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Fetal reduction, moral permissibility and the all or nothing problem
1School of Humanities and Social Science, The Chinese University of Hong Kong, Shenzhen, China wangxueshi@cuhk.edu.cn.
Journal of Medical Ethics
|February 22, 2023
Summary
The moral permissibility of twin pregnancy reduction is debated. This analysis argues against the "all or nothing" problem, suggesting selective abortion is permissible and carrying both fetuses is not always required.
Area of Science:
- Bioethics
- Reproductive Ethics
- Moral Philosophy
Background:
- The ethical debate surrounding multifetal pregnancy reduction (MFPR) from twins to singletons (2-to-1 MFPR) is ongoing.
- Räsänen's argument, using the
- all or nothing
- problem, suggests a moral obligation to abort both fetuses if selective abortion is deemed wrong.
Purpose of the Study:
- To critically evaluate Räsänen's argument regarding the moral permissibility of 2-to-1 MFPR.
- To demonstrate the flaws in the inference from plausible premises to an implausible conclusion.
- To provide a reasoned rejection of the claim that aborting only one twin is morally wrong.
Main Methods:
- Philosophical argumentation
- Ethical analysis
- Critique of moral reasoning
- Application of the
- all or nothing
- problem
Main Results:
- Räsänen's argument relies on a flawed bridge principle that does not hold in all relevant circumstances.
- There are valid ethical reasons to reject the premise that aborting only one fetus in a twin pregnancy is inherently wrong.
- The conclusion that women ought to abort both fetuses rather than one is not supported.
Conclusions:
- The ethical permissibility of 2-to-1 MFPR is supported by rejecting Räsänen's argument.
- Selective abortion in twin pregnancies does not necessitate aborting both fetuses.
- Alternative solutions like adoption are not the only morally acceptable outcomes.
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