Thursday, May 26, 2005

Stem Cell Debate

My Position

I am not religious, but I believe that it may be unethical to create embryos for research. We don't know when human life begins, and when a person becomes a person, and it seems to me that we should err on the side of life. That does not mean that I would criminalize stem cell research, but just like I think cloning people for organs would be unethical, I think creating embryos for spare stem cells may be as well. I would probably blame science fiction reading for this position rather than any religious position.

My position on abortion was forever changed when my first child was born, and I mourn the day that my wife had a miscarriage because it represented a lost child. I find it hard to understand people who have children and offer unconditional support for abortion (though I recognize that you can support embryonic stem cell research without unconditional support for abortion).

So, do you think it would have been ethical to abort your baby 270 days before she was born so that we could harvest her stem cells and do research on them? To me, you have to be able yes to that question to support this research.


Should Stem Cell Researchers face Murder charges?

If we can take stem cells from embryos that will be tossed, why not organs from aborted late term fetuses? They are just going to be thrown away, after all. And if abortion is legal up to the moment of birth, why can’t we start “Fetus Farms” to grow organs for later transplantation? The developed fetus is not a person and has no right to exist, after all.

I have read some articles that indicate that if you don’t think stem cell researchers should be charged with murder, than you can’t think that destruction of an embryo is wrong. This seems to me to be the wrong question.

Wouldn't it be a better question as to whether the person who kills the embryo to harvest the stem cells should be charged with murder? We don't charge transplant surgeons with murder for harvesting the organs of a murder victim, so we shouldn't charge the researcher either, unless he actually does the killing, or has the killing done for his research.

On the other hand we would charge the transplant surgeon with a crime if he knowingly aided and abetted someone in killing another so he could harvest those organs.

I would think it is a reasonable standard that if someone is murdered, the killer is charged, and those who hired the killer would also be charged, even if it was ordered to harvest the organs and blood of the victim to save one person or many people's lives.

If you believe all abortion is murder and life begins at conception, I would think the same reasoning applied, but I don't go that far. Embryos are something different from people, but not just garbage.

Historical Argument

Some argue that there is no history of rights for the fetus, and so the effort to create rights is just the “crazy religious right” trying to inflict their values on us. Historically an abortion would at most be considered a crime against the father for his loss of a child. However, for much of human history, infanticide was legal and practiced as well (especially for the deformed), so I don't think I want to rely too much on historical norms. Additionally, since both children and wives were chattel for the fathers and husbands, I am not surprised that crimes against the unborn were seen as crimes against the "owner" of the right, either the mother or father. Additionally, science did not allow any way of determining causation. And, of course, the history is pretty clear that we have never allowed gay marriage either, so I think we should be very careful about basing arguments on history.

Abortion itself did not become a truly viable alternative to birth until the discovery of penicillin. The 100,000 back room abortion deaths canard is due to statistics based on pre-penicillin days. After the discovery of penicillin, criminal laws were created to ban abortion because it became a reality, because it was safe. So it may be true that before abortion was practiced to any great extent, it was "legal." But that is because legislatures don't ban things that don't happen, or are so likely to kill the person doing it that the act is its own punishment.

So it might be right that there is not a great history of protecting the unborn, but there is not a great history of protecting children, women, the disabled, or even other races.


In Vitro Fertilization and Usage of Stem Cell Research From Other Places

Can you argue against stem cell research and still believe in in vitro fertilization? If there is a cure found overseas using this method, can we in good faith use the science if we banned the research?

You can believe in in vitro fertilization if you also believe in implanting only the number of eggs that you are willing to give birth to, and you create only the number of embryos you intend to implant. The fact that it is done in a different manner is due to cost, not necessity.

And as for the knowledge gained elsewhere, do we use the science that was created by the Nazi's by experimenting on the Jews? I think that hypothermia in particular is one area that we use the knowledge gained. I would not have supported that science to get the information, but will use it to save lives now. This should be the same.

If Parkinson's treatment can be given without further loss of life, then I suppose it would be pragmatic to use it, but if it requires continued killing and harvesting of embryos to give treatment to adults, I think the treatment would be in the same category as the research.

Conclusion

Well, this discussion quickly devolved from simply discussing embryonic stem cells to rights of the unborn. I think that is fairly normal for the issue, though, because some people lump all unborn together with no rights, and others lump them together with all the rights of a person. And since the people opposed to embryonic stem cell research do it based on opposition to abortion, abortion and then miscarriages are always part of the discussion.

I do have trouble ethically with farming embryos because it seems like a slippery slope to having people farms, but I am sure that I would harvest all of them to save my kid.

I am perfectly willing to accept a gradation of rights, similar to Roe sets out, but the position that life and rights begin at birth is untenable given the change in science and viability of the fetus.

Viable fetus to me means able to live outside the womb without extraordinary care. Extraordinary care would be care that is never needed for a full term baby. So, I would include respirators and incubators, blood transfusions and medicines, but not reimplantation in another mother or life in a petri dish.

I believe that the earliest living person was born after 24 weeks of gestation, so for me, that is the point of viability. Abortion after that point is infanticide, but beforehand it is something different…what I don't yet know.

It is an emotional argument. At what point during your wife's pregnancy do you believe that the creature in there has a right to exist. I don't know when life begins, but I would err on the side of choosing too early rather than choosing too late.

And what do we do when we find that stem cells from a fetus at 20 weeks gestation are best for curing disease, rather than embryonic stem cells? Do we say that is okay, since they are not viable? I suppose some people will believe that up until birth it is okay. Since we can abort up to the moment of birth, why can't we grow these fetuses for organ replacement? They have no rights, after all.

So, perhaps the best argument against the research is that stem cells are a slippery slope to human farming, because the same arguments people are using for harvesting cells from aborted embryos goes for aborted viable fetuses as well. But if the pro-choice side would bend and agree that there is a difference between the legal status of an embryo at 14 days and a fetus at 14 weeks, perhaps we could make progress on this issue.

5 Comments:

At 6:42 AM, Anonymous Anonymous said...

Interesting discussion, but I think you've gone a bit off track in a few places.

Your characterization of the dichotomy between the pro-life crowd and the pro-choice crowd seems too black and white. I think the populous at large has a far fuzzier picture in mind when it comes to the rights and humanity of the unborn.

I also think your discussing of stem-cell research in terms of viable fetuses is an odd diversion. Even if it were somehow found that later-term fetuses produced superior stem cells to those produces by newly fertilized eggs, I can't imagine the slippery slope you describe actually coming into play, at least not in the US.

Regardless of the predicate logic you propose, the sentiments of the public and the force those sentiments exert on legislators and private institutions would not reflect such an abstract connecting of the dots. Nearly everyone would consider human farming wrong regardless of his position on early-term abortion or the rights of embryos.

The following quote is rhetorically questionable.

"So, do you think it would have been ethical to abort your baby 270 days before she was born so that we could harvest her stem cells and do research on them? To me, you have to be able yes to that question to support this research."

The initial question if obviously meant to produce a negative emotional response. This would obscure for most people the literal meaning of the question, which is one of scientific ethics. Most readers would simply conclude that there is no way in hell that they would allow their unborn children to be aborted for research and answer "No!" without actually considering the ethical question.

I agree with the following.

"But if the pro-choice side would bend and agree that there is a difference between the legal status of an embryo at 14 days and a fetus at 14 weeks, perhaps we could make progress on this issue."

I believe that this recently has become more probable and will continue to be more and more probable as time goes on.

 
At 1:09 PM, Blogger Jrudkis said...

I agree with much of what you said. It was a rambling post, but it was a lot of free association.

I think I should have lead with the part about acknowledging the difference between a 14 day and 14 week fetus, and the rest would have made more sense as to how I get to viable fetus abortion and people farms since there is no legal distinction.

I think the moving force behind these issues are black and white as I described. The deciding force is less black and white, but also not committed to the issue, so they can be swayed by the extremists.


As for the rhetorically questionable part, I think it is fair to ask whether you think it would be something that you would give your own fetal stem cells for. If you are not, then you must be imbuing them with some value beyond being a mass of cells. It is like when people say they are willing to accept "collateral damage" for a war but balk when you identify the family and show them pictures of the kids. It humanizes the discussion from the abstract.

 
At 11:50 AM, Anonymous Anonymous said...

I am not religious,....



I too am of the opinion that creating embryos for the sole purpose of providing stem cells is unethical. It is also unnecessary, as enough unused embryos are destroyed at fertility clinics to provide all the research material needed. This entire issue is centered on when life begins. When you say to err on the side of life, you’ve already made a decision that life begins at conception. You’ll have a hard time convincing a majority of people of that.



My position on abortion was forever changed ...



Everyone’s unique experiences shape their beliefs. Just because my views are different from yours doesn’t mean that one of us is automatically wrong. Who are we to judge why we hold the beliefs we do?



So, do you think it would have been ethical to abort your baby 270 days before she was born so that we could harvest her stem cells and do research on them? To me, you have to be able yes to that question to support this research.



There’s a huge difference between an embryo and a baby at 270 days gestation. The only way a baby at this stage of development could be aborted is if a doctor determines that the health of the mother is in jeopardy. You could not legally abort this child for the sole purpose of harvesting stem cells. So, I can support this research and still not agree with your outlandish scenario.



If we can take stem cells from embryos that will be tossed, why not organs from aborted late term fetuses? They are just going to be thrown away, after all. And if abortion is legal up to the moment of birth, why can’t we start “Fetus Farms” to grow organs for later transplantation? The developed fetus is not a person and has no right to exist, after all.



As far as taking organs from aborted late term babies – why not? Since the only way late term abortions can be conducted is if the health of the mother is in jeopardy, your fear of “fetus farms” is a bit far fetched. Could it happen in isolated instances? Sure. But that’s because of an unethical doctor. And finally, a developed fetus has rights from the moment it has developed enough to be viable outside the womb.



I have read some articles that indicate that if you don’t think stem cell researchers should be charged with murder, than you can’t think that destruction of an embryo is wrong. This seems to me to be the wrong question.



Not really a question, but a statement of absolutes. It doesn’t take into account the circumstances surrounding fertility clinics where unused embryos are routinely destroyed. That fact is conveiniently ignored by many Pro Lifers.



Wouldn't it be a better question...



If abortionists can’t be charged with murder for performing abortions on nonviable fetuses, how could a research scientist who destroys an embryo already slated for destruction be charged with murder? That is a far fetched proposition.



On the other hand we would charge the transplant surgeon with a crime if he knowingly aided and abetted someone in killing another so he could harvest those organs. – Agreed.

I would think it is a reasonable standard that if someone is murdered, the killer is charged, and those who hired the killer would also be charged, even if it was ordered to harvest the organs and blood of the victim to save one person or many people's lives. - Agreed.

If you believe all abortion is murder and life begins at conception, I would think the same reasoning applied, but I don't go that far. Embryos are something different from people, but not just garbage.



Agreed, for the most part. Creation of embryos for the sole purpose of research would be wrong, but if they’re already going in the garbage, then there’s no harm. Are you suggesting that embryos deserve protection? How are they any different than non viable fetuses destroyed via abortion?



Historical Argument



Some argue that there is no history...



Not sure I know anyone who’s ever tried to use history as a justification for keeping abortion legal. I have to admit that it’s pretty lame.


Abortion itself did not become a truly viable...



Disagree. Just because there was no law prohibiting it didn’t mean it wasn’t happening. Also, I don’t think people considered the ill effects of an early abortion as adequate punishment. Personally, I think abortion was under most people’s radar because it just didn’t happen as frequently as it does now.



So it might be right that there is not a great history of protecting the unborn, but there is not a great history of protecting children, women, the disabled, or even other races.



Learn from your mistakes.

In Vitro Fertilization and Usage of Stem Cell Research From Other Places



Can you argue against stem cell research and still believe in in vitro fertilization? If there is a cure found overseas using this method, can we in good faith use the science if we banned the research?



You can believe in in vitro fertilization if you also believe in implanting only the number of eggs that you are willing to give birth to, and you create only the number of embryos you intend to implant. The fact that it is done in a different manner is due to cost, not necessity.



A large number of embryos is needed for in vitro fertilization due to the vagaries of anatomy. If creating life is so special, why limit the chances for success?



And as for the knowledge gained elsewhere.... - Disagree with the notion that stem cell research is in anyway shape or form similar to the sadistic machinations of the Nazis. Conflating the two is low.



If Parkinson's treatment can be given without further loss of life, then I suppose it would be pragmatic to use it, but if it requires continued killing and harvesting of embryos to give treatment to adults, I think the treatment would be in the same category as the research.



I agree. The only embryos that should be used to provide the material for any subsequent treatment program are those already slated for destruction.



Conclusion



Well, this discussion quickly devolved.....



Those on each extreme of the issue always fail to recognize that there is a huge swath of middle territory. It’s the all or nothing attitude that generally causes most of the problems.



I do have trouble ethically with farming embryos because it seems like a slippery slope to having people farms, but I am sure that I would harvest all of them to save my kid.



Like I’ve said before, as long the embryos are going to be destroyed anyway, I see no problem with using them to advance medicine. I think it would be wrong to create embryos for the sole purpose of providing material for research / treatment.



I am perfectly willing to accept a gradation of rights, similar to Roe sets out, but the position that life and rights begin at birth is untenable given the change in science and viability of the fetus



A fetus has rights the moment it becomes viable outside the womb. As medical technology advances, this will be pushed back earlier and earlier into the pregnancy.



Viable fetus to me means able to live outside the womb without extraordinary care. Extraordinary care would be care that is never needed for a full term baby. So, I would include respirators and incubators, blood transfusions and medicines, but not reimplantation in another mother or life in a petri dish.

I disagree. The current level of viability could never be sustained without respirators, medicines, etc. What you propose is pushing the time limit of abortions forward. You sure you want to do that?



I believe that the earliest living person was born after 24 weeks of gestation, so for me, that is the point of viability. Abortion after that point is infanticide, but beforehand it is something different…what I don't yet know.


See my comment above about viability. It’s a shame anyone has to get an abortion, and I think more effort should be spent trying to prevent unwanted pregnancies as a way of reducing abortions. But it remains a matter of choice, and we should be careful about restricting someone else’s rights.



It is an emotional argument. At what point during your wife's pregnancy do you believe that the creature in there has a right to exist. I don't know when life begins, but I would err on the side of choosing too early rather than choosing too late.



That’s fine for you. Everyone should be allowed to make that decision for themselves.



And what do we do when we find that stem cells from a fetus at 20 weeks gestation are best for curing disease, rather than embryonic stem cells? Do we say that is okay, since they are not viable? I suppose some people will believe that up until birth it is okay. Since we can abort up to the moment of birth, why can't we grow these fetuses for organ replacement? They have no rights, after all.



Not to repeat myself, but you’re wrong again. You cannot abort up to the moment of birth at will. A doctor has to have determined that the health of the mother is at risk if the pregnancy goes to term. That’s the only way an abortion can be performed after the baby has become viable. And again, if the fetus is being aborted anyway, what is wrong with using it for treatment of the living? It would be wrong to abort a fetus solely for the purpose of providing material for the treatment.



So, perhaps the best argument against the research is that stem cells are a slippery slope to human farming, because the same arguments people are using for harvesting cells from aborted embryos goes for aborted viable fetuses as well.



I disagree. Fears over what might happen is no reason to stop the research and development of treatment regimes for those living with terminal illnesses. No doubt we have to tread carefully in this area, but we shouldn’t base our decision on irrational fears.

CM1

 
At 11:51 AM, Blogger Jrudkis said...

CM1,

Thanks for the detailed comments. I tried to address all of them, but my answers may be somewhat out of order:
I think you are confusing restrictions on one type of late term abortion, D and X (partial birth) with a restriction on all types of late term abortion. I don't think that is accurate, and there are no restrictions on aborting the fetus at any time so long as that method is not used.


The issue of stem cells that are already in existence and will be discarded anyway is one thing, but creating a market for people to sell their embryos is another. I tend to agree that it is "no harm no foul" to harvest stem cells that will be lost in the same way it is okay to research on dead bodies and do autopsies, but I am against creating the market for embryos. I think the research will lead to the market, and once a cure is found, the genie is not going back in the bottle.


I may not have been clear about the 270 days, but what I meant was 270 days before your baby was born, so when your baby was an embryo, not a viable fetus. I think support for stem cell research logically requires a belief that when your own kid was 14 days in gestation, it would have been ethical to take that embryo and experiment on it.


What rights do you think a fetus has once viable? Some states but not all protect them from murder (like CA in the Scott Peterson case), and some states will charge mothers with child abuse for having drug addicted babies. Both are highly charged politically and argued against by pro-choice forces precisely because it is seen as a back door to banning abortion. But I am not aware of any national rights afforder the viable fetus, other than a restriction on a particular way to kill it (D and X).


The rhetorical question about abortionists being charged with murder comes from the idea that if you think stem cell research is murder, than logically you should want the murderers charged with murder. Many people who are anti abortion do want abortionists charged with murder, so I was trying to address that question.


A large number of ebryos may be necessary to have a likely pregnancy, but it not necessary to create them all at once. That is done as a cost savings measure in case the first time doesn't work. The same is true with the number of embyos implanted: It is to reduce the number of times the procedure has to happen to get the same likelihood of pregnancy.


I must again have not been clear about viability: I think that respirators and incubators are okay to include as permissible science for viability, because some full term babies will need that technology too. Full term babies will not need to be reimplanted in an artificial womb, or grow in a petri dish, so I would separate out that type of science from viability.

 
At 8:32 PM, Blogger Christina Dunigan said...

You wrote a really great piece, but you need to stress that opponents of embryonic stem cell research are only opposed to embryonic stem cell research, and not the least bit opposed to cord blood and adult stem cell research, which is producing miracle cures here and now.

Embryonic stem cell research is pie-in-the-sky, promising miracle cures in the utopian future. Adult and cord blood stem cell research is producing miracles right now, restoring sight to the blind, helping the paralyzed to walk, treating leukemia, and saving the lives of children.

Even those who don't object to the destruction of embryos surely should object to pouring resources down a hole when they could be used to further the successes that science is getting from adult and cord blood stem cell research.

 

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