Week 3 Scenario and Reflection Essay

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West Coast University *

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434

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Philosophy

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Apr 3, 2024

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1 Week 3 Scenario and Reflection Essay Paula Hernandez West Coast University PHIL 434: Medical Ethics and Issues Dr. Ulrich 2/10/24

2 Week 3 Scenario and Reflection Essay For this week, the main point was, if a blood test is fine to get during the initial stage of pregnancy to help find if the fetus will be born with down syndrome. A child who has Down syndrome, sometimes known to as trisomy 21, who are born with an extra chromosome ("Facts about Down syndrome," 2023). Dr. Juan Garcia and Catherine Williams are the debaters for this topic and as to what Dr. Williams said, blood tests do not harm the unborn child and can benefit the parents prepare for the difficulties involved with raising a baby with syndrome. She then stars to mention that parents will encounter with a lot of health difficulties that will affect their kid with Down syndrome. With all of the options that I was given, I have to agree with option A, that says: “A mandate to either keep a child or to abort it after a diagnosis would be an entirely different discussion, but this is merely a blood test, and it is optional. We are simply providing the expecting parents with more information about their unborn child. As down syndrome can cause significant impairment and increased health risks, we are acting ethically as health care providers in making the test available to all.” (Ulrich, L, n.d.). Option A, in my opinion, is strongly more ethical since it informs the mom of the babies high probability of chromosomal abnormalities in both the current pregnancy or any in the future. I think that a woman's main worry during her pregnancy is the health of her unborn child and the least we could do is inform families because otherwise they would not know about it until their baby is born and we can do this by performing prenatal testing. Physical anomalies associated with down syndrome can include cognitive decline, breathing issues, and cardiac defects (Ulrich, L, n.d.). There are several levels of functionality associated with Down syndrome. Many people with down syndrome can work, volunteer, and go about their lives independently, as Dr. Garcia pointed out, but we should remember that these

3 individuals have high functioning levels of the disorder. What about those with low functional levels? Unlike high-functioning individuals who are able to live a normal life and survive on their own, both parents are basically committing to raising the baby till the most of their ability. The majority of parents can envision and hope that by their 20’s, they would’ve moved out, attended a university, and owned a property. However, this is probably not the case for low- functioning people who have down syndrome, and new parents should be permitted to make their own decisions about this. I personally think that all expectant mothers should also have access to a blood test that detects a child's down syndrome. Whilst I acknowledge that any baby must be loved and cared for upon the moment they arrive, the decision to obtain test relies entirely to the mom and dad. In my personal belief, that is ethically right to discuss this as a possibility instead of just a obligation for new parents, and this will be helpful for them in the future in case they do take the test. In a utopian world, individuals prefer an easy beginning for their child; unfortunately, that's not always possible.

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4 References Centers for Disease Control and Prevention. (2021, April 6). Facts about down syndrome. Centers for Disease Control and Prevention. Retrieved November 19, 2021, from https://www.cdc.gov/ ncbddd/birthdefects/ downsyndrome.html Facts about Down syndrome. (2023, June 28). Centers for Disease Control and Prevention. https://www.cdc.gov/ncbddd/birthdefects/downsyndrome.html Pence, G. (2021). Medical ethics: Accounts of ground-breaking cases (9th ed.). McGraw Hill Education. Ulrich, L. (n.d.-a). Annual ethics symposium: Evolving ethics: Debating prenatal testing [Video]. Canvas@WCU. https://canvas.westcoastuniversity.edu/

5 Ulrich, L. (n.d.-b). Week 3: Eugenics and human genetics - presentation [Video]. Canvas@WCU. https://canvas.westcoastuniversity.edu/ 4 References Carlson, L. M., & Vora, N. L. (2017). Prenatal Diagnosis: Screening and Diagnostic Tools. Obstetrics and gynecology clinics of North America, 44(2), 245–256. https://doi.org/10.1016/ j.ogc.2017.02.004 Friedland, J., Emich, K., & Cole, B. M. (2020).

6 Uncovering the moral heuristics of altruism: A philosophical scale. PloS one, 15(3), e0229124. https://doi.org/10.1371/ journal.pone.0229124 West Coast University. (n.d.). Prenatal Testing and Reflection. Retrieved from: https://webapps.srm- app.net/CanvasContent/ SF/ WCU_PHIL_434_OL_TEMP LATE/Weegee

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7 %20Presentations/Week %2003%20Debating %20Prenatal%20Testing %20-%20Storyline %20output/ story_html5.html Williams et al. (n.d.). Prenatal Testing and Reflection. West Coast University. Retrieved from: https://webapps.srm- app.net/CanvasContent/ SF/

8 WCU_PHIL_434_OL_TEMP LATE/Weegee %20Presentations/Week %2003%20Debating %20Prenatal%20Testing %20-%20Storyline %20output/ story_html5.html

Week 3 Scenario and Reflection Essay

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