Topics in Contemporary Ethics
Topics in Contemporary Ethics
The focus will be on recent initiatives and scientific developments that make personalized medicine more of a
reality at our own institution, for the public and for research as a whole. This may include gene editing
(CRISPR/CAS9), patient databanks (23andme, BCH) and government initiatives for personalized medicine.
Here are some links or papers that will be helpful in your preparation, but please feel free to do your own
research. I am looking forward to a lively discussion.
http://www.nature.com/news/uk-scientists-gain-licence-to-edit-genes-in-human-embryos-1.19270
http://www.nature.com/news/chinese-scientists-genetically-modify-human-embryos-1.17378
http://www.nature.com/news/don-t-edit-the-human-germ-line-1.17111
http://science.sciencemag.org/content/351/6271/403.short
http://www.sciencemag.org/news/2016/02/boys-only-panel-endorses-mitochondrial-therapy-says-start-male-
embryos
http://www.childrenshospital.org/research-and-innovation/innovation/initiatives/precision-link
http://www.nature.com/ncomms/2016/160202/ncomms10448/full/ncomms10448.html
http://www.newyorker.com/tech/elements/the-f-d-a-vs-personal-genetic-testing
http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2013/ucm376296.htm
http://www.apollinairetheatre.com/productions/productions.html
Informed Consent was inspired by the case of the Havasupai Tribe who dwell deep in the Grand
Canyon versus Arizona State University. In 1989, members of the Havasupai Tribe began giving DNA samples
to a scientific team from Arizona State University in the hopes of discovering why they had such an
extraordinarily high rate of diabetes. But ASU used the samples not just for testing for diabetes, but for a range
of other diseases as well as geographical origins, which conflicted directly with their creation story. The tribe
sued for damages and for the return of their DNA samples. The case was settled out of court in 2010, but the
case and the issues it raised continue to be actively studied and debated.
1) What are the benefits and potential negative consequences to society of gene editing in the human
germ line? Of sequencing individuals?
2) What role or responsibility does the research institution have in protecting patient samples and data?
Or in making patient resources available for the research community?
3) Should clinicians and researchers with patient samples/information be able to work with companies to
work towards finding new drug targets and new drugs?
4) What are the positive and negative outcomes to information such as that gained by 23andme?
5) How do culture and the media come into play?
Introduction to Section on Scientist as a Responsible Member of Society
Scientific discoveries sometimes lead to applications that can have profoundly beneficial
or disruptive effects on society and the evolution of social norms. The fact that we
operate within a functional society where some degree of cooperation exists, suggests
that most of us accept certain organization values/principles about relationships between
individuals and between individuals, institutions, and authority. These values/principles
are typically captured by inexact terms such as freedom, equality, autonomy,
beneficence, non-maleficence. Of course, that we may abstractly agree on the list of
fundamental ideals does not mean that we will agree on their relative priority in context.
The readings selected for this session are meant to stimulate a discussion about what
broader social responsibility might mean for scientists engaged in discover of knowledge.
We recognize that, within this kind of conversation, there may be a wide range of
reasonable, informed opinion. Our modest goal is to identify 1) some of the underlying
values that animate such reasonable, informed opinion, and 2) some justifications that can
be offered for prioritizing some values over others.
Required:
1. In your capacity as a scientist, do you think you have any personal responsibilities
to society?
a. If so, what is the basis for that responsibility (e.g. is it merely contingent
on your source of funding being taxpayer dollars?)
2. As a professional class engaged in discovery, do you think scientists ought to
possess a special set of responsibilities to society given the potential broader
impact of our work?
a. If so, why?
b. If not, why not?
Science 19 November 1999:
Vol. 286. no. 5444, p. 1475 Prev | Table of Contents | Next
DOI: 10.1126/science.286.5444.1475
Editorial
A Hippocratic Oath for Scientists
Sir Joseph Rotblat *
The tremendous advances in pure science made during the 20th century have completely
changed the relation between science and society. Through its technological applications,
science has become a dominant element in our lives. It has enormously improved the
quality of life. It has also created great perils, threatening the very existence of the human
species. Scientists can no longer claim that their work has nothing to do with the welfare
of the individual or with state policies.
However, many scientists still cling to an ivory tower mentality founded on precepts such
as "science should be done for its own sake," "science is neutral," and "science cannot be
blamed for its misapplication." Their logic rests on the distinction between pure and
applied science. It is only the application of science that can be harmful, they allege. As
for pure science, they say that the scientist's only obligation is to make the results of
research known to the public. What the public does with them is its business, not that of
the scientist. This amoral attitude is in my opinion actually immoral, because it eschews
personal responsibility for the likely consequences of one's actions.
Nowadays there is much talk about human rights but much less about human
responsibilities. The evergrowing interdependence of the world community (largely
arising from the applications of science) offers great benefits to individuals, but by the
same token it imposes responsibilities on them. Every citizen must be accountable for his
or her deeds. This applies particularly to scientists, for the reasons I have outlined. It is
also in their own interest, because the public holds scientists responsible for any misuse
of science. Even the advocates of a laissezfaire attitude in science must realize the
importance of a good public image. The public has the means to control science by
withholding the purse or by imposing restrictive regulations. It is far better that scientists
themselves take appropriate steps to ensure responsible application of their work.
National academies of science should explicitly include ethical issues in their terms of
reference. Such issues must become an integral part of the scientist's ethos. Professional
organizations of scientists should work out ethical codes of conduct for their members,
including the monitoring of research projects for possible harm to society. It is
particularly important to ensure that new entrants into the scientific profession are made
aware of their social and moral responsibilities. One way would be to initiate a pledge for
scientists, a sort of Hippocratic oath, to be taken at graduation. As in the medical
profession, the main value of such an oath might be symbolic, but I believe it would also
stimulate young scientists to reflect on the wider consequences of their intended field of
work before embarking on a career in academia or industry. This process of reflection
would be much enhanced if courses on the ethical aspects of science were introduced into
university curricula for science students.
Various formulations of oaths have been proposed, and there is a considerable literature
on this. There is no need for a single formulation, however. I like the pledge initiated by
the Student Pugwash Group in the United States, which has already been signed by
thousands of students from many countries. It reads: "I promise to work for a better
world, where science and technology are used in socially responsible ways. I will not use
my education for any purpose intended to harm human beings or the environment.
Throughout my career, I will consider the ethical implications of my work before I take
action. While the demands placed upon me may be great, I sign this declaration because I
recognize that individual responsibility is the first step on the path to peace."
The author is emeritus professor of physics at the University of London and a 1995 Nobel
Peace Prize laureate.
Engaging the Public
Dear Editor,
A recent article in the Texas Tribune reported on a survey
revealing that 51 percent of Texans don’t believe in
evolution, and 30 percent believe that dinosaurs and
humans lived at the same time. Ignorance of basic
scientific principles has been a national problem for
generations, and it isn’t getting any better. Willingness to
embrace the mystical to explain natural phenomena seems
to be on the increase.
Here, in inland Southern California, where I landed 18 months ago, religious conservatives make up a
significant percentage of the population. Shortly after arriving, I challenged our faculty members to
develop a five-lecture series on the science of evolution. The faculty members initially were concerned
that the public would either torch the campus or just not show up. They wanted to hold the lectures
in a small classroom since they were sure that no more than 20 people would attend. I insisted that
we use the university theater, which seats about 500. As it turned out, the series was standing-room-
only— people literally filled the aisles— at all five lectures. No creationists made grandstand
appearances. Our only demonstrators were a group of atheists who showed up expecting a fight
(wanting to help us, I suppose).
The series was so popular that it is being replayed this year at our Palm Desert campus. I went to
one lecture; once again, the room was completely full of people wanting to learn. It was inspiring.
This spring, we are doing a series on global climate change. Again, we will have five lectures on topics
ranging from “how we know what we think we know” to “how will agriculture adapt to the changes
that we predict.”
The core of these series is the science. No magic, no big words, just simple logic. Intelligent but
uninformed people can understand this stuff. We are particularly trying to draw in science teachers
from the local school districts, to give them the information they need to make science current and
relevant to their students. I believe that it is incumbent upon us to engage the public in this dialogue.
In our experience, the faculty members are elated to engage in this sort of outreach, and, in our neck
of the world, at least, we are having great success.
Thomas O. Baldwin
Dean, College of Natural and Agricultural Sciences
University of California, Riverside
Commentary
Science is a powerful force for change in modern society. As the professionals at its helm,
scientists have a unique responsibility to shepherd that change with thoughtful advocacy
of their research and careful ethical scrutiny of their own behavior.
All good science is subversive. “I’m Not Trained in Ethics” at the heart of my scientific pur-
It challenges beliefs, pushes the Ethics as an academic field has an suits? How do I advance the cause
boundaries of existing structures of established body of knowledge, a of scientific progress? Whom does
knowledge, and portends a future set of disciplinary concepts, a canon, my research serve? Serious consid-
different from the current one. For and many other trappings of an intel- eration of those questions qualifies
that reason, the Controllers, who lectual discipline. Most scientists are a scientist for participation in the
rule Aldous Huxley’s Brave New not formally trained in ethics. How- ongoing discussion of scientific val-
World, forbade new scientific inquiry, ever, scholars trained in ethics do ues, even without a specialized train-
declaring “truth’s a menace, science work with scientists and scientific ing in ethics.
is a public danger.” societies helping to set guidelines,
The public, whose taxes fund assess the impact of new technolo- “My Scientific Work Has Little to
much scientific work, is keenly gies, and so on. Do with Ethics”
interested in where science is going Scientists can learn the ethos of What does the daily work of science
and the integrity of those who are science by example. Albert Einstein have to do with ethics? The ethical
taking us there. The unprecedented once said “Most people say that it norms of science are so embedded in
ability of scientists to manipulate is the intellect which makes a great scientific work that we can easily take
the building blocks of life, to cre- scientist. They are wrong: it is char- them for granted. When asked why he
ate altered biological processes, acter.” Behaving ethically is the prin- made his stem cell lines freely avail-
and to understand and re-engi- cipal way that mentors transfer the able to other scientists, Harvard’s
neer biological systems promises ethical standards of their profession Douglas Melton replied, “because
fundamental changes in how we to their trainees. All the formal ethics there’s a long scientific tradition of
heal, how we reproduce, and how training in the world cannot compen- making the fruits of one’s research
we relate to the living world. Sci- sate for an unethical mentor. How- available to others” (Dreifus, 2006).
ence tends to be portrayed by the ever, the failure to integrate training Making reagents freely available to
media in extremes, as a series of in professional ethics into the basic colleagues is a fundamental ethical
sensationalized discoveries punc- scientific curriculum impoverishes tenet of modern science. The work of
tuated by conflicts and scandals. the educational mission and, ulti- historians, philosophers, social scien-
It is certainly understandable that mately, science itself. tists, and others shows that the ques-
the public would demand care- The National Institutes of Health tions scientists choose to pursue,
ful examination of such powerful (NIH) now requires that an ethics the kinds of data that are considered
technologies. curriculum discussing protection of important, the dynamics of collabora-
Scientists, however, are often human participants in research be tion within a scientific team, the inter-
wary of ethical scrutiny, and gener- taught in the graduate programs it pretation of results, and many other
ally reluctant to engage the public in funds. It would be a shame, however, aspects of scientific work are perme-
moral conversation about their work. if training in ethics stopped there. To ated by ethical assumptions, such
Why aren’t scientists more engaged remain true to the highest goals of as the value of sharing the products
in the ethical debates that character- science, scientists should periodi- of scientific inquiry, and the value of
ize the public discourse about sci- cally revisit the big questions: What mentorship. Science is an eminently
ence? Why are scientists not more is science for? What are the values I social activity.
effective advocates of their own bring to my scientific work? Why did What distinguishes a profession
work? There are a number of reasons I become a scientist, and why am I is not only a body of knowledge or
that scientists offer, and each is wor- one now? What are the moral moti- expertise. Professional authority is
thy of examination. vations, inclinations, and principles derived also from a cultural tradition
responsibility in science
Jon Beckwith & Franklin Huang
If society is to remain in step with new technology, the scientific community needs to be better educated about the
social and ethical implications of its research.
“If they [eugenicists] want to do this sort classes and various ethnic groups. Yet, Morgan, Laissez-faire and denial
of thing, well and good…but I think it is in a private letter, and Botstein at a conference Why do scientists choose not to engage in
just as well for some of us to set a better on the Human Genome Project disavow any those social debates that have important sci-
standard, and not appear as participators need for them, as scientists, to respond to these entific components? When challenged to con-
in the show. I have no desire to make any arguments. sider such activism, scientists often respond:
fuss.” (Thomas Hunt Morgan, 1915) “My role is just to do my science. It is up to the
Why engage the public? politicians to decide how it is used.” This lais-
“People keep asking me why I do not A majority of the early geneticists may have sez-faire attitude is fostered by the education of
rebut The Bell Curve. The answer is considered the claims of eugenicists as poor scientists. In the life sciences, many of us were
because it is so stupid, it is not rebuttable.” science and may have abhorred the steriliza- trained to think of ourselves as working in the
(David Botstein, 1997) tion, miscegenation and immigration restric- ‘ivory tower’ mode—seekers of truth uncon-
tion laws that were passed with support of taminated by the outside world. Few students
Two geneticists, nearly a century apart, react eugenicists. And most geneticists today prob- of science receive as an integral part of their
to critical moments in the interface between ably reject the genetic claims of Herrnstein
genetics and society. Thomas Hunt Morgan, and Murray and the social prescriptions they
arguably the leading geneticist of his day, offer. But few spoke publicly about the flaws in
responds to the claims and activities of the the scientific reasoning and the unwarranted
eugenics movement, which had a profound extension of questionable conclusions from
social influence in the United States1. More genetics into the realm of social policy.
recently, David Botstein, one of the architects Should geneticists have played a role in these
of human genome mapping, comments on the very public controversies? Do scientists have a
book, The Bell Curve, in which authors Richard responsibility to participate in public discus-
Herrnstein and Charles Murray provided sions about the implications of their science?
genetically based arguments for changing social We would argue that there are many cases
policies in areas, such as welfare and education, where scientists should indeed ‘make a fuss.’
policies that parallel those of the eugenicists2. When social harm may result from the misuse
Both Morgan and Botstein are disdainful of and misrepresentation of science, who better to
these uses of genetics by others to argue for the present the criticisms, describe the uncertain-
intellectual and social inferiority of lower social ties or identify the falsehoods than scientists
knowledgeable in the relevant field? Who bet-
ter to point out, for example, that research and
Jon Beckwith is in the Department of conclusions in the study of human behavior
Microbiology and Molecular Genetics, Harvard are often influenced by the social attitudes of
Medical School, 200 Longwood Avenue, Boston, researchers? Yet, although the scientists with
Massachusetts 02115, USA and Franklin Huang an interest in influencing social policy often
is in the Division of Hematology/Oncology, go public because of their strong belief in the
Children’s Hospital, Karp Family Research conclusions of the research, scientists who see
Thomas Hunt Morgan, who was on the board of
Laboratories, 1 Blackfan Circle, Boston, the flaws in the research are much less likely the US Eugenics Record Office in 1915, failed
Massachusetts 02115, USA. to confront the issues in a public setting. The to publicly challenge the co-option of genetics to
e-mail: jbeckwith@hms.harvard.edu impact on society is thus skewed. justify public eugenics programs. (AP Photo)
scientific education an analysis of the social States, Europe and elsewhere (including one of science and shapes the impact science will
impact of science and rarely is there a men- of the authors of this piece) began to examine have on society.
tion of social responsibility. We learn of none the social role of their own fields3,4. Geneticists Instead of responding to crises, scientists
of the history of those periods when scientists publicly criticized the faulty arguments of should be prepared by their courses and by
became active in confronting the social conse- psychologist Arthur Jensen about heredity, their mentors for this component of being
quences of their field. race and IQ. Others raised concerns about a scientist. We propose that education at the
Most notably, after atomic bombs were the potential dangers of genetic engineering. graduate level should include the study of the
dropped on Japan, nuclear physicists who Some were active in opposing efforts to water social implications of science and the histori-
participated in the Manhattan Project came down or eliminate the teaching of evolution in cal instances where scientists have spoken out.
© 2005 Nature Publishing Group http://www.nature.com/naturebiotechnology
to question what they had been doing. schools. For a relatively brief period, many in Such courses should be supported by policies at
Highlighted by J. Robert Oppenheimer’s plaint the biological community became active. the academic institutional level. Furthermore,
that “physicists have known sin,” a resistance Thus, a sense of social responsibility in sci- the adoption of social/public service require-
movement arose that influenced the broader ence has emerged from time to time in spite ments of scientists during their graduate study,
community of physicists. These ‘awakened’ sci- of the fact that scientists were not prepared by whether this involves working in developing
entists started the socially concerned “Bulletin their training to think about these issues. Their countries or mentoring high school students in
of the Atomic Scientists” and spoke out, lob- activism was stimulated by crises, such as the the community, may help broaden the perspec-
bied and even went door-to-door seeking a ban use of atomic weapons or the political envi- tives of budding scientists.
on the testing of atomic weapons in the 1950s ronment of the 1960s. These events, not the If a goal of scientific training is to help scien-
and 1960s. education of the scientist, were the ‘educational tists to be more critical thinkers, then preparing
Anthropologists, particularly in the latter moments’ that generated social responsibility them to be engaged in looking critically at the
half of the 20th century, were forced to con- among scientists. social implications of their science can only aid
sider the ethics of their field research because of in achieving that goal.
its obvious impact on the groups they studied. What to do?
Although it may be less obvious to geneticists Waiting for such crises will not do. More sci- 1. Allen, G. Genetics, Eugenics and Class Struggle.
Genetics. 79, 29-45 (1975).
and other biological scientists that the products ence is being conducted today than at any time 2. Botstein, D. in: Plain Talk about the Human Genome
of their field can have profound effects on soci- in the history of the world and its consequences Project, (eds. Smith, E. and Sapp, W). 207–214
(Tuskegee University Press,Tuskegee, AL, 1997).
ety, the impact is no less important. for society are expanding correspondingly. The 3. Beckwith, J. Making Genes, Making Waves: A
The 1960s saw another stirring of the scien- research enterprise both reflects and influ- Social Activist in Science (Harvard University Press,
tific conscience. Initially provoked by the use ences social policy. It is more necessary than Cambridge, MA, 2002).
4. Weiner, C. in Gene Therapy and Ethics (ed. Nordgren,
of science for the development of war tech- ever that scientists be part of the public con- A.) 51–64 (Acta Universitatis Uppsaliensis, Uppsala,
nologies in Vietnam, scientists in the United versation that fosters both an understanding 1999).