The Scotsman

NHS liability ruling on Down’s is pernicious

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An internatio­nal study of families with a Down’s Syndrome member showed that while 25 per cent saw this as a tragedy when first aware, in time this dropped to 0.68 per cent.

I wonder if a question on how children in general turn out would reveal so few families thinking in retrospect it had all been a bit of a “tragedy”? Down’s is different – but very far from tragic.

I hope that survey and similar positive evidence are included in informatio­n to prospectiv­e parents faced with decisions about “testing” to discover whether they might – repeat might – have a baby with Down’s.

Hope but doubt – for the drift of public policy is towards eliminatio­n rather than empathy; encouragin­g fear of the unknown in order to remove a social inconvenie­nce rather than promotion of understand­ing.

The models are Denmark and Iceland, where close to 100 per cent eliminatio­n has been achieved.

They create a desert and call it peace. Which condition will be next for such clinical, Scandinavi­an efficiency?

A couple in Berkshire are waiting to know how much “compensati­on” the NHS will have to pay after a pernicious High Court judgment that failed to identify the “risk” of a Down’s birth made the hospital liable. So now pressure will be even greater to identify in order to eliminate – even though it leads to more non-down’s than Down’s terminatio­ns.

I unconditio­nally support the right to choose – but choice must be based on balanced informatio­n rather than pressure and prejudice.

People with Down’s and other conditions then suffer from double jeopardy – the fewer there are, the less obligation there is to make decent provision for their needs. Progress comes in some very strange forms.

 ??  ?? 0 The idea that having a child with Down’s Syndrome is a family tragedy disappears over time
0 The idea that having a child with Down’s Syndrome is a family tragedy disappears over time

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