this post was submitted on 06 Dec 2023
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How is this a conundrum? If you have a debilitating genetic disease, why would you have kids and risk dooming them to the same poor quality of life you suffer from? Choosing the treatment seems like a no-brainer.
While true, it might be seen as eugenics due to the group of people that is mostly struggling with sickle cell anemia.
It is perfectly valid to wait for treatment that won't cause that complication. Once that treatment exists it is also fair to assume the children, if affected, would receive the same care.
If it wasn’t for the chemotherapy, the reproductive organs would be similarly updated to the new code.
The only way this comes even close to being eugenics-like is due to the chemotherapy requirement. And since it is (currently) a medical requirement for treatment success, with no intentional sterilization intent behind it at all (it’s just an unfortunate side effect), this does not trip the threshold for eugenics whatsoever.
Future treatments could possibly achieve the same effect without sterilization.
it seems like sickle cell anemia will be quite curable soon
you need two broken copies of the gene to get the disease, so as long as you know the partner doesn't have a copy, the kids will be fine. even if your partner has one copy, you can use IVF to make sure the kids only end up with one copy.
the kids can then use IVF to have 100% healthy kids themselves
IVF is not a miracle solution. It comes with its own risks and is very expensive.
That's a fairly cold and callous question. People aren't logical creatures, and 19 is really young to be making that sort of decision. Sickle cell is survivable, not to mention recessive, and many people dream of having children well before they can or should.