Helping individuals with mental retardation maximize their autonomy and enjoy fulfilling quality life experiences is often at the core of ethical arguments surrounding healthcare options for individuals with these disabilities. Having worked with adults with mental retardation I have known some who gave birth, some who got married, and many who were sexually active. There are ranges in function and comprehension in any population group, and the options ought to apply fairly with consideration for the patient’s preferences and best interests guiding decision making. I will argue that in some cases, sterilization promotes autonomy and ought to be considered an option for those with mental retardation as it is for those without any cognitive impairment. The benefits are the same for person with mental retardation as for any individual – freedom to engage in sexual activity without the risk if unwanted pregnancy. Unlike the old sterilization policies which allowed procedures to be performed over the objections of patients and guardians, this elective procedure may be permissible if an appropriate consent process is in place and engages the patient and his or her support network in the conversation.
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