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7 Health Matrix 65 (1997)
Jewish Theological and Moral Reflections on Genetic Screening: The Case of BRCA1

handle is hein.journals/hmax7 and id is 71 raw text is: JEWISH THEOLOGICAL AND
MORAL REFLECTIONS ON
GENETIC SCREENING: THE CASE
OF BRCA11
Rabbi Elliot N. Dorff, Ph.D.'
INTRODUCTION
WITH THE ADVANCE OF GENETIC screening proce-
dures, it has become possible to identify genes responsible for
a number of diseases. Although it is hoped that one day it will
be possible to cure such diseases through genetic engineering
applied in utero, that is not yet a reality. As a result, the only
possibilities we have are the following: 1) to abort the affected
fetus; 2) to allow the fetus to go to term and then deal with the
disease in whatever ways we can (which, of course, varies with
the disease); or 3) not to do such screenings altogether so as
not to tempt those involved to abort.
The responses to these three possibilities vary not only
among religions, but in fact, within any given religion authori-
ties may and do differ. Furthermore, how a particular authority
I. I would like to thank Professor Thomas Murray, Professor and Director of the Center
for Biomedical Ethics of Case Western University for involving me in this project and for
supplying me with articles on the BRCA1 mutation associated with cancer.
The following Judaic scholarly and biblical sources were utilized by the author. Mishnah
(version edited c. 200 C.E.); Tosefta (version edited c. 200 C.E.); Jerusalem Talmud (version
edited c. 400 C.E.); Babylonian Talmud (version edited c. 500 C.E.); MAIMONIDES' MISHNEH
TORAH (completed 1177 C.E.); and JOSEPH KARO'S SHULHAM ARUKH (completed 1565 C.E.).
Note on sources with no published English translation available: All sources that were unavailable
in English were individually translated by the author, a scholar in Judaic Studies. While opinions
may differ as to exact translation of such texts, Rabbi Dorff's interpretations and translations are
deferred to for purposes of this Article.
t Jewish Theological Seminary of America, ordained as Conservative rabbi, 1970; Ph.D.
philosophy, Columbia University, 1971. Rabbi Dorff serves as Rector and Professor of
Philosophy at the University of Judaism in Los Angeles, and is Vice-Chair of the Conservative
Movement's Committee on Jewish Law and Standards. In spring 1993, he served on the Ethics
Committee of President Clinton's Health Care Task Force.

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