The successful achievement of pregnancies following pre-implantation genetic diagnosis (PGD) was first reported in April 1990. The technology is often used for patients who are at substantial risk of conceiving a pregnancy affected by a known genetic disorder, however from this technology other more controversial uses have arisen such as HLA typing to save the life of a sibling, gender selection for social reasons, the prevention of late onset diseases, or the prevention of diseases which may be genetically predisposed to developing such as breast cancer. The technology surrounding PGD is constantly developing, giving rise to new and unexpected consequences that create fresh ethical and legal dilemmas.
Featuring internationally recognized experts in the field, this book critically explores the regulation of PGD and the broader legal and ethical issues associated with it. It looks at the regulatory situation in a number of jurisdictions including New Zealand, Australia and the United Kingdom, but it also explores a number of themes of wide significance including a historical consideration of PGD and its part in the creation of the "genetic embryo" as a political tool, the over regulation of PGD and the ethical difficulties in handling additional unexpected medical information yielded by new technologies. This book will be of particular interest to academics and students of law, medicine and ethics.
1. Introduction, Sheila McLean 2. PGD and the making of the ‘genetic embryo’ as a political tool: A historical analysis, Anastasia A Theodosiou and Martin H Johnson 3. Preimplantation Genetic Diagnosis: Born but not made, Peter Braude 4. The Weak Moral Basis for Strong Regulation of Pre-implantation Genetic Diagnosis (PGD), Tom Campbell and Laura Cabrera 5. Cartwright Calamities and Frankenstein Monsters: The Regulation of Reproduction in New Zealand, Jeanne Snelling 6. The State in Action - An Insider View of How the State Regulates the Use of PGD in New Zealand, Mark Henaghan 7. Regulatory legitimacy in embryo research: The case of preimplantation genetic diagnosis, Don Chalmers 8. Regulating reproduction in Australia: where is the woman in this labyrinth?, Kerry Petersen 9. The Welfare of the Child Principle and the Use of PGD under the HFEA 1990 (as amended), Sarah Elliston 10. Statutory regulation of PGD: unintended consequences and future challenges, Emily Jackson 11. Conclusion, Sheila McLean
Scientific and clinical advances, social and political developments and the impact of healthcare on our lives raise profound ethical and legal questions. Medical law and ethics have become central to our understanding of these problems, and are important tools for the analysis and resolution of problems – real or imagined.
In this series, scholars at the forefront of biomedical law and ethics will contribute to the debates in this area, with accessible, thought-provoking, and sometimes controversial ideas. Each book in the series will develop an independent hypothesis and argue cogently for a particular position. One of the major contributions of this series is the extent to which both law and ethics are utilised in the content of the books, and the shape of the series itself.