The Substance View and Cases of Complicated Multifetal Pregnancy.

IF 1.8 3区 哲学 Q2 ETHICS Journal of Bioethical Inquiry Pub Date : 2024-09-25 DOI:10.1007/s11673-024-10385-5
P Singh
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Abstract

I consider cases of multifetal pregnancy in which one fetus with a fatal birth defect poses a risk to the survival of another healthy fetus to show that the substance view anti-abortion position leads to a contradiction. In cases of complicated multifetal pregnancy, if intervention by selective abortion to terminate the defective fetus is not performed, both fetuses will die due to the conditions created by the defective fetus's fatal birth defect. Because abortion is wrong on the anti-abortion position, and a moderate anti-abortion position cannot make an exception for selective abortion in cases of complicated multifetal pregnancy if it operates on the substance view, choosing selective abortion must be wrong, so one must let both fetuses die. However, the substance view anti-abortion position must take letting both fetuses die to be wrong, otherwise it will undermine itself as an anti-abortion position. Further, the substance view provides grounds for why letting fetuses die would be wrong anyway. Thus, the substance view anti-abortion position must take both having an abortion and not having an abortion to be wrong, which is a contradiction. Therefore, cases of complicated multifetal pregnancy show that the substance view anti-abortion position is false.

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物质观与并发多胎妊娠案例。
我考虑了多胎妊娠的案例,其中一个有致命先天缺陷的胎儿对另一个健康胎儿的存活构成了风险,从而表明反对堕胎的实质观点立场导致了矛盾。在复杂的多胎妊娠中,如果不采取选择性人工流产的干预措施来终止有缺陷的胎儿,那么两个胎儿都会因有缺陷胎儿的致命先天缺陷所造成的条件而死亡。因为在反堕胎的立场上,堕胎是错误的,而温和的反堕胎立场如果按照实质论的观点来操作,就不可能在复杂的多胎妊娠的情况下例外地选择性堕胎,所以选择性堕胎一定是错误的,所以必须让两个胎儿都死掉。然而,实质观点反堕胎立场必须认为让两个胎儿死亡是错误的,否则就会削弱其反堕胎立场。此外,实质观点还提供了让胎儿死亡无论如何都是错误的理由。因此,实质观点的反堕胎立场必须认为堕胎和不堕胎都是错误的,这是一个矛盾。因此,复杂的多胎妊娠案例表明,实质论反对堕胎的立场是错误的。
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来源期刊
Journal of Bioethical Inquiry
Journal of Bioethical Inquiry 医学-医学:伦理
CiteScore
5.20
自引率
8.30%
发文量
67
审稿时长
>12 weeks
期刊介绍: The JBI welcomes both reports of empirical research and articles that increase theoretical understanding of medicine and health care, the health professions and the biological sciences. The JBI is also open to critical reflections on medicine and conventional bioethics, the nature of health, illness and disability, the sources of ethics, the nature of ethical communities, and possible implications of new developments in science and technology for social and cultural life and human identity. We welcome contributions from perspectives that are less commonly published in existing journals in the field and reports of empirical research studies using both qualitative and quantitative methodologies. The JBI accepts contributions from authors working in or across disciplines including – but not limited to – the following: -philosophy- bioethics- economics- social theory- law- public health and epidemiology- anthropology- psychology- feminism- gay and lesbian studies- linguistics and discourse analysis- cultural studies- disability studies- history- literature and literary studies- environmental sciences- theology and religious studies
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