Genetic Illnesses
We have made such advances in medicine that natural selection has been reduced to almost zero. Already 98% of Americans survive at least to their twenty-fifth birthday.20 Medicine is intended largely to benefit its creators –the currently living. Thus, if we speak about illness, the emphasis is on “horizontally transmitted” infectious diseases over “vertically transmitted” genetic diseases. It is, after all, very difficult for a doctor, a pharmaceutical company, or a hospital to collect a fee from people who have yet to be born. Medicine is a business that depends on paying clients, and the most motivated clients –those who not only can but who are eager to pay –are the ones who are hurting now.
Medical investigators estimate that genetic defects –albeit often minor – are present in 10 percent of all adults…. About 20 percent of all stillbirths and infant deaths are associated with severe anomalies, and about 7 percent of all births show some mental or physical defect.21 It gets scarier. Spontaneous mutation rates, genetic “typos,” have been estimated at 200 per person,22 most of which appear to be neutral, but an unknown percentage of which are undesirable when expressed, their effects being cumulative. Aside from genetic anomalies which are necessary and sufficient to cause a specific illness, a much larger number of multifactoral illnesses exist in which certain genes create a disposition toward specific illnesses, for example, most cancers, diabetes, and hypertension.
Such an achievement will represent a genetic breakthrough, but the puzzle of genes and their interactions is only beginning to be solved. Nevertheless, geneticists are already altering the germ lines of plants and animals, and human germ-line therapy is only a question of time. Meanwhile, genetic counseling and treatment are on occasion helping those alive today at the expense of future generations. A prospective parent who knows that he or she is the carrier of a recessive gene which can cause illness in subsequent generations, can selectively abort fetuses in which the gene will be actively expressed. Thus, the immediate children of the union are free from the illness, but the number of carriers of the recessive gene increases further down the generational chain. The question is whether parents have a moral right to bring children into the world who will be disadvantaged by their heredity.
To quote the philosopher Emmanuel Lévinas,
Can parental
responsibility be sloughed off, denied? Marcus Pembrey, a professor
at the Institute of Child Health at the University of London, in
discussing genetic counseling argues that The aim should not be to
reduce the birth incidence of genetic diseases, because to make that
the objective of the services would be to by-pass the mother’s
choice in the matter of selective abortion… The view that reduction
in the birth incidence of genetic disorders is not an appropriate
objective for genetic services is finding wide acceptance.
Ashkenazim, who until some forty years ago largely intermarried, carry a dozen recessive genetic diseases with relatively high frequency. The best known is an autosomal disorder christened Tay-Sachs after its description in 1881 by the British ophthalmologist Warren Tay. It is caused by the hereditary lack of a crucial enzyme that normally breaks down fatty waste products found in the brain. If both parents are carriers of the gene, the child has a 25% chance of suffering from the disease, and a 50% chance of being a carrier. One in 27 Jews in the United States carries the gene. A baby suffering from the disease at first appears normal, but becomes hypersensitive to sound after a few months. Eventually the child becomes deaf, blind, mentally retarded, and unresponsive to outside stimuli. Death results by age five.
In 1985, Rabbi Joseph Eckstein, citing the Bible and the
Talmud, founded the international genetic testing program call Dor
yeshorim (“generation of the righteous”) with the goal of preventing
further children from being born with the illness. In the program,
Orthodox Jewish students are tested to determine if they carry the
gene. If only one prospective parent is a carrier they are not
advised against marriage, but if both test positive they are
counseled to choose a different marriage partner.
Understandably, eugenic practices in the United States are often resisted among representatives of the handicapped community. Bioethicist Adrienne Asch writes:
Much the same position is held by the Canadian ethicist
Tom Koch, who believes that all diseases are part of the diversity
Gregor Wolbring, another Canadian active in the movement of
handicapped persons against eugenics, goes even further:
While this anonymous author does indeed
raise thorny questions with regard to certain characteristics –for
example, sexual orientation, dwarfism, and obesity –the defense of
some of the named horrendous diseases is disconcerting, albeit
stemming from a legitimate and well-founded fear of discrimination
against the persons who suffer from them. It is our duty to ensure
that we indeed discriminate against the disease and not against the
victims.
Scientific Method
For example, milk production is 0.25, yearling body weight in sheep is in the range of 0.2 - 0.59, and feedlot gain in beef cattle is 0.5 - 0.55.38 The heritability for height among white European and North American populations is 0.9.39 Using data from twin studies, Thomas Bouchard and colleagues at the University of Minnesota have placed the overall heritability of personality at about 0.5. Heritabilities of social attitudes are even higher: 0.65 for radicalism, 0.54 for tough-mindedness, and 0.59 for religious leisure time interests. Occupational interests correlate at about 0.36.40
One study of monozygotic (identical) and dizygotic (fraternal) twins showed that monozygotic twins showed a significantly higher correlation than dizygotic twins for being frank, active, talkative, gregarious, extroverted, assertive, calm, self-confident, even-tempered, emotionally stable, kind, polite, pleasant, agreeable, thorough, neat, systematic, conscientious, inventive, imaginative, original creative, open to experience, refined, sophisticated, and flexible. Model-fit analyses suggested about 40% genetic, 25% shared environmental, and 35% nonshared environmental influence.41 Although the heritability of any trait or combination of traits can be measured along this same scale, it is the intelligence controversy which has attracted the most heated attention. Low estimates of IQ heritability in human populations are generally on the order of 0.4, with 0.8 being the ceiling for high estimates.
In another study of adopted children, conducted by Sandra Scarr and Richard A. Weinberg, also at the University of Minnesota, the adoptees’ IQ scores correlated significantly more positively with those of their biological than with those of their adoptive parents.44 Natural selection depends not only on genetic variation but also on environmental variation. The greater the range of the two forms of variation, the greater the intensity of selection –that is, the faster the rate of evolution. For millennia now, without any knowledge of Darwin’s theory of evolution, people have been able to pursue artificial selection successfully in plants and animals by simply breeding the most desirable individuals with each other under the principle “like breeds like.” This is still the chief methodology of animal breeders. When, however, low variation or low heritability impede selection, modern genetic tools are employed: frozen semen, separation of male- and female-producing sperm, superovulation, embryo storage and transfer, in vitro fertilization, and transfer of genetic material.
The cloning of the sheep “Dolly” did not take place until 1996. Other mammals already cloned by scientists include horses, rabbits, cows, goats, deers, pigs, cats, rats, and mice. The current debate on cloning is focused on therapeutic cloning. For example, it may be possible in the future to clone cells from a person suffering from cardiac insufficiency, develop those replacement cells into heart muscle, and then transplant that muscle back into the same patient without fear of rejection.
“We can see all too clearly where the train is headed, and we do not like the destination,” wrote Leon Kass, chief of George W. Bush’s Bioethics Council.47 Revealingly, Kass, who is an observant conservative Jew, has also come out against the dissection of cadavers, organ transplantation, in-vitro fertilization, cosmetic surgery, and sexual liberation. Virginia Postrel, editor-at-large of Reason magazine, responded to the views expressed by Kass by commenting that “This isn’t about the 20th century. It’s about the 16th.”48
Much of the criticism of cloning stems from a fundamental misunderstanding –that there is an intent to produce a race of identical creatures lacking any and all individuality. This is definitely not the case, and no such practice has ever been advocated. Rather, it is the expectation that persons born as the result of a cloning process would enter into normal sexual relations with the vastly greater population of individuals born as the result of traditional sex and would multiply in the traditional fashion, thus increasing the frequency of advantageous genes in the following generations.
Despite some well-publicized successes, there remain a number of difficulties to be worked out, and the failure rate is still high. For example, cloned animals often have abnormal placentas –a factor that affects size and survival. Part of the problem evidently lies in abnormalities in gene expression. Much of the resistance to cloning comes from religious groups, but is not limited to them. Aside from a fully legitimate fear that we may still not be knowledgeable enough to proceed immediately to human cloning, the resistance to cloning per se is startlingly reminiscent of the traditional argument against evolution –that it is “an assault on human dignity.”
That was precisely the text and heading of an open letter addressed to President George W. Bush in the Washington Times in January, 2002, signed by 29 conservative political and religious leaders.49 The media have waged an energetic campaign against cloning. We have examples in the 1976 novel, The Boys from Brazil by Ira Levin, made into a film starring James Mason in 1978, and most recently in 2002, with the appearance of Star Wars Part II: Attack of the Clones. There is even a canard as to whether human cloning methods might be patentable.
The New York Times is entirely correct: “Opposition to reproductive cloning is universal in Congress,”50 and if any senator or congressman secretly harbors a more benign view of the procedure, the chance that he or she will express that opinion publicly is absolutely zero. In 2001, the House of Representatives voted to ban all forms of cloning, but the Senate resisted a total disallowment. Congress has thus resolved to criminalize reproductive cloning, even though Congress’s unanimity in this area is not shared by everyone in the scientific and scholarly community. According to the Wall Street Journal, “some diplomats said they believe the U.S. stand in the U.N. was primarily intended to score domestic political points with religious conservatives and antiabortion activists.”51
But such moods are hardly limited to the United States. On November 6, 2003, by a 80-79 vote, with 15 abstentions, the United Nations narrowly resolved to delay by two years a vote supported by the United States and the Vatican to outlaw both therapeutic and reproductive cloning. A number of other countries supported a Belgian proposal to ban reproductive cloning while permitting therapeutic cloning. Animal breeding methods usually amount to producing a specific type on the basis of very strict characteristics. The same is true for plant selection, in which a rich variety of strains is usually replaced by a few monocultures.
Nothing of the sort would be appropriate for human
populations. Human selection, as proposed by proponents of eugenics,
would be aimed at a far more limited reduction in genetic variance.
Diversity is viewed not simply as a great source of strength but
also as an integral part of what we are and want to be. A certain
reduction of this variability, on the other hand, is the
mathematical goal. Eugenicists argue that even a very significant
channeling of motherhood and a far more stringent selection among
men would still leave billions of people reproducing. By comparison,
all thoroughbred race horses stem from three Middle Eastern
stallions, and natural selection can be even more draconian.
Mapping the Human Genome
Genetics is a very young science. The theory of evolution was not forwarded until the late 1850s. In 1866 the Austrian monk Gregor Mendel had begun to attempt to pry open the secret of creation when he published the results of his controlled pollination of the garden pea, but his discoveries were ignored for the rest of the century, and Galton never learned of them. Even the discovery of the mechanism of fertilization as a union of the nuclei of male and female sex cells was not made until 1875; 1888 saw the discovery of certain deeply stained bodies in cell nuclei, which were christened “chromosomes,” and in 1909 the word “gene”came to be applied to the Mendelian factors of heredity.
The first in vitro fertilization (rabbit and also monkey) was not achieved until 1934, and as for the double helical structure of DNA, its discovery dates back only to 1953. This is all so recent that although early eugenicists had set their goals and methods they were largely ignorant of the mechanisms involved.
We do know that some of them contain switches that turn genes on and off, and we have learned that at the ends of the chromosomes there are telomeres, whose shortening appears to be related to the aging process, and nonfunctional genomic parasites, whose only function in our bodies seems to be to replicate themselves. An estimated 40-48% consists of repeat sequences. Even when we will have sequenced the genome, we will still have to determine how these data relate to expression. The sequences are only a parts list to a grand machine, the outlines of which we are only beginning to trace.
Ideology
Proponents of eugenics see the movement as an integral component of an environmentalist policy. They reason that, while we cannot predict the distant future, we can with a fair degree of confidence trace out certain conditions which will always be essential or at the very least desirable:
The blessings that we are reaping from the industrial revolution are, to a significant degree, unsustainable. We are systematically depleting the planet’s riches. Debates as to how long this or that resource will hold out are essentially trivial in the greater scheme of things, for eventually we will have thoroughly sifted through the earth’s accessible subsoil. The only resources that we can count on over the long run are those which are truly renewable or inexhaustible. As for science-fiction fantasies about relocating to other planets, this “trash-the-world” vandalism is unfeasible for billions of people. Of course, it can be argued that the inevitability of resource exhaustion makes it a non-topic.
What is the difference if this process is completed sooner or later? The eugenicists’ response is a moral one. We embarked upon the industrial revolution only two centuries ago, and we have a huge transition to go through if we do not wish our offspring to return to a hunter-gatherer economy in which there will be precious little left either to hunt or to gather. We need to husband our precious, finite resources to get through this transition in as chary a fashion as possible.
The global TFR was 2.8, the planet’s population having swollen six-fold over the last 250 years. It is still growing by leaps and bounds, although more slowly than formerly. The largest growth is taking place in the poorest countries. While it is hoped that the entire world will eventually pass through the demographic transition, it is not impossible that before this happens individual countries will undergo horrendous Malthusian collapse. Bangladesh, for example, which has a population of 134 million on a land mass roughly the size of the state of Wisconsin, most of which is an alluvial flood plain frequently ravaged by hurricanes, is projected to increase its population to 255 million by the year 2050. Other countries provide even more rapid growth rates:
Demographic predictions are not made with any claim to
precision. There are low, medium, and high projections. And there
are questions to which no one has any answers. What is the long-term
carrying capacity of the planet? How many lives will be carried off
by phenomena that reduce the population not by decreasing fertility
but by increasing mortality? Already there are projections of a loss
of fifty million deaths from AIDS. Where will it end? What new
plagues lurk around the corner? Military conflicts could easily
result in the deaths of billions of people. Demographic predictions
are really no better than stock market predictions. In any case,
eugenicists argue that the wisest approach is to err on the side of
caution. A smaller population capable of surviving by the use of
current renewable resources will create less stress and make the
transition to a new economy more manageable.
Altruism
Darwin pointed out that natural selection favors behavioral patterns which promote survivability. Suicidal behavior, it would seem, should lead to the destruction of the animal involved, thus preventing it from reproducing. How then, sociobiologists asked, could the behavior of a honeybee be explained when, in stinging a perceived threat to the hive, it rips out its own belly together with the stinger and thus perishes? The answer is that survivability of the genotype, not of the individual, is crucial. Although the individual bee dies, the other members of the hive are genetically identical copies, and the chances for the survival of their genes are improved by the sacrifice of the individual.
Survival requires maximum expenditure of effort, and efforts expended on alien genes (dispersed or nonfocused altruism) waste effort and thus, by definition, reduce survivability. Most traits are arranged along a continuum, and altruism is no exception. If a statistical curve were drawn to display diffuse altruism at one end and focused altruism at the other, the result would be radically skewed toward focused altruism –that is, toward immediate offspring. As man moved into larger groups (tribes), specialization and cooperation went hand in hand.
The skew was retained but became less pronounced, and people learned to “live by the rules” and even to feign nonfocused altruism. But the genes really didn’t really change all that much. Homo sapiens’s political history presents an unbroken string of violence, and any objective determination of his coordinates within the animal kingdom places him among the predators. What sort of a society do we want? To the degree that altruism is determined by our genes, artificial selection could theoretically make it possible to create a social profile skewed toward diffuse altruism. The difficulty of working toward a better society is that such a process necessarily entails effort and even sacrifice on the part of the currently living, who have the power of absolute dictators.
Society and Genes
Chairman of the Republican National Committee, 1896 In 1999, even as we forged into the new millennium, the Gallup Poll found that 68% of Americans still favored teaching creationism together with evolution in the schools, with 40% favoring exclusively creationism; 47% percent subscribed to the view that,
The genetic bases of social and political structures constitute a topic that even bolder sociologists and political scientists have been leery of raising for two-thirds of a century. It is a taboo which grossly distorts our understanding of ourselves. There probably has never existed a society with a totally rigid structure in which ability played no role. Under the Caesars, the Pharaohs, the Ottomans, the Tsars, and probably even the Mayan princes, the gifted slave could on occasion demonstrate his ability and achieve high rank. In modern society, however, where such mobility has been immensely increased, universal education combined with assortative mating is creating greater and greater genetic stratification into classes which are then overlaid with stratifications of wealth and power.
In 1933, gazing around him in dismay at the Great Depression and peering back at the “holy war fought to make the world safe for democracy,” the former civil servant John McConaughy in Who Rules America? defined his country’s “invisible government” as “the political control for selfish, if not sinister, economic purposes – by individual men, or groups or organizations, who are careful to evade the responsibility which should always accompany power. They operate behind a mask of puppets in politics and business.”59 Exactly a half century later the sociologist G. William Domhoff, whose political views were far to the left of McConaughy’s, arrived at similar conclusions in his Who Rules America Now? when he described a cohesive ruling class that shapes the social and political climate and plays a dominant role in the economy and the government with the goal of promoting its own self-interest.
And the system functions incredibly smoothly –exactly as intended. When the candidate is eventually elected, having outspent his opponent, he then goes on to do the bidding of those who paid the bill. Should the electoral results be in doubt, the candidate has merely to wrap himself in the flag while denouncing his opponents. The result is an unbridgeable chasm of understanding between elites and the broad masses. A serious book published by a university press may have a print run of a few hundred copies, while a television show of only middling popularity will measure its viewership in the tens of millions, and Hollywood aspires to an audience of billions all over the world. Intellectuals are supposedly free to express their opinions (as least as long as they do not threaten the powers that be), but informed opinion is irrelevant to the political process.
According to a survey done by the National Assessment of Education Progress, 56% of those tested could not correctly subtract 55 and 37 from 100; 18% could not multiply 43 x 67; 24% could not convert .35 to 35%; and 28% were unable to express “three hundred fifty-six thousand and ninety-seven” as “356,097.”63 In addition, 24% of adult Americans were unaware that the United States had fought the Revolutionary War with Great Britain, and 21% had no idea that the Earth revolves around the sun.64
According to the Northeast Midwest Institute, a nonprofit and education research group, 60 million adult Americans cannot read the front page of a newspaper.65 Three Americans in ten between the ages of 18 and 24 could not find the Pacific Ocean on a world map, while 67% of Brits did not know the year World War II ended and 64% did now know which country the French Alps were located in.66 As for art, philosophy, serious music, literature, and so on –that intellectual thought and creativity which should lend greater meaning to our lives than those of other animals that love, hate, and dream much as we do –such matters are a subject of disinterest for the overwhelming majority of people. But even this does not represent the furthest extreme of egalitarianist politics.
The millions of people ill with dementia to
the point that they are unable to dress themselves or recognize
family members also participate in selecting national leadership.
Surveys of patients at dementia clinics in Rhode Island and
Pennsylvania found that 60% and 64% had voted, respectively. Brian
R. Ott of Brown University found that 37% of patients with moderate
dementia and about 18% with severe dementia had voted.67 In
selecting out individuals of ability, modern society now has
stripped the broad masses of society of the brilliant artisans and
poets who formerly created and maintained national cultures.68 A
visit to the magazine section of the local supermarket or a flip
through the hundreds of television channels is a dismaying
experience.
Welfare and Fertility
Is the goal of the so-called welfare state fundamentally dysgenic in nature? In 1936, the famous biologist Julian Huxley laid out a hard-hearted version of the hereditarian view in his Galton lecture, delivered before the Eugenics Society:
We must remember that this was written at the depths of the Great
Depression, and that many of those on welfare were simply victims of
failed financial policies, not bad genes.
A young woman of average or greater ability can look forward to life’s many opportunities and finds little temptation in a modest welfare payment, whereas a woman of low intelligence may rationally see government assistance as a ticket to independence and freedom from the hand-to-mouth realities of a minimum-wage job. It would seem logical that the higher the payments, the greater the temptation. Nonetheless, the link between economics and fertility has been challenged as still unproven. Demographer Daniel Vining, for example, has pointed out that lower welfare payments in southern states has not led to significantly reduced fertility patterns.73
We are faced here with a terrible dilemma. Society has an obligation to care for its weakest members, but the flip side of the coin is that in doing so we have significantly increased the fertility of low-IQ women (who generally tend to marry low-IQ men in what is known as “assortative mating”). And we pay them more for each child. Mothers on AFDC had an average of 2.6 children each; non-AFDC mothers averaged 2.1.74 This is a major factor in American fertility patterns. What to do? Deny poor women and their children financial assistance? Bribe the upper classes into childbearing? Or throw up our hands in dismay and allow society to be genetically dumbed-down? Indeed, given political realities, what can we do?
Certainly, at the very least, it would behoove us to increase family-planning services to the poor. It is a simple fact that current state policies –both domestic and foreign –already influence differential fertility patterns, despite the fact that the current political climate makes it virtually impossible even to discuss this factor.
Since future generations by definition represent a zero constituency, the public sphere is largely defined horizontally, whereas vertical or longitudinal effects are mostly relegated to the private domain and thus ignored –that is, remain unregulated. Eugenics opposes this horizontal/vertical opposition, maintaining that, since the unborn constitute a vastly greater potential population than do the currently living, their rights take precedence. Politics is, by definition, a struggle among the currently living, and what may well be a victory for some faction in their midst may well be a disaster for their children, just as the disasters of the parents may be to the children’s good fortune.
Genes play a major role in virtually all behavior, including alcoholism, smoking, autism, phobias, neuroses, insomnia, consumption of coffee (but not tea),76 schizophrenia, marriage and divorce, job satisfaction, hobbies, and fears. Curiously, while one study shows no genetic role in singing ability,77 another shows pitch perception to be highly heritable and estimates the heritability of tone deafness at 0.8 –about as high as it gets for genetically complex traits, rivaling features such as height.78 Animal breeders and even pet owners have no doubts about differences between and within species, and we all know from everyday experience just much people differ innately from each other. Genes evidently also play a role in crime.
Since the advent of the revised Stanford Binet and the Wechsler-Bellevue scales in the late 1930s, it has been consistently found that samples of delinquents differ from the general population by about 8 IQ points84 –a significant but not an overwhelming difference. One can only surmise that perhaps the gap would be even narrower if it were possible to control for a higher arrest record among juveniles less skillful in the art of deception. The same general tendency exists within the adult population. Criminal offenders have average IQs of about 92 –that is, 8 points or one-half standard deviation below the mean.85 What is actually happening? Life itself is a cruel competition, where the vanquished have ended up more than once skewered and slowly roasting over the victor’s cooking fire.
Now civilization imposes rules (so-called middle-class values) that allow some people more success at winning. Imagine a situation where the fastest runner would be the only one to get supper. After a time the slower competitors would be sorely tempted simply to hit him on the head rather than futilely attempt to outdo him in speed. The same is true with intelligence. The successful stockbroker, surgeon, and lawyer do not need to commit crime to gain wealth, but further down the professional scale are those individuals whose low intelligence literally dooms them to a life of material slavery. Can at least part of the explanation for criminal behavior be as simple as that?
Migration
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