
beautiful and simple ways they would communicate
to the best of their ability, but

687
00:55:07,119 --> 00:55:12,440
a lot of the normal functions that
we associate with an adult, right were

688
00:55:12,480 --> 00:55:15,639
no longer present, and yet his
life was no less worthy of protection.

689
00:55:16,599 --> 00:55:22,280
And I just think it's actually like
very like retroactive or not retroactive. I

690
00:55:22,280 --> 00:55:27,199
think it's just very like limited to
assume that like simply because we do not

691
00:55:27,360 --> 00:55:30,880
have like a good understanding of like
the status of an embryo, that somehow

692
00:55:30,960 --> 00:55:34,320
like this is the most progressive and
enlightened stance, because every time we think

693
00:55:34,360 --> 00:55:37,800
we've reached the most progressive way of
looking at human life, we typically find

694
00:55:37,840 --> 00:55:42,719
out that was actually like really eugenic
and evil, right, Like sterilizing people

695
00:55:42,719 --> 00:55:45,920
that we didn't think we're fit to
have children in the twentieth century seemed really

696
00:55:45,079 --> 00:55:49,880
enlightened and seemed like a proper view
of like the status of that human being.

697
00:55:50,719 --> 00:55:52,880
Turns out we were actually just being
really eugenic and racist and trying to

698
00:55:52,920 --> 00:55:57,320
like literally remove a generation of people, right, a kind of people away.

699
00:55:58,000 --> 00:56:00,639
We should not make the same mistake
and apply that to embryos. I'll

700
00:56:00,639 --> 00:56:02,679
stop there. I think you get
the idea of what I'm saying at this

701
00:56:02,719 --> 00:56:07,480
point, but no, no,
that's it's just incredibly helpful, Emma.

702
00:56:07,559 --> 00:56:12,800
And before we wrap, I know
that you're not a campaign consultant, thankfully,

703
00:56:12,800 --> 00:56:15,079
I don't know who would want that
job. But you work at a

704
00:56:15,119 --> 00:56:19,679
nonprofit think tank, and yet you
follows that you so closely that you know

705
00:56:19,760 --> 00:56:24,400
I'm curious as to what you think
a way that bridges the sort of moral

706
00:56:24,480 --> 00:56:30,280
and political gap for not just conservatives
but also liberals who will hopefully take an

707
00:56:30,320 --> 00:56:35,039
interest in the question of moral clarity
on this and maybe some feminists at some

708
00:56:35,079 --> 00:56:39,159
point, like they did with trans
medicine and other issues, will come along

709
00:56:39,199 --> 00:56:43,280
for the ride. Who knows.
So this wouldn't just in any way be

710
00:56:43,320 --> 00:56:45,480
relegated on one side of the oler
or the other. What is a way

711
00:56:45,639 --> 00:56:52,320
do you think, if there is, for lawmakers and anybody who's susceptible to

712
00:56:52,519 --> 00:56:57,480
the sort of whims of the electorate
to talk about these things. Yeah,

713
00:56:57,760 --> 00:57:00,960
this is a great question, and
it is certainly something I'm happy to get

714
00:57:00,000 --> 00:57:05,079
into more detail with individual people if
they're thinking about these issues, interested in

715
00:57:05,159 --> 00:57:10,159
these issues from a legal policy perspective
beyond the contours of this podcast. But

716
00:57:10,360 --> 00:57:15,199
the first thing is that as we're
thinking about this issue, our main focus

717
00:57:15,719 --> 00:57:22,119
is on protecting and empowering parents and
their embryonic children from the abuses potential abuses

718
00:57:22,199 --> 00:57:28,000
of a largely unaccountable fertility industry.
And we want to ensure that parents are

719
00:57:28,039 --> 00:57:31,880
empowered with legal recourse and rights so
that when they entrust clinics with their embryonic

720
00:57:31,960 --> 00:57:37,119
children that they can expect the highest
standard of medical care from the fertility clinics,

721
00:57:37,159 --> 00:57:42,599
and that if a fertility clinics through
neglect or carelessness fails in that they'll

722
00:57:42,639 --> 00:57:45,480
be held accountable as we do with
the Department of Health when it comes to

723
00:57:45,599 --> 00:57:51,559
how fast food agents restaurants work in
the United States. So when it comes

724
00:57:51,599 --> 00:57:53,760
to actual policies that we could keep
in mind here that I think could apply

725
00:57:54,559 --> 00:58:00,639
and be desirable for a wide array
of people are read that come to mind

726
00:58:00,760 --> 00:58:07,679
that I am a big fan of. So the first is we should limit

727
00:58:07,719 --> 00:58:13,360
the number of embryos that we create
in a single round of IVF. Germany,

728
00:58:13,400 --> 00:58:16,000
for example, limits the number of
embryos that are created in a single

729
00:58:16,079 --> 00:58:21,760
round of IVF to three. And
then with those three embryos that are created,

730
00:58:22,360 --> 00:58:25,000
the expectation is that you will transfer
them into the woman and give them

731
00:58:25,000 --> 00:58:30,280
a chance at life. So you
can't transfer more than three embryos at one

732
00:58:30,320 --> 00:58:32,920
time, and you can't create more
than three embryos at one time. And

733
00:58:32,960 --> 00:58:37,840
so what this does is it means
that one parents will not find themselves in

734
00:58:37,880 --> 00:58:42,360
this impossible situation where they're having to
decide what to do with a surplus of

735
00:58:42,400 --> 00:58:47,400
embryos. Two, if you are
successful. Right with like the two children,

736
00:58:47,440 --> 00:58:52,000
and you have one embryo leftover,
you can decide what to do with

737
00:58:52,039 --> 00:58:55,920
one embryo, which is a much
better decision to be making than like what

738
00:58:57,000 --> 00:59:00,679
to do with ten unused embryos.
Also limiting the number that we create.

739
00:59:02,199 --> 00:59:05,760
Yeah, so I think that's a
really good starting point. Limited the number

740
00:59:05,760 --> 00:59:08,679
we create. Germany limits it to
three, Poland limits it to six embryos

741
00:59:08,719 --> 00:59:14,440
at a time. Italy's laws a
little unclear exactly what they do, but

742
00:59:14,519 --> 00:59:19,840
it's around like three embryos at a
time, and Italy actually generally says don't

743
00:59:19,880 --> 00:59:22,360
freeze the embryos, but create and
use them. So again, trying to

744
00:59:22,440 --> 00:59:27,199
connect as much as possible that bond
between marriage, sex, and procreation,

745
00:59:27,840 --> 00:59:31,320
because the more delays and degrees of
separation you add between those things, the

746
00:59:31,320 --> 00:59:36,639
more ethical questions and problems are inserted
into it. So keep it as close

747
00:59:36,679 --> 00:59:42,280
together as possible. The second thing
I would say is that official recommended guidelines

748
00:59:42,320 --> 00:59:47,519
from the American Society of Reproductive Medicine, which unofficially regulates and guides the fertility

749
00:59:47,519 --> 00:59:54,000
industry in the United States, they
recommend only transferring one embryo at a time

750
00:59:54,119 --> 01:00:00,760
into a woman's body. Sometimes they'll
transfer three four five embryo and hopes that

751
01:00:00,800 --> 01:00:05,599
one of them will actually implant to
increase the success rate. What oftentimes happens

752
01:00:05,639 --> 01:00:08,440
then is that the woman can sees
multiple children. Twins, triplets are higher.

753
01:00:08,880 --> 01:00:12,880
When that happens, it's not only
a high risk pregnancy for the mother,

754
01:00:13,039 --> 01:00:15,880
but it's also far less safe for
the children involved, either because the

755
01:00:15,920 --> 01:00:22,440
clinic will recommend selective reduction or the
abortion of the additional children, or like

756
01:00:22,679 --> 01:00:27,559
just there's only so many nutrients that
can go around. Sometimes like only some

757
01:00:27,719 --> 01:00:32,440
children actually survive a multiples pregnancy.
So we should simply legally codify the recommended

758
01:00:32,480 --> 01:00:36,840
guidelines that the American Society for Reproductive
Medicine has limit the number that can be

759
01:00:36,880 --> 01:00:44,079
transferred. And the third thing that
I would say is that we should promote

760
01:00:44,119 --> 01:00:52,480
access to natural restorative reproductive technology.
So this is an in This is a

761
01:00:52,519 --> 01:00:59,440
form of medicine that focuses on diagnosing
and treating the underlying conditions of infertility in

762
01:00:59,519 --> 01:01:06,039
women. Is anything from endometriosis,
PCOS and hormonal imbalance, a hyperactive diorid,

763
01:01:07,239 --> 01:01:09,800
anything that could be causing stress on
her body. And if you can

764
01:01:09,800 --> 01:01:15,719
actually target and then treat those underlying
conditions, which in some cases can actually

765
01:01:15,760 --> 01:01:19,880
be rather straightforward, right like a
simple surgery, outpatient surgery, that sort

766
01:01:19,880 --> 01:01:23,719
of thing you enable her to naturally
conceive men. On the other hand,

767
01:01:24,519 --> 01:01:30,960
commonly causes for infertility can be things
like low sperm motility, low sperm count.

768
01:01:30,840 --> 01:01:36,519
And we found in a lot of
studies pere viewed and IHR just generally

769
01:01:36,800 --> 01:01:44,360
talked about and referenced that men can
actually reverse infertility through environmental factors, targeted

770
01:01:44,400 --> 01:01:51,440
diet, targeted exercise time in the
sun. I'm not endorsing the bronch talk

771
01:01:51,480 --> 01:01:55,079
about these things right, getting into
right, like cut the seed wills,

772
01:01:55,119 --> 01:01:59,360
get all the chemicals out of your
house. Men can actually like reverse their

773
01:01:59,360 --> 01:02:04,360
infertility like naturally. So I'll have
to say, as we're talking about infertility,

774
01:02:04,360 --> 01:02:07,039
it should not simply be a conversation
about IVF. But I would love

775
01:02:07,079 --> 01:02:09,679
to see lawmakers on the state and
federal level then say, Okay, how

776
01:02:09,679 --> 01:02:15,559
can we promote access in the availability
of these sorts of like in depth diagnostic

777
01:02:15,639 --> 01:02:21,760
testing to really figure out what the
underlying causes of infertility are. And so

778
01:02:21,840 --> 01:02:25,400
I think those three approaches limit the
number that we transfer for the health of

779
01:02:25,440 --> 01:02:30,239
the mother and the child involved,
limit the number we create so as not

780
01:02:30,480 --> 01:02:37,280
to a put parents in an a
possible situation be you're actually protecting clinics from

781
01:02:37,320 --> 01:02:40,000
having to protect embryos for decades at
a time. Right, this cuts down

782
01:02:40,000 --> 01:02:45,119
on the surplus. And then three, we need to encourage and promote access

783
01:02:45,199 --> 01:02:52,639
to these restorative reproductive technologies as a
first course of action in our pursuit of

784
01:02:52,679 --> 01:03:00,880
healing infertility. Em this has been
beyond fascinating and you have so generous with

785
01:03:00,960 --> 01:03:04,880
your time. I just want to
thank you for all your work on this

786
01:03:04,960 --> 01:03:07,840
issue, and thank you for coming
on the show in the middle of what

787
01:03:08,079 --> 01:03:13,239
has to be one of the busiest
months probably of your whole career at this

788
01:03:13,320 --> 01:03:15,079
point. Yeah, it's been so
great, but Emily, thank you.

789
01:03:15,159 --> 01:03:19,800
I always enjoy chatting with you,
of course. And Emma, you've written

790
01:03:19,800 --> 01:03:23,199
for The Federalist a few times,
haven't you. I have mostly on SURC

791
01:03:23,320 --> 01:03:28,800
and Chinese nationals, so a little
If anyone's interested, yes, go check

792
01:03:28,800 --> 01:03:31,320
out Emma's work. Follow her on
Twitter again. She's a senior research associate

793
01:03:31,360 --> 01:03:35,480
in the Richard and Helen Devas Center
for Life, Religion, and Family at

794
01:03:35,679 --> 01:03:39,480
the Heritage Foundation. Thanks again,
Emma. Thanks you've been listening to another

795
01:03:39,599 --> 01:03:43,679
edition of The Federalist Radio Hour.
I'm Emily Dashinsky, culture editor here at

796
01:03:43,719 --> 01:03:45,679
the Federalist. We'll be back soon
with more. Until then, be lovers

797
01:03:45,719 --> 01:03:59,079
of freedom and anxious for the first
right.
