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[The problem of the conscientious objection of healthcare workers has recently become the subject of serious interest from both the scientific and socio-political perspective. In the context of genetic testing, the most important issue connected with the conscientious objection of health care workers are preimplantation and prenatal diagnosis. The most important reason for objections to preimplantation diagnosis is the association of this procedure with embryo destruction and its predictive value (the risk of false positive results). Preimplantation diagnosis may be a subject of conscientious objection sometimes independent of the acceptance of the IVF procedure itself. Prenatal diagnosis is one of the medical diagnostic methods and, as such, raises little controversy. However, the moral assessment of prenatal testing can be different and it depends on the aim of the diagnosis, the risk to the fetus and the validity of the testing. The conscientious objection to preimplantation and prenatal genetic testing may also be reinforced by religious rations. In conclusion, conscientious objection in the medical practice results mainly from situations which violate the principle of respect for human life and the principle of non-maleficence and is connected with the issue of the criteria of hominization. The conscientious objection of health care workers cannot therefore be reduced only to their individual beliefs or the moral teachings of the religious community to which they belong; it is based on principles which constitute the basis of professional ethics and are part of a universal morality.]
Published: Apr 25, 2018
Keywords: Conscientious objection; Preimplantation diagnosis; Prenatal testing; Predictive value; Non-maleficence; Respect for human life
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