Ledley F D
Department of Cell Biology, Baylor College of Medicine, Houston, TX 77030.
J Med Ethics. 1994 Sep;20(3):157-64. doi: 10.1136/jme.20.3.157.
There is concern that human applications of modern genetic technologies may lead inexorably to eugenic abuse. To prevent such abuse, it is essential to have clear, formal principles as well as algorithms for distinguishing genetics from eugenics. This work identifies essential distinctions between eugenics and genetics in the implied nature of the social contract and the importance ascribed to individual welfare relative to society. Rawls's construction of 'justice as fairness' is used as a model for how a formal systems of ethics can be used to proscribe eugenic practices. Rawls's synthesis can be applied to this problem if it is assumed that in the original condition all individuals are ignorant of their genetic constitution and unwilling to consent to social structures which may constrain their own potential. The principles of fairness applied to genetics requires that genetic interventions be directed at extending individual liberties and be applied to the greatest benefit of individuals with the least advantages. These principles are incompatible with negative eugenics which would further penalize those with genetic disadvantage. These principles limit positive eugenics to those practices which are designed to provide absolute benefit to those individuals with least advantage, are acceptable to its subjects, and further a system of basic equal liberties. This analysis also illustrates how simple deviations from first principles in Rawls's formulation could countenance eugenic applications of genetic technologies.
人们担心现代基因技术在人类中的应用可能会不可避免地导致优生学的滥用。为防止此类滥用,必须有明确、正式的原则以及区分遗传学与优生学的算法。这项工作确定了优生学与遗传学在隐含的社会契约性质以及相对于社会赋予个人福利的重要性方面的本质区别。罗尔斯的“作为公平的正义”建构被用作一个模型,说明形式伦理体系如何可用于禁止优生学实践。如果假定在初始状态下所有个体都不知道自己的基因构成,并且不愿意同意可能限制自身潜力的社会结构,那么罗尔斯的综合理论就可以应用于这个问题。应用于遗传学的公平原则要求基因干预旨在扩大个人自由,并应用于对最弱势群体最有益的方面。这些原则与消极优生学不相容,消极优生学将进一步惩罚那些有基因缺陷的人。这些原则将积极优生学限制在那些旨在为最弱势群体提供绝对利益、为其对象所接受并促进基本平等自由体系的实践中。这一分析还说明了罗尔斯表述中与第一原则的简单偏离如何可能支持基因技术的优生学应用。