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July 16, 1997

Subject to Payment?

Author Affiliations

Philadelphia, Pa

JAMA. 1997;278(3):199-200. doi:10.1001/jama.1997.03550030039018

Fifty years after the world's conversation at Nuremberg about medical research abuses, Jean, a 20-year-old college senior, sits in the office of the clinical director of her university's egg donation program. He tells her about hyperovulation drugs and a short, outpatient procedure with a few risks. She daydreams about how strange it is to be talking with this man, and about how to handle the $12,000 on her Visa bill. Her mom and dad would faint if they knew about it. He is nice, she thinks. He looks professional and sounds honest. He asks more questions about her dreams and plans than have any of her professors. As Jean sips a cappuccino and reads through the consent form, she decides to take the money offered, sign on, and enroll as an egg donor in a small infertility protocol. She'll still have $8,000 worth of credit card debt, but she thinks

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