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Down Syndrome Ethical Dilemmas

Decent Essays

Josko (2014) asserts that the era of personalized medicine is upon us, and that with the completion of the Human Genome Project, and advances in DNA sequencing techniques and genetic testing, everything has changed. She notes that clinicians now have the ability to diagnose, treat, and monitor a patient’s illnesses or disease progression in an entirely different manner. This is a far cry from the old medical model of responding to a disease (or defect) only after it appears, and then prescribing the recommended medication or intervention. These genetic medical advances sound miraculous and promising, but the ability to test, screen and provide early intervention does not come without many major ethical dilemmas.

According to Crist, McVay …show more content…

When such a condition is detected, or highly suspected, what then? According to Farrell et al., (2014) physicians are most concerned with the ethical issue of pregnancy termination. In the case of Down Syndrome, this is with good cause. A systemic review by Natoli, Ackerman, McDermott and Edwards (2012) found a weighted mean termination rate following a prenatal diagnosis of Down syndrome was 67%, with a range of 61% - 93%. The evidence they presented suggested that termination rates varied according to maternal age, race, and gestational age. (These variances alone open another ethical can of worms). But one can see, after only brief examination of this one genetic screen, why physicians, and society in general, should be concerned. There is no concensus regarding whether or not pregnancy termination is ethical in and of itself, let alone when one decides to terminate due to knowledge of specific genetic markers or …show more content…

& Marocco, S. (2013). PHT 712, Module 3 tutorial. Utica College.
Farrell, R. M., Metcalfe, J. S., McGowan, M. L., Weise, K. L., Agatisa, P. K., & Berg, J. (2014). Emerging Ethical Issues in Reproductive Medicine: Are Bioethics Educators Ready?. Hastings Center Report, 44(5), 21-29 9p. doi:10.1002/hast.354
Josko, D. (2014). Personalized Medicine and Ethics. Clinical Laboratory Science, 27(3), 185-190 6p.
Natoli, J., Ackerman, D., McDermott, S., & Edwards, J. (2012). Prenatal diagnosis of Down syndrome: a systematic review of termination rates (1995-2011). Prenatal Diagnosis, 32(2), 142-153 12p.

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