通过编辑种系克服脆弱性?

Michael Braunschweig
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引用次数: 0

摘要

脆弱性概念已被广泛认为是医学伦理和研究伦理的一个基本概念,但在人类种系基因组编辑的伦理评估中却很少得到考虑。本文的首要目的是使脆弱性伦理考虑在与这些技术创新相关的问题上取得成效。改变基因组的可能性有望克服与我们作为有形生命的存在相关的各种形式的脆弱性,从而提高人类的适应能力,甚至通过赋予人类新的性格特征和更强的能力来推动进化。我建议对各种应用目的进行更细致的区分,而不是治疗和增强的二分法。我支持将大多数应用目的摒弃为 "治疗性 "目的,并认为在当前的话语体系中,将应用目的界定为 "治疗性 "目的有可能加剧现有的脆弱性。关于代际责任,我反对编辑种系必然导致腐败的代际关系,并据此断然排除编辑种系的观点。我的结论是,尽管如此,重要的是要认真审视所出现的挑战,特别是从脆弱性的角度来 看,不要草率地造成不可逆转的事实。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Overcoming vulnerability by editing the germline?
The concept of vulnerability has become widely acknowledged as a fundamental concept for medical ethics and research ethics, yet rarely considered with respect to ethical assessments of human germline genome editing. A first aim of this paper is to make vulnerability ethics considerations fruitful for issues related to these technical innovations. The possibility of altering the genome promises to overcome forms of vulnerability inherently connected to our existence as physical beings and would hence allow to increase the resilience of human nature or even to move evolution forward by equipping people with new character traits and enhanced capabilities. I suggest a more fine-grained distinction of various applications purposes than the dichotomy of therapeutic and enhancement. I support the rejection of most application purposes as ‘therapeutic’ and claim that framing them as ‘therapeutic’ in the context of the current discursive constellation runs the risk of accentuating existing vulnerabilities. With respect to intergenerational responsibilities, I reject the view that editing the germline necessarily leads to corrupt intergenerational relations based on which it must be categorically excluded. I conclude that it is nevertheless important to take a very close look at the challenges that arise, especially from a vulnerability perspective, before irreversible facts are created overhastily.
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