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Ok but for scenario 2 have you asked the deaf? Many of us say to do just that. In fact we disproportionately fight the hearing by saying that infants cannot consent to cochlear implants
That is an interesting point, as you say infants cannot consent to implants. Which does raise ethical questions.
But you are, I think, still looking from a 2024 perspective, where none of the technologies are even remotely available.
If you can consider it from the 2424 perspective, the treatment is non-invasive, permanent, safe and effective. It has been the standard for 100 years. Star Trek medical tech is magical to us because it is simply a story, but consider if it were real, what argument could you make to withhold the treatment?
I would see this as similar to the anti-vax arguments; withholding vaccines from a child who then goes on to catch a life altering disease, is a form of abuse. The kid cannot make its own judgements or medical decisions, but it sure can catch polio.
Would deliberately withholding "cures" be considered child abuse?
That is a difficult question. I would err on the side of yes. With some caveats.
Not treating some serious genetic conditions when safe, effective and proven treatments are available. Could easily be construed as abuse.
When considering the Star Trek universe medical care is free and easily accessed. Treating these conditions would be the default.
Turning this the other way around, and looking at it from the point of view, that the technology is the standard. What argument could you make in favour of leaving the condition in place?
The deaf see it similar to how the intersex do, that it should be the individual’s choice when they’re old enough to decide.