WORLD WATCH • Working for a Sustainable Future A New Racism by Nadine Gordimer Deceptive Promises of Cures for Disease by Sarah Sexton The New Eugenics by Michael Dorsey Views from Around the World Biopirates and the Poor by Vandana Shiva What Human Genetic Modification Means for Women by Judith Levine In Defense of Nature, Human and Non-Human by Francis Fukuyama The Human Rights Perspective by Rosario Isasi The Genome as a Commons Tom Athanasiou and Marcy Darnovsky The War of Words and Images by Brian Halweil Why Environmentalists Should Be Concerned by Bill McKibben Human Engineering Timeline Excerpted from July/August 2002 WORLD WATCH magazine © 2002 Worldwatch Institute For more information about Worldwatch Institute and its programs and publications, please visit our website at www.worldwatch.org WI O R L D WAT C H N S T I T U T E 1776 Massachusetts Ave., NW Washington, DC 20036 www.worldwatch.org Nadine Gordimer A New Racism Just when we thought apartheid had been banished for good. L ast spring World Watch interviewed South African writer Nadine Gordimer on her concerns about human genetic engineering. World Watch: Last year, in Durban, you gave a speech at the U.N. conference on racism, and you suggested that human engineering could be the new face of racism. Could you elaborate? Nadine Gordimer: There are precedents for breeding that is politically manipulated. You only have to think of the Nazi German ideal, the blond blue-eyed German. There’s a very big distinction between the sort of genetic engineering that could prevent certain diseases, and the possibility of breeding a different or separate race of people. There’s always a good that can come out of it, but how do you control the evil? WW: In some of your writing, you have pointed to the possibility of a two-tiered health care system in which the rich or mostly light-skinned people have access to the new genetic medicine, while the poor, mostly dark-skinned people have not. NG: Yes. I was thinking particularly of my own country [South Africa], and I was thinking specifically of AIDS. Now, among people who have money to provide themselves with the drugs that are available to control HIV or AIDS itself, there’s a good chance to go on living. But in the poor, mostly black majority of our population, they simply cannot afford these drugs. So AIDS is a death sentence for them. WW: So, you are saying that just as the antiretroviral drugs that help treat the symptoms of AIDS are only available to a small minority, any genetic breakthrough that we are likely to see in the next few decades is likely to be similarly priced and accessible only to a few. NG: We are looking at a terrible imbalance between the rich and the poor of the world. WW: Sometimes we wonder whether scientists don’t simply do everything they can because that’s what they are driven to do. If they are able to split the atom, they will split it. If they are able to make clones, they will make them. Maybe it’s a part of our hubris that we just rush forward and build whatever we can, and inevitably we encounter consequences we haven’t foreseen. NG: There is something wonderful about the con- stant wish to discover. If you’re a writer, you are always looking for the meaning of human life; your whole writing life is a process of discovery, of solving the mystery of human nature. So I can see that if you are a scientist you have this urge to discover. But unfortunately, when you are brilliant and lucky enough to strike on something, it may be a Pandora’s box that you have opened, not the key to the world’s wisdom. I know that toward the end of his life, Alfred Nobel had many doubts about his dynamite, and what it would be used for. WW: Let’s go back to the concerns you raised with the United Nations, when you suggested that genetic engineering could lead to a “new racism.” How might a genetic racism be manifested? Do you mean that people might be manipulated to be more accepting of the political regime? NG: Or even to have memories that block out certain things. WW: Such as…? NG: Well, for instance, it’s come through the Truth Commission that there were plans to use drugs for crowd control, to make people more docile. I think it’s possible you could torture somebody and then block out the memory of that. WW: Obviously we’re not talking about one technology. As our knowledge of the genome and of neurosciences expands, it opens up a whole range of frightening scenarios—from crowd control to the drugs that Aldous Huxley talked about, which could numb a whole society. NG: Yes, I suppose we have all tried in one way or another to manipulate our consciousness—most of us with cigarettes or alcohol or music. This is a personal choice that you make, and you’re not forcing it upon other people. But if certain physical characteristics and mental attitudes can be genetically induced in some way, that becomes the superiority that leads to some people being regarded as custodians of everybody else. Nadine Gordimer received the Nobel Prize in Literature for 1991. She has honorary degrees from Yale, Harvard, Columbia, and Cambridge Universities, and the University of Cape Town and the Witwatersrand in South Africa. WORLD•WATCH July/August 2002 ✦ 17 Sarah Sexton Deceptive Promises Of Cures For Disease The great majority of the world’s diseases are caused by environmental, not genetic, conditions. A frenzied search for genetic therapies could steal resources from billions in order to serve only a few. B illions of public and private dollars are now being poured into genetic research. Even some critics of new human genetic technologies seem to concede that these massive investments may be worthwhile. The Catholic theology professor David Tracy, for example, has said that “Opponents of human cloning (as I am) cannot afford to ignore the benefits that such cloning might provide for all humankind.” His comment is easily extended to the drugs and tests that might be realized through the new technologies. But will the products of genetic research in fact be accessible to “all humankind”? Probably not, because both the public and private health services that would disseminate the new drugs and procedures make cost-benefit decisions and value judgements about who should get what treatment. Many of the groups now considered to be the biggest potential beneficiaries of genetic research, such as the elderly and the seriously ill, are left by the wayside as treatments are rationed. In contrast, however, health services and insurance companies may vigorously promote some products, such as prenatal and adult gene testing, if they believe they might save the costs of supporting people in the long term. Moreover, the increasing privatization of health care services around the world means that access to health care and medical products, including drugs and tests, is increasingly based not on need but on ability to pay, or to get health insurance. Private insurers tend ✦ 18 Sarah Sexton works with The Corner House, a UK-based research group focusing on social and environmental justice issues. She is the author of The Corner House briefing “If Cloning Is the Answer, What Was the Question? Power and Decision-Making in the Geneticisation of Health.” WORLD•WATCH July/August 2002 to select the best risks—people who tend to be healthy anyway—and to reject those who have chronic illnesses or who cannot afford the insurance. The more health care financing is based on insurance, the more it will rely on assessments of individuals’ presumed risk of ill-health—something gene testing is poised to make enormously more complicated and supposedly accurate. Even without widespread gene testing, about one in six people in the United States does not have health insurance, while millions of others are underinsured. With genetic screening becoming more widespread, that number will only grow, as more people are rejected by insurance companies or fail to keep up premium payments that will undoubtedly increase after “susceptibilities” are discovered. Just as private health services and insurers leave out people who can’t pay, biotech research leaves out the illnesses from which those people suffer. Because large numbers of the people who can’t pay suffer from tropical diseases, those diseases are largely ignored by researchers. While pneumonia, diarrhea, tuberculosis, and malaria account for more than one-fifth of the world’s disease burden, they receive less than 1 percent of the funds devoted to health research. The private sector is not inclined to put its own money into researching products for “financially non-solvent” people, which is why it requires public subsidies to do so. Public funds for health care services are also in short supply. The International Monetary Fund has compelled many debt-ridden countries to cut back their public spending on health in order to be considered eligible for loans. Those public health services that still remain in these countries have been pushed into charging their patients “user fees.” The result? People simply use medical services less—and some- cures for disease times die of easily-treatable diseases such as tuberculosis because they cannot afford the treatment. The Philippine government now spends less than 3 percent of its budget on health—and nearly 30 percent on servicing its debt. Half of all hospital beds are now private, with most costs paid by patients. The insurance system covers only one-third of the population. Just 3 percent of the World Bank’s $1.8 billion poverty alleviation program in the Philippines goes to fund health care. Of that, most is for projects related to women’s reproduction— in so many parts of the world. The incidence of just three leading killer diseases in the developing world— malaria, diarrhea, and AIDS—would drop dramatically if mosquito nets, clean water, and condoms were more accessible. Dr. Tikki Pang, Director of the Research Policy & Cooperation Department at the World Health Organization (WHO), warns that the health of Africans and Asians could actually worsen as a result of the rise of the genetic industry. While it may be reassuring to think that sequencing the genes of the parasite which causes malaria will lead to new drugs and insecticides, it is likely, as Pang notes, that “any NEW DRUGS MARKETED, 1975-1996 99 percent 1 t en rc pe Will genetic research be guided by need, or by ability to pay? The increasing privatization of health care suggests the latter. Despite the steep human and social costs of tropical disease among the world’s poor nations, barely 1 percent of new drugs marketed between 1975 and 1996 were aimed at malaria, cholera, dengue fever, or other lethal maladies of the tropics. Like pharmaceuticals, genetic technologies will be developed mainly for the affluent. Shehzad Noorani/ Peter Arnold, Inc. in effect, “population management.” The World Bank lends more money to turn the former U.S. naval base at Subic Bay into a “freeport” base for corporations such as Oriental Petroleum than it lends for Filipinos’ health. A market-based approach to health and genetic research not only drives up the costs of health care, but also distracts attention from the factors that make people ill in the first place. Spurred by the growing fascination with genes, it encourages policymakers and the public to see medicine primarily as a process of “fixing” diseased individuals, and good health as something to be bought and sold in the marketplace by individual consumers rather than as a political goal for society to work toward. More genetic research will do little or nothing to alter the conditions in which people become susceptible to many diseases. A recent proposal to research the gene for diarrhea, for example, ignores the social and economic conditions that make diarrhea a child-killer such discoveries will be patented and only developed at prices unaffordable to those who need them most.” Similarly, studies have found that many people with Parkinson’s disease have a history of exposure to pesticides, herbicides, or industrial solvents. Yet these studies have evoked little interest. Instead, media attention and legislation have been directed toward treatments such as customised individual tissue replacements via human embryo cloning. In the case of diabetes, meanwhile, the WHO projects that incidence of the disease will more than double by 2025, with up to 300 million people affected. Obviously, we cannot all suddenly be sprouting diabetes genes, and even if the new research were able to pinpoint all individuals genetically predisposed to the disease, this would do nothing to address the causes of its growing incidence. In the area of human reproduction, the new genetic economy may focus on prenatal testing—while WORLD•WATCH July/August 2002 ✦ 19 the risks of the rush ✦ 20 neglecting the link between birth defects and, say, the pesticides found in the fathers’ and mothers’ environment, water, and food. Yet studying that link could have significant benefits for public health, if not for biotech companies. European Union researchers, led by the London School of Medicine and Tropical Hygiene, recently studied women living near 23 toxic landfill sites in Britain, Denmark, France, Belgium, and Italy. They found that the risk of having a baby with a chromosomal abnormality such as Down’s increased by 40 percent for women who lived within two miles of a site. With cancer, as well, the rush to genetic solutions continues to dangerously divert public attention. A large majority of human cancers are influenced by carcinogens in workplaces, houses, air, water, and food. The overall incidence of cancer has been steadily rising in the industrialized world for the last 45 years—a rise that cannot be explained by the increasing age of populations alone. In the United States, the overall ageadjusted cancer death rate is 40 percent higher among black men than white, and 20 percent higher among black women than white. “If you are a poor woman or a black woman, your chances of contracting and dying of either breast or cervical cancer are significantly higher than for other women,” says health activist April J.Taylor, who has worked on health issues related to black women for a number of years. “Many black families live near toxic waste sites, have access to poor quality food and poor health care, and are living in immunosuppressing conditions that can cause gene mutations.” Combining new genetic research with a market approach to health thus exacerbates the racist aspects of both. In the United States, for instance, many black women have for decades been subjected to coercive sterilization or contraception on the grounds that they are “unfit” or too many or do not deserve to procreate. Whether consciously or not, the products of the new genetic research are likely to be put into the service of racist practice. Rutgers University legal scholar Dorothy Roberts points out the danger that people will come to accept black women “being forcibly implanted with Norplant or jailed because they gave birth to a child while addicted to drugs.” By the same token, Roberts suggests, tests claiming that “certain children are genetically predisposed to crime” may help justify, in the public eye, racist government programs of reproductive control. Indeed, one of the biggest concerns associated with the new genetic research is how neatly it reinforces discourses of eugenics and overpopulation. If the simple existence of 6 billion people (rather than the actions of a small but privileged minority of those people) is believed to be destroying the planet, then reducing those numbers becomes the top priority— WORLD•WATCH July/August 2002 and both consumers and policymakers will become more interested in trying to ensure that those children who are allowed to be born are as “perfect” as possible in the current society’s eyes. But who determines who shall be born and who not, and according to what criteria and what assumptions? In the nineteenth century, no one suggested that princesses of the royal families of Europe be sterilized because they were carriers of the gene for hemophilia. Rarely mentioned in discussions about the supposed benefits for all humanity of the new genetic research is the power of dominant groups to decide which diseases and conditions constitute “unacceptable” health risks, and to determine who counts as a “legitimate” mother. Most health inequalities cannot be attributed either to different genetic susceptibilities or to differences in medical care, and are only partially explained by such health-related individual behavior as smoking, drinking, diet, and exercise. They are due rather to the effects of the different social and economic circumstances in which people live, including unemployment, poverty, poor housing, and pollution. “Much more important than the small differences medicine can make in survival from cancers and heart disease are differences in the incidence of these diseases,” says British sociologist Richard Wilkinson, who has long studied health inequalities within societies. All the broad categories of causes of death in developed countries—heart disease, respiratory illness, and cancer, all of which are main targets of biotech research— are related to income distribution. “To feel depressed, cheated, bitter, desperate, vulnerable, frightened, angry, worried about debts or job and housing insecurity; to feel devalued, useless, helpless, uncared for, hopeless, isolated, anxious, and a failure…. It is the chronic stress arising from these feelings which does the damage,” says Wilkinson. Even those few conditions clearly linked to single genes often cry out not so much for more genetic research as for more attention to the environment of the sufferers. Consider sickle-cell disease. Chuck Adams, a social worker in a children’s hospital in Philadelphia who deals with the social problems faced by sickle-cell patients and their families, points out that living in a cold, abandoned building without adequate food must heavily affect those who have sicklecell disease. “They just happen to have a chronic genetic disorder,” he says, “but being poor was probably the first disorder that they had to deal with.” Genetic research is yielding what is scientifically and financially feasible, not necessarily what is needed by sick people. Health for All, not Genes ’R R Us, needs to be placed at the center of public health research, policy, and funding. Michael Dorsey The New Eugenics It used to be forced sterilization, and the experiments of Dr. Mengele. Now it’s genetic technology and the free market. The people who dream of creating a superior race are back. American Philosoph ical Soci ety O n a not too distant horizon, advances in human biotechnology may enable us to engineer the specific genetic makeup of our children. Only a few months ago, the headlinemaking Italian doctor Severino Antinori claimed to have implanted cloned embr yos in several women. We are already at the stage where we can selectively terminate our offspring if certain genetic criteria are not met. Soon it may be possible to discern, and ultimately select for or against, individual traits in our children. It is at this juncture that the promise of biotechnology runs head-on into the history and the horrors of eugenics—the quest for biological “improvement” through reproductive control. At the start of the 20th century, British scientist Francis Galton coined the term eugenics, from the Greek eugenes, for “well-born.” He later distinguished two major kinds of eugenics, positive and negative. “Positive eugenics” was preferential breeding of socalled “superior individuals” in order to improve the genetic stock of the human race. “Negative eugenics” Michael Dorsey is Thurgood Marshall Fellow in Residence at Dartmouth College in New Hampshire. He is a member of the board of directors of the Sierra Club. WORLD•WATCH July/August 2002 ✦ 21 the risks of the rush meant discouraging or legally prohibiting reproduction by individuals thought to have “inferior” genes and was to be “achieved by counseling or by sterilization, either voluntary or enforced.”1* Galton, who was Charles Darwin’s cousin, described eugenics as “the science of improving stock…to give the more suitable races a better chance of prevailing speedily over the less suitable.”2 He founded the Eugenics Society in 1907 “to spread eugenic teaching and bring human parenthood under the domination of eugenic ideals.”3 A popular social movement in support of such ideals had arisen in the late 19th century in the United States and Europe. This movement reached its zenith in the 1930s, but dissolved following World War II and the disclosure of the horrific eugenic practices of the Nazis. Nonetheless, support for the genetic control of human beings did not disappear, and public endorsement of eugenic ideals continued to surface. The 1962 Ciba Foundation conference, “Man and His Future,” is a case in point. Conference participants, including many of the leading biotechnology researchers of that time, agreed that molecular biology would allow “mankind” to master evolution. Some argued that genetic modification to encourage “positive” inherited traits could be part of a broader strategy to establish a better future for humanity.4 A 1980 report by the European Commission’s Technology Forecasting Office provides another example. The report boldly predicted: “The coming twenty to thirty years will, it is thought, see two major changes: the computerization of society (and)…the biological revolution emanating from the boom of the ‘life technologies.’…Within the relatively near future, biotechnology could be used in a number of sectors: we could control the development of the human embryo, and, perhaps within twenty years, determine its sex. We could prevent certain malfunctions.”5 Some of these forecasts have since been realized, and several have been exceeded.6 Sex determination is not only possible, but in some places it is quite popular—especially in cultures and nations where female children are “less desirable.” Prenatal diagnosis and pre-implantation diagnosis make it possible to “select” certain embryos prior to implanting them in a woman. Some scientists and philosophers consider such techniques to be an unmistakable reversion to eugenic practices. The trouble, they note, is that the logic of eugenics—the rational management of a population for some “higher end”—is a logic readily amenable to other, far more sinister projects than those envisioned by “racist” and “non-racist” eugenicists, and perhaps by proponents of the new biotechnology. The Holocaust is but one case in point. Some biotech proponents support these technolo✦ 22 * Endnotes can be found on page 43. WORLD•WATCH July/August 2002 gies because people are free to choose them or not. The state is not involved. David King, editor of the Londonbased GenEthics News, calls this the emergence of laissez-faire eugenics. Patients are given “non-directive” genetic counseling, or offered opportunities to subject themselves or their potential children to myriad genetic tests, for a host of illnesses. But as King notes, such counseling is “eugenic both in purpose and outcome, since the aim is clearly to reduce the number of births of children with congenital and genetic disorders.” In a 1997 survey published in the Journal of Contemporary Health Law and Policy, researchers found that 13 percent of English geneticists, 50 percent of Eastern and Southern European geneticists, and 100 percent of Chinese and Indian geneticists agreed with the eugenic suggestion that “an important goal of genetic counseling is to reduce the number of deleterious genes in the population.” These new methods of targeting and eliminating debilitating diseases and various forms of inherited disabilities raise some important ethical concerns. Few would argue against screening embryos for major genetic disorders like Tay Sachs disease. But accepting the logic of eugenics in one context opens the door for justifying more controversial practices: could parents begin to screen embryos for cosmetic traits like eye color? And what about inheritable genetic modification, which would force future generations to live with genetic alterations we American Ph ilosophical So ciety new eugenics determine for them? In addition, targeting and eliminating those that might be born disabled also has deleterious implications for the living. “There is a growing voice in the disability movement arguing that this (type of) genetic research and testing fosters a climate of intolerance toward people with disabilities,” according to the Canada-based Advocacy Group on Erosion, Technol- ogy, and Concentration (ETC). A 2001 industry survey in Nature listed 361 biotech firms, more than three-quarters of them based in the United States. These corporations are, by their very nature, guided by their bottom line. And yet, if financial considerations are allowed to drive the development of genetic technologies, we may see a rapid expansion of laissez-faire eugenics. Already, the industry almost exclusively aims to bolster the health and well being of those who can afford its services, in spite of using tens of millions of dollars in public monies to support basic research. And industry lobby groups work hard to discourage any and all forms of government regulation. In the aftermath of an intense lobbying effort in December 2001, the European Parliament voted overwhelmingly (316 votes to 37) against tighter restrictions on genetics and biotechnology. A global public debate on the social implications of biotechnologies for humanity is urgently overdue. But few individual governments or international agencies have stepped forward to provide leadership for such an effort, and fewer still have called for tighter controls and regulations. The World Health Organization has done little to promote international regulation of biotechnology, despite the fact that two of its four main functions are “to give worldwide guidance in the field of health” and “to develop and transfer appropriate health technology, information, and standards.” The U.N. General Assembly has embarked on a process to obtain a global ban on reproductive human cloning, but its passage is not assured. Far from halting scientific progress, as some industry groups claim, the imposition of moratoria or bans on a couple of the most dangerous new human genetic technologies could help strengthen the long-term viability of basic and biomedical research by compelling its supporters to more thoroughly consider—and more forthrightly deal with—the social and moral implications of their work. The 1927 Buck v. Bell decision (Oliver Wendell Holmes, Jr., wrote the U.S. Supreme Court opinion excerpted here) centered on Emma Buck, her daughter Carrie, and Carrie’s daughter Vivian. The first two women were labeled promiscuous, although Vivian was the outcome of Carrie’s rape; all were judged “feebleminded” and paraded as justification for Virginia’s 1924 eugenic sterilization law. One state expert testified that the Bucks were members of “the shiftless, ignorant, and worthless class of anti-social whites of the South.” Vivian Buck turned out to be an honor-roll student. More than 7,000 people were sterilized under Virginia’s program between 1924 and 1979. In May 2002 the state became the first of the 30 states that ran eugenics programs to apologize for the forced sterilizations. WORLD•WATCH July/August 2002 ✦ 23 the risks of the rush Views From Around the World Ethiopia Formally, the human genetic engineering project is expected to identify our genetic peculiarities so that our ailment particularities can be precisely targeted. But, as an African whose ancestors suffered for 500 years being targeted for slavery and being colonized, and whose natural resources are now being plundered, I find it difficult to expect peculiarities to be used positively. When I recall that the North has apologized to the Jews for the Holocaust and even through the Pope to the Arabs for the Crusades, and that only in 2001 the North refused to apologize to Africans in Africa and the Diaspora for slavery and colonialism, I find it difficult to feel so positive. Given this, do I expect the human genome project to make life easier for the sufferer of sickle cell anemia, or killing easier for the white supremacist who is now a major political force in the North? I leave you to guess the answer. Berehan Gebre Egziabher General Manager, Environmental Protection Agency, Ethiopia South Africa While for privileged people it may seem that the balance in the use of power flowing from scientific knowledge and technological achievements has been in favor of beneficence, different perceptions prevail among those who have been marginalized. Close links between science, technology, the military, money, and those with global power, and the use of power and secrecy to protect privilege, have undermined confidence that there is any significant concern for the future of the people of Africa. Soloman Benatar, M.D. South Africa ✦ 24 slaughtered preemptively. It is this potential for genocide based on genetic difference, which I have termed “genetic genocide,” that makes species-altering genetic engineering a potential weapon of mass destruction, and makes the unaccountable genetic engineer a potential bioterrorist. George J. Annas, Chair Department of Health Law, Bioethics, and Human Rights, Boston University School of Public Health Malaysia Potential abuse of technology related to reproductive cloning of human beings not only raises moral, religious, and ethical concerns but also poses risks [of] developmental and bodily abnormalities to humans. Hasmy Agam Malaysian Ambassador, United Nations India The final goal of reproductive engineering appears to be the manufacture of a human being to suit exact specifications of physical attributes, class, caste, color, and sex. Who will decide these specifications? We have already seen how sex determination has resulted in the elimination of many female fetuses. The powerless in any society will get more disempowered with the growth of such reproductive technologies. Sadhana Arya, Nivedita Menon, and Jinee Lokaneeta Saheli Women’s Resource Centre, Delhi University North America Human genetic manipulation that affects indigenous peoples is an act of war on our children. Dave Pratt, Dakota tribe United States United Kingdom Given the history of mankind, it is extremely unlikely that we will see the posthumans as equal in rights and dignity to us, or that they will see us as equals. Instead, it is most likely either that we will see them as a threat to us and thus seek to imprison or simply kill them before they kill us, [or that] the posthuman will come to see us (the garden variety human) as an inferior subspecies without human rights, to be enslaved or All the developments in and around human genomics stem from the mechanistic paradigm that still dominates western science and the global society at large…. The irony is that contemporary western science across the disciplines is rediscovering how nature is organic, dynamic, and interconnected. There are no linear causal chains linking genes and the characteristics of organisms, let alone the human condition. The dis- WORLD•WATCH July/August 2002 Vandana Shiva credited paradigm is perpetrated by a scientific establishment consciously or unconsciously serving the corporate agenda, and making even the most unethical applications seem compelling. Biopirates And the Poor Mae-Wan Ho Institute of Science in Society, London, U.K. China The main potential harm of genetic engineering is associated with artificial horizontal gene transfer experimentation. Horizontal gene transfer occurs commonly in nature. Genes can be exchanged between different bio-species. But the frequency of these natural transfers is limited by the defense systems, i.e. immune systems, of each bio-species. The immune system serves to prevent invasion by harmful foreign genes, viruses, and so forth, so that the bio-species can maintain its characteristic traits and normal metabolism. The GE method of horizontal gene transfer works by penetrating or weakening the immune system and using virulent genes as delivery vehicles. That is, the gene to be transferred is combined with a virulent gene to effect penetration. This method allows harmful virulent genes, especially those with resistance to antibiotics, to become widespread in nature…. If such virulent genes combine with the genes of harmful viruses to form new viruses, it will be disastrous for humankind. Yifei Zhu Hangzhou, Zhejiang Province, China Environmental NGOs Together with proposed techniques of inheritable gene modification, the use of cloning for reproduction would irrevocably turn human beings into artifacts. It would bring to an end the human species that evolved over the millennia through natural evolution, and set us on a new, uncontrollable trajectory of manipulation, design, and control. Brent Blackwelder, President, Friends of the Earth Mark Dubois, International Coordinator, Earth Day 2000 Randy Hayes, President, Rainforest Action Network Robert F. Kennedy Jr., President, Waterkeeper Alliance John A. Knox, Executive Director, Earth Island Institute Robert K. Musil, Executive Director, Physicians for Social Responsibility John Passacantando, Executive Director, Greenpeace USA Michele Perrault, International Vice President, Sierra Club Mark Ritchie, President, Institute for Agriculture and Trade Policy T he promise to cure disease through human genetic engineering has moved faster on Wall Street and in the media than in basic scientific knowledge of how genes work and how genetic manipulation affects whole organisms as well as their relationships with other organisms. Within a few weeks the “alphabet” of the “Book of Life” shrank from 100,000 to 30,000; this is just one indicator of the ocean of ignorance in which the island of human genetic engineering is floating. The three major concerns arising from human genetic engineering are biopiracy, the transformation of socially defined traits into biologically defined ones, and the issue of privacy. Across the world, indigenous communities are outraged at biopiracy of genes and genetic material. The recent case of collection of blood samples from the Naga tribe in northeast India is just another example of gene piracy at the human level. Such piracy can even happen in the heart of rich industrial society, as shown by the case in which University of California scientists patented the genes of a cancer patient, John Moore, without his knowledge. What is called a deficiency—mental, physical, or other—is socially defined. For example, the perverse world order of globalization dictated by commerce, greed, and profits regularly treats women, children, and poor people as inferiors. Without strong democracy and true transparency, this kind of discrimination can be used to justify human genetic manipulation, manifested in eugenics programs. Human genetic engineering also raises major issues about the erosion of privacy and handing people’s control over their own destiny to others, such as insurance companies, pharmaceutical companies, and police states, which could combine to share genetic data without the consent and participation of the persons concerned. Vandana Shiva is a physicist and environmental activist and is director of the Research Foundation for Science, Technology, and Ecology in Uttar Pradesh, India. Her books include Water Wars: Privatization, Pollution, and Profit (South End Press, 2002) and Stolen Harvest: The Hijacking of the Global Food Supply (South End Press, 2000). WORLD•WATCH July/August 2002 ✦ 25 Judith Levine What Human Genetic Modification Means For Women Supporters of the new eugenics want it framed as an issue of “choice.” But feminists know we can support abortion rights and still oppose eugenics. S educed by the medical promises of genetic science or fearful of losing reproductive autonomy, many feminists have been slow to oppose human genetic engineering. But GE is a threat to women, and in the broadest sense a feminist issue. Here’s why. If anyone should be wary of medical techniques to “improve” ordinary reproduction—as GE purports to do—it’s women. History is full of such “progress,” and its grave results. When limbless babies were born to mothers who took thalidomide, the drug was recalled. But the deadly results of another “pregnancyenhancing” drug, DES, showed up only years later, as cancer in the daughters of DES mothers. The highestrogen Pill was tested first on uninformed Puerto Rican mothers, some of whom may have died from it. Today’s fertility industry takes in $4 billion a year, even though in-vitro fertilization (IVF) succeeds in only 3 of 10 cases. Virtually unregulated and highly competitive, these fertility doctors often undertake experimental treatments. Recently, the Institute for Reproductive Medicine and Science at New Jersey’s St. Barnabas Medical Center announced the success of a new fertility “therapy” called cytoplasmic transfer, in which some of the cellular material outside the nucleus of one woman’s egg is transferred into the egg of another woman who is having difficulty sustaining embryo survival. The transferred cytoplasm contains mitochondria (organelles that produce energy for the cell), which have a small number of their own genes. So the embryo produced with cytoplasmic transfer can end up with two genetic mothers. This mixing, called “mitochondrial heteroplasmy,” can cause life-threatening symptoms that don’t show up until later in life. When the Public Broadcasting Service’s Nova enthusiastically reported on the procedure, complete with footage of its cute outcome, Katy, it mentioned no risks. Didn’t these patients give informed consent? Yes and no. Most read warnings and signed their names. But with genetic therapies there’s no such thing as “informed,” says Judy Norsigian of the Boston Women’s Health Collective, “because the risks can’t be known.” Adds biologist Ruth Hubbard, the deadliness of DES was discovered “only because it showed itself in an otherwise very rare condition. If the effects [of human genetic engineering] are delayed, and if they are not associated with a particularly unusual pathology, it could take quite a long time to find out.” Or indeed, “we might never know.” ✦ 26 Judith Levine has written on women’s issues for Ms., My Generation, New York Woman, Oxygen, and Salon, among others. She is the author of My Enemy, My Love: Women, Men, and the Dilemma of Gender (Anchor Doubleday, 1993), and Harmful to Minors: the Perils of Protecting Children From Sex (University of Minnesota Press, 2002). WORLD•WATCH July/August 2002 “PERFECTING” HUMAN GENETIC MODIFICATION WOULD REQUIRE EXPERIMENTATION ON WOMEN AND CHILDREN. Scottish biologist Ian Wilmut, the “father” of the famously first-cloned sheep Dolly, provided these sta- women The Role of North American Women Mainstream American women’s and reproductive rights organizations have been slow to understand speciesaltering technologies as their issues. This hasn’t been true in Europe and the global South, or among indigenous women in North America. In 1992, for instance, European Green Party women discovered a patent application from a U.S. biotech company for a process to synthesize nonhuman “biological active agents” in human mammary glands, from which they’d be secreted in milk and transmitted to nursing infants. To dramatize the commodification of women that lurked in this idea, the women’s propaganda featured the image of a pregnant belly with a bar code emblazoned across it. It was one of the first feminist campaigns against patenting a life form, and it was successful. But if such success is to have any chance of being parlayed into a comprehensive global ban, given the aggressive rush of U.S. industry toward this lucrative new trade, more active intervention will be needed from Americans—and especially from American women. When proposals to ban human cloning were introduced in the U.S. House of Representatives a year ago, progressive opponents of genetic engineering were only partly pleased. The problem was, the legislation did not come from other progressives, or their friends. Rather, the bills were all sponsored by hard-right Republicans like Florida Congressman David Weldon and Pennsylvania’s James Greenwood, and the bills’ loudest supporters were anti-abortion fundamentalists. This demanded fast and tricky politicking. The sponsors’ sympathies, showing more tenderness toward blastocysts than toward living women and children, made pro-choice representatives want to run in the other direction. “The problem with the Weldon bill was Dave Weldon,” said Judy Norsigian, executive director of the Boston Women’s Health Collective, after lobbying the House on behalf of that bill. The press fanned moderates’ misgivings by characterizing the debate as one of science versus religion, or of medical progress versus Luddite alarmism. Last summer, U.S. feminists began to catch up. More than 100 groups and individuals—from the National Women’s Health Network to the National Latina Health Organization, and from disability rights feminist Adrienne Asch to anti-globalization activist Naomi Klein—signed the Boston Women’s Health Collective petition supporting a ban on reproductive cloning and a moratorium on embryo cloning. The leadership of the Health Collective’s executive director was emblematic as well as real: as the prospect of human genetic engineering looms, the title of the feminist classic her group wrote—Our Bodies, Ourselves—assumes more urgent meaning. tistics in 2001: Of the 31,007 sheep, mice, pig, and other mammal eggs that had undergone somatic cell nuclear transfer (cloning), 9,391 viable embryos resulted. From those embryos came 267 live-born offspring. In these animals, The New York Times reported, “random errors” were ubiquitous—including fatal heart and lung defects, malfunctioning immune systems, and grotesque obesity. In all, “fewer than 3 percent of all cloning efforts succeed.” Dolly may be a victim of accelerated aging, another problem in cloned animals. In January, it was reported that she has arthritis, at the unusually early age of five and a half. Mothers of clones are endangered too, since their bodies have trouble supporting the abnormally large fetuses Valhalla, is that if it works on a mouse, it is likely not to work on a woman: “Every species presents a new set of problems.” How might the process be perfected in humans? In clinical trials? “The degree of risk to be taken should never exceed that determined by the humanitarian importance of the problem to be solved by the experiment,” reads the Nuremburg Code, drawn up after World War II to forbid future torturous experiments of the sort Nazi “scientists” inflicted on concentration-camp inmates. What is the humanitarian importance of creating a faster 100-meter sprinter? Or even curing a disease with genetic engineering when other options are still untried? The science to find “safe” means of that cloning often produces. It’s likely that scientists will get better at cloning animals, and at the more complex procedures required to produce inheritable genetic alterations. Then, as health activists quip, if it works on a mouse, they will try it on a woman. The problem, warns Stuart Newman, a cell biologist at New York Medical College in human GE, says Newman, would constitute “an entirely experimental enterprise with little justification.” In other words, “We can’t get there from here.” WE ARE NOT OUR GENES. When the Human Genome Project finished its map of our DNA, its press releases called it the “blueprint” of WORLD•WATCH July/August 2002 ✦ 27 the risks of the rush humanity, the very Book of Life. The newspapers had already been filling up with reports of the discovery of a “gene for” breast cancer, and a “gene for” gayness. Many people had begun to believe our genes determine who we become. This line of thinking should sound familiar to women. Not long ago, we were told that hormones, not sexism, explained why there has never been a U.S. female president (she might start a nuclear war in a fit of PMS). A decade after that came the notion that gender is “hard-wired” into the brain. Not incidentally, these claims were made just when social movements were proving Simone de Beauvoir’s adage that women are not born but made. Now the old determinism is raising its ugly head once again, with genetics. As “non-traditional” families finally bring legitimacy to social parenting, proponents of inheritable genetic modification tell us not only that we can pre-determine the natures of our children, but that cloning is the only means by which gays and lesbians can become real parents. “Real” parental ties, they imply, are biological, genetic. “Genetic determinism” is not biologically accurate. “It is very unlikely that a simple and directly causal link between genes and most common diseases will ever be found,” writes Richard Horton, editor of the British medical journal The Lancet. If this is true of disease, it is even more true of musicality, optimism, or sexual orientation. The more complex a trait, the less useful genetics are to explain it. Hubbard writes, “The lens of genetics really is one of the narrowest foci to define our biology, not to mention what our social being is about.” GENETIC MODIFICATION IS NOT A REPRODUCTIVE “CHOICE.” For feminists, one of the most galling aspects of the debate about human genetic manipulation is the way its proponents have hijacked the language of “choice” to sell its products. IVF clinics and biotech research shouldn’t be regulated, say the companies that run them, because that would impinge on “choice” (for ✦ 28 Thousands of cloning experiments on mammals have yielded these results so far: for every 3.3 cloned eggs, 1 viable embryo, and for every 35 viable embryos, 1 live-born offspring. Ratio of eggs to live offspring: about 116 to 1. Most of the offspring suffered from grave defects. To get better at cloning will require much more experimentation. To get good at cloning humans, or performing other genetic operations on them, will require experimenting on women, men, and children—and accepting the inevitable failures. WORLD•WATCH July/August 2002 the paying customers, if not for their unsuspecting offspring). The Book of Life is becoming a “catalogue” of “consumer eugenics,” says sociologist Barbara Katz Rothman. Some ethicists, too, have posited a reproductive “right” to prenatal baby design. People decide whether or not to reproduce based on an expected “package of experiences,” wrote John Robertson, an influential bioethicist, in 1998. “Since the makeup of the packet will determine whether or not they reproduce…some right to choose characteristics, either by negative exclusion or positive selection, should follow as well.” Already, selective abortion is widely accepted after prenatal genetic screening uncovers an “anomaly.” Although some (notably disability rights activists) critique such “negative eugenics,” many people accept this practice for serious medical conditions. In any case, selecting from among a small number of embryos is a far cry from rearranging the DNA of a future child to achieve some preferred traits. What feminists mean by “choice”—the ability to control fertility with safe and legal birth control and abortion—is far more concrete. It confers existential equality on the female half of the human race, which is why women worldwide have sought it for centuries. But genetic engineering designs in inequality: it will artificially confer heritable advantages only on those who can afford to buy them. Performed prenatally, moreover, it affects the new person without that person’s prior consent and possibly to her physical or emotional detriment. “Ending an unwanted pregnancy is apples, and mucking around with genes is oranges,” says Marcy Darnovsky of the Center for Genetics and Society. “We support abortion rights because we support a right to not have a child—or to have one. But we don’t support a woman’s right to do anything to that child once it’s alive, like abuse it or kill it.” Ironically, as Lisa Handwerker of the National Women’s Health Network has pointed out, anti-choice, anti-GE forces share with GE’s proponents an obsessive focus on the embryo as an independent entity, while they both virtually ignore the pregnant woman and the child she may bear. BANS ON DANGEROUS GENETIC TECHNOLOGIES DO NOT GIVE FETUSES “RIGHTS.” Some choice advocates fear that any perceived concern about embryos will cede territory to anti-abortionists, women who want full legal protection of embryos and fetuses. U.S. Congressman Henry Waxman reflected this confusion when he said at a Congressional hearing, “I do not believe that the Congress should prohibit potentially life-saving research on genetic cell replication because it accords a cell—a special cell, but only a cell—the same rights and protections as a person.” But pro-choice opponents of cloning do not propose to give cells rights. Rather, we worry that cloned embryos might be implanted by unscrupulous fertility entrepreneurs into desperate women, where they’ll grow into cloned humans. And from cloning, it is not a big step to designing children. For legal, political, and philosophical reasons, University of Chicago medical ethicist Mary Mahowald proposes clarifying the pro-choice position. “It does feminist support for abortion no good to confuse life with personhood,” she told me. “We can admit that the embryo is life and therefore afford it respect—the respect, for instance, of not exchanging its genes with those of another cell. But respecting life is not the same as granting rights. Rights are reserved for living persons.” INDIVIDUAL FREEDOM MUST BE BALANCED WITH SOCIAL JUSTICE. “We’re against bans,” said a member of a coalition of mainstream reproductive-rights groups, explaining why the coalition was reluctant to join a campaign against human cloning. This reaction is not surprising in the United States, where defense of personal freedom can often trump the public interest. Women’s liberation means more than personal freedom, though. Rooted in the Left, feminism is a critique of all kinds of domination and therefore a vision of an egalitarian world—racially and economically, as well as sexually. In the case of species-altering procedures, social justice must prevail over individual “choice.” Arguing for an international ban on reproductive cloning and regulation of related research, Patricia Baird, chair of Canada’s Royal Commission on New Reproductive Technologies, put it this way: “The framework of individual autonomy and reproductive choice is dangerously incomplete, because it leaves out the effects on others and on social systems, and the effects on the child and future generations.” The good news is that good public policy protects individuals too. Baird offered the example of overfishing, which might benefit the fisherman in the short run but deplete the fishery for everyone, including that fisherman, in the long run. Regulation sustains his and his children’s livelihoods. “We all have a stake in the kind of community we live in,” Baird said. FEMINISTS CAN WORK ALONGSIDE ANTI-ABORTION CONSERVATIVES AGAINST SPECIES-ALTERING PROCEDURES. “We are repelled by the prospect of cloning human beings…because we intuit and we feel, immediately and without argument, the violation of things that we rightfully hold dear,” wrote Leon Kass, conservative social critic and chair of President Bush’s committee to investigate stem-cell research. Not every feminist holds dear what Kass holds dear: the “sanctity” of the family based in God-given, “natural” forms of reproduction. Still, Kass sat beside Judy Norsigian and Stuart Newman to testify before the U.S. Congress against cloning. The genetic engineering debate has made strange bedfellows. But it has also rearranged the political definitions that made those bedfellows strangers. “Social conservatives believe [genetic engineering] is playing God and therefore unethical, while anti-biotech activists [of the Left] see it as the first step into a brave new world divided by biological castes,” writes social critic Jeremy Rifkin. “Both oppose the emergence of a commercial eugenics civilization.” Others suggest that the new political landscape divides differently, between libertarians and communitarians. Whether of the Left or the Right, the former would support an individual right to choose just about any intervention on one’s own body or one’s offspring, whereas the latter esteem public health and social equality and would reject those interventions, including GE, that endanger them. Choice activists may at first be surprised when they find that their anti-cloning and anti-eugenics sentiments are shared by opponents of reproductive rights. But passionate arguments for the same position from historically sworn enemies can only make a legislator, or any citizen, listen up. Feminists need sacrifice no part of the defense of women’s reproductive autonomy when we champion health and social justice for the future human community. WORLD•WATCH July/August 2002 ✦ 29 Francis Fukuyama In Defense of Nature, Human and Non-Human If the problem of unintended consequences is severe in the case of non-human ecosystems, it will be far worse in the realm of human genetics. GMOs are ultimately only an opening shot in a larger revolution. P eople who have not been paying close attention to the debate on human biotechnology might think that the chief issue in this debate is about abortion, since the most outspoken opponents of cloning to date have been right-to-lifers who oppose the destruction of embryos. But there are important reasons why cloning and the genetic technologies that will follow upon it should be of concern to all people, religious or secular, and above all to those who are concerned with protecting the natural environment. For the attempt to master human nature through biotechnology will be even more dangerous and consequential than the efforts of industrial societies to master non-human nature through earlier generations of technology. If there is one thing that the environmental movement has taught us in the past couple of generations, it is that nature is a complex whole. The different parts of an ecosystem are mutually interdependent in ways that we often fail to understand; human efforts to manipulate certain parts of it will produce a host of unintended consequences that will come back to haunt us. Watching one of the movies made in the 1930s about the construction of Hoover Dam or the Tennessee Valley Authority is today a strange experience: the films are at the same time naïve and vaguely Stalinist, celebrating the human conquest of nature and ✦ 30 Francis Fukuyama is Bernard Schwartz Professor of International Political Economy at The Johns Hopkins University School of Advanced International Studies. He is the author of The End of History (Free Press, 1992), and Our Posthuman Future: Consequences of the Biotechnology Revolution (Farrar, Straus, and Giroux, 2002). boasting of the replacement of natural spaces with steel, concrete, and electricity. This victory over nature was short-lived: in the past generation, no developed country has undertaken a new large hydroelectric project, precisely because we now understand the devastating ecological and social conNUMBER OF GENES sequences that such Whatever the measure of undertakings proman is, it’s not the sheer duce. Indeed, the number of genes. Before environmental movethe human genome was ment has been active decoded, biologists in trying to persuade expected the gene total to China to desist from reach 100,000. In fact, a pursuing the enormously destructive Three Gorges Dam. If the problem of unintended consequences is severe in the case of nonhuman ecosystems, it will be far worse in the realm of human Fruit fly genetics. The human genome has in fact been likened to an ecosystem in the complex way that genes interact and influence one another. It is now estimated that there are only about 30,000 genes in the human genome, far fewer than the 100,000 © Taina Litwak WORLD•WATCH July/August 2002 in defense of nature believed to exist until recently. This is not terribly many more than the 14,000 in a fruitfly or the 19,000 in a nematode, and indicates that many higher human capabilities and behaviors are controlled by the complex interworking of multiple genes. A single gene will have multiple effects, while in other cases several genes need to work together to produce a single effect, along causal pathways that will be extremely difficult to untangle. The first targets of genetic therapy will be relatively simple single gene disorders like Huntington’s disease or Tay Sachs disease. Many geneticists believe that the genetic causality of higher-order behaviors and characteristics like personality, intelligence, or even height is so complex that we will never be able to manipulate it. But this is precisely where the danger lies: we will be constantly tempted to think that we understand this causality better than we really do, and will face even nastier surprises than we did when we tried to conquer the non-human natural environment. In this case, the victim of a failed experiment will not be an ecosystem, but a human child whose parents, seeking to give her greater intelligence, will saddle her with a greater propensity for cancer, or prolonged human has only about 30,000 (the same as a mouse). And a rice plant has even more genes than a human (about 40,000). Our genes help make us human, but their numbers are not the whole story. Genes per organism Plant-parasitic nematode debility in old age, or some other completely unexpected side effect that may emerge only after the experimenters have passed from the scene. Listening to people in the biotech industry talk about the opportunities opening up with the completion of the sequencing of the human genome is eerily like watching those propaganda films about Hoover Dam: there is a hubristic confidence that biotechnology and scientific cleverness will correct the defects of human nature, abolish disease, and perhaps even allow human beings to achieve immortality some day. We will come out the other end a superior species because we understand how imperfect and limited our nature is. I believe that human beings are, to an even greater degree than ecosystems, complex, coherent natural wholes, whose evolutionary provenance we do not even begin to understand. More than that, we possess human rights because of that specifically human nature: as Thomas Jefferson said at the end of his life, Americans enjoy equal political rights because nature has not arranged for certain human beings to be born with saddles on their backs, ready to be ridden by their betters. A biotechnology that seeks to manipulate human nature not only risks unforeseen consequences, but can undermine the very basis of equal Rendering of man from democratic rights as well. plaque on Pioneer 10, first man-made object to escape So how do we defend human the solar system nature? The tools are essentially 30,000 the same as in the case of protecting non-human nature: we try to shape norms through discussion and dialogue, and we use the power of the state to regulate the way in which technology is developed and deployed by the private sector and the scientific research 20,000 community. Biomedicine is, of course, heavily regulated today, but there are huge gaps in the jurisdiction of those federal agencies with authority over biotechnology. The U.S. Food and Drug Administration can only regulate food, drugs, and medical products 10,000 on the basis of safety and efficacy. It is enjoined from making decisions on the basis of ethical considerations, and it has weak to nonexistent jurisdiction over medical procedures like cloning, preimplantation genetic diagnosis (where embryos are screened for genetic characteristics before being 0 Courtesy USDA and Florida Department of Agriculture Courtesy NASA WORLD•WATCH July/August 2002 ✦ 31 the risks of the rush implanted in a womb), and germline engineering (where an embryo’s genes are manipulated in ways that are inherited by future generations). The National Institutes of Health (NIH) make numerous rules covering human experimentation and other aspects of scientific research, but their authority extends only to federally funded research and leaves unregulated the private biotech industry. The latter, in U.S. biotech firms alone, spends over $10 billion annually on research, and employs some 150,000 people. Other countries are striving to put legislation in place to regulate human biotechnology. One of the oldest legislative arrangements is that of Britain, which established the Human Fertilisation and Embryology Agency more than ten years ago to regulate experimentation with embryos. Twenty-four countries have banned reproductive cloning, including Germany, France, India, Japan, Argentina, Brazil, South Africa, and the United Kingdom. In 1998, the Council of Europe approved an Additional Protocol to its Convention on Human Rights and Dignity With Regard to Biomedicine banning human reproductive cloning, a document that has been signed by 24 of the council’s 43 member states. Germany and France have proposed that the United Nations draft a global convention to ban reproductive cloning. One of the early efforts to police a specific genetic technology, recombinant DNA experiments, was the 1975 Asilomar Conference in California, which led to the establishment under the NIH of the Recombinant DNA Advisory Committee (RAC). The RAC was supposed to approve all recombinant experiments in which genes of different individuals and sometimes species were spliced together, initially in agricultural biotechnology and later in areas like human gene therapy. A conference held in 2000 on the 25th anniversary of Asilomar led to a general consensus that, whatever the virtues of the RAC a generation ago, it had outlived its usefulness. The RAC has no enforcement powers, does not oversee the private sector, and does not have the institutional capability to even monitor effectively what is happening in the U.S. biotech industry, much less globally. Clearly, new regulatory institutions are needed to deal with the upcoming generation of new biotechnologies. Anyone who feels strongly about defending nonhuman nature from technological manipulation should feel equally strongly about defending human nature as well. In Europe, the environmental movement is more firmly opposed to biotechnology than is its counterpart in the United States, and has managed to stop the proliferation of genetically modified foods there dead in its tracks. But genetically modified organisms are ultimately only an opening shot in a longer revolution, and far less consequential than the human biotechnologies now coming on line. Some people believe that, given the depredations of humans on non-human nature, the latter deserves more vigilant protection. But in the end, they are part of the same whole. Altering the genes of plants affects only what we eat and grow; altering our own genes affects who we are. Nature—both the natural environment around us, and our own—deserves an approach based on respect and stewardship, not domination and mastery. Rosario Isasi The Human Rights Perspective G enetic engineering could be used to “enhance” human beings, to make them healthier, smarter, more athletic and attractive—and probably also taller, thinner, and lighter-skinned. Advocates enthusiastically champion a disease- and suffering-free human being, perhaps even an immortal one. But in this scenario, markets will supersede human rights, supply and demand will determine the value of each person, and economics will dictate which traits should be adopted. ✦ 32 Rosario Isasi is from Peru and is a health-law fellow at the Boston University School of Public Health. WORLD•WATCH July/August 2002 Conditioning lives by manipulating individuals’ genes for the sake of parental ambition contradicts the very notion of autonomy. Genetic engineering also assaults human dignity and universal human rights and runs counter to democratic ideals. In 1997 UNESCO unanimously adopted the Universal Declaration on the Human Genome and Human Rights, which reaffirms the fundamental principles enshrined in the International Bill of Human Rights: “The human genome underlies the fundamental unity of all members of the human family, as well as the recognition of their inherent dignity and diversity…. It is the heritage of humanity.” Tom Athanasiou and Marcy Darnovsky The Genome as a Commons Through all the trials and tribulations of human history, what binds us in the end is our common humanity. T he atmosphere. The oceans and fresh waters. The land itself, and the fruits and grains our forebears bred and cultivated upon it. The broadcast spectrum. The attention spans of our children. Does such a list adequately evoke “the commons,” and the stakes we face in trying to save it—both for itself and as the foundation of our common future? Or must we add yet another, more shocking example? Perhaps we must put the human genome itself on this endangered commons list, and note that if this genetic commons too is lost to partition and privatization, if it too becomes the privilege of the affluent, then none of us on either side of the divide can be sure of retaining the “humanity” we like to think we’ve achieved. The biotech boosters, of course, don’t see things this way. Many of them insist that any conceivable application of human genetic engineering is essential to medical progress, and that the possibilities, no matter how speculative, trump all other considerations. Thus they shrug off the likely outcome of embryo cloning—that it will sooner or later lead to reproductive cloning, and then jump-start both the technologies and justifications of inheritable genetic modification. Some of them are even enthusiastically promoting “designer babies” and “post-humans” as the next new things.1* Indeed, the techno-eugenic hard school is now promising that, within a generation, “enhanced” babies will be born with increased resistance to dis* Endnotes can be found on page 43. eases, optimized height and weight, and increased intelligence. Farther off, but within the lifetimes of today’s children, they foresee the ability to adjust personality, design new body forms, extend life expectancy, and endow hyper-intelligence. Some actually predict splicing traits from other species into human children: in late 1999, for example, a Ted Koppel/ABC Nightline special on cloning speculated that genetic engineers will eventually design children with “night vision from an owl” and “supersensitive hearing cloned from a dog.” There are dark portents here in profusion, and many of them will seem familiar to environmentalists. But consider first the fundamental point: our patently inadequate ability to protect the resources of the global commons, to do them justice, to make them (in reality as well as in United Nations rhetoric) “the common heritage of humankind.” Consider, through this lens, the likely fate of the human genome—the script which unites us as a biological species—as it too goes on the auction block. And attend to this chilling bit of futurology from Lee Silver, a Princeton professor and self-appointed champion of the new techno-eugenics: Tom Athanasiou is the author of Divided Planet: The Ecology of Rich and Poor (Little, Brown, 1996). Marcy Darnovsky is Associate Executive Director of the Center for Genetics and Society, and was editor (with Barbara Epstein and Richard Flacks) of Cultural Politics and Social Movements (Temple University Press, 1995). WORLD•WATCH July/August 2002 ✦ 33 the risks of the rush ✦ 34 “[In a few hundred years] the GenRich—who account for 10 percent of the American population— [will] all carry synthetic genes…. All aspects of the economy, the media, the entertainment industry, and the knowledge industry [will be] controlled by members of the GenRich class…. Naturals [will] work as low-paid service providers or as laborers…. [Eventually] the GenRich class and the Natural class will become…entirely separate species with no ability to crossbreed, and with as much romantic interest in each other as a current human would have for a chimpanzee.”2 Silver’s predictions, in case this isn’t clear, are not voiced in opposition to a eugenically engineered future. Here and elsewhere, his tone alternates between frank advocacy of a new market-based eugenics and disengaged acceptance of its inevitability. Is such a future likely? We hope not, and we take some comfort in the possibility that scenarios like these may long remain beyond technical reach. Notwithstanding the fleshand-blood accomplishments of genetic scientists—glow-inthe-dark rabbits and goats that lactate spider silk—artificial genes and chromosomes may never work as reliably as advertised. Transgenic designer babies may be too riddled with unpredictability or malfunction to ever become a popular option. Still, both the technological drift and the strength of ideological feeling among proponents compel us to take the prospect of a techno-eugenic future seriously. Some surprisingly influential figures—including controversial celebrities like Nobel laureate James Watson and philosopher-provocateur Peter Singer, as well as mainstream academicians like Daniel Koshland of U.C. Berkeley and John Robertson of the University of Texas—are publicly endorsing visions similar to Silver’s. These boosters frankly acknowledge that designerbaby techniques would be very expensive and that most cloned or genetically “enhanced” children would be born to the well-off. They concede that the technologies of human genetic redesign would therefore significantly exacerbate socio-economic inequality, and they speculate about a future in which a genetic elite acquires the attributes of a separate species. But they WORLD•WATCH July/August 2002 do not find in any of these possibilities reason to forego eugenic engineering. In Children of Choice, for example, John Robertson writes that genetic enhancements for the affluent are “simply another instance in which wealth gives advantages.”3 So ask not if the techno-eugenic agenda will come true anytime soon. Ask instead why it’s getting so much air time, and why Silver and the others have not been taken even mildly to task, either by their scientific colleagues or by liberal and progressive intellectuals who might be expected to muster a bit of angst over such crass eugenic visions. And they are crass. Note the coarse neoliberalism that underlies Silver’s certainty about the eugenic future: “There is no doubt about it,” he writes, “whether we like it or not, the global marketplace will reign supreme.”4 Moreover: “If the cost of reprogenetic technology follows the downward path taken by other advanced technologies like computers and electronics, it could become affordable to the majority of members of the middle class in Western societies…. And the already wide gap between wealthy and poor nations could widen further and further with each generation until all common heritage is gone. A severed humanity could very well be the ultimate legacy of unfettered global capitalism.” 5 The techno-eugenic vision carries with it a deep ideological message. It urges us, in case we still harbor vague dreams of human equality and solidarity, to get over them. It tells us that science, once (and sometimes still) the instrument of enlightenment and emancipation, may bequeath us instead a world in which class divisions harden into genetic castes, and that there’s not a damn thing we can do about it. The story of an “enhanced” humanity panders to some of the least attractive tendencies of our time: techno-scientific curiosity unbounded by care for social consequence, economic culture in which we cannot draw lines of any kind, hopes for our children wrought into consumerism, and deep denial of our own mortality. This last theme, the one that brings our life expectancies and bodily functions to center stage, is a powerful one. Its driver is medical biotech, and the commons market niche for it is clearly waiting: all those aging boomers now avidly dropping Viagra and DHEA and Human Growth Hormone are the natural constituency of the techno-eugenicists. Tell them that they’ll live longer, and they’ll follow you anywhere. As James Watson put it in a conversation about how to convince the public that eugenic manipulation of future children is acceptable, “We can talk principles forever, but what the public actually wants is not to be sick. And if we help them not be sick they’ll be on our side.”6 Watson, unfortunately, is tuned to the zeitgeist of the welloff and the wellfunded. Those of us disinclined to embrace eugenic engineering will have to work harder to be heard above the din of wildly exaggerated biomedical claims. It won’t be easy, but the bottom line is clear enough: we have to distinguish genetic techniques that are plausible and appropriate from those that are likely to be unsafe, ineffective, unjust, and pernicious. The history of environmentalism is instructive here. Advocates of ecological sanity have for decades expended oceans of sweat and tears to show the need for caution in the face of powerful new technologies— nuclear power plants, large dams, Green Revolutions. To be sure, the precautionary principle is generally swatted aside by powerful political and economic interests, but many people, and a few courageous policy makers, have accepted its key assumption: that technologies shape lives and societies and thus are appropriate matters for both careful forethought and democratic oversight. This elementary precautionary lesson, however, is seldom applied to medical technologies. Even those desensitized to the sirens’ song of triumphant technical progress may find themselves dreaming of new therapies, fountains of youth, and genetically enhanced memories. We may nurse, if only in the backs of our minds, the comforting assurance that this is all moving too quickly to be stopped. The near-exemption of biomedical technologies from the principles of precaution may help explain the sudden emergence of embryo cloning as a national issue and the Alice-in-Wonderland quality of the debate about it: the out-on-a-limb promises of nearterm cures (would that Christopher Reeve, a spokesman for therapeutic cloning, could be Superman again); the overblown claims of research breakthroughs (those cloned human embryos? Actually, they stopped dividing at six cells); the loose talk of treating millions of sufferers with “therapeutic” cloning (after, of course, finding the women to “donate” millions of eggs). Biomedicine’s dispensation from the precautionary principle may also shed light on another oddity. Pundits in the United States, noting that both pro-choice liberals and conservatives are now voicing caution about embryo cloning, are suddenly fixated on the “strange bedfellows” that make up the anti-cloning lobby. Yet they’ve entirely overlooked the more disturbing lapses that still characterize so much of the liberal/progressive reaction to the prospect of unrestricted human biotechnology. What, for example, are we to make of a recent comment (made in an off-the-record meeting of a national progressive organization) that “we don’t ban things—bad guys ban things”? What about ozonedepleting chemicals, above-ground nuclear testing, and medical experimentation on inadequately informed women in the global South? And what of a new eugenics based on high-tech reproduction, consumer preferences, and market dynamics? If we don’t ban these things, who will? And what are we to think when a columnist in an intelligent liberal journal like The American Prospect opines that “humans are part of the natural world and all their activities, science, cloning, and otherwise, are therefore hardly unnatural, even if they may be unprecedented.”7 Surely environmentalists have been adequately warned against the naturalistic fallacy and are well aware that appeals to “Nature” can be made to justify anything. So aren’t we entitled to a similar level of sophistication from those inclined to see “Luddites” behind every bioengineered bush? Surely even liberals who staunchly maintain their faith in the onward march of science can see the political dangers WORLD•WATCH July/August 2002 ✦ 35 of conflating categories, of erasing the difference between the products of millions of years of evolution and the products of commerce and fashion. When liberals throw in their lot with libertarians, there is danger near. The tension between personal liberty and social justice is a necessary one, and should not be collapsed into uncritical support for individual (or corporate!) rights. Commitments to solidarity and fairness must not be allowed to wither and die. The right to terminate an unwanted pregnancy is very different than the “right” to modify the genetic makeup of future children. Biomedical researchers and fertility doctors have no “right” to develop species-altering technologies in their petri dishes. And despite the eagerness of venture capitalists and the willingness of the patent office, they certainly have no “right” to send them out into the world. Which brings us back to the rich and the poor, and their respective claims on the various global commons. Any serious vision of the future must address this issue, and clearly. Remember Aldous Huxley’s Brave New World ? It was, first of all, a world of caste. All the rest—the meaningless drug-optimized sex, the soma, the feelies, even the bottled babies—was secondary, just more bricks in the wall. The emerging human genetic and reproductive technologies are a turning point. Unless we harness our moral intelligence and political will to shape them, they will conform to the existing social divides and to the inadequacies of our democracy, and they will exacerbate both. Until the designer babies and “posthumans” begin to populate the planet, until we allow inequality to be inscribed in the human genome, we’re all in this together. Frank Moore, Digital Divide, 2000, gouache, oil and mixed media on paper, 19 1/2 x 24 1/4" (49.5 x 61.6 cm), SW 01127. Courtesy of the estate of the artist and Sperone Westwater, New York. THE ART OF FRANK MOORE ✦ 36 “The human genome project, cloning, stem-cell research are all amazing and exciting—and fraught with danger,” said painter, AIDS activist, and naturalist Frank Moore in an interview only weeks before his death in April 2002. “They are marred by the same negative motivations that often plague WORLD•WATCH July/August 2002 human activities, but also ennobled by the higher motivations that accompany human enterprise.” Moore lived with the HIV virus for nearly two decades, and was acutely aware that his life depended on scientifically engineered medications. And yet many of his works explicitly confront the threats posed by new technologies, including genetic engineering. Brian Halweil The War of Words and Images Some of civilization’s most powerful art has sprung from humanity’s most anguishing crises, and the pending crisis of human genetic modification is no exception. I nvestment analysts are raving about a company on the verge of going public. This firm (whose name cannot yet be released) plans to help other companies improve the ability of their employees to work long hours, help employees better conform physically and mentally to their workstations, and even reduce the desire of employees to go home and spend time with their families. The firm draws its inspiration from Fredrick Taylor, a contemporary of Henry Ford, whose principles of “scientific management” helped justify the modern assembly line as a way to maximize the efficiency of the workforce. The firm’s humble slogan is “We think of things that Mother Nature never could.” Interest in the company’s ser vices has intensified since the recent announcement of several other of the company’s planned projects: engineering people who have irresistible cravings for certain food products, and people who are strongly attracted to the corridors of malls. If you find this company’s plans disturbing, you might draw some reassurance from the fact that the company does not yet exist, except in the minds of an anonymous collaborative of guerrilla artists who go by the name ®™Ark. Several years ago, the group produced a 30-minute promotional Microsoft powerpoint presentation of their fictitious firm—complete with multi-color graphics of projected profits—as part of “Paradise Now,” a collection of artists’ renditions of the biotech future which first opened two years ago at Exit Art in SoHo, New York. The ®™Ark presentation left me wondering: are there any laws preventing such a company—once its product is technically viable—from going right into business? If this kind of engineering has already become routine to help farm animals conform to the harsh conditions of a feedlot (it has), why not help humans conform to their stressful 9-to-5 lives? “Art can be seen as a social laboratory,” says Eduardo Kac, a Brazilian-born artist whose work was shown in the exhibit. One installation, for example, suggested what a made-to-order baby company might look like. Another offered brochures for Gene Genies Worldwide, a company which, as the artists envisioned it, planned to harvest and collect the genes of the world’s most creative individuals—the likes of physicist Stephen Hawking, architect I.M. Pei, author Michael Crichton. As I studied this piece while looking over the shoulders of an elderly couple, the husband turned to his wife and whispered in a strong Brooklyn accent, “It’s just like Hitler.” It was unlikely, of course, that the couple had gained whatever they knew about biotechnology from reading scientific papers or having discussions with experts. If they were like most people, they’d gotten most of their information about the subject from mass entertainment. For at least the past several years, movies, TV shows, novels, and other forms of popular culture had been integrating biotech themes into their stories with growing frequency. For millions, such once-fantastic phenomena as cyborgs, clones, bionic powers, and biowarfare have become as familiar as popcorn. “Dark Angel,” for example, is a current TV action drama featuring a transgenic, crime-fighting heroine Brian Halweil is a research associate at the Worldwatch Institute, where he studies the ecological and social impacts of biotechnology. His writing has appeared in The Christian Science Monitor, The New York Times, The Los Angeles Times, The International Herald Tribune, Orion, and World Watch, and he was coauthor of State of the World 2002. WORLD•WATCH July/August 2002 ✦ 37 the risks of the rush ✦ 38 named Max. It takes place in “a time not so far from now” in a Blade Runner-esque United States rocked by “terrorist attack.” Max, an escapee from a secret government lab that makes genetically engineered soldiers, is continually pursued by her creators, who are in turn preoccupied with keeping quiet government efforts to grow souped-up soldiers in test tubes. The show’s writers and producers don’t attempt to address serious ethical issues associated with genetically engineered humans, such as would be posed by the capability of biotechnology to transform the way we fight wars. (The Sunshine Project, an international organization exploring the dangers of new types of warfare stemming from advances in biotechnology, documents just a few of the potential biotech applications already being considered by First World militaries, including enhancing the abilities of soldiers to withstand sleep deprivation, thirst, hunger, and other forms of stress; using sophisticated neuro-pharmacology to develop “calmatives” and “malodorants” for use in crowd control or to incapacitate enemy forces; and developing novel bioweapons.) Millions of people, we can presume, have gotten their first exposure to the concept of genetically engineered people through this show. Jessica Alba, who plays Max, was named one of the “25 Hottest Stars Under 25” by Teen People, and the show is attracting teen audiences around the world. Before long, any ethical quandaries raised by the prospect of transgenics like Max may be moot. Transgenics will simply be “cool.” (“Cool” was one of the common refrains— along with “gross,” “yuck,” “scary,” and “no way!”— I heard from my fellow spectators as I navigated the corridors of “Paradise Now.”) It would be unrealistic to expect popular culture to offer serious criticism of something as momentous and complex as the biological alterations of humans—yet the premises featured in sit-coms and movie dramas are easily interpreted as reality. As the gap between science fiction and fact narrows, we are caught up in a whirlwind of new discovery that obscures many of the implications of the new genetic technologies. Only a year ago, for example, a new movie called “The Sixth Day” featured Arnold Schwarzenneger as a distraught pet owner struggling to decide whether to take the WORLD•WATCH July/August 2002 remains of the family dog to “RePet Inc.” and have it cloned before his young daughter gets home from school and is heartbroken. Just a few months after the movie came out, scientists at Texas A&M University announced that they had cloned the world’s first cat, a calico named “CC,” as part of “Operation Copycat.” The effort was funded by Genetic Savings and Clone, a company set up to clone beloved pets and to rescue endangered species. As the boundaries between science and science fiction become ever more blurred, we may tend to react to new developments in technology with the same bemused detachment with which we habitually regard science fiction. In fact, our vigilance may be all the more diminished by the fact that the advances of real science rarely come with the same dramatic tensions and visual effects we’re accustomed to in our entertainment. As a society, we run the risk of beginning to accept the new technologies as our new reality even before they hit the market—a desensitization that could torpedo any public debate on these technologies. But widespread public involvement in making decisions about how to use technology is alien to much of the world. “In the United States, the nation driving innovations in biotech, technological pathways are [often] decided solely by industry,” explains Dick Sclove, founder of the Loka Institute, which studies how societies choose technologies. “At best, things are decided by the balance of power of industry and other major interest groups, none of whom are likely to discuss the hard cultural, economic, and political issues.” The most democratic method of making public decisions about technology, says Sclove, may be that of the Danish Consensus Conference. A typical Conference is called when the Danish government is about to words and images Frank Moore, Release, 1999, oil on canvas over wood panel, 22 5/8 x 95" (57.5 x 241.3 cm), SW 99280. Private Collection. Courtesy Sperone Westwater, New York. debate a technological issue that might have substantial public impact. The Conference usually consists of 15 ordinary citizens—excluding experts or representatives of trade associations, scientists, or other interest groups—who are treated to expert testimony and briefings on the topic at hand. After the Conference, members cross-examine experts and request any other information they deem necessary, then prepare a document outlining what they see as the major issues to be considered by society. The report is presented to the Parliament and disseminated to the national public, with discussions often following at the local level. (In recent years, the Danish have scored very high on international surveys of public understanding of technology, technology policy, and support of national technology policy.) Because of the diversity in this process, and the absence of dominant special interests, the groups are less likely to make mistakes or to pursue elitist goals, and are more likely to serve a broad public’s interest. Sclove compares a study of the implications of the Human Genome Project conducted by the now defunct U.S. Office for Technology Assessment (OTA) in 1988 and a Danish Consensus Conference on the same topic the following year. In its 200-page report, OTA wrote that that “the core issue” is how to divide up resources so that genome research is balanced against other kinds of biomedical and biological research. A much shorter report from the Danish Conference recalled the eugenic programs of the 1930s and worried that “the possibility of diagnosing fetuses earlier and earlier in pregnancy in order to find ‘genetic defects’ creates the risk of an unacceptable perception of man—a perception according to which we aspire to be perfect.” In most nations, there is little if any democratic discussion of technology (see the editorial on page 2 of this issue), and whatever discussion does occur generally comes way too late, after the technology has already been developed, commercialized, and committed to particular applications. Only when societies choose to have such discussions early in the process, when the technology is still plastic, can the uses of the technology be molded for social benefits. (The relationship between human genetic engineering and democracy is more intimate still, since human genetic engineering has the potential to create genetic castes and other forms of severe inequity which would undermine the foundations of a democracy.) I left “Paradise Now” thinking that art could in some ways be quite effective in catalyzing public debate—helping to draw a line between those uses of biotech that would leave us with a better world and those that would turn us into compliant servants of some corporate-run, techno-eugenic future. In contrast, the debate on the new human genetic technologies has to date mostly consisted of a discussion among scientists on various technical points—whether something is possible or economically feasible. “Science has so dominated the discourse on genetic engineering that the public feels left out,” according to Frank Moore, another artist featured in “Paradise Now,” whose paintings often contain horizons, buildings, and other structures assembled from DNA double-helices. “Artists can help ensure that just because the average person doesn’t have a biotech background, he doesn’t have to completely miss the biotech discussion.” ✦ WORLD•WATCH July/August 2002 39 Bill McKibben Why Environmentalists Should Be Concerned Humans have dangerously destabilized the Earth’s ecological system. If we now begin altering our evolved interdependence with nature, we will only accelerate the destabilization. I t’s not as if environmentalists really need something new to worry about. The planet’s temperature is set to rise four or five degrees—every glacial system is already in rapid retreat, and icebergs measured in units of U.S. states (the size of Rhode Island!) are calving off the Antarctic. Species disappear daily; acid rain; and you know the whole damn litany. We could be forgiven for wanting to take a pass on human genetic engineering. And yet I think it may turn into the single greatest battle environmentalists have ever fought, the one for which the Grand Canyon and the African elephants and Amazon deforestation and Love Canal were preparing us. The real test. Some of the reasons for thinking so are pragmatic. Changing the human germline is an almost preposterous override of the precautionary principle, the idea that if you don’t know something’s safe you shouldn’t do it. We have rushed with blinding speed through the first phases of the biotechnological revolution—what was experimental a decade ago now grows in half the corn and soybean fields on this continent. Now we seem bent on going just as fast with our plans to tweak the human genetic code that until now we have hailed as nature’s finest achievement—already teams are competing to produce the first human clone, a precursor of genetic enhancement. The ideas come thick and fast, from visionaries who foresee improving the intelligence of our offspring, or increasing their muscle mass, or bettering their character. In the words of James Watson, the first director of the Human ✦ 40 Bill McKibben is a former staff writer for The New Yorker. His books include The End of Nature; The Age of Missing Information; and Hope, Human and Wild. WORLD•WATCH July/August 2002 Genome Project and co-discoverer of the double helix, “If we could make better human beings by knowing how to add genes, why shouldn’t we? What’s wrong with it?” For environmentalists with a sense of history, such words recall earlier promises of grand utopias: power “too cheap to meter” from nuclear plants. What we know about how human genetics works is dwarfed by what we don’t know—and experimenting on our own genetic heritage seems unwise to say the least. If history is any guide, the experiment will come with dubious side effects, likely to be visited upon the weakest and poorest parts of society. If internal combustion, a century later, yields global warming, then what does this crash course in scientific breeding promise? At the very least, the demand that we exploit this technology immediately seems suspect (except to the venture capitalists who have made the investments). Which is not to say the scientific progress need grind to a halt. There’s plenty of work to be done this side of tampering with the germline—almost everyone concedes, for instance, that using gene therapy to help existing human beings with existing problems makes perfect sense. But where engineers and many environmentalists part company is precisely on this question of trying to “improve” the species. And they disagree, I think, in large measure for emotional reasons as well as pragmatic ones. The human instinct that looks at a freeflowing river and sees something that could be dammed to make power (or money) collides with the human instinct that values, deeply and sometimes at a level almost beyond words, the very free-flowingness of that water. The engineering impulse to tinker, bend, twist, patent, sell comes up against the environmental impulse to appreciate, preserve, protect, cherish. And environmentalists that impulse, on both sides, extends to the human genome as surely as it does to the Colorado River, the Arctic National Wildlife Refuge, the grassland savannas of Africa. At first glance, a human being seems an unlikely candidate for wilderness designation. We are shaped by a thousand different forces—in a consumer society those forces grow ever cleverer, often overriding even the desperate attempts of our parents to shape who we are. And yet, so far, there is something irreducibly wild about each of us, the result of that particular assortment of DNA that we ended up with. Not random—but not defined, either. We are, as yet, unprogrammed. Or, at least, the programming is weak enough (our friends, our schools, our origins) that we can, albeit at some cost, override it. Or not. That’s what life is often about, that choice. And if the improvers have their way, then life will be about something else: about the cells of our bodies expressing the particular combination of proteins that someone believes will produce a particular result. And no change, not even the climatic havoc we are now wreaking on the planet, will be as large as that. If, as Thoreau insisted, we are rich in accordance with how much we can afford to leave alone, then this will be the ultimate test of whether we’re rich enough. For conservationists, the final frontier lies, literally, right beneath our fingertips. Frank Moore, The Green Fuse II (milkweed), 2000, oil on canvas over featherboard, 39 x 20" (99x50.8 cm), SW 00308. Collection of Gian Enzo Sperone, New York. Courtesy Sperone Westwater, New York. WORLD•WATCH July/August 2002 ✦ 41 the risks of the rush Human Engineering Timeline 1953 James Watson and Francis Crick determine the “double helix” structure of DNA. This discovery is a major breakthrough in the study of genetics and reinforces the idea that an organism’s DNA is the primary and dominant determinant of its inherited traits. 1973 Stanley Cohen and Herbert Boyer create a transgenic organism using recombinant DNA technology, which allows the manipulation and transfer of pieces of DNA from one species to another. 1976 The first genetic engineering/biotech company, Genentech, is founded by Boyer and Robert Swanson. It is the beginning of the commercial use of genetic engineering technology, an industry which by 2002 is generating revenues of $25 billion a year in the U.S. alone. Within two years scientists at Genentech splice the human gene for insulin production into E. coli bacteria, which then synthesize human insulin. replicates DNA sequences. This process of gene amplification makes gene mapping and forensics easier and cheaper. 1990 Human Genome Project is begun by an international consortium of scientists, with most of the funding coming from the U.S. National Institutes of Health and the Wellcome Trust, a medical philanthropic organization based in London. 1996 A sheep named Dolly, the first mammal to be cloned from adult cells, is born at Scotland’s Roslin Institute. Previously, cloning had only been carried out with embryo cells. 1998 Dr. James A. Thomson (University of Wisconsin) and colleagues are the first to isolate human embryonic stem cells, which have the potential to develop into almost any type of tissue. This innovation opens up the possibility of 1978 Louise Brown, the first “test-tube baby” (in vitro baby) is born in England, demonstrating the feasibility of growing embryos outside of the womb. In vitro fertilization is done by putting sperm and an egg together in a lab dish, where chemicals facilitate fertilization, and then implanting the embryo into a woman’s uterus. 1980 U.S. Supreme Court rules that genetically engineered microorganisms can be patented (Diamond v. Chakrabarty), setting a precedent for patents on lifeforms. ✦ 42 1983 Kary Mullis devises the Polymerase Chain Reaction (PCR) technique, which rapidly WORLD•WATCH July/August 2002 STEPS IN MENTAL DEVELOPMENT From an article describing a “clearinghouse for mental defectives” established in 1913 by the New York Department of Public Charities. This sort of analysis often accompanied early efforts to improve the human gene pool, and still remains a part of the thinking behind some 21st-century genetic research. American Philosophical Society timeline harvesting stem cells for use in treating human diseases. 2000 In June, scientists at both Celera Genomics (a private company formed in 1998) and the publicly funded Human Genome Project announce that they have completed a draft of the human genome. The announcement evokes hopes about medical advancements based on understanding of the genome, as well as controversy about the issue of public access to the information. 2001 In February, scientists at Celera Genomics and at the Human Genome Project report that the number of human genes is probably about 30,000, only about twice as many as the number of genes in a fruit fly and far less than the long-standing textbook estimate of 100,000. 2002 As reports circulate that some scientists may have already begun to implant cloned embryos in women, the U.N. begins work on a global ban on cloning. —compiled by Vanessa Larson E NDNOTES Making Well People “Better” (pages 13-15) Pat Mooney 1 2 3 4 5 6 7 8 9 David T. Courtwright, Forces of Habit: Drugs and the Making of the Modern World (Cambridge: Harvard University Press, 2001), 86. Courtwright, 105. Courtwright, 89. United Nations Development Program, Human Development Report 2001 – Making New Technologies Work for Human Development (New York and Oxford: UNDP/Oxford University Press, 2001), 13. UNDP, 3. Pat Roy Mooney, “The Parts of Life – Agricultural Biodiversity, Indigenous Knowledge and the Role of the Third System,” Development Dialogue: A Journal of International Development Cooperation, 1996: 1-2: 82. Karla Harby, et al. “Beta Blockers and Performance Anxiety in Musicians.” A Report by the beta blocker study committee of FLUTE, March 17, 1997. Deborah L. Stull, “Better Mouse Memory Comes at a Price,” The Scientist 15(7), April 2, 2001, 21. Sarah Lueck, “U.S. Says 16 Million Have ‘Pre-Diabetes’,” Wall Street Journal, March 28, 2002, B8. 5 6 7 The Genome as a Commons (pages 33-36) Tom Athanasiou and Marcy Darnovsky 1 2 3 4 5 The New Eugenics (pages 21-23) Michael Dorsey 1 2 3 4 A. Rogers and D. de Bousingen, Bioethics in Europe (Strasbourg: Council of Europe Press, 1995), 17. See also D. Kevles, In the Name of Eugenics (Cambridge: Cambridge University Press, 1995). Francis Galton, Inquiries Into Human Faculty and Its Development (London: Macmillan, 1883), 25. ———, Memories of My Life (London: Melhuen Publishers, 1908), 10. G. Wolstenholme, (ed.) Man and His Future (Boston: Little Brown, 1963). Commission of the European Communities, European File. Tomorrow’s Bio-Society. (Brussels: EC Technology Forecasting Office, 1980). Time, January 11, 1999, “Special Issue: The Future of Medicine: The Biotech Century.” Rogers and de Bousingen, 17. 6 7 See, for example, Gregory Stock and John Campbell, eds. Engineering the Human Germline: An Exploration of the Science and Ethics of Altering the Genes We Pass to Our Children (New York: Oxford University Press, 2000). Lee M. Silver, Remaking Eden: Cloning and Beyond in a Brave New World (New York: Avon Books, 1997), 4,6,7. John A. Robertson, Children of Choice: Freedom and the New Reproductive Technologies (Princeton: Princeton University Press, 1994), 166. Silver, 11. Silver, “Reprogenetics: How Do a Scientist’s Own Ethical Deliberations Enter into the Process?” Humans and Genetic Engineering in the New Millennium (Copenhagen: Danish Council of Ethics, 2000), http://www.etiskraad.dk/publikationer/genethics/ren. htm. Stock and Campbell, 86. See also http://research.mednet.ucla.edu/pmts/Germline/panel.htm. Chris Mooney, “Idea Log: Oh no! Bill McKibben’s said too much. He’s said it all.” The American Prospect Online, March 28, 2002, http://www.prospect.org/ webfeatures/2002/03/mooney-c-03-28.html. See also Bill McKibben, “Unlikely Allies Against Cloning,” The New York Times, March 27, 2002 http://www.nytimes.com/2002/03/27/opinion/27 MCKI.html. ✦ WORLD•WATCH July/August 2002 43
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