Volume LVI Salem College, Winston-Salem, N. C. - Thursday, April 4, 1974 Number 14 Symposium Examines Role of Ethics in Technological World Is (technology leading man to ward a great new civilization or toward his ultimate destruction? Is man in control of this massive accumulation of scientific knowl edge or is he being controlled by its dehumanizing powers? These are two of the major issues to be discussed in Salem College’s two-day symposium to be held Wednesday and Thursday, April 10 and 11. The topic of the symposium is “A Matter of Life andjDeath: Ethics in a Techno logical World.” Representatives from the Hastings Center, includ ing its director, Daniel Callahan, will lead the exploration into questions involving such issues as: genetic engineering, popula tion jcontrol, and death. An unusual program format has been designed by the Institute to actively involve every person at tending. The symposium will be conducted as a mock legislative session, with Institute speakers debating particular questions, then putting them to the vote. By necessitating a personal apprai sal, it will induce each person in the audience to take a hard look at each issue from his own set of values, ethics, beliefs. “This will not be an intellectual game but a very real attempt to look at crucial issues in medical ethics on which we all may have to vote in the near future,” ex plained one Symposium Commit tee member. “The time is here when every person should be prepared to de cide for himself what it means to be human.” The Hastings Institute which willsconduct the Symposium was conceived in 1968 by Daniel Cal lahan, a philosopher and former editor of Commonweal. Callahan developed the idea for such an institute when he realized the need for a continual study of ethical questions raised by the scientific revolution of the 20th century. The question of abortion and all its ramifications—medical, legal, ethical and social pointed up to Callahan the need for re search groups to handle issues like abortion and other subjects of enormous public attention and argument. Such questions as the manipu lation of large groups of people by smaller elite groups (behavior control), the capacity to create life in the test tube, test tube babies, now only a hairsbreadth away from reality (genetics), and the ability of doctors to keep the body machinery operating after it is no longer clear whether the patient is alive or dead (death and dying) are all under close scrutiny at the Hastings Institute. The symposium will begin at 11:00 a.m. Wednesday at which time Dr. Chandler will give wel come. Dr. Callahan will then present a short keynote address to familiarize the audience with the concept of the study. There will be a series of 3 sessions in which presentations will be made by associate directors of the Insti tute. Informal coffees will be held throughout the two days. A com plete schedule has been printed in this issue of the newspaper. The speakers for the Sympo sium include Dr. Callahan, Direc tor of Hastings Institute; Dr. Marc Alan Lappe’ the Institute’s associate for the biological sci ences, and Dr. Robert M. Veatch, the Institute’s associate for medi cal ethics. Dr. Callahan holds the B.A. degree from Yale University, the M.A. in philosophy from George town University, and the Ph.D. in philosophy from Harvard Univer sity. He has taught at Harvard, Temple University, Brown Uni versity, Marymount College, Un ion Theological Seminary and the University of Pennsylvania. His books include “The Tyranny of Survival,” “Abortion: Law, Choice and Morality,” and “The New Church.” He has edited many others and his articles have ap peared in various magazines in cluding Daedalus and Harper’s. Dr. Veatch was a research as sociate in medicine at Columbia University from 1971-72, a teach ing fellow at Harvard Divinity School from 1988-70, instructor in the U. S. Peace Corps Training Program (1966), instructor at Og- bomosho Grammar School, Og- bomosho, Nigeria (1963-64) and assistant lecturer at the Univer sity of Ife, Ibadan, Nigeria (1963). His degrees include the B.S. from Purdue University, M.S. from the University of California Medical Center, B.D. from Harvard Divin ity School, and M.A. and Ph.D.’s from Harvard University. He has two forthcoming books: “Death and Dying and the Biological Revolution,” and “The Teaching of Medical Ethics.” Dr. Lappe holds the B.A. de gree from Wesleyan University and the Ph.D. from the Univer sity of Pennsylvania. He also studied at Weizmann Institute, Rehovoth, Israel, the University of California at Berkeley and the University of Washington. He has held teaching posts at the Free University, at the University of Pennsylvania, at the University of California and at State Uni versity of New York at Purchase. He has also served as consultant in biology to Worth Publishers (New York) from 1969-70. In 1972 he was named principal investi gator of the NIH grant to study Social and Legal aspects of Hu man Genetic Research. Schedule ’Wednesday 11 a.m. Hanes Auditorium Welcome — Dr. John H. Chandler Keynote Address — Dr. Daniel Callahan 2 p.m. Hanes Auditorium “How Should We Intervene In Our Genetic Futures ?” Presentation — Dr. Marc Alan Lappe Response — Dr. Callahan Thursday 9:30 a.m. Hanes Auditorium “Dying and The Biological Revolution” Presentation — Dr. Robert M. Veatch Response — Dr. Lappe 2 p.m. Hanes Auditorium “Population Control — With Dignity” Presentation — Dr. Callahan Response — Dr. Veatch Summary Church Street group says, “Let the ^ass grow and stay They want those chains to come tumbling down. green. Modern Science Poses Difficult Questions Concerning Man and His Morals . . , ^ 1... inctrn. oa] imnlication.s have scarcelv will depend upon these answei Editor’s Note: The following ar ticle is comprised of quotations from an article written by Rob- bert Sinsheimer. Sinsheimer is Chairman of the Biology Depart ment at the California Institute of Technology. In his discussion of the advances of biology in the 20th [century, he addresses some of the issues to be presented in the Symposium. The man of today lives in a very different physical environ ment than did the man of three centuries past. He is immersed in the products and conveniences of technology — a technology de rived from a profound under standing of the nature and or ganization of inanimate matter, and intended to adopt the forces and substances of nature to man’s pwposes. Man has increased mightily in numbers since he se lected a few grains and adapted them for cultivation — he has defoliated some areas, eliminated some predators and converted mrge portions of the earth’s sur face to a few crops. In laboratories and institutes aroMd the world, biologists are probmg the most complex nature ®d organization of living matter. have already discovered nnd (clarified many of the “se crets” of ife. They understand the origin of the “animate’^ of animal matter, the self-contained organization of the cell and the remarkable phenomena of inheri tance; they can trace in increas ing detail the changes in molecu lar pattern that underlay the long evolution of life from its as tonishing beginning until today. They begin even to envision the principles of brain organization that underline perception and willed action. Out of this knowledge, one can see emergent the outlines of a possible whole new technology in tended to adapt animate matter to man’s purposes, if we so wish; and that, in ultimate paradox, includes man himself. Biochemical and physiological and genetic understanding have already led to the discovery of many substances to improve man’s health: antibiotics for microbial disease, hormones for metabolic defects, special diets for some genetic “errors of ine- tabolism,” palliative drugs for psychic trauma. The advance of biochemical technology vvill soon bring man-invented proteins, hor mones, genes or viruses to per mit the modification of life pro cesses with a power and precision previously unknown. Complex new miniature instru ments born in the electronic la boratories of the space and adapted to the needs of the body give promise of remarkable pro sthetic devices — ultimately of new organs for sound or sight, of artificial hearts, of diagnostic monitors for physiological states. New technologies bring new powers and new powers bring new responsibilities. Whenever man intervenes to displace the balance that nature has provided, then he must restore a balance by conscious design. How much shall we wish to change the natu ral order — to adapt the animate world to human purpose? What is our responsibility for all the forms of life on earth? What prin ciples should guide the physical or chemical modification of man? How much shall we wish to change the natural state of man and how shall the cost of such modification be borne? How much resource shall we devote to the extension of a life, to the pro vision of sight, to the elimina tion of a defective gene or to the “creation” of a remarkable in dividual? These possibilities which are now envisioned are new in the history of the human species — so new that their ethical and social and philosophi cal implications have scarcely been explored. It and when man acquires the ability to alter the human in heritance in specific directions, what directions should be chosen — and who will choose? What happens in a society if the chance elements or heredity are replaced by human design? The answers to these questions are not to be found in our existent mores, for these are novel prob lems. The answers will have to be found, and then the choices made, from reflection upon the very deepest principles underlying our perception of man, his future and his relation to other men and to the universe about him. Men differ in their understand ing of these principles and in their acceptance of change. In deed, we seldom directly confront the foundations of our society, for they are so imbedded in our cul ture that to do so challenges our very sense of place and reality. But consideration of the new questions will brook no delay or events will create their own an swers. In a democratic society there should be the most extensive dis cussion of these basic issues, for the nature of the democracy will depend upon these answers. Until now, the only means avail able to change the character of men have been education and communication, in its varied forms. The basic purposes of ed ucation and communication have been, in general, evident to those concerned; it has been an ob jective of our society to make the means of education and com munication available to all. How much the fundamental character of man has been changed by these means is debatable. The chemical means now envisioned for the modification of man may be much more powerful — and thus some fear more irreversible — and certainly more difficult to comprehend. Only a few skilled in the arts of molecular biology may ever understand in detail the complex relations between a molecular structure and a human trait. The application of this new knowledge would surely involve an intricate new technology — a technology intended to affect the inner essence of specific persons. How shall we contain and apply this special knowledge within our democratic principles?

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