Skip to main content

Advertisement

Log in

Bioethics and Disability Rights: Conflicting Values and Perspectives

  • Published:
Journal of Bioethical Inquiry Aims and scope Submit manuscript

Abstract

Continuing tensions exist between mainstream bioethics and advocates of the disability rights movement. This paper explores some of the grounds for those tensions as exemplified in From Chance to Choice: Genetics and Justice by Allen Buchanan and coauthors, a book by four prominent bioethicists that is critical of the disability rights movement. One set of factors involves the nature of disability and impairment. A second set involves presumptions regarding social values, including the importance of intelligence in relation to other human characteristics, competition as the basis of social organization, and the nature of the parent–child relationship. The authors’ disapproval of certain aspects of the disability rights movement can be seen to be associated with particular positions regarding these factors. Although the authors intend to use a method of ‘broad reflective equilibrium,’ we argue that their idiosyncratic commitment to particular concepts of disability and particular social values produces a narrowing of the moral significance of their conclusions regarding disability rights.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Asch, A. (2001). Disability, bioethics, and human rights. In G. L. Albrecht, K. D. Seelman, & M. Bury (Eds.), Handbook of disability studies (pp. 297–326). Thousand Oaks, CA: Sage Publications.

    Google Scholar 

  2. Wasserman, D., Bickenbach, J., & Wachbroit, R. (Eds.) (2005). Quality of life and human difference. Cambridge UK: Cambridge University Press.

  3. Parens, E., & Asch, A. (Eds.) (2000). Prenatal testing and disability rights. Georgetown: Georgetown University Press.

  4. Boyd, K. M. (2001). Disability. Journal of Medical Ethics, 27, 361–362.

    Article  PubMed  CAS  Google Scholar 

  5. Kuczewski, M. G. (2001). Disability: An agenda for bioethics. American Journal of Bioethics, 1, 36–44.

    PubMed  CAS  Google Scholar 

  6. Buchanan, A. E., Brock, D. W., Daniels, N., & Wikler, D. (2000). From chance to choice: Genetics and justice. Cambridge UK: Cambridge University Press.

    Google Scholar 

  7. Amundson, R., & Tresky, S. (2007). On a bioethical challenge to disability rights. Journal of Medicine and Philosophy, 32, 541–561.

    Article  PubMed  Google Scholar 

  8. Lifton, R. J. (1986). The Nazi doctors: Medical killing and the psychology of genocide. New York: Basic Books.

    Google Scholar 

  9. Gallagher, H. G. (1990). By trust betrayed: Patients, physicians, and the license to kill in the Third Reich. New York: Henry Holt and Company.

    Google Scholar 

  10. Lane, H. (1995). Constructions of deafness. Disability and Society, 10, 171–190.

    Article  Google Scholar 

  11. Longmore, P. K., & Umanski, L. (Eds.) (2001). The new disability history: American perspectives. New York: New York University Press.

  12. Woodward, J. R. (1991). Getting rid of ‘special’. Disability Rag and Resource, 12, 35.

    Google Scholar 

  13. Kahneman, D. (1999). Objective happiness. In D. Kahnemann, E. Diener, & N. Schwarz (Eds.), Well-being: The foundations of hedonic psychology (pp. 3–25). New York: Russell Sage Foundation.

    Google Scholar 

  14. Amundson, R. (2000). Against normal function. Studies in the History and Philosophy of Biological and Biomedical Sciences, 31C, 33–53.

    Article  Google Scholar 

  15. Tremain, S. (2001). On the government of disability. Social Theory and Practice, 27, 617–636.

    Google Scholar 

  16. Tremain, S. (2006). Reproductive freedom, self-regulation, and the government of impairment in utero. Hypatia, 21, 35–53.

    PubMed  Google Scholar 

  17. Parfit, D. (1984). Reasons and persons. Oxford: Clarendon Press.

    Google Scholar 

  18. Lykken, D., & Tellegen, A. (1996). Happiness is a stochastic phenomenon. Psychological Science, 7, 186–189.

    Article  Google Scholar 

  19. Hartog, J., & Oosterbeeck, H. (1998). Health, wealth, and happiness: Why pursue a higher education. Economics of Education Review, 17, 245–256.

    Article  Google Scholar 

  20. Alderson, P. (2001). Down’s syndrome: Cost, quality and value of life. Social Science & Medicine, 53, 627–638.

    Article  CAS  Google Scholar 

  21. Rapp, R. (1994). Women’s responses to prenatal diagnosis: A sociocultural perpective on diversity. In K. H. Rothenberg & E. J. Thomson (Eds.), Women and prenatal testing: Facing the challenges of genetic technology (pp. 219–259). Columbus, OH: Ohio State University Press.

    Google Scholar 

  22. Wertz, D. C., & Fletcher, J. C. (1993). Feminist criticism of prenatal diagnosis: A response. Clinics in Obstetrics and Gynecology, 36, 541–567.

    Article  CAS  Google Scholar 

  23. Nelson, J. L., & Nelson, H. L. (2001). Book review: From chance to choice: Genetics and justice. American Journal of Bioethics, 1, 70–72.

    Article  PubMed  CAS  Google Scholar 

  24. Fletcher, V. (2002). Universal design: Human-centered design for the 21st century. Design, 102, 4–5.

    Google Scholar 

Download references

Acknowledgements

This paper has benefited greatly from comments from three anonymous reviewers for the special issue and the special issue editor, Shelley Tremain. RA’s research for this paper was supported by National Institutes of Health grants S06-GM08073 and R03-HG3632-01A1.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ron Amundson.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Amundson, R., Tresky, S. Bioethics and Disability Rights: Conflicting Values and Perspectives. Bioethical Inquiry 5, 111–123 (2008). https://doi.org/10.1007/s11673-008-9096-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11673-008-9096-3

Keywords

Navigation