In the 1970s, the Australian moral philosopher Peter Singer, perhaps best-known for his book Animal Liberation (1975), began to argue that it is ethical to give parents the option (in consultation with doctors) to euthanise infants with disabilities. He mostly, but not exclusively, discussed severe forms of disabilities such as spina bifida or anencephaly. In Practical Ethics (1979), Singer explains that the value of a life should be based on traits such as rationality, autonomy and self-consciousness. ‘Defective infants lack these characteristics,’ he wrote. ‘Killing them, therefore, cannot be equated with killing normal human beings, or any other self-conscious beings.’

The thought of killing disabled babies is especially dangerous because the concept of disability often functions as a mere cloak, thrown over much uglier hatreds. In ‘Disability and the Justification of Inequality in American History’ (2001), the historian Douglas Baynton points out that African-American enslavement was justified through disability models: there was a supposition that African Americans suffered from a number of medical conditions that were understood to make them unable to care for themselves. Until 1973, homosexuality was a psychological disorder justified in the Diagnostic and Statistical Manual of Mental Disorders; the current edition, the DSM-5, still considers transgender people disabled.

Singer generally frames severe physical disabilities through a medical lens. His ideas chafe against models of the disabled as a minority group. To Singer, severe disability is more a problem to be solved than a difference to be embraced and accommodated.

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