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Germ-Line Genetic Engineering and Moral Diversity: Moral Controversies in a Post-Christian World

Published online by Cambridge University Press:  13 January 2009

H. Tristram Engelhardt Jr
H. Tristram Engelhardt Jr
Affiliation:
Medicine and Philosophy, Baylor College of Medicine and Rice University
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Extract

The prospect of germ-line genetic engineering, the ability to engineer genetic changes that can be passed on to subsequent generations, raises a wide range of moral and public policy questions. One of the most provocative questions is, simply put: Are there moral reasons that can be articulated in general secular terms for accepting human nature as we find it? Or, at least in terms of general secular moral restraints, may we reshape human nature better to meet our own interests, as we define them? This question in turn raises the further question of whether human nature as it now exists has a moral standing akin to sacredness that can be understood in nonreligious terms. This essay will take as a given that it is not possible to show in general secular moral terms that human nature has a sanctity or special moral standing that should guide secular health-care policy. In addition, as this essay shows, it is not possible through appeals to considerations of authorizing consent or beneficence toward others to remedy this failure to establish a sanctity or special moral standing for human nature. Absent a religious or culturally normative understanding of human nature and given the availability of germline genetic engineering, there is a plurality of possibilities for refashioning our nature. The unavailability of substantive secular moral constraints on germ-line genetic engineering discloses a secularly licit plurality of possibilities for human nature. The likelihood that we will be able to refashion our human nature reveals how few general secular moral constraints there are to guide us. Paradoxically, the more we are able to reengineer our human nature, the less guidance is available. The plurality of possible conceptions of human well-being that can be pursued through germ-line genetic engineering challenges our self-understanding as humans. Given human freedom, and in the absence of taken-for-granted religious or cultural moral constraints, the likelihood of germ-line genetic engineering opens the possibility of human nature in the plural.

Type
Research Article
Information
Social Philosophy and Policy , Volume 13 , Issue 2 , Summer 1996 , pp. 47 - 62
Copyright
Copyright © Social Philosophy and Policy Foundation 1996

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References

1 A considerable literature has developed regarding the moral and public policy implications of the genome project, as well as of the prospects of genetic engineering. See ELSI Bibliography: Ethical, Legal, and Social Implications of the Human Genome Project (Washington, DC: U.S. Department of Energy, 05 1993); and ELSI Bibliography, 1994 Supplement (Washington, DC: U.S. Department of Energy, 09 1994).

2 Engelhardt, H. Tristram Jr., “Human Nature Technologically Revisited,” Social Philosophy and Policy, vol. 8, no. 1 (Autumn 1990), pp. 180–91.CrossRefGoogle ScholarPubMed

3 Ludwig, Emil, Napoleon, trans. Eden, and Paul, Cedar (New York: Modern Library), p. 322.Google Scholar

4 See, for example, Jaeger, Werner, Humanism and Theology (Milwaukee: Marquette University Press, 1943), esp. p. 87Google Scholar; see also Jaeger, , Paideia: The Ideals of Greek Culture, 3 vols. (Oxford: Oxford University Press, 1943–1945).Google Scholar

5 Beckmann, Franz, Humanitas (Münster: Aschendorff, 1952).Google Scholar

6 The Attic Nights of Aulus Gellius, trans. Rolfe, John C. (Cambridge, MA: Harvard University Press, 1978), XIII.xvii.1, vol. 2, p. 457.Google Scholar

7 Kristeller, Paul O., Renaissance Thought (New York: Harper and Row, 1961).Google Scholar

8 See, e.g., Niethammer, Friedrich, Der Streit des Philanthropinismus und Humanismus (Jena:Frommann, 1801).Google Scholar

9 See Foerster, Norman, ed., Humanism and America (New York: Farrar and Rinehart, 1930)Google Scholar; Newald, Richard, Probleme und Gestalten des deutschen Humanismus (Berlin: Walter de Gruyter, 1963)Google Scholar; and Rüdiger, Horst, Wesen und Wandlung des Humanismus (Hamburg: Hoffmann and Campe, 1937).Google Scholar

10 Engelhardt, H. Tristram Jr., Bioethics and Secular Humanism: The Search for a Common Morality (Philadelphia: Trinity Press International, 1991).Google Scholar

11 Heidegger, Martin, “Brief ‘Humanismus’,” in Heidegger, , Wegmarken (Frankfurt/Main: Vittorio Klostermann, 1976), esp. pp. 319f.Google Scholar

12 Greek, Stoic, and Roman thinkers such as Chrysippus (279–206 b.c.) and Cicero, (106–43 b.c.)Google Scholar developed the Greek distinction between positive law (dikaion nomikon) and natural law (dikaion physikon). This distinction came to be incorporated into Roman laws such as the Institutes of Gaius (a.d. 161). See, for example, de Zulueta, Francis, The Institutes of Gaius, 2 vols. (Oxford: Clarendon Press, 1976).Google Scholar

13 I explore the difficulties of transferring a religious notion of the sanctity of nature into a serviceable secular moral concept in “Human Nature Technologically Revisited” (supra note 2). See also Bayertz, Kurt, Sanctity of Life and Human Dignity (Dordrecht: Kluwer, 1996).CrossRefGoogle Scholar

14 The reader should be given notice: the author is an Orthodox Christian who holds that, although reason does not provide canonical moral content, revelation does.

15 This argument is developed more fully in Engelhardt, H. Tristram Jr., The Foundations of Bioethics, 2d ed. (New York: Oxford University Press, 1996), chs. 1–4.Google Scholar

16 See Parfit, Derek, Reasons and Persons (Oxford: Clarendon Press, 1984), esp. pp. 371–417.Google Scholar

17 See Maclntyre, Alasdair, Whose Justice? Which Rationality? (Notre Dame, IN: University of Notre Dame Press, 1988)Google Scholar; and Maclntyre, , After Virtue (Notre Dame, IN: University of Notre Dame Press, 1981).Google Scholar

18 See Boorse, Christopher, “Health as a Theoretical Concept,” Philosophy of Science, vol. 44 (1977), pp. 542–73.CrossRefGoogle Scholar

19 See Engelhardt, , The Foundations of Bioethics, 2d ed., ch. 5.Google Scholar

20 See Pellegrino, Edmund D. and Thomasma, David C., A Philosophical Basis of Medical Practice (New York: Oxford University Press, 1981)Google Scholar; Pellegrino, and Thomasma, , For the Patient's Good (New York: Oxford University Press, 1988)Google Scholar; and Kass, Leon, “Regarding the End of Medicine and the Pursuit of Health,” The Public Interest, vol. 40 (Summer 1975), pp. 11–42.Google Scholar

21 Daniels, Norman, Just Health Care (New York: Cambridge University Press, 1985).CrossRefGoogle ScholarPubMed

22 Parsons, Talcott, “Definitions of Health and Illness in the Light of American Values and Social Structure,” in Patients, Physicians, and Illness, ed. Jaco, E. G. (Glencoe, IL: Free Press, 1958), pp. 165–87.Google Scholar

23 Engelhardt, H. Tristram Jr., “Clinical Problems and the Concept of Disease,” in Health, Disease, and Causal Explanations in Medicine, ed. Nordenfeit, L. and Lindahl, B. I. B. (Dordrecht: D. Reidel, 1984), pp. 27–41.CrossRefGoogle Scholar