Hastings Cent Rep. 2018 Jul;48 Suppl 2:S12-S13. doi: 10.1002/hast.876.
In recent years, as newborn screening has expanded to include conditions for which treatment is questionable, new rationales for screening have proliferated. One such rationale is the potential reproductive benefit to parents from the detection of a genetic condition or carrier status in infants. An unanticipated consequence of invoking knowledge of reproductive risk as a major benefit of screening has been to open newborn screening to the charge that it constitutes state-sanctioned eugenics. Thus, an endeavor that had been viewed as the converse of state programs of selective breeding has come to be seen in some quarters as yet another of its incarnations. The result has been serious and self-inflected harm to the reputation of newborn screening programs.
近年来，随着新生儿筛查范围扩大，纳入了一些治疗效果存疑的病症，筛查的新理由也层出不穷。其中一个理由是，通过筛查发现婴儿存在遗传疾病或携带某种疾病的状态，这可能会给父母带来生殖方面的好处。然而，将检测到生殖风险的可能性作为筛查的主要益处这一观点，也带来了意料之外的后果，即新生儿筛查可能被指责为国家认可的优生学。因此，这项原本被视为与国家有选择的生育计划相反的工作，在某些方面被视为其又一种表现形式。其结果是新生儿筛查项目的声誉受到严重且自食其果的损害。
