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The family of a sixth-grade boy in Palo Alto, California, was informed by school administrators that he would have to transfer out of his middle school because they believed his mutation of the \(C F T R\) gene, which does not produce any symptoms associated with cystic fibrosis, posed a risk to other students at the school who have cystic fibrosis. After missing 11 days of school, a settlement was reached to have the boy return to school. What ethical problems might you associate with this example?

Short Answer

Expert verified
Answer: The ethical problems associated with this situation include potential violation of the rights of the boy and other students, the responsibility of the school administration to make fair and well-informed decisions, and the potential discrimination and injustice faced by the boy due to his genetic mutation.

Step by step solution

01

Identify the ethical problems in the situation

To do this, we need to think about the rights of the boy and the other students, the responsibility of the school administration, and any potential discrimination or injustice that might be present in the situation.
02

Rights of the boy and other students

One ethical problem is the boy's right to education and equal treatment. The school administration's decision to transfer him out of the middle school might violate his rights. On the other hand, the rights of other students with cystic fibrosis, particularly their right to a safe environment, should be considered as well.
03

Responsibility of the school administration

Another ethical problem is the responsibility of the school administration to ensure the safety and well-being of all its students. However, in this case, the boy does not have any symptoms associated with the disease, and it is uncertain whether his presence would pose any real risk to other students. Thus, the school might have acted prematurely or without sufficient evidence, which raises questions about the fairness of their decision.
04

Discrimination and injustice

The decision to exclude the boy from the middle school may be seen as discriminatory, as he was singled out due to his genetic mutation, although he does not show any symptoms. Furthermore, by missing 11 days of school, the boy might have experienced an educational disadvantage compared to his peers. In conclusion, the ethical problems associated with this example are the potential violation of the rights of the boy and other students, the responsibility of the school administration to make fair and well-informed decisions, and the potential discrimination and injustice faced by the boy due to his genetic mutation.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Rights to Education
The right to education is a fundamental human right that is essential for the exercise of all other human rights. It promotes individual freedom and empowerment and yields important development benefits. Yet, ethical challenges can arise when certain circumstances, such as health concerns, are perceived to interfere with this right.

In the case of the boy with a mutation of the CFTR gene, his right to education was put into question when school administrators proposed his transfer. The ethical dilemma is whether a theoretical health risk can overshadow a student’s right to attend their local school. The United Nations' Universal Declaration of Human Rights underlines the right to education without discrimination, implying that the boy’s educational continuity should be safeguarded unless a clear and direct threat exists. By prioritizing a hypothetical concern over the boy's educational rights, the administration might have inadvertently compromised his access to a public good that is protected by law.

It is critical when addressing ethical issues in education, such as this, to ensure that the rights of the individual are balanced with the safety of the community without resorting to discrimination or unjust exclusion.
Safe School Environment
Creating a safe school environment is necessary for fostering an atmosphere where all students can learn and develop optimally. This not only covers physical safety but also considers the emotional and psychological well-being of students.

The situation with the sixth-grade boy exemplifies the tension between an individual's rights and the collective need for a health risk-free environment. While students with cystic fibrosis have the right to attend a school that considers their heightened health risks, it's also important that any measures taken to ensure their safety do not infringe upon the rights of other students.

Responsibility and Evidence-Based Decision Making

In enacting policies that affect student safety and health, schools must rely on evidence-based research and medical advisories. The school administrators must assess risks thoroughly and make informed decisions, rather than reactive ones based on fear or misunderstanding, to uphold a safe but inclusive environment for all students.

Ensuring that every student feels safe and supported requires a delicate balance and a deep understanding of the particular needs and circumstances of the school’s population.
Genetic Discrimination
Genetic discrimination occurs when individuals are treated differently because of their genotype. Ethical concerns emerge, especially when decisions are made based on genetic characteristics that may not impact an individual’s abilities or health status.

In educational settings, preventing genetic discrimination is imperative to ensure that students are not excluded or marginalized due to their genetic information. The case of the boy in Palo Alto is an instance that could be perceived as genetic discrimination, despite the absence of symptoms related to cystic fibrosis.

Education and Awareness

To prevent such situations, awareness and education on genetic variations and their implications are crucial. Misconceptions and lack of understanding can lead to prejudice and exclusion, as possibly illustrated in this case.

School policies should reflect a knowledge of the implications of genetic information and should protect students from unfair treatment based on their genetic traits. The focus should be on creating inclusive policies that accommodate diversity while educating the community about genetics to prevent baseless fears and discriminatory practices.

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Most popular questions from this chapter

Does genetic analysis by ASO testing allow for detection of epigenetic changes that may contribute to a genetic disorder? Explain your answer.

Yeager, M., et al. I(2007) Nature Genetics 39:645-649] and Sladek, R., et al. \([(2007) \text { Nature } 445: 881-885]\) have used singlenucleotide polymorphisms (SNPs) in genome-wide association studies (GWAS) to identify novel risk loci for prostate cancer and Type 2 diabetes, respectively. Each study suggests that diseaserisk genes can be identified that significantly contribute to the disease state. Given your understanding of such complex diseases, what would you determine as reasonable factors to consider when interpreting the results of GWAS?

In 2013 the actress Angelina Jolie elected to have prophylactic double- mastectomy surgery to prevent breast cancer based on a positive test for mutation of the \(B R C A 1\) gene. What are some potential positive and negative consequences of this high-profile example of acting on the results of a genetic test?

Might it make sense someday to sequence every newborn's genome at the time of birth? What are the potential advantages and concerns of this approach?

In this chapter, we focused on a number of interesting applications of genetic engineering, genomics, and biotechnology. At the same time, we found many opportunities to consider the methods and reasoning by which much of this information was acquired. From the explanations given in the chapter, what answers would you propose to the following fundamental questions? (a) What experimental evidence confirms that we have introduced a useful gene into a transgenic organism and that it performs as we anticipate? (b) How does a positive ASO test for sickle-cell anemia determine that an individual is homozygous recessive for the mutation that causes sickle-cell anemia? (c) From microarray analysis how do we know what genes are being expressed in a specific tissue? (d) How can we correlate the genome with RNA expression data in a tissue or a single cell? (e) From GWAS how do we know which genes are associated with a particular genetic disorder?

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