It is rather humorous that creationists refuse to believe that human life evolved from a single cell, while every single human alive on earth has developed from a single cell. They also seem to get in a knot over aborting a single cell life with the "morning after" pill. This comes down to a question of what is "human" -- a single cell or a fully formed multicellular organism
First let's review some definitions of what is a "human life."
Arbitrary Standards for defining "Human Life"In one sense, once you start arguing about "when does life begin" you need to take the argument to it's logical conclusion - the very first single living cell, some 3.5 billion years ago or so - based on what the evidence shows. "Life" is not a stop and start process, and there has been a continuing transfer of living material from original life (whatever that was) to every living thing in existence today. THAT is when
{life} began. This also does not differentiate human life from other life. When people say "life begins with conception," or "life begins with birth," or some other definition, what they are really talking about when a distinct human life begins.
The problem with the "life begins with conception" (zygote formation) argument, is that not all zygotes
naturally survive to become a fetus, to say nothing of reaching the ultimate maturation of the process to produce a living breathing thinking laughing human being. The zygote definition it is a poor predictor of the successful production of a living breathing thinking laughing human being, the desired (usually) product.
Notice that technically "fetus" refers to the last 6-7 months of development, preceded by the zygote to embryo stages (see
Human Development Chart). From the chart (italics mine for emphasis):
zygote
lasts 30 hours, then makes first division
Blastocyst
by day 5 - Hollow Ball of cells, external and internal different. ca. 100 cells inner 50 are pleuripotent stem cells. External will become placenta, internal will become embryo
day 7 - 9 - Blastocyst implants in wall of uterus (55% of Zygotes never reach this stage.)
Embryonic phase: gastrula
day 30 - Lengthens and differentiates into ecto-, meso-, & endo derm
week 8 - At this point enough development to call a foetus. All organs and structures found in a newborn infant are now present.
foetus
week 9-12 - Major organs have begun to develop. Recognisably human, but cannot survive outside the womb.
week 4-12 - 15 % of pregnancies miscarry during weeks 4-12
weeks 29-39 - Most healthy foetuses delivered during this period survive, earlier ones may need mechanical help to survive.
With the failure of 55% of zygotes to implant in the uterus, and then the miscarriage by week 12 of 15% of those that do implant, you are down to 85% of 45% = 38% "success" to that point. This means 55% + 15% of 45% =
62% failure due to natural causes by week 12.
Miscarriages and death continue to occur naturally right up to birth (and beyond), but the rate of loss decreases as each stage of development is completed.
From
Patient information: Miscarriage:
INTRODUCTION — A miscarriage is a pregnancy that ends before the fetus is able to live outside the uterus. A brief review of the events of early pregnancy will help in the understanding of miscarriage.
INCIDENCE — Miscarriage in early pregnancy is very common. Studies show that about 10 to 20 percent of women who know they are pregnant have a miscarriage some time before 20 weeks of pregnancy; 80 percent of these occur in the first 12 weeks. But the actual rate of miscarriage is even higher since many women have very early miscarriages without ever realizing that they are pregnant. One study that followed women's hormone levels every day in order to detect very early pregnancy found a total pregnancy loss rate of 31 percent.
At 20 weeks the rate of miscarriages is 31% - of the 45% zygotes that implanted long enough to affect the hormone production (a reaction to the implantation process). That means we are down to 69% of 45% = 31% success and 55% + 31% of 45% =
69% failure due to natural causes by week 20.
After about 20 weeks it becomes possible for premature births, either spontaneously or artificial (cesarean sections) -- however the success rate for such early preemies is low. Again we see that the rate of fetal death drops as each stage of development is completed:
From
Table 23. Infant mortality rates, f...e: United States, selected years 1950–99 we can also see the effects of medical improvements:
1950 Fetal mortality rate = 18.4
1998 Fetal mortality rate = 6.7
Fetal mortality rate = number of fetal deaths of 20 weeks or more gestation per 1,000 (live births plus fetal deaths).
This would include premature births that survive in the live births and those that don't survive, even with medical care, in the fetal deaths (the reduction from 1950 to 1998 is likely due to higher survival of premature births). So we still see 1 to 2% fetal death with good medical care. It is much higher when there is no medical care, which would represent a more 'natural' state.
A fertilized egg often passes completely out of the uterus without implanting on the wall, sometimes it implants within the fallopian tubes (and causes death if not removed), frequently a (uterus) implanted blastocyst will become detached or rejected, and miscarriages are common at all stages of pregnancy. Thus there is over a 70% failure rate for
normal pregnancies due to natural causes, even with good medical care, while with no medical care the rate would be significantly higher.
Again, from
Patient information: Miscarriage:
CAUSES — Many different factors can lead to miscarriage, and it is difficult to say with certainty what causes a particular miscarriage to occur. One or more problems with the pregnancy can be found in a significant percentage of early miscarriages.
As an example, in 1/3 of miscarriages occurring before 8 weeks, there is a pregnancy sac but no embryo inside. This means the egg was fertilized and the cells began to divide, but an embryo did not develop. In other cases, the embryo develops but it is abnormal. Chromosomal abnormalities, in particular, are common. One study found that of 8841 miscarriages, 41 percent had chromosomal abnormalities.
None of these instances of failure result in "human life" -- most such failures (over 55%) are
not even noticed, and most of the remainders do not produce an embryo or produce one that is so abnormal that it is not able to live.
Over 70% of zygotes are not capable of producing a living breathing thinking laughing human being.
In another sense, the material that makes up every living thing is in a constant state of being replaced. People have an entirely new skin every 2 months or so. Other parts take longer to be replaced, but every part that forms a living adult human being today was not a part of that individual when they were a child. The molecular and cellular material that makes up a living {being} today was not what made a living {being} in the measurable past. If all life is in a constant state of flux then how can one say where it "begins" (or ends)? It is not logical to define life, especially
human life, based on the existence of one or even a few cells.
This process occurs from the start, with dead cells shed by the zygote\blastocyst\fetus into the amniotic fluid. From
Fetal cell Shedding:
The fetal cells in the amniotic fluid are skin cells, fibroblasts. Most are dead cells, ... The fetus also urinates into the amniotic fluid so some cells might perhaps come from inside the bladder.
Thus of the original material from the original cell that grows and divides, about half becomes the placenta, chord, etc, and half of becomes the embryo, which sheds dead cells and the waste products of internal cells (like urea) into the amniotic fluid. Thus the original cell material could easily be completely discarded in waste materials (including ultimately the placenta) and dead cells long before the birth of the fetus. A baby that is born after nine months of this process thus would not necessarily contain any material at all from the original cell.
We also saw above that "in 1/3 of miscarriages occurring before 8 weeks, there is a pregnancy sac but no embryo inside. This means the egg was fertilized and the cells began to divide, but an embryo did not develop." In these cases none of the cell material of the zygote was preserved in the organism.
There is nothing special about the cell material of the zygote that would cause it to be preserved in the organism.
The "life begins at conception" argument is an arbitrary standard that does gives us a totally inadequate measure of when a human life begins. Thus to state that life "begins" when an egg is fertilized or at some other point in the cycles of cell division and growth is just as arbitrary as saying it is when a child is born, or even, say, reaches the age of ten years old.
Such an age criteria for "human life" could be arbitrarily based on when an individual is capable of survival on it's own, or when it becomes an adult capable of reproduction. The
Human Development Chart put those ages at 8 to 10 years old and 18+ years old. Using, say, the tenth birthday as a standard for achieving
human life would give us an arbitrary standard that does result in
recognizably human life, it also is inadequate for defining the human life of children under 10: it errs on the
conservative side.
It used to be a fairly common practice to leave babies unnamed until they had survived for a year, as high infant mortality was so common. Infanticide was also a common way to deal with any unwanted children in the past. For the cultures and societies that used this fatalistic approach, the definition of "human life" would be that it begins after they have reached their first birthday. In some places this is still so, but medical improvements have made this uncommon in the more developed cultures. It was also common in many societies for a baby to go through a religious ceremony (like baptism) before it was considered a person.
A dead skin cell is not a dead human being even though it has human DNA, so DNA alone is not enough to qualify as "human life" - a living breathing thinking human being, a
person. A stem cell has the capability to become an organ, like a liver or a heart, but a liver or a heart is not a living breathing thinking human being, and thus having stem cells is not enough to qualify as "human life." A fetus that dies due to abnormalities that prevent it from being able to live is not able to qualify as a living breathing thinking human being, so just being a fetus is not enough to qualify as a "human life."
The real question is when does this continuum of life begin to be a distinct living breathing heart thumping thinking laughing human being - with the qualities that separates human beings from other kinds of life: what is the quality that we, as (egocentric) humans, consider important for determining when and if a "person" exists, and when that starts or ceases to exist?
From
wikipedia: human life:
Humans, or human beings, are bipedal primates belonging to the mammalian species Homo sapiens (Latin: "wise human" or "knowing human") in the family Hominidae (the great apes).(1)(2) Compared to other living organisms on Earth, humans have a highly developed brain capable of abstract reasoning, language, and introspection. This mental capability, combined with an erect body carriage that frees their upper limbs for manipulating objects, has allowed humans to make far greater use of tools than any other species. DNA evidence indicates that modern humans originated in Africa about 200,000 years ago,(3) and they now inhabit every continent, with a total population of over 6.6 billion as of 2007.(4)
... over a period of thirty-eight weeks (9 months) of gestation becomes a human fetus. After this span of time, the fully-grown fetus is expelled from the female's body and breathes independently as an infant for the first time. At this point, most modern cultures recognize the baby as a person entitled to the full protection of the law, though some jurisdictions extend personhood to human fetuses while they remain in the uterus.
On common moral grounds, it is important to be consistent at both ends of the spectrum of life. Thus the concept of beginning needs to be consistent with current medical practice in determining when a human life has ended. These latter criteria have been developed over a significant period of time with a lot of ethical input from all sides into the specific considerations involved, and a look at them is instructive.
There are usually two levels considered. One is the legal concept of clinical death where doctors unequivocally declare a patient to be dead. The other is the concept of brain dead, where the body can continue to breath and circulate blood as long as nutrients are supplied, but there is no conscious brain activity or capability left that is in control of that life.
Legal DeathThe first legal standard of death is very clear - from
the Legal Definition of Death (click):
UNIFORM DETERMINATION OF DEATH ACT
§ 1. [Determination of Death.] An individual who has sustained either
(1) irreversible cessation of circulatory and respiratory functions, or
(2) irreversible cessation of all functions of the entire brain, including the brain stem, are dead.
A determination of death must be made in accordance with accepted medical standards.
That's the legal nuts and bolts of it: either failure of {heart\lung} system or total brain failure. Any person with either of these failures is universally and legally considered to be dead.
The word "irreversible" is used to refer to common medical practical limits to resuscitation.
Legal LifeWhen considering this in terms of beginning rather than end, the same conditions should apply. Where the irreversible failure of either system qualified for death, the irreversible instigation of both is logically necessary for life. Likewise "all functions" would become "any functions" of the brain. This could be reworded in a format similar to the death act above as follows:
UNIFORM DETERMINATION OF LIFE
§ 1. [Determination of Life.] An individual who has sustained either:
(1) irreversible instigation of circulatory and respiratory functions, and
(2) irreversible instigation of any functions of the (entire) brain, including the brain stem, is alive.
A determination of life should be made in accordance with accepted medical standards.
Thus according to the legal definition of death, anything that has not developed to the stage of having a functional respiratory and circulation system AND a functioning brain cannot be considered a human life.
Note that this is derived logically from the legal definition of {death} to the form of the legal definition of {NOT death = life}, and thus it is legally applicable and morally, culturally as acceptable as the universal definition of death.
The heart and circulatory system begin to develop first, followed by rudimentary activity in the brain stem, then upper brain areas, followed last by the development of the respiratory systems, however there are changes in the heart and lungs that don't occur until birth. Typically the limit to saving premature babies depends on the level of development of the lungs - before a certain point the lungs just cannot be made to function. This point would have to be determined by professionals in each case, based on the actual level of development the fetus has reached.
Note that this would in effect make the point of "uniform life" to be {not birth so much as} the earliest possible point at which {assisted premature} birth would be medically feasible without causing significant effect on the end result.
This would be consistent with many cultural definitions of when life begins, while taking into consideration the current and increasing medical ability to sustain premature births.
If a fetus does not meet the criteria to pass this "uniform life" test then it legally could be declared non-living (medically dead), a simple legal procedure similar to the declaration of death used in hospitals, etc, and the legal issue of abortion would no longer be a question. In my opinion this sets a latest possible limit on the question of abortion to the point where legal life cannot be ruled out, and anything after that cannot be justified from a legal or moral standpoint.
Premature BirthA fetus is not an "unborn baby" as there are fundamental differences between a fetus and a baby, including some changes that occur shortly after birth before the baby is fully functioning as a living breathing laughing human. For instance, living breathing laughing human babies do not need a placenta and an umbilical cord to live, but a fetus will die without them. There are other necessary changes to the heart and the lungs and blood for a fetus to become a baby. These changes are part of the challenge in helping prematurely born babies to live (which they normally do
not do when there is no treatment):
From
Fetus - wikipedia article (click)The circulatory system of a human fetus works differently from that of born humans, mainly because the lungs are not in use: the fetus obtains oxygen and nutrients from the mother through the placenta and the umbilical cord.
With the first breath after birth, the system changes suddenly. The pulmonary resistance is dramatically reduced. More blood moves from the right atrium to the right ventricle and into the pulmonary arteries, and less flows through the foramen ovale to the left atrium. The blood from the lungs travels through the pulmonary veins to the left atrium, increasing the pressure there. The decreased right atrial pressure and the increased left atrial pressure pushes the septum primum against the septum secundum, closing the foramen ovale, which now becomes the fosse ovalis. This completes the separation of the circulatory system into two halves, the left and the right.
The ductus arteriosus normally closes off within one or two days of birth. The umbilical vein and the ductus venosus closes off within two to five days after birth, leaving behind the ligamentum teres and the ligamentum venosus of the liver respectively.
In addition to differences in circulation, the developing fetus also employs a different type of oxygen transport molecule than adults (adults use adult hemoglobin). Fetal hemoglobin enhances the fetus' ability to draw oxygen from the placenta.
From
Fetal Hemoglobin - wikipedia article (click)Fetal hemoglobin (also hemoglobin F or HbF) is the main oxygen transport protein in the fetus during the last seven months of development in the womb. Functionally, fetal hemoglobin differs most from adult hemoglobin in that it is able to bind oxygen with greater affinity than the adult form, giving the developing fetus better access to oxygen from the mother's bloodstream.
As blood courses through the mother, oxygen is delivered to capillary beds for gas exchange, and by the time blood reaches the capillaries of the placenta, its oxygen saturation has decreased considerably. In order to recover enough oxygen to sustain itself, the fetus must be able to bind oxygen with a greater affinity than the mother.
Fetal hemoglobin's affinity for oxygen is substantially greater than that of adult hemoglobin. Notably, the P50 value for fetal hemoglobin (i.e., the partial pressure of oxygen at which the protein is 50% saturated; lower values indicate greater affinity) is roughly 19 mmHg, whereas adult hemoglobin has a value of approximately 26.8 mmHg.
These are substantial changes that occur at birth and transform a fetus into a baby. The term "unborn baby" is misleading, a false representation of reality, as it ignores these substantial differences. A fetus with adult hemoglobin will not get enough oxygen to grow and develop, and a baby with a fetal heart will also die. Death is not an insignificant difference.
There are also limits to how early a fetus can be removed from the womb and be kept alive by medical technology. This limit lowers steadily as technology and knowledge improve, but there appears to be a limit at which the result is less than desirable to many people.
From
Premature babies' disability risk (click)Just over 1,200 were born alive and 811 were admitted to a neonatal intensive care unit. Of these 314 survived to go home.
The first phase of the study revealed at two and a half years old 50% of those studied had some form of disability.
In a quarter of the children severe disabilities were identified, including cerebral palsy, blindness, deafness and arrested development.
The latest results show that 40% of the surviving children had moderate to severe problems in cognitive development at the age of six, compared to 2% of a control group of their classmates.
Bright Asamany, born at 24 weeks, is one of the most severely disabled of all the children who were born in 1995 ... his father, Kennedy, says ... if they had another baby born as early as Bright, he would say "turn off the machine, there is no need to continue".
Notice that the parents have the right to turn off the life support machines for preemies. Parents have the legal right to terminate life support for their children if they feel they will not survive as a fully operational living breathing heart thumping thinking laughing human being.
These premature babies, "preemies," are not born fully functioning (mature) babies, they needed machines to replace functions of the natural womb to finish their development, and would have normally die without it. In one sense they are not fully "born" until they can survive off the life support machines, but it is normal social convention to consider them born as they have been removed from the womb (the same rational is used for the term "partial-birth abortion" although for different end purposes).
We don't know if the 400 preemies not admitted died before they could be, or if their parents decided not to use the services available, as was their right (the "no heroic measures" decision also common at the end of life).
Only 38.7% of the preemies admitted to the neo-natal intensive care survived, and of those only 50% did not have significant complications\disabilities. This is a 19.4% "success" rate at this point of development.
If we can remove a fetus and keep it developing and growing with medical procedures, but the result is not a fully functioning human being - due to mental or physical handicaps caused by the premature removal - then I would argue that a limit has reached regardless of whether the end result is living, a limit where the result is not desirable to everyone. This point appears to have already been reached in my opinion, as only about 20% of premature births born at 24 weeks are not permanently, severely, mentally handicapped. This gets up into the area of the second standard for life, the issue of "personhood" (see next).
PersonhoodThe second standard is a little more difficult to establish on a broad cultural and social basis except by taking into considerations the beliefs of the family involved and the diversity of levels acceptable to individuals. This includes the concept of personhood. From
Biology, Consciousness, and the Definition of Death (click):
(NOTE: these are excerpts - with some loss of context: see whole paper for complete context)
Some philosophers and scientists have argued that the whole-brain standard does not go far enough. Several leading authors on the subject have advocated a higher-brain standard, according to which death is the irreversible cessation of the capacity for consciousness. This standard is often met prior to whole-brain death, which includes death of the brainstem - that part of the brain which allows spontaneous respiration and heartbeat but is insufficient for consciousness. Thus, a patient in a permanent coma or permanent vegetative state (PVS) meets the higher-brain, but not the whole-brain, standard of death.
From the present perspective, then, the core-meaning argument does not settle the question of the nature of human death. A more promising approach, on this view, is to take seriously the fact that we are not only organisms; we are also persons. According to one prominent argument for the higher-brain standard, the capacity for consciousness is essential to persons - essential in the strict philosophical sense of being necessary: Any being lacking this capacity is not a person. It follows that when someone permanently loses the capacity for consciousness, there is no longer a person associated with the body. The person who was, is no more - that is to say, she is dead. Thus, the argument goes, human death is captured by the higher-brain standard.
Finally, any effort to base a standard for human death on "our" values confronts the problem of value pluralism. While liberal intellectuals, and perhaps a majority of Americans, are likely to regard a future of permanent unconsciousness as meaningless, many people - some of them religious fundamentalists - would disagree. For the dissenters, biological life in PVS or permanent coma is at least life and therefore valuable (perhaps infinitely so). For at least some of these people, such a state is meaningful because it is a gift from God, a gift that must not be thrown away through active killing - or defined away with a new definition of death.
It is firmly established, both in case law and in medical ethics, that competent adult patients have the right to refuse life-supporting medical treatments, even artificial nutrition and hydration. By the same token, an appropriate surrogate can refuse life-supports on behalf of the legally incompetent if there is sufficient reason to believe the patient would have refused treatment in the present circumstances. Because of this broad legal and moral right to refuse treatment, life-supports that are unwanted or are considered unhelpful - including life-supports for permanently unconscious patients - can be terminated without first declaring the patient dead.
This last paragraph is the key to my thinking. Until the fetus has achieved the status of "personhood" discussed above, the "appropriate surrogate" - in this case the family - can decide to terminate life support, and if the patient naturally expires due to failure of the {circulatory and respiratory functions} to maintain life on their own, then the legal issue is settled.
Certainly in cases where continuing a pregnancy endangers the life of the mother, the doctors could perform an early-term C-section, and once the {fetus\premature child} was removed the family could direct that "no heroic measures" be taken to see if the {fetus\premature child} survives or dies a natural death on its own - this choice is currently legal, as there are people of certain religious beliefs that they would chose to let nature take its course and have insisted on their right to their beliefs. This certainly fits with the end of the material quoted above:
"Because of this broad legal and moral right to refuse treatment, life- supports that are unwanted or are considered unhelpful - including life-supports for permanently unconscious patients - can be terminated without first declaring the patient dead."I submit to all for consideration, that any method that results in the removal of a fetus from a womb, but that does not harm or endanger the {patient} in any way except for the removal of life-support, and that only upon the request of the "appropriate surrogate" (here that would be the immediate family), results in a legal death due to natural causes.
The issue of individual rights is such that any standard which allows people to enjoy a right that does not inflict harm on other persons cannot morally be refused, and conversely, that any standard which tries to restrict such a right (that does not inflict harm on other persons) from some people is unethical. This holds even though some people may choose to live by what they view as a higher standard themselves (if they do not harm other persons by doing so). In this regard the concept of "personhood" shows where the legal choices should be allowed.
There is a sensible strict definition of when the limits of life are met, both at the beginning and at the end. In both cases there are groups of people that may wish to use a further definition of "personhood" to determine whether it is desirable to provide life support in the gray areas when the criteria are not fully or clearly met, and in those cases an "appropriate surrogate" - the immediate family - can make the decision to withhold life support to allow the process to reach a natural end.
Implications for AbortionWhat is clear is that there has been a continuous transfer of living material from the point in time when life originated to every living thing in existence today, and that to state that life "begins" when an egg is fertilized or at some other point in the cycles of cell division and growth is just as arbitrary as saying it is when a child is born, reaches it's first birthday, or even, say, reaches the age of ten.
The real question is when does that continuous thread of life become a distinct living breathing human being. To be ethical this question needs to match the question of when life is no longer human - when legal death has occurred. The question, then, is when does "legal life" occur, and the standard proposed is developed from the legal definition of death:
UNIFORM DETERMINATION OF LIFE
§ 1. [Determination of Life.] An individual who has sustained either:
(1) irreversible instigation of circulatory and respiratory functions, and
(2) irreversible instigation of any functions of the (entire) brain, including the brain stem, is alive.
A determination of life should be made in accordance with accepted medical standards.
Until life with human DNA reaches this point it cannot be considered "legal human life" even though living cells exist (just as they do in bodies that are declared "legally dead"). This would most certainly apply before cell specialization has occurred. Thus there should be absolutely
NO QUESTION about the legality of the "Morning After" pill being as freely available over the counter to anyone as condoms are (and if anyone thinks that this would become the control method of choice has not been paying attention: I think one experience with it would make
uncautious women much more cautious). I also think it is
totally the woman's choice at this point whether or not to use this method.
After the point has been reached where the fetus has begun to develop the systems critical for life, sufficient time has passed that a decision, conscious or not, has been made to go beyond that point, and other ethical questions are raised. Certain experiments with music have shown that babies are able to recognize music that was played while they were in the womb (and this has also been confirmed for other primates). Many mothers will tell you that different children behaved differently before birth.
We can also look at the limited ability we have to preserve premature births (or early cesarean deliveries), even with
extensive medical intervention, to bring the "preemie" to the stage of being a viable human baby that will develop into a normal human being. At the present state of medical technology we are only able to do this for less than 20% of preemies born earlier than the 24 to 25 week, so that would be a lower limit to fully realized personhood: in essence the end of the second trimester, week 26 or 27, where we have good success rates for premature births. This would argue that an emergency intervention cesarean delivery instead of an abortion would not be successful. This should set an upper gestation age boundary for the level of development where a declaration of legal life cannot be met.
Where late term abortions are considered, I think it would be more appropriate to do a "premature C-section" than any extraction methods. This would resolve any medical issues and leave the viability of the {fetus/child} up to the abilities of medical practice and the wishes of the "appropriate surrogates" on the extent of "heroic measures" necessary. The right of families to withhold extreme medical techniques and allow a natural death have been established and accommodate the beliefs of many people in the process, religious and secular.
This would have to apply for any fetus where prenatal medicine can assure a healthy and fully functioning child under normal circumstances, and as we see from current practice this is reached somewhere after the 26th week: certainly this would apply to all "third trimester" abortions.
Using the logic of the requirements for legal death to define the requirements for legal life first, and then on the judgment of the "appropriate surrogates" and their valuation of "personhood" to make decisions on the need to maintain life support systems when they feel it is appropriate, builds a framework in which the issue of abortion can be discussed on a rational medical basis while still allowing us, as a culture, to confront "
the problem of value pluralism" - to adequately allow for the full diversity of beliefs that exist. (it's a values thing eh?)
Implications for Stem Cell ResearchThe implications for stem cell research derive from the legal definition of death and the issue of personhood as well, and the choices made by the family in regards to sustaining life support systems.
Again, looking to legal death for guidance, we see that families have a choice when they decide to terminate life support of a relative on whether to donate organs for other people or to donate the body to research. There has also been a survey of fertility clinic patients,
Forbes article: Fertility Patients Favor Donating Unused Embryos for Research:
About half of patients being treated at U.S. fertility clinics say they'd be somewhat or very likely to donate their unused embryos for stem cell research, a new survey finds.
The findings, released early Wednesday by the journal Science, mean that up to 10 times as many embryos would be available for research than previously estimated, should U.S. legislators ever permit their wider use.
That number increased to 60 percent when the question referred specifically to stem cell research and research aimed at developing treatments for human disease or infertility.
Other options, such as having the embryos destroyed or donating them to another infertile couple, seemed less attractive.
The
Science article: Willingness to Donate Frozen Embryos for Stem Cell ResearchMoral concerns about the primary source of stem cells, human embryos, have prompted one of the most contentious public debates in the history of biomedical science. Following the announcement of a restriction of U.S. federal funding to research with about 20 cell lines isolated from embryos before August 2001 (1) and, more recently, a presidential veto upholding this restriction (2), there has been a clear message from the scientific community that the eligible lines are not only inadequate in number but also unsafe for translational research. There is also mounting evidence that American scientists are losing ground to other countries with less restrictive policies (3). Further, surveys of the American public indicate that there is widespread support for embryonic stem cell (ES cell) research that cuts across political, religious, and socioeconomic lines, with approval estimated at 66% of the public overall (4).
A total of 1244 patients returned the survey, for a 60% response rate overall [63% for women, 51% for nongestating partners (male or female)]; surveys were sent to only one member of a couple. We made clear at the outset that the embryo is destroyed if used for research.
Of the 1020 respondents who reported that they have embryos currently stored, 495 (49%) indicated that they were somewhat or very likely to donate their embryos for research purposes. These 495 individuals controlled the disposition of from 2000 to 3050 embryos.
Respondents to the survey expressed even greater willingness to donate embryos to research when certain characteristics of the research were specified. In particular, the percentage reporting that they would be somewhat or very likely to donate increased from 49% for medical research (in general) to 60% for research in which stem cells are derived.
The preferred alternative to keeping embryos forever, or disposing of them, therefore, is for them to be used for medical research aimed at improving human life.
Ethically there should be no question that allowing the use of cellular material from an embryo or a fetus is a question that should be left to the family to decide.
This holds whether the embryo or fetus is from an abortion, the medical death of a early C-section fetus or an embryo made during fertility procedures but not used. There is no ethical question on the use of adult stem cells for research, and with the ethical question of legal life being resolved, there can be no ethical question on the use of fetal stem cell research: in both cases the materials are donated to research by the "appropriate surrogates" - the families involved.
ConclusionUsing the definition of human life proposed here we can provide the same ethical treatment of life before birth as we use for terminal patients, and allow families to decide what is best for their families. This allows us to evaluate whether abortion and stem cell research are ethical based on this existing criteria.
Enjoy
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Note: my time is limited, so I only choose threads of particular interest to me and I cannot guarantee a reply to all responses (particularly if they do not discuss the issue/s),
and I expect other people to do the same. Thank you for your consideration.[/color]