1. The perfect person1. The moral landscape of new reproductive technologies David Carpenter 30 th September 2015 Portsmouth Cathedral

2. ChoiceChance Pre-Conception Neonate

3. ChoiceChance Pre-Conception Neonate

4. ChoiceChance Pre-Conception Neonate

5. Pre-Conception Neonate Moral questions related to status

6. ChoiceChance Moral questions related to autonomy and liberty

7. Why would you? Eradication of disease Eradication of disability Promotion of choice Combatting childlessness Saving resources Scientific advancement

8. Why wouldn’t you? Eugenics Slippery slopes Interference with nature / God’s will Demographic consequences Socio-political issues

9. Interventions Pre-relationship Pre-conception IVF – selective implantation Genetic modification Pregnancy screening ToP Selective treatment of severely handicapped neonates

10. Pre-Relationship /Conception

11. So how do our genes match up?

13. Genetic Risks

14. Selective Implantation

16. Genetic Modification

19. Available foetal and pregnancy screening tests There are a number of foetal screening tests that are offered as part of your antenatal care. this article covers: the anomaly scan screening for spina bifidaspina bifida screening for sickle cell and thalasaemiasickle cell and thalasaemia screening for Downs syndromeDowns syndrome amniocentesis and chorionic villus sampling cystic fibrosiscystic fibrosis. non-invasive prenatal diagnosis Before you make any decisions, it is important that you (and your partner) think about the implications of going ahead with any pregnancy screening tests. make any decisions https://www.nct.org.uk/pregnancy/foetal-screening-pregnancy

20. Termination of pregnancy Section 58 - offence of using drugs or instruments to procure abortion, replaced section 6 of the Offences against the Person Act 1837, and provides:Offences against the Person Act 1837 58. Every woman, being with child, who, with intent to procure her own miscarriage, shall unlawfully administer to herself any poison or other noxious thing, or shall unlawfully use any instrument or other means whatsoever with the like intent, and whosoever, with intent to procure the miscarriage of any woman whether she be or be not with child, shall unlawfully administer to her or cause to be taken by her any poison or other noxious thing, or unlawfully use any instrument or other means whatsoever with the like intent, shall be guilty of felony, and being convicted thereof shall be liable... to be kept in penal servitude for life.

21. Later Legislation Infant Life Preservation Act 1929 (28 weeks) Abortion Act 1967 (28 weeks) Human Fertilsation and Embryology Act 1990 (24 weeks)

22. Key Issues ‘Social’ abortions Selective reduction Late abortions

23. Selective Treatment of Severely Handicapped Neonates

24. Charlotte – The Facts Born 3 months premature, weighing 1 lb and measuring only 5 inches in length Seriously damaged heart and lungs – brain not growing Constant oxygen and tube fed Resuscitated 3 times Blind, deaf and unresponsive Feels pain

25. Charlotte is resilient – she has bounced back 3 times We must keep fighting all the time there is some hope Good chance of survival Charlotte’s a fighter – her future is in God’s hands Life must be preserved at all costs Parents’ Views

26. It would be cruel to resuscitate Charlotte again – she can only face a future of further pain and suffering It is not in her best interests to perform further aggressive treatment She will never leave hospital Treatment would be futile If she arrests, all reasonable attempts will be made to keep her alive until her parents are able to be with her All attempts should be made to manage her current condition aiming to reduce pain and keep her as comfortable as possible Doctors’ Views

27. Key Ethical Issues Right to life Letting die vs killing Duties Pleasures and pains Slippery slopes

28. Selective Treatment of Severely Handicapped Neonates 1. It is morally permissible to let severely handicapped neonates die 2. Intentionally letting babies die is morally equivalent to killing them 3. It is morally permissible to kill severely handicapped neonates

29. Selective Treatment of Severely Handicapped Neonates 1. It is morally permissible to let severely handicapped neonates die 2. Intentionally letting babies die is morally equivalent to killing them 3. Killing is wrong 4. Intentionally letting babies die is wrong

30. Acts and omissions Sanctity of life Ordinary and extraordinary means Problematic Arguments The conjoined twins example