Fragile lives with fragile rights: Justice for babies born at the limit of viability

Bioethics 32 (3):205-214 (2018)
  Copy   BIBTEX


There is an inconsistency in the ways that doctors make clinical decisions regarding the treatment of babies born extremely prematurely. Many experts now recommend that clinical decisions about the treatment of such babies be individualized and consider many different factors. Nevertheless, many policies and practices throughout Europe and North America still appear to base decisions on gestational age alone or on gestational age as the primary factor that determines whether doctors recommend or even offer life-sustaining neonatal intensive care treatment. These policies are well intentioned. They aim to guide doctors and parents to make decisions that are best for the baby. That is an ethically appropriate goal. But in relying so heavily on gestational age, such policies may actually do the babies a disservice by denying some babies treatment that might be beneficial and lead to intact survival. In this paper, we argue that such policies are unjust to premature babies and ought to be abolished. In their place, we propose individualized treatment decisions for premature babies. This would treat premature babies as we treat all other patients, with clinical decisions based on an individualized estimation of likelihood that treatment would be beneficial.



    Upload a copy of this work     Papers currently archived: 86,168

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Letting babies die.M. Brazier & D. Archard - 2007 - Journal of Medical Ethics 33 (3):125-126.
End of life decision-making in neonatal care.C. April & M. Parker - 2007 - Journal of Medical Ethics 33 (3):126-127.
A new argument for anti-natalism.Christopher Belshaw - 2012 - South African Journal of Philosophy 31 (1):117-127.


Added to PP

28 (#467,539)

6 months
5 (#190,647)

Historical graph of downloads
How can I increase my downloads?