One of the most fascinating and continually debated arguments in the philosophical literature on the badness of death comes from the work of Lucretius (Titus Lucretius Carus, circa 99-55 BCE). This chapter will focus on Lucretius’s famous Symmetry Argument. I will begin by saying more about what exactly Epicureanism teaches about death — and why Epicureans thought it could not be bad. After that, I will provide the passage from Lucretius’s epic poem that includes his reasons for thinking that death (...) cannot be bad and will show how Lucretius’s passage has been regimented into the Symmetry Argument against the badness of death. Next, I will discuss the lasting influence of Lucretius’s argument, summarizing some common ways of responding. Finally, I will turn to two other passages from Lucretius’s poem, both of which suggest that it is actually good (both for us and for the world) that our lives come to an end, and I will conclude by considering the implications of Lucretius’s thought for political policy. (shrink)

We have argued that it is rational to have asymmetric attitudes toward prenatal and posthumous non-existence insofar as this asymmetry is a special case of a more general (and arguably rational) asymmetry in our attitudes toward past and future pleasures. Here we respond to an interesting critique of our view by Jens Johansson. We contend that his critique involves a crucial and illicit switch in temporal perspectives in the process of considering modal claims (sending us to other possible (...) worlds). (shrink)

A primary argument against the badness of death (known as the Symmetry Argument) appeals to an alleged symmetry between prenatal and posthumous nonexistence. The Symmetry Argument has posed a serious threat to those who hold that death is bad because it deprives us of life’s goods that would have been available had we died later. Anthony Brueckner and John Martin Fischer develop an influential strategy to cope with the Symmetry Argument. In their attempt to break the symmetry, (...) they claim that due to our preference of future experiential goods over past ones, posthumous nonexistence is bad for us, whereas prenatal nonexistence is not. Granting their presumption about our preference, however, it is questionable that prenatal nonexistence is not bad. This consideration does not necessarily indicate their defeat against the Symmetry Argument. I present a better response to the Symmetry Argument: the symmetry is broken, not because posthumous nonexistence is bad while prenatal nonexistence is not, but because (regardless as to whether prenatal nonexistence is bad) posthumous nonexistence is even worse. (shrink)

In previous work we have defended the deprivation account of death’s badness against worries stemming from the Lucretian point that prenatal and posthumous nonexistence are deprivations of the same sort. In a recent article in this journal, Fred Feldman has offered an insightful critique of our Parfitian strategy for defending the deprivation account of death’s badness. Here we adjust, clarify, and defend our strategy for reply to Lucretian worries on behalf of the deprivation account.

Death can be bad for an individual who has died, according to the “deprivation approach,” by depriving that individual of goods. One worry for this account of death’s badness is the Lucretian symmetry argument: since we do not regret having been born later than we could have been born, and since posthumous nonexistence is the mirror image of prenatal nonexistence, we should not regret dying earlier than we could have died. Anthony Brueckner and John Martin Fischer (...) have developed a response to the Lucretian challenge by arguing that it is rational to have asymmetric attitudes toward posthumous and prenatal nonexistence. Recently, Jens Johansson has criticized the Brueckner/Fischer position, claiming that it is irrelevant whether it is actually rational to care about future pleasures but not past pleasures. What matters, according to Johansson, is whether it would be rational for us to care about past pleasures had we come into existence earlier. In this paper, I add to the conversation between Johansson and Brueckner/Fischer by suggesting a way to defend the latter side’s position in a way that has not yet been suggested. I do this by considering a suggestion of Johansson’s for interpreting the Brueckner/Fischer position and by arguing that Johansson’s worry for the position I consider is actually incoherent. (shrink)

According to John Martin Fischer and Anthony Brueckner’s unique version of the deprivation approach to accounting for death’s badness, it is rational for us to have asymmetric attitudes toward prenatal and posthumous nonexistence. In previous work, I have defended this approach against a criticism raised by Jens Johansson by attempting to show that Johansson’s criticism relies on an example that is incoherent. Recently, Duncan Purves has argued that my defense reveals an incoherence not only in Johansson’s example (...) but also in Fischer and Brueckner’s approach itself. Here I argue that by paying special attention to a certain feature of Fischer and Brueckner’s approach, we can dispense of not only Johansson’s criticism but also of Purves’s objection to Fischer and Brueckner’s approach. (shrink)

In previous work we have presented a reply to the Lucretian Symmetry, which has it that it is rational to have symmetric attitudes toward prenatal and posthumous nonexistence. Our reply relies on Parfit-style thought-experiments. Here we reply to a critique of our approach by Huiyuhl Yi, which appears in this journal: Brueckner and Fischer on the evil of death. We argue that this critique fails to attend to the specific nature of the thought-experiments (and our associated argument). (...) More specifically, the thought-experiments seek to elicit attitudes about (say) past pleasures per se, and not insofar as such pleasures are connected to more pleasures in the future or a greater total amount of pleasures in one’s life overall. (shrink)

In a previous paper, we argued that death's badness consists in the deprivation of pleasurable experiences which one would have had, had one died later rather than at the time of one's actual death. Thus, we argued that death can be a bad thing for the individual who dies, even if it is an experiential blank. But there is a pressing objection to this view, for if the view is correct, then it seems that it should also be the case (...) that it is a bad thing for a person that he is born when he actually is born, rather than earlier. That is, if the deprivation account is the correct account of death's badness, then it appears that one should have symmetric attitudes to prenatal and posthumous nonexistence. But clearly we do not in general have symmetric attitudes toward the period before our birth and the period after our death; in general, we do not think of our late births as a bad thing, but we can indeed consider our early deaths as bad for us. Thus, it appears that there is a problem for the deprivation account of death's badness. (shrink)

The heavily discussed (neo-)Lucretian symmetry argument holds that as we are indifferent to nonexistence before birth, we should also be indifferent to nonexistence after death. An important response to this argument insists that prenatal nonexistence differs from posthumous nonexistence because we could not have been born earlier and been the same ‘thick’ psychological self. As a consequence, we can’t properly ask whether it would be better for us to have had radically different lives either. (...) Against this, it’s been claimed we can form preferences as to which ‘thick’ (psychological) self our ‘thin’ (metaphysical) self would be better off ‘associated’ with. I argue that these discussions draw the right distinction, but do so in the wrong place: understanding the ‘thin’ self phenomenally instead of metaphysically allows us to understand how we can rationally form preferences to have been somebody else. (shrink)

We have argued that it is rational to have asymmetric attitudes toward prenatal and posthumous non-existence insofar as this asymmetry is a special case of a more general asymmetry in our attitudes toward past and future pleasures. Here we respond to an interesting critique of our view by Jens Johansson. We contend that his critique involves an inappropriate conflation of the time from which the relevant asymmetry emerges and the time of the badness of death.

This is the definitive collection of the ethical work of the great Oxford moral philosopher H. A. Prichard. Prichard is famous for his ethical intuitionism: he argued that moral obligation cannot be reduced to anything else, but is perceived by direct intuition. The essays previously included in the posthumous collection Moral Obligation are now augmented by a selection of previously unpublished writings from Prichard's manuscripts, allowing for the first time a full view of his distinctive contribution to moral philosophy, (...) at just the time when intuitionism is enjoying a revival of interest. (shrink)

In this volume, Feinberg focuses on the meanings of "interest," the relationship between interests and wants, and the distinction between want-regarding and ideal-regarding analyses on interest and hard cases for the applications of the concept of harm. Examples of the "hard cases" are harm to character, vicarious harm, and prenatal and posthumous harm. Feinberg also discusses the relationship between harm and rights, the concept of a victim, and the distinctions of various quantitative dimensions of harm, consent, and offense, (...) including the magnitude, probability, risk, and "importance" of harm. (shrink)

WHEN ONE ASSUMES, as I will, that death marks the irrevocable end to one’s existence, it is difficult to make sense of the idea that a person could be harmed or benefited by events that take place after her death. How could a posthumous event either enhance or diminish the welfare of the deceased, who no longer exists? Yet we find that many people have a prudential (i.e., self-interested) concern for what’s going to happen after their deaths.1 People are, (...) for instance, concerned that their reputations not be slandered, that their achievements not be undermined, and that their contributions not be forgotten, not even after their deaths. Of course, many philosophers would insist that such a concern for what’s going to happen after one’s death must be based on, or a remnant of, a false belief in an afterlife. I, however, will argue that even if death marks the unequivocal and permanent end to one’s existence, people have good reason to be prudentially concerned with what’s going to happen after their deaths, for, as I will show, a person’s welfare can indeed be affected by posthumous events. (shrink)

The history of the transmission, recovery and posthumous influence of ancient scepticism is a fascinating chapter in the history of ideas. An extraordinary collection of philosophical texts and some of the most challenging arguments ever devised were first lost, then only partly recovered philologically, and finally rediscovered conceptually, leaving Cicero and Sextus Empiricus as the main champions of Academic and Pyrrhonian scepticism respectively. This chapter outlines what we know about this shipwreck and what was later salvaged from it.

This paper argues that the standard account of posthumous harm is untenable. The standard account presupposes the desire-fulfillment theory of welfare, but I argue that no plausible version of this theory can allow for the possibility of posthumous harm. I argue that there are, at least, two problems with the standard account from the perspective of a desire-fulfillment theorist. First, as most desire-fulfillment theorists acknowledge, the theory must be restricted in such a way that only those desires that (...) pertain to one’s own life count in determining one’s welfare. The problem is that no one has yet provided a plausible account of which desires these are such that desires for posthumous prestige and the like are included. Second and more importantly, if the desire-fulfillment theory is going to be at all plausible, it must, I argue, restrict itself not only to those desires that pertain to one’s own life but also to those desires that are future independent, and this would rule out the possibility of posthumous harm. If I’m right, then even the desire-fulfillment theorist should reject the standard account of posthumous harm. We cannot plausibly account for posthumous harm in terms of desire fulfillment (or the lack thereof). (shrink)

Qiyās, or “correlational inference”, comprises a primary set of methodological tools recognized by a majority of premodern Sunnī jurists. Its elements, valid modes, and proper applications were the focus of continual argument and refinement. A particular area of debate was the methodology of determining or justifying the ʿilla: the legal cause giving rise to a ruling in God’s Law. This was most often discussed under the rubric of “the modes of causal justification”. Among these modes was the much debated test (...) of dawarān. In brief, proponents of dawarān employed it to justify claims that a property occasioned the ruling in an authoritative source-case. In concert with other considerations, the demonstrated co-presence and co-absence of property and ruling—that is, their concomitance “in existence” and “in nonexistence” — was taken as an indication that the property was the ruling’s ʿilla. Delving further into dawarān and causation, the current study interprets “in existence” and “in nonexistence” not as a kind of metaphor for true and false, but as an accurate terminology vis-à-vis the meaning of causality statements, fully compatible with dominant Islamicate views on causal agency. In brief, a deeper logical and linguistic analysis of the different existential modes of dawarān strongly suggests that we should distinguish property and ruling as types as opposed to tokens. Our reading of dawarān as shaped by a finer-grained structure not only allows us to identify the efficient occasioning process as a function which takes some particular token of the ʿilla and renders a token of the general ruling type, but it allows us to elucidate the role of taʿlīl in shaping an epistemological theory of argument to the best explanation: a sophisticated, premodern manifestation of abductive reasoning. (shrink)

In defense of the Deprivation Approach to the badness of death against the Lucretian objection that death is relevantly similar to prenatal nonexistence, John Martin Fischer and Anthony L. Brueckner have suggested that whereas death deprives us of things that it is rational for us to care about, prenatal nonexistence does not. I have argued that this suggestion, even if correct, does not make for a successful defense of the Deprivation Approach against the Lucretian objection. My (...) criticism involved a thought experiment in which a person avoids being tortured. Recently, Taylor Cyr has defended Fischer and Brueckner’s approach, arguing that my thought experiment is incoherent. In this response, I question both the truth and relevance of Cyr’s incoherence claim. (shrink)

If I told you that screening technologies are iteratively transforming how people experience pregnancy and early parenting, you might take notice. If I mentioned that a new class of newborn patients was being created and that particular forms of parental vigilance were emerging, you might want to know more. If I described how the particular stories told about screening in public, combined with parents’ fierce commitment to safeguarding their children’s health, make it difficult for problematic experiences with screening to translate (...) into negative opinions about it, you would most likely be intrigued. An extensive qualitative literature documents all these social phenomena, and more, in connection with the spread of prenatal and newborn screening. So why is it, then, that commentators frequently assert that the predicted psychosocial impact of increased screening and testing associated with “the genomic revolution” has been far less severe and worthy of attention than predicted? How can or should social science “evidence” that sits outside adopted measurement conventions be considered? Why is it that summary statements about the psychosocial impact of genomic information often ignore qualitative evidence, or sideline it as relevant only for improving communication among patients, clinicians, and public health systems? This essay addresses such questions, using qualitative research on prenatal and newborn screening as a case study for illustrating the broad methodological, ideological, and dialogical issues at stake. (shrink)

Why is death bad for us, even on the assumption that it involves the absence of experience? Is it worse for us than prenatal nonexistence? In this first volume of the two-volume Morality, Mortality, Kamm begins by considering these questions, critically examining some answers other philosophers have given. The book examines specifically what differences between persons are relevant to the distribution of any scarce resource, discussing for example, the distribution of bodily organs for transplantation.

Why do we wish to die later but do not wish to have been created earlier? There is no puzzle here. It is false that if we had been created earlier we would have lived longer lives. Why don’t we wish to have been created earlier but with our actual times of death? That wish simply is not mandated by the more general wish to have lived a longer life. Furthermore, one might prefer one’s actual life to the better, but (...) considerably different, life one would have lived at an earlier time. (shrink)

This is a response to Giubilini and Minerva arguing that, on the basis of the similar moral status of the fetus and infant, infanticide is justifiable for many of the same reasons that justify abortion. It argues that, although the authors are correct in claiming the logical connection between abortion and infanticide, they are mistaken in their moral anthropology and so misunderstand which way the reasoning should cut. It concludes with an exhortation—especially to fellow pro-lifers—to have a different kind of (...) discourse on these matters. (shrink)

Here we respond to Johansson’s main worry, as laid out in his, “Actual and Counterfactual Attitudes: Reply to Fischer and Brueckner.” We show how our principle BF*(dd*) can be adjusted to address this concern compatibly with our fundamental approach to responding to Lucretius.

In this collection of essays on the metaphysical issues pertaining to death, the meaning of life, and freedom of the will, John Martin Fischer argues that death can be a bad thing for the individual who dies. He defends the claim that something can be a bad thing--a misfortune--for an individual, even if he never experiences it as bad. Fischer also defends the commonsense asymmetry in our attitudes toward death and prenatal nonexistence: we are indifferent to the time (...) before we are born, but we regret that we do not live longer. Further, Fischer argues, that immortal life could be desirable, and shows how the defense of the badness of death and the goodness of immortality exhibit a similar structure; on Fischer's view, the badness of death and the goodness of life can be represented on spectra that display certain continuities. Building on Fischer's previous book, My Way a major aim of this volume is to show important connections between issues relating to life and death and issues relating to free will. More specifically, Fischer argues that we endow our lives with a certain distinctive kind of meaning--an irreducible narrative dimension of value--by exhibiting free will. Thus, in acting freely, we transform our lives so that our stories matter. (shrink)

In addressing the Lucretian symmetry problem, the temporal bias approach claims that death is bad because it deprives us of something about which it is rational to care (e.g., future pleasures), whereas prenatal nonexistence is not bad because it only deprives us of something about which it is rational to remain indifferent (e.g., past pleasures). In a recent contribution to the debate on this approach, Miguel and Santos argue that a late beginning can deprive us of a future (...) pleasure. Their argument is based on the claim that for birth or death to deprive a person of any value in life, the historically closest counterfactual situation that contains the value is such that the person begins to exist earlier or dies later. This is what they call the Historical Condition. However, the Historical Condition is untenable for several reasons. First, this condition substantially weakens the explanatory capacity of the deprivation account because it implies that most ordinary sorts of pleasures are not deprived by death. In addition, the Historical Condition is vulnerable to counterexamples. In particular, what they offer as a standard case of the deprivation of future pleasure due to a late beginning (what they call Seeing The Beatles), or some of its variants, can be used to falsify this condition. Finally, the Historical Condition is theoretically indefensible because it is based on a faulty analysis of deprivation. (shrink)

According to the Judeo-Christian-Islamic theological tradition, or "classical theism," disembodiment (or non-physicality) and psychologicality are two of God’s necessary or essential attributes. This paper mounts a case for the thesis that these attributes are incompatible. More exactly, it provides compelling evidentiary support for the claim that, given the basic structure of consciousness, it is impossible for a psychological being to be disembodied (and vice versa). But if it is impossible for a psychological being to be disembodied (and vice versa), then, (...) since psychologicality and disembodiment are both essential to God under classical theism, the God of classical theism does not--and cannot--exist. (shrink)

If a person’s death is bad for him for the reason that he would have otherwise been intrinsically better off, as the Deprivation Approach says, does it not follow that his prenatal nonexistence is bad for him as well? Recently, it has been suggested that the “A-theory” of time can be used to support a negative answer to this question. In this paper, I raise some problems for this approach.

Fifteen years ago I was the ethicist involved in a case of a 20-year-old woman who had a stroke, and who was discovered in the emergency room to be 16 weeks pregnant on the same day she was declare...

To what extent should parents be able to choose the kind of child they have? The unfortunate phrase 'designer baby' has become familiar in debates surrounding reproduction. As a reference to current possibilities the term is misleading, but the phrase may indicate a societal concern of some kind about control and choice in the course of reproduction. Typically, people can choose whether to have a child. They may also have an interest in choosing, to some extent, the conditions under which (...) they do so, such as whether they have a child with a serious disability or disease. The purpose of this book is to explore the difficult and controversial question of the appropriate ethical and legal extent of reproductive autonomy in this context. The book examines ethical, legal and public policy issues in prenatal screening, prenatal diagnosis (PND), selective abortion and preimplantation genetic diagnosis (PGD). It explores the ethics of these selection practices and the ability of current ethical guidelines and legal mechanisms, including the law on selective abortion and wrongful birth, to deal with advances in genetic and other knowledge in these areas. Unlike in the United States, in England the relevant law is not inherently rights-based, but the impact of the Human Rights Act 1998 inevitably raises questions about the proper scope of reproductive autonomy in this context. The implications of the analysis are considered for the development of relevant law, public policy and ethical guidelines and will be of interest to academics in medical law and ethics, health professionals, lawyers, those working on public policy and students with an interest in these issues. (shrink)

How is it that, as fiction readers, we are nonplussed by J. K. Rowling's prescription to imagine Ronan, Bane, and Magorian, three different centaurs of the Forbidden Forrest at Hogwarts? It is usually held in the philosophical literature on fictional discourse that singular imaginings of fictional objects are impossible, given the blatant nonexistence of such objects. In this paper, I have a dual purpose: on the one hand, to show that, without being committed to Meinongeanism, we can explain the (...) phenomenon of singular imaginings of different nonexistents of the same kind; while, at the same time, to attribute this position to Thomas Reid, thus correcting some misunderstandings of his view on imagination. (shrink)

Why is death bad for us, even on the assumption that it involves the absence of experience? Is it worse for us than prenatal nonexistence? In this first volume of the two-volume Morality, Mortality, Kamm begins by considering these questions, critically examining some answers other philosophers have given. The book examines specifically what differences between persons are relevant to the distribution of any scarce resource, discussing for example, the distribution of bodily organs for transplantation.

With the advanced methods of analysing old biological material, it is pressing to discuss what should be allowed to be done with human remains, particularly for well documented historical individuals. We argue that Queen Christina of Sweden, who challenged the traditional gender roles, has an interest in maintaining her privacy when there are continued attempts to reveal her ‘true’ gender. In the long-running philosophical debate on posthumous wronging, the fundamental question is: Who is wronged? Our aim is to find (...) this ‘missing subject’ using narrative theory.Narrative identity emphasises the fact that no person is alone in knowing or telling their life story. People’s lives are entangled and parts of the life story of a deceased person can remain in the living realm. Since the narrative identity of a person does not necessarily end upon their death, and this narrative continues to relate directly to the person who once existed, it is the narrative subject that can continue to be posthumously wronged. Queen Christina can no longer maintain her own identity, but we maintain it by our research into her life. We propose three duties relevant for posthumous wronging: the duty of truthfulness, the duty of recognition and the duty to respect privacy. (shrink)

Nomina Sacra : Versuch einer Geschichte der christlichen Kürzung. Von Ludwig Traube, o. ö. Professor der Philologie an der Universitat, München. . Munich: C. H. Beck'sche Verlagsbuchhandlung. 1907. Pp. x + 295. M. 15.Vorlesungen und Abhandlungen. Von Ludwig Traube. Herausgegeben von Franz Boll. Erster Band. Zur Paläographie und Handschriftenkunde. Herausgegeben von Paul Lehmann. Mit biographischer Einleitung von Franz Boll. Munich: C. H. Beck'sche Verlagsbuchhandlung. 1909. Pp. lxxv+263.

The clinical relevance of whole-exome sequencing is unquestionable. In the prenatal setting, the standard testing process of reflexing from karyotype to microarray to single-gene disorders may take several weeks, leaving a family in prolonged turmoil and often without answers in time to make a decision about the pregnancy. WES provides a powerful amount of data more quickly and with a higher yield of diagnostic results, allowing a timelier plan for medical management and decision-making. However, while results that pertain specifically (...) to the testing indication can be isolated, the potential for incidental findings or results that are unrelated to the original testing indication is significant. In 2013, ACMG published recommendations for reporting incidental or secondary findings, providing a list of 57 clinically actionable genes for which reporting should be obligatory. These recommendations were updated in 2015 to include the option to opt out of receiving all secondary findings. The list includes childhood-onset conditions, for which medical management would be immediately impacted. However, the list also includes adult-onset conditions such as hereditary breast and ovarian cancer and Lynch syndrome. Historically, decisions regarding genetic testing for these conditions have been left up to the individual until they reach the age of consent. While the 2015 recommendations are an improvement over the 2013 recommendations insofar as they allow an option to opt out of receiving secondary findings, the recommendations continue to have potentially troubling ethical consequences. (shrink)

abstractBy appealing to the similarity between pre-vital and post-mortem nonexistence, Lucretius famously tried to show that our anxiety about death was irrational. His so-called Symmetry Argument has been attacked in various ways, but all of these strategies are themselves problematic. In this paper, I propose a new approach to undermining the argument: when Parfit’s distinction between identity and what matters is applied, not diachronically but across possible worlds, the alleged symmetry can be broken. Although the pre-vital and posthumous (...) time spans that we could have experienced are indeed analogous with respect to our identity, they are not analogous with respect to psychological continuity, which forms the basis of prudential concern. Lucretius even anticipated the Parfitian distinction. He did not, however, notice the significance that it has for his Symmetry Argument. (shrink)

This target article considers the ethical implications of providing prenatal diagnosis (PND) and antenatal screening services to detect fetal abnormalities in jurisdictions that prohibit abortion for these conditions. This unusual health policy context is common in the Latin American region. Congenital conditions are often untreated or under-treated in developing countries due to limited health resources, leading many women/couples to prefer termination of affected pregnancies. Three potential harms derive from the provision of PND in the absence of legal and safe (...) abortion for these conditions: psychological distress, unjust distribution of burdens between socio-economic classes, and financial burdens for families and society. We present Iran as a comparative case study where recognition of these ethical issues has led to the liberalization of abortion laws for fetuses with thalassemia. We argue that physicians, geneticists and policymakers have an ethical and professional duty of care to advocate for change in order to ameliorate these harms. (shrink)

Background Noninvasive prenatal testing (NIPT) provides important benefits yet raises ethical concerns. We surveyed Canadian pregnant women and their partners to explore their views regarding pressure to test and terminate a pregnancy, as well as other societal impacts that may result from the routinization of NIPT.Methods A questionnaire was offered (March 2015 to July 2016) to pregnant women and their partners at five healthcare facilities in four Canadian provinces.Results 882 pregnant women and 395 partners completed the survey. 64% of (...) women anticipated feeling no pressure to take the test if it were offered routinely, and 39% were not concerned about routinization leading to increased pressure to terminate a pregnancy of a fetus with Down Syndrome. Regarding other social concerns possibly resulting from routinization, pregnant women were most concerned regarding a reduction in resources available for people with Down Syndrome and their families and least concerned regarding a decrease in the population of people with Down Syndrome.Conclusions Our findings reflect the concerns expressed by pregnant women and their partners, both personal (pressure to test, pressure to terminate) and societal (e.g., regarding potential negative impact on people with disabilities and their families). Even if most women were not concerned about feeling pressured to test due to NIPT routinization, a large minority express concerns that should not be taken lightly. Moreover, a majority of respondents were concerned regarding pressure to terminate pregnancies due to NIPT routinization as well as regarding most societal impacts they were queried on, especially the possible future reduction in resources available for people with DS and their families. Canadian policy-makers should consider these potential negative ramifications of NIPT and ensure that appropriate social policies accompany its implementation. (shrink)

Prenatal genetic testing is becoming available for an increasingly broad set of diseases, and it is only a matter of time before parents can choose to test for hundreds, if not thousands, of genetic conditions in their fetuses. Should access to certain kinds of fetal genetic information be limited, and if so, on what basis? We evaluate a range of considerations including reproductive autonomy, parental rights, disability rights, and the rights and interests of the fetus as a potential future (...) child. We conclude that parents should be able to access information that could be useful during pregnancy, but that testing for non-medical information should be limited. Next, we argue that the government lacks a compelling state interest in regulating prenatal genetic testing and propose that regulation should occur through medical professional organizations. Finally, we present a framework for determining what testing physicians should recommend, offer neutrally, or not offer at all. (shrink)