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Peripheral governance: administering transnational health-care flows

  • Ruth Fletcher (a1)


This paper develops the concept of peripheral governance as a kind of legal transnationalism that is being generated by responses to outward travel for health care. I argue for a recuperation of the ‘peripheral’ in order to think through the ways in which marginal actors and marginal objects contribute to transnationalism. The paper draws on the idea of networked governance, nodal governance in particular, to capture governance mechanisms that have emerged in response to outward flows for health care. Peripheral governance comes into being through the cultivation of dependency on core provision of health care in other jurisdictions and by focusing domestic provision on those services (information, counselling, check-ups), which lie on the margins of health care. Peripheral governance has four key technologies: non-development, exit, use and return. These technologies illustrate how state agencies may actively mobilise the peripheral as they claim to address local needs through participation in the regulation of cross-border health care. In so doing they configure a conception of the peripheral that does not want to become core, participates in transnational networks on its own terms, and focuses on marginal objects of health care. I develop this account of peripheral governance through a critical reading of the strategies that the Irish Crisis Pregnancy Agency has adopted in response to women's practices of travelling for abortion care.


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Adshead, Maureen, Kirby, Peadar and Millar, Michelle (eds) (2008) Contesting the State: Lessons from the Irish Case. Manchester: Manchester University Press.
All Party Oireachtas Committee on the Constitution (2000) Fifth Progress Report: Abortion. Dublin: Stationery Office; available at <>.
Anon (2007a) ‘Bishops Seek to Renegotiate Crisis Pregnancy Deal’, The Independent, 8 October; available at <>.
Anon (2007b) ‘Girl Seeking Abortion Challenges HSE’, The Irish Times, 1 May.
Anon (2008) ‘New Legal Challenge to Abortion Law Looms’, The Sunday Business Post, 30 March.
Anon (2010) ‘Customs Seized 1,216 Packs of Illegal Abortion Drugs in 2009’, The Irish Times, 29 October; available at <>.
Anon (2011) ‘Fall in Numbers Seeking Abortion’, The Irish Times, 24 May; available at <>.
Appadurai, Arjun (1990) ‘Disjuncture and Difference in the Global Cultural Economy’, Public Culture 2(2): 123.
Appadurai, Arjun (1996) Modernity at Large: Cultural Dimensions of Globalisation. Minneapolis: University of Minnesota Press.
Bakhru, Tanya (2008) ‘Migration, Development, and Reproductive Health: Selected Experiences of an NGO in Ireland’, Gender and Development 16(2): 301–12.
Barry, Marguerite (2012) ‘Notes from the Semi-periphery: Ireland's Press Coverage of the Developing World and the Value of Small State Studies in International Communications Research’, International Communication Gazette 74(2): 124–44.
Bedford, Kate (2009) Developing Partnerships: Gender, Sexuality and the Reformed World Bank. Minneapolis: University of Minnesota Press.
Behrmann, Jason and Smith, Elise (2010) ‘Top 7 Issues in Medical Tourism: Challenges, Knowledge Gaps, and Future Directions for Research and Policy Development’, Global Journal of Health Science 2(2): 8090; available at <>.
Bell, Mark and McHale, Jean (2002) ‘Travellers Checks’, Health Service Journal 112(5806): 3941.
Benhabib, Seyla (1996) ‘Toward a Deliberative Model of Democratic Legitimacy’, in Benhabib, Seyla (ed.), Democracy and Difference: Contesting the Boundaries of the Political. Princeton: Princeton University Press, 6794.
Bennett, Belinda (2008) Health Law's Kaleidoscope: Health Law Rights in a Global Age. Aldershot: Ashgate.
Berer, Marge (2000) ‘Making Abortions Safe: A Matter of Good Public Health Policy and Practice’, Bulletin of the World Health Organisation 78(5): 580–92; available at <>.
Bignami, Frances (2010) ‘From Expert Administration to Accountability Network: A New Paradigm for Comparative Administrative Law’, Jean Monnet Working Paper (no. 1/10); available at <>.
Black, Julia (1998) ‘Regulation as Facilitation: Negotiating the Genetic Revolution’, Modern Law Review 61(5): 621–60.
Black, Julia (2000) ‘Proceduralizing Regulation: Part IOxford Journal of Legal Studies 20: 597614.
Black, Julia (2001a) ‘Decentring Regulation: Understanding the Role of Regulation and Self Regulation in a “Post-Regulatory” World’, Current Legal Problems 54: 103–47.
Black, Julia (2001b) ‘Proceduralizing Regulation: Part II’, Oxford Journal of Legal Studies 21: 3359.
Black, Julia (2008) ‘Constructing and Contesting Legitimacy and Accountability in Polycentric Regulatory Regimes’, Regulation & Governance 2: 137–64.
Blecher, Michael (ed.) (2008) ‘Introduction to the Special Issue: Governance, Civil Society and Social Movements’, Law and Critique 19(3): 225–33.
Blyth, Eric and Farrand, Abigail (2005) ‘Reproductive Tourism – a Price Worth Paying for Reproductive Autonomy?’, Critical Social Policy 25(1): 91114.
Bookman, Milica and Bookman, Karla (2007) Medical Tourism and Developing Countries. New York: Palgrave-Macmillan.
Boucher, Gerry and Collins, Grainne (2003) ‘Having One's Cake and Being Eaten too: Irish Neo-liberal Corporatism’, Review of Social Economy 61(3): 295316.
Brick, Aoife, Nolan, Anne, O'Reilly, Jacqueline and Smith, Samantha (2010) Resource Allocation, Financing and Sustainability in Healthcare: Evidence for the Expert Group on Resource Allocation and Financing in the Health Sector, vols 1 and 2. Dublin: Department of Health and Children and the Economic and Social Research Institute; available at <>.
British Medical Association (BMA) (2007), First Trimester Abortion. A Briefing Paper by the BMA Medical Ethics Committee London: BMA; available at <>.
Burke, Sarah (2008) ‘Unequal in Life and Death: Women's Health – Gender and Inequality in the Irish Health System’, in Barry, Ursula (ed.), Where Are We Now? New Feminist Perspectives on Women in Contemporary Ireland. Dublin: New Island/TASC, 5381.
Burris, Scott, Drahos, Peter and Shearing, Clifford (2004) ‘Nodal Governance’ (Temple Law School Working Paper); available at <>.
Carabine, Jean (2007) ‘New Labour's Teenage Pregnancy Policy’, Cultural Studies 21(6): 952–73.
Carolan, Mary, Houston, Muiris and O'Brien, Carl (2007), ‘AG Tells Court Girl Has Tight to Travel for Abortion’, The Irish Times, 2 May.
Carrera, Percivil and Lunt, Neil (2010) ‘A European Perspective on Medical Tourism: The Need for a Knowledge Base’, International Journal of Health Services 40(3): 469–84.
Carroll, Steven (2007) ‘Cura Signs 2 Million Deal with Pregnancy Agency’, The Irish Times, 6 November; available at <>.
Chambers, Donna and McIntosh, Bryan (2008) ‘Using Authenticity to Achieve Competitive Advantage in Medical Tourism in the English-speaking Caribbean’, Third World Quarterly 29(5): 919–37.
Chelstowska, Agata (2011) ‘Stigmatisation and Commercialisation of Abortion Services in Poland’, Reproductive Health Matters 19(37): 98106.
Chief Medical Officer (2005) An Investigation into the British Pregnancy Advisory Service Response to Requests for Late Abortions. London: Department of Health, England and Wales.
Clancy, Paula and Murphy, Grainne (2006) Outsourcing Government: Public Bodies and Accountability. Dublin: New Island.
Clifford, Allison (2002) ‘Abortion in International Waters off the Coast of Ireland: Avoiding a Collision between Irish Moral Sovereignty and the European Community’, PACE International Law Review 14(2): 385433; available at <>.
Connell, John (2006) ‘Medical Tourism: Sea, Sun, Sand and … Surgery’, Tourism Management 27(6): 1093–100.
Connolly, Linda (2003) The Irish Women's Movement. Dublin: The Lilliput Press.
Cook, Rebecca (2009) ‘Transparency in the Delivery of Lawful Abortion Services’, Canadian Medical Association Journal 180(3); available at <>.
Cooper, Davina (1998) Governing out of Order: Space, Law, and the Politics of Belonging. London: Rivers Oram Press.
Cotterrell, Roger (2008) ‘Ehrlich at the Edge of Empire: Centres and Peripheries in Legal Studies’, in Hertogh, Marc (ed.), Living Law: Reconsidering Eugen Ehrlich Oxford: Hart, 7594.
Cotterrell, Roger (2009) ‘Spectres of Transnationalism: Changing Terrains of Sociology of Law’, Journal of Law and Society 36(4): 481500.
Coultor, Carol (2002) ‘A Yes Vote Will Protect Doctors’, The Irish Times, 28 February.
Council of Europe (2008) Commissioner for Human Rights (Hammarberg), Report on Ireland, CommDH (2008)9; available at <>.
Crisis Pregnancy Agency (CPA) (2002) Annual Report 2002. Dublin: CPA; available at <>.
Crisis Pregnancy Agency (CPA) (2003a) Strategy to Address the Issue of Crisis Pregnancy 2004–6. Dublin: CPA; available at <>.
Crisis Pregnancy Agency (CPA) (2003b) Annual Report 2003. Dublin: CPA; available at <>.
Crisis Pregnancy Agency (CPA) (2003c) Towards a Strategy to Address the Issue of Crisis Pregnancy. Dublin: CPA; available at <>.
Crisis Pregnancy Agency (CPA) (2004a) Irish Contraception and Crisis Pregnancy Study. Dublin: CPA; available at <>.
Crisis Pregnancy Agency (CPA) (2004b) Annual Report 2004. Dublin: CPA; available at <>.
Crisis Pregnancy Agency (CPA) (2005a) Annual Report 2005. Dublin: CPA; available at <>.
Crisis Pregnancy Agency (CPA) (2005b) Key Contact – Directory of Supported Accommodation for Women Experiencing Crisis Pregnancy. Dublin: CPA; available at <>.
Crisis Pregnancy Agency (CPA) (2005c) Research on Crisis Pregnancy for Crisis Pregnancy Counsellors. Dublin: CPA; available at <>.
Crisis Pregnancy Agency (CPA) (2006) Annual Report 2006. Dublin: CPA; available at <>.
Crisis Pregnancy Agency (CPA) (2007a) Annual Report 2007. Dublin: CPA; available at <>.
Crisis Pregnancy Agency (CPA) (2007b) Strategy 2007–2011: Leading an Integrated Approach to Reducing Crisis Pregnancy. Dublin: CPA; available at <>.
Crisis Pregnancy Agency (CPA) (2008) Annual Report 2008. Dublin: CPA; available at <>.
Crisis Pregnancy Agency (CPA) and Irish College of General Practitioners (ICGP) (2004) Primary Care Guidelines 2004. Dublin: CPA; available at <>.
Crisis Pregnancy Agency (CPA) and Irish College of General Practitioners (ICGP) (2007a) Key Contact – Care of a Woman after an Abortion. Dublin: CPA; available at <>.
Crisis Pregnancy Agency (CPA) and Treoir (2005) Reproductive Health Information for Migrant Women. Dublin: CPA; available at <>.
Crisis Pregnancy Programme (CPP) (2010a) Annual Report 2010. Dublin: CPP; available at <>.
Crisis Pregnancy Programme (CPP) (2010b) February Newsletter 7(7); available at <>.
Crisis Pregnancy Programme (CPP) (2011) Pregnancy at Work: A National Survey. Dublin: CPP; available at <>.
Crisis Pregnancy Programme (CPP) (2012) Irish Contraception and Crisis Pregnancy Study 2010. Dublin: CPP; available at <>.
Culley, Lorraine and Hudson, Nicky (2010) ‘Fertility Tourists or Global Consumers? A Sociological Agenda for Exploring Cross-border Reproductive Travel’, International Journal of Interdisciplinary Social Sciences 4(10): 139–50.
Culley, Lorraine, Hudson, Nicky, Blyth, Eric, Norton, Wendy, Pacey, Allan and Rapport, Frances (2011) Transnational Reproduction: An Exploratory Study of UK Residents Who Travel Abroad for Fertility Treatment (Summary Report); available at <>.
DALY, Brenda (2011) ‘“Braxton's Hick's” or the Birth of a New Era? Tracing the Development of Ireland's Abortion Laws in Respect of European Court of Human Rights Jurisprudence’, European Journal of Health Law 18(4): 375–95.
Davies, Celia, Wetherell, Margaret and Barnett, Elizabeth (2006) Citizens at the Centre: Deliberative Participation in Healthcare Decisions. Bristol: Policy Press.
De Arellano, Annette (2007) ‘Patients Without Borders: The Emergence of Medical Tourism’, International Journal of Health Services 37(1): 193–98.
de Barra, Deirdre (2002) Letter, The Irish Times, 25 February 2002; available at <>.
Deech, Ruth (2003) ‘Reproductive Tourism in Europe: Infertility and Human Rights’, Global Governance 9: 425–32.
Department of Health (DoH) (1999) Green Paper on Abortion. Dublin; available at <>.
Department of Health, England and Wales (2011) Abortion Statistics, England and Wales: 2010; available at <>.
Department of Health and Children (DoHC) (2001) Quality and Fairness: A Health System for You. Dublin; available at <>.
Department of Justice and Law Reform (2007) National Women's Strategy 2007–2016. Dublin; available at <>.
De Londras, Fiona (2012) ‘The Fine Gael Revolt Against Abortion ‘Liberalisation’ Is Misguided. Here's Why’, The Journal. 19 July; available at>.
Donchin, Anne (2010) ‘Reproductive Tourism and the Quest for Global Gender Justice’, Bioethics 24(7): 323–32.
Dyer, Clare (2005) ‘Charity Did Not Break Law in Giving Information about Late Abortions’, British Medical Journal 331: 716.
Eggertson, Laura (2006) ‘Wait-list Weary Canadians Seek Treatment Abroad’, Canadian Medical Association Journal 174(9): 1247.
English, Veronica, MUSWELL, Rebecca, SHEATHER, Julian and SOMMERVILLE, Ann (2006) ‘Ethics Briefings: Medical Tourism’, Journal of Medical Ethics 32: 247–48.
Enright, Mairead (2012) ‘Abortion, Resistance and the Politics of Life and Death’, Politico, 20 April; available at <>.
ERDMAN, Joanna (2011) ‘Access to Information on Safe Abortion: A Harm Reduction and Human Rights Approach’, Harvard Journal of Law and Gender 34: 414–62.
Erni, John Nguyet (2009) ‘Human Rights in the Neoliberal Imagination: Mapping the “New Sovereignties”’, Cultural Studies 23(3): 417–36.
Fletcher, Ruth (1995) ‘Silences: Irish Women and Abortion’, Feminist Review 50: 4466.
Fletcher, Ruth (1998) ‘“Pro-Life” Absolutes, Feminist Challenges: The Fundamentalist Narrative of Irish Abortion Law 1986–92’, Osgoode Hall Law Journal 36: 162.
Fletcher, Ruth (2000) ‘National Crisis, Supranational Opportunity: The Irish Construction of Abortion as a European Service’, Reproductive Health Matters 8: 3544.
Fletcher, Ruth (2001) ‘Post-colonial Fragments: Representations of Abortion in Irish Law and Politics’, Journal of Law and Society 28(4): 568–89.
Fletcher, Ruth (2005) ‘Reproducing Irishness: Race, Gender and Abortion Law’, Canadian Journal of Women and the Law 17(2): 365403.
Fletcher, Ruth (2008) ‘Reproductive Justice and Article 40 3 3’, in Schweppe, Jennifer (ed.), The Unborn Child, Article 40 3 3 and Abortion in Ireland: 25 Years of Protection? Dublin: Liffey Press, 319–48.
Franklin, Sarah (2005) ‘Stem Cells R US: Emergent Life Forms and the Global Biological’, in Ong, Aihwa and Collier, Stephen (eds), Global Assemblages. Oxford: Blackwell, 5978.
Franklin, Sarah, Lurey, Celia and Stacey, Judith (2000) Global Culture, Global Nature. London: Sage.
Fraser, Nancy (2009) Scales of Justice: Reimagining Political Space in a Globalizing World. New York: Columbia University Press.
Gantly, Dara (2010) ‘Substantial Changes Sought on Ethical Guide’, Irish Medical Times, March; available at <>.
Gilmartin, Mary and White, Allen (2011) ‘Interrogating Medical Tourism: Ireland, Abortion and Mobility Rights’, Signs 36(2): 275–85.
Ginsburg, Faye and Rapp, Rayna (eds) (1995) Conceiving the New World Order: The Global Politics of Reproduction. Los Angeles: University of California Press.
Gottweis, Herbert (2008) ‘Participation and the New Governance of Life’, BioSocieties 3: 265–86.
Grewal, Inderpal and Kaplan, Caren (eds) (1994) Scattered Hegemonies: Postmodernity and Transnational Feminist Practices. Minneapolis, MN: University of Minnesota Press.
Hanafin, Patrick (2001) Constituting Identity. Aldershot: Ashgate.
Harrington, John (2008) ‘Migration and Access to Health Care in English Medical Law: A Rhetorical Critique’, International Journal of Law in Context 4(4): 315–35.
Harrington, John and Stuttaford, Maria (2012) Global Health and Human Rights: Legal and Philosophical Perspectives. London: Routledge.
Harris, Clodagh (ed.) (2005) The Report of the Democracy Commission: Engaging Citizens: The Case for Democratic Renewal in Ireland. Dublin: Tasc at New Island.
Herron, Brian (2010) ‘Abortion Laws Criticised by Human Rights Group’, Irish Medical Times, 12 February; available at <>.
Hervey, Tamara (2007) ‘EU Law and National Health Policies: Problem or Opportunity?’, Health Economics, Policy and Law 2(1): 16.
Hervey, Tamara (2008) ‘The European Union's Governance of Health Care and the Welfare Modernisation Agenda’, Regulation and Governance 2: 103–20.
Hervey, Tamara and MCHALE, Jean (2004) Health Law and the European Union. Cambridge: Cambridge University Press.
Hewson, Barbara (2007) ‘Ireland's Miss D: A Bizarre Dispute’, Abortion Review, 24 May; available at <>.
Hirshman, Albert O. (1970) Exit, Voice and Loyalty: Responses to Decline in Firms, Organizations, and States. Cambridge, MA: Harvard University Press.
Hopkins, Laura, Labonté, Ronald, Runnels, Vivien and Packer, Corinne (2010) ‘Medical Tourism Today: What Is the State of Existing Knowledge?’, Journal of Public Health Policy 31: 185–98.
Hough, Jennifer (2012) ‘Review Urged of Assisted Suicide Law’, Irish Examiner, 6 January; available at <>.
Houston, Muiris (2011) ‘Over Half of Doctors Support Abortion’, The Irish Times, 25 November; available at <>.
Human rights watch (2010) A State of Isolation: Access to Abortion in Ireland; available at <>.
Inhorn, Marcia (2011) ‘Globalization and Gametes: Reproductive ‘Tourism’, Islamic Bioethics and Middle East Modernity’, Anthropology and Medicine 18(1): 87103; available at <>.
Inhorn, Marcia and Patrizio, Pasqual (2009) ‘Reproductive Tourism as Reproductive Exile’, Fertility and Sterility 92(3): 904–06.
Irish Family Planning Association (IFPA) (2000) ‘The Irish Journey – Women's Stories of Abortion’; available at <>.
Jackson, Pauline (1992) ‘Outside the Jurisdiction: Irish Women Seeking Abortion’, in Smyth, Ailbhe (ed.), The Abortion Papers – Ireland. Dublin: Attic Press, 119–37.
Jacob, Marie Andree (2012) Matching Organs with Donors: Legality and Kinship in Transplants. Philadelphia, PA: University of Pennsylvania Press.
Jacobson, David and Kirby, Peadar (2006) ‘Globalisation and Ireland’, in Jacobson, David, Kirby, Peadar and O'Broin, Deiric (eds), Taming the Tiger: Social Exclusion and Globalised Ireland. Dublin: New Island, 2344.
Jacobson, David, Kirby, Peadar and O'Broin, Deiric (eds) (2006) Taming the Tiger: Social Exclusion and Globalised Ireland. Dublin: New Island.
Jenner, Elizabeth Anne (2008) ‘Unsettled Borders of Care: Medical Tourism as a New Dimension in America's Health Care Crisis’, Research in the Sociology of Health Care 26: 235–49.
Jost, Timothy (2006) ‘The New Governance, the Open Method of Coordination and Social Health Insurance in Europe’, Medical Law International 7(3): 249–63.
Kangas, Beth (2007) ‘Hope from Abroad in the International Medical Travel of Yemeni Patients’, Anthropology and Medicine 14(3): 293305.
Kangas, Beth (2011) ‘Complicating Common Ideas about Medical Tourism: Gender, Class and Globality in YemenisMedical Travel', Signs 36(2): 327–32.
Kearney, Richard (1997) Postnationalist Ireland: Politics, Culture, Philosophy. London: Routledge.
Kingston, James and Whelan, Anthony with Bacik, Ivana (1997) Abortion and the Law. Dublin: Round Hall Sweet & Maxwell.
Kirby, Peadar (2009) ‘The Competition State: Lessons from Ireland’, Limerick Papers in Politics and Public Administration; available at <>.
Kirby, Peadar (2010) Celtic Tiger in Collapse: Explaining the Weaknesses of the Irish Model. Basingstoke: Palgrave-Macmillan.
Kirby, Peadar and Murphy, Mary (2008) ‘The Competition State’, in Adshead, Maureen, Kirby, Peadar and Millar, Michelle (eds), Contesting the State. Manchester: Manchester University Press, 120–42.
Kreimer, F. (1992) ‘The Law of Choice and Choice of Law: Abortion, The Right to Travel, and Extraterritorial Regulation in American Federalism’, New York University Law Review 67(3): 451519.
Lalor, Joan, Devane, Declan and Begley, Cecily (2007) ‘Unexpected Diagnosis of Fetal Abnormality: Women's Encounters with Caregivers’, Birth 34(1): 8088.
Layte, R., McGee, H., Quail, A., Rundle, K., Cousins, G., Donnelly, C., Mulcahy, F. and Conroy, R. (2006) The Irish Study of Sexual Health and Relationships. A Crisis Pregnancy Agency and Department of Health and Children report. Dublin: CPA; available at <>.
Lee, Ellie (2004) ‘Young Women, Pregnancy and Abortion in Britain: A Discussion of Law “in Practice”’, International Journal of Law, Policy and Family 18: 283304.
Lewis, Jenny (2005) ‘A Network Approach for Researching Partnerships in Health’, Australian and New Zealand Health Policy 2: 2233; available at <>.
Lewis, Penny (2011) ‘Informal Legal Change on Assisted Suicide’, Legal Studies 31(1): 119–34.
LIEBERMAN, Evan (2011) ‘The Perils of Polycentric Governance of Infectious Disease in South Africa’, Social Science and Medicine 73(5): 676–84.
Lindahl, Hans (2010) ‘A-Legality: Postnationalism and the Question of Legal Boundaries’, Modern Law Review 73(1): 3056.
Lunt, Neil (2010) ‘Medical Tourism: Assessing the Evidence on Treatment Abroad’, Maturitas, an International Journal of Midlife Health and Beyond 66(1): 2732.
MacLaughlin, Jim (1994) Ireland: The Emigrant Nursery and the World Economy. Cork: Cork University Press.
MacReady, Norra (2007) ‘Developing Countries Court Medical Tourists’, The Lancet 369(9576): 1849–50; available at <>.
Mahon, Evelyn, Conlon, Catherine and Dillon, Lucy (1998) Women and Crisis Pregnancy. Dublin: The Stationery Office.
Mazzaschi, Andrew and MACDONALD, Emily Anne (eds) (2011) ‘Comparative Perspectives Symposium: Gender and Medical Tourism’, Signs 36(2): 275332.
McAvoy, Sandra (2004) ‘Before Cadden: Abortion in Mid-Twentieth Century Ireland’. in Keogh, Dermot, O'Shea, F. and Quinlan, C. (eds), The Lost Decade: Ireland in the 1950s. Cork: Mercier Press, 147–64.
McAvoy, Sandra (2008), ‘From Anti-Amendment Campaigns to Demanding Reproductive Justice: The Changing Landscape of Abortion Rights Activism in Ireland 1983–2008’, in Schweppe, J. (ed.), The Unborn Child, Article 40 3 3 and Abortion in Ireland. Dublin: Liffey Press, 1545.
McCafferty, Nell (2002) ‘Their Masters’ Voices Say “Yes,” Their “Best Practices” Say “No.”', The Sunday Tribune, 3 March.
McDonald, Henry (2012) ‘Irish Pain over Abortion Law’, The Guardian, 6 July; available at <>.
McDonald, Dearbhail (2009) ‘Doctors Fear Abortion Charge if they Direct Patients Abroad’, Irish Independent, 12 December.
McGuinness, Sheilagh (2011) ‘A, B, and C Leads to D (for Delegation!) A, B and C v. Ireland 25579/05 [2010] ECHR 2032’, Medical Law Review 19(3): 476–91.
McHale, Jean (2003) ‘Health Law in Europe – A Matter of Convergence?’, Medico-Legal Journal of Ireland 9(1): 1723.
McHale, Jean (2007) ‘Framing a Right to Treatment in English Law? Watts in Retrospective’, Maastricht Journal of European and Comparative Law 14(3): 263–85.
McHale, Jean (2013), ‘Organ Transplantation, the Criminal Law, and the Health Tourist: A Case for Extraterritorial Jurisdiction?’, Cambridge Quarterly of Healthcare Ethics 22(1): 6476.
Medical Council (2004) A Guide to Ethical Conduct and Behaviour, 6th edn.Dublin
Medical Council (2009) Guide to Professional Conduct and Ethics for Registered Medical Practitioners, 7th edn.Dublin; available at <>.
Menkel-Meadow, Carrie (2011) ‘Why and How to Study Transnational Law’, UC Irvine Law Review 1(1): 97128.
Millar, Michelle (2008) ‘Social Inclusion and the Welfare State: Who Cares?’, in Adshead, Maureen, Kirby, Peader and Millar, Michelle (eds), Contesting the State: Lessons from the Irish Case. Manchester: Manchester University Press, 100–19.
Miller, Peter and Rose, Nikolas (2008) Governing the Present. Oxford: Polity.
Morriss, Peter (2008) ‘The Statute Law on Abortion in Ireland’, in Schweppe, Jennifer (ed.), The Unborn Child, Article 40 3 3 and Abortion in Ireland. Dublin: Liffey Press, 277300.
Mossialos, Elias, Permanand, Govin, Baeten, Rita and Hervey, Tamara K. (eds) (2010) Health Systems Governance in Europe: The Role of European Union Law and Policy. Cambridge: Cambridge University Press.
Murphy, Mary (2006) ‘The Emerging Irish Workfare State and its Implications for Local Development’, in Jacobson, David, Kirby, Peadar and O'Broin, Deiric (eds), Taming the Tiger: Social Exclusion and Globalised Ireland. Dublin: New Island, 85111.
National Economic and Social Council (NESC) (2005) The Developmental Welfare State. Dublin; available at <>.
Newdick, Christopher (2006) ‘Citizenship, Free Movement and Health Care: Cementing Individual Rights by Corroding Social Solidarity’, Common Market Law Review 43: 1645–68.
Ni Riain, Aine (2006) Women's Health Services in General Practice: 2004. Dublin: ICGP and CPA; available at <>.
Oaks, Laury (2002) ‘“Abortion is Part of the Irish Experience, It Is Part of What We Are”: The Transformation of Public Discourses on Irish Abortion Policy’, Women's Studies International Forum 25(30): 315–33.
O'Connell, Paul (2005) ‘The Human Right to Health and the Privatization of Irish Health Care’, Medico-Legal Journal of Ireland 11(2): 7682.
O'Leary, Siofra (1992) ‘Freedom of Establishment and Freedom to Provide Services: The Court of Justice as a Reluctant Constitutional Adjudicator: An Examination of the Abortion Information Case’, European Law Review 17(2): 138–57.
Ong, Aihwa (1999) Flexible Citizenship: The Cultural Logics of Transnationality. Durham, NC: Duke University Press.
Ong, Aihwa (2006) Neoliberalism as Exception: Mutations in Citizenship and Sovereignty. Durham, NC: Duke University Press.
Ong, Aihwa and Collier, Stephen (eds) (2005) Global Assemblages: Technology, Politics and Ethics as Anthropological Problems. Malden, MA: Blackwell.
O'Riain, Sean (2004) The Politics of High Tech Growth: Developmental Network States in the Global Economy. Cambridge: Cambridge University Press.
Pennings, Guido (2002) ‘Reproductive Tourism as Moral Pluralism in Motion’, Journal of Medical Ethics 28: 337–41.
Pennings, Guido (2004) ‘Legal Harmonization and Reproductive Tourism in Europe’, Human Reproduction 19(12): 2689–94.
Pennings, G, De Wert, G, Shenfield, F, Cohen, J, Taralantzis, B and Devroey, P (2008) ‘ESHRE Task Force on Ethics and Law 15: Cross-border Reproductive Care’, Human Reproduction 23(10): 2182–84.
Phelan, Diarmuid Rossa (1992) ‘Right to Life of the Unborn v. Promotion of Trade in Services: The ECJ and the Normative Shaping of the European Union’, Modern Law Review 55(5): 670–89.
Pickard, S, Sheaff, R and Dowling, B (2006) ‘Exit, Voice, Governance and User-responsiveness: The Case of English Primary Care Trusts’, Social Science and Medicine 63(2): 373–83.
Rawlings, Richard and Harlow, Carol (2007) ‘Promoting Accountability in Multi-Level Governance: A Network Approach’, European Law Journal 13: 542–62.
Rebouche, Rachel (2011) ‘Parental Involvement Laws and New Governance’, Harvard Journal of Law and Gender 34: 175223.
Roberts, Elizabeth F. S. and SCHEPER-HUGHES, Nancy (2011) ‘Introduction: Medical Migrations’, Body and Society 17(2/3): 130.
Rose, Nikolas and Miller, Peter (1992) ‘Political Power Beyond the State: Problematics of Government’, British Journal of Sociology 43(2): 173205.
Rossiter, Ann (2009) Ireland's Hidden Diaspora: The Abortion Trail and the Making of a ‘London-Irish’ Underground 1980–2000. London: IASC Publications.
Royal College of Obstetricians and Gynaecologists (RCOG) (2010) Fetal Awareness. Review of Research and Recommendations for Practice: Report of a Working Party. London: RCOG Press; available at <>.
Ruane, Medb (2010) ‘Why Turning to Abortion Care on the Internet Signals a Real Crisis in Healthcare for Women’, The Irish Independent, 20 October; available at <>.
Sanger, Carol (2008) ‘Seeing and Believing: Mandatory Ultrasound and the Path to a Protected Choice’, UCLA Law Review 56(2): 351408.
Sassen, Saskia (2006) Territory. Authority. Rights. From Medieval to Global Assemblages. Princeton: Princeton University Press.
Scambler, David and Kelleher, Graham (2006) ‘New Social and Health Movements: Issues of Representation and Change’, Critical Public Health 16(3): 219–31.
Schweppe, Jennifer (ed.) (2008) The Unborn Child, Article 40 3 3 and Abortion in Ireland: 25 years of Protection? Dublin: Liffey Press.
Scott, Joanne and De Burca, Grainne (eds) (2006) Law and New Approaches to Governance in the EU and US. Oxford: Hart Publishing.
Sethna, Christabelle and Doull, Marion (2009) ‘Journeys of Choice? Abortion, Travel and Women's Autonomy’, in Murray, S. and Holmes, D. (eds), Critical Interventions in the Ethics of Healthcare: Challenging the Principle of Autonomy in Bioethics. Aldershot: Ashgate Publishing, 163–79.
Sethna, Christabelle and Doull, Marion (2012) ‘Accidental Tourists: Canadian Women, Abortion Tourism, and Travel’, Women's Studies 41(4): 457–75.
Sheldon, Sally (1997) Beyond Control: Medical Power and Abortion Law. London, Pluto Press.
Sheldon, Sally and Wilkinson, Stephen (2001) ‘Termination of Pregnancy for Reasons of Fetal Abnormality: Are there Grounds for a Special Exception in Law?’, Medical Law Review 9(2): 85109.
Sheller, Mimi (2011) ‘Mobility’, Sociopedia.isa; available at <>.
SHENFIELD, Francoise, MOUZON, Jacques, PENNINGS, Guido, FERRARETTI, Anna, PIA, Nyobe, ANDERSEN, Anders, DE WERT, Guido, GOOSSENS, Veerle and the ESHRE TASKFORCE ON CROSS BORDER REPRODUCTIVE CARE (2010) ‘Cross Border Reproductive Care in Six European Countries’, Human Reproduction 25(6): 1361–68.
Sheridan, Kathy (2012) ‘I Believe in a Loving God and That I Won't Be Damned for What I Did’, The Irish Times, 17 April; available at <>.
Skelcher, Chris and Torfing, Jacob (2010) ‘Improving Democratic Governance through Institutional Design: Civic Participation and Democratic Ownership in Europe’, Regulation & Governance 4: 7191.
Smith, Samantha (2010) ‘Equity in Irish Health Care Financing: Measurement Issues’, Health Economics, Policy and Law 5(2): 149–69.
Smyth, Ailbhe (ed.) (1992) The Abortion Papers. Dublin: Attic Press.
Smyth, Lisa (2005) Abortion and Nation. Aldershot: Ashgate.
SMYTH, Lisa (2008) ‘From Rights to Compassion: The D Case and Contemporary Abortion Politics’, in Jennifer Schweppe (ed.), The Unborn Child, Article 40 3 3 and Abortion in Ireland: 25 years of Protection? Dublin: Liffey Press, 4764.
Solomons, Michael (1993) Pro-Life? The Irish Question. Dublin: Lilliput Press.
Sterling, Abigail Mary E. W. (1997) ‘The European Union and Abortion Tourism: Liberalizing Ireland's Abortion Law’, Boston College International and Comparative Law Review 20(2): 385406.
Storrow, R. F. (2005) ‘Quests for Conception: Fertility Tourists, Globalization, and Feminist Legal Theory’, Hastings Law Journal 57: 295330.
Thompson, Melissa (2006) Like a Ship in the Night [DVD, 30 mins]; excerpt available as an ‘Abortion Tourism’ video piece at <> (last accessed 4 April 2012).
Todd, Maria (2011) Medical Tourism Facilitator's Handbook. London: Routledge- Cavendish.
Trubek, David and Trubek, Louise (2007) ‘New Governance and Legal Regulation: Complementarity, Rivalry and Transformation’, Columbia Journal of European Law 13: 539–64.
Turner, Leigh (2007) ‘First World Health Care at Third World Prices: Globalization, Bioethics and Medical Tourism’, BioSocieties 2(3): 303–25.
Turner, Leigh (2010) ‘“Medical Tourism” and the Global Marketplace in Health Services: U.S. Patients, International Hospitals, and the Search for Affordable Health Care’, International Journal of Health Services 40(3): 443–67.
United Nations Committee Against Torture (2011) Concluding Observations (Ireland); available at <>.
Waldby, Catherine and Cooper, Melinda (2008) ‘The Biopolitics of Reproduction: Post-Fordist Biotechnology and Women's Clinical Labour’, Australian Feminist Studies 23(55): 5773.
WALDBY, Catherine and COOPER, Melinda (2010) ‘From Reproductive Work to Regenerative Labour: The Female Body and the Stem Cell Industries’, Feminist Theory 11(1): 322.
Walker, Neil (ed.) (2003) Sovereignty in Transition. Oxford: Hart Publishing.
Wallerstein, Immanuel (1976) The Modern World-System: Capitalist Agriculture and the Origins of the European World-Economy in the Sixteenth Century. New York: Academic Press.
Whittaker, Andrea. (2008) ‘Pleasure and Pain: Medical Travel in Asia’, Global Public Health 3(3): 271–90.
Wilson, Ara (2011) ‘Foreign Bodies and National Scales: Medical Tourism in Thailand’, Body and Society 17(2/3): 121–37.
World Health Organization (WHO) (2004a) ‘Sexual Health – A New Focus for the WHO’, Progress in Reproductive Health Research 67: 18.
World Health Organization (WHO) (2004b) Unsafe Abortion: Global and Regional Estimates of the Incidence of Unsafe Abortion and Associated Mortality in 2000, 4th edn.Geneva: World Health Organization; available at <>.
World Health Organization (WHO) (2012) Safe Abortion: Technical and Policy Guidance for Health Systems; available at <>.
Yap, Jason (2007) ‘Medical Tourism: Risks and Rewards’, AARP International: The Journal 5863.
Yeung, Karen (2005) ‘Government by Publicity Management: Sunlight or Spin’, Public Law 360–83.
York, Diane (2008) ‘Medical Tourism: The Trend toward Outsourcing Medical Procedures to Foreign Countries’, Journal of Continuing Education in the Health Professions 28(2): 99102.

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