Monash Health, Clayton Road, Clayton, 3168, Australia.
University of Melbourne / Murdoch Children's Research Institute, Royal Children's Hospital, Flemington Rd, Parkville, VIC, 3052, Australia.
J Bioeth Inq. 2019 Sep;16(3):405-414. doi: 10.1007/s11673-019-09932-2. Epub 2019 Aug 15.
Preimplantation genetic diagnosis (PGD) allows the detection of genetic abnormalities in embryos produced through in vitro fertilization (IVF). Current funding models in Australia provide governmental subsidies for couples undergoing IVF, but do not extend to PGD. There are strong reasons for publicly funding PGD that follow from the moral principles of autonomy, beneficence and justice for both parents and children. We examine the objections to our proposal, specifically concerns regarding designer babies and the harm of disabled individuals, and show why these are substantially outweighed by arguments for subsidizing PGD. We argue that an acceptance of PGD is aligned with present attitudes towards procreative decision making and IVF use, and that it should therefore receive government funding.
胚胎植入前遗传学诊断（PGD）可检测体外受精（IVF）产生的胚胎中的遗传异常。澳大利亚目前的资金模式为接受 IVF 的夫妇提供政府补贴，但不包括 PGD。出于对父母和孩子的自主权、善行和正义的道德原则，有充分的理由支持公共资助 PGD。我们考察了对我们提案的反对意见，特别是对设计婴儿和残疾个体的伤害的担忧，并解释了为什么这些担忧远远被支持资助 PGD 的论点所抵消。我们认为，对 PGD 的接受与目前对生育决策和 IVF 使用的态度是一致的，因此应该获得政府的资金支持。
