A burden from birth?: Non-invasive prenatal testing and the stigmatization of people with disabilities

The notion of being a burden to others is mostly discussed in the context of care-intensive diseases or end-of-life decisions. But the notion is also crucial in decision-making at the beginning of life, namely regarding prenatal testing. Ever more sophisticated testing methods, especially non-invasi...

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Bibliographische Detailangaben
VerfasserInnen: Rubeis, Giovanni 1981- (VerfasserIn) ; Steger, Florian 19XX- (VerfasserIn)
Medienart: Elektronisch Aufsatz
Sprache:Englisch
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Veröffentlicht: Wiley-Blackwell [2019]
In: Bioethics
Jahr: 2019, Band: 33, Heft: 1, Seiten: 91-97
IxTheo Notationen:NBE Anthropologie
NCH Medizinische Ethik
weitere Schlagwörter:B reproductive autonomy
B non-invasive prenatal testing
B Bioethics
B Eugenics
B disability rights
B NIPT
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Beschreibung
Zusammenfassung:The notion of being a burden to others is mostly discussed in the context of care-intensive diseases or end-of-life decisions. But the notion is also crucial in decision-making at the beginning of life, namely regarding prenatal testing. Ever more sophisticated testing methods, especially non-invasive prenatal testing (NIPT), allow the detection of genetic traits in the unborn child that may cause disabilities. A positive result often influences the decision of the pregnant women towards a termination of the pregnancy. Thus, critics claim that these testing methods send a negative message to people with disabilities. At the core of this is what we call the burden assumption. This assumption claims that children with disabilities are necessarily a burden to others, especially to their parents and other family members. In this paper, we discuss what being a burden to others means in this context and how such an attitude can be avoided without restraining reproductive autonomy. A closer examination shows that the burden assumption is mostly based on misinformation and a false model of disability. Empirical studies as well as narrative evidence from parents who raise a child with disabilities show that the burden assumption is wrong. Raising a child with disabilities does not necessarily mean a decrease in the quality of life. We show how the burden assumption can be challenged through an advanced genetic counselling that combines empirical evidence with narratives from a first-person perspective.
ISSN:1467-8519
Enthält:Enthalten in: Bioethics
Persistent identifiers:DOI: 10.1111/bioe.12518