Friday, July 4, 2008

Dignity gets Lost in the Details

Stephen Pinker has an interesting essay in The New Republic that attacks the maneuver by conservative "ethicists" to build their arguments on dignity. He addresses the thinking behind the President's Council on Bioethics released a 555-page report, titled Human Dignity and Bioethics:
Many people are vaguely disquieted by developments (real or imagined) that could alter minds and bodies in novel ways. Romantics and Greens tend to idealize the natural and demonize technology. Traditionalists and conservatives by temperament distrust radical change. Egalitarians worry about an arms race in enhancement techniques. And anyone is likely to have a "yuck" response when contemplating unprecedented manipulations of our biology. The President's Council has become a forum for the airing of this disquiet, and the concept of "dignity" a rubric for expounding on it. ...

The problem is that "dignity" is a squishy, subjective notion, hardly up to the heavyweight moral demands assigned to it. The bioethicist Ruth Macklin, who had been fed up with loose talk about dignity intended to squelch research and therapy, threw down the gauntlet in a 2003 editorial, "Dignity Is a Useless Concept
Here is the crux of his argument:
Conservative bioethicists presume to soothsay the outcome of the quintessentially unpredictable endeavor called scientific research. And they would stage-manage the kinds of social change that, in a free society, only emerge as hundreds of millions of people weigh the costs and benefits of new developments for themselves, adjusting their mores and dealing with specific harms as they arise, as they did with in vitro fertilization and the Internet.
Pinker can't resist poking some fun at the idea of "dignity":
Thorstein Veblen wrote of a French king who considered it beneath his dignity to move his throne back from the fireplace, and one night roasted to death when his attendant failed to show up.
And, Pinker can't resist poking fun at these "ethicists" who have blighted view of "dignity":
Kass frequently makes his case using appeals to "human dignity" (and related expressions like "fundamental aspects of human existence" and "the central core of our humanity"). In an essay with the revealing title "L'Chaim and Its Limits," Kass voiced his frustration that the rabbis he spoke with just couldn't see what was so terrible about technologies that would extend life, health, and fertility. "The desire to prolong youthfulness," he wrote in reply, is "an expression of a childish and narcissistic wish incompatible with devotion to posterity." The years that would be added to other people's lives, he judged, were not worth living:"Would professional tennis players really enjoy playing 25 percent more games of tennis?" And, as empirical evidence that "mortality makes lifematter," he notes that the Greek gods lived "shallow and frivolous lives"--an example of his disconcerting habit of treating fiction as fact. (Kass cites Brave New World five times in his Dignity essay.)

Kass has a problem not just with longevity and health but with the modern conception of freedom. There is a "mortal danger," he writes, in the notion "that a person has a right over his body, a right that allows him to do whatever he wants to do with it." He is troubled by cosmetic surgery, by gender reassignment, and by women who postpone motherhood or choose to remain single in their twenties. Sometimes his fixation on dignity takes him right off the deep end:
Worst of all from this point of view are those more uncivilized forms of eating, like licking an ice cream cone--a catlike activity that has been made acceptable in informal America but that still offends those who know eating in public is offensive. ... Eating on the street--even when undertaken, say, because one is between appointments and has no other time to eat--displays [a] lack of self-control: It beckons enslavement to the belly. ... Lacking utensils for cutting and lifting to mouth, he will often be seen using his teeth for tearing off chewable portions, just like any animal. ... This doglike feeding, if one must engage in it, ought to be kept from public view, where, even if we feel no shame, others are compelled to witness our shameful behavior.
And, in 2001, this man, whose pro-death, anti-freedom views put him well outside the American mainstream, became the President's adviser on bioethics--a position from which he convinced the president to outlaw federally funded research that used new stem-cell lines. In his speech announcing the stem-cell policy, Bush invited Kass to form the Council. Kass packed it with conservative scholars and pundits, advocates of religious (particularly Catholic) principles in the public sphere, and writers with a paper trail of skittishness toward biomedical advances, together with a smattering of scientists (mostly with a reputation for being religious or politically conservative). After several members opposed Kass on embryonic stem-cell research, on therapeutic cloning (which Kass was in favor of criminalizing), and on the distortions of science that kept finding their way into Council reports, Kass fired two of them (biologist Elizabeth Blackburn and philosopher William May) and replaced them with Christian-affiliated scholars.

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