From collective health to “personalized” medicine: bioethical challenges in preimplantation genetic testing from a North-South perspective

This article examines the scope and limitations of the precision medicine paradigm and its relationship with the collective health approach. To that end, it takes preimplantation genetic testing (PGT) as a paradigmatic example of technologies aimed at the “individualization” of health processes. In...

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Main Authors: Natacha Salomé Lima, María Alejandra Petino Zappala, Ailin Delvitto, Miguel Adrián Romero, Nahuel Pallitto
Format: Article
Language:English
Published: Instituto de Salud Colectiva, Universidad Nacional de Lanús 2023-09-01
Series:Salud Colectiva
Subjects:
Online Access:https://revistas.unla.edu.ar/saludcolectiva/article/view/4481
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author Natacha Salomé Lima
María Alejandra Petino Zappala
Ailin Delvitto
Miguel Adrián Romero
Nahuel Pallitto
author_facet Natacha Salomé Lima
María Alejandra Petino Zappala
Ailin Delvitto
Miguel Adrián Romero
Nahuel Pallitto
author_sort Natacha Salomé Lima
collection DOAJ
description This article examines the scope and limitations of the precision medicine paradigm and its relationship with the collective health approach. To that end, it takes preimplantation genetic testing (PGT) as a paradigmatic example of technologies aimed at the “individualization” of health processes. In this regard, we review the characteristics and scientific and regulatory foundations of PGT technologies in Argentina, and discuss the next steps for their bioethical analysis. More specifically, we shed light on some of the conditions for their implementation from a north-south perspective. We propose three themes or problematic aspects as a synthesis of our analysis, related to biases in the production of knowledge, the values and interests underlying its uses, and the underlying epistemological assumptions of these technologies. Throughout the article, we review these dilemmas and suggest some issues that should be taken into account in future research.
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spelling doaj.art-ebabbca276154a42abca6abb3eb277d92023-11-22T20:47:40ZengInstituto de Salud Colectiva, Universidad Nacional de LanúsSalud Colectiva1669-23811851-82652023-09-011910.18294/sc.2023.4481From collective health to “personalized” medicine: bioethical challenges in preimplantation genetic testing from a North-South perspectiveNatacha Salomé Lima0https://orcid.org/0000-0001-6728-961XMaría Alejandra Petino Zappala1Ailin Delvitto2Miguel Adrián Romero3https://orcid.org/0009-0005-3844-4533Nahuel Pallitto4Consejo Nacional de Investigaciones Científicas y Técnicas Consejo Nacional de Investigaciones Científicas y Técnicas Consejo Nacional de Investigaciones Científicas y Técnicas Universidad de Buenos Aires Consejo Nacional de Investigaciones Científicas y Técnicas This article examines the scope and limitations of the precision medicine paradigm and its relationship with the collective health approach. To that end, it takes preimplantation genetic testing (PGT) as a paradigmatic example of technologies aimed at the “individualization” of health processes. In this regard, we review the characteristics and scientific and regulatory foundations of PGT technologies in Argentina, and discuss the next steps for their bioethical analysis. More specifically, we shed light on some of the conditions for their implementation from a north-south perspective. We propose three themes or problematic aspects as a synthesis of our analysis, related to biases in the production of knowledge, the values and interests underlying its uses, and the underlying epistemological assumptions of these technologies. Throughout the article, we review these dilemmas and suggest some issues that should be taken into account in future research. https://revistas.unla.edu.ar/saludcolectiva/article/view/4481BioethicsPrecision MedicineReproductive MedicineGenetic TestingReproductionReproductive Health
spellingShingle Natacha Salomé Lima
María Alejandra Petino Zappala
Ailin Delvitto
Miguel Adrián Romero
Nahuel Pallitto
From collective health to “personalized” medicine: bioethical challenges in preimplantation genetic testing from a North-South perspective
Salud Colectiva
Bioethics
Precision Medicine
Reproductive Medicine
Genetic Testing
Reproduction
Reproductive Health
title From collective health to “personalized” medicine: bioethical challenges in preimplantation genetic testing from a North-South perspective
title_full From collective health to “personalized” medicine: bioethical challenges in preimplantation genetic testing from a North-South perspective
title_fullStr From collective health to “personalized” medicine: bioethical challenges in preimplantation genetic testing from a North-South perspective
title_full_unstemmed From collective health to “personalized” medicine: bioethical challenges in preimplantation genetic testing from a North-South perspective
title_short From collective health to “personalized” medicine: bioethical challenges in preimplantation genetic testing from a North-South perspective
title_sort from collective health to personalized medicine bioethical challenges in preimplantation genetic testing from a north south perspective
topic Bioethics
Precision Medicine
Reproductive Medicine
Genetic Testing
Reproduction
Reproductive Health
url https://revistas.unla.edu.ar/saludcolectiva/article/view/4481
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