select one embryo among several, and destroy, discard, freeze or experiment on any of
them.” 100
81.
The Costa Rican Social Security Institute appealed the judgment delivered by the
Superior Court and, on May 7, 2009, the justices of the First Chamber of the Supreme Court
of Justice annulled the said ruling and declared the action unfounded. 101 The First Chamber
indicated that “it has been proved […] that the technique of in vitro fertilization would not
be advisable for the plaintiff based on her age, because at 48 years old she has already lost
her reproductive capacity with her own ovules, which makes an assisted pregnancy
extraordinarily improbable and remote,” in addition to the fact that the plaintiff, “after the
contested judgment, stated through the different media that she would not subject herself
to in vitro fertilization owing to her age.” 102
82.
Furthermore, on January 6, 2005, the Ombudsman’s Office issued note No. 001172005-DHR, based on a complaint filed by Ms. Espinoza, indicating that, following an
appointment with a hospital of the Costa Rican Social Security Institute, the hospital had
denied her the possibility of a fertility treatment, arguing the absence of the relevant
programs, 103 and had not provided her with a medicine called Menotropin,” which the
patient had been given on other occasions. 104 In the said note, the Ombudsman’s Office
issued a series of recommendations, including:
[The established of] a special program for the treatment of infertility and sterility of all couples and
women experiencing this situation, who wish to exercise their right to maternity and paternity, and do
not have the financial resources to opt for private medicals service, attention and treatment. 105
83.
The Ombudsman’s Office also recommended improving the provision of services
and medical attention in those areas in which medical treatment and monitoring is required,
such as infertility and, lastly, the establishment of clear guidelines with regard to health
care medicines. 106
E)
Draft legislation
84.
The Court observes that, in the context of an attempt to comply with the
recommendations made by the Inter-American Commission (supra para. 1), a bill was
100
Judgment No. 835-2008 issued by the Fifth Section of the Administrative Court in the declaratory
proceeding filed by Ileana Henchoz Bolaños against The Costa Rican Social Security Institute, File No. 08-001781027-CA of October 14, 2008 (file of annexes to the pleadings and motions brief, volume V, annex XXVIII, folio
5872).
101
First Chamber of the Supreme Court of Justice, Judgment of May 7, 2009, Case file 08-000178-1027-CA,
Decision 000465-F-S1-2009 (file of annexes to the pleadings and motions brief, volume V, annex XXVIII, folios
5873 to 5879).
102
First Chamber of the Supreme Court of Justice, Judgment of May 7, 2009, Case file 08-000178-1027-CA,
Decision 000465-F-S1-2009, forwarded by the State with the communication of January 22, 2010 (file of annexes
to the pleadings and motions brief, volume V, annex XXVIII, folios 5873 to 5879).
103
Cf. Note No. 00117‐2005‐DHR of the Ombudsman’s Office of January 6, 2005 (file of annexes to the
pleadings and motions brief, volume IV, annex XV, folios 5556 to 5562).
104
Cf. Doctor’s prescription for Menotropina (file of annexes to the pleadings and motions brief, volume IV,
annex XV, folio 5520).
105
Cf. Note No. 00117‐2005‐DHR of the Ombudsman’s Office of January 6, 2005 (file of annexes to the
pleadings and motions brief, volume IV, annex XV, folio 5561).
106
Cf. Note No. 00117‐2005‐DHR of the Ombudsman’s Office of January 6, 2005 (file of annexes to the
pleadings and motions brief, volume IV, annex XV, folio 5561).