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Central Banking Umbilical Cord Blood and "For Profit Enterprises"
Title: Routine storage of umbilical cord blood for potential future transplantation
Author: American College of Obstetricians and Gynecologists (ACOG), Committee on Obstetric Practice and Committee on Genetics
Address: Washington, DC
Source: ACOG Committee Opinion 183; April,1997
Summary:A recently recognized potential source for hematopoetic stem and progenitor cells is human fetal cord blood. Results seem encouraging from more than 200 transplants of human cord stem cells, primarily to treat childhood maligmancies. Also encouraging is the large, genetically diverse reservoir of cord blood specimens available due to the 4 million births per year in the United States. The use of this technology raises a number of scientific, legal and ethical issues. Most pressing is the controversey over commercial cord blood banks appealing to parental emotions and the ensuing guilt to ensure the health of their children and grandchildren. Until there is extensive public discussion and fuller understanding of the issues, it is the authors opinion that parents should not be sold this service without a realistic look at the "return" of their investment and that commercial cord blood banks should not market their highly speculative market services as "doing everything possible".
Comment: This is a published opinion of the official organization representing American obstetrician and gynecologists (ACOG). It seems that patients and their relatives are being made to feel guilty if they do not participate in this potentially life saving technology. Clearly, it is a boon business. Costs were reported around $1500 to perserve these samples with additional storage fees. This technology has at least as many ethical questions as assisted reproduction. What a mess, at present.

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