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    Classifying an intervention by its target rather than its... — Carmelics
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    Challenges→Genetic vaccines that provide better-than-normal damage resistance are permissible as treatments, not enhancements, if they target predictable muscle damage

    Classifying an intervention by its target rather than its outcome allows any enhancement to be reframed as treatment by identifying a pre-existing vulnerability it addresses (the 'bootstrapping' objection, Juengst 1997).

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    Key Terms

    Juengst (1997)(as a philosophical source on enhancement ethics)
    Eric Juengst is a bioethicist who wrote influential work on the ethics of genetic enhancement; this citation refers to his 1997 publication where he discussed problems with how we distinguish between treating disease and enhancing normal function.
    Vulnerability(in bioethics and medical philosophy)
    A weakness, susceptibility, or predisposition to something harmful—for example, a genetic tendency toward heart disease.
    bootstrapping objection(Raised against constructivist accounts of general normativity, specifically those of Korsgaard and Street.)
    The objection that a constructivist account of normativity is circular because it attempts to justify the normativity of reasons using a method that already assumes the normativity of reasons.
    enhancement(Includes positive genetic engineering; regarded as medically suspect because it lacks a malady-based justification)

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    An intervention aimed at healthy systems and traits, where no diagnosable malady is present
    intervention(Used within manipulability theories of causation)
    An action or event I on a variable X that breaks the causal connection between X and its causes while leaving other causal mechanisms intact, or that does not affect Y via a causal route that does not go through X.
    treatment(Contrasted with enhancement; requires an identifiable malady to be justified as medically necessary)
    A medical intervention that addresses a diagnosable malady in a patient

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    Genetic vaccines that provide better-than-normal damage resistance are permissib...

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