Bioethics 29 (1):26-35 (2015)
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Abstract |
One widely held view of prenatal screening is that its foremost aim is, or should be, to enable reproductive choice; this is the Pure Choice view. The article critiques this position by comparing it with an alternative: Public Health Pluralism. It is argued that there are good reasons to prefer the latter, including the following. Public Health Pluralism does not, as is often supposed, render PNS more vulnerable to eugenics-objections. The Pure Choice view, if followed through to its logical conclusions, may have unpalatable implications, such as extending choice well beyond health screening. Any sensible version of Public Health Pluralism will be capable of taking on board the moral seriousness of abortion and will advocate, where practicable, alternative means of reducing the prevalence of disease and disability. Public Health Pluralism is at least as well-equipped as the Pure Choice model to deal with autonomy and consent issues
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Keywords | consent screening public health autonomy eugenics reproduction prenatal |
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DOI | 10.1111/bioe.12121 |
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Citations of this work BETA
Implementing Expanded Prenatal Genetic Testing: Should Parents Have Access to Any and All Fetal Genetic Information?Michelle J. Bayefsky & Benjamin E. Berkman - 2022 - American Journal of Bioethics 22 (2):4-22.
Just Choice: A Danielsian Analysis of the Aims and Scope of Prenatal Screening for Fetal Abnormalities.Greg Stapleton, Wybo Dondorp, Peter Schröder-Bäck & Guido de Wert - 2019 - Medicine, Health Care and Philosophy 22 (4):545-555.
Qualifying Choice: Ethical Reflection on the Scope of Prenatal Screening.Greg Stapleton - 2017 - Medicine, Health Care and Philosophy 20 (2):195-205.
Women’s Perspectives on the Ethical Implications of Non-Invasive Prenatal Testing: A Qualitative Analysis to Inform Health Policy Decisions.Meredith Vanstone, Alexandra Cernat, Jeff Nisker & Lisa Schwartz - 2018 - BMC Medical Ethics 19 (1):27.
Noninvasive Prenatal Testing: Views of Canadian Pregnant Women and Their Partners Regarding Pressure and Societal Concerns.Vardit Ravitsky, Stanislav Birko, Jessica Le Clerc-Blain, Hazar Haidar, Aliya O. Affdal, Marie-Ève Lemoine, Charles Dupras & Anne-Marie Laberge - 2021 - AJOB Empirical Bioethics 12 (1):53-62.
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