Prenatal Testing and Its Implications


Genetic selection refers to the abortion of a fetus or pre-embryo with a genetic abnormality.  Genetic selection may or may not be appropriate, depending on the situation.  In many cases, when the patient is affected by a genetic disease, it is considered ethically permissible.  However, should the disease have only mild affects, or be unlikely to occur, selection may not be appropriate.

When counseling prospective parents, physicians should follow the judgement of the prospective parents and be careful not to impose with their own moral beliefs.  However, should the moral values of the physician be in conflict with their job, they may choose to limit their work to simply diagnosing the patient and offering their advice.  Still, a physician is obligated to inform the prospective parents of any genetic problems which may exist.

There is much controversy in deciding when genetic selection is appropriate.  For many, there is a religious concern regarding "playing God".  In addition, there is a social concern that a society unwilling to accept these genetic disorders would not reap the benefits of a gifted individual with a genetic disorder.  Who should decide what is normal and what is considered a disability?

Along with the question of ethicality of genetic selection, there is the moral question of whether abortion itself is right or wrong.  Physicians who do not believe in abortion may convince parents not to pursue prenatal testing.  On the other hand, parents with moral objections to abortion would pose a problem for physicians who feel they should do everything they can to see their patients are healthy.

Ongoing research is being done to correct hereditary genetic disorders.  In addition, scientists are also finding ways to genetically alter human embryos.  Recently, research has been focused on combining cloning with genetic engineering.  As research continues, the use of genetic selection becomes more accepted, while those who are morally opposed become even more firmly against genetic selection.