Department of Philosophy 1, University of Granada, Granada, Spain
Institute for Practical Ethics, University of California San Diego, La Jolla, California, USA.
J Med Ethics. 2024 Mar 20;50(4):287-288. doi: 10.1136/jme-2023-109572.
In her recent article, Prince has identified a critical challenge for those who advocate genetic enhancement to reduce social injustices. The gene-environment interaction prevents genetic enhancement from having equitable effects at the phenotypic level, even if enhancement were available to the entire population. The poor would benefit less than the rich from their improved genes because their genotypes would interact with more unfavourable socioeconomic environments. Therefore, Prince believes that genetic enhancement should not be used to combat social inequalities, since it can likely aggravate them. In this article, I raise various objections to this conclusion. I argue first that genetic enhancement need not necessarily magnify social injustices. I then show that genetic enhancement can play a modest but not insignificant role in the quest for social justice in the future. Finally, I conclude by arguing for the need to consider the complex interplay between the social lottery and the natural lottery in our aspirations for justice linked to genetic technologies.
在她最近的文章中,普林斯指出了那些提倡通过基因增强来减少社会不公正的人所面临的一个关键挑战。基因-环境相互作用使得基因增强即使在整个人口中都可用,也无法在表型水平上产生公平的效果。由于他们的基因型会与更不利的社会经济环境相互作用,因此穷人从改善的基因中受益将不如富人多。因此,普林斯认为,不应使用基因增强来对抗社会不平等,因为这可能会加剧不平等。在本文中,我对这一结论提出了各种反对意见。我首先认为,基因增强不一定会加剧社会不公正。然后我表明,在未来追求社会正义的过程中,基因增强可以发挥适度但并非微不足道的作用。最后,我得出结论,需要考虑社会彩票和自然彩票之间的复杂相互作用,以及我们对与基因技术相关的正义的期望。