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Genetic testing in the workplace: the employer's coin toss. 工作场所的基因检测:雇主的抛硬币。
Pub Date : 2002-09-05
Samantha French

A toss of the coin by the modern-day employer reveals two options regarding genetic testing in the workplace. The employer may choose to take advantage of increasingly precise, available, and affordable genetic testing in order to ascertain the genetic characteristics--and deficiencies--of its employees. This outcome exposes the employer to a vast array of potential litigation and liability relating to the Americans with Disabilities Act, the Fourth Amendment, Title VII of the Civil Rights Act, and state legislation designed to protect genetic privacy. Alternatively, the employer may neglect to indulge in this trend of genetic testing and may face liability for employer negligence, violations of federal legislation such as OSHA regulations, and increased costs associated with insuring the health of genetically endangered employees. In the rapidly developing universe of genetic intelligence, the employer is faced with a staggering dilemma.

现代雇主抛硬币决定在工作场所进行基因检测有两种选择。雇主可能会选择利用越来越精确、可用和负担得起的基因检测来确定其雇员的基因特征和缺陷。这一结果使雇主面临一系列潜在的诉讼和责任,这些诉讼和责任涉及《美国残疾人法案》、《第四修正案》、《民权法案》第七章以及旨在保护基因隐私的州立法。或者,雇主可能忽视这种基因检测的趋势,并可能面临雇主疏忽、违反联邦立法(如职业安全与健康管理局条例)和增加与基因濒危雇员的健康保险相关的费用的责任。在快速发展的基因智能领域,雇主面临着一个令人震惊的困境。
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引用次数: 0
Customizing conception: a survey of preimplantation genetic diagnosis and the resulting social, ethical, and legal dilemmas. 定制概念:植入前遗传学诊断和由此产生的社会,伦理和法律困境的调查。
Pub Date : 2002-07-23
Jason C Roberts

One in six American couples experience difficulties conceiving a child. With fertility rates at an all time low, the business of treating infertility is booming. However, due to the United States prohibition on government funding for embryonic research, the $4 billion industry of assisted reproductive technologies (ART) has been incompletely monitored and largely removed from oversight. Additionally, due to the fervent abortion debate, in vitro fertilization (IVF) was introduced in the United States without a research phase and procedures have been forced to evolve in the private sector. Thus, the checks and balances on medical innovation that are generally imposed by the federal government for consumer protection are lacking. Decisions about when to go from the laboratory to the clinic are often left solely to the discretion of private physicians. Preimplantation genetic diagnosis (PGD) is just one of many such treatments offered by these clinics. This iBrief examines how, why, and to whom the reproductive procedure of PGD is offered. In addition, it evaluates the prospective effects to society that arise when PGD is used for sex selection and for nontherapeutic or enhancement purposes. Finally, it explores whether and how to regulate PGD in the United States by investigating approaches to policy making that have been adopted by the United Kingdom.

六分之一的美国夫妇遇到怀孕困难。由于生育率一直处于低位,治疗不孕症的业务正在蓬勃发展。然而,由于美国禁止政府资助胚胎研究,价值40亿美元的辅助生殖技术(ART)产业一直没有得到完全的监督,而且基本上没有受到监督。此外,由于激烈的堕胎辩论,体外受精(IVF)在美国引入时没有经过研究阶段,程序被迫在私营部门发展。因此,联邦政府通常为保护消费者而对医疗创新进行的制衡是缺乏的。何时从实验室到诊所的决定往往完全由私人医生自行决定。胚胎植入前遗传学诊断(PGD)只是这些诊所提供的许多此类治疗之一。这篇简介探讨了PGD的生殖程序是如何、为什么以及向谁提供的。此外,它还评估了当PGD用于性别选择和非治疗或增强目的时对社会产生的预期影响。最后,通过调查英国所采用的政策制定方法,探讨了美国是否以及如何监管PGD。
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引用次数: 0
Appropriate aims: setting boundaries for reprogenetic technology. 适当的目标:为生殖技术设定界限。
Pub Date : 2002-07-17
Dana Ziker

Not too long ago, ten fingers and ten toes defined a successful birth. Not too far from now, ten fingers and ten toes will be just the beginning. Parents always hope for a healthy baby, and medical advances continue to help secure the fulfillment of this hope. But reprogenetics, a new combination of technology and science that allows us to choose the genes, and thus the traits, of the children we create, is raising new questions about what it means to have a healthy baby.

不久前,10根手指和10个脚趾被定义为成功的出生。在不久的将来,十个手指和十个脚趾将只是开始。父母总是希望有一个健康的宝宝,而医学的进步也在不断地帮助实现这一希望。但是,再遗传学,一种技术和科学的新结合,使我们能够选择基因,从而选择我们所创造的孩子的特征,这就提出了新的问题,即拥有一个健康的婴儿意味着什么。
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引用次数: 0
Facilitating access of AIDS drugs while maintaining strong patent protection. 促进艾滋病药物的获取,同时保持强有力的专利保护。
Pub Date : 2001-12-07
D Ziker

The AIDS pandemic has thrust the subject of patent protection into the spotlight, a spotlight that has attracted the attention of broad audience including interested parties from the political, legal, and medical communities. Can the United States' scheme of strong patent protection for pharmaceutical products withstand the increased attention?

艾滋病的流行使专利保护问题成为人们关注的焦点,引起了包括政界、法律界和医学界有关各方在内的广泛关注。美国对药品强有力的专利保护方案能否经受住日益增加的关注?
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引用次数: 0
Egregious error or admirable advance: the memorandum of understanding that enables federally funded basic human embryonic stem cell research. 惊人的错误或令人钦佩的进步:谅解备忘录使联邦政府资助的基本人类胚胎干细胞研究成为可能。
Pub Date : 2001-10-16
A Ligler
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引用次数: 0
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