Comparing Germany and Israel regarding debates on policy-making at the beginning of life: PGD, NIPT and their paths of routinization: PID, NIPT und ihr Weg zur Routinisierung

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  • Aviad E. Raz
  • Tamar Nov-Klaiman
  • Yael Hashiloni-Dolev
  • Hannes Foth
  • Christina Schües
  • Christoph Rehmann-Sutter

Definition: The routinization of prenatal diagnosis is the source of bioethical and policy debates regarding choice, autonomy, access, and protection. To understand these debates in the context of cultural diversity and moral pluralism, we compare Israel and Germany, focusing on two recent repro-genetic “hot spots” of such policy-making at the beginning of life: pre-implantation genetic diagnosis (PGD) and non-invasive prenatal genetic testing (NIPT), two cutting-edge repro-genetic technologies that are regulated and viewed very differently in Germany and Israel, reflecting different medicolegal policies as well as public and bioethical considerations. Arguments: First, we compare policy-making in the context of PGD for HLA (human leukocyte antigen) typing, used to create sibling donors, approved in Israel under specific conditions while prohibited in Germany. Second, we compare policy-making in the context of NIPT, which came under fire in Germany, while in Israel there has been little public debate about it. Conclusion: Both countries justify their contrasting policies as reflecting a concern for the well-being and care of the embryo/child, thus highlighting different concepts of embryo/child protection, (relational) autonomy, family relations, and the impact of religion and history on the promotion/protection of life. We use the juxtaposition of PGD and NIPT to highlight some inconsistencies in policies concerning the protection of extra- and intra-corporeal embryos. We conclude by drawing on the comparison to show how national variations exist alongside co-evolution.

Translated title of the contributionergleichende Untersuchung der Debatten in Deutschland und in Israel über politische Entscheidungsprozesse am Lebensanfang: PID, NIPT und ihr Weg zur Routinisierung
Original languageEnglish
JournalEthik in der Medizin
Issue number1
Pages (from-to)65-80
Number of pages16
Publication statusPublished - 01.03.2022
Externally publishedYes