Includes bibliographical references and index.

Introduction / Ellen H. Moskowitz and Bruce Jennings -- Long-Acting Contraceptives: Ethical Guidance for Policymakers and Health Care Providers / Ellen H. Moskowitz, Bruce Jennings and Daniel Callahan -- Contraceptive Policy and Ethics: Lessons from American History / Kathleen E. Powderly -- Long-Acting Contraceptives: Rationale, Current Development, and Ethical Implications / George F. Brown -- The Concept of Coercion and Long-Term Contraceptives / Bonnie Steinbock -- Norplant and Irresponsible Reproduction / John A. Robertson -- Reproductive Responsibility and Long-Term Contraceptives / John D. Arras and Jeffrey Blustein -- Long-Term Contraceptives in the Criminal Justice System / Rebecca Dresser -- Other "Isms" Aren't Enough: Feminism, Social Policy, and Long-Acting Contraception / Hilde Lindemann Nelson and James Lindemann Nelson -- Cultural Difference and Long-Acting Contraception / Ruth Macklin --

Ethical Issues in the Importation of Long-Acting Contraceptives to Nigeria / Tola Olu Pearce -- Long-Acting Contraception in Brazil and the Dominican Republic / Ellen Hardy.

Long-acting and reversible contraceptives, such as Norplant and Depo-Provera, have been praised as highly effective, moderately priced, and generally safe. Yet, as this book argues, the very qualities that make these contraceptives an important alternative for individual choice in family planning also make them a potential tool of coercive social policy. For example, policymakers have linked their use to welfare benefits, and judges, to probation agreements.

In this book, authors from the fields of medicine, ethics, law, and the social sciences probe the unique and vexing ethical and policy issues raised by long-acting contraception.

The book offers comprehensive ethical guidelines for health care professionals and policymakers, as well as an ethical framework for analyzing policies and practices concerning long-acting contraceptives. The authors consider cultural, social, and ethical issues pertaining to contraception, and they provide historical and scientific background on today's controversies.

They explore alternative conceptual and theoretical frameworks, including analyses of autonomy, coercion and responsibility in reproductive decisions. This volume also notes the special concerns that arise when policies promoting long-term birth control target low-income women and women of color, and when these contraceptives are used in developing countries.