0
What’s Wrong With GeneticEnhancement?BOWLING GREEN STATE UNIVERSITY          SUMMER 2012   MEDICAL ETHICS-ELI WEBER
Lecture Goals Identify the various kinds of genetic  intervention available Identify some of the ethical concerns with  ...
What is Genetic Disease? Carrier versus Disease Predispositions versus Disease Genetic versus Developmental
Types of Genetic Intervention Genetic Screening Some Concerns:1. Cost-effectiveness2. Potential for Discrimination
Types of Genetic Intervention Genetic Counseling Some Concerns:1. Selective abortion on the basis of   probabilities2. N...
Types of Genetic Intervention Pre-Natal Genetic Diagnosis Some Concerns:1. Possibility of Selective Abortion2. How Exten...
Arguments for GeneticIntervention Allows for an increase in patient autonomy Reduces health care costs overall Prevents...
Arguments Against GeneticIntervention Potential for discrimination May lead to an increase in abortions Slippery slope ...
Treatment vs. Enhancement What’s the Issue?It is frequently thought that if genetic   interventions are ever permissible,...
What’s the Difference? Treatment involves either the prevention of  disease or the restoration of the patient to  normal ...
Why That Can’t Be Right? Certain interventions that we regard as  treatment are clearly a type of enhancement.  (vaccinat...
An Alternative Approach Whatever a disability is, it is something that  involves a harm to the person who suffers it,  ir...
Against Enhancement Gives some people an unfair advantage over  others, and would most likely increase already  existing ...
Another Argument AgainstEnhancement Is it possible to give informed consent to enhancement?Presumably, it will be some ti...
Related Issues The Sorities Problem of Genetic Intervention Genetic Interventions that Cause Disability Selective Abort...
The Bottom Line There are a variety of ethical concerns related to  various forms of genetic enhancement; there is  no si...
Upcoming SlideShare
Loading in...5
×

What's wrong with genetic enhancement

1,349

Published on

This is a lecture for my Summer 2012 Medical Ethics Course at Bowling Green State University. It focuses on ethical issues related to genetic interventions, particularly whether the distinction between treatment and enhancement is ethically useful.

Published in: Education, Technology, Spiritual
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
1,349
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
9
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

Transcript of "What's wrong with genetic enhancement"

  1. 1. What’s Wrong With GeneticEnhancement?BOWLING GREEN STATE UNIVERSITY SUMMER 2012 MEDICAL ETHICS-ELI WEBER
  2. 2. Lecture Goals Identify the various kinds of genetic intervention available Identify some of the ethical concerns with each Focus on the ethical debate regarding treatment of genetic diseases versus genetic enhancement Formulate some arguments for and against genetic enhancement
  3. 3. What is Genetic Disease? Carrier versus Disease Predispositions versus Disease Genetic versus Developmental
  4. 4. Types of Genetic Intervention Genetic Screening Some Concerns:1. Cost-effectiveness2. Potential for Discrimination
  5. 5. Types of Genetic Intervention Genetic Counseling Some Concerns:1. Selective abortion on the basis of probabilities2. No basis for denying couples the right to reproduce
  6. 6. Types of Genetic Intervention Pre-Natal Genetic Diagnosis Some Concerns:1. Possibility of Selective Abortion2. How Extensively to Test
  7. 7. Arguments for GeneticIntervention Allows for an increase in patient autonomy Reduces health care costs overall Prevents avoidable suffering Prevents the spread of genetic disease
  8. 8. Arguments Against GeneticIntervention Potential for discrimination May lead to an increase in abortions Slippery slope to (Positive) Eugenics
  9. 9. Treatment vs. Enhancement What’s the Issue?It is frequently thought that if genetic interventions are ever permissible, they should be limited to interventions that count as treatment. Interventions that constitute enhancement are not similarly permissible.
  10. 10. What’s the Difference? Treatment involves either the prevention of disease or the restoration of the patient to normal functioning. Enhancement does not involve either of these things, but instead involves elevating the patient beyond normal functioning.
  11. 11. Why That Can’t Be Right? Certain interventions that we regard as treatment are clearly a type of enhancement. (vaccinations, treatments for osteoperosis designed to increase bone density,etc.) The concept of normal functioning is socially and historically relative.
  12. 12. An Alternative Approach Whatever a disability is, it is something that involves a harm to the person who suffers it, irrespective of any notion of normal functioning or the person’s attitudes about their condition . Whether a genetic intervention is permissible depends on whether it prevents a harm and protects life and health.
  13. 13. Against Enhancement Gives some people an unfair advantage over others, and would most likely increase already existing inequalities. Threatens the ideal of human equality Potentially undermines autonomy May have unforeseen cognitive and emotional costs.
  14. 14. Another Argument AgainstEnhancement Is it possible to give informed consent to enhancement?Presumably, it will be some time before we understand the full range of potential side effects and costs of genetic enhancement.Because it is not possible to acquire the necessary level of informed consent in the case of genetic enhancement, we ought not allow it, because we ought not allow medical interventions without informed consent.
  15. 15. Related Issues The Sorities Problem of Genetic Intervention Genetic Interventions that Cause Disability Selective Abortion in Non-Futile Cases
  16. 16. The Bottom Line There are a variety of ethical concerns related to various forms of genetic enhancement; there is no single ethical concern The distinction between treatment and enhancement is not an obvious guideline for when an intervention is permissible. It may be that whether an intervention is permissible has little to do with this distinction.
  1. A particular slide catching your eye?

    Clipping is a handy way to collect important slides you want to go back to later.

×