Bioethics

Context

The bioethical issue at hand is determining the sex of a child while in the womb.

Relating to the issue, the wife that is Fang Yin must make the decisions.

The factual information which is relevant to the issue is that the Chinese government has imposed "one child policy" to limit many families to one child and reduce the enormous Chinese population.

Stakeholders

Fang Yin

Chang and his family

Doctors

The government of China

The values apparent for each stakeholder involved include the following:

Fang Yin's values relate to having a baby of any sex so long as it is healthy.

Chang and his family desire to know the sex of a child because they want a baby boy who will carry on the family name.

The government, on the other hand, has got the values that the boy child has more economic gains since he can be employed easily than the female hence stabilizing the economy of China.

Doctors also have the concerns that sex-selection may lead to invasive medical interferences in absenteeism of therapeutic signs which may lead to domestic violence and child neglect of a less desired sex.

The immediate priorities of each stakeholder

Chang is concerned about the family perpetuation hence need for a baby boy.

The government is concerned with saving the lives of its people by improving the quality of living by having a manageable population.

Fang Yin primarily is anxious about having born a healthy baby.

The health sector will tend to focus on immediate sex-selective abortion to women who are carrying the baby girls.

Alternatives and tradeoffs

The alternatives to sex-selection are to have an accurate method by which the couples are very certain of the gender of a child; the method is the pre-implantation genetic screening and Vitro-fertilization.

The government will be affected because it has ruled the one child policy and most families prefer the male child, this will lead to gender imbalance, hence destabilize the economy in the future because youths who are the economic powers will be less.

To the couples, the alternative will prepare them psychologically, socially, and medically for the expected baby.

Solutions

I will propose that the sex detection takes place not on the basis by sex detection but for other reasons for instance DNA testing by the use of molecular detection system. But in the process, they are likely to discover the sex of the fetus without Fang Yin without discovering (Yudofsky, 2008).

It is the best choice to all stakeholders as it will determine the sex in blood and is very sensitive and specific.

References

Yudofsky, S. C. (2008). The American Psychiatric Publishing Textbook of Psychiatry. American Psychiatric Pub.