Saturday, January 30, 2010

Avatar: The Future of Bioethics is Now

Avatar, the recently released big budget movie by James Cameron, has taken the entertainment industry by storm. Normally “not to be pleased” film critics cannot find enough complimentary words to print. With a $300 million price tag to produce, Avatar has become an instant “cult hit”. Audiences leave theaters in awe of the computer generated special effects that reportedly have transformed the movie viewing experience to a state of virtual reality. In addition to achieving ultimate moviemaking technology, the story line is a compelling account of a science fiction that may be less fiction than it is real science.
The story of Avatar explores the ability of a human to inhabit the mind and control the body of a lesser being created by science to accomplish tasks considered too dangerous for the human to engage in. The manufactured humanoids are sent to an inhospitable planet where war is being waged for control of the universe. Sound like a better way to wage war? Sound far-fetched? Perhaps science is far more capable of creating this fantastic world than most moviegoers would expect.
The word “avatar” derives from a Hindu word representing the embodiment of the god Vishnu in typically lesser forms of being some of which are god-like and others much less so, including turtles, fish, boars or lions. Vishnu was embodied in countless life forms all created for specific purposes to achieve the intent of the god who engendered them. 
The word came into popular American culture through the language of Internet gaming in which players created virtual selves to live, play and potentially die to live again in the game “Habitat” first created in 1986.  As players created their “online persona” they lived vicariously through their surrogate in playing the game by engaging in virtual activities which hopefully they would never choose to participate in “the real world”. Their avatars could murder, maim, deceive and steal with impunity.
How could this fiction possibly be realized through science? It is much closer to reality than we might wish to admit. The science of transgenics has accomplished amazing feats in the laboratory which movie makers could only wish to recreate for the big screen. Truth in fact is stranger than fiction.
Would you like to manufacture a natural fiber much stronger than steel? How about combining the genetic code of a spider with that of a goat to create goat’s milk with the strength characteristics of a spider’s web? Outlandish, you say! Done. BioSteel® is the product of a Canadian company which comes from its “spidergoat” created by combining the genomes of spiders with those of goats.
Barnyard experimentation is one thing, but human experimentation is something entirely different. Right? Wrong. In Amherst, Massachusetts genetic engineering company Advanced Cell Technology created hybrid embryos resulting from the injection of human cells into cows eggs. South Korean research company Maria Bio-Tech created a “hu-mouse” by injecting human stem cells into mouse embryos The living altered embryos were implanted into to a mouse womb with a litter of healthy “hu-mice” delivered thereafter. And just for the fun of it, Cambridge University researchers created “she-male” hermaphrodite human embryos by implanting male genes into female embryos. These chimeras (part one life form and part another) are scientifically capable of creation in infinite varieties.
Make no mistake about it, as a human born with a bi-cuspid aortic heart valve, I am very interested in creating a pig which would carry my own genetic code so if the time arrives that a valve replacement is medically necessary, I can harvest a perfect body part for the task. But because I can, should I?
More critically, because we might be able to create human-like forms in the lab for the purpose of conducting warfare, scientific experimentation or medical therapy should we?
At present, no federal laws in the US prevent these outcomes. Only human restraint does so (if in fact such experimentation is being restrained rather than simply not reported).
All significant human scientific advances raise ethical concerns. The time has long passed for us to seriously consider and engineer the ethical limits, conditions and consequences of genetic experimentation. Only a multi-disciplinary dialogue will provide the breadth and depth of discourse necessary for this critical conversation. Scientists, ethicists, lawyers, physicians, policy makers and the public must be invited into this discourse lest one segment of society hijacks the possibility of a reasoned outcome.
In all the debate and diatribe surrounding health care reform, dialogue concerning bioethics has been noticeably absent. For the sake of humans, avatars, chimera and other life forms capable of being “born” in our laboratories, the time to convene this dialogue is now.
[Larry Bridgesmith is a guest blogger for the Womens Bioethics Blog; you can see more about his background here. ]

Friday, January 29, 2010

Abortions in the military: disempowering women in service

Prior to Roe v. Wade, women in the military were pressured to get abortions so as to preserve them and their physical availability for service, otherwise automatic discharge from service would result. Now, it's nearly impossible for military women to safely get an abortion, in both the physical and political means. Meet Amy: a Marine who had received excellent performance evaluations and was on track to promotion but now fears for her career's integrity because of her pregnancy resulting from rape while in service in Iraq. A ban set in place in 1979 prevented any federal monies, which includes military medical health plans, from funding abortions. The inability for military physicians to provide abortions forces women who become pregnant in the military to take drastic measures to find an abortion; including local off-base hospitals in the region of service where language/cultural/technical differences in medical practices can jeopardize safety and comfort to the patient, horrifyingly unsafe do-it-yourself methods with any variety of herbal abortifacients or coathanger devices, or taking a stigmatized military leave to travel thousands of miles back home to (hopefully) receive a safe abortion with the proper care in a timely fashion. To make matters worse, the punishment for violating Article 92 of the Uniform Code of Military Justice, ie. having sex in a war zone, can land you a hefty fine and suspended rank reduction. This offense is clearly unjust because a female can't exactly hide pregnancy, whereas the impregnating male can remain elusive under this law, pending genetic paternal tests. Regardless, Amy was afraid to tell her officers, peers and medical caretakers of her pregnancy because she feared being viewed as a "weak female" and most certainly did not want to interrupt her active service in Iraq. After a mess of revelations to her ranking officers, Amy was sent home, mostly on the deabilitating diagnoses of PSTD, depression and anxiety, and get an abortion after having unsuccessfully attempting to terminate it herself via a few horrifying methods.

Many leaders in government like Rep. Susan Davis (D-CA), Vicki Saporta, President of the National Abortion Federation, and Lieutenant General Claudia J. Kennedy, are pushing hard for abortion rights in the military, but even amongst their battles with abortion legislation, military abortion rights see a small piece of the pie. The barriers facing women in the military to receive abortion services loom at every turn when looking for help. The most straightforward way to put it, is that “servicewomen do not receive the protection of the Constitution they defend" and this is a form of exploitation that is morally unacceptable. 

Thursday, January 28, 2010

"Health, Sex, and Women's Rights in Contemporary Asia" - upcoming lecture series in Seattle

Starting this Saturday, the Gardner Center for Asian Arts and Ideas will be hosting a lecture series titled "Health, Sex, and Women's Rights in Contemporary Asia." All events will be located in Volunteer Park.

January 30 – Women Feed the World: Women’s Land Rights in Asia
Speakers: Renee Giovarelli, Rural Development Institute, and Haven Ley, Bill & Melinda Gates Foundation

February 6 – Asia: The Frontier in the Battle for Health Equity in the World
Speakers: Tachi Yamada, President of Global Health, Bill & Melinda Gates Foundation, and Chris Elias, President and CEO of PATH

February 13 – In Silence: Maternal Mortality in India
Speakers: Susan Meiselas, Magnum photographer; Sylvia Wolf, Director, Henry Art Gallery, University of Washington; and France Donnay, Bill & Melinda Gates Foundation

February 20 – Feminization of Labor in Southeast Asia: How Girls Feed Families, Stay Healthy and Cope with Exploitation
Speakers: Therese Caouette, Seattle University expert on migration and trafficking issues in Southeast Asia, and Kate Teela, Bill & Melinda Gates Foundation

This looks like a great series of informative lectures; you can sign up for all or one at a time.

For more information, head to their website.