Professional Documents
Culture Documents
See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License
r 2007 The Authors
Journal compilation r 2007 Metaphilosophy LLC and Blackwell Publishing Ltd
Published by Blackwell Publishing Ltd, 9600 Garsington Road, Oxford OX4 2DQ, UK, and
350 Main Street, Malden, MA 02148, USA
METAPHILOSOPHY
Vol. 38, Nos. 2–3, April 2007
0026-1068
Embryo Splitting
When identical twins occur in nature they result from the splitting of the
early embryo in utero, and the resulting twins, true clones, have identical
genomes. This process can be mimicked in the laboratory, and in vitro
embryos can be deliberately split, creating matching siblings, which can
be used for reproduction, genetic testing, or scientific research. This
process itself has a number of ethically puzzling if not problematic
features (Harris 1998, 2004; see also Marquis, McMahon, and Sagan
and Singer in this collection).
Embryo splitting can be done at various stages of embryonic
development. When performed in an embryo consisting of 32 to 150
cells, the technique is referred to as ‘‘blastocyst division.’’ The blastocyst
is split in half, and the two halves, when implanted into a uterus, can
develop as identical ‘‘twins.’’ Embryo splitting at a very early stage of
embryonic development (o32 cells) is called ‘‘blastomere separation.’’ In
an embryo consisting of four cells, all cells (blastomeres) are still
‘‘totipotent’’ (that is, where all cells could become any part of the
resulting individual or, indeed, could develop into a whole new
individual). Consequently, if you take a four-cell-stage embryo and split
it into four cells, each one of these cells constitutes a new embryo, which
could be implanted with the potential for successful development into
adulthood (as we discuss below, there is a dramatic wastage rate of
embryos in all human reproduction). Each cell is the clone or identical
‘‘twin’’ of any of the others and comes into being not through conception
but because of the division of the early cell mass. Moreover, these four
cells can be recombined into one embryo again. This creates a situation
where, without the destruction of a single human cell, one human life, if
that is what it is, can be split into four and can be recombined again into
one.
Did ‘‘life’’ in such a case begin as an individual, become four
individuals, and then turn into a single embryo again? We should note
that whatever our answer to this question, all this occurs without the
creation of extra matter and without the destruction of a single cell. Those
who think that ensoulment takes place at conception have an interesting
problem in having to account for the splitting of one soul into four, and
for the destruction of three souls when the four embryos are recombined
into one, and to account for (and resolve the ethics of) the killing of three
individuals, without a single human cell being removed or destroyed.
These possibilities should perhaps give us pause in attributing the
beginning of morally important life to a point like ‘‘conception,’’ which,
moreover, is not a point but a process.2
2
For more on the problematic nature of attributing moral significance to early embryos
see Harris 1980, 2003.
grow to term? If, as seems likely, the reason why it is thought objection-
able to recombine such clones is the loss of potential human beings, then
perhaps it would be considered unethical not to split any embryo into as
many twins as possible. By so doing we would after all maximise just that
potential, the loss of which, supposedly, inhibits recombination. If all this
has a dizzying effect, it is perhaps because the language that we use
misleads us.
We are often misled by terminology. To call these early cells or clumps
of cells ‘‘twins’’ tempts us to think of them as ‘‘persons.’’ But, as we have
pointed out, if an in vitro embryo in which all cells are at the totipotent
stage were to be split into four cells, you will have created four (new?)
embryos, quadruplets. Take three away and destroy them or recombine
all four into one and you are in a sense back where you started, having
done exactly the same, namely, created a single potentially viable embryo
with a particular genome. You have wasted potential experimental
material or potentially viable embryos or even killed three human
individuals. Yet this waste arguably also occurs whenever a cell mass
that could viably be divided is left undivided. If the recombined embryo,
or the surviving quadruplet, is implanted, comes to birth, and grows to
maturity, it will have the same genome it would have had if the division
and recombination had never taken place or if its siblings had never been
created and disappeared. Will it be the same person it would have been?
Does it have the same identity it had in its former incarnation? Certainly
its life story is different.
It is difficult to analyse the ethics of the possibilities we have just
described. In the recombination scenario not a single human cell has been
destroyed. In the case of embryo splitting no new cells or matter have
been created, and yet three individuals come and go. Have the interests of
any individuals been harmed? If these embryos may be said to have an
interest in actualising their potential, then perhaps there may be a sense in
which they have been wronged if not harmed.3 We must look at
potentiality more closely.
Potentiality
The idea of potentiality is central in discussing the ethics of using embryos
for research and therapy. One feature of human embryos that members of
other species do not share is their particular potential, not simply to be
born and to be human but to become the sort of complex, intelligent, self-
conscious, multifaceted creatures typical of the human species. There
seem to be at least two problems with potentiality interpreted as the idea
that human embryos or fetuses are morally important beings in virtue of
3
For a discussion on the distinction between harming and wronging see Harris 1992,
79–98. See also Harman in this collection.
4
Adapted from Harris and Holm 2003. Thanks to Sren Holm for permission to adapt
these jointly written ideas and present them here.
Rights
Failing to protect embryos does not involve any violation of the rights, at
least of the embryos, although the progenitors or others in lawful
possession of embryos may have rights at stake. Perhaps a word or two
of explanation for this claim is appropriate. There are two main theories
of rights: choice theory and interest theory (Cohen 1995, 68; Dworkin
1977 and 1994, 210–16; Steiner 1994; Waldron 1988). Choice theory sees
rights as securing ‘‘the protection and promotion of autonomy or
liberty,’’ and interest theory sees rights as serving to further individual
well-being or welfare. Clearly, on choice theory embryos cannot possess
rights because embryos are not autonomous and so their rights cannot be
analysed in terms of choices. Even according to interest theory embryo
rights are problematic, not least because, arguably, embryos cannot
experience welfare and therefore have no welfare interests that can be
served. Joseph Raz, for example, suggests that an individual is capable
of possessing rights ‘‘if and only if . . . his well-being is of ultimate
importance’’ (1986, 166). Embryos, however, have no well-being, for
et al. 1982 gives a figure of 61.9 percent loss before twelve weeks, but since this figure does
not include embryo loss before implantation or from miscarriage after twelve weeks, the
figure of 80 percent estimated by Winston may not be an unreasonable estimate. See also
Hertig and Rock 1973 and Adams et al. 1956. See also Roberts and Lowe 1975.
embryos can be used for morally important purposes and the position
that embryos should be protected as one of us and, consequently, their
use for stem cells should be opposed (see Tännsjö in this collection). Most
countries do not want to forego the potential benefits of hESC research
and have adopted regulations based on one of the main compromise
positions. Some countries allow the use of hESCs but not the derivation
process, as the latter involves killing embryos. There are several variations
of this compromise, such as restricting the use of hESCs to those derived
before a set date, with private money, or abroad.8 Other countries are a
bit more liberal, allowing the use of embryos left over from infertility
treatments and no longer used in a parental project but rejecting the
creation of embryos solely for the purpose of stem cell research.9
We have seen, however, that the view that embryos have a moral status
incompatible with their instrumental use as stem cell source is not
supported by strong argumentation and cannot be maintained consis-
tently with other values or with how most people live their lives. Why,
then, should we look for compromises that try to satisfy this view and, by
doing so, slow down or block hESC research?
Many people may have some respect and care for some kind of
protection of the embryo, but these feelings can change and often depend
on people’s intentions, in particular on whether the embryo is included in
a parental project. Moreover, there are forms of respect and deference
that are less absolute and that admit of gradations. The respect one has
for an entity does not exclude it, provided that a meaningful argument is
presented, from being used as a resource for a goal that is believed to be
important (which is comparable with research on cadavers). A way to
show respect to early embryos is by ensuring that they are used with care
in research that incorporates substantive values, such as the alleviation of
human suffering, which is in accordance with the widely accepted
principles of beneficence, non-maleficence, and proportionality (see
Manninen in this collection). Well-regulated hESC research can be
consistent with these widely accepted principles. Of course, disagreement
can still exist on the scope of the principles. However, arguments for
establishing scope, such as stating that the protection of the embryos falls
within the scope of the principle of non-maleficence, like the principles
themselves, have to meet the standards of adequacy and validity required
for arguments to hold true (Harris 2005a).
We have shown that no strong argumentation that meets these
standards has been provided. First, the embryo is an ambiguous entity,
which casts serious doubt on the arguments claiming its full protection.
Secondly, those who claim the embryo should be protected as if it was a
person are committed to a position even they do not uphold in their
8
For a critical analysis of this compromise position see Devolder and Harris 2005.
9
For a critical analysis of this compromise position see Devolder 2005b.
practices. No society treats the embryo as one of us or has ever done so.
Third, views that defend the protection of the embryo in virtue of its
potentiality to become a person fail, and, finally, the embryo does not
have any rights or interests to be protected. Moreover, the validity of not
considering the embryo as one of us is corroborated by scientific evidence
and analysis of the (changing) and ambiguous characteristics of an early
human embryo. New technical possibilities to manipulate embryos and
assemble and reassemble them will continue to challenge our views about
the embryo and what constitutes its value. Even if these views cannot
conclusively be shown to be fallacious, they can at least be shown to be
inconsistent, erroneous, or suspect.
Compromising on the moral status of embryos is impossible. Once one
accepts certain uses of embryos it will always be hard, if not impossible, to
justify prohibiting other uses for morally equivalent purposes. This is the
main reason why the compromise positions in the hESC debate cannot be
sustained (Devolder 2006b). Given that many are willing to treat the
embryo as a means in other practices, and that hESC research holds great
potential to benefit many people, one cannot but conclude that hESC
research is permissible and, given its immense promise for alleviating
human suffering, even obligatory (Devolder and Savulescu 2006).
Moral diversity on deeply held beliefs about the embryo must be
respected. But powerful moral reasons to pursue research should not be
drowned by the powerful reasons we have to respect people’s funda-
mental views (Harris 2005b). Respect for morally diverse views does not
require that we as a society prohibit or severely restrict hESC research.
Pursuing and supporting hESC research is in the interests of all people,
now and in the future. The compromise positions that restrict hESC
research cannot be sustained and therefore cannot offer a legitimate
moral basis for stem cell policy.
The way we respond to practical dilemmas can differ from our
professed beliefs about abstract problems. These revealed beliefs should
influence our ideas about what is good or bad. They say something about
the morality we accept. (Many practices that are now routine and
uncontroversial, such as blood transfusion and organ transplantation,
were once considered unethical by many). This morality should be
projected onto the principles we profess. If our reactions in real-life
situations are inconsistent with the beliefs we profess, then these princi-
ples and/or their scope may have to be reviewed and modified in the light
of the morality we accept or wish to retain. It is important to realise that
there is a two-way interaction between the principles we accept and our
practices. There is nothing fundamentally wrong with temporal incon-
sistency, as it is part of moral development. There is something seriously
wrong, however, with knowingly being inconsistent. Just as we cannot
force people to act morally, we cannot force them to apply their principles
consistently. What we can do, however, is point out inconsistencies
Katrien Devolder
Bioethics Institute Ghent
Department of Philosophy and Moral Sciences
Ghent University
Blandijnberg 2
9000 Ghent
Belgium
Katrien.Devolder@UGent.be
John Harris
Institute of Medicine Law and Bioethics
School of Law
University of Manchester
Oxford Road
Manchester M13 9PL
United Kingdom
john.harris@manchester.ac.uk
Acknowledgments
Katrien Devolder gratefully acknowledges support from the Fund for
Scientific ResearchFFlanders.
References
Aristotle. 1984. De anima (bk. II, no. 1) and Metaphysics (bk. VII, no. 10).
In The Complete Works of Aristotle, edited by Jonathan Barnes.
Princeton: Princeton University Press.
Boklage, Charles E. 1990. ‘‘Survival Probability of Human Conceptions
from Fertilization to Term.’’ International Journal of Fertility 35, no.
2:75–94.
Bovens, Luc. 2006. ‘‘The Rhythm Method and Embryonic Death.’’
Journal of Medical Ethics 32, no. 6:355–57.
10
Some of the argument of this essay is also developed in John Harris, Has Humankind a
Future? Ethics and Policy of Human Enhancement (Princeton: Princeton University Press,
forthcoming).