IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v221y2019icp19-26.html
   My bibliography  Save this article

Demarcating the dirty work: Canadian Fertility professionals’ use of boundary-work in contentious egg donation

Author

Listed:
  • Miner, Skye A.

Abstract

The potential medical risks to egg donors, in addition to the concern over the commodification of life, has led to debates surrounding the ethics of paying donors. In Canada, payment for eggs is prohibited by law; however, what is considered payment is contentious and has yet to be defined. The lack of legislative clarity coupled with increased ethical concerns over paying a donor has shifted egg donation from a medically-controlled procedure to a legal and social endeavor involving multiple professionals. Through semi-structured interviews with 52 medical and non-medical fertility practitioners, I show how medical practitioners use boundary-work to remove their practice from the ethical and legal debates surrounding egg donation, the “dirty work”. I examine how the medical profession relies on discourses of “practicing science” to present their work as favorable and removed from current debates and potential legal ramifications. In showing how medical practitioners rely on boundary-work to distinguish their work from non-scientific and non-medical activities, I expand Gieryn's original conceptualization of boundary-work to demonstrate how medical practitioners can selectively draw on their practice of science to remove their work from ethically and legally contentious issues, the dirty work.

Suggested Citation

  • Miner, Skye A., 2019. "Demarcating the dirty work: Canadian Fertility professionals’ use of boundary-work in contentious egg donation," Social Science & Medicine, Elsevier, vol. 221(C), pages 19-26.
  • Handle: RePEc:eee:socmed:v:221:y:2019:i:c:p:19-26
    DOI: 10.1016/j.socscimed.2018.11.039
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953618306737
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2018.11.039?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Martin, Graham P. & Currie, Graeme & Finn, Rachael, 2009. "Reconfiguring or reproducing intra-professional boundaries? Specialist expertise, generalist knowledge and the 'modernization' of the medical workforce," Social Science & Medicine, Elsevier, vol. 68(7), pages 1191-1198, April.
    2. Harris, Lisa Hope & Debbink, Michelle & Martin, Lisa & Hassinger, Jane, 2011. "Dynamics of stigma in abortion work: Findings from a pilot study of the Providers Share Workshop," Social Science & Medicine, Elsevier, vol. 73(7), pages 1062-1070.
    3. Ehrich, Kathryn & Williams, Clare & Scott, Rosamund & Sandall, Jane & Farsides, Bobbie, 2006. "Social welfare, genetic welfare? Boundary-work in the IVF/PGD clinic," Social Science & Medicine, Elsevier, vol. 63(5), pages 1213-1224, September.
    4. Suh, Siri, 2014. "Rewriting abortion: Deploying medical records in jurisdictional negotiation over a forbidden practice in Senegal," Social Science & Medicine, Elsevier, vol. 108(C), pages 20-33.
    5. Xyrichis, Andreas & Lowton, Karen & Rafferty, Anne Marie, 2017. "Accomplishing professional jurisdiction in intensive care: An ethnographic study of three units," Social Science & Medicine, Elsevier, vol. 181(C), pages 102-111.
    6. Lindberg, Kajsa & Walter, Lars & Raviola, Elena, 2017. "Performing boundary work: The emergence of a new practice in a hybrid operating room," Social Science & Medicine, Elsevier, vol. 182(C), pages 81-88.
    7. Nugus, Peter & Greenfield, David & Travaglia, Joanne & Westbrook, Johanna & Braithwaite, Jeffrey, 2010. "How and where clinicians exercise power: Interprofessional relations in health care," Social Science & Medicine, Elsevier, vol. 71(5), pages 898-909, September.
    8. Liberati, Elisa Giulia, 2017. "Separating, replacing, intersecting: The influence of context on the construction of the medical-nursing boundary," Social Science & Medicine, Elsevier, vol. 172(C), pages 135-143.
    9. O’Donnell, Jenny & Weitz, Tracy A. & Freedman, Lori R., 2011. "Resistance and vulnerability to stigmatization in abortion work," Social Science & Medicine, Elsevier, vol. 73(9), pages 1357-1364.
    10. Liberati, Elisa Giulia & Gorli, Mara & Scaratti, Giuseppe, 2016. "Invisible walls within multidisciplinary teams: Disciplinary boundaries and their effects on integrated care," Social Science & Medicine, Elsevier, vol. 150(C), pages 31-39.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Caronia, Letizia & Saglietti, Marzia & Chieregato, Arturo, 2020. "Challenging the interprofessional epistemic boundaries: The practices of informing in nurse-physician interaction," Social Science & Medicine, Elsevier, vol. 246(C).
    2. Skyberg, Henriette Lund & Innvaer, Simon, 2020. "Dynamics of interprofessional teamwork: Why three logics are better than one," Social Science & Medicine, Elsevier, vol. 265(C).
    3. Mills, Lisa & Watermeyer, Jennifer, 2023. "A meta-ethnography on the experience and psychosocial implications of providing abortion care," Social Science & Medicine, Elsevier, vol. 328(C).
    4. Powell, Alison E. & Davies, Huw T.O., 2012. "The struggle to improve patient care in the face of professional boundaries," Social Science & Medicine, Elsevier, vol. 75(5), pages 807-814.
    5. Beynon-Jones, Siân M., 2013. "‘We view that as contraceptive failure’: Containing the ‘multiplicity’ of contraception and abortion within Scottish reproductive healthcare," Social Science & Medicine, Elsevier, vol. 80(C), pages 105-112.
    6. Liberati, Elisa Giulia & Gorli, Mara & Scaratti, Giuseppe, 2016. "Invisible walls within multidisciplinary teams: Disciplinary boundaries and their effects on integrated care," Social Science & Medicine, Elsevier, vol. 150(C), pages 31-39.
    7. Liberati, Elisa Giulia, 2017. "Separating, replacing, intersecting: The influence of context on the construction of the medical-nursing boundary," Social Science & Medicine, Elsevier, vol. 172(C), pages 135-143.
    8. Lindberg, Kajsa & Walter, Lars & Raviola, Elena, 2017. "Performing boundary work: The emergence of a new practice in a hybrid operating room," Social Science & Medicine, Elsevier, vol. 182(C), pages 81-88.
    9. Xyrichis, Andreas & Lowton, Karen & Rafferty, Anne Marie, 2017. "Accomplishing professional jurisdiction in intensive care: An ethnographic study of three units," Social Science & Medicine, Elsevier, vol. 181(C), pages 102-111.
    10. Johannessen, Lars E.F., 2018. "Workplace assimilation and professional jurisdiction: How nurses learn to blur the nursing-medical boundary," Social Science & Medicine, Elsevier, vol. 201(C), pages 51-58.
    11. Tyskbo, Daniel & Sergeeva, Anastasia, 2022. "Brains exposed: How new imaging technology reconfigures expertise coordination in neurosurgery," Social Science & Medicine, Elsevier, vol. 292(C).
    12. Zarhin, Dana & Negev, Maya & Vulfsons, Simon & Sznitman, Sharon R., 2018. "Rhetorical and regulatory boundary-work: The case of medical cannabis policy-making in Israel," Social Science & Medicine, Elsevier, vol. 217(C), pages 1-9.
    13. Izugbara, Chimaraoke O. & Egesa, Carolyne & Okelo, Rispah, 2015. "‘High profile health facilities can add to your trouble’: Women, stigma and un/safe abortion in Kenya," Social Science & Medicine, Elsevier, vol. 141(C), pages 9-18.
    14. Martin, Lisa A. & Hassinger, Jane A. & Debbink, Michelle & Harris, Lisa H., 2017. "Dangertalk: Voices of abortion providers," Social Science & Medicine, Elsevier, vol. 184(C), pages 75-83.
    15. Bridgette Wessels & Jo Taylor & Lizzie Coates, 2017. "Telehealth in Community Nursing: A Negotiated Order," Sociological Research Online, , vol. 22(4), pages 152-168, December.
    16. Suh, Siri, 2014. "Rewriting abortion: Deploying medical records in jurisdictional negotiation over a forbidden practice in Senegal," Social Science & Medicine, Elsevier, vol. 108(C), pages 20-33.
    17. Malcolm, Dominic & Scott, Andrea, 2011. "Professional relations in sport healthcare: Workplace responses to organisational change," Social Science & Medicine, Elsevier, vol. 72(4), pages 513-520, February.
    18. Gifford, Rachel & Molleman, Eric & van der Vaart, Taco, 2024. "It's a jungle out there: Understanding physician payment and its role in group dynamics," Social Science & Medicine, Elsevier, vol. 350(C).
    19. Lösch, Lea & Willems, Willemine & Bongers, Marloes & Timen, Aura & Zuiderent-Jerak, Teun, 2023. "Kaleidoscopic integration: Advancing the integration of incommensurable knowledge in healthcare guidelines," Social Science & Medicine, Elsevier, vol. 339(C).
    20. Melberg, Andrea & Diallo, Abdoulaye Hama & Storeng, Katerini T. & Tylleskär, Thorkild & Moland, Karen Marie, 2018. "Policy, paperwork and ‘postographs’: Global indicators and maternity care documentation in rural Burkina Faso," Social Science & Medicine, Elsevier, vol. 215(C), pages 28-35.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:221:y:2019:i:c:p:19-26. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.