Should We Replace Disabled Newborn Infants?

Abstract If a disabled newborn infant dies, her parents may be able to conceive another child without impairment. This is sometimes referred to as 'replacement'. Some philosophers have argued that replacement provides a strong reason for disabled newborns to be killed or allowed to die. In...

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Bibliographic Details
Published in:Journal of moral philosophy
Main Author: Wilkinson, Dominic (Author)
Format: Electronic Article
Language:English
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Published: Brill 2011
In: Journal of moral philosophy
Year: 2011, Volume: 8, Issue: 3, Pages: 390-414
Further subjects:B REPLACEMENT
B Utilitarianism
B IMPERSONAL REASONS
B WITHDRAWING TREATMENT
B NEWBORNS
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Summary:Abstract If a disabled newborn infant dies, her parents may be able to conceive another child without impairment. This is sometimes referred to as 'replacement'. Some philosophers have argued that replacement provides a strong reason for disabled newborns to be killed or allowed to die. In this paper I focus on the case for replacement as it relates to decisions about life support in newborn intensive care. I argue (following Jeff McMahan) that the impersonal reason to replace is weak and easily outweighed. I assess and reject several possible ways in which the impersonal reason to replace could be defended. I then address an alternative justification for replacement – as an individual-affecting benefit. The strongest justification for replacement may be the interests of parents. In the latter part of the paper I look at a related question. What role should replacement play in decisions about the funding of newborn intensive care?
ISSN:1745-5243
Contains:Enthalten in: Journal of moral philosophy
Persistent identifiers:DOI: 10.1163/174552411X591348