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Transplant Saves, But At What Cost?

November, 2000

 

            What would you be willing to do to save a child’s life?  What if it were your own child?  For most of us the quick answer is “anything,” but “anything” is a lot more complicated than it used to be. 

            About a decade ago a California couple made headlines by conceiving a child for the purpose of bearing a bone marrow donor for their teen-aged daughter, a leukemia victim.  Beating 1-in-4 odds, the baby was a perfect match for her sister, who recovered with the help of the transplant.  The story ends happily, with the girl now grown and married.

The notion of conceiving a child as a donor raised a debate among medical ethicists, who in that quaint era served to help patients and medical professionals navigate between what one can do and what one should do.  Although the baby was not harmed beyond the needle prick to extract a few cells, where would this newly cracked door lead in a time of rapidly advancing medical knowledge?

To the the Reproductive Genetics Institute of Chicago, it turns out, where doctors helped a Colorado couple create 12 embryos in hopes of producing a donor for the pair’s 6-year-old daughter.  Later, doctors at the University of Minnesota transplanted umbilical cord blood cells from the baby to the girl, who suffers from a rare genetic disease that prevents her body from making its own bone marrow.  Without a suitable donor her doctors say the girl would have died by age 35, perhaps much sooner

The embryos were created in a lab and screened for presence of the disease and suitability as donors.  One of the embryos was found to carry the malady and dispatched; a second was implanted into the mother.  The rest were frozen. 

Though it was not stated in the media, which likes to find polite euphemisms for these things, the couple presumably does not intend to have ten more children and will eventually kill the remaining embryos or allow them to become inviable. 

The director of the university’s Center for Bioethics acknowledged that genetic screening might be misused but feels this case shows it can be positive.  “A healthy child can also save the life of a sick sibling,” he said.  “And that’s all to the good.”

But what of the embryos that weren’t implanted?  Last year I wrote of a proposal to allow the euthanization of handicapped children by Dr. Peter Singer, holder of an endowed bioethics professorship at Princeton University.  An advocate of “personhood” for great apes, Singer has also said that “the life of a newborn baby is of less value than the life of a pig, a dog, or a chimpanzee,” and that “killing a defective infant is not morally equivalent to killing a person.” 

At worst, Singer was praised by faint damnation.  Then-presidential candidate Peter Forbes, a Princeton alumnus and trustee, withdrew his financial support and handicapped rights groups staged protests, but Singer’s peers barely raised a collective eyebrow. 

Dear Lord, if my family ever has to make life or death decisions for me may there be no ethicist in the house.

            The role of the profession has morphed from gatekeeper to apologist, part of a broader drive to remove moral guideposts from society at large.  You know the chant:  “What’s wrong for you might be right for me,” “Who is anyone to tell someone else what to do?”, “Judge not!”, yadda, yadda.  Yet if that’s all there is to it, why do we need paid professional advocates except as a balm to the conscience?  People have generally proven to be quite capable of making their own excuses. 

Clichéd as it may sound my heart truly does go out to the Colorado couple and their daughter.  Doctors say the transplant appears to have worked and the girl will likely be released by the time this prints.  I wish her a complete recovery.

But dying along with those 11 embryos is another piece of our humanity.  This is eugenics, no more and no less, and all the apologists in the world can’t change it.

 

 

© 1997 – 2002 Brent Morrison

 

 

 

 
 

 

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