{"title":"“严重”残疾:医学诊断还是对生育自由的任意限制?","authors":"Chantel Leadbeater","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>In Queensland, use of preimplantation genetic diagnosis (PGD) and prenatal diagnostic testing (PND) is limited to the detection of and abstention from embryos or foetuses afflicted with \"serious\" disabilities. In the absence of a legislative definition or widespread consensus among physicians regarding those disablements which are sufficiently \"serious\", it begs the question: is Queensland's current regulation of PND and PGD inconsistent with the rule of law because it lacks clarity, stability, and certainty and thus arbitrarily restricts reproductive liberties? This article will demonstrate that the detection of genetic abnormalities via PGD and PND will lead to differing clinical outcomes pre- and post-implantation. While their utilisation for the therapeutic prevention of \"serious\" harm is a justifiable intrusion on reproductive autonomy, the medical professions' and disabled community's conceptualisations of disability are maligned. Queensland's adoption of a permissive licensing regime for PGD and the interactional model of disability by physicians administering PND is considered.</p>","PeriodicalId":45522,"journal":{"name":"Journal of Law and Medicine","volume":"30 1","pages":"223-234"},"PeriodicalIF":0.6000,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"\\\"Serious\\\" Disability: A Medical Diagnosis or an Arbitrary Restriction of Reproductive Liberties?\",\"authors\":\"Chantel Leadbeater\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>In Queensland, use of preimplantation genetic diagnosis (PGD) and prenatal diagnostic testing (PND) is limited to the detection of and abstention from embryos or foetuses afflicted with \\\"serious\\\" disabilities. In the absence of a legislative definition or widespread consensus among physicians regarding those disablements which are sufficiently \\\"serious\\\", it begs the question: is Queensland's current regulation of PND and PGD inconsistent with the rule of law because it lacks clarity, stability, and certainty and thus arbitrarily restricts reproductive liberties? This article will demonstrate that the detection of genetic abnormalities via PGD and PND will lead to differing clinical outcomes pre- and post-implantation. While their utilisation for the therapeutic prevention of \\\"serious\\\" harm is a justifiable intrusion on reproductive autonomy, the medical professions' and disabled community's conceptualisations of disability are maligned. Queensland's adoption of a permissive licensing regime for PGD and the interactional model of disability by physicians administering PND is considered.</p>\",\"PeriodicalId\":45522,\"journal\":{\"name\":\"Journal of Law and Medicine\",\"volume\":\"30 1\",\"pages\":\"223-234\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2023-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Law and Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"LAW\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Law and Medicine","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"LAW","Score":null,"Total":0}
"Serious" Disability: A Medical Diagnosis or an Arbitrary Restriction of Reproductive Liberties?
In Queensland, use of preimplantation genetic diagnosis (PGD) and prenatal diagnostic testing (PND) is limited to the detection of and abstention from embryos or foetuses afflicted with "serious" disabilities. In the absence of a legislative definition or widespread consensus among physicians regarding those disablements which are sufficiently "serious", it begs the question: is Queensland's current regulation of PND and PGD inconsistent with the rule of law because it lacks clarity, stability, and certainty and thus arbitrarily restricts reproductive liberties? This article will demonstrate that the detection of genetic abnormalities via PGD and PND will lead to differing clinical outcomes pre- and post-implantation. While their utilisation for the therapeutic prevention of "serious" harm is a justifiable intrusion on reproductive autonomy, the medical professions' and disabled community's conceptualisations of disability are maligned. Queensland's adoption of a permissive licensing regime for PGD and the interactional model of disability by physicians administering PND is considered.