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Egalitarian Justice and the Prevalence Principle in Human Genome Editing
Douglas MacKay1, R Jean Cadigan1, Eric Juengst1
1University of North Carolina, Chapel Hill, Chapel Hill, North Carolina, USA.
The Journal of Medicine and Philosophy
|April 9, 2026
Summary
The prevalence principle permits human genome editing for disease but not enhancement. This study argues egalitarian justice principles offer better guidance for human genome editing governance.
Area of Science:
- Bioethics
- Genetics
- Public Policy
Background:
- International bodies are debating ethical principles for human genome editing.
- The prevalence principle suggests genome editing is permissible only if it promotes prevalent traits, allowing disease correction but prohibiting enhancement.
- This principle is claimed to align with egalitarian justice.
Purpose of the Study:
- To evaluate if the prevalence principle aligns with egalitarian justice.
- To explore alternative egalitarian principles for governing human genome editing.
Main Methods:
- Philosophical analysis of the prevalence principle.
- Examination of prominent theories of egalitarian justice.
- Comparative analysis of genome editing governance frameworks.
Main Results:
- The prevalence principle is not adequately supported by egalitarian justice considerations.
- Egalitarian justice theories propose distinct approaches to genome editing governance.
- Four key egalitarian principles for policymakers were identified.
Conclusions:
- The prevalence principle is insufficient for guiding human genome editing ethically.
- Policymakers should consider a broader set of egalitarian principles.
- Anticipatory guidance for heritable and non-heritable genome editing requires a justice-informed framework.
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