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因基因咨询失误引发的“错误生命”诉讼:有缺陷的新生儿是否有权提起诉讼?

'Wrongful life' lawsuits for faulty genetic counselling: should the impaired newborn be entitled to sue?

作者信息

Shapira A

机构信息

Tel Aviv University, Israel.

出版信息

J Med Ethics. 1998 Dec;24(6):369-75. doi: 10.1136/jme.24.6.369.

Abstract

A "wrongful life" suit is based on the purported tortious liability of a genetic counsellor towards an infant with hereditary defects, with the latter asserting that he or she would not have been born at all if not for the counsellor's negligence. This negligence allegedly lies in the failure on the part of the defendant adequately to advice the parents or to conduct properly the relevant testing and thereby prevent the child's conception or birth (where unimpaired life was not possible). This paper will offer support for the thesis that it would be both feasible and desirable to endorse "wrongful life" compensation actions. The genetic counsellor owed a duty of due professional care to the impaired newborn who now claims that but for the counsellor's negligence, he or she would not have been born at all. The plaintiff's defective life (where healthy life was never an option) constitutes a compensable injury. A sufficient causal link may exist between the plaintiff's injury and the defendant's breach of duty of due professional care and an appropriate measure of damages can be allocated to the disabled newborn. Sanctioning a "wrongful life" cause of action does not necessarily entail abandoning valuable constraints with regard to abortion and euthanasia. Nor does it inevitably lead to an uncontrolled slide down a "slippery slope".

摘要

“错误出生”诉讼基于遗传咨询师对患有遗传缺陷婴儿的侵权责任主张,婴儿声称若不是咨询师的疏忽,他或她根本就不会出生。据称这种疏忽在于被告未充分向父母提供建议或未正确进行相关检测,从而未能防止孩子的受孕或出生(在无法拥有无缺陷生活的情况下)。本文将支持这样一种观点,即认可“错误出生”赔偿诉讼既可行又可取。遗传咨询师对现在声称若非其疏忽就根本不会出生的受损新生儿负有合理专业照护的义务。原告有缺陷的生活(健康生活从未是一种选择)构成可获赔偿的伤害。原告的伤害与被告违反合理专业照护义务之间可能存在充分的因果关系,并且可以为残疾新生儿分配适当的损害赔偿额度。认可“错误出生”诉讼理由并不必然意味着放弃有关堕胎和安乐死的重要限制。它也不一定不可避免地导致在“滑坡”上失控下滑。

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引用本文的文献

1
'Wrongful life' claims.“错误出生”索赔
J Med Ethics. 1998 Dec;24(6):363-4. doi: 10.1136/jme.24.6.363.

本文引用的文献

1
The legal concept of wrongful life.
JAMA. 1988 Mar 11;259(10):1541-5.

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