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date: 15 July 2020

Abstract and Keywords

Is it wrong for prospective parents not to select against having children with disabilities because these children impose substantial costs on society? Recent writers such as Stephen John have argued that the state should fund prenatal diagnosis based on expected cost savings and that parents who have had a reasonable opportunity to avoid having a child with a disability should bear some of the additional costs of raising the child. This chapter offers three responses to these social cost arguments: claims about increased costs and reduced productivity are greatly exaggerated, modern states subsidize many similar costs of childrearing and do not attempt to limit the number of children per family to reduce these costs, and luck-egalitarian theories of justice do not adequately respect the institution of the family.

Keywords: family, social costs, luck egalitarianism, children with disabilities, Fishkin

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