Zergollern L
Voditelj Zavoda za medicinsku genetiku, KBC-Rebro, Medicinski fakultet Sveucilista u Zagrebu.
Lijec Vjesn. 1990 Jan-Feb;112(1-2):63-6.
Many new problems and dilemmas have occurred in the practice of medical geneticists with the development of human genetics and its subdisciplines--molecular genetics, ethic genetics and juridical genetics. Devoid of the possibility to get adequate education, genetic informer or better to say, counsellor, although a scientist and a professional who has already formed his ethic attitudes, often finds himself in a dilemma when he has to decide whether a procedure made possible by progress of science is ethical or not. Thus, due to different attitudes, same decision is ethical for some, while for the others it is not. Ethic committees are groups of moral and good people trying to find an objective approach to certain genetic and ethic problems. There are more and more ethically unanswered questions in modern human genetics, and particularly in medical genetics. Medical geneticist-ethicist still encounters numerous problems in his work. These are, for example, experiments with human gametes and embryos, possibilities of hybridization of human gametes with animal gametes, in vitro fertilization, detection of heterozygotes and homozygotes for monogene diseases. early detection of chromosomopathies, substitute mothers, homo and hetero insemination, transplantation of fetal and cadeveric organs, uncontrolled consumption of alcohol and drugs, environmental pollution, etc. It is almost impossible to create a single attitude which shall be shared by all those engaged in human health protection. Therefore, it is best to have a neutral eugenetic attitude which allows free ethical choice of each individual, in any case, for the well-being of man.
随着人类遗传学及其分支学科——分子遗传学、伦理遗传学和法律遗传学的发展,医学遗传学家在实践中遇到了许多新问题和困境。尽管遗传信息提供者或更确切地说是遗传咨询师是一位已经形成自己伦理态度的科学家和专业人士,但由于缺乏接受充分教育的可能性,当他必须决定一项因科学进步而成为可能的程序是否符合伦理时,往往会陷入两难境地。因此,由于态度不同,同一个决定对一些人来说是符合伦理的,而对另一些人来说则不然。伦理委员会是由道德高尚的人组成的团体,试图找到解决某些遗传和伦理问题的客观方法。在现代人类遗传学中,尤其是在医学遗传学中,存在越来越多伦理上无法解答的问题。医学遗传学家兼伦理学家在工作中仍然面临众多问题。例如,人类配子和胚胎实验、人类配子与动物配子杂交的可能性、体外受精、单基因疾病杂合子和纯合子的检测、染色体病的早期检测、代孕母亲、同性和异性授精、胎儿和尸体器官移植、无节制地饮酒和吸毒、环境污染等等。几乎不可能形成一种所有从事人类健康保护工作的人都能认同的单一态度。因此,最好采取一种中立的优生学态度,在任何情况下,都允许每个人为了人类的福祉自由地做出伦理选择。