Juan Masia, SJ (Sophia University)
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"Repairing organs" or "regenerating tissues" have become
recently key words in medical care, as well as signs of new bioethical
problems. The issues concerning the therapeutic uses of stem cells are
especially delicate. These cells are called stem cells because the ability
they have to reproduce and to produce a variety of differentiated cells,
which can develop into several kinds of tissues and organs. Since more
than thirty years ago research was going on about stem cells. But in the
year 1998 a new milestone was reached, namely, the discovery of how to
produce stem cells out of human embryos.
Since isolating stem cells requires the destruction of human embryos, a
hot debate has been going on in the U.S.A. for the past couple of years.
On August 9, 2001, President Bush decided to permit federal funding of
embryonic stem (ES) cell research, but using only those stem cell lines
that have been already obtained.
In Japan the law against cloning, passed in the Diet in November 1999,
includes a clause about the conditions under which the research on stem
cells can be carried on.
* In Japan, in November 2000, the Diet approved a project of law about
the cloning technologies. Based on this law the Ministry of Education and
Science issued on September 25th, 2001, the guidelines about the way to obtain and to use for research
human stem cells. In the explanation about how to interpret these guidelines
there is mention about the future possibility of using cloning technology
in order to make a cloned embryo from which to obtain ES cells with the
same DNA of the patient (which would help to avoid the problem of immunologic
rejection). Actually on November 26, 2001, the evening issue of the Mainichi
Shinbun published the news that for the first time a researcher had succeeded
in the USA to make a cloned embryo.
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The Pontifical Academy of Life issued (August 25, 2000) a declaration both
against the use of living human embryos for the preparation of stem cells
and against the production of human embryos by cloning technology, in order
to obtain stem cells. This declaration recommends the use of adult stem
cells to attain the same goals through a method morally acceptable. (The
text of this Declaration can be read in Internet, Vatican HP and in Japanese
translation in the Shingaku Digest, July 2001).
There is an ambiguity in this new technology. On the one hand research
on and use of embryos are intended to help people and relieve suffering,
but it is also driven by gains for researchers, clinics and pharmaceutical
companies. There are tremendous incentives for researchers to investigate
medical uses of stem cells so as to sell their knowledge to for-profit
pharmaceutical companies. We can foresee the "escalation": the
use of leftover embryos may turn later on into permission to expand the
embryo supply by using cloning technology in order to produce human embryos
for research.
Sure, many possible clinical benefits are expected from the promises of
the stem cells researchers. But embryo research is not the only way to
obtain those benefits. Other alternatives have been proposed. For instance,
to use non-embryonic adult stem cells. Anyhow, when we realize the speed
at which the market interests are moving, the question we cannot avoid
is: Where are we going to stop the race toward a "Brave New World"?
How far is going to reach the commercialization of life?
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Stem cells research confront us with the question about the status of the
early embryo. The answers given to this question come from two extreme
positions, like in the debate about abortion. Some people say that the
early embryo is nothing more than a clump of cells. Some people say that
it is already a human being with dignity and rights. In fact we cannot
say strictly speaking that the early embryo is already a human being, but
we must admit that it is neither a mere thing nor an object of property.
Even if the 5 day embryo (in scientific terms, a blastocist, in the stage
before implantation in the uterus) cannot have the status of a human being,
it is on the way to become a human being. It is not just merely a material
product. We cannot say that destroying early embryos is murder, but its
destruction poses a moral problem, because the early embryo is a developing
form of human life, which deserves respect, not only because of what it
is, but also because of what it can be.
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But the question of the beginning of human individual life need not be
the main focus of this debate. It is important that the public take a more
active and informed interest in the standards now being set by the government
under the influence of scientists and investors with the help of political
pressure. There is a need to set limits to the strong influence of economic
reasons in bio-ethical decisions.
There is too much trust in technology, and not enough solidarity. L. S.
Cahill has written: "Broader and more careful public participation
in decision-making about the social role of biotechnology is absolutely
necessary to preserve medicine's traditional goals of healing and humanizing
life in an age when medical and economic institutions are increasingly
intertwined.
(America magazine, 2001-III-26).
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