“严重”残疾:医学诊断还是对生育自由的任意限制?

IF 0.6 Q2 LAW Journal of Law and Medicine Pub Date : 2023-05-01
Chantel Leadbeater
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引用次数: 0

摘要

在昆士兰州,使用植入前遗传学诊断和产前诊断检测仅限于发现和放弃患有“严重”残疾的胚胎或胎儿。在缺乏立法定义或医生对那些足够“严重”的残疾的广泛共识的情况下,它回避了一个问题:昆士兰州目前对PND和PGD的监管是否与法治不一致,因为它缺乏明确性,稳定性和确定性,从而武断地限制了生殖自由?本文将证明通过PGD和PND检测基因异常将导致植入前后不同的临床结果。虽然将其用于预防"严重"伤害的治疗是对生殖自主的合理侵犯,但医疗专业人员和残疾人社区对残疾的概念受到了诋毁。考虑到昆士兰州对PGD采用许可许可制度,并考虑到管理PND的医生对残疾的互动模式。
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"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.

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CiteScore
0.70
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发文量
63
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