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Human Bioethics.
However wise we are in understanding the physical
world, we definitely do not have the scientific
tools to infer that that
there
is no definite
difference
between
animal and
human.
According to
surveys, most
people are
opposed
to
experiments
on
human-animal
hybrids.
They surely recognise
that
there
is a
difference
between
animals and
humans – a
distinction we must
not blur. If we rely entirely on
physical
characteristics
and believe we
are
simply
descended
from
animals[1] we have no way of making a distinction. We learn
from theology that here is a God-determined
distinction, and therefore we
should do nothing that
confuses that distinction,
such as the
experimentation
with
human-animal
hybrids. Briefly, those who favour giving science freedom to
advance in
genetic
technology
emphasise
the
potential huge
medical
benefits. Some
medical
researchers
dismiss this
as
'hype' saying that all
that is claimed for
this
technology is
greatly
exaggerated. I
am not
qualified to
engage in this
argument.
I merely note
it. Those opposed to giving science freedom to advance
genetic technology emphasise the sanctity of life at
its earliest
stage
and
fear
the ‘slippery slope’
into
eugenics. [2] First I need to say something about Human
Reproduction and differentiation. It is important
that those who are
involved in
the ethical
discussions
should
be aware of this
scientific
point. In reproduction male sperm and female ovum combine
to form new embryo. The nucleus of this new embryo
is a new DNA code,
which is
derived from both mother
and
father. For the first
14 days
this
embryo
divides
and multiplies but is
not a miniature human being.
It is
more like a
‘recipe’[3]. Each cell has the same DNA code. Each cell has
the potential to form any part of the body. At 14
days, the cells
‘differentiate’.
Different
parts of
the code in
each cell
are switched off
and
so each
cell now ‘knows’
what part of
the body it
is to
form. What
differentiates a
skin
cell
(say) from a heart
cell
(say) is the parts of
the
code
that are switched
off. At this
stage of
‘differentiation’ (a
great
mystery[4]) we have the beginnings of a human being in
miniature. We consider a few of the main issues.
In Vitro
Fertilisation
This is the use of artificial techniques to join an
ovum with
sperm
outside (in
vitro)
a
woman's
body to
help infertile
couples
to have children
of
their
own. The basic
technique
of
IVF involves
removing
ova
from a woman's ovaries,
fertilising them in the
laboratory,
and then
inserting
them into
her uterus.
The
first
‘test-tube
baby’, Mary
Louise Brown
was
born in ?>ml:namespace
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/> Reproductive
Cloning
This is not used for humans yet. A cell is removed
from the skin (say) of a mature person and its DNA
is put in the nucleus
of a new
cell (the cell’s own
nucleus
having
been removed.)
An
electric
current or
chemical is used
to fuse
the
new nucleus with
the
egg
which
is
‘tricked’ into
accepting
it. This
mature
differentiated[5] skin DNA then undifferentiates (how this happens
is a mystery). Then the new egg is put in the
womb. So now we have an egg with a DNA derived not from a
loving
relation
between male
and
female
but
from one
person’s skin
(say).
This is one of
the main
ethical
problems of
reproductive
cloning. The new
baby will
be
a clone or twin
of the life
that gave
cells of
skin. This process was used to produce ‘Dolly’ the sheep
- which died early of old age related
illnesses. Reproductive cloning of humans is dangerous and
illegal in the Therapeutic
Cloning
This is legal in Its procedure is potentially the same procedure as
for Reproductive Cloning but the new cell is only
allowed to divide and
grow up
to 14 days - that is
still in
a pre-differentiated
state. In
the
14 days
stem
cells are ‘harvested’ and
cultured. Being
undifferentiated,
they
can be
used indefinitely
as
(1) a source of
tissue for
any part of
the
donor’s body
or (2) for
researching
causes
of,
and
cures for,
diseases.
These
undifferentiated cells
are
called stem cells and have
the
same DNA code as
the donor
and
therefore there is no
danger of
rejection
of the
implanted
tissue. These stem cells are not embryos - detached from
the embryo’s outer layer, they have no potential to
grow into babies. For 14 days
the embryo, before
being
killed, is a source of
stem
cells. Ethical issues with therapeutic cloning involve:(1) The alleged enormous health benefits to be
gained. (2) The status of this undifferentiated embryo -
soon to be discarded. Is it
human?; deserving of
some
respect but not as a
‘human’?;
deserving no
respect? Those who deny that it is human say that the
pre-differentiated embryo can still be induced to
form twins - so it is
not one
‘self’. Opponents say there is no need to use artificially
produced embryos to get stem cells. They are present
in the blood and
bone
marrow
of an
adult. The response is often ‘yes’ but the embryonic stem
cells are more flexible and easier to work with.
Potential results from
embryonic stem cells are
greater than stem cells taken
from mature bone
marrow.
Embryo and Genetic
Screening
Ethical IssuesShould parents know in advance of any potential or
certain genetic disease in their unborn baby? For
example a childhood
disease,
or, late onset
Huntingdon's or
early onset
Alzheimer's.
Would
you
like to
know about
your
future? If you were told
you
had a
genetic
disease, should you
have
children? If
you already have
children
should
you
tell them?
Should your
insurance
company
have the right to
know? What
about
information
on
government
databases and
identity
cards?
Embryo Screening and AbortionAt present abortion for a diagnosed serious disease
is allowed
up to
birth. What
counts as
serious?
Critics
fear the
slippery
slope. Does
an easily
cured
cleft palate
count as
serious? No, but some
abortions have been
carried
out for
that reason.
What about people with genetic defects we know?
Should they have been killed in the womb? My wife
and I have a niece with
a very
serious genetic
disease.
However,
although now
losing
her sight
and
in a
wheel
chair she is
a happy girl who
has brought
out
a great deal
of
love in her
family.
Saviour Siblings and related ethical
issues
Parents have a sick or dying child. A tissue match
from a compatible child might cure him/her. Several
eggs are taken from
the
mother’s womb (some may have
been left over from
previous
IVF) and a
match is
sought and
found. The
match
must be
compatible and
not contain
the
defective gene
of the sick
child.
The other eggs
are
discarded. Will the new child feel it was chosen just for its
‘spare parts’? Will it be happy or unhappy that it
was born to save
another,
rather than born only for
the
normal reasons? Is the
new
child
there as a
commodity? Surely its
own
attitude of self-giving or
resentment
will
determine the
answer as
to how
it
develops as a
human
being. Designer babies - a Post-Human
Future?
If embryos can be selected for qualities that could
help a
sibling,
what
about
other
qualities
such as:
gender,
intelligence,
height and
athletic
ability? What about future science allowing us to engineer
our feelings, eliminating phobias, guilt feelings,
feelings of horror at
genetic
engineering, revulsion
that we
are no longer
human? The powerful
could engineer happy and contented slaves who do not
regret the loss
of an
earlier
humanity.
Possibilities
like
these are
taken very
seriously by
some
academics
especially Dr.
Nick
Bostrom of
A warning is given in Francis Fukuyama’s book, Our Post Human Future. The book’s
subject is the biotechnology revolution - its
promises and dangers. With
developing techniques for
genetic engineering and
perhaps designer babies,
we
face the questions:
What is
it
to be human? How do
we
differentiate
between
right
and wrong?
a. Religion. (we learn from God our true nature),
b. Natural Law (what we discern from
nature), c. Positivism (customs and rules of society - made
by us). He dismisses positivism, skirts round religion and so chooses Natural Law. He concludes that any biotechnology must not
interfere with these characteristics of our species.
If they do they
will
have
produced
a
‘non-human’
being.
Even if he
is right
that these
qualities do constitute true
humanity, he does not say why they should be valued. Why should
humanity be valued? As philosophers since Hume have realised, one
cannot get an ‘ought’ from an ‘is’ or ‘are’.
The statement: ‘This is what people ought to be’ does not follow from the statement: ‘this is what people are’. A Christian
Perspective
Humans should not play God. This is a common
objection to biotechnology. However all medical
techniques involve
interference with the
course
of a
decaying physical
nature.
Maybe (being
in the
image
of
God) we are
meant to be
creative? However, when God created creatures in His image
for love and fellowship, He did not clone
Himself! Christian theology cannot give all the answers to
the difficult ethical questions that face medics and
geneticists in
their
clinics,
hospitals, and
laboratories.
Lord Hailsham
reminds
us [6], even if we are under the authority of God, He
allows us free will and rational discussion.
Perhaps, in many cases, there
is no simple right
answer. However we can say certain things about our
humanity. ¨
Genesis 1 teaches us we are made in the Image of
God. Our humanity is not an
accident. ¨
The image of God is best seen in Christ who is ‘the
Image of
the
Invisible
God’
(Colossians
1:15).
¨
Christ’s identity with us goes back to his
conception in the womb of
Mary. ¨
We are not made as isolated human beings: humanity
involves relationship. ¨
Reproduction should be from a loving committed
relationship between a man and
woman. ¨
Our humanity and God's purposes for us go back to
before our birth. ¨
John the Baptist was ‘filled with the Spirit, even
from his mother's womb.’ (Luke
1:15). A few verses from Psalm 139: For you formed my inward parts; you knit me
together in my mother's womb. I praise you, for I am
fearfully and
wonderfully
made.
Wonderful
are your
works; my
soul knows it
very
well. My
frame was not
hidden from you,
when I
was
being made in
secret,
intricately woven in the
depths of the earth. Your
eyes
saw my unformed
substance. It is the exposition of these great facts of
theology that should enable doctors and geneticists
to have the
perspective they
need to make the
ethical
judgements they
face. Christian theology cannot determine all that is right and wrong in biotechnology but it can give the basis needed to have a rational discussion and make difficult decisions.
Howard Taylor.
(Early
2009.) [1] See my review of The Blind Watchmaker and aticle on Intelligent Design. [2]
Eugenics
was the
attempt by
the
Nazis to
produce the
perfect ‘race’ and
therefore practicing a
discrimination against the
‘imperfect’. [3]
Richard
Dawkins'
word
for
this
living
entity. [4]
Each cell
in my
body
(there
are
trillions of
cells
in each
human body),
contains
the same
DNA
computer
program that
determines, as I
grow in
my
mother's
womb, my
physical
characteristics.
How is
it
then that, at the
time
before
any of my limbs
have begun to
form, that
cells
which
become
part of my
arms
(say) know they
are there for
the benefit of my
arms and
those in my
toes
(say) know that they are
there
for my toes? Biologists
call
this the problem
of
`differentiation' and it
is
still a great
enigma.
A very
full and
technical
discussion of
research into
the
riddle of
`embryonic
differentiation' is
given in
an article by Robin
Halliday,
1990,
(CSIRO
Laboratory
for
Molecular
Biology,
Sydney,
Australia)
`Mechanisms
for the
Control of
Gene Activity
During
Development'. Is there
another
plan or control
greater
than
the DNA that is
switching
on the
parts
of the
DNA relevant to
finger
growth
in the
cells of
my
fingers
while keeping
the
parts of the
same
DNA that have to do
with the
growth of
other
parts of my
body
switched off? If there is
this
greater plan
where
is
it located? Please
note that
although the example
of
the
human nose,
fingers and
toes
are given here,
this problem
relates to most
forms of
life.
Many
falsely
assume
that
the DNA
is
merely a
scaled
down
version of the
living
creature, or that
the
creature
is a scaled up
version of the
DNA. This is
not so.
Research
Chemist
Ernest Lucas
tells us:
"The single
fertilised egg
does not
have
miniature arms
and legs.
These
new
structures appear
later
as the
cells
multiply
and
divide".
(Science and the
New Age
Challenge,
page
102.) As well
as the reason
given in the
previous
paragraph,
complicated
and
wonderful
though the DNA may
be, it
cannot, of itself,
account for
the
enormously
greater
complexity
of many parts of
my physical
body.
Writing
about the brain
Richard
Dawkins, in
his preface to
`The
Blind Watchmaker', tells
us:
"The brain with
which
you are
understanding
my
words
is an
array of some
ten million
kiloneurones (ten thousand
million
neurones). Many
of
these billions of nerve
cells
have each
more
than a
thousand
`electric
wires'
connecting them to
other
neurones."
Professor
Ambrose
in
`The Nature
and Origin of the
Biological World,
page 152 tells
us: (The brain)
is like
500
million telephone
exchanges
all connected
properly. The
connections possible are
101,300,000,000,000.
It
might even seem, that in
order
for the DNA to be
changed into
an
individual
life form,
a
set of mechanisms
more complex
than the
DNA must
operate on
it. (See Hofstadter
D.R., 1980, Gödel,
Escher
and
Bach, page 160.) In
this case
the various parts
of
the DNA
would serve
as
triggers for
these
mechanisms. So where
could
this
greater mechanism
be
which controls
and
is
controlled by the
DNA?! Paul
Davies
writes: If
every
molecule
of DNA
possesses
the same
global
plan
for
the whole
organism, how
is it that
different
cells
implement
different parts of
that
plan? Is
there, perhaps,
a
`metaplan'
to tell each cell
which
part of the
plan
to
implement? If so,
where is
the
metaplan
located?
In the
DNA? But
this is surely
to
fall into
infinite regress.
(The Cosmic
Blueprint, page
103.) It
was this
problem
that
prompted
Rupert
Sheldrake -
research
biochemist and
formerly Fellow
of
Clare
College
Cambridge
- to propose
`morphogenetic
fields'
that he claimed
must
surround
each living
organism
influencing
their
development.
He further
believed that these fields
even transcend
the bounds
of
space and time
so that behaviour patterns of
previous
members of a
species
affect the development
of new
members of
the
species.
His
theories go
so
much
against the
materialist
presuppositions of
orthodox
science that they
have been
largely rejected. A
very good summary
and
assessment of Sheldrake's
views is given by
Ernest
Lucas, Science
and
the
New Age
Challenge,
1996,
Chapter
8. However
the
problem of
differentiation
remains.
It is
discussed in
illuminating
detail
throughout
Hofstadter's
Gödel Escher and
Bach, 1980.
Paul Davies
wonders
whether the DNA acts
as
a
`receiver' rather
than the
source of the
genetic
information. (The
Cosmic
Blueprint
page
106.) If
he is right where
is
this
greater information?
What
is its source if
not in
the
individual
cell? [5]
For an
explanation of
'differentiation'
see
the
extended footnote
above.
[6] See the quotation at the end of the third section of this book. =================================================== If any of the above has assisted you in your thinking, study or preparation please fill in a Feedback form (see 'Feedback' link below) stating to which article/sermon note/book review etc you are referring. Howard Taylor welcomes questions and comments (critical or not). 'Faith and the ModernWorld' Home Page. Articles ; Articles inSummary ; SermonOutlines ; Comment on Society Today ; Book Reviews ; Feedback ; Essays from my students; Biography; Moral and SocialPhilosophy; OtherLinks. Courses. |