Table 4 A comparative analysis of rights-based and interest-based ethical frameworks when applied to decisions about predictive genetic testing of children for adult-onset conditions

From: Rethinking the “open future” argument against predictive genetic testing of children

 

Rights-based framework

Interest-based framework

Focus

Future adulthood

Childhood/adolescence extending forward

Function

Singling out one future-oriented autonomy interest for exceedingly strong protection until adulthood

Weighing and balancing numerous competing interests comprising children’s present and future health and well-being

Flexibility

Very low (applied to all not-yet-autonomous minors at all stages, in all contexts, and irrespective of shifting evidence base)

High (developmentally contoured, contextually tailored, and responsive to shifting evidence base)