In his article published in May 2010, Dr Yates discussed the ethical principles involved in various forms of enhancement (Yates FD. Ethics for the pediatrician: the persuasion of enhancements in pediatrics. Pediatr Rev. 2010;31:216–218). In this commentary, Drs Antiel, Jacobson, and Fischer address the same concept of enhancement, providing their personal views as well as those of others, reminding the reader that pediatricians face ethical decisions in situations much more commonly encountered than the classic clinical dilemmas that involve serious illness and matters of life and death.


Brave New World, Aldous Huxley's masterpiece of dystopian literature, begins with a tour of the fertilizing room at the Central London Hatchery and Conditioning Center. The hatchery director, Mr Foster, describes the work in progress to the new employees: “We also predestine and condition. We decant our babies as socialized human beings, as Alphas or Epsilons, as future sewage workers or future...

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