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The nonidentity problem (also called the paradox of future individuals) [1] in population ethics is the problem that an act may still be wrong even if it is not wrong for anyone. More precisely, the nonidentity problem is the inability to simultaneously hold the following beliefs: (1) a person-affecting view; (2) bringing someone into existence whose life is worth living, albeit flawed, is not "bad for" that person; (3) some acts of bringing someone into existence are wrong even if they are not bad for someone. [2] Rivka Weinberg has used the nonidentity problem to study the ethics of reproduction. [3]
Savulescu coined the phrase procreative beneficence. It is the controversial [4] [5] [ vague ] moral obligation, rather than mere permission, of parents in a position to select their children, for instance through preimplantation genetic diagnosis (PGD) and subsequent embryo selection or selective termination, to favor those expected to have the best possible life. [6] [7] [8]
An argument[ vague ] in favor of this principle is that traits (such as empathy, memory, etc.) are "all-purpose means" in the sense of being instrumental in realizing whatever life plans the child may come to have. [9]
Philosopher Walter Veit has argued that because there is no intrinsic moral difference between "creating" and "choosing" a life, eugenics becomes a natural consequence of procreative beneficence. [4] Similar positions were also taken by John Harris, Robert Ranisch and Ben Saunders respectively. [10] [11] [12]
Bioethicist Rebecca Bennett criticises Savulescu's argument. Bennett argues that "the chances of any particular individual being born is spectacularly unlikely, given the infinite number of variables that had to be in place for this to happen. In order for any particular individual to exist, that individual's parents have to have been created in the first place, they have to meet at the right time and conceive us at a particular time to enable that particular sperm to fuse with that particular egg. Thus, it is clear that all sorts of things, any change in society, will effect who is born." According to Bennett, this means that no-one is actually harmed if one does not select the best offspring, as the individuals born could not have had any other, worse life as they would otherwise never have been born – "choosing worthwhile but impaired lives harms no-one and is thus not less preferable", as Bennett puts it. Bennett argues that while advocates of procreative beneficence could appeal to impersonal harm, which is where one should aim to ensure the maximum possible potential quality of life and thus embryos without or with the least impairments should be selected (as the impersonal total quality of life will be improved), this argument is flawed on two counts. Firstly on an intuitive level, Bennett questions if benefit or harm that does not affect anyone (i.e. it is impersonal) should be worthy of consideration as no actual people will gain or lose anything. Secondly and on a theoretical level, Bennett argues that attempting to increase the sum total impersonal happiness (or decrease impersonal harm) can lead to repugnant conclusions, such as being obliged to produce as many offspring as possible to bring more people into the world to raise the level of impersonal happiness, even if the quality of life of individuals suffers for it due to scarcity and overcrowding. Bennett argues that this conclusion is repugnant because "it cares little about what we normally regard as morally important: the welfare of individual people". [13]
Peter Herissone-Kelly argued against this criticism. [14]Eugenics is a set of beliefs and practices that aim to improve the genetic quality of a human population. Historically, eugenicists have altered various human gene frequencies by inhibiting the fertility of people and groups they considered inferior, or promoting that of those considered superior.
Bioethics is both a field of study and professional practice, interested in ethical issues related to health, including those emerging from advances in biology, medicine, and technologies. It proposes the discussion about moral discernment in society and it is often related to medical policy and practice, but also to broader questions as environment, well-being and public health. Bioethics is concerned with the ethical questions that arise in the relationships among life sciences, biotechnology, medicine, politics, law, theology and philosophy. It includes the study of values relating to primary care, other branches of medicine, ethical education in science, animal, and environmental ethics, and public health.
Utilitarian bioethics refers to the branch of bioethics that incorporates principles of utilitarianism to directing practices and resources where they will have the most usefulness and highest likelihood to produce happiness, in regards to medicine, health, and medical or biological research.
Preimplantation genetic diagnosis is the genetic profiling of embryos prior to implantation, and sometimes even of oocytes prior to fertilization. PGD is considered in a similar fashion to prenatal diagnosis. When used to screen for a specific genetic disease, its main advantage is that it avoids selective abortion, as the method makes it highly likely that the baby will be free of the disease under consideration. PGD thus is an adjunct to assisted reproductive technology, and requires in vitro fertilization (IVF) to obtain oocytes or embryos for evaluation. Embryos are generally obtained through blastomere or blastocyst biopsy. The latter technique has proved to be less deleterious for the embryo, therefore it is advisable to perform the biopsy around day 5 or 6 of development.
New eugenics, also known as liberal eugenics, advocates enhancing human characteristics and capacities through the use of reproductive technology and human genetic engineering. Those who advocate new eugenics generally think selecting or altering embryos should be left to the preferences of parents, rather than forbidden. "New" eugenics purports to distinguish itself from the forms of eugenics practiced and advocated in the 20th century, which fell into disrepute after World War II.
A designer baby is a baby whose genetic makeup has been selected or altered, often to exclude a particular gene or to remove genes associated with disease. This process usually involves analysing a wide range of human embryos to identify genes associated with particular diseases and characteristics, and selecting embryos that have the desired genetic makeup; a process known as preimplantation genetic diagnosis. Screening for single genes is commonly practiced, and polygenic screening is offered by a few companies. Other methods by which a baby's genetic information can be altered involve directly editing the genome before birth, which is not routinely performed and only one instance of this is known to have occurred as of 2019, where Chinese twins Lulu and Nana were edited as embryos, causing widespread criticism.
Julian Savulescu is an Australian philosopher and bioethicist. He is Chen Su Lan Centennial Professor in Medical Ethics and director of the Centre for Biomedical Ethics at National University of Singapore. He was previously Uehiro Chair in Practical Ethics at the University of Oxford, Fellow of St Cross College, Oxford, director of the Oxford Uehiro Centre for Practical Ethics, and co-director of the Wellcome Centre for Ethics and Humanities. He is visiting professorial fellow in Biomedical Ethics at the Murdoch Children's Research Institute in Australia, and distinguished visiting professor in law at Melbourne University since 2017. He directs the Biomedical Ethics Research Group and is a member of the Centre for Ethics of Pediatric Genomics in Australia. He is a former editor and current board member of the Journal of Medical Ethics, which is ranked as the No.2 journal in bioethics worldwide by Google Scholar Metrics, as of 2022. In addition to his background in applied ethics and philosophy, he also has a background in medicine and neuroscience and completed his MBBS (Hons) and BMedSc at Monash University, graduating top of his class with 18 of 19 final year prizes in Medicine. He edits the Oxford University Press book series, the Uehiro Series in Practical Ethics.
The philosophical aspects of the abortion debate are logical arguments that can be made either in support of or in opposition to abortion. The philosophical arguments in the abortion debate are deontological or rights-based. The view that all or almost all abortion should be illegal generally rests on the claims that (1) the existence and moral right to life of human beings begins at or near conception-fertilization; that (2) induced abortion is the deliberate and unjust killing of the embryo in violation of its right to life; and that (3) the law should prohibit unjust violations of the right to life. The view that abortion should in most or all circumstances be legal generally rests on the claims that (1) women have a right to control what happens in and to their own bodies; that (2) abortion is a just exercise of this right; and that (3) the law should not criminalize just exercises of the right to control one's own body and its life-support functions.
Antinatalism or anti-natalism is a philosophical view that deems procreation to be unethical. Antinatalists thus argue that humans should abstain from having children. Some antinatalists consider coming into existence to always be a serious harm. Their views are not necessarily limited only to humans but may encompass all sentient creatures, arguing that coming into existence is a serious harm for sentient beings in general.
David Benatar is a South African philosopher, academic, and author. He is best known for his advocacy of antinatalism in his book Better Never to Have Been: The Harm of Coming into Existence, in which he argues that coming into existence is serious harm, regardless of the feelings of the existing being once brought into existence, and that, as a consequence, it is always morally wrong to create more sentient beings.
Principlism is an applied ethics approach to the examination of moral dilemmas centering the application of certain ethical principles. This approach to ethical decision-making has been prevalently adopted in various professional fields, largely because it sidesteps complex debates in moral philosophy at the theoretical level.
David DeGrazia is an American moral philosopher specializing in bioethics, animal ethics, and the study of moral status. He is Professor of Philosophy at George Washington University, where he has taught since 1989, and the author or editor of several books on ethics, including Taking Animals Seriously: Mental Life and Moral Status (1996), Human Identity and Bioethics (2005), and Creation Ethics: Reproduction, Genetics, and Quality of Life (2012).
Alasdair Cochrane is a British political theorist and ethicist who is currently Professor of Political Theory in the Department of Politics and International Relations at the University of Sheffield. He is known for his work on animal rights from the perspective of political theory, which is the subject of his two books: An Introduction to Animals and Political Theory and Animal Rights Without Liberation. His third book, Sentientist Politics, was published by Oxford University Press in 2018. He is a founding member of the Centre for Animals and Social Justice, a UK-based think tank focused on furthering the social and political status of nonhuman animals. He joined the Department at Sheffield in 2012, having previously been a faculty member at the Centre for the Study of Human Rights, London School of Economics. Cochrane is a Sentientist. Sentientism is a naturalistic worldview that grants moral consideration to all sentient beings.
The Asymmetry, also known as 'the Procreation Asymmetry', is the idea in population ethics that there is a moral or evaluative asymmetry between bringing into existence individuals with good or bad lives. It was first discussed by Jan Narveson in 1967, and Jeff McMahan coined the term 'the Asymmetry' in 1981. McMahan formulates the Asymmetry as follows: "while the fact that a person's life would be worse than no life at all ... constitutes a strong moral reason for not bringing him into existence, the fact that a person's life would be worth living provides no moral reason for bringing him into existence." Professor Nils Holtug formulates the Asymmetry evaluatively in terms of the value of outcomes instead of in terms of moral reasons. Holtug's formulation says that "while it detracts from the value of an outcome to add individuals whose lives are of overall negative value, it does not increase the value of an outcome to add individuals whose lives are of overall positive value."
Human germline engineering is the process by which the genome of an individual is edited in such a way that the change is heritable. This is achieved by altering the genes of the germ cells, which then mature into genetically modified eggs and sperm. For safety, ethical, and social reasons, there is broad agreement among the scientific community and the public that germline editing for reproduction is a red line that should not be crossed at this point in time. There are differing public sentiments, however, on whether it may be performed in the future depending on whether the intent would be therapeutic or non-therapeutic.
S. Matthew Liao is a Taiwanese-American philosopher specializing in bioethics and normative ethics. Liao currently holds the Arthur Zitrin Chair of Bioethics, and is the Director of the Center for Bioethics and Affiliated Professor in the Department of Philosophy at New York University. He has previously held appointments at Oxford, Johns Hopkins, Georgetown, and Princeton.
Intersex people are born with natural variations in physical and sex characteristics including those of the chromosomes, gonads, sex hormones, or genitals that, according to the UN Office of the High Commissioner for Human Rights, "do not fit the typical definitions for male or female bodies". Such variations may involve genital ambiguity, and combinations of chromosomal genotype and sexual phenotype other than XY-male and XX-female. Preimplantation genetic diagnosis allows the elimination of embryos and fetuses with intersex traits and thus has an impact on discrimination against intersex people.
Bioconservatism is a philosophical and ethical stance that emphasizes caution and restraint in the use of biotechnologies, particularly those involving genetic manipulation and human enhancement. The term "bioconservatism" is a portmanteau of the words biology and conservatism.
Moral enhancement, also called moral bioenhancement, is the use of biomedical technology to morally improve individuals. MBE is a growing topic in neuroethics, a field developing the ethics of neuroscience as well as the neuroscience of ethics. After Thomas Douglas introduced the concept of MBE in 2008, its merits have been widely debated in academic bioethics literature. Since then, Ingmar Persson and Julian Savulescu have been among the most vocal MBE supporters. Much of the debate over MBE has focused on Persson and Savulescu's 2012 book in support of it, Unfit for the Future? The Need for Moral Enhancement.
Rivka Weinberg is an American philosopher. She is a professor of philosophy at Scripps College. She specializes in bioethics, the ethics of procreation, and the metaphysics of birth, death, and existence.
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