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CRIMES IN REPRODUCTIVE medicine that entail embezzlement from sperm banks or the theft of human eggs and embryos—once imagined only in science-fiction or mystery novels—have become a disturbing reality. Rumors of “egg-snatching” have been intimated since the development of the in vitro fertilization (IVF) procedure.

Robert Edwards, who in 1978 was responsible for the first successful “test-tube” baby, allegedly used eggs without the consent of donors. The field of reproductive medicine has become replete with accusations of malpractice and insurance fraud, due in part, to unprecedented technological and fiscal growth. The estimated $2-billion-a-year industry has outpaced regulations and legislations. Procedures for infertile couples have come under legal and professional scrutiny as bizarre scenarios have emerged involving human sperm, eggs, and embryos.

Fraud or negligence can occur at any stage of the in vitro fertilization process, including in laboratory procedures.

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Crimes involving the misuse of sperm and eggs have occurred throughout the world. A fertility doctor in Italy faced criminal charges after he impregnated women without their consent with strangers' sperm. Speculations also abound that the doctor may have created “hundreds or thousands” of half-siblings by using sperm from only two donors. Another fertility doctor admitted that during his medical residency at Georgetown University in Washington, D.C., he used his own sperm for donations that resulted in 33 pregnancies, despite professional mandates that limit sperm donations to 10 recipients. The “egg hunt” involved a group of doctors in Massachusetts that allegedly took hundreds of eggs from women receiving medical care without fully informed consent.

Cecil Jacobson, a noted Virginia physician and medical pioneer, received national attention after reports emerged that he used his own sperm to inseminate women—without their consent. The self-proclaimed “baby maker” also used hormone treatments to convince women that they were pregnant only to report a few weeks later that the fetus had died. Jacobson may have fathered as many as 70 children over the course of 12 years. In 1992, he was convicted of 52 felony counts of fraud and received a five-year prison sentence.

Many infants born as a result of fraudulent fertilization may never know their true genetic heritage.

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Fraud Whistleblowers

The most widespread fertility scandal became public in mid-1995 at the University of California, Irvine's medical center. The apparent misdeeds at the Center for Reproductive Health were reported by three whistleblowers, who suffered retaliation and were paid a sizable sum as part of a confidential settlement agreement with the university. In 1993, internal auditors, who were later demoted or fired, had reported problems with insurance billings and financial irregularities to university administrators.

Primary among the many accusations was that doctors Ricardo Asch, José Balmaceda, and Sergio Stone implanted stolen eggs and misused embryos in scientific research without the consent of the “owners.” Asch and Balmaceda fled the United States to South America to avoid arrest after a federal indictment was issued charging them with fraud. Stone remained in the United States and faced charges of mail fraud and tax evasion. Stone, who had no involvement in the misuse of ocyte (cells from which a fetus develops), was convicted of mail fraud but acquitted of the other charges. Over 100 former patients, who hoped to seek financial redress for their victimization, filed civil lawsuits against the doctors and the university. The patients accused the doctors of negligence, fraud, conspiracy, and racketeering for the sale, donation, and/or misappropriation of their eggs and embryos. The university ultimately settled the patient suits at a cost of more than $20 million.

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