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  • That's an incredibly complicated question with no single answer. If you're looking to delve into this area then I'd say your interest will take you to reading philosophy and medical ethics. If you are interested, then this is one of the best podcasts for medical ethics that I've found.

    As for your question, I'll try to get you started in a direction to explore. The question is probably best broken down to at least 2 initial questions:

    • Who decides what is "disability"?

    Very poor eyesight or cataracts used to be debilitating. Now anyone with access to basic healthcare would not even consider mentioning those as health problems. Downs syndrome used to be a terrible diagnosis, now people with Downs syndrome mostly have a good quality of life. Many deaf people would not consider themselves disabled at all. Does it matter if someone is in a wheelchair, and is happy, fulfilled and contributing to society? Is losing a part of a finger a disability? How about losing a whole finger, or 3 fingers?

    • Who decides what is "suffering"?

    Plenty of fully able people are suffering. Plenty of medically limited people are perfectly happy and fulfilled. A person who has the maximum intellectual intellectual capacity of a 2 year old and no ability to communicate, but who smiles and laughs and claps could be said to be happy and not suffering. If a pregnancy scan shows a baby is going to be born without a foot, can the parents or doctors decide that's a life not worth living? Even if someone is suffering, how much suffering is too much? If a person is in endless pain, severely limited function and unable to survive off a ventilator; then can parents or doctors decide that's NOT enough suffering to end their life? Physical suffering can also coexist with emotional happiness.

    There are loads more questions that will come up. How do you even find out your child is going to be disabled? Is it reasonable for everyone to ask for genetic tests before the baby is born, and abort if they don't like the answer? Just because we have an ability to test or treat a condition, doesn't mean we should use those tools without considering why. Your question also is particularly about having a child, and you need to separate the suffering of the child from the inconvenience, resources and suffering of the parents/family.

    This is a very deep rabbit hole to go down and it ends up in all sorts of places (eugenics, euthanasia, abortion, resource allocation, the value of a life, etc). Many things in medicine aren't even this black and white...... A lot of decisions need to be made on possible likelihoods and estimated probabilities.

  • I personally know a person with a child who was born with profound physical and mental disabilities. She's a dear sweet caring person, and she shared an emotionally devastating story about how she had her first "conversation" with her daughter when said daughter was in her early twenties, which took the form of the daughter being able to indicate, through extraordinary effort, that she preferred to be read one story instead of another.

    For her, this was a deeply rewarding moment, the ability to have any kind of deliberate interaction with her daughter, after nearly two decades of struggle and effort. She clearly loves her daughter. I would never try to take anything away from her in that regard.

    However. When my wife got pregnant we had very serious conversations about the potential for birth defects and how we were prepared for her to have an abortion if serious defects were found. We talked about the quality of life of a human being we were bringing into existence, and how no one should ever have to feel trapped by their own body, and what our experience of being parents was going to be like.

    Our daughter was born without any issues at all. In fact she's bright and friendly and less destructive than we might have expected... and still being a parent is easily the most intense and difficult project of my entire life, mentally, physically, and emotionally. Nobody should ever have any reservations about being a parent for any reason at all, and if there are factors that you can control to make that decision easier one way or the other, then you should absolutely take control of them.

    All of which is to say, no there is absolutely no moral issue with choosing not to deliberately create a person with genetic birth defects. The choice to become a parent is the most important and consequential choice anyone can make. Make it in exactly the way that you would want to make it, and in no other way whatsoever.

  • Depends on the disability.

    Not having a child based only on the child being deaf (who shouldn't really suffer, but could if never given support) is very different than not having a child because they have something that will cause them immense pain and a death within days or weeks of being born. Then there is a massive spectrum between the two.

    It depends, but some a child can also suffer for their entire life if they are born healthy but abused and neglected there will always be reasons for having or not having a child. Having the choice whether or not to carry a pregnancy to term is the important thing, and being denied that choice is wrong.

  • This is a deeply personal question only you can answer.

    The other piece is impact on other children.

    I was privy to one situation in which the mother told the father she would divorce him if he did not agree to place their heavy needs child in a home. Why? Their two other children didn’t know their father and the entire household revolved around 1 person instead of the family unit except on private outings between the two non-special needs kids and the mom, who scrambled to give them normal kid experiences. Caring for this needs child became all the father did when at home. Sometimes caring was sitting in the room with the heavy needs child, a child content in a bed, unable to walk or communicate (congenital) to the exclusion of the other children.

    We have all probably read those Reddit threads from kids who were screaming into a thread about hating their special needs sibling as well.

    Consideration needs to be made for every member of the family unit. And healthcare being what it is lately, outside the home care options may not be as available today.

    Nothing about this is easy and there is no one right answer.

  • I don't think so. I have 2 disabled kiddos and they aren't suffering, but they don't have it as easy as their peers - which can be heartbreaking to watch.

  • I would urge people to be careful how much we think disabled people (might) suffer. My mom is colorblind (she sees the whole world in shades of white or black), and her vision strength is 5% or lower. She is definitely disabled and receives a pension for not being able to work. Still, she managed to build up some form of existence: she managed to start an education and became a masseuse, and she gave birth to me and my brother. If my grandma would've known that my mom will not be able to live on her own, she maybe wouldn't have proceeded with the pregnancy. Then I wouldn't be here either.

    My conclusion: what do you define by disability? If it is a chronic disease which means your child will be in pain their whole life, it is very different than having a child who isn't able to "function" normally, but isn't inherently in pain. Over my mom I met a lot of other disabled people, and most of them have built up an existence and lead a life. My mom wouldn't agree that she is forced to suffer her whole life.

    No one is forced to bear out a child. You are not morally responsible to bear out a child, in my opinion. But we shouldn't assume we know how this person will grow and develop during their lives.

  • If you are not one of the bilionairs in the world your child will suffer, the difference is just if more or less. Why have children at all? So they can work like slaves until they are too old? Don't do that to your kid

  • You’ll have to think through a few other philosophical questions first.

    What about ailments that either cannot be detected prior to birth or which take onset after birth? By going forward with these uncertainties, you take a nonzero chance of subjecting the hypothetical potential progeny to the same fate.

    Even without any chronic ailments inseparable from a person’s body or psyche, there are still external hazards. Is it not ok to force someone to suffer a stubbed toe, yet ok to force an offspring to be born to suffer the eventual certainty of stubbing their toe? I think it would be impossible to find a sentient life that did not experience even a modicum of suffering. What percentage of an offspring’s life do you consider acceptable to force them to suffer through and to what magnitude of suffering? Can you guarantee that these criteria are met throughout their life?

    Who do you intend to benefit from making a child? Yourself, your partner, your parents, your religious leaders, your nation’s work force? I don’t expect people to answer “The child”, yet the child is the one who is most involved and the one who must live that life through. The child would not notice any detriment relative to birth if they were not born, and suffering can only be noticed by those who are born (which I would say is certain to happen), so in what way does it benefit any child to be born and shift from zero suffering to some suffering? To what extent does the boon for others that would be exploited from the child’s birth justify the non-zero suffering that the child would experience?

  • I've said this many, many times: If abortion is a viable option, it is the only option worthy of consideration.

  • No.

    Everyone has their own opinion about it but I don't think that there is any eternal consequence to it.

    It's just a really shitty thing that people have to go through sometimes, either shitty that they prevent the child from being born and then have to live with their own guilt about it, or shitty that they let the child be born regardless of their feelings and then have to deal with the consequences.

    It's a bad roll of the die anyway you look at it

  • A species producing babies (when that species overpopulation has lead to mass extinction of other species) is immoral.

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