Monday, 22 April 2013

Wednesday, 10 April 2013


How is PGD (Pre-implantation genetic diagnosis) HELPFUL?
The benefits of this medical intervention are boundless. It would allow a family to virtually eradicate a genetic disease in only a few generations. Muscular Dystrophy is an excellent example, and a great subject for PGD.. Muscular Dystrophy (MD) is a group of genetic and hereditary (see picture left for gene flow pattern) muscle diseases that weaken the muscles of the body, sometimes very severely. If two parents decide to use either IFV or PGD, doctors can test each of the eggs for the gene for MD. If they find an egg that does not carry the gene, they can implant it and reduce the chances for this disease greatly. This also means less money will be spent in hospitals for medical treatments needed for a sick child in the future.
Designer babies may also be created to help another in need. Parents may have a child suffering from a disease and in need of an organ or blood transplant. Imagine you have a child suffering from Leukemia, a cancer of the blood/bone marrow. He needs a bone marrow donation, or he will die young. You and your husband/wife are not matches for his bone marrow. You are, however, able to have another child. Through designer babies, they could create a perfect match for your child's blood, bone marrow, or other organ.
Genetic screening on embryos has the potential to wipe out genetic disease by virtually removing the alleles from such disorders. When it is used in correct form, for medical treatment, children born in the future have the potential to be purely "healthy" and carry no signs of genetic disease.

Monday, 8 April 2013

Cons of designer babies
society
 -   A society of pretty, healthy, and intelligent people may sound reasonable and even favorable, until the full social implications are considered. Designing a baby costs money, and will most likely continue to cost lots of money; Genetic engineering for non medical reasons is not necessary for living life and it is doubtful that those who could not afford it would get reimbursed by insurance companies. This cost will mean that not everyone will be able to pay to design their baby, and suddenly people will encounter prejudice, not for their race, but for their inferior genetic makeup. It creates a new class system made up of genetically designed people and naturally made people. The people who were not genetically engineered would experience a loss of opportunity based on a chance that their defective genes will be expressed. In this new society, people with a 50% chance of cancer would get passed over for a job in favor of the person with .01% chance of cancer. That kind of social stratification can be frightening. Even if privacy laws the way they are now stay in place and people’s genetic information is not shared, it could be obvious which children were designed and which were not, creating the same stratification

one gender or other important characteristic is favored over the other.
-In countries such as China and India where boys are favored over girls, this technology could be used so that every set of parents that wants a baby boy will get one. However, that is not evolutionarily favorable. If a generation of only boys were to be made, the human race would die out.

-Without diversity in the species, adaptation to the new environment is more difficult without a wide range of individuals to choose from. The evolution of humans has spanned about 2 million years and has resulted in the types of people we see today: people who have imperfections and people who are very different from one another. A large scale of organisms in a particular species is necessary for that species to continue to be competitive with other species and be successful. By creating a generation of genetically similar people, the human species loses its ability to adapt to changing environments

going against ethical values.
-Furthermore, on moral grounds, whether it is believed that humans evolved or were created by God, it is wrong to try to perfect something that has been perfected over a large span of time or made by God. This is also considered as going against ethical values.

The Embryos
The choosing of embryos brings to the forefront a large moral issue with designer babies. Many embryos are created, and not as many are implanted into the mother. The embryos that do not fit the specifications set by the parents will get thrown away. Had these embryos have been allowed to grow, they could have had long and fulfilled lives, however the ones that are thrown away lose that potential life. Many people, especially those who are pro-life, view this aspect as a huge problem in the creation of designer babies. If many embryos are going to be thrown away, they should not be created.
Author's POV
"Genetic engineering and designer babies could potentially be a very good thing; however, like any technology, it cannot be abused without rampant ramifications. It is true that many of the scenarios mentioned are worst case. On the other hand, any degree of the scenarios above is still somewhat terrifying. We do not think that the ideas surrounding designer babies are all bad though as there are also advantages to it"

Pre-implantation Genetic Diagnosis (PGD/Designer Babies) Ethics

Research Article
Screening for fetal and genetic abnormality: social and ethical issues.
G R Dunstan
Author Affiliations: University of London.


Abstract
In answer to questions raised by practitioners, an ethics of genetic screening is located in a tension between liberty and responsibility in three respects: (1) to nature and biological processes; (2) to the disposal of human life; and (3) to the relation of persons to society. Under (1), the obligation to pursue research, fundamental as well as applied, is affirmed, offering the benefit of economy with fetal life, but requiring discrimination between the beneficial, the trivial, and the bizarre. Under (2) the abortion question, when relevant to diagnosed abnormality, is discussed, not in the language of conflicting rights, but of the relation of duties to interests. Under (3) the familial and social dimensions of screening raise questions of the disclosure of information and the keeping or extending of confidences. Last comes the value placed on truth in two related areas of developing practice. In infertility treatment, the donors of gametes are required to remain anonymous. Gene tracing through families requires for its effectiveness some correspondence between assumed identity and genetic identity. This conflict of social policies should be resolved.
http://jmg.bmj.com/content/25/5/290#related-urls



Extending preimplantation genetic diagnosis: the ethical debateEthical issues in new uses of preimplantation genetic diagnosis

John A. Robertson
Author Affiliations: School of Law, The University of Texas, 727 Dean Keeton Street, Austin, Texas, USA. e‐mail: jrobertson@mail.law.utexas.edu

AbstractThe use of pre-implantation genetic diagnosis (PGD) to screen embryos for aneuploidy and genetic disease is growing. New uses of PGD have been reported in the past year for screening embryos for susceptibility to cancer, for late‐onset diseases, for HLA‐matching for existing children, and for gender. These extensions have raised questions about their ethical acceptability and the adequacy of regulatory structures to review new uses. This article describes current and likely future uses of PGD, and then analyses the ethical issues posed by new uses of PGD to screen embryos for susceptibility and late‐onset conditions, for HLA‐matching for tissue donation to an existing child, and for gender selection. It also addresses ethical issues that would arise in more speculative scenarios of selecting embryos for hearing ability or sexual orientation. The article concludes that except for sex selection of the first child, most current extensions of PGD are ethically acceptable, and provides a framework for evaluating future extensions for nonmedical purposes that are still speculative.


Ethical issues in current and expanded uses of PGD
Two main sets of ethical objections make PGD and proposals for its extension controversial. One set of objections arises from the need to create and then select embryos on chromosomal or genetic grounds, with the deselected embryos then usually discarded. Other objections concern the fact of selection itself.
Objections to PGD based on its effect on embryos replay debates over abortion and embryo status that have occurred in many other contexts, from abortion to embryonic stem cell research. People who think that the embryo or fetus is a person will object to creating and destroying embryos, and oppose most uses of PGD. Others believe that preimplantation embryos are too rudimentary in development to have interests or rights, but that they deserve special respect as the first stage toward a new person (American Society of Reproductive Medicine, 1994). Under this view PGD is ethically acceptable when done for good reasons, such as preventing offspring with serious genetic disease. Indeed, PGD may prevent selective abortions for those diseases. A major issue with new uses of PGD is whether they sufficiently benefit important human interests to meet the demands of special respect for embryos that supporters of PGD may require.
A second set of objections arises from the fact of selection itself, and the risks of greatly expanded future selection of embryos and children. Sometimes based on religious views about the nature of human reproduction, ethical objections to selecting offspring traits raises two kinds of ethical concerns. One kind is deontological—the ethical judgement that it is wrong to choose traits of offspring, no matter how well intentioned. Dr Leon Kass has articulated this view, as has the President’s Bioethics Council in the United States, which he chairs. They argue that human reproduction is a ‘gift’ and that any form of selection or manipulation turns the child into a ‘manufacture’ and thus impairs human flourishing (Kass, 1998, 2000, 2002; President’s Bioethics Council, 2002). The second kind of concern is consequentialist. It arises from fears that increasing the frequency and scope of genetic screening of prospective children will move us toward a eugenic world in which children are valued more for their genotype than for their inherent characteristics, eventually ushering in a world of ‘designer’ children in which genetic engineering of offspring becomes routine.
While recognizing the strong objections of some people to PGD on these grounds, the following discussion assumes that the use of PGD to screen for aneuploidy and serious Mendelian disorders is ethically and legally acceptable when performed according to applicable regulatory guidelines. It concentrates instead on new indications for PGD, and asks whether they would also meet ethical standards of acceptability.
http://humrep.oxfordjournals.org/content/18/3/465.full


Posted by Sherissa Chua (29)

Cons of Designer Babies


Cons

Designer babies could lead to the further division of the socio-economic strata.

Having a designer baby requires a large sum of money to be invested so that doctors can produce the ideal child for the parents with all the desirable characteristics and cosmetic appearances. Only the rich would be able to afford the 'luxury' and 'freedom' to choose the features that they want their child to have and this could possibly lead to the invention of a flawless generation of perfect children that are not only born rich but also have a superior advantage over the poorer people, be it in terms of physical attractiveness, fitness or even intelligence. This would intensify the gap between the rich and the poor because the rich simply gets richer and more powerful while the poor remains poor and stuck with their natural traits and abilities. Thus, it would be more challenging and difficulty for them to get out of the rat race as they need to possess higher intelligence and greater abilities to overcome the power class of the designer babies. 

Designer babies would further intensify the superficiality in the society.

Today's modern society has been already deeply concerned with their looks, with rising number of people seeking help from plastic surgeons to correct their looks or to make them look more attractive and appealing. Now, with the invention of designer babies and the likelihood for parents to choose the desirable features of their child, it could only lead to human beings to further dwell in the endless chase for the perfect appearance. Designer babies could lead to the overwhelming response of a certain feature that are deem more valuable as compared to other features and the poorer population that are born naturally with that certain undesirable feature would likely be discriminated by others. This could also lead to these normal kids to feel inferior of their appearances, causing them to lose confidence and hope which would lead to a viscous cycle because the rich would just look nicer and better while the poor just stays the same.

Designer babies are not guaranteed a success and it is not a natural process of life.

With all the hopes raised for designer babies, parents that could afford it may be waiting in anticipation for the arrival of the perfect child. But because designer babies are a new invention, there would be no guarantee on whether the child would really be able to have the desirable features that the parents chose. Apart from not fully getting the ideal results, there could also be the possibility that other health complications could arise in the designer babies. What would happen to the child if he/she was not considered perfect to the parents? The parents cannot reject or refund the baby like they could when they do not fancy a designer product after purchasing it. After all, we are talking about a life. Shouldn't parents just appreciate the natural process of having a child and love the child as he/she is? The joy of having children is the excitement and anticipation of wondering what the child would look like and having a bunch of kids that are genetically similar to the parents. Children are gifts from God, regardless of whether they are 'perfect' or not and parents should just appreciate the fact that they are able to have kids and produce human beings that look like them because this could be one of the true values of being a parent. 

http://designerbabies-jtcc.blogspot.com/2009/06/designer-babies-good-or-bad_10.html

Socratic Questioning


Socratic questioning is disciplined questioning that can be used to pursue thought in many directions and for many purposes, including: to explore complex ideas, to get to the truth of things, to open up issues and problems, to uncover assumptions, to analyze concepts, to distinguish what we know from what we don't know, to follow out logical implications of thought, or to control the discussion. The key to distinguishing Socratic questioning from questioning per se is that Socratic questioning is systematic, disciplined, and deep, and usually focuses on fundamental concepts, principles, theories, issues, or problems.  It teaches us to dig beneath the surface of our ideas. It teaches us the value of developing questioning minds in cultivating deep learning.
1.    Getting students to clarify their thinking
e.g., ‘Why do you say that?’, ‘Could you explain further?’
2.    Challenging students about assumptions
e.g., ‘Is this always the case?’, ‘Why do you think that this assumption holds here?’
3.    Evidence as a basis for argument
e.g., ‘Why do you say that?’, ‘Is there reason to doubt this evidence?’
4.    Alternative viewpoints and perspectives
e.g., ‘What is the counter argument for?’, ‘Can/did anyone see this another way?’
5.    Implications and consequences
e.g., ‘But if...happened, what else would result?’, ‘How does...affect...?’
6.    Question the question
e.g., ‘Why do you think that I asked that question?’, ‘Why was that question important?’, ‘Which of your questions turned out to be the most useful?’
Taken from:

The Art of Socratic Questioning
The art of Socratic questioning is important for the critical thinker because the art of questioning is important to excellence of thought. What the word ‘Socratic’ adds is “systematicity”, “depth”, and a keen interest in assessing the truth or plausibility of things.

How To Prepare To Lead a Socratic Discussion

One of the best ways to prepare to lead a Socratic discussion is by pre-thinking the main question to be discussed using the approach of developing prior questions. Prior questions are questions presupposed by another question. Hence, to settle the question “What is multi-culturalism?” I should be able to first settle the question, “What is culture?” and, to settle that question, I should be able to settle the question “What is the basis of culture?” that is, “What are the factors about a person which determine what culture he/she belongs to?"
Construct A List of Prior Questions
To construct a list of prior questions, simply write down the main question which you are going to focus your discussion on and then pose a question you would have to be able to answer before you could answer the first. Then take the second question and do the same for it (i.e., determine what question you would have to answer to answer it). Then, continue on, following the same procedure for every new question on your list.
As you proceed to construct your list keep your attention focused on the first question on the list as well as on the last. If you do this well, you should end up with a list of questions which probe the logic of the first question, and hence, a list of questions which are relevant to a Socratic discussion of your first question. During the Socratic dialog, you should loosely follow your list of logically prior questions, using it primarily as a guide for deeply probing the issue at hand.
A Sample List
As an example of how to construct logically prior questions, consider this list of questions that we developed in thinking through a key question intended for use in conducting a Socratic discussion on the question, “What is history?”
·         What is history? 
·         What do historians write about? 
·         What is the past? 
·         Is it possible to include all of the past in a history book? 
·         How many of the events during a given time period are left out in a history of that time period? 
·         Is more left out than is included? 
·         How does a historian know what to emphasize or focus on? 
·         Do historians make value judgments in deciding what to include and what to leave out? 
·         Is it possible to simply list facts in a history book or does all history writing involve interpretations as well as facts? 
·         Is it possible to decide what to include and exclude and how to interpret facts without adopting a historical point of view? 
·         How can we begin to judge a historical interpretation? 
·         How can we begin to judge a historical point of view?



List of questions for designer babies:
- What are designer babies?
-Is it widely used in the world?
-What is the process of making them?
-Is it truly beneficial to society? (consider the risks involved)
-Is it encouraged for people to go through this process? Why or why not?
-What are your views on it?
-What are the consequences of it?

Articles on designer babies


Consumers desire more genetic testing, but not designer babies

Published: Monday, January 26, 2009 - 11:09 in Health & Medicine
A new study by researchers at NYU Langone Medical Center found a high desire for additional genetic testing among consumers for life altering and threatening medical conditions including mental retardation, blindness, deafness, cancer, heart disease, dwarfism and shortened lifespan from death by 5 years of age. Consumers, however, are less interested in prenatal genetic testing for traits including tall stature, superior athletic ability and superior intelligence. "Our research has discovered that although the media portrays a desire for 'designer babies', this does not appear to be true among consumers of genetic testing services," said Feighanne Hathaway, MS CGC, a certified genetic counselor at the NYU Cancer Institute. The article entitled, "Consumers' Desire towards Current and Prospective Reproductive Genetic Testing" published online early by the Journal of Genetic Counseling finds that consumers desire more genetic testing than what is currently offered but their selection of tests have limits on enhancements.
Prior to their initial visit with a genetic counselor at NYU's Human Genetics Program, 999 patients completed a one-page, 10 question categorical survey to assess their attitude towards reproductive genetic testing between July 2006 and February 2007. These consumers were asked to indicate traits and conditions for which they would choose reproductive genetic testing by circling answers from a list of thirteen that included both diseases and enhancements.
The study found that the majority of respondents would elect for the screening of the following conditions: mental retardation (75%), deafness (54%), blindness (56%), heart disease (52%), and cancer (51%). The results indicate that less than half of population (49.3%) would choose testing for a condition that resulted in death by 5 years of age, whereas even less parents (only 41.1%, 24.9%, and 19%) would choose testing for conditions that results in death by 20, 40, and 50 years of age, respectively. Only a minority of respondents would want genetic testing for enhancements such as athletic ability (10 %) or superior intelligence (12.6%). Also, the majority of respondents (52.2%) indicated that there were no conditions for which genetic testing should never be offered.
"As our knowledge and abilities in molecular genetics continues to expand, so does our ability to detect certain conditions and traits prenatally," said Dr. Harry Ostrer, Director of Human Genetics Program at NYU Langone Medical Center. "Our study gauged the consumers' opinion towards reproductive testing for diseases and enhancements. Our research has found that a majority of respondents would elect to have prenatal genetic testing for life altering conditions but most respondents did not desire testing for enhancements. This survey also demonstrated that there was a desire for additional reproductive testing for medical conditions or life altering diseases, than currently offered."
In addition researchers investigated whether learning about risk for disease to oneself might dissuade an individual from undergoing prenatal genetic testing. The survey revealed that about 80% of all respondents would still have testing if it revealed increased risk for disease for oneself including Parkinson's disease, early menopause, breast cancer and if it revealed non-paternity.
According to researchers, this study recognizes the increased consumer demand for genetic testing and this higher demand may already be exceeding the number of available genetic counselors. Consumers may have also followed their own personal values or belief systems when assessing choice for genetic tests and that genetic counselors may want to develop a policy statement about new genetic tests that are becoming available and the ethical concerns regarding prenatal testing for life altering conditions.
The authors concluded that, "it seems unlikely that the 'Age of Designer Babies' is near at- hand."

Source: NYU Langone Medical Center / New York University School of Medicine


Taken from:



Designing Life: Should Babies Be Genetically Engineered?

Wynne Parry, LiveScience Contributor
Freelance Journalist and writer
Greater New York City Area, Writing and Editing
Education: Columbia University- Graduate School of Journalism, University of Utah
Date: 18 February 2013 Time: 12:22 PM ET
NEW YORK — The increasing power and accessibility of genetic technology may one day give parents the option of modifying their unborn children, in order to spare offspring from disease or, conceivably, make them tall, well muscled, intelligent or otherwise blessed with desirable traits.
Would this change mean empowering parents to give their children the best start possible? Or would it meandesigner babies who could face unforeseen genetic problems? Experts debated on Wednesday evening (Feb. 13) whether prenatal engineering should be banned in the United States. 
Humans have already genetically modified animals and crops, said Sheldon Krimsky, a philosopher at Tufts University, who argued in favor of a ban on the same for human babies. "But in the hundreds of thousands of trails that failed, we simply discarded the results of the unwanted crop or animal."
Unknown consequences
Is this a model that society wants to apply to humans, making pinpoint genetic modifications, only to "discard the results when they don't work out?" Krimsky asked during an Intelligence Squared Debate held in Manhattan. He added that assuming no mistakes will occur would be sheer hubris.
He and fellow ban proponent Lord Robert Winston, a professor of science and society and a fertility expert at Imperial College in London, focused on the uncertainty associated with the genetic underpinnings of traits. The two also addressed the consequences of manipulating genes. [5 Myths About Fertility Treatments]
"Even [for] height, one of the most heritable traits known, scientists have found at least 50 genes that account for only 2 to 3 percent of the variance in the samples," Krimsky said. "If you want a tall child, marry tall."
Mother Nature doesn’t care
Meanwhile, their opponents, who opposed the ban, talked of empowering parents to give their children a healthy life, even if it meant giving their offspring traits they themselves could not pass down.
Lee Silver, a professor of molecular biology and public policy at Princeton University, urged the audience members to look at someone sitting next to them.
"That person and you differ at over 1 million locations in your DNA [deoxyribonucleic acid]. Most [of these variations] don't do anything," Silver said. "[But] even if you are a healthy adult, 100 [of these] can cause deadly childhood disease in your children or grandchildren."
"Mother Nature is a metaphor," he continued. "And it is a bad metaphor, because in reality inheritance is a game of craps … It won't have to be that way in the future." 
His fellow ban opponent, Nita Farahany, a professor of law and of genome sciences and policy at Duke University, attacked the idea that uncertainty should prevent the use of the technology, pointing out that reproduction, completely unaided by technology, involves much uncertainty.
"We are not going to ban natural sex," Farahany said.
Already possible
A significant portion of the debate focused on a particular technology known asmitochondrial transfer. While the majority of DNA resides in a cell's nucleus, a small amount is contained in the cell's energy factories, called mitochondria. This mitochondrial DNA is passed from mother to child. In rare cases, women have mitochondrial defects they can pass down to their children, causing devastating problems or even death.
Mitochondrial transfer can replace such defective mitochondrial DNA with that from a donor, allowing affected mothers to avoid passing these defects on to their children, who then carry genetic material from three parents (the father and two mothers, including the donor).
Opponents of a ban argued it would prevent women with mitochondrial disorders from having healthy children of their own.
"I am not here to defend every type of genetic engineering. I don't think we are ready as a society to embrace it all," Farahany said.
Rather than an outright ban, she and Silver argued for a middle ground, which would allow for certain procedures once they had been shown to be safe and effective. An emerging scientific consensus says mitochondrial transfer would fit into this category, she said.
Winston disagreed.
"We know fiddling with mitochondrial DNA may make a massive difference to what happens to nuclear DNA. … Abnormal children have been born as result of mitochondrial transfer," he said. "I think, in preventing one genetic disease, you are likely to cause another genetic disease." [The 10 Most Mysterious Diseases]
Society should instead focus on the enormous importance of environmental influences in health, Winston said. "What we should be trying to do, rather than risk making abnormal babies, is to improve the environment so the DNA functions in the best possible ways."
Neither Farahany nor Silver argued in favor of allowing parents to modify their children to ensure other traits that are less medically necessary, but nevertheless desirable, such as higher intelligence or blue eyes.
"What I think parents care about most is promoting the health of their children," Silver said.
Leading to eugenics?
Both sides referred to the specter of eugenics, an idea embraced by the Nazis, which holds that selective breeding can be used to improve the human race.
Winston and Krimsky pointed out that genetically modifying children to choose desirable traits evoked this approach. Meanwhile, Farahany noted that some of the worst abuses of government in recent history involved attempts to control reproduction. How would a ban on the genetic modification of children be enforced, she asked, would all babies be forcibly tested?  


Taken from:
http://www.livescience.com/27206-genetic-engineering-babies-debate.html?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+Livesciencecom+%28LiveScience.com+Science+Headline+Feed%29