Abstract
The aim of this paper is to demonstrate that there are significant ethical problems with nonmedical sex selection, and that prohibitive legislation is justified. The central argument put forward is that nonmedical sex selection is a sexist practice which promotes socially restrictive conceptions of sex, gender and family. Several steps are taken to justify this position: background information on technology and legislation is provided, the neoliberal position that is supportive of nonmedical sex selection is described, and preliminary reasons for rejecting this approach are given. A detailed description of how a harm/benefit based analysis contributes to the argument against nonmedical sex selection, and how it successfully counters most criticism, is provided. The paper concludes by suggesting that virtue ethics further strengthens the moral argument against nonmedical sex selection.
Similar content being viewed by others
Abbreviations
- PGD:
-
Preimplantation genetic diagnosis
- IVF:
-
In vitro fertilisation
- HFEA:
-
Human fertilisation and embryology authority
- ASRM:
-
American society for reproductive medicine
References
Adoption and Children Act. (2002). Crown copyright. Available online at: http://www.opsi.gov.uk/acts/acts2002/ukpga_20020038_en_1.
Baruch, S., et al. (2008). Genetic testing of embryos: Practices and perspectives of US IVF clinics. Fertility and Sterility, 5(105), 3–58.
BBC News. (2008). Parents queue to select baby gender. Available online at: http://news.bbc.co.uk/1/hi/uk/7696698.stm.
Beauchamp, T. L., et al. (1994). Principles of biomedical ethics (4th ed.). Oxford: Oxford University Press.
Berkowitz, J., et al. (1998). Racism and sexism in medically assisted conception. Bioethics, 12(1), 25–44.
Blackless, M., et al. (2000). How sexually diamorphic are we? Review and synthesis. American Journal of Human Biology, 12, 151–166.
Civil Partnership Act. (2004). Crown copyright. Available online at: http://www.opsi.gov.uk/acts/acts2004/ukpga_20040033_en_1.
Ethics Committee of The American Society for Reproductive Medicine. (1999). Sex selection and preimplantation genetic diagnosis. Fertility and Sterility, 72(4), 595–598.
Harris, J. (2003). Sex selection and regulated hatred. Journal of Medical Ethics, 31, 291–294.
Human Fertilisation and Embryology Authority. (2008). HFEA code of practice (7th ed.). Available online at: http://cop.hfea.gov.uk/cop/pdf/CodeOfPracticeVR_4.pdf.
Human Fertilisation and Embryology Authority. (2007). PGD licensed conditions. Available online at: http://www.hfea.gov.uk/docs/PGD_list.pdf.
Holm, S. (2004). Like a frog in boiling water: The public, the HFEA and sex selection. Health Care Analysis, 12(1), 27–29.
Kant, I. (1797). The metaphysics of morals (M. Gregor, Trans. (1991)). Cambridge: Cambridge University Press.
Karkazis, K. (2008). Fixing sex: Intersex, medical authority and lived experience. Durham and London: Duke University Press.
McDougall, R. (2005). Acting parentally: An argument against sex selection. Journal of Medical Ethics, 31, 601–605.
Moazam, F. (2004). Feminist discourse on sex screening and selective abortion of female foetuses. Bioethics, 18(3), 205–220.
Parfit, D. (1986). Reasons and persons. Oxford: Oxford University Press.
Parliamentary Office of Science and Technology. (2003). Parliamentary office of science and technology postnote: Sex selection, parliamentary copyright, 198. Available online at: http://www.parliament.uk/post/pn198.pdf.
Rogers, W., et al. (2007). Is sex selective abortion morally justified and should it be prohibited? Bioethics, 21(9), 520–524.
Savulescu, J. (1999). Sex selection: The case for. Medical Journal of Australia, 171, 402–405.
Scully, J., et al. (2006). Chance, choice and control: Lay debate on prenatal social sex selection. Social Science and Medicine, 63, 21–31.
Wilkinson, S. (2008). Sexism, sex selection and ‘family balancing’. Medical Law Review, 16(3), 369–389.
Zilberberg, J. (2007). Sex selection and restricting abortion and sex determination. Bioethics, 21(9), 517–519.
Acknowledgements
The support of the Economic and Social Research Council (ESRC) is gratefully acknowledged. The work was part of the Programme of the ESRC Research Centre for Economic and Social Aspects of Genomics. http://www.genomicsnetwork.ac.uk/cesagen.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Strange, H., Chadwick, R. The Ethics of Nonmedical Sex Selection. Health Care Anal 18, 252–266 (2010). https://doi.org/10.1007/s10728-009-0135-y
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10728-009-0135-y