I. Introduction
The question as to when a human being
begins is strictly a scientific question, and should be answered by human embryologists
— not by philosophers, bioethicists, theologians, politicians, x-ray technicians,
movie stars, or obstetricians and gynecologists. The question as to when a human person
begins is a philosophical question. Current discussions on abortion, human embryo
research (including cloning, stem cell research, and the formation of mixed-species
chimeras), and the use of abortifacients involve specific claims as to when the life of
every human being begins. If the "science" used to ground these various
discussions is incorrect, then any conclusions will be rendered groundless and
invalid. The purpose of this article is to focus primarily on a sampling of the
"scientific" myths, and on the objective scientific facts that ought to ground
these discussions. At least it will clarify what the actual international consensus
of human embryologists is with regard to this relatively simple scientific question.
In the final section, I will also address some "scientific" myths that have
caused much confusion within the philosophical discussions on "personhood."
II. When does a human being
begin?
Getting a handle on just a few basic human
embryological terms accurately can considerably clarify the drastic difference between the
"scientific" myths that are currently circulating, and the actual objective
scientific facts. This would include such basic terms as: "gametogenesis,"
"oogenesis," "spermatogenesis," "fertilization,"
"zygote," "embryo," and "blastocyst." Only brief
scientific descriptions will be given here for these terms. Further, more
complicated, details can be obtained by investigating any well-established human
embryology textbook in the library, such as some of those referenced below. Please
note that the scientific facts presented here are not simply a matter of my own
opinion. They are direct quotes and references from some of the most highly
respected human embryology textbooks, and represent a consensus of human embryologists
internationally.
A. Basic human embryological facts
To begin with, scientifically something very
radical occurs between the processes of gametogenesis and fertilization — the change
from a simple part of one human being (i.e., a sperm) and a simple part of
another human being (i.e., an oocyte — usually referred to as an "ovum" or
"egg"), which simply possess "human life", to a new, genetically
unique, newly existing, individual, whole living human being (an embryonic
single-cell human zygote). That is, upon fertilization, parts of human beings have
actually been transformed into something very different from what they were before; they
have been changed into a single, whole human being. During the process of
fertilization, the sperm and the oocyte cease to exist as such, and a new human being is
produced.
To understand this, it should be remembered
that each kind of living organism has a specific number and quality of chromosomes that
are characteristic for each member of a species. (The number can vary only slightly
if the organism is to survive.) For example, the characteristic number of
chromosomes for a member of the human species is 46 (plus or minus, e.g., in human beings
with Down's or Turner's syndromes). Every somatic (or, body) cell in a human being
has this characteristic number of chromosomes. Even the early germ cells contain 46
chromosomes; it is only their most mature forms — the sex gametes, or sperms and
oocytes — which will later contain only 23 chromosomes.1
Sperms and oocytes are derived from primitive germ cells in the developing fetus by means
of the process known as "gametogenesis." Because each germ cell normally
has 46 chromosomes, the process of "fertilization" can not take place until the
total number of chromosomes in each germ are cut in half. This is necessary so that
after their fusion at fertilization the characteristic number of chromosomes in a single
individual member of the human species (46) can be maintained — otherwise we would
end up with a monster of some sort.
To accurately see why a sperm or an oocyte are
considered as only possessing human life, and not as living human beings themselves, one
needs to look at the basic scientific facts involved in the processes of gametogenesis
and of fertilization. It may help to keep in mind that the products of
gametogenesis and fertilization are very different. The products of gametogenesis
are mature sex gametes with only 23 instead of 46 chromosomes. The product of
fertilization is a living human being with 46 chromosomes. Gametogenesis refers to
the maturation of germ cells resulting in gametes. Fertilization refers to the
initiation of a new human being.
1) Gametogenesis
As the human embryologist Larsen2 states it, gametogenesis
is the process that converts
primordial germ cells (primitive sex cells) into mature sex gametes — in the male
(spermatozoa, or sperms), and in the female (definitive oocytes). The timing of
gametogenesis is different in males and in females. The later stages of
spermatogenesis in males occur at puberty, and continue throughout adult life. The
process involves the production of spermatogonia from the primitive germ cells, which in
turn become primary spermatocytes, and finally spermatids — or mature spermatozoa
(sperms). These mature sperms will have only half of the number of their original
chromosomes — i.e., the number of chromosomes has been cut from 46 to 23, and
therefore they are ready to take part in fertilization.3
Oogenesis begins in the female during
fetal life. The total number of primary oocytes — about 7 million — is
produced in the female fetus' ovaries by 5 months of gestation in the mother's
uterus. By birth, only about 700,000 - 2 million remain. By puberty, only
about 400,000 remain. The process includes several stages of maturation — the
production of oogonia from primitive germ cells, which in turn become primary oocytes,
which become definitive oocytes only at puberty. This definitive oocyte is what is
released each month during the female's menstrual period, but it still has 46
chromosomes. In fact, it does not reduce its number of chromosomes until and unless
it is fertilized by the sperm, during which process the definitive oocyte becomes a
secondary oocyte with only 23 chromosomes.4
This halving of the number of chromosomes in
the oocytes takes place by the process known as meiosis. Many people confuse meiosis
with a different process known as mitosis, but there is an important difference. Mitosis
refers to the normal division of a somatic, or germ cell in order to increase the number
of those cells during growth and development. The resulting cells contain the same
number of chromosomes as the previous cells — in human beings, 46. Meiosis
refers to the halving of the number of chromosomes that are normally present in a germ
cell — the precursors of a sperm or a definitive oocyte — in order for
fertilization to take place. The resulting cells have only half of the number of
chromosomes as the previous cells — in human beings, 23.
One of the best and most technically accurate
explanations for this critical process of gametogenesis is by Ronan O'Rahilly,
5 the human embryologist who developed the classic Carnegie stages of
human embryological development. He also sits on the international board of Nomina
Embryologica (which determines the correct terminology to be used in human embryology
textbooks internationally):
"Gametogenesis is the
production of [gametes], i.e., spermatozoa and oocytes. These cells are produced in
the gonads, i.e., the testes and ovaries respectively. ... During the
differentiation of gametes, diploid cells (those with a double set of chromosomes, as
found in somatic cells [46 chromosomes]) are termed primary, and haploid cells (those with
a single set of chromosomes [23 chromosomes]) are called secondary. The reduction of
chromosomal number ... from 46 (the diploid number or 2n) to 23 (the haploid number or n)
is accomplished by a cellular division termed meiosis. ... Spermatogenesis,
the production of spermatozoa, continues from immediately after puberty until old
age. It takes place in the testis, which is also an endocrine gland, the
interstitial cells of which secrete testosterone. Previous to puberty, spermatogonia
in the simiferous tubules of the testis remain relatively inactive. After puberty,
under stimulation from the interstitial cells, spermatogonia proliferate ... and some
become primary spermatocytes. When these undergo their first maturation division
(meiosis 1), they become secondary spermatocytes. The second maturation division
(meiosis 2) results in spermatids, which become converted into spermatozoa."
6
"Oogenesis is the production
and maturation of oocytes, i.e., the female gametes derived from oogonia. Oogonia
(derived from primordial germ cells) multiply by mitosis and become primary oocytes.
The number of oogonia increases to nearly seven million by the middle of prenatal life,
after which it diminishes to about two million at birth. From these, several
thousand oocytes are derived, several hundred of which mature and are liberated (ovulated)
during a reproductive period of some thirty years. Prophase of meiosis 1 begins
during fetal life but ceases at the diplotene state, which persists during
childhood. ... After puberty, meiosis 1 is resumed and a secondary oocyte ...
is formed, together with polar body 1, which can be regarded as an oocyte having a reduced
share of cytoplasm. The secondary oocyte is a female gamete in which the first
meiotic division is completed and the second has begun. From oogonium to secondary
oocyte takes from about 12 to 50 years to be completed. Meiosis 2 is terminated
after rupture of the follicle (ovulation) but only if a spermatozoon penetrates.
... The term 'ovum' implies that polar body 2 has been given off, which event is
usually delayed until the oocyte has been penetrated by a spermatozoon (i.e., has been
fertilized). Hence a human ovum does not [really] exist. Moreover the term
has been used for such disparate structures as an oocyte and a three-week embryo, and
therefore should be discarded, as a fortiori should 'egg'."7
(Emphasis added.)
Thus, for fertilization to be accomplished, a
mature sperm and a mature human oocyte are needed. Before fertilization,
8 each has only 23 chromosomes. They each possess "human
life," since they are parts of a living human being; but they are not each
whole living human beings themselves. They each have only 23 chromosomes, not 46
chromosomes — the number of chromosomes necessary and characteristic for a single
individual member of the human species. Furthermore, a sperm can produce only
"sperm" proteins and enzymes; an oocyte can produce only "oocyte"
proteins and enzymes; neither alone is or can produce a human being with 46 chromosomes.
Also, note O'Rahilly's statement that the use
of terms such as "ovum" and "egg" — which would include the term
"fertilized egg" — is scientifically incorrect, has no objective correlate
in reality, and is therefore very misleading — especially in these present
discussions. Thus these terms themselves would qualify as "scientific"
myths. The commonly used term, "fertilized egg," is especially very
misleading, since there is really no longer an egg (or oocyte) once fertilization has
begun. What is being called a "fertilized egg" is not an egg of any sort;
it is a human being.
2) Fertilization
Now that we have looked at the formation of the
mature haploid sex gametes, the next important process to consider is fertilization.
O'Rahilly defines fertilization as:
"... the procession of events that
begins when a spermatozoon makes contact with a secondary oocyte or its
investments, and ends with the intermingling of maternal and paternal chromosomes at
metaphase of the first mitotic division of the zygote. The zygote is
characteristic of the last phase of fertilization and is identified by the first cleavage
spindle. It is a unicellular embryo."9
(Emphasis added.)
The fusion of the sperm (with 23 chromosomes)
and the oocyte (with 23 chromosomes) at fertilization results in a live human being, a
single-cell human zygote, with 46 chromosomes — the number of chromosomes
characteristic of an individual member of the human species. Quoting Moore:
"Zygote: This cell results
from the union of an oocyte and a sperm. A zygote is the beginning of a new human
being (i.e., an embryo). The expression fertilized ovum refers to a
secondary oocyte that is impregnated by a sperm; when fertilization is complete, the
oocyte becomes a zygote."10 (Emphasis added.)
This new single-cell human being immediately
produces specifically human proteins and enzymes11 (not
carrot or frog enzymes and proteins), and genetically directs his/her own growth and
development. (In fact, this genetic growth and development has been proven not to be
directed by the mother.)12 Finally, this new human
being — the single-cell human zygote — is biologically an individual, a
living organism — an individual member of the human species. Quoting Larsen:
"... [W]e begin our description of
the developing human with the formation and differentiation of the male and female sex
cells or gametes, which will unite at fertilization to initiate the embryonic development
of a new individual."13 (Emphasis added.)
In sum, a human sperm and a human oocyte are
products of gametogenesis — each has only 23 chromosomes. They each have
only half of the required number of chromosomes for a human being. They cannot
singly develop further into human beings. They produce only "gamete"
proteins and enzymes. They do not direct their own growth and development. And
they are not individuals, i.e., members of the human species. They are only parts
— each one a part of a human being. On the other hand, a human being is the
immediate product of fertilization. As such he/she is a single-cell embryonic
zygote, an organism with 46 chromosomes, the number required of a member of the
human species. This human being immediately produces specifically human proteins and
enzymes, directs his/her own further growth and development as human, and is a new,
genetically unique, newly existing, live human individual.
After fertilization the single-cell human
embryo doesn't become another kind of thing. It simply divides and grows
bigger and bigger, developing through several stages as an embryo over an 8-week
period. Several of these developmental stages of the growing embryo are given
special names, e.g., a morula (about 4 days), a blastocyst (5-7 days), a bilaminar (two
layer) embryo (during the second week), and a trilaminar (3-layer) embryo (during the
third week).14
B. "Scientific" myths and
scientific facts
Given these basic facts of human embryology, it
is easier to recognize the many scientifically inaccurate claims that have been advanced
in the discussions about abortion, human embryo research, cloning, stem cell research, the
formation of chimeras, and the use of abortifacients — and why these discussions
obfuscate the objective scientific facts. The following is just a sampling of these
current "scientific" myths.
Myth 1: "Prolifers claim that the abortion
of a human embryo or a human fetus is wrong because it destroys human life. But
human sperms and human ova are human life, too. So prolifers would also have to
agree that the destruction of human sperms and human ova are no different from abortions
— and that is ridiculous!"
Fact 1: As pointed out above in the background
section, there is a radical difference, scientifically, between parts of a human being
that only possess "human life" and a human embryo or human fetus that is an
actual "human being." Abortion is the destruction of a human being.
Destroying a human sperm or a human oocyte would not constitute abortion, since neither
are human beings. The issue is not when does human life begin, but rather
when does the life of every human being begin. A human kidney or liver, a
human skin cell, a sperm or an oocyte all possess human life, but they are not
human beings — they are only parts of a human being. If a single sperm
or a single oocyte were implanted into a woman's uterus, they would not grow; they would
simply disintegrate.
Myth 2: "The product of fertilization is
simply a 'blob,' a 'bunch of cells', a 'piece of the mother's tissues'."
Fact 2: As demonstrated above, the human
embryonic organism formed at fertilization is a whole human being, and therefore it is not
just a "blob" or a "bunch of cells." This new human individual
also has a mixture of both the mother's and the father's chromosomes, and therefore it is
not just a "piece of the mother's tissues". Quoting Carlson:
"... [T]hrough the mingling of
maternal and paternal chromosomes, the zygote is a genetically unique product of
chromosomal reassortment, which is important for the viability of any species."
15 (Emphasis added.)
Myth 3: "The immediate product of
fertilization is just a 'potential' or a 'possible' human being — not a real existing
human being."
Fact 3: As demonstrated above, scientifically
there is absolutely no question whatsoever that the immediate product of fertilization is
a newly existing human being. A human zygote is a human being. It is
not a "potential" or a "possible" human being. It's an actual
human being — with the potential to grow bigger and develop its capacities.
Myth 4: "A single-cell human zygote, or
embryo, or fetus are not human beings, because they do not look like human beings."
Fact 4: As all human embryologists know, a
single-cell human zygote, or a more developed human embryo, or human fetus is a human
being — and that that's the way they are supposed to look at those particular periods
of development.
Myth 5: "The immediate product of
fertilization is just an 'it' — it is neither a girl nor a boy."
Fact 5: The immediate product of fertilization
is genetically already a girl or a boy — determined by the kind of sperm that
fertilizes the oocyte. Quoting Carlson again:
"..."3. The sex of the future embryo is determined by the
chromosomal complement of the spermatozoon. (If the sperm contains 22 autosomes and an X chromosome, the embryo
will be a genetic female, and if it contains 22 autosomes and a Y chromosome, the embryo will be a male."
16
Myth 6: "The embryo and the embryonic
period begin at implantation." (Alternative myths claim 14 days, or 3 weeks.)
Fact 6: These are a few of the most common
myths perpetuated sometimes even within quasi-scientific articles — especially within
the bioethics literature. As demonstrated above, the human embryo, who is a human
being, begins at fertilization — not at implantation (about 5-7 days), 14-days, or 3
weeks. Thus the embryonic period also begins at fertilization, and ends by the end
of the eighth week, when the fetal period begins. Quoting O'Rahilly:
"Prenatal life is conveniently
divided into two phases: the embryonic and the fetal. The embryonic period proper
during which the vast majority of the named structures of the body appear, occupies the first
8 postovulatory weeks. ... [T]he fetal period extends from 8 weeks to birth
..."17 (Emphasis added.)
Myth 7: "The product of fertilization, up
to 14-days, is not an embryo; it is just a 'pre-embryo' — and therefore it can be
used in experimental research, aborted, or donated."
Fact 7: This "scientific" myth is
perhaps the most common error that pervades the current literature. The term
"pre-embryo" has quite a long and interesting history. (See Irving and
Kischer, The Human Development Hoax: Time To Tell The Truth!, for extensive details
and references.) But it roughly goes back to at least 1979 in the bioethics writings
of Jesuit theologian Richard McCormick in his work with the Ethics Advisory Board to the
United States Department of Health, Education and Welfare,18
and those of frog developmental biologist Dr. Clifford Grobstein in a 1979 article in Scientific
American,19 and most notably in his classic book, Science
and the Unborn: Choosing Human Futures (1988).20
Both McCormick and Grobstein subsequently continued propagating this scientific myth as
members of the Ethics Committee of the American Fertility Society, and in numerous
influential bioethics articles, leading to its common use in bioethics, theological, and
public policy literature to this day.
The term "pre-embryo" was also used
as the rationale for permitting human embryo research in the British Warnock Committee
Report (1984),21 and then picked up by literally hundreds of
writers internationally, including, e.g., Australian writers Michael Lockwood, Michael
Tooley, Alan Trounson — and especially by Peter Singer (a philosopher), Pascal
Kasimba (a lawyer), Helga Kuhse (an ethicist), Stephen Buckle (a philosopher) and Karen
Dawson (a geneticist, not a human embryologist). Note that none of these is even a
scientist, with the exception of Karen Dawson, who is just a geneticist.
Oddly, the influential book by Singer, Kuhse,
Buckle, and Dawson, Embryo Experimentation,22 (which
uses the term "pre-embryo," and which contains no scientific references for its
"human embryology" chart or its list of "scientific" terms), along
with the work of theologian McCormick and frog developmental biologist Grobstein, was used
in the United States as the scientific basis for the 1994 National Institutes of
Heath (NIH) Human Embryo Research Report.23 That Report
concluded that the "preimplantation embryo" (they, too, originally used the term
"pre-embryo") had only a "reduced moral status." (Both the
Warnock Report and the NIH Report admitted that the 14-day limit for human embryo research
was arbitrary, and could and must be changed if necessary.) It is particularly in
the writings of these and other bioethicists that so much incorrect science is claimed in
order to "scientifically" ground the "pre-embryo" myth and therefore
"scientifically" justify many of the issues noted at the beginning of this
article. This would include abortion, as well as the use of donated or
"made-for-research" early human embryos in destructive experimental human embryo
research (such as infertility research, cloning, stem cell research, the formation of
chimeras, etc.).
To begin with, it has been demonstrated above
that the immediate product of fertilization is a human being with 46 chromosomes, a human
embryo, an individual member of the human species, and that this is the beginning of the
embryonic period. However, McCormick and Grobstein24
claim that even though the product of fertilization is genetically human, it is not a
"developmental individual" yet — and in turn, this "scientific
fact" grounds their moral claim about this "pre-embryo." Quoting
McCormick:
"I contend in this paper that the
moral status — and specifically the controversial issue of personhood — is
related to the attainment of developmental individuality (being the source of one
individual) ... It should be noted that at the zygote stage the genetic individual is not
yet developmentally single — a source of only one individual. As we will see,
that does not occur until a single body axis has begun to form near the end of the second
week post fertilization when implantation is underway."25
(Emphasis added.)
Sounds very scientific. However,
McCormick's embryology is already self-contradictory. Implantation takes place at
5-7 days. The "single body axis" to which he refers is the formation of
the primitive streak, which takes place at 14 days. McCormick often confuses these
different periods in his writings. But McCormick continues:
"This multicellular entity, called
a blastocyst, has an outer cellular wall, a central fluid-filled cavity and a small
gathering of cells at one end known as the inner cell mass. Developmental studies
show that the cells of the outer wall become the trophoblast (feeding layer) and are
precursors to the later placenta. Ultimately, all these cells are discarded
at birth."26 (Emphasis added.)
The clear implication is that there is
absolutely no relationship or interaction between these two cell layers, and so the
"entity" is not a "developmental individual" yet. However,
quoting Larsen:
"These centrally placed blastomeres
are now called the inner cell mass, while the blastomeres at the periphery constitute the
outer cell mass. Some exchange occurs between these groups. ...
The cells of this germ disc (the inner cell layer) develop into the embryo proper and also
contribute to some of the extraembryonic membranes."27
(Emphasis added.)
Similarly, it is not factually correct to state
that all of the cells from the outer trophoblast layer are discarded after birth.
Quoting Moore:
"The chorion, the amnion, the yolk
sac, and the allantois constitute the fetal membranes. They develop from the zygote
but do not participate in the formation of the embryo or fetus — except for parts
of the yolk sac and allantois. Part of the yolk sac is incorporated into the embryo
as the primordium of the gut. The allantois forms a fibrous cord that is known as
the urachus in the fetus and the median umbilical ligament in the adult. It extends
from the apex of the urinary bladder to the umbilicus."28
(Emphasis added.)
Since scientists, in trying to
"reach" young students in a more familiar language, sometimes use popularized
(but scientifically inaccurate and misleading) terms themselves, the ever-vigilant
O'Rahilly expresses concern in his classic text about the use of the term "fetal
membranes":
"The developmental adnexa, commonly
but inaccurately referred to as the 'fetal membranes,' include the trophoblast,
amnion, chorion, umbilical vesicle (yolk sac), allantoic diverticulum, placenta and
umbilical cord. They are genetically a part of the individual and are composed of
the same germ layers."29 (Emphasis added.)
Consequently, it is also scientifically
incorrect to claim that only the inner cell layer constitutes the "embryo
proper." The entire blastocyst — including both the inner and the outer
cell layers — is the human embryo, the human being, the human individual.
Finally, McCormick claims that this
"pre-embryo" has not yet decided how many individuals it will become, since the
cells are totipotent and twinning can still take place. Therefore, they argue, there
is no "individual" present until 14-days and the formation of the primitive
streak, after which twinning cannot take place.30
However, twinning is possible after 14 days,
e.g., with fetus-in-fetu and Siamese twins. Quoting from O'Rahilly again:
"Partial duplication at an early
stage and attempted duplication from 2 weeks onward (when bilateral symmetry has
become manifest) would result in conjoined twins (e.g., 'Siamese twins')."
31 (Emphasis added.)
And even Karen Dawson acknowledges this as
scientific fact in her article in Embryo Experimentation:
"After the time of primitive
streak formation, other events are possible which indicate that the notion of
'irreversible individuality' may need some review if it is to be considered as an
important criterion in human life coming to be the individual human being it is ever
thereafter to be. There are two conditions which raise questions about the adequacy
of this notion: conjoined twins, sometimes known as Siamese twins, and
fetus-in-fetu. ... Conjoined twins arise from the twinning process occurring
after the primitive streak has begun to form, that is, beyond 14 days after fertilization,
or, in terms of the argument from segmentation, beyond the time at which irreversible
individuality is said to exist. ... This situation weakens the possibility of
seeing individuality as something irreversibly resolved by about 14 days after
fertilization. This in turn raises questions about the adequacy of using the
landmark of segmentation in development as the determinant of moral status."
32 (Emphasis added.)
It is unfortunate that the NIH Human Embryo
Research Panel33 did not read this particular portion of the
Singer et al. book before making their recommendations about the moral status of the early
human embryo.
The scientific fact is that there is no such
thing as a "pre-embryo" in the real world. The term is a complete
myth. It was fabricated out of thin air in order to justify a number of things that
ordinarily would not be justifiable. Quoting O'Rahilly, who sits on the
international board of Nomina Embryologica, again:
"The ill-defined and inaccurate
term 'pre-embryo,' which includes the embryonic disk, is said either to end with the
appearance of the primitive streak or to include neurulation. The term is not
used in this book.34 (Emphasis added.)
Unfortunately, the convenient but mythological
term "pre-embryo" will be used to "scientifically" justify several of
the other "scientific" myths to follow, which in turn will be used to justify
public policy on abortion and human embryo research world-wide.
Myth 8: "Pregnancy begins with the
implantation of the blastocyst (i.e., about 5-7 days)."
Fact 8: This definition of
"pregnancy" was initiated to accommodate the introduction of the process of in
vitro fertilization, where fertilization takes place artificially outside the mother
in a petri dish, and then the embryo is artificially introduced into the woman's uterus so
that implantation of the embryo can take place. Obviously, if the embryo is not
within the woman's body, she is not "pregnant" in the literal, traditional sense
of the term. However, this artificial situation cannot validly be substituted
back to redefine "normal pregnancy," in which fertilization does
take place within the woman's body in her fallopian tube, and subsequently the embryo
itself moves along the tube to implant itself into her uterus. In normal situations,
pregnancy begins at fertilization, not at implantation. Quoting Carlson:
"Human pregnancy begins with the
fusion of an egg and a sperm, but a great deal of preparation precedes this
event. First both male and female sex cells must pass through a long series of
changes (gametogenesis) that converts them genetically and phenotypically into mature
gametes, which are capable of participating in the process of fertilization. Next,
the gametes must be released from the gonads and make their way to the upper part of the
uterine tube, where fertilization normally takes place. Finally, the
fertilized egg, now properly called an embryo, must make its way into the uterus,
where it sinks into the uterine lining (implantation) to be nourished by the mother."
35 (Emphasis added.)
Myth 9: "The 'morning-after pill,' RU486,
and the IUD are not abortifacient; they are only methods of contraception."
Fact 9: The "morning-after pill,"
RU486, and the IUD can be abortifacient, if fertilization has taken place.
Then they would act to prevent the implantation of an already existing human embryo —
the blastocyst — which is an existing human being. If the developing human
blastocyst is prevented from implanting into the uterus, then obviously the embryo
dies. In effect, these chemical and mechanical methods of contraception have become
methods of abortion as well. Quoting Moore:
"The administration of relatively
large doses of estrogens ('morning-after pill') for several days, beginning shortly after
unprotected sexual intercourse, usually does not prevent fertilization but often
prevents implantation of the blastocyst. Diethylstilbestrol, given daily in high
dosage for 5-6 days, may also accelerate passage of the dividing zygote along the uterine
tube ... Normally, the endometrium progresses to the secretory phase of the
menstrual cycle as the zygote forms, undergoes cleavage, and enters the uterus. The
large amount of estrogen disturbs the normal balance between estrogen and progesterone
that is necessary for preparation of the endometrium for implantation of the
blastocyst. Postconception administration of hormones to prevent implantation of the
blastocyst is sometimes used in cases of sexual assault or leakage of a condom, but this
treatment is contraindicated for routine contraceptive use. The 'abortion pill'
RU486 also destroys the conceptus by interrupting implantation because of interference
with the hormonal environment of the implanting embryo. ... An intrauterine
device (IUD) inserted into the uterus through the vagina and cervix usually interferes
with implantation by causing a local inflammatory reaction. Some IUDs contain
progesterone that is slowly released and interferes with the development of the
endometrium so that implantation does not usually occur."36
(Emphasis added.)
And since the whole human blastocyst is
the embryonic human being — not just the inner cell layer — the use of
chemical abortifacients that act "only" on the outer trophoblast layer of the
blastocyst, e.g., methotrexate,37 would be abortifacient as
well.
Myth 10: "Human embryo research, human
cloning, stem cell research, and the formation of chimeras are acceptable kinds of
research because until implantation or 14 days there is only a 'pre-embryo', a 'potential'
human embryo or human being present. A real human embryo and a human being (child)
do not actually begin unless and until the 'pre-embryo' is implanted into the mother's
uterus."
Fact 10: These claims are currently being made
by bioethicists, research scientists, pharmaceutical companies, and other biotech research
companies — even by some members of Congress. However, they too are
"scientific" myths.
Scientifically it is perfectly clear that there
is no such thing as a "pre-embryo," as demonstrated in Fact 7. As
demonstrated in the background material, the immediate product of fertilization is a human
being, a human embryo, a human child — the zygote. This zygote is a newly
existing, genetically unique, genetically male or female, individual human being — it
is not a "potential" or a "possible" human being. And this
developing human being is a human being, a human embryo, a human child whether or not
it is implanted artificially into the womb of the mother.
Fertilization and cloning are different
processes, but the immediate products of these processes are the same. The immediate
product of human cloning would also be a human being — just as in human
fertilization. It is not a "pre-embryo" or a "potential" human
embryo or human being. Stem cell research obtains its "stem cells" by
essentially exploding or otherwise destroying and killing a newly existing human
blastocyst who is, scientifically, an existing human being. The formation of
chimeras, i.e., the fertilization of a gamete of one species (e.g., a human oocyte) with
the gamete of another species (e.g., a monkey sperm) also results in an embryo that is
"half-human." All of these types of research have been banned by most
countries in the world. And all of these types of research are essentially human
embryo research — for which the use of federal funds has been banned.
Myth 11: "Certain early stages of the
developing human embryo and fetus, e.g., during the formation of ancestral fish gills or
tails, demonstrates that it is not yet a human being, but is only in the process of
becoming one. It is simply 'recapitulating' the historical evolution of all of the
species."
Fact 11: This "scientific" myth is
yet another version of the "potential," "possible,"
"pre-embryo" myths. It is an attempt to deny the early human embryo its
real identity as a human being and its real existence. But quoting once again from
O'Rahilly:
"The theory that successive stages
of individual development (ontogeny) correspond with ('recapitulate') successive adult
ancestors in the line of evolutionary descent (phylogeny) became popular in the 19th
century as the so-called biogenetic law. This theory of recapitulation, however, has
had a 'regrettable influence in the progress of embryology' (citing de Beer).
... Furthermore, during its development an animal departs more and more from the
form of other animals. Indeed, the early stages in the development of an animal are
not like the adult stages of other forms, but resemble only the early stages of those
animals."38
Hence, the developing human embryo or fetus is
not a "fish" or a "frog," but is categorically a human being — as
has been already demonstrated.
III. When does a human person
begin?
The question as to when a human person
begins is a philosophical question — not a scientific question. I will
not go into great detail here,39 but "personhood"
begins when the human being begins — at fertilization. But since many of the
current popular "personhood" claims in bioethics are also based on mythological
science, it would be useful to just look very briefly at these philosophical (or
sometimes, theological) arguments simply for scientific accuracy as well.
Philosophically, virtually any claim for
so-called "delayed personhood" — that is, "personhood"
does not start until some point after fertilization — involves the theoretical
disaster of accepting that the idea or concept of a mind/body split has any correlate or
reflects the real world. Historically this problem was simply the consequence of
wrong-headed thinking about reality, and was/is totally indefensible. It was
abandoned with great embarrassment after Plato's time (even by Plato himself in his Parmenides!),
but unfortunately resurfaces from time to time, e.g., as with Descartes in his Meditations,
and now again with contemporary bioethics.40 And as in
the question of when a human being begins, if the science used to ground these
philosophical "personhood" arguments is incorrect, the conclusions of these
arguments (which are based on that incorrect science) are also incorrect and invalid.
Myth 12: "Maybe a human being
begins at fertilization, but a human person does not begin until after 14-days,
when twinning cannot take place."
Fact 12: The particular argument in Myth 12 is
also made by McCormick and Grobstein (and their numerous followers). It is based on
their biological claim that the "pre-embryo" is not a developmental individual,
and therefore not a person, until after 14 days when twinning can no longer take
place. However, it has already been scientifically demonstrated here that there is
no such thing as a "pre-embryo," and that in fact the embryo begins as a
"developmental individual" at fertilization. Furthermore, twinning can
take place after 14 days. Thus simply on the level of science, the philosophical
claim of "personhood" advanced by these bioethicists is invalid and
indefensible.
Myth 13: "A human person begins
with 'brain birth,' the formation of the primitive nerve net, or the formation of the
cortex — all physiological structures necessary to support thinking and
feeling."
Fact 13: Such claims are all pure mental
speculation, the product of imposing philosophical (or theological) concepts on the
scientific data, and have no scientific evidence to back them up. As the well-known
neurological researcher D. Gareth Jones has succinctly put it, the parallelism between
"brain death" and "brain birth" is scientifically invalid.
"Brain death" is the gradual or rapid cessation of the functions of a
brain. "Brain birth" is the very gradual acquisition of the functions of a
developing neural system. This developing neural system is not a brain. He
questions, in fact, the entire assumption and asks what neurological reasons there might
be for concluding that an incapacity for consciousness becomes a capacity for
consciousness once this point is passed. Jones continues that the alleged symmetry
is not as strong as is sometimes assumed, and that it has yet to be provided with a
firm biological base.41
Myth 14: "A 'person' is defined in terms
of the active exercising of 'rational attributes' (e.g., thinking, willing, choosing,
self-consciousness, relating to the world around one, etc.), and/or the active exercising
of 'sentience' (e.g., the feeling of pain and pleasure)."
Fact 14: Again, these are philosophical terms
or concepts, which have been illegitimately imposed on the scientific data. The
scientific fact is that the brain, which is supposed to be the physiological support for both
"rational attributes" and "sentience," is not actually
completely developed until young adulthood. Quoting Moore:
"Although it is customary to divide
human development into prenatal (before birth) and postnatal (after birth) periods, birth
is merely a dramatic event during development resulting in a change in environment. Development
does not stop at birth. Important changes, in addition to growth, occur after
birth (e.g., development of teeth and female breasts). The brain triples in weight
between birth and 16 years; most developmental changes are completed by the age of 25."
42 (Emphasis added.)
One should also consider simply the logical
— and very real — consequences if a "person" is defined only in terms
of the actual exercising of "rational attributes" or of
"sentience." What would this mean for the following list of adult human
beings with diminished "rational attributes": e.g., the mentally ill, the
mentally retarded, the depressed elderly, Alzheimer's and Parkinson's patients, drug
addicts, alcoholics — and for those with diminished "sentience," e.g., the
comatose, patients in a "vegetative state," paraplegics, and other paralyzed and
disabled patients, diabetics or other patients with nerve or brain damage, etc.?
Would they then be considered as only human beings but not also as human persons?
Would that mean that they would not have the same ethical and legal rights and protections
as those adult human beings who are considered as persons? Is there really such a
"split" between a human being and a human person?
In fact, this is the position of bioethics
writers such as the Australian animal rights philosopher Peter Singer,43
the recently appointed Director of the Center for Human Values at Princeton
University. Singer argues that the higher primates, e.g., dogs, pigs, apes, monkeys,
are persons — but that some human beings, e.g., even normal human infants, and
disabled human adults, are not persons. Fellow bioethicist Norman Fost
actually considers "cognitively impaired" adult human beings as "brain
dead." Philosopher/bioethicist R.G. Frey has also published that many of the
adult human beings on the above list are not "persons," and suggests that they
be substituted for the higher primates who are "persons" in purely destructive
experimental research.44 The list goes on.
IV. Conclusions
Ideas do have concrete consequences — not
only in one's personal life, but also in the formulation of public policies. And
once a definition is accepted in one public policy, the logical extensions of it can then
be applied, invalidly, in many other policies, even if they are not dealing with the same
exact issue — as happens frequently in bioethics. Thus, the definitions of
"human being" and of "person" that have been concretized in the
abortion debates have been transferred to several other areas, e.g., human embryo
research, cloning, stem cell research, the formation of chimeras, the use of
abortifacients — even to the issues of brain death, brain birth, organ
transplantation, the removal of food and hydration, and research with the mentally ill or
the disabled. But neither private choices nor public policies should ever
incorporate unsound or inaccurate science. What I have tried to indicate is that in
these current discussions, individual choices and public policies have been based on
"scientific" myth, rather than on objective scientific facts.
Notes
- B. Lewin, Genes III (New
York: John Wiley and Sons, 1983), pp. 9-13; A. Emery, Elements of Medical Genetics
(New York: Churchill Livingstone, 1983), pp. 19, 93.
- William J. Larsen, Human
Embryology (New York: Churchill Livingstone, 1997), pp. 4, 8, 11.
- Ibid.
- Ibid.
- Ronan O'Rahilly and Fabiola
Müller, Human Embryology & Teratology (New York: Wiley-Liss, 1994). See
also, Bruce M. Carlson, Human Embryology and Developmental Biology (St. Louis, MO:
Mosby, 1994), and Keith L. Moore and T.V.N. Persaud, The Developing Human
(Philadelphia: W.B. Saunders Company, 1998).
- O'Rahilly and Müller 1994,
pp. 13-14.
- Ibid., p. 16.
See also, Larsen, op. cit., pp. 3-11; Moore and Persaud, op. cit., pp.
18-34; Carlson, op. cit., pp. 3-21.
- Note: The number of
chromosomes in the definitive oocyte are not halved unless and until it is penetrated by a
sperm, which really does not take place before fertilization but is in fact
concurrent with and the beginning of the process of fertilization. However, for
simplicity's sake, many writers (myself among them) will sometimes assume the reader
clearly understands this timing, and simply say, "before fertilization the
sperm and the oocyte each contain 23 chromosomes."
- O'Rahilly and Müller, p.
19.
- Moore and Persaud, p. 2.
- E.g., as determined in
extensive numbers of transgenic mice experiments as in Kollias et al., "The
human beta-globulin gene contains a downstream developmental specific enhancer," Nucleic
Acids Research 15(14) (July, 1987), 5739-47; also similar work by, e.g., R.K.
Humphries, A. Schnieke.
- Holtzer et al.,
"Induction-dependent and lineage-dependent models for cell-diversification are
mutually exclusive," Progress in Clinical Biological Research 175:3-11 (1985);
also similar work by, e.g., F. Mavilio, C. Hart.
- Larsen, p. 1; also
O'Rahilly and Müller, p. 20.
- Larsen, p. 19, 33, 49.
- Carlson, p. 31.
- Carlson, p. 31.
- O'Rahilly and Müller, p.
55; Carlson, p. 407.
- Ethics Advisory Board,
1979, Report and Conclusions: HEW Support of Research Involving Human In Vitro
Fertilization and Embryo Transfer, Washington, D.C.: United States Department of
Health, Education and Welfare, p. 101.
- Clifford Grobstein,
"External human fertilization," Scientific American 240:57-67.
- Clifford Grobstein, Science
and the Unborn: Choosing Human Futures (New York: Basic Books, Inc., 1988).
- Dame Mary Warnock, Report
of the Committee of Inquiry into Human Fertilization and Embryology (London: Her
Majesty's Stationary Office, 1984), pp. 27, 63. See also the writings of, e.g., H.
Tristram Engelhardt, John Robertson (in legal writings), R.M. Hare, Bedate and Cefalo,
William Wallace.
- Peter Singer, Helga Kuhse,
Stephen Buckle, Karen Dawson, and Pascal Kasimba, Embryo Experimentation
(Cambridge: Cambridge University Press, 1990).
- National Institutes of
Health: Report of the Human Embryo Research Panel, September 27, 1994 (National
Institutes of Health, Division of Science Policy Analysis and Development, Bethesda, MD).
- Clifford Grobstein,
"The early development of human embryos," Journal of Medicine and Philosophy
1985:10:213-236; and Richard McCormick, "Who or what is the preembryo?" Kennedy
Institute of Ethics Journal 1991:1:1-15.
- Richard McCormick, ibid.,
p. 3.
- McCormick, ibid., p.
3.
- Larsen, p. 19, 33.
- Moore and Persaud, p. 131.
- O'Rahilly and Müller, p.
51.
- McCormick, op. cit.,
p. 4.
- O'Rahilly and Müller, p.
32.
- Karen Dawson,
"Segmentation and moral status," in Peter Singer et al., Embryo
Experimentation (Cambridge: Cambridge University Press, 1990), p. 58. See also
Moore and Persaud, p. 133.
- For extensive comments on
the make-up of the NIH Human Embryo Research Panel and on its Report, see several of my
articles in Ward C. Kischer and Dianne N. Irving, The Human Development Hoax: Time to
Tell The Truth!, (1st ed., Clinton Township, MI: Gold Leaf Press, 1995); (2nd ed.,
published by authors; distributed by American Life League, 1997).
- O'Rahilly and Müller, p.
55.
- Carlson, p. 3.
- Moore and Persaud, p. 58.
- But see Albert Moraczewski,
"Managing tubal pregnancies: Part I" (June 1996) and "Part II" (August
1996), in Ethics and Medics (Braintree, MA: Pope John Center).
- O'Rahilly and Müller, p.
8-9.
- The use of massive
historically incorrect and theoretically indefensible philosophy in the "delayed
personhood" arguments has been addressed in my doctoral dissertation, A
Philosophical and Scientific Analysis of the Nature of the Early Human Embryo
(Washington, D.C.: Georgetown University, Department of Philosophy, 1991); see also
several of my previously published articles in my book, co-authored by C. Ward Kischer, The
Human Development Hoax: Time To Tell The Truth, supra., which gives extensive
references pro and con these bioethics arguments.
- For an excellent and easy
to read analysis of the problem of a mind/body split as one of the fundamental theoretical
problems in contemporary bioethics theory, see Gilbert C. Meilaender, Body, Soul, and
Bioethics (Notre Dame, IN: University of Notre Dame Press, 1995); see also many of the
excellent articles about this problem in bioethics theory in Raanan Gillon (ed.), Principles
of Health Care Ethics (New York: John Wiley & Sons, 1994); also Edwin R. DuBose,
Ronald P. Hamel and Laurence J. O'Connell (eds.), A Matter of Principles? Ferment in
U.S. Bioethics (Valley Forge, PA: Trinity Press International, 1994) — especially
the "Preface" by Albert Jonsen. Even Daniel Callahan has admitted that the
bioethics principles don't work, in "Bioethics: Private choice and common good,"
in The Hastings Center Report (May/June 1994), pp. 28-31.
- D. Gareth Jones,
"Brain birth and personal identity," Journal of Medical Ethics 15:4,
1989, p. 178.
- Moore and Persaud, p. 2;
see also Jones, p. 177.
- Peter Singer, "Taking
life: Abortion," in Practical Ethics (London: Cambridge University Press,
1981), p. 118; Helga Kuhse and Peter Singer, "For sometimes letting — and
helping — die," Law, Medicine and Health Care, 1986, 3:4:149-153; Kuhse
and Singer, Should the Baby Live? The Problem of Handicapped Infants (Oxford:
Oxford University Press, 1985), p. 138; Singer and Kuhse, "The ethics of embryo
research," Law, Medicine and Health Care, 1987, 14:13-14; Michael Tooley,
"Abortion and infanticide," in Marshall Cohen (ed.) et al., The Rights
and Wrongs of Abortions, (New Jersey: Princeton University Press, 1974), pp. 59, 64;
H. Tristram Engelhardt, The Foundations of Bioethics (New York: Oxford University
Press, 1986), p. 111.
- R.G. Frey, "The ethics
of the search for benefits: Animal experimentation in medicine," in Raanan Gillon
(ed.), Principles of Health Care Ethics (New York: John Wiley & Sons, 1994),
pp. 1067-1075.
Dr. Dianne Nutwell Irving is a former career-appointed bench research biochemist and biologist at the National
Institutes of Health (NCI), did extensive graduate work in biology in the Department of Biology at Georgetown University
(Washington, D.C.), and received her Masters and Doctorate Degrees in Philosophy from Georgetown University --
concentrating in both the History of Philosophy and in Medical Ethics, and specializing in bioethics (at the Kennedy
Institute of Ethics). She has taught both science and philosophy courses to undergraduate and graduate students at
Georgetown University and The Catholic University of America, Washington, D.C. Dr. Irving has also published, lectured
and debated widely in academia on bioethics, medical and research ethics concerning human embryo research, human
cloning, human embryonic stem cell research, and genetic engineering, and analyzed and evaluated state, national and
international legislation on these and related issues. She has also served as a consultant on medical and research
ethics for many professional organizations, including The Catholic Medical Association, The Linacre Institute of the
Catholic Medical Association (USA), and the International Federation of Catholic Medical Associations (FIAMC).