Showing posts with label death. Show all posts
Showing posts with label death. Show all posts

Monday, February 29, 2016

Editing the Human Genome, Bioethics, and Human Life

It is election time, and that, of course, brings a lot of debate, media articles, and (to be straightforward) distraction from other important issues going on in the world. Now, I am not saying politics is not important, but I am saying that sometimes we can get so caught up in candidates, debates, and primaries that we miss other events going on in our world that have equally profound and far-reaching ramifications for humanity (if not surpassing importance).

Such an event has been largely missed by the popular media, and I would argue that is has the potential to affect the human race in a way that far out-weighs any single election in the United States. It is that the Human Fertilisation and Embryology Authority (HFEA) in the UK has given the Francis Crick Institute the green light to use a gene editing technique called CRISPR to conduct experiments that modify the genome of human embryos.

Yes, you read that correctly: the Francis Crick Institute is going to begin modifying the genome of human embryos with the expressed goal of "understanding the process by which embryos develop... that will help identify causes of miscarriage and infertility." Proponents of the research say that it could help scientists to understand why there is a such a high rate miscarriages, how to eliminate certain diseases, and how to treat infertility more effectively. So, you might ask, "Why is that an issue? Who could be against that?" Well, when we are talking about tampering with the human genome itself, such an endeavor has far-reaching implications that provide quite good reasons to be against it.

I am, of course, not the first person to point this out. In fact, there has been a widespread outcry against these efforts by scientists across the world, calling for a worldwide moratorium on the engineering of the human genome. In an open letter by the Center for Genetics and Society, dozens of scientists across the globe call for such research to be stopped before it does irreparable damage to the human race:
Some suggest that germline modification be allowed for therapeutic purposes but not for “enhancement.”  But the distinction between these applications is subjective and would be difficult or impossible to implement as policy. Permitting germline intervention for any intended purpose would open the door to an era of high-tech consumer eugenics in which affluent parents seek to choose socially preferred qualities for their children. At a time when economic inequality is surging worldwide, heritable genetic modification could inscribe new forms of inequality and discrimination onto the human genome.  
For these reasons, several dozen countries, including most of those with highly developed biotechnology sectors, have explicitly banned human germline modification. The Council of Europe’s binding 1997 Convention on Human Rights and Biomedicine also prohibits it. Numerous opinion surveys show that the great majority of Americans and others worldwide believe that heritable genetic modification should be prohibited. 
While we are encouraged by efforts on the part of scientific bodies to move the process of deliberation about acceptable uses of gene editing forward, we are concerned that much of the focus has been on technical issues of safety (implying that if it were safe it would be acceptable), rather than on broader ethical and social implications. We strongly believe that the National Academies’ initiative and international meeting should be considered a very early step of a broadly inclusive program of public discussion. Any recommendations emerging from the meeting or the initiative should make this clear. 
In sum, there is no justification for, and many arguments against, human germline modification for reproductive purposes. We call for a prohibition on such germline modification and a robust and broadly inclusive discussion on the socially responsible uses of this and other emerging genetic technologies. (Emphasis added...)
Check out the open letter yourself to look at the signatures and who is arguing that this is far too dangerous for the human race to attempt. It is not just me or other Christians (and we will get into my reasons in a moment) but scientists from many religious worldviews across the globe. Here we have a group of scientists who understand that just because we have the technology and ability to do something does not mean we should do it. We must think about the implications of our scientific research and weigh that against what good (if any) it might accomplish. In an imperfect world like ours, there are times when we must not pursue some scientific research because whatever good it might accomplish cannot be justified and is far outweighed by the loss of human life, the destruction of human dignity, the unknown affects on the human race, and the implications for human society.

As I alluded above, many Christians have also discussed the ethics and dangers of such an endeavor. In this article, Church and Culture discusses some of the ethical implications of such research. In this one, Anjeanette "AJ" Roberts of Reasons to Believe discusses the implications the image of God has on such research as well as the unknown effects on humanity that such tampering could have. Both of them are worth reading along with the open letter mentioned above, but I would like to add another ethical implication that I have yet to hear discussed: the ethical implications of the process of this scientific research itself.

In a nutshell, this process of research will "deactivate genes in leftover embryos from IVF clinics to see if it hinders development." Basically, using CRISPR, the scientists will deactivate genes, allow the embryo to develop, and then see what happens--how the deactivation of that gene helps or hinders the overall development of the human embyro. (Currently, the growth process of the embryo will take place in a lab because it is not yet legal to insert a genetically modified embryo in a human host. Not yet, but that is the next step.) They must use this process because at our current level of technology, it is possible to isolate certain genes that affect or contribute to certain diseases, defects, or developmental stages, but it is generally not known how those genes function in the overall development of a human or affect the overall development of our genome (i.e. genetic makeup). Genes are not so isolated that one gene only has one function. How particular genes contribute to the overall gene expression of a being is largely unpredictable. So, just because a research group might know what genes affect certain developmental outcomes, they do not necessarily know how those genes affect the development of the entire genome of the individual. That means this research must proceed by making targeted changes to the genome of an embryo and then seeing whether or not the embryo develops properly with the desired outcome.

Now, think about that process as a whole: they will deactivate genes, allow the human embryo to develop (i.e. grow), and see what happens. What we are talking about here is taking a human life (a human person from conception, as I argue here), modifying its genome, and then seeing if it dies or not, develops healthily or not, develops unforeseen side effects or not, etc. It is akin to taking a baby, cutting off its leg, and then saying, "Now, let's what happens as it grows." This research goes even beyond current embryonic stem cell research (which is also a deplorable destruction of human life) because it doesn't just take cells from an embryo killing it in the process; it modifies the embryo and allows it to live on just to see how the modification affects its life. This is slavery at its worst, the likes of which our world, unfortunately, has seen in the past. Perhaps a few historical examples will help put some perspective on this research.

During WWII, the Nazi's conducted experiments on Jews at many of their concentration camps, but the majority were performed at Auschwitz and Ravensbrueck. If you have not read about these experiments, they are not for the faint of heart. Nazi doctors performed all sorts of horrific experiments on those who were considered "untermensch" ("sub-human") to see what would happen and/or to see if they could develop medical treatments that would be beneficial to German soldiers. And, after WWII, at the International Military Tribunal at Nuremberg, these doctors were tried and convicted of war crimes against humanity. What they did was absolutely deplorable and deserved to be tried as crimes against humanity, but it is not ethically different from what HFEA has just granted the Francis Crick Institute permission to do: experiment on humans to see what will happen and/or try to development medical treatments that will be beneficial for other humans. Just because these humans are less developed physically they the rest of us, just because they do not have a voice to cry out for help, just because they do not have the ability to try to flee the scientists does not mean they are any less human than you or me (cf. the SLED test for more detail on this).

Perhaps one more example from America history will help. Have you ever heard of the Tuskegee syphilis experiment? American physicians studied about 600 black males in Alabama who had syphilis, and they told the men that they were getting "free medical care." What these doctors were really doing was refusing to treat their syphilis so that the doctors could study the progression of untreated syphilis in humans. They let these men suffer and die just to see what would happen--to see how syphilis would progress when untreated. This also was a gross and deplorable misuse of scientific research that cost the lives of hundreds of men, but, again, it is not ethically different from what HFEA has just granted the Francis Crick Institute permission to do.

If the Francis Crick Institute is allowed to continue its research or if others follow suit, then these "left over" human embryos from IVF will become a slave class in our world, kept alive simply for experimentation not unlike what the Nazis did in WWII or what happened in Tuskegee, AL. Yes, the researchers are trying to do good with their experiments, but that does not justify the process. The end does not justify the means--developing treatments for humans by taking human life or, indeed, altering human life and allowing it to develop to see what happens is unacceptable. The end of this research may have profound implications on the human race in the future that we cannot predict, as the above articles and letters show, but even the process of this research itself should be condemned by us.

I hope and pray the outcry of scientists across the globe will bring this research to an end soon, and perhaps this blog post will help in that process. May God have mercy on us for how we treat His images.

By His Grace,
Taylor

Tuesday, September 29, 2015

Bill Nye, the Beginning of Life, and Human Persons

This fall at my church, I have had the pleasure of teaching an adult Sunday school class on bioethics, which is the ethics of medical decisions. It has been a great class so far, with great discussion and participation from my congregation. The class is designed to focus on practical issues that will likely come to bear on our lives personally sometime in our years and not so much on social issues, but it does still address social issues tangentially. This past Sunday what we discussed certainly does that: I began a two-week portion of the class on beginning-of-life issues. And, as God's providence would have it, a few days before I had to teach, Bill Nye decided he was going to post a video attempting to argue a pro-choice perspective. Now, to be completely honest and frank, the video is so lacking in actual, robust pro-choice argumentation that I almost skipped over writing about it. However, since Bill Nye is still popular and what he posted relates to what we discussed on Sunday, I changed my mind. But, before I discuss the video, you should watch it for yourself:


I am not going to try to critique the whole video but instead argue for why life and personhood begins at conception, which does address his argument; just not in a direct critique. There are others who have critiqued this video well enough. (See "Bill Nye the logical fallacy guy on abortion" for one such critique.) But, even though I am not going to critique his whole video, I do feel compelled to mention one thing.

Over and over again in the video Mr. Nye appeals to his listeners to "respect the facts." He emphasizes over and over again that there are scientific facts that pro-lifers need to hear and to which we need to pay attention. Yet, Mr. Nye only mentions two such "facts" in this video and both are wildly incorrect. He opens the video by saying "many more hundreds of eggs are fertilized than become humans... fertilization is not all you need; you have to attach to the uterine wall." Now, since his argument is sloppy, it is difficult to know exactly what he means, but it sounds like he is saying that hundreds more eggs are fertilized than attach to the uterus. Okay, that is fact number one, and it grossly, grossly, grossly inaccurate. It is very difficult to determine what the actual rate of implantation is, but all estimates fall between 30-80% of fertilized eggs attach (this paper estimates 70% attach/30% loss; this one also estimates 30% lossthis one estimates 25% fail to implant; and, this one estimates 20% do not attach). If we average these results, we get one out of four fertilized eggs does not attach, i.e. three out of four do attach to the uterine wall. Even if we use the lowest estimate of 30% implantation (i.e. only about one out of three attach to the uterus), Mr. Nye is still off by a factor of one hundred in his statement. Now, his entire argument is a logical fallacy, which I will get to below, but the point is that his "facts" are not facts at all but something he is either grossly misinformed about or is simply making up.

His second "fact" is that the Bible was written 5,000 year ago. Now, he does not technically say "Bible." He says, "I know it was written or your interpretation of a book written 5,000 years ago, 50 centuries ago, makes you think..." [sic] Given that pro-lifers are often Christians, one can only assume he is referring to the Bible. Well, again Mr. Nye is either misinformed or making things up, because the first books of the Bible were written in the 15th century BC, which means it began to be written about 3,500 years ago. Now, this is not as grossly inaccurate as his implantation "fact," but it still shows sloppy argumentation. If Mr. Nye wants us to "respect the facts," then perhaps he should give some and perhaps he should try to get it right when he does.

That is all I really want to say about the video directly. Again, there are good critiques written (e.g. see the one linked above). Instead, I want to argue why both Scripture and the scientific data point to life and personhood beginning at conception. Now, I have added "personhood" because most contemporary and decent pro-choice arguments have given up trying to argue for life not beginning at conception. That is because there is really little debate anymore that a human embryo is life from its earliest days. What is argued more often today is that zygotes, embryos, fetuses, or whatever term one uses are not persons and therefore do not deserve to be protected with the rights of personhood. Peter Singer of Princeton, for example, argues that a person is "A being of rational awareness--who they are existing beyond simply the physical organism." He even acknowledges that this excludes infants, but he does say that the law can protect them, if it so chooses. (Just to elaborate a little more: Singer argues that newborns lack the essential characteristics of personhood and, therefore, "killing a newborn baby is never equivalent to killing a person.") So, we need to determine where personhood begins, where life begins, and if these are the same point. (I have already written some on personhood here in response to the Kermit Gosnell case, and here from the standpoint of the image of God.)

I think we can answer these questions all at once by looking at both the biblical and scientific information. I am first going to give a quick overview of the biblical data. It is going to be fast for two reasons: 1) most who take the Bible seriously do not really question that a human life is a person from its earliest days and 2) those who do not take the Bible seriously are not going to find this part of the argument very convincing anyway. If you are of that persuasion, stick with me please. You will get educated on what the Bible says on this subject and also (hopefully) see that the scientific data agrees (when interpreted rightly, and I make that caveat that because of what I have written about data and interpretation in this series on science).

Scripture: What does the Bible say about the beginning of life? Well, Christians must admit from the start that it does not really say anything directly about where life begins. There is no statement in Scripture that says, "Life and personhood begin at conception," but there are a lot of indirect statements in Scripture that show the Bible teaches that humans beings are life and persons from the earliest days in the womb. Here are a few passages that show us this:
  • Ex. 21:22-25: Here we see in the OT law code that if a woman is injured in such a way that she gives birth prematurely (which would cover miscarriages) and the baby dies, the responsible party receives the death penalty. Here we see that the in utero life is as valuable as the fully developed life that caused its harm or death. 
  • Jdg. 13:13-14: Here we are in the beginning of the story about Samson. His mother is being told that she will conceive a child that will be a judge of Israel. His mother is also told that Samson is to be a Nazarite from the womb (for what that is, see Nu. 6). As a Nazarite, there were certain things that Samson could not eat or touch because they would make him unclean. But, in this verse we learn that Samson's mother also could not eat or touch those things because they would make Samson unclean through her. So, Samson in the womb, from conception onward could potentially become unclean. But, he would become an unclean what? An unclean person. Masses of tissue cannot become unclean with respect to the OT legal code. 
  • Ps. 51:5: Ps. 51 is a very informative passage in general. David talks about himself in the womb and he uses personal pronouns to refer to himself. And, in this particular verse he identifies as an implicated sinner from conception. Tissue cannot be a sinner, but persons are sinners. Now, it is worthy of note that David's idea of conception was probably different from ours, but it does show that from the earliest days of pregnancy, in utero babies are considered human persons in Scripture.
  • Ps. 139:13-16: Here David again talks about his in utero self in personal terms, and he knows that God paid special, personal attention to him from the earliest days of pregnancy onward. The Bible does not speak this way about animals, much less masses of impersonal tissue but only about persons who can have a personal relationship with God. 
  • Jer. 1:5; Lk. 1:14-15: I will take these two together since they are similar situations. In these passages we see that Jeremiah and John the Baptists were "consecrated" (i.e. sanctified) and "filled with the Holy Spirit" in the womb. These men were regenerate (a theological term for new spiritual life being given, cf. e.g. Eze. 36:26; Jn. 3:5) from the womb. The question is a regenerate what? They were regenerate persons. Masses of impersonal tissue cannot be regenerated in theological terms. 
Those are just a few examples of how the Scripture views life in the womb, and it views life in the womb as human persons from the earliest days of pregnancy onward. Now, we must admit that Scripture does not have the precision of a scientific study, but it does take us a long way back. Fortunately, God has revealed His truth in nature as well as in Scripture, and where Scripture is not as precise, nature picks up and we see that knowledge in the detailed studies of human development that modern scientific studies have revealed.  

Scientific Data: What does the scientific data have to tell us about where human personhood begins? Most Christians would, of course, argue for the decisiveness of fertilization as the point where life and personhood begins, but why is that the case? Would medical information support that claim? I think so, and here is why. 

In summary this is the argument: from the knowledge that we have of the human development process, fertilization is a unique, radical, and decisive event unlike any that occurs later on in development, and if one is going to assign personhood as an objective, non-arbitrary point, it must be here. Before fertilization, sperm and eggs are merely cells and do not have any possibility of developing into a full-grown human being or anything beyond themselves. Before fertilization, sperm and eggs really are part of the father and mother's bodies. But, after fertilization, the embryo is genetically unique and distinct, and he/she experiences an unbroken, continuous development unless something outside the embryo acts upon it, and at no other point does the child undergo a decisive and radical transformation into some other sort of being. 

Fertilization is a process that takes about 24 hours, during which the egg's cytoplasm and sperm's nuclear contents merge in a process called syngamy and form the 46 chromosomes that define a human's physical existence. This newly formed entity is called a zygote and it is clearly genetically different from both the sperm and egg. The mitochondrial DNA matches the mother, the Y-chromosome (if it is there) matches the father, but the autosomal DNA is a completely unique genetic makeup, making the lifeform something completely new. WebMD notes (Emphasis added):
At the instant of fertilization, your baby's genome and sex are set. If the sperm has a Y chromosome, your baby will be a boy. If it has an X chromosome, the baby will be a girl.
At this point, the embryo will continue to develop towards fully independent life. This is crucial: the sperm and egg are living cells but have no possibility of independent life or life of further development (i.e. not persons), but the embryo is a new, genetically unique and complete individual that will follow human development unless otherwise interrupted by something outside itself. He/she is no longer part of the father or mother but a being all its own. The embryo is precisely not the mother's body, even though Mr. Nye and so many others keep sounding that mantra. Once fertilization occurs, the child is not a growth of cells or tissues like some kind of tumor in the woman's uterus. It is a genetically unique life that is distinct from both the father and the mother. And, it is scientific knowledge, to which Mr. Nye so often appeals, that gives us this insight. Christians and other's who are pro-life are not basing that determination based solely on Scripture but on what Scripture and scientific knowledge show us. Scripture only takes us so far (though it is far enough to protect persons in the womb), but scientific data takes us all the way back to conception. Mr. Nye is correct when he says: 
You wouldn’t know how big a human egg was if it weren’t for microscopes, if it weren’t for scientists, medical researchers looking diligently. You wouldn’t know the process. You wouldn’t have that shot, the famous shot or shots where the sperm are bumping up against the egg. You wouldn’t have that without science.
But, that knowledge leads in the opposite direction of the conclusion that he (and others) is attempting to draw. Perhaps before the modern scientific knowledge about human development one could argue that the fetus is part of the "woman's body," but now scientific knowledge has shown us that from the moment of conception onward, it is not her body. It might be in her body and it might be dependent on her body for initial development, but it is not her body. It is a distinct, unique human being. (Some out there might be aware of the "violinist" argument that attempts to say that it does not matter that the baby is not part of the mother's body. I do not have the space to deal with that here and others have dealt with it adequately. For a critique of that argument, see this article.)

So, again, this is a radical transformation in which two entities (genetically different from one another) combine to form a genetically unique living human that will become a full-grown human under normal circumstances. If one is going to assign personhood not based on something external to the embryo and/or arbitrary in its development, that must be here. Other proposed points do not reflect any similar level of change within the human being or other points propose a definition of personhood that is arbitrary, at best. Let's take a look at the other proposed points. I will start at the latest points and move to the earliest (with the exception of the last, for a reason that will be explained then). 

Birth: While birth is certainly a decisive event in human life, the baby undergoes no change in itself. Its location changes, but the baby does not change in any defining way. The day on which the mother happened to go into labor had no effect on the baby's ability to living independently of the mother (again, under normal circumstances) and no effect on its existence other than location. In fact, a few years ago, in The Journal of Medical Ethics, a couple of doctors argued for the validity of after birth abortions. This, of course, is the logical extension of pre-birth abortions because there is no moral or personal distinction between the unborn child and the newly-born child. Moving down the birth canal does not change the personhood of the baby. (Of course, this logical extension should lead our culture to realize killing the unborn is wrong, but unfortunately, some, like the above linked article, use that realization to argue for infanticide.) So, again, birth is an important event, but it changes nothing about the personhood of the baby.

Viability: Others suggest that viability is the radical point where personhood begins--the point where the baby could survive outside the mother. Hopefully you can see that this is as transparently false as birth as a possibility. The point of viability is quite independent of the child itself. Viability depends on medical technology. This recent paper in The Journal of the American Medical Association shows how dramatically things have changed when it comes to viability even in the past 20 years. It shows that in 1993, only 52% of infants born at 24 weeks survived. Compare that with 2012: 65% survived. The percentage increase in healthy premature infants is also striking: 47% of infants born at 27 weeks in 2012 survived without major illnesses, compared to 29% in 1993. As medical technology progresses, viability gets pushed further back in pregnancy.

Therefore, it is impossible to determine a decisive viability point in the child's development because it depends on medical technology. It is conceivable and even likely that eventually human beings will be able to develop in a lab. Furthermore, because it depends on medical technology, a baby that is viable today may not have been viable 50 years ago. Did human personhood change in the past 50 years? Or, to make it even more acute: If a mother travels form America to Cuba, a baby that is viable in the morning can become unviable in the afternoon. How does that change its personhood? Assigning personhood to viability is completely arbitrary.

Quickening: Others have suggested "quickening," which is the point at which the mother can first feel the baby move. This has historical precedence even in Christianity because hundreds of years ago (i.e. before we understood human development like we do now), it was believed by a few theologians that quickening was the point the soul was placed in the baby. But, quickening fails to demonstrate a decisive change to personhood from both a scientific and biblical perspective. From a scientific perspective, knowledge of human development shows us there is no substantial change in the child at that point, but that is simply the point at which they started moving enough for the mother to feel it. Furthermore, any mother who has had more than one baby knows that in the second pregnancy she could feel it earlier because she knew what she is feeling for. How can that affect personhood? It does not. From a biblical perspective, there is no information in Scripture about when the soul comes into existence or even if it is directly created by God or comes about by a physical process God designed. And, the above mentioned biblical data would certainly push personhood further back than quickening.

Full Nervous System Integration: Still others have suggested that personhood should be placed at the point where the fetus' nervous system is fully integrated (roughly about the 20th week of pregnancy). With this argument, rationality is made completely integral to personhood, and it is argued, then, that the fetus does not have the physical apparatus capable of rationality until this point, therefore the child is not a person until this point.

Attempting to place personhood at this point has several problems (at least). First, this argument depends on definition of personhood that overemphasizes rationality. I would first point out that to some degree "rational" is a subjective term. Furthermore, some elderly with Alzheimer's are not rational, at least not as we would define it in normal usage. Are they no longer persons? Sometimes a mental handicap makes the individual unable to be achieve rationality beyond that of an infant, so should we not consider them persons? A definition of personhood which depends heavily on rationality is dubious, at best. Second, just because the nervous system is integrated and the neurological structure for rationality is there, the fetus hardly thinks or acts rational at that time. That activity requires much more development that extends into early childhood. And, even before the nervous system is integrated, the potential is there; just at an earlier stage of development. And, finally, there is no consensus on when the nervous system is truly, fully integrated, so there is no identifiable point in time anyway. Therefore, attempting to assign personhood to the point of full nervous system integration is as arbitrary as any other point.

Implantation: Finally, we are back around to what Mr. Nye seems to suggest in his video: that implantation is the point at which life and personhood begins. (Although, again, since his argument is not very coherent, it is difficult to tell what point he is actually trying to make.) But, let's think about implantation. This generally happens 3-4 days after fertilization, and it is argued by many, not just Mr. Nye, that this is the point at which we should start to protect life, i.e. where personhood begins.

There are two parts of this argument that need to be addressed. First, those who simply say that personhood should begin at implantation commit the logical fallacy of assuming that location can somehow affect the personhood of an entity. Nothing changes in the embryo itself when it attaches, but it simply continues to develop like normal. In fact, comparing a successful pregnancy to an ectopic pregnancy shows that development does not change at all whether the baby is in the uterus or a Fallopian tube. The only thing that changes is location. How can a change of location change personhood? The answer is "It can't." (For more argumentation along this line, see this article on the SLED test.)

There is, however, another version of this argument that references the rate of implantation, which may be what Mr. Nye was attempting to argue, just with inaccurate numbers and little clarity. The argument is generally presented as follows: "Well, one in four fertilized embryos does not implant naturally, so this if it happens naturally, what is the problem with making it happen with a pill?" To this we can respond: just because something happens naturally (i.e. out of the control of the mother and father) does not make it moral for us to do it intentionally. One might simply point out that infant mortality rate in some third-world countries is one in four, so does that give parents the right to kill their newborns? And, of course, no one would say yes to that.

Both of the above versions of the implantation argument fail to demonstrate a change from non-person to person. Furthermore, even if personhood were to begin here, it would rule out almost all forms of abortion except for some forms of birth control and the so-called "morning after pills." Now, do not get me wrong, I still argue against those because life and personhood both begin at conception, but arguing for implantation as the point of personhood does not really help the major pro-choice agenda.

Individuation: There is one final point that some attempt establish personhood, which is more challenging than all the previous ones, which is why I broke the pattern of moving further back in human development and saved it for last. There is a stage in pregnancy that is often called "individuation." This is the point at which twinning is no longer possible, which is about two weeks after fertilization.

Twinning (or more precisely monozygotic twinning) is where a single embryo can split into two embryos of the exact same genetic makeup and therefore these can develop into identical twins. This is rare (three to four occurrences per one thousand births) but possible and perhaps even possible in any pregnancy (but no one is sure, see below about the mystery of this process). It is even rarer but still possible that the embryos will recombine into one embryo again. But, it is not possible, as far as we presently know, for this to occur after two weeks, which is where individuation is said to happen. So, some use this argument for the two-week mark to be the point where personhood begins. As the argument goes, we cannot claim the embryo is an individual because it could potentially become two (or more) individuals for the first two weeks. It is not an individual until that possibility has passed, it is argued. Advocates of this argument would say the embryo is a living being at fertilization but not a person because they have not individualized yet.

I think you can probably see why this is the most challenging and robust point to challenge conception for personhood. It does sound compelling at first because how can someone be a person and not an individual? Most of us would say, "Well, they cannot." But, there are some major problems with this point that I think render it unacceptable as well.

First, I would argue that twinning is extremely rare. Most embryos experience a continuous line of development from conception onward and nothing decisive happens at the two-week mark that changes that its being. While twinning may effect a change in the being, the lack of twinning does not change the being. So, for most pregnancies, there is no reason to argue that the embryo is not an individual before this point since if they do not twin, nothing decisive happens.

Second, why embryos twin or do not twin is entirely a mystery at present. No one knows if it is something genetically inherent in the embryo or whether it is forced on it from an outside source. But, those seem like the two possibilities, so let's examine both:
  • If twinning is caused by something genetically inherent in the embryo, then most embryos have no potential of twinning and therefore they are individuals from the beginning. And, furthermore, since it is part of the embryo's genome, could we not say that before twinning we have two (or possibly more) individuals? If it is genetically guaranteed that the embryo will twin, then we have multiple individuals in the process of development before the two-week mark, they simply have not separated yet. And, if we have multiple individuals from conception onward, then there is still no compelling reason to argue they are not persons. 
  • If twinning is caused by something external to the baby, then just because something can force a change in an entity does not mean that entity is not an individual. That does not necessarily follow at all. 
Twinning is a mysterious process, and the current state of scientific knowledge does not prove the lack of individuality in the first two weeks. At this point, one could invoke the "hunter" analogy. When a hunter sees something rustling in the bushes, any responsible hunter knows they must not shoot until they know what is rustling. Just because it is mysterious does not give the hunter the right to squeeze the trigger. This type of reasoning applies to the mystery of the twinning process. Prudence and responsibility require that we err on the side of caution, not taking the risk and hoping everything comes out okay.

In conclusion: Scripture compels us to the conclusion that a fetus is a human being and person from the earliest days, and where Scripture is not explicit, scientific knowledge comes back and shows us that there is radical change in the fetus only at fertilization, so if one is going to assign personhood not based on an arbitrary time or something outside of the child, then conception is the only identifiable, definable, objective point. All other points are extraneous definitions put on the child by others, and external definitions are subjective, not objective. And, subjective definitions are dubious, at best. If there is no authoritative, objective point, then personhood becomes defined by community (which is what Singer tries to do) or the laws that protect non-persons are defined by community. Either way, if definitions are made by the community, then a vote determines the life or death of millions. And, if that is the case, why do we get angry about atrocities like, for example, what the Nazis did? They defined personhood in such a way that Jews did not count in their community. In fact, they had a name for it: Untermensch--sub-human. Only by putting personhood and life at conception can we avoid such arbitrary dehumanizing of those made in God's image and give them the dignity and value they deserve. 

By His Grace,
Taylor

Friday, August 15, 2014

The Gospel According to Joseph: Hope, Even in Death

This Sunday's sermon will be the final sermon in our series: The Gospel According to Joseph. As we said in the beginning and have reiterated many times throughout this series, there is too much in this story to cover it all in nine sermons (or even nine sermons plus nine devotionals). In every passage, there is some Christ-centered content that we just do not have time to cover. So, in this short devotional, we are going to talk briefly about the hope that the final chapters of Genesis give us, which we will not have time to cover in a sermon.

Both Ge. 49 and Ge. 50 end with death--the deaths of Israel and Joseph. Death may seem like a bad way to end such a great story, but when we look at the faith of these two men, we can see that in their deaths we're given hope--the hope of the gospel. Back in Ge. 47-48 (cf. The Gospel and Finishing Faithfully), we saw in Israel preparing for his death that his true hope was not in the physical land of the promise but in the God of the promise who was preparing a "better city, that is a heavenly one" for him and his descendants. In Ge. 50:24-25, we see Joseph express the same hope (a hope that we saw he had back in Ge. 41 as well, cf. The Gospel and Perspective) as he tells his brothers and descendants to take his bones with them to the promised land when they return. This is the hope that the author of Hebrews highlights in He. 11:13, "These all died in faith, not having received the things promised, but having seen them and greeted them from afar, and having acknowledged that they were strangers and exiles on the earth." And, this is the hope that we have as well--a hope beyond the sin, pain, and death of this world.

We too will die as "strangers and exiles on the earth," for this world is not our home. Our home--our true inheritance as sons and daughters of God--is life without sin, sadness, or death in the new heavens and new earth with God Himself. John describes it for us briefly in Re. 21:1-4 (one of my favorite passages in all of Scripture):
1 Then I saw a new heaven and a new earth, for the first heaven and the first earth had passed away, and the sea was no more. 2 And I saw the holy city, new Jerusalem, coming down out of heaven from God, prepared as a bride adorned for her husband. 3 And I heard a loud voice from the throne saying, “Behold, the dwelling place of God is with man. He will dwell with them, and they will be his people, and God himself will be with them as their God. 4 He will wipe away every tear from their eyes, and death shall be no more, neither shall there be mourning, nor crying, nor pain anymore, for the former things have passed away.” (Emphasis added)
That is our hope, brothers and sisters in Christ, and even in death it is an anchor that will not fail.

Death is not the way it's supposed to be. We were created for so much more, but sin has brought the pain of death into our lives, which is in fact is something that I have seen tragically and clearly in my own congregation recently. Yet, Christ has defeated death for us (cf. 1 Co. 15:55) and given us hope even in the midst of it. This is why Paul says in 1 Th. 4:13 that we do not grieve as those who have no hope. Now, that doesn't mean we don't grieve. We do, for death is not the way it's supposed to be and someone we love has had to endure it, and now we have to continue as "strangers and exiles" in this world without their comfort and companionship. Yet, we grieve as those who have the hope of the gospel, for we know that believers are redeemed in Christ (Ro. 3:24), live in Christ (Ga. 2:20), and even die in Christ (1 Th.4:13-14), and we know that we will see them again when we too go to our true home. We have the hope of knowing that even in death our Savior is with us and will bring us into a world so much better than our life as "strangers and exiles" here on earth--our true inheritance with Him in the new heavens and new earth for all eternity. We know that the death of a believer (even untimely, early ones) means they're finally home, receiving their true inheritance from Christ, which gives us hope. Death, as the Heidelberg Catechism says in the answer to question 42, puts an end to our disease of sin and begins our eternal life--our true inheritance. Christians have hope, even in death.

So, even though this great story ends in death, it's good ending. It's an ending that reminds us that this world isn't our home, that we have a glorious inheritance awaiting us in Christ, and that even in the midst of the pain of death in this life, the loved ones of believers can grieve with hope instead of grieving with fear and despondency. Rest in that hope that the story of Joseph, Jacob, and Judah gives to us here at the end.

By His Grace,
Taylor

Monday, April 29, 2013

The Imago Dei and Human Dignity

"The concept of an 'image and likeness' plays a critical role in historic Christianity's view of humankind. The Bible reveals that all human beings are created in God’s image (Genesis 1:27, NIV) and, though marred by sin, all people—believer and nonbeliever, male and female alike—reflect the image of God. This foundational biblical teaching launches the Christian view that each individual possesses inherent dignity, moral worth, and genuine value. The imago Dei (Latin: the image of God) lays the foundation for the sanctity of human life. It is this image that makes human life unrepeatable and worthy of respect." ~ Kenneth R. Samples, "Ethical Alternatives on Life and Death"

In my previous post I wrote about the Gosnell murder trial but took a little bit of a different approach. I did not discuss the Gosnell case in great detail, nor did I talk much about how the major media organizations have avoided covering the case. There are many good articles already written from this perspective (check out The Aquila Report for a good number). Instead, I asked the question, "Why or how can someone think aborting a child or murdering the newly-born child can be acceptable?" I talked briefly about how we cannot really know what would cause someone like Gosnesll (or any other abortionist) to murder a child, but we can look at the context and motivations in which those gruesome actions are taken. Then, finally, I argued that the context for abortions and infanticide is the philosophical move away from inherent value in humans (i.e. because we are made in the image of God) to functionalism. After a brief discussion of functionalism, I made the assertion that we could make abortion illegal, but no progress will be made in relieving the demand for abortions until culture starts seeing humans as made in the image of God and inherently deserving of "unalienable rights" which have been "endowed by their Creator." Now, do not get me wrong. I do hope and pray that one day abortion will be illegal (though, to be honest, I am not very optimistic), but a fundamental change in how humans are viewed is needed to lessen the demand for abortion. We need to see the inherent dignity and value in humans simply because they are made in the image of God. Any other definitions will exclude a class, race, or development stage from the category of "persons" and open the door for any number of atrocities (indeed, this has happened many times in human history). I did not, however, talk about the doctrine of the image of God (the imago Dei, in Latin) itself, and that is the subject of today's post.

Before we get into what it means for humans to be made in the image of God, it is worth making a couple of general statements about this doctrine. First, it is worthy of note that the terms "image" and "likeness" used in Ge. 1:26, et al do not indicate separate ideas or distinct ways in which man was created. They are used synonymously, not additively, and when used together or separately, they suggest that God was the archetype and man the ectype. There are several reasons for holding they are synonymous: 1) there is no waw (the Hebrew conjunction translated "and") between the terms indicating they are not two different things; 2) Ge. 1:27, 5:1, 9:6; 1 Co. 11:7; Col. 3:10; and Js. 3:9 all employ only one of the two terms to discuss man bearing God's image, which suggests that either sufficiently expresses the quality; and 3) Ge. 5:3 uses both terms but reverses the order and prepositions, again showing synonymous usage. Second, it is also worth of note that Ge. 1:26 suggests that humans do not simply "bear" or "have" the image of God but are the image of God. It is not something that was added to an otherwise complete humanity or something which applies to only part of man. It constitutes his very being. This also means it is something which may have been marred or damaged in Adam's fall but has not been lost or removed in total (cf. Ge. 9:6; Js. 3:9).

So, what does it mean to be the image of God? What constitutes God's image in man? This is something which has been debated throughout the history of the Church because Scripture contains an implicit rather than an explicit explanation of the image of God. For the purposes of this post, I am simply going to detail what I believe to be the biblical account of man as the image of God. (If you want a history of the doctrine, I would suggest Herman Bavinck's Reformed Dogmatics: God and Creation, pp. 530-62.)

Before I get into the details about the image of God, I would like to make a quick comment about God giving of dominion over the earth to man. It has been argued that dominion over the earth is part of what it means to be made in the image of God, but Ge. 1:26-28 suggests that man stood before God as a complete image before God bestowed dominion on him. It is more accurate to say, like Bavinck, that "the image of God manifests itself in man's dominion over all of the created world (cf. Ps. 8; 1 Cor. 11:7)." (Reformed, p. 533) The exercise of dominion is what God's images do, not a part of what they inherently are. Just because a human does not have the ability to exercise dominion (e.g. an infant, an unborn child, or a person with a severe mental handicap) does not mean they are not the image of God. With that said, let us move on to several aspects of the image of God in man.

First, the Reformed confessions and catechisms focus particularly on the "original righteousness" aspect of the image of God in man (cf. WSC #10, #18; WLC #17,#25; WCF 4.2; BC 14; HC #6). "Original righteousness" is defined by the historic Reformed confessions as knowledge, righteousness, and holiness, to which the fall brought great damage. Man is no longer holy or righteous (Ro. 3:10) because he is dead in sin (Eph. 2:1), and his knowledge of God and creation has been seriously distorted but not completely demolished (i.e. creation makes God plain to man and man still has the sensus divitatus (Institutes, 1.3.1; cf. also Warranted, pp. 170-86) but man suppresses the truth in unrighteousness, cf. Ro. 1:18-32). However, in Christ the image of God is being restored, and in particular Christ's work in this aspect of the image draws the focus of Paul (Eph. 4:21-24; Col. 3:10). Now, when thinking about how man's sin as affected this part of the image of God in man, it is helpful to make a distinction between the image of God as direction and the image of God as structure. Man as God's image was created for God and to be moving towards Him always, but man by his rebellion is now running away from God in sin, so the image of God as direction has been lost. But, man still retains the image of God as structure, though it is also marred by sin, and he still deserves the dignity due God's images (cf. Ge. 9:6; Js. 3:9). It is the image of God as structure that we will discuss next.

With the second aspect that I would like to bring out we get into the image of God as structure. As Louis Berkhof states in his classic Systematic Theology, "But the image of God is not to be restricted to the original knowledge, righteousness, and holiness which was lost by sin, but also includes elements which belong to the natural constitution of man." (p. 204) This second aspect is man's soul. When God created man He "breathed into his nostrils the breath of life, and the man became a living creature." (Ge. 2:7) The Hebrew word that the ESV translates "creature" is the word nephesh, which is literally "soul." The breath of life was breathed into man and he became a living soul. This soul is the essence of man's life, and it reflects God's spirituality, invisibility, and immortality (for though our present bodies die, our souls live on forever). With respect to the soul's relation to the body, Bavinck has these helpful words, "But man is 'soul,' because from the very beginning the spiritual component in him (unlike that of angels) is adapted to and organized for a body...." (Reformed, p. 556) The soul can exist apart from the body, for the souls of all humans who have died are either in heaven or hell, but man, who became a "living soul" when the spiritual was breathed into the physical body, is incomplete without both. The soul was designed for a body and the body for a soul. To kill a human, then, is an attack upon his very soul, and since a human cannot be without this part of the image, he always deserves the dignity due God's images while he is alive.

Mentioning the soul's relationship to the body brings us to the third aspect of the image of God in man (also under the category of the image as structure), and it is the body. When the breath of life was breathed into Adam's body, his being became a "living soul" created in God's image. Man, not merely the soul of man, was created in God's image. Man's essence is the soul, but that soul was psychically organized for a body. Therefore the body is not a prison and not without inherent value, but it is a beautiful creation of God; created to exist in harmony with the soul as man reflects God's image. To put it another way, it is not the material substance of the body that is the image of God for God has no body, but the body is the image of God in that it is organized for the soul—is an organ of the soul. As Berkhof puts it, the body was created "as the fit instrument for the self-expression of the soul." (Systematic, p. 205) Furthermore, the body may be marred by sin and susceptible to death because of sin but even it, like the soul, is destined for immortality. In the final resurrection all bodies (those of believers and non-) will be raised from the dead (Dn. 12:2; Ac. 24:15) and spend eternity in either the Lake of Fire (Re. 20:15) or the New Heavens and New Earth (2 Pt. 3:13). Therefore, the Bible presents murder as the destruction of the body (Mt. 10:28) and as the destruction of the image of God in man (Ge. 9:6). To cause the death of a human, at any stage of development, is to murder a being made in the image of God—a being that deserves the dignity due God's images. (There are obviously ethical implications here, like withdrawing care from a terminally ill human, which I do not have the time or space to discuss. For further reading on such ethical issues, I would suggest Bioethics and the Christian Life by David VanDrunen.)

With the fourth aspect of the image of God as structure in man we get to what we could call "human faculties." Even though the image of God in man is much more than the faculties possessed by man (as shown above), it does include the basic faculties of the heart, the mind, and the will or, as Berkhof puts it, the natural affections, the intellectual power, and moral freedom. While the soul is the essence of man's life, the Scriptures present the heart as the organ of man's life, not only in the physical sense but also in the metaphorical sense, i.e. as the ultimate source of man's emotions, desire, willing, thinking, and knowing. Indeed, as Solomon put it, from the heart flows "the springs of life." (Pro. 4:23) But, the heart of man, from which all these things flow, is organized by the mind. Bavinck explains, "The heart is the seat of all emotions, passions, urges, inclinations, attachments, desires, and decisions of the will, which have to be led by the mind...." (Reformed, p. 557) In these things, man images God by reflecting His faculties of affections, intellect, and will, and there may even be a trinitarian reflection in these faculties. Augustine saw these three as an analogy mirroring the Trinity. In his work On the Trinity, he compares God the Father being the fountainhead of the Godhead to the heart being the fountainhead of the mind and will, and he likewise argues that the mind and will are analogous to God the Son and God the Holy Spirit (respectively). While that might be reading a little too much into this aspect of the image of God, it is clear from Scripture that man images God in his unique abilities of heart, mind, and will, and, again, deserves to be treated with the dignity and respect due God's images.

The fifth and final aspect of the image of God in man (again, the image as structure) is what some have called the "covenant theology account of the image of God" or the "representative aspect." In the twentieth century a lot of research was done on the covenants of the cultures of the Ancient Near East (ANE), of which the Israelite culture was one. When those covenants were compared to the biblical covenants that God made with His people there were many striking similarities (much of this research was done and applied to biblical covenants by Meredith Kline). It should not surprise us that God would pattern His covenants after covenants that His people would know for He generally relates to us in ways we can understand. And, the covenants of Scripture (particularly the book of Deuteronomy) are patterned after a common type of covenant made between kings known as a "suzerain-vassal treaty." A suzerain was a powerful king and a vassal was a lesser king. In these treaties, the suzerain pledged to protect and establish the vassal, and the vassal pledged submission and allegiance to the suzerain. (We do not have the time or space to talk about these treaties in detail, so for more reading I recommend this essay by Kline as a good place to start and perhaps follow it up with his book Treaty of the Great King.) In such a relationship, the suzerain had an ambassador whom he would send to the far countries of his vassals to represent him, and this ambassador was called "the Image." The Image would have the authority of the suzerain among his vassals. When the Image came, it was as if the suzerain himself had come. This was the context in which Moses wrote that humans are the images of God. This historical context shows us that being the image of God means that man is God' representative here on earth and should be treated with due dignity. And, there is another important piece of information that the studies of ANE covenants have revealed. When the Egyptian Pharaohs were the suzerains (and remember, Moses was raised as the grandson of a Pharaoh, cf. Ex. 2:10), they would intentionally choose an Image who was deformed or had some other major physical flaw that would normally put them at the bottom of society. They did this to see if their vassals would treat their Image (who in himself would have been valued as less than nothing by society) with the same dignity and respect as they would treat the suzerain himself, which would be a test of their loyalty. Now, the implications for us are clear. Humans are God's images—His representatives. God puts before us the weak and vulnerable, the afflicted and handicap, and the inconvenient and burdensome as His images in the forms of unborn children, infants, the mentally handicap, and the degenerating elderly. How will we treat them? Even if a human being does not have the full or higher use of his heart, mind, and will, it does not mean he does not bear God's image. He is still God's representative. Perhaps he was put before us as a test from our Suzerain as the Pharaohs tested their vassals. Will we treat them with the same dignity and respect as is due the Suzerain of whom they are the Image?

So, those are the aspects of the image of God in humanity: original righteousness (knowledge, righteousness, and holiness); the soul; the body; the human faculties of heart, mind, and will; and representation of God on earth. And, I believe the last one is of particular importance. The other aspects may be more or less visible; they may vary in degrees. All humans, however, represent the Great Suzerain King. Society may be tempted to look at its inconvenient and burdensome members and try to say they are "sub-human" or "non-persons," but God, our great Suzerain, has put them before as His images. Will we treat them with all the dignity and respect they are due?

There is one more loose end to tie up, and that is how sin has affected the image of God in man. As stated above, it is helpful to distinguish between the image of God as direction and the image of God as structure. Since man is fallen and dead in sin, the image of God as direction is basically lost. His original righteousness is all but gone (see above where I discuss this aspect), and he is in rebellion against God. Man, however, still retains the image of God as structure. He still has his soul, body, faculties, and representation. Now, these too have been wholly defiled because of sin (Ge. 6:5; Jer. 17:9; Ro. 3:10-12; 8:7; 1 Co. 2:14; Eph. 2:1-3; Tt. 1:15), but the image of God is still there and God still commands that it be given the respect and dignity it is due (cf. Ge. 9:6; Js. 3:9).

As stated in my previous post on the Gosnell case, only returning to the biblical view of man as created in the image of God will place us in a context where abortion, infanticide, and euthanasia are unacceptable. All other definitions of "human" or "person" will always exclude some class, race, or developmental stage of humanity and open the door for any number of atrocities (history has shown us this and at present such atrocities are performed every day in abortion clinics across the world). As is almost always the case: right thinking and right doctrine begets right action, and wrong thinking and wrong doctrine begets wrong action. When defending the sanctity of life, let us defend it not just because it is life but because it is life that bears God's image and deserves to be treated with dignity and respect.

By His Grace,
Taylor

Saturday, April 20, 2013

Humans, Persons, and the Context for Infanticide and Abortion

"Of course, sin ordinarily tries to bag a good of some kind: people want power or pleasure or wealth or self-esteem or happiness. Their sin consists in seeking these things in hurtful ways or excessively or preeminently or even exclusively. But as human life degenerates, as people explore deeper and deeper recesses of evil, they begin to seek pleasure not in such created goods as sex or material plenty or the exercise of dominion. They seek it instead in the very dynamics of sin.... They take satisfaction from showing who is boss, from showing that no one else will legislate for them. Or they take the vandal's pleasure in the destruction of beauty and wholeness. This contrariety, as opposed to blank carelessness, is the first ingredient of sin done 'for the hell of it.'

"People who joy in evil show that some wire has gotten crossed in them; their moral polarity has switched. Such corruption climaxes, as the Roman historian Livy says in a famous statement, in the transforming of human love from a benevolent disposition to a fatal attraction. Livy is describing the debauchery of the last century of the Roman republic, but he might just as well have been describing the hunger that makers of slasher films are trying to feed. What Livy describes is the inevitable destination of uninterrupted human evil. 'Of late years,' he says, 'wealth has made us greedy, and self indulgence has brought us, through every form of sensual excess, to be, if I may so put it, in love with death.'" ~ Cornelius Plantinga Jr., Not the Way It's Supposed to Be: A Breviary of Sin (pp. 50-1)

When my son was born, I must admit, I was not prepared for how much I would love him. I have never been a person who was fascinated by children or even had much of an interest in them. I did not hold babies, dote over them, or volunteer for the church nursery (okay, I worked it once but it was under duress). Do not get me wrong, I thought children were great, just from a distance. I actually felt guilty while Erika was pregnant because I was not as excited as I thought I should have been. Again, do not get me wrong, I was happy to know my first child was coming, but I was not nearly as excited as most other people I knew. I kept telling myself it would all change when he is born and others told me that too. And, while I knew that was true, I was still unprepared for how much I would love him and the power that love would have over me. Now, even when I go a few hours without seeing Gabriel, I want to be with him, to see his beaming smile, and to give him a hug (to all my family and friends, yes, I said it, a hug).

I say all that to attempt to demonstrate why I do not want to write this blog post right now. I do not want to think about Kermit Gosnell. I do not want to think about the atrocities he performed. I did not want to think about the atrocities performed in abortion clinics all over the world in the name of "women's rights" or "family planning" or "women's health." I have avoided writing about the Gosnell case because it hurts too much to think about someone killing my son right after he was born. Thinking about it makes my chest physically hurt, and I cannot help but think about it whenever I hear about this murderous rampage. I think about babies born, crying and terrified of this new, cold world, and then I think about someone taking that helpless human and killing them. I think about babies who need immediate care, just like my son needed immediate care when he was born, and their cries bringing instruments of death instead of nurturing love. I think, "What if that were my son?" and "How can someone be so cold and cruel to helpless, needy babies?" It hurts, and I have avoided writing about it because I want to avoid thinking about it. It is easier to avoid thinking about it. However, if I stick my head in the sand, then I am no better than the cowards in the majority of mainstream media who have avoided reporting this story. Fortunately, social media (one of its few redeeming uses) has spread this case across the Internet, even though many media outlets have been avoiding it like the plague (here, here, and here are few who have the courage to report it).

In my unwilling but persistent thoughts about this case, I have often come back to the question of why or how someone can think aborting a child or murdering the newly-born child can be acceptable. Murder is always atrocious but when it is a helpless child that needs the world to nurture it (not kill it), that question becomes even more acute. What would cause someone to take a crying, helpless baby and severe its spinal cord? What would cause someone not to feel remorse when they hear a baby's cries immediately stop and their body go limp because of an action they took? What would cause them to do it over and over again? As Plantinga says in the above quote, when unchecked, the corruption of sin eventually leads to pleasure sought in the very dynamics of sin. It led to the Roman citizens to become "in love with death," and one could say the exact same thing about America. Sure, we do not have gladiator battles anymore, but we have legalized abortion, sanctioned the death of over 40 million babies, and continue to defend it under the guise of "women's health" or "family planning." But, why is America in love with death? Why would Gosnell casually murder babies "precipitated" (i.e. born) in his office? What is the cause? I have not been able to come up with an answer. And, Plantinga is helpful here too:
Inquiring into the causes of sin takes us back, again and again, to the intractable human will and to the heart's desire that stiffens the will against all competing considerations. Like a neurotic and therapeutically shelf-worn little god, the human heart keeps ending discussions by insisting that it wants what it wants.

The trouble is that this is only a re-description of human sin, not an explanation of it--let alone a defense of it. Our core problem, says St. Augustine, is that the human heart, ignoring God, turns in on itself, tries to lift itself, wants to please itself, and ends up debasing itself... the person who curves in on himself, who wants God's gifts with God, who wants to satisfy the desires of a divided heart, ends up sagging and contracting into a little wad....

Moreover, even when we have sorted and classified the motives of a sin, we still haven't fully explained it. Why not? The reason is that to identify a motive is to discern only what pushes a person in the direction of some act, not why he actually commits it. We still do not know why a person succumbs to the motive. After all, lots of people feel motivated to steal others people's possessions but manage to avoid giving in to these motives.... The fact is that we know more contexts than motives of human evil, and we know more motives than causes, we almost never know all three... Only God knows the percentages in these matters. Only God knows the human heart. (pp. 62-3)
Only God knows the deep, dark recesses of Gosnell and other abortionists' hearts. We can identify motives and contexts in which these people might make their decisions, but why they choose to act when others do not is a mystery. Even Paul admits this, calling it the "mystery of lawlessness." (And, if I am honest, I have to admit that it is only by God's grace that I have not moved in the same direction as Gosnell or any of the others. God knew my deep, dark sin--indeed, He still knows it--and replaced the stone I mistakenly called a heart with the true thing. One thing I need to remember in my rage is that Gosnell is not beyond the power of the gospel. If God could move my heart, He can move his.)

Even though an actual cause may beyond my ability to assess, I think I can give the context, or at least part of the context, in which these decisions take place. In short, it is the philosophical move away from inherent value in humans (i.e. because we are made in the image of God) to functionalism. Functionalism is the idea that rights come from a set of criteria that a human (or something else like dolphins) has to meet in order to be considered a person. The argument proceeds like so: First, the assertion is made that persons (not humans) deserve rights. Second, a distinction is drawn between "humans" and "persons" based on a set of criteria (e.g. rationality, autonomy, and self-consciousness), which is, of course, debatable and largely determined by the opinions of a few. Finally, if the human (or something else) meets the set of criteria, then they are said to be a person and deserve rights. If they do not, then they have no rights (or at least no rights equal to the rights of persons). This distinction between "human" and "person" based on a set of criteria gives us the context for abortion. One can (and indeed our culture has) narrow the criteria for personhood to exclude the unborn. When something is a "fetus" and not a "baby" (which suggests personhood), then the rights of the person (the mother) trump the rights of the non-person (the baby) and it becomes okay to "terminate" the pregnancy. As Mary Elizabeth Williams (about whom I have written in the past) has argued, "...a fetus can be a human life without having the same rights as the woman in whose body it resides. She's the boss. Her life and what is right for her circumstances and her health should automatically trump the rights of the non-autonomous entity inside of her. Always." (Emphasis added) She calls the unborn baby a "human life" but did you catch the adjective at the end (I hope so; I italicized it)? The "non-autonomous entity" does not have the same rights as the mother. Why? Because of the distinction drawn by functionalism. Being human is not enough.

Unfortunately, functionalism does not stop at the general abortions pro-life advocates are used to protesting. This road leads right to Gosnell and beyond. Peter Singer (professor of bioethics at Princeton!) has argued that newborns lack the essential characteristics of personhood and, therefore, "killing a newborn baby is never equivalent to killing a person." Singer is not the only one. A few Australian ethicists have argued for "after-birth abortions" on the basis of functionalism and newborns lacking personhood. This, of course, is the logical extension of pre-birth abortions because there is no moral or personal distinction between the unborn child and the newly-born child. Moving down the birth canal does not change the personhood of the baby. (Of course, this logical extension should lead our culture to realize killing the unborn is wrong, but we are a culture "in love with death.") According to functionalism, babies still lack the criteria necessary for personhood. They are, at best, "potential persons."

If you make a distinction between "person" and "human" and then set up a (arbitrary) set of criteria to qualify as a person, then you end up with Gosnell, Singer, and others like them. And, do not make the mistake of thinking these ideas are simply in the "high academic" circles. Planned Parenthood has argued that the fate a baby born in a botched abortion (i.e. breathing, crying, and fighting for life just like the ones Gosnell murdered) should be determined by the mother and physician. "Personhood" is a linguistic sleight-of-hand used to exclude some humans from the protected class, and it does not stop with infants. When a list of criteria has to be met and that criteria is determined by society, then anyone is in danger (especially the inconvenient, like the mentally handicap and degenerating elderly). This move has been done in the past and has been used to defend genocide, slavery, sex-trafficking, and all other sorts of human atrocities. The Nazis had a word for it: Untermensch, "sub-human." And, it leads cultures into downward spirals, like Plantinga describes above, which eventually end with a people who are "in love with death." Only a philosophical and presuppositional commitment to the inherent rights of a human because they are made in the image of God will place us in a context where abortion, infanticide, and euthanasia are unacceptable. Oh sure, we could make abortion illegal, but no progress will be made in relieving the demand for abortions until culture starts seeing humans as made in the image of God and inherently deserving of "unalienable rights" which have been "endowed by their Creator."

Now, about now you might be thinking, "What exactly does it mean for a human to be 'made in the image of God?'" That is a good question and it is one that I will address next week, for this post is already too long.

By His Grace,
Taylor

Monday, February 4, 2013

All Human Life Not Equal?

"The arguments are the same then and now because the two options presenting themselves to us haven’t changed and won’t ever change. Slavery and abortion aren’t just random, unconnected controversial issues, they’re rooted in our view of human beings, and they illustrate the two possible directions in which our country can go as we move forward. Will we embrace intrinsic human value or instrumental human value?
"Whatever we decide as a nation, don’t think for a moment that the principle we settle on will only be applied to abortion." ~ Amy Hall, Stand to Reason

Abortion is obviously an issue over which Americans are deeply divided. A classic "pro-choice" (the politically correct way of saying pro-abortion) tactic has been to argue that an unborn child is not a "human life" until some later-term point in the pregnancy. If it really is not a human but just a "fetus" in the first or second trimester, then there is nothing wrong with aborting it, right?

Pro-life advocates have countered with the argument that life begins at conception. This, I believe, is a powerful argument because it exposes the arbitrary nature of the "pro-choice" tactic. If life does not begin at conception--the point where genetic material comes together and creates a complete genetic human--then all other choices of points in a pregnancy are arbitrary. For example, if you look at the long-haul of my 31+ years of existence, where was the most unique, important, and decisive turning point in my development? Was it when my heart started beating? That is very significant but not the most decisive. The most decisive turning point was when the genetic material from my father and mother came together and created the "genetic me" that has existed ever since. Everything else after that was merely a further expression of the "genetic me" in this world. The "genetic me" was guaranteed to have a beating heart (and every other physical feature I have) at the moment of conception (baring any unforeseen external complications). This is also important because the definition arises from something internal to me (to the unborn child), not external. All the other definitions of human life are extraneous--recognitions that arise in an outside observer. To choose any point of development that depends upon the opinions of society that are based on observations of the unborn child, not anything within the unborn child itself, is arbitrary. In America, abortions are legal up to 24 weeks. What makes that the magic moment? What is the difference between the 24 and 25 weeks? Or what is the difference between 24 and 23 weeks? The choice is arbitrary with respect to the life itself and is based on political and social opinions from external observations. Some "pro-choice" advocates have argued that date is valid because it is the point at which the baby would be viable outside the womb. That is still an external definition, not one intrinsic to the child, and it is not the most decisive turning point in its development. Furthermore, that is only true given the proper medical technology and medical technology is constantly improving. Will we keep pushing that date back as medical technology improves? That makes the value of life depend on the medical advancements of society--again, an arbitrary and extraneous definition of human life. (For an extended and robust version of this argument, see Part 2 of David VanDrunen's Bioethics and the Christian Life: A Guide to Making Difficult Decisions.)

Recently the "pro-choice" tactic has taken a turn. Mary Elizabeth Williams has argued that the unborn are human beings but "a life worth sacrificing," if the mother ("the boss") so chooses:
Here's the complicated reality in which we live: All life is not equal. That's a difficult thing for liberals like me to talk about, lest we wind up looking like death-panel-loving, kill-your-grandma-and-your-precious-baby storm troopers. Yet a fetus can be a human life without having the same rights as the woman in whose body it resides. She's the boss. Her life and what is right for her circumstances and her health should automatically trump the rights of the non-autonomous entity inside of her. Always.
Ms. Williams probably thinks she has disable the pro-life argument. "Sure," she says, "It's life, but so what?" My brothers and sisters in Christ over at Stand to Reason (quoted above) have written a response showing the above argument is the same argument made for slavery in the sad history of our country and much of the rest of the world. It is worth reading, so make sure you do.

I want to add to their rebuttal. Ms. Williams has not essentially changed the "pro-choice" tactic. Her definition of when abortion can be permitted is still arbitrary: she has just moved the arbitrary choice from when life begins to when life has value equal to the mother. It is still completely arbitrary. When does the life become as valuable as the mother's? When does it become equal to the mother? In the second trimester? When it is born? When it is one week, ten weeks, a year? When it can say its first words? When it leaves the house? Or, does it never reach the same value and should mothers have the right to kill their children at any point?

We must also ask, who determines this value? Is it really the mother herself or is it a consensus of society? If it is either, then the killing of a child could be justified at any point in time simply because the mother or society deems it acceptable. Not only that but we must ask if this value ever leaves the human and if so, when that occurs? Does the child's value ever exceed the mother's? Perhaps when the mother is dependent on the child for survival? Is it acceptable for children to kill their parents if they have started to become a drain on their resources or the resources of society?

The darkest chapters in human history were born out of the opinion that all humans are not created equal. If human value is not the same throughout its life, then it becomes a completely arbitrary "free-for-all" driven by the opinions of society and those with the most political influence. Slavery becomes a very real possibility. Infanticide is just around the corner, and euthanasia of our elders will shortly follow. When all human life is not equal, a pecking order of value is created and oppression (or worse) of any group is up for grabs.

By His Grace,
Taylor