The
Moral and Social Consequences of the Genetic Revolution
The 21st century has been called "The Biotech Century"and
we have already witnessed the birth of many technologies with the
power to transform society. Genetic testing raises a host of issues,
from threats to privacy to the potential for a new eugenics movement.
Will we create a genetic underclass? Will only the poor be bald
or overweight? Who will own the genome? Gene therapy, genetic engineering,
cloning, and other technologies will be discussed.
The
Ethics of Cloning
Reproductive cloning represents several serious ethical challenges.
In the short run, it clearly presents unacceptable risks to children,
as birth defects and unexpected deaths commonly occur. Reproductive
cloning will remain an unethical experiment for the foreseeable
future. If it is ever safe, other worries and issues remain-what
will the impact of cloning be for the children who are produced?
Do we have adequate means for the regulation of the technology?
What are the options? In contrast to reproductive cloning, therapeutic
cloning (for the procurement of stem cells) would seem to be a promising
way of fighting terrible diseases. Even in the case of stem cell
research, there are legitimate concerns that need to be considered.
The
Ethics of Stem Cell Research
Stem cell research holds out enormous promise as cures for a wide
range of diseases and ailments. But there are a number of ethical
concerns that this research raises. One set of concerns arises over
the status of the stem cells and the way they are derived. What
is the moral and metaphysical status of an ex vivo fertilized egg?
Is it an embryo? An unborn child? Another concern results from the
intense commercialization of the context of stem cell research and
the intellectual property rights that have accrued. Finally, as
a frontier area of research, there are a number of worries: will
we make the same mistakes we made with "gene therapy"?
Bioterrorism
and Bioethics
The threat of bioterrorism raises several ethical challenges
for the health care system and for the way we regulate science.
These threats take place in a context in which over 40 million U.S.
citizens are not insured. Is our public health system capable of
dealing with the threat of bioterrorism? In the event of bioterrorism
will we allow state appropriation of private health care resources?
What are the advantages and disadvantages of the intellectual property
system in regard to development of needed treatments? In considering
the logistics of potential threats, it is important to consider
the possibility that new technologies will transform the way we
think about bioterrorism. Many pathogens are extremely difficult
to get access to at the present time. But in the near future, it
may be possible to create these pathogens through genetic engineering.
Smallpox could one day be made without the need to get access to
anything more complicated than a college laboratory. Should we limit
the research that may lead to easy access to deadly pathogens? Or
should we increase spending on research in the hopes that the technology
that creates these problems is our best defense?
The
Ethics of Genetically Modified Organisms
Genetically engineered organisms now make up a large part of
the food supply in the U.S. Potential applications include genetically
modified wines and trees. Opponents raise a number of criticisms,
including concerns over introducing allergens into the food supply,
and potentially devastating environmental problems. Most debate
has focused on the risks and benefits of the technology, but there
is good reason to believe that this is an impoverished framework.
Other ethical and religious concerns that are often left out of
the debate include worries about the meaning of the "Natural",
"playing God", justice, and anxiety over who has control
over technology.
Who
Owns Life?
In recent years there has been a race to patent genes, organisms,
and cells derived from people. Often the people who make this possible
by serving as research subjects and the source of tissue, cells
and genes are left out when it comes time to decide who benefits.
The commercialization of biotechnology raises the specter of business
values trumping the values of science and medicine. In addition,
a host of new problems are being raised. What is life? Should it
be "owned" or does this represent unethical co modification
of life? Are current practices bad for science and medicine? Who
Owns Life? ed. by Magnus, Caplan, and McGee will be out this
Spring from Prometheus Press.
About Dr. Magnus
David Magnus, PhD is currently Associate Professor of Pediatrics,
Medicine, and Philosophy at Stanford University, where he is co-Director
of the Stanford Center for Biomedical Ethics and co-Chair of the
Ethics Committee for the Stanford Health Center. He is also Director
of the new Scholarly Concentration in Biomedical Ethics and Medical
Humanities in the School of Medicine. Before coming to Stanford
he was the Graduate Studies Director at the Center for Bioethics
at the University of Pennsylvania. He received his PhD in philosophy
from Stanford University and has published articles on the history
and philosophy of biology and bioethics, particularly on issues
concerning genetic technology. He serves on the National Research
Council Ad Hoc Committee on the Bioconfinement of Genetically Engineered
Organisms, and served as an "expert consultant" for the
World Bank on food security and biotechnology and a consultant for
the National Conference of State Legislators on cloning. In 2003-2004,
he was a member of the Secretary of Agriculture's Advisory Committee
on Biotechnology in the 21st Century. He is the principle editor
of a collection of essays entitled Who Owns Life? (2002)
and his publications have appeared in Science, Nature
Biotechnology, and the British Medical Journal. He
serves as Associate Editor of the American Journal of Bioethics.
He has appeared on many television shows including Good Morning
America, CBS This Morning, and FOX News Sunday,
several nationally syndicated radio shows and has been quoted in
Time magazine, the Wall Street Journal and USA
Today among other publications. In addition to his scholarly
work, he has published a number of editorial pieces in prominent
newspapers.
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