PT - JOURNAL ARTICLE AU - D S King TI - Preimplantation genetic diagnosis and the 'new' eugenics. AID - 10.1136/jme.25.2.176 DP - 1999 Apr 01 TA - Journal of Medical Ethics PG - 176--182 VI - 25 IP - 2 4099 - http://jme.bmj.com/content/25/2/176.short 4100 - http://jme.bmj.com/content/25/2/176.full SO - J Med Ethics1999 Apr 01; 25 AB - Preimplantation genetic diagnosis (PID) is often seen as an improvement upon prenatal testing. I argue that PID may exacerbate the eugenic features of prenatal testing and make possible an expanded form of free-market eugenics. The current practice of prenatal testing is eugenic in that its aim is to reduce the numbers of people with genetic disorders. Due to social pressures and eugenic attitudes held by clinical geneticists in most countries, it results in eugenic outcomes even though no state coercion is involved. I argue that technological advances may soon make PID widely accessible. Because abortion is not involved, and multiple embryos are available, PID is radically more effective as a tool of genetic selection. It will also make possible selection on the basis of non-pathological characteristics, leading, potentially, to a full-blown free-market eugenics. For these reasons, I argue that PID should be strictly regulated.