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November 14, 1990

Frozen Pre-embryos-Reply

Author Affiliations

American Medical Association Chicago, Ill

American Medical Association Chicago, Ill

JAMA. 1990;264(18):2383. doi:10.1001/jama.1990.03450180038015

In Reply.—  We agree with Davis, Brown, and Pannor that frozen pre-embryos should not be sold, and our report did not suggest otherwise. We do not agree that donating pre-embryos is like treating the end product as a commodity that can be bartered at will. The altruistic sentiments that motivate a couple to donate its unused pre-embryos to other childless couples are very different from the commercial sentiments that would motivate a couple to sell its unused preembryos.Davis, Brown, and Pannor appear to overstate the concerns about the psychological implications of donating frozen pre-embryos. Any predictions of emotional problems are speculative. Perhaps the resulting children will have a heightened risk of emotional problems. Even so, it is difficult to conclude that they would have been better off not being born. In addition, it is not clear that studies of adopted children can be generalized to children who are the