Spriggs M
Ethics Unit, Murdoch Children's Research Institute, Royal Children's Hospital, Flemington Road, Parkville, Victoria, 3052, Australia.
J Med Ethics. 2005 Jun;31(6):341-2; discussion 343. doi: 10.1136/jme.2003.006130.
Conceiving a child by way of embryo selection and tissue matching to benefit a sick sibling is generally justified on the grounds that as well as the potential to save the sick child, there is a benefit for the new baby. The new baby is selected so he or she will not have the disease suffered by the first child. It is not possible, however, to select against conditions for which there is no test and Jamie Whitaker's birth is a case where the process of in vitro fertilisation with tissue matching is viewed as being of benefit only to a third party-the sick child. Some people object to using the technology for this purpose. There are also good reasons to argue that the technology should be used to save a sick child, and that it would be morally remiss for Jamie's parents not to consent to the use of his cord blood.
通过胚胎选择和组织匹配来孕育一个孩子以帮助患病的兄弟姐妹,一般来说是合理的,理由是除了有可能拯救患病儿童外,对新生婴儿也有好处。选择新生婴儿是为了使其不会患上第一个孩子所患的疾病。然而,对于那些没有检测方法的病症,是无法进行筛选的,而杰米·惠特克的出生就是一个例子,在这个案例中,组织匹配的体外受精过程被认为仅对第三方——患病儿童有益。一些人反对将这项技术用于此目的。也有充分的理由认为,这项技术应用于拯救患病儿童,而且杰米的父母若不同意使用他的脐带血,在道德上是有过失的。