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July 25 1968 is the date of Paul VI’s encyclical Humanae Vitae, in which he affirmed: “there is an inseparable connection, willed by God and unable to be broken by man on his own initiative, between the two meanings of the conjugal act: the unitive meaning and the procreative meaning” (no.12). This meaning is severed by contraception and also by the new modes of generating human life in the laboratory: artificial insemination by a donor (better expressed as “artificial insemination by a vendor”), in vitro fertilization, cloning, and other artificial reproductive technologies (ARTs).
July 25, 1978 is the birthday of Louise Brown, the first child conceived
in vitro to be brought to term. The doctors who “made her” in the
laboratory through in vitro fertilization and succeeded in implanting
her in her mother’s womb and managing her pregnancy were Patrick
Steptoe and Robert Edwards of England. They began their experiments
with in vitro fertilization in 1968, and hundreds of babies generated
in the laboratory died either while still in the laboratory or in wombs
into which they had been implanted before their “success” with Louise.
Paul Ramsey’s Critique of “Making Babies” as Intrinsically Evil and “Subject to Absolute Moral Prohibition”
During the years when Steptoe, Edwards, and others were experimenting
with in vitro fertilization and embryo transfer, the Protestant
Christian ethicist, Paul Ramsey, a great champion of life and opponent
of abortion and euthanasia who taught at Princeton University,
developed an argument against in vitro fertilization and other ways of
producing children in the laboratory. He argued that “making babies” in
this way is inherently evil because it constitutes an unethical
experiment upon a future possible child. Even without considering
abortion (clearly indicated if the “product” of such baby making does
not measure up to standards), we must conclude, he maintained, that
this way of making babies cannot exclude the possibility that harm will
be done to the child-to-be. We cannot, he argued, even come to know
whether damage will be done by the manipulation of ova and developing
embryos unless we are willing to inflict such damage in order to find
out.
Test-tube fertilization is not, Ramsey continued, “therapeutic.” At
that time (the early 1970’s) it was a purely experimental research
procedure of no possible medical benefit to the “subject” of the
research, namely, the possible future child. The experiments in
question could not diagnose any malady that could affect the child,
cure it, or prevent it. It was an experimental procedure designed for
the benefit of others at the expense of that “subject.” Thus, Ramsey
concluded, “in vitro fertilization constitutes unethical medical
experimentation on possible future human beings, and therefore is
subject to….absolute moral prohibition.”
Peggy Orenstein’s “In Vitro We Trust,” New York Times Magazine July 19, 2008
Evidence now shows that the various kinds of procedures used in “making
babies” in the laboratory through in vitro fertilization and its
varieties does in fact do harm to the babies made in this way. This is
shown in an article Peggy Orenstein wrote for the New York Times
Magazine of Sunday, July 20, called “In Vitro We Trust” to commemorate
the 30th birthday of Louise Brown on July 25, 2008. Orenstein, who
herself had delivered a child “made in the laboratory,” and is a strong
supporter of the new reproductive technologies, nonetheless had to
acknowledge that their use has caused serious harm to the babies
generated by them. Thus she wrote: “Thousands of couples…have used
intracytoplasmic sperm injection, a treatment for male infertility,
despite some evidence that the resulting children may have higher rates
of birth defects, learning disabilities, and sterility in boys.”
Orenstein does not provide this evidence, but I will do so later in
this essay.
Orenstein, an advocate of IVF and other ARTS, declared: “it makes me
uneasy to propose government involvement in matters of reproductive
choice. If a woman wants to give I.V.F. a whirl at age 44 when her
chances of success are 1 percent or a couple want to ‘go for twins’ — a
two-for-one bargain, a ready-made family — who is Uncle Sam to say
no?” But she expressed concern that American fertility clinics, in
order to increase the odds that an embryo will successfully implant in
the womb, routinely fertilize several ova and implant them in wombs.
She then noted that “twins are 6 times more likely and triplets 17
times more likely than singletons to die in infancy.” She pointed out
that law professor Naomi Cahn “argues that a distinction can be
made…between reproductive privacy and public-health concerns. States
could license donor-egg agencies, for instance (heck, even manicurists
have licenses). The feds could create a national registry to track the
long-term health of I.V.F.-conceived kids.” We may then be able to
put more trust in I.V.F.
Evidence That IVF and Other Artificial Reproductive Technologies (ARTs) Cause Grave Harm To Children Conceived by Their Use
Orenstein reported that intracytoplasmic sperm injection has caused
thousands of children conceived in vitro to have birth defects. Michèle
Hansen and others give massive evidence for this. She and her
associates found that infants conceived in the laboratory were more
likely to be delivered by Caesarean section, to have a low birth weight
and to be born before term. Of babies conceived by intracytoplasmic
sperm injection, 8.6% had a major birth defect diagnosed in their first
year. For children conceived by in vitro fertilization the percentage
was similar (9%), whereas for babies conceived naturally major birth
defects diagnosed in the first year were only 4.2%. This study showed
that infants conceived as a result of these technologies were more than
twice as likely to have a major birth defect than naturally conceived
infants. The Hansen et al. study is confirmed by Robert P. Jaffe.
Other studies have turned up similar findings of the harms done by in
vitro fertilization and other ARTs. Michael DeBaum et al. showed that
the Beckwith-Wiedemann syndrome (BWS) was four to six times as
prevalent among children who had been conceived as a result of ARTs
than among those conceived naturally. This syndrome can cause the
tongue and internal organs to be abnormally large, resulting in high
birth weight. It also increases the risk of certain cancers including
Wilm’s tumor, hepatoblastoma, and neuroblastoma. A study by Annette
C. Moll and others suggested a link between ART and childhood
retinoblastoma (a malignant tumor affecting the retina). Use of IVF,
in the judgment of these investigators, may cause an increased risk of
this serious malady of the order of five- to seven-fold.
Conclusion
Other studies could be cited, but those noted in this brief paper show
how true Ramsey was in unequivocally condemning in vitro fertilization
and other ways of “fabricating man” as intrinsically evil and subject
to absolute moral condemnation. Recently Professor Julian Savulescu, an
Oxford professor who thinks generating life through ARTs is morally
required in order to produce better babies that those we get through
heterosexual intercourse (or what the late Joseph Fletcher called
“reproductive roulette”), received a huge grant from the Welcome Trust
to further his program for enhancing human beings. In view of this
some lines written in 1972 by Leon Kass, who served as first chairman
of the President’s Council for Bioethics from 2001-2008, seem
appropriate for bringing this paper to a close. Kass wrote as follows:
“The price to be paid for the ‘optimum’ baby is the transfer of
procreation from the home to the laboratory and its coincident
transformation into manufacture. Increasing control over the product is
purchased by the increasing depersonalization of the process. The
complete depersonalization of procreation shall be, in itself,
seriously dehumanizing, no matter how optimum the product. It should
not be forgotten that human procreation not only involves human beings
but is itself a human activity.”
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