Bioethics. Группа авторов
Чтение книги онлайн.
Читать онлайн книгу Bioethics - Группа авторов страница 85
![Bioethics - Группа авторов Bioethics - Группа авторов](/cover_pre992447.jpg)
Some of the risks are already part of the public debate because of current work on recombinant DNA. The danger is of producing harmful organisms that would escape from our control. The work obviously should take place, if at all, only with adequate safeguards against such a disaster. The problem is deciding what we should count as adequate safeguards. I have nothing to contribute to this problem here. If it can be dealt with satisfactorily, we will perhaps move on to genetic engineering of people. And this introduces another dimension of risk. We may produce unintended results, either because our techniques turn out to be less finely tuned than we thought, or because different characteristics are found to be genetically linked in unexpected ways.
If we produce a group of people who turn out worse than expected, we will have to live with them. Perhaps we would aim for producing people who were especially imaginative and creative, and only too late find we had produced people who were also very violent and aggressive. This kind of mistake might not only be disastrous, but also very hard to ‘correct’ in subsequent generations. For when we suggested sterilization to the people we had produced, or else corrective genetic engineering for their offspring, we might find them hard to persuade. They might like the way they were, and reject, in characteristically violent fashion, our explanation that they were a mistake.
The possibility of an irreversible disaster is a strong deterrent. It is enough to make some people think we should rule out genetic engineering altogether, and to make others think that, while negative engineering is perhaps acceptable, we should rule out positive engineering. The thought behind this second position is that the benefits from negative engineering are clearer, and that, because its aims are more modest, disastrous mistakes are less likely.
The risk of disasters provides at least a reason for saying that, if we do adopt a policy of human genetic engineering, we ought to do so with extreme caution. We should alter genes only where we have strong reasons for thinking the risk of disaster is very small, and where the benefit is great enough to justify the risk. (The problems of deciding when this is so are familiar from the nuclear power debate.) This ‘principle of caution’ is less strong than one ruling out all positive engineering, and allows room for the possibility that the dangers may turn out to be very remote, or that greater risks of a different kind are involved in not using positive engineering. These possibilities correspond to one view of the facts in the nuclear power debate. Unless with genetic engineering we think we can already rule out such possibilities, the argument from risk provides more justification for the principle of caution than for the stronger ban on all positive engineering. […]
Not Playing God
Suppose we could use genetic engineering to raise the average IQ by fifteen points. (I mention, only to ignore, the boring objection that the average IQ is always by definition 100.) Should we do this? Objectors to positive engineering say we should not. This is not because the present average is preferable to a higher one. We do not think that, if it were naturally fifteen points higher, we ought to bring it down to the present level. The objection is to our playing God by deciding what the level should be.
On one view of the world, the objection is relatively straightforward. On this view, there really is a God, who has a plan for the world which will be disrupted if we stray outside the boundaries assigned to us. (It is relatively straightforward: there would still be the problem of knowing where the boundaries came. If genetic engineering disrupts the programme, how do we know that medicine and education do not?)
The objection to playing God has a much wider appeal than to those who literally believe in a divine plan. But, outside such a context, it is unclear what the objection comes to. If we have a Darwinian view, according to which features of our nature have been selected for their contribution to gene survival, it is not blasphemous, or obviously disastrous, to start to control the process in the light of our own values. We may value other qualities in people, in preference to those which have been most conducive to gene survival.
The prohibition on playing God is obscure. If it tells us not to interfere with natural selection at all, this rules out medicine, and most other environmental and social changes. If it only forbids interference with natural selection by the direct alteration of genes, this rules out negative as well as positive genetic engineering. If these interpretations are too restrictive, the ban on positive engineering seems to need some explanation. If we can make positive changes at the environmental level, and negative changes at the genetic level, why should we not make positive changes at the genetic level? What makes this policy, but not the others, objectionably God‐like?
Perhaps the most plausible reply to these questions rests on a general objection to any group of people trying to plan too closely what human life should be like. Even if it is hard to distinguish in principle between the use of genetic and environmental means, genetic changes are likely to differ in degree from most environmental ones. Genetic alterations may be more drastic or less reversible, and so they can be seen as the extreme case of an objectionably God‐like policy by which some people set out to plan the lives of others.
This objection can be reinforced by imagining the possible results of a programme of positive engineering, where the decisions about the desired improvements were taken by scientists. Judging by the literature written by scientists on this topic, great prominence would be given to intelligence. But can we be sure that enough weight would be given to other desirable qualities? And do things seem better if for scientists we substitute doctors, politicians or civil servants? Or some committee containing businessmen, trade unionists, academics, lawyers and a clergyman?
What seems worrying here is the circumscribing of potential human development. The present genetic lottery throws up a vast range of characteristics, good and bad, in all sorts of combinations. The group of people controlling a positive engineering policy would inevitably have limited horizons, and we are right to worry that the limitations of their outlook might become the boundaries of human variety. The drawbacks would be like those of town‐planning or dog‐breeding, but with more important consequences.
When the objection to playing God is separated from the idea that intervening in this aspect of the natural world is a kind of blasphemy, it is a protest against a particular group of people, necessarily fallible and limited, taking decisions so important to our future. This protest may be on grounds of the bad consequences, such as loss of variety of people, that would come from the imaginative limits of those taking the decisions. Or it may be an expression of opposition to such concentration of power, perhaps with the thought: ‘What right have they to decide what kinds of people there should be?’ Can these problems be side‐stepped?
The Genetic Supermarket
Robert Nozick is critical of the assumption that positive engineering has to involve any centralized decision about desirable qualities: ‘Many biologists tend to think the problem is one of design, of specifying the best types of persons so that biologists can proceed to produce them. Thus they worry over what sort(s) of person there is to be and who will control this process. They do not tend to think, perhaps because it diminishes the importance of their role, of a system in which they run a “genetic supermarket”, meeting the individual specifications (within certain moral limits) of prospective parents. Nor do they think of seeing what limited number of types of persons people’s choices would converge upon, if indeed there would be any such convergence. This supermarket system has the great virtue that it involves no centralized decision fixing the future human type(s).’7
This idea of letting parents choose their children’s characteristics is in many ways an improvement on decisions being taken by some centralized body. It seems less likely to reduce human variety, and could even increase