Bioethics
Genetics and Bioethics: Enhancement or Therapy?
Bioethics is an expanding field with direct implications for our lives. Here, we’ll reflect on the possibility and implications of gene therapy and enhancement. While I was at the Evangelical Philosophical/Theological Society Conference in 2012, I had the pleasure of sitting in on a talk about this very topic, and that will be the focus of this post. Unfortunately, the speaker had been switched around and was not listed in the booklet that I have. Furthermore, I never caught the speaker’s actual name (I tried to write it down when he was introduced, and got Gary Alkins, though I have tried searching online for that and haven’t come up with it), so if someone knows what it is, please let me know. I’ll reference the speaker as “speaker” throughout this post.
The central relevant moral question under discussion was: “Should genetic technology be used to not only heal but also to enhance the human condition?”
A Vital Distinction
The most important aspect of this discussion is the distinction between gene enhancement and therapy. Gene therapy is the use of genetic research and information to cure illness. Speaking very hypothetically, suppose that we were able to discover the exact genetic code for illnesses like sickle cell anemia, isolate it, and replace it with a non-anemic code before a person was even born; that would be gene therapy. Genetic enhancement takes this a step further. It allows for modifying people genetically to enhance certain features such as physical strength, endurance, mental aptitude, and the like. It would, in a sense, create “super humans.”
Therapy
Using our knowledge of genetics for therapy, the speaker argued, is perfectly justified. We are called by Christ’s example to treat illnesses, and gene therapy can be seen as an extension of this. There was little time spent defending the moral permissiveness of gene therapy, as the primary question was whether genetic enhancement is morally permissible.
Enhancement
There are several arguments for genetic enhancement. These include:
1) The “natural lottery” argument: if we have the capacity to genetically enhance humans but do not, that means we are, effectively, just playing a genetic lottery to see if our children turn out well. Parents have a moral duty to act against the natural lottery.
2) We encourage environmental enhancement (i.e. seeking better education, putting children in brain-stimulating environments, encouraging sports for their physical well-being, etc.), why is genetic enhancement any different?
3) We already manipulate chemicals (caffeine, vitamins, etc.) for our well-being, why not genetics? In the end, what matters is human well being.
4) Genetic enhancement is simply the next logical step for humanity. If we agree that therapy is good because it stops genetic defects, should we not also hold that enhancement is good because it pushes people to fill their greatest potential.
Against these arguments, the speaker argued:
A) Genetic enhancement could never match the ideal outlined in these arguments, wherein every human being is enhanced on a number of levels. Instead, it would very likely increase the split between the haves and have-nots by allowing those who have much to increase their dominance over society. The haves could afford to continue enhancing and remain a kind of super-human society while the have-nots would never be able to catch up.
However, a possible counter-argument to this reasoning would be to note that there will always be people who are advantaged and people who are disadvantaged. It’s unclear as to how this should serve to undermine the moral base for genetic enhancement.
B) There is a great good in letting humans accomplish things which stretch their skill set. Think about the steroids controversy in sports. We intuitively know that those who used performance enhancing drugs had an unfair advantage over those who did not. Similarly, those who would be genetically enhanced would have an unfair advantage over those who were not enhanced in almost any conceivable area of human achievement.
C) What of bodily autonomy? Who’s to say that it is a good for parents to meddle with their children’s genes. What if a child does not want to be extremely strong, or what of their parents choose to give them giftedness in music, but they simply don’t like to do music? What if the children hate what their parents chose for them: hair color, eye color, etc.? Unlike the “natural lottery,” such attributes related to enhancement actually do have blame to assign to someone. Is there no bodily autonomy involved?
Enhancement and Theology
There are numerous theological issues involved in the debate over genetic enhancement. First, humans were initially created perfect. The fall has caused them to lose that perfection, but God’s plan is perfect and doesn’t require us to try to evolve back into perfection.
For Christians, the ultimate fulfillment of God’s plan comes in the New Creation. The notion that humanity needs a genetic upgrade reflects the worldview of naturalism. Christians do not hope in their own ingenuity but rather in God’s plan for creation. That does not mean we cannot get actively involved in healing, but it does mean that we do not need to violate persons’ humanity by enhancement. The assumption involved in enhancement is that our bodies are not good enough and that we need to improve them, but that is not a Christian notion. Although we are fallen creatures, that does not imply that we are creatures capable of getting out of our own fallenness. Furthermore, the notion that our bodies are not good enough is a type of gnosticism in which we devalue the material world that God created for us.
Evaluation
It seems to me that the arguments against enhancement are sound. In particular, the argument about the haves and have-nots seems effective. The argument from bodily autonomy also carries a great deal of weight. It seems to weigh against every argument that was brought to bear in favor of genetic enhancement.
It seems that if parents select for certain attributes, then parents can be held morally culpable for the genes their children develop. Thus, if the child dislikes an attribute, they could feasibly hold their parents responsible for that selected attribute. Interestingly, this may work both ways too: a child could hold their parents responsible for not changing an attribute. Yet this latter argument seems to make a mockery of parenthood, holding parents responsible for nature.
In the theological sphere, one may wonder whether someone could just as easily argue that because we were created initially perfect, a pursuit of bodily perfection could be viewed as a fight against the Fall and the curse. I tried to ask this as a question, but there wasn’t time at the end to get to all the questions. The speaker did an excellent job noting possible counter-arguments to their points, and I thought gave a very fair presentation overall. It seems that the best argument against genetic enhancement may be the bodily autonomy argument, but there are others besides that.
I’d like to know what your thoughts are on this topic: Do you think enhancement is moral? Why or why not?
Links
I have written on a number of other talks I went to at the ETS/EPS Conference. I discuss every single session I attended in my post on the ETS/EPS Conference 2012. I also discuss a panel discussion on Caring for Creation, and a debate between a young earth and old earth proponent.
SDG.
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The preceding post is the property of J.W. Wartick (apart from citations, which are the property of their respective owners, and works of art as credited) and should not be reproduced in part or in whole without the expressed consent of the author. All content on this site is the property of J.W. Wartick and is made available for individual and personal usage. If you cite from these documents, whether for personal or professional purposes, please give appropriate citation with both the name of the author (J.W. Wartick) and a link to the original URL. If you’d like to repost a post, you may do so, provided you show less than half of the original post on your own site and link to the original post for the rest. You must also appropriately cite the post as noted above. This blog is protected by Creative Commons licensing. By viewing any part of this site, you are agreeing to this usage policy.
A violation of God’s Will: Abortion- or why no Christian should be pro-choice
Destruction of the embryo in the mother’s womb is a violation of the right to live which God has bestowed upon this nascent life. To raise the question whether we are here concerned already with a human being or not is merely to confuse the issue. The simple fact is that God certainly intended to create a human being and that this nascent human being has been deliberately deprived of his life. And that is nothing but murder.- Dietrich Bonhoeffer, Ethics
, 174
The foresight which Dietrich Bonhoeffer showed in this passage from his book, Ethics, is astounding. Bonhoeffer was a pastor who stood up to the Nazi regime and was martyred–hanged by the Nazis–for his activism on behalf of the innocent lives being slaughtered by Hitler. His view on abortion lines up exactly with his views on preserving human life in Nazi Germany. Bonhoeffer’s argument anticipates and cuts off a number of pro-choice arguments for abortion. Let’s see how.
Bonhoeffer’s argument does not depend whatsoever on whether the unborn is a human being or not (and the unborn is indeed a human being). His argument instead is based upon God’s will for that unborn entity. Examine once more what Bonhoeffer said: “The simple fact is that God certainly intended to create a human being and that this nascent human being has been deliberately deprived of life.” The focus here is not so much on the status of the unborn as a human or not, but rather the focus is upon God’s will for the unborn. Why is it that God set the world up in such a way that the nascent (developing) human being grows into a toddler, adolescent, adult, and senior? Bonhoeffer focuses the argument directly upon God’s will. God has willed that from conception, a plan for a human life is set into motion. Thus, to terminate a pregnancy is to destroy part of God’s plan, a plan for a human life.
For Christians, this logic is binding. The pro-choice objection that the fetus is not a human person is a rabbit trail at this point. Another objection must be thrown out the window as well: namely, the notion that even if the unborn is a human person, the mother has an absolute right to bodily autonomy. For the Christian, God’s will trumps any supposed absolute autonomy. God’s will is absolute. It must be obeyed. To go against God’s will is to sin.
Is there a way for Christians to avoid the implications of Bonhoeffer’s argument? It seems the only way to do this is to deny that God wills for there to be a human being as the result of a pregnancy. I confess that I do not see any possible way for this argument to be convincing. The objector would essentially have to say that God’s will for the unborn is based entirely upon that of the parents’ will. For, after all, if God did not will for there to be a human being as the result of a pregnancy, what would God’s will regarding the conceived being be? It seems that it would have to be arbitrary. But this would seem to be untenable given the doctrine of the nature of God as perfection.
Therefore, Bonhoeffer’s ingenious argument leads to the inescapable conclusion: no Christian can endorse abortion. The fact of the matter is that God so set up the world that the process of human growth begins at conception. Unless there is a complication in the pregnancy or there is an outside source intervening to terminate the pregnancy, the result of conception is a human being.
All Christians say in chorus: Let God’s Will Be Done!
Links
Abortion: The Holocaust of our Day- I explore more reasons to reject the pro-choice position for both Christians and non-Christians at length.
Pro-Life- check out my numerous posts on the issue of abortion.
Abolish Human Abortion- Join the movement. We must abolish human abortion. Stop the at-will destruction of human lives.
Sources
The image is from Abolish Human Abortion, a movement I highly recommend to my readers.
Dietrich Bonhoeffer, Ethics
SDG.
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The preceding post is the property of J.W. Wartick (apart from citations, which are the property of their respective owners, and works of art as credited) and should not be reproduced in part or in whole without the expressed consent of the author. All content on this site is the property of J.W. Wartick and is made available for individual and personal usage. If you cite from these documents, whether for personal or professional purposes, please give appropriate citation with both the name of the author (J.W. Wartick) and a link to the original URL. If you’d like to repost a post, you may do so, provided you show less than half of the original post on your own site and link to the original post for the rest. You must also appropriately cite the post as noted above. This blog is protected by Creative Commons licensing. By viewing any part of this site, you are agreeing to this usage policy.
Crossing the Most Dangerous Line: How some bioethicists undermine humanity
Our point is only that there is nothing bad about death or killing other than disability and disabling. (Sinnott-Armstrong and Miller, cited below)
The authors also do not agree with the term euthanasia for this practice [after birth abortions] as the best interest of the person who would be killed is not necessarily the primary reason his or her life is being terminated. In other words, it may be in the parents’ best interest to terminate the life, not the newborn’s. (Klimas, emphasis mine, cited below)
These are not quotes from a dystopic sci-fi epic; these are quotes from a journal article about murder and a news story about bioethics. The disturbing reality is that there are a number of people working in the field of bioethics today whose positions undermine basic human rights.
Murder as Causing Disability
Why is murder wrong?
There are a number of answers generally given to this question which generally focus on the wrongness of ending life or terminating consciousness. However, a recent article by Walter Sinnott-Armstrong and Franklin Miller denigrates this position as “traditionalist” (note the subtle choice of the word to create an opposition: “traditionalists” are opposed to what? apparently they are opposed to “innovation” “reality” and the like; they are stuck in their mores and these bioethicists must free us from the stone age). They argue that it is causing disability which makes murder wrong; not the wrongness of killing itself.
Murder is wrong, on their view, because it causes “total disabling.” The authors draw out a thought experiment in which a woman, Betty, is incapable of controlling her thoughts, has no motor control, and the like. Essentially, she is completely disabled and cannot do anything, has no awareness of her actions, and the like. Then, the authors ask:
In this case, is Betty any better off totally disabled than dead? If so, then death must involve the loss of something valuable beyond the loss of all abilities forever. If not, then death does not involve the loss of anything valuable beyond what is lost in total disability. Death is still distinct from total disability, but it is no worse.
It is fascinating to see that the authors apparently take this to be a decisive blow to the “traditionalist” position. They write, “We see nothing to make Betty’s death worse than her total disability. This intuition seems to be widely shared, since many people dread death no more than and for the same reasons that they would dread total disability.”
Yet there is something fairly obvious that is just waiting to be pointed out: namely, that Betty’s death does ”involve the loss of something valuable beyond the loss of all abilities forever”–what it involves losing is one’s life.
Yes, that’s right, some people make the apparently not-so-obvious claim that life itself is valuable. See, articles like this by Sinnott-Armstrong and Miller don’t interact with their opponents’ positions as much as they try to claim they have refuted them; rather, they simply assume their opponents are wrong. But these authors seem to have anticipated this point (despite their total rejection of the alternative in their thought experiment–they use the experiment as though it seals their case and then only later, once the reader has been led to believe they are absolutely correct, do they deal with this objection). They write:
Of course, opponents will claim that life is sacred or that killing her violates God’s commandment, but why would God forbid us (or have any reason to forbid us) to do something that does not make Betty worse off? Similarly, secular theorists might claim that life has sanctity or intrinsic value (cf Dworkin), but why is life valuable in this extreme case when it includes no ability (or pleasure, as we are still assuming)?
But this is the end of their response! After these lines they turn to attempting to justify their consequentialist assumptions. Surely, however, this is an extremely insufficient response. Nothing in this response undermines the position that life is valuable. Rather, they just ask a question: why is life valuable? But of course the authors are the ones making the claim here. They are claiming life itself is not valuable. If that’s the case, the burden of proof is upon them to show that their position is correct. And note that the way they try to justify this position is by simply assuming their position is correct. They ask why God would forbid something that doesn’t make Betty any worse off… but the point the “traditionalist” is making is that it does make Betty worse off because killing her deprives her of life! There is a subtle question begging occurring throughout the article because the authors simply can’t seem to fathom that life is valuable in itself. Instead, they assert that what is valuable is ability and then sift all moral statements through that assumption.
One who reflects upon this position should be not just appalled but also outraged and fearful. Why? Well Sinnott-Armstrong and Miller, by suggesting that what makes killing wrong is the causation of disabilities, imply that disabilities significantly reduce the value or worth of persons. Consider this: the authors repeatedly point out that it is not the deprivation of life that harms Betty, but rather the causing total disability. The grounding of Betty’s value is therefore based upon her abilities. If that is the case, then as Betty suffers disabilities, her value is decreased. Suppose Betty goes from being totally “able” with nothing wrong to becoming paralyzed. Does that mean she is less valuable? “Traditionalists” like me would say no, she is no less valuable. However, the authors of this article have grounded human value on ability. Again, it is the deprivation of capabilities which is wrong with murder, not the deprivation of life on their view. A consequences of this position is that the more “disabled” one becomes, the less valuable they become. Such a position is rightfully horrifying, but it is exactly what such a position entails. If humans’ value is grounded not simply in their being, then whatever standard one grounds this value will imply a sliding scale. Sinnott-Armstrong and Miller suggest that abilities ground value; therefore a disabled child is less valuable than one who is not; a man with Down Syndrome is less valuable than one who does not have it. These are the horrifying implications of their view.
One wonders if it is worth embracing such a position when it entails such blatantly immoral consequences. When one notices that the argument produced therein is based simply upon begging the question and assuming that life itself is not valuable, one finds little reason to commend this position.
Killing Our Children
Bioethicists have not stopped at the line crossed above, however. Recently another pair of bioethicists, Alberto Giubilini and Francesca Minerva, have argued for what they are terming “after-birth abortions.” In layman’s terms, they’re arguing for murdering one’s own children.
What could possibly ground this? Well, these bioethicists argue that, “Both a fetus and a newborn certainly are human beings and potential persons, but neither is a ‘person’ in the sense of ‘subject of a moral right to life’… Merely being human is not in itself a reason for ascribing someone a right to life.”
What exactly constitutes something which could justify killing a newborn? Again, “The circumstances… where after-birth abortion should be considered acceptable include instances where the newborn would be putting the well-being of the family at risk, even if it had the potential for an ‘acceptable’ life.” The authors go on to cite Down Syndrome as an example of these circumstances. Honestly, there is nothing to distinguish this form Eugenics. Let’s kill off those we deem unsuitable for life. It’s abhorrent.
I predicted this very consequence of the pro-choice position not too long ago. Pro-abortion arguments which aim to redefine what it means to be a “person” lead inevitably to infanticide. Fortunately, most pro-choice advocates do not realize this consequence of their position and still find infanticide and the like abhorrent. But those who have carefully reflected on the topic–bioethicists who research the issues involved–have come to realize that if an unborn human being is not worth being called a person, then it is hard to see why a newly born human being is a person either.
Bioethics: A brief reflection
The two case studies provided in this post provide examples for why it is so important to defend a proper view of the value of persons and worth. Once we start to define worth as things which can become a sliding scale (abilities vs. disabilities); once we allow that human beings are worthless if in one location (the womb) but valuable in another (outside the womb); once we seek to redefine terms in order to win a debate; that is when our world will collapse around us. These bioethicists are literally trying to say that it is permissible to kill people if they are totally disabled; they are literally telling us that a child with Down Syndrome might have a life worth living, but is such a strain on their family that the family should be allowed to kill their own child. I wish I were making these things up. These are our times: times in which we’ve allowed people to redefine rights and values in order to allow us to kill our children; times in which the people writing our ethics books argue that murder isn’t wrong because it takes a life but because it disables someone; times in which we can read discussions in medical journals about permitting the killing our own infants because they have certain defects.
God help us.
Sources
Walter Sinnott-Armstrong and Franklin Miller, “What Makes Killing Wrong?” Journal of Medical Ethics, January 2012. Accessible here: http://jme.bmj.com/content/early/2012/01/19/medethics-2011-100351.full
Liz Klimas, “Ethicists Argue for Acceptance of After-Birth Abortions” The Blaze, February 27, 2012, accessible here: http://www.theblaze.com/stories/ethicists-argue-in-favor-of-after-birth-abortions-as-newborns-are-not-persons/.
Picture credit: http://commons.wikimedia.org/wiki/File:Pinedap.JPG
SDG.
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The preceding post is the property of J.W. Wartick (apart from citations, which are the property of their respective owners) and should not be reproduced in part or in whole without the expressed consent of the author. All content on this site is the property of J.W. Wartick and is made available for individual and personal usage. If you cite from these documents, whether for personal or professional purposes, please give appropriate citation with both the name of the author (J.W. Wartick) and a link to the original URL. If you’d like to repost a post, you may do so, provided you show less than half of the original post on your own site and link to the original post for the rest. You must also appropriately cite the post as noted above. This blog is protected by Creative Commons licensing. By viewing any part of this site, you are agreeing to this usage policy.
