Bioethics Babe

Arina Grossu Agnew

On the Bioethics Babe podcast we examine the tough questions and human flourishing in light of science, faith, and culture. Each week we will do a deep-dive into a bioethical issue with a top medical, academic, or policy expert. www.bioethicsbabe.com

  1. 4d ago

    “Could Your Miscarriage Have Been Prevented? Addressing the Root Causes of Pregnancy Loss” with Dr. Marguerite Duane | Ep. 52

    Could your miscarriage have been prevented? What if the cause of your pregnancy loss was something your doctor never investigated? Miscarriage affects approximately 1 in 5 recognized pregnancies. Yet too often, women are told their loss was simply bad luck, a chromosomal abnormality, or a consequence of age. They're told to try again, sometimes without a thorough investigation into what went wrong. But what if some miscarriages aren't inevitable? What if treatable medical conditions are being overlooked? And why are women who can conceive naturally but repeatedly miscarry referred for IVF without addressing the underlying causes? In this deeply personal episode of Bioethics Babe, host Arina Grossu Agnew shares her experience of two early miscarriages and sits down with returning guest Dr. Marguerite Duane, board-certified family physician and co-founder and executive director of FACTS About Fertility, to challenge conventional approaches to recurrent pregnancy loss. Together, they explore the medical conditions that may contribute to miscarriage, the warning signs women should know, and why identifying the root causes of reproductive dysfunction could change the course of a woman's fertility journey. We discuss: How some pregnancy losses may involve treatable underlying medical conditions.Why women experiencing pregnancy loss may not receive timely, comprehensive investigations into potential causes.What progesterone, estrogen, ovulation, and menstrual cycle charting can reveal about reproductive health.How endometriosis, thyroid disorders, insulin resistance, endometritis, antiphospholipid syndrome, and uterine abnormalities may contribute to pregnancy loss.Why assisted reproduction often does not address underlying maternal health conditions contributing to recurrent miscarriage. How targeted testing, lifestyle changes, and identifying modifiable risk factors can help women prepare for healthier pregnancies.How Cooperative Reproductive Endocrinology (CoRE) seeks to diagnose and treat underlying reproductive dysfunction.October is Pregnancy and Infant Loss Awareness Month. For the millions of women and families who have experienced miscarriage, my heartfelt sympathy. The grief is real, even when a pregnancy ends very early. Not every miscarriage can be prevented. But every woman deserves compassionate care, a thoughtful medical evaluation, and answers wherever medicine can provide them. Subscribe for more conversations If this episode encouraged you, please like, subscribe, and share to help more people discover thoughtful conversations about bioethics, human dignity, and human flourishing. 📚For Episode Resources, please visit the episode page www.bioethicsbabe.com Follow BB on social media: YouTube: https://www.youtube.com/@BioethicsBabe Facebook: https://www.facebook.com/profile.php?id=61576554667052 Instagram: https://www.instagram.com/bioethicsbabe X: https://x.com/bioethicsbabe Substack: https://substack.com/@bioethicsbabe

    “Could Your Miscarriage Have Been Prevented? Addressing the Root Causes of Pregnancy Loss”  with Dr. Marguerite Duane | Ep. 52
  2. Oct 14

    “Is Embryo Adoption Actually Surrogacy? The Catholic Case Against It” with Fr. Tad Pacholczyk | Frozen Embryo Series Part 2 | Ep. 51

    What if saving a human life could itself be morally wrong? More than 1.5 million human embryos are estimated to be frozen in the United States, many abandoned by the parents who created them through in vitro fertilization (IVF). For some, the solution seems obvious: Why not adopt these embryos, give them a chance to be born, and welcome them into loving families? But is embryo adoption an act of mercy, or another form of surrogacy? In Part 2 of Bioethics Babe's Frozen Embryo Series, Fr. Tad Pacholczyk makes the Catholic moral and theological case against embryo adoption, responding directly to the philosophical and theological arguments in its defense. Fr. Tad served for more than 22 years as an ethicist, Director of Education, and Senior Ethicist at the National Catholic Bioethics Center. We discuss: Why Fr. Tad argues that embryo adoption is a form of surrogacyWhether procreation ends at fertilization or continues through pregnancy and birthWhat Dignitas Personae and Donum Vitae teach about embryo adoptionWhether the Catholic Church has definitively settled the debateFr. Tad's responses to the philosophical and theological arguments for embryo adoptionWhether embryo transfer constitutes therapeutic, life-saving medical careThe moral risks of thawing and transferring frozen embryosWhether artificial womb technology could provide an ethical alternativeThe heartbreaking question of what should happen to embryos left in cryopreservationIf destroying frozen embryos is wrong, leaving them frozen indefinitely is troubling, and embryo adoption is morally impermissible, what are we supposed to do? This is Part 2 of a series presenting competing Catholic bioethical perspectives, following Dr. Melissa Moschella's philosophical case for embryo adoption in Part 1. Regardless of how a child is conceived or born, every human being possesses equal and inherent dignity. Subscribe for more conversations If this episode encouraged you, please like, subscribe, and share to help more people discover thoughtful conversations about bioethics, human dignity, and human flourishing. 📚For Episode Resources, please visit the episode page at www.bioethicsbabe.com. Follow BB on social media: YouTube: https://www.youtube.com/@BioethicsBabe Facebook: https://www.facebook.com/profile.php?id=61576554667052 Instagram: https://www.instagram.com/bioethicsbabe X: https://x.com/bioethicsbabe

    “Is Embryo Adoption Actually Surrogacy? The Catholic Case Against It” with Fr. Tad Pacholczyk | Frozen Embryo Series Part 2 | Ep. 51
  3. Oct 7

    “The Philosophical Case for Embryo Adoption” with Dr. Melissa Moschella | Frozen Embryo Series Part 1 | Ep. 50

    Can you oppose IVF and still support embryo adoption? If IVF violates the dignity of the child by separating procreation from the marital act, what happens once that child already exists, frozen and unable to continue developing? Would embryo adoption repeat the original wrong of IVF, or could it be an act of rescue? In Part 1 of a special Bioethics Babe series examining the arguments for and against embryo adoption, I sit down with philosopher and natural-law scholar Dr. Melissa Moschella, author of To Whom Do Children Belong?, to explore the philosophical case for embryo adoption. At the heart of her argument is a crucial distinction: procreation ends at fertilization. Once a new human being exists, Melissa argues, gestation does not create that child. It provides care to a child who already exists. But that raises difficult questions. Does gestating an embryo who is not genetically your child make you that child’s mother? Is embryo adoption really a form of surrogacy? Does it violate the Catholic principle that procreation should remain inseparable from the marital act? Could embryo adoption unintentionally normalize the IVF industry? And do frozen embryos have not only a right not to be destroyed, but a positive right to care? We discuss: • Why Melissa believes IVF is morally wrong but embryo adoption can be permissible • When procreation actually ends • The difference between generation and gestational care • Whether gestation necessarily creates motherhood • Why embryo adoption differs from donor conception and surrogacy • The Catholic inseparability principle and whether it applies after fertilization • Whether embryo adoption risks cooperating with or normalizing IVF • Artificial wombs and what they reveal about the meaning of gestation • The rights of frozen embryos and our duty to rescue • What justice requires when a human being already exists but cannot continue developing without someone willing to intervene At the center of the debate is a profound paradox: Human beings were created outside the body, frozen, and placed in a condition where they cannot continue developing without a gestational environment. Does human dignity prohibit placing them into a womb, or could human dignity require that we allow someone to rescue them? This is Part 1 of our series on embryo adoption. In upcoming episodes, we’ll examine competing arguments so you can hear the strongest cases on both sides. Subscribe for more conversations If this episode encouraged you, please like, subscribe, and share to help more people discover thoughtful conversations about bioethics, human dignity, and human flourishing. 📚For Episode Resources, please visit the episode page at https://bioethicsbabe.com/the-philosophical-case-for-embryo-adoption-with-dr-melissa-moschella-frozen-embryo-series-part-1-ep-50/. Follow BB on social media: YouTube: https://www.youtube.com/@BioethicsBabe Facebook: https://www.facebook.com/profile.php?id=61576554667052 Instagram: https://www.instagram.com/bioethicsbabe X: https://x.com/bioethicsbabe

    “The Philosophical Case for Embryo Adoption” with Dr. Melissa Moschella | Frozen Embryo Series Part 1 | Ep. 50
  4. Sep 30

    “Born at 21 Weeks: How Early Can a Baby Survive?” with Neonatologist Dr. Robin Pierucci | Ep. 49

    How early can a baby be born and survive? And what happens when whether that baby receives lifesaving care depends on which hospital the mother walks into? The edge of viability is moving. Babies born at 22 weeks are surviving and thriving, and there are now documented survivors born at just 21 weeks. But outcomes can vary dramatically depending on where a baby is born, whether active treatment is attempted, and the experience of the medical team. In this episode of Bioethics Babe, I sit down with neonatologist Dr. Robin Pierucci, who spent nearly 25 years caring for critically ill and extremely premature babies, including 17 years as medical director of a Level III NICU. We discuss: • How babies born at just 21 and 22 weeks can survive • Why the edge of viability keeps moving earlier as medicine advances • What happens in the delivery room when an extremely premature baby is born • Why a baby's hospital can dramatically affect the care offered and the outcome • How decisions about whether to resuscitate can influence the very survival statistics later presented to parents • What parents should ask about a hospital's resuscitation policies before delivery • The lungs, brain, skin, and other extraordinary developmental challenges of extreme prematurity • How doctors help these babies not merely survive, but thrive • Why disability and uncertain prognosis should not determine a child's human worth • The striking bioethical tension between lifesaving treatment for extremely premature babies and abortion at similar gestational ages • Whether a constantly changing threshold like viability should determine which human lives receive protection If the edge of viability keeps changing as medicine advances, can viability really tell us anything about the value of a human life? This is a conversation about the limits of medicine, the extraordinary resilience of extremely premature babies, and why our technological ability to save a human life is not the measure of that life's worth. Subscribe for more conversations If this episode encouraged you, please like, subscribe, and share to help more people discover thoughtful conversations about bioethics, human dignity, and human flourishing. 📚For Episode Resources, please visit the episode page at https://bioethicsbabe.com/born-at-21-weeks-how-early-can-a-baby-survive-with-neonatologist-dr-robin-pierucci-ep-49/. Follow BB on social media: YouTube: https://www.youtube.com/@BioethicsBabe Facebook: https://www.facebook.com/profile.php?id=61576554667052 Instagram: https://www.instagram.com/bioethicsbabe X: https://x.com/bioethicsbabe

    “Born at 21 Weeks: How Early Can a Baby Survive?” with Neonatologist Dr. Robin Pierucci | Ep. 49
  5. Sep 23

    “Are You Your Body? St. John Paul II’s Theology of the Body” with Dr. John Grabowski | Ep. 48

    Are we our bodies? Or are our bodies simply something we have, something we can control, alter, suppress, or even redesign to conform to who we believe ourselves to be? Nearly half a century ago, St. John Paul II began delivering the 129 lectures that would become known as the Theology of the Body. But far from being simply a Catholic teaching about sex and marriage, Theology of the Body offers a sweeping vision of what it means to be human, and it may be more relevant now than ever. In this episode, I’m joined by Dr. John Grabowski, Professor of Moral Theology and Ethics at The Catholic University of America, to explore St. John Paul II’s understanding of the human person, the meaning of the body, sexual difference, love, marriage, and self-gift. What does it mean to say that we don’t merely have bodies, but are embodied persons? Why did God create us male and female? Does the human body have an intrinsic meaning that we receive, or is it something we can redefine? What does sex communicate through the “language of the body”? And what happens when technology gives us increasing power to separate sex, procreation, biological reality, and personal identity? We discuss: • What Theology of the Body actually is • Why St. John Paul II begins with Genesis and “the beginning” • Original solitude, original unity, and original nakedness • Why the body reveals the person •What it means to be a unity of body and soul • The spousal meaning of the body • Why human beings are created for communion and self-gift • Male and female embodiment and sexual difference • The “language of the body” and how our bodies can communicate truth or falsehood • The difference between love and use • Sexual desire, chastity, and authentic freedom • Why contraception and natural family planning are morally different • How Theology of the Body helps us think about IVF and reproductive technologies • What St. John Paul II’s anthropology says about separating sexual identity from the biological body • The difference between medicine that heals the body and technology that attempts to redesign it Dr. Grabowski has taught at The Catholic University of America for more than 30 years and has served three terms as a theological advisor to the U.S. Conference of Catholic Bishops. He and his wife, Claire, were appointed by Pope Benedict XVI to the Pontifical Council for the Family, and Pope Francis appointed him as an expert to the 2015 Synod of Bishops on the Family. He has written or coauthored eight books on moral theology, marriage, sexuality, bioethics, and the human person. St. John Paul II believed the Church needed an understanding of the human person that was “up to the challenge” of the questions of our time. Was he anticipating the very crisis of what it means to be embodied that we are living through today? Subscribe for more conversations If this episode encouraged you, please like, subscribe, and share to help more people discover thoughtful conversations about bioethics, human dignity, and human flourishing. 📚For Episode Resources, please visit the episode page at www.bioethicsbabe.com. Follow BB on social media: YouTube: https://www.youtube.com/@BioethicsBabe Facebook: https://www.facebook.com/profile.php?id=61576554667052 Instagram: https://www.instagram.com/bioethicsbabe X: https://x.com/bioethicsbabe

    “Are You Your Body? St. John Paul II’s Theology of the Body” with Dr. John Grabowski | Ep. 48
  6. Sep 15

    “Our Culture Worships Autonomy. What If We’re Wrong?” with Leah Libresco Sargeant | Ep. 47

    Our culture prizes autonomy, independence, and self-sufficiency. But what happens when we inevitably need someone else? From the preborn child who is completely dependent on his or her mother, to the person living with profound disability, to the elderly patient who can no longer care for himself, some of the most vulnerable human beings are also the most dependent. So if we equate dignity with autonomy, what happens to human dignity when autonomy disappears? In this episode of Bioethics Babe, Arina Grossu Agnew sits down with Leah Libresco Sargeant, author of The Dignity of Dependence: A Feminist Manifesto, to challenge one of the most powerful assumptions in modern culture: that human flourishing means needing other people as little as possible. We discuss: • Leah’s journey from atheism to Catholicism and the search for objective moral truth • Why Alasdair MacIntyre and virtue ethics challenged her atheist worldview • Why Leah rejects autonomy as the ideal of human flourishing • The difference between autonomy, agency, and stewardship • Why dependence does not diminish human dignity • What feminism gets wrong when it confuses equality with sameness • Why pregnancy poses such a profound challenge to the autonomous model of the human person • Abortion, the dependence of the preborn child, and the real vulnerability of mothers • Why a truly pro-life society must support women, children, families, and caregivers • Disability, aging, and what happens when independence becomes a measure of human worth • The connection between our fear of dependence and the cultural push for assisted suicide and euthanasia • The real costs of caregiving and who should bear them • Whether technology is helping us heal the body or tempting us to escape its limits • Why needing others, and being needed by others, is part of the human condition • How our dependence on one another ultimately points toward our deeper dependence on God If dignity depends on being strong, productive, rational, and independent, then all of us are only one illness, accident, disability, or season of life away from losing it. But what if we have it backwards? What if dependence isn't the opposite of human flourishing, but part of what it means to be human? Subscribe for more conversations If this episode encouraged you, please like, subscribe, and share to help more people discover thoughtful conversations about bioethics, human dignity, and human flourishing. 📚For Episode Resources, please visit the episode page at https://bioethicsbabe.com/our-culture-worships-autonomy-what-if-were-wrong-with-leah-libresco-sargeant-ep-47/. Follow BB on social media: YouTube: https://www.youtube.com/@BioethicsBabe Facebook: https://www.facebook.com/profile.php?id=61576554667052 Instagram: https://www.instagram.com/bioethicsbabe X: https://x.com/bioethicsbabe

    “Our Culture Worships Autonomy. What If We’re Wrong?” with Leah Libresco Sargeant | Ep. 47
  7. Sep 2

    They Wanted Him Aborted for a Heart Defect. The Surrogate Fought to Save Him: The Case of McKenna West | Ep. 46

    A surrogate was hired. Then, at 20 weeks, he was diagnosed with a serious heart defect, and everything changed. McKenna West, a 28-year-old cardiac nurse and mother of two, says the intended parents asked her to abort their biological son after he was diagnosed with hypoplastic left heart syndrome (HLHS). Their surrogacy agreement reportedly required termination for a fetal abnormality if the intended parents requested it. McKenna scheduled the abortion. Then she refused to go through with it. Instead, she began researching how to save the baby's life, eventually relocating to Texas, where he was born and underwent major heart surgery. Now comes the extraordinary twist: the same parents who requested his abortion are pursuing treatment to save his life and fighting for their parental rights. His biological mother calls him “the love of our lives,” yet testified that she does not regret requesting his abortion. How can those two things coexist? In this episode of Bioethics Babe, Arina Grossu Agnew examines the extraordinary case of McKenna West and Baby Gabriel/Rumi and the profound bioethical questions it raises about commercial surrogacy, abortion, disability, reproductive technology, parental rights, and the commodification of women and children. Can a surrogacy contract punish a woman for refusing to abort? Does a child's right to life depend on whether he is healthy and wanted? And why should the same heart defect that in their eyes justified ending his life before birth become a reason to marshal surgeons and intensive care to save him after birth? This case ultimately forces us to confront one fundamental question: What makes a human life worthy of protection? Subscribe for more conversations If this episode encouraged you, please like, subscribe, and share to help more people discover thoughtful conversations about bioethics, human dignity, and human flourishing. 📚For Episode Resources, please visit the episode page at https://bioethicsbabe.com/they-wanted-him-aborted-for-a-heart-defect-the-surrogate-fought-to-save-him-the-case-of-mckenna-west-ep-46/. Follow BB on social media: YouTube: https://www.youtube.com/@BioethicsBabe Facebook: https://www.facebook.com/profile.php?id=61576554667052 Instagram: https://www.instagram.com/bioethicsbabe X: https://x.com/bioethicsbabe

    They Wanted Him Aborted for a Heart Defect. The Surrogate Fought to Save Him: The Case of McKenna West | Ep. 46

Ratings & Reviews

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About

On the Bioethics Babe podcast we examine the tough questions and human flourishing in light of science, faith, and culture. Each week we will do a deep-dive into a bioethical issue with a top medical, academic, or policy expert. www.bioethicsbabe.com

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