Re: The thoughtless eagerness to abolish a constitutional right
by
FeTuS
09/10/2009, 2:57 PM #
OBGYNs are already held responsible for some genetic illnesses. If you fail to adequately counsel pregnant patients and order tests screening for Down syndrome, Edwards Syndrome, and Patau syndrome, you can and OBGYNs have been held responsible for babies born with these diseases. Not that the OBGYN caused this disease, but that they failed to diagnose the disease and therefore robbed the parents of the right to abort that fetus. There are various levels of screening for these diseases, from a triple blood screen, to a quad blood screening, to an integrated test involving multiple blood screens and ultrasounds. The more screening, the more costs. The less screening, the more risk you will miss the diagnosis and expose yourself to risk.
Another recent addition to the genetic diagnosis OBGYNs are now responsible for is cystic fibroisis. About 1/31 people in the US carries the gene. If your partner also happens to be a 1/31 carrier, then your baby has a 1/4 risk. So we are screening for a 1/31 x 1/31 x 1/4 risk. So we are screening for a roughly overall 1/3800 risk disease (these numbers are much higher in some genetic population and lower in others). But again, if I fail to counsel the patient adequately and order the right tests and give them access to abortion I am liable for babies born with CF.
As more genetic testing becomes available, I can only see the genetic diseases for which OBGYNs are responsible for diagnosing as increasing. This isnt even addressing any defects in the fetus which your ultrasonographer failed to diagnose at the 18 week routine ultrasound.
So yes, doctors can be and are held accountable for genetic diseases in babies.