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Introduction to Bioethics
A (Very) Brief Summary of the Christian Bioethics Movement
What is Bioethics?
A brief history and definition
5/4/2016 2:27 PMBioethics Overview - C. Hall 2
A Definition
Gk. “Bios” – life
Gk. “Ethos” – behavior
Bioethics is an attempt at ordering biological and medical
behavior according to a set of principles
Includes medical ethics, animal ethics, and environmental ethics
5/4/2016 2:27 PMBioethics Overview - C. Hall 4
A Timeline
1940s
• Nazi war crimes for human
experimentation
• Led to development of Nuremberg
Code
1972
• First uncovering of Tuskeegee
Syphilis Study
• Shocking use of unethical research
practice
1973
• Roe v. Wade
• allows access to abortion before
viability
1996
• Birth of Dolly the sheep
• Challenged definition of unique life
• Promoted question of cloning
humans
1997
• Oregon passes “Death with Dignity”
act
• Legalizes PAS and euthanasia
5/4/2016 2:27 PMBioethics Overview - C. Hall 5
Notable Bioethics Organizations
 The Hasting Center
 Presidential Commission for the Study of Bioethical Issues
 Trinity University’s Center for Bioethics and Human Dignity
 Cedarville University’s Center for Bioethics
5/4/2016 2:27 PMBioethics Overview - C. Hall 6
My Experience with Bioethics
 BDOC 354 – Christian Ethics (Premedical)
 Dr. David Smith, M.D., MA
 Palliative care physician
 Graduate of Trinity CBHD
 Personal interest:
 Christian bioethics moral philosophy
 Lockean Natural Law
 Pursuing M.D./Ph.D. next fall
5/4/2016 2:27 PMBioethics Overview - C. Hall 7
Abortion and the Right to Life
A Discussion on Human Dignity and the Moral Status of the Embryo
5/4/2016 2:27 PMBioethics Overview - C. Hall 8
Ohio Attorney General Mike DeWine, Letter to Planned Parenthood on 12/11/2015
5/4/2016 2:27 PMBioethics Overview - C. Hall 9
A Worldwide Pandemic
 World Health Organization
 1 in 5 pregnancies are terminated by abortion
 42 million abortions worldwide in 2003 (Best 141, citing Guttmacher In Brief)
 1.2 million abortions in the U.S. in 2008 (Best 155, citing Guttmacher In Brief)
 Landmark case: Roe v. Wade in 1973 (410 US 113) legalized abortion in the U.S.
 Recent victory: Gonzalez v. Carhart (550 US 124) upheld Partial-Birth Abortion Ban Act
5/4/2016 2:27 PMRight to Life - C. Hall 10
The Question of Right to Life
 Debate over “Right and Life” and “Right to My Own Body”
 Question on human dignity
 Two major areas of discussion:
 Scientific definition of conception
 Religious concept of the soul
5/4/2016 2:27 PMBioethics Overview - C. Hall 11
A Timeline of Human Development
5/4/2016 2:27 PMBioethics Overview - C. Hall 12
Human Embryology
5/4/2016 2:27 PMBioethics Overview - C. Hall 13
Image Credit:
https://commons.wikimedia.org/wiki/File:HumanEmbryogenesis.svg
Human Embryology
5/4/2016 2:27 PMBioethics Overview - C. Hall 14
Image Credit:
http://www2.sfasu.edu/cte/Michelle_Files/HMS_353_Web_Content/stages_o
f_human_dev.jpg
When Is Abortion Performed?
5/4/2016 2:27 PMBioethics Overview - C. Hall 15
Abortion Procedures – A Timeline
5/4/2016 2:27 PMBioethics Overview - C. Hall 16
(Lim and Singh 860)
Abortion Procedures – Vacuum Aspiration
5/4/2016 2:27 PMBioethics Overview - C. Hall 17
The Question of Right to Life
 Debate over “Right and Life” and “Right to My Own Body”
 Question on human dignity
 Two major areas of discussion:
 Scientific definition of conception
 Religious concept of the soul
5/4/2016 2:27 PMBioethics Overview - C. Hall 18
A Secular Approach
 Utilitarian Ethics: Four Principles
 Consequence principle
 Utility principle
 Hedonistic principle
 Universal principle
 Major proponent: Peter Singer from Princeton University
5/4/2016 2:27 PMBioethics Overview - C. Hall 19
Peter Singer’s Practical Ethics
5/4/2016 2:27 PMBioethics Overview - C. Hall 20
Peter Singer’s Practical Ethics
5/4/2016 2:27 PMBioethics Overview - C. Hall 21
A Christian Approach
 Christians generally support a moral dualism
Idea of a marriage between body and soul
Rich history of discussion since Augustine (and even Aristotle!)
 The concept of imago dei
What is this? Still hard to identify
Human essential vs accidental characteristics
5/4/2016 2:27 PMBioethics Overview - C. Hall 22
Genesis 1:26-27 (KJV)
Right to Life - C. Hall 5/4/2016 2:27 PM 23
Genesis 9:6 (KJV)
Right to Life - C. Hall 5/4/2016 2:27 PM 24
Psalms 139:13-16 (KJV)
Right to Life - C. Hall 5/4/2016 2:27 PM 25
Luke 1:41-44 (KJV)
Word for “babe” is Greek “βρεφος”, same as for Jesus in Luke 2:12
Right to Life - C. Hall 5/4/2016 2:27 PM 26
Luke 2:12 (KJV)
Word for “babe” is Greek “βρεφος”, same as for John in Luke 1:44
Right to Life - C. Hall 5/4/2016 2:27 PM 27
Some Biblical Conclusions
The Christian should recognize the dignity of all human
life made in the Imago Dei
The Bible confirms the continuity between embryo and
baby
In addition, Scripture teaches a respect for the unborn
embryonic human
5/4/2016 2:27 PMRight to Life - C. Hall 28
Embryo: A Defense of Human Life
 A 2008 book by Robert George and
Christopher Tollefsen
 Argues for protection of every human from
the moment of conception
 Establishes the concept of an unalienable
“human essence” demanding respect
5/4/2016 2:27 PMBioethics Overview - C. Hall 29
George and Tollefsen’s Embryo (pp. 3-4)
5/4/2016 2:27 PMBioethics Overview - C. Hall 30
Fearfully and Wonderfully Made
 A 2012 book by Megan Best, a palliative care
physician and bioethicist at CBHD
 Surveys the ethical implications of
reproductive technology, especially the moral
status of the embryo
 Contrasts secular and Christian perspectives
within this debate
5/4/2016 2:27 PMBioethics Overview - C. Hall 31
Megan Best’s Fearfully and Wonderfully Made (p. 50)
5/4/2016 2:27 PMBioethics Overview - C. Hall 32
Michael Clancy Video
5/4/2016 2:27 PMBioethics Overview - C. Hall 33
Future Directions
The ongoing search for the definition of human dignity
5/4/2016 2:27 PMBioethics Overview - C. Hall 34
Defining Dignity
 Towards a Public Theology of Protecting Embryonic Humans
 Lockean Natural Law Theory and the Definition of “Dignity”
 Finding the Defining Property Which Confers Dignity
5/4/2016 2:27 PMBioethics Overview - C. Hall 35
Suggested Resources
 Megan Best’s Fearfully and Wonderfully Made
 George and Tollefsen’s Embryo: A Defense of Human Life
 Nathan Guy’s Thesis: “Is Dignity Out on a Limb?” (see me for access)
 In addition, I am providing a few copies of a recent paper I submitted as a review of George and
Tollefsen and another book, Sacred Cells, by Peters et al.
5/4/2016 2:27 PMBioethics Overview - C. Hall 36
Works Cited
 Best, D.M. (2012). Fearfully and Wonderfully Made Ethics and the Beginning of Human Life (Kingsford, N.S.W.: InterVarsity
Press).
 Elkins, G.S. (2010). Sacred Cells? A Reply to Peters, Lebacqz, and Bennett. Ethics Med. Int. J. Bioeth. 26, 147–160.
 George, R.P., and Tollefsen, C. (2011). Embryo : a defense of human life (Princeton, New Jersey: Witherspoon Institute, c2011.).
 Kilner, M.J.F. (1992). Life on the Line: Ethics, Aging, Ending Patients’ Lives, and Allocating Vital Resources (Bannockburn, Ill.: Wm.
B. Eerdmans Publishing Co.).
 Lim, L.M., and Singh, K. (2014). Termination of pregnancy and unsafe abortion. Best Pract. Res. Clin. Obstet. Gynaecol. 28, 859–
869.
 Peters, T., Lebacqz, K., and Bennett, G. (2008). Sacred cells? : why Christians should support stem cell research (Lanham, Md. :
Rowman & Littlefield Publishers, c2008.).
 Sansom, D.L. (2010). How Much Respect Do We Owe the Embryo? Limits to Embryonic Stem Cell Research. Ethics Med. Int. J.
Bioeth. 26, 161–173.
 Human Embryonic Development | HHMI’s BioInteractive.
 Somatic Cell Nuclear Transfer Animation | HHMI’s BioInteractive.
5/4/2016 2:27 PMBioethics Overview - C. Hall 37
5/4/2016 2:27 PMBioethics Overview - C. Hall 38

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Bioethics Session 1 - Right to Life

  • 1. Introduction to Bioethics A (Very) Brief Summary of the Christian Bioethics Movement
  • 2. What is Bioethics? A brief history and definition 5/4/2016 2:27 PMBioethics Overview - C. Hall 2
  • 3. A Definition Gk. “Bios” – life Gk. “Ethos” – behavior Bioethics is an attempt at ordering biological and medical behavior according to a set of principles Includes medical ethics, animal ethics, and environmental ethics 5/4/2016 2:27 PMBioethics Overview - C. Hall 4
  • 4. A Timeline 1940s • Nazi war crimes for human experimentation • Led to development of Nuremberg Code 1972 • First uncovering of Tuskeegee Syphilis Study • Shocking use of unethical research practice 1973 • Roe v. Wade • allows access to abortion before viability 1996 • Birth of Dolly the sheep • Challenged definition of unique life • Promoted question of cloning humans 1997 • Oregon passes “Death with Dignity” act • Legalizes PAS and euthanasia 5/4/2016 2:27 PMBioethics Overview - C. Hall 5
  • 5. Notable Bioethics Organizations  The Hasting Center  Presidential Commission for the Study of Bioethical Issues  Trinity University’s Center for Bioethics and Human Dignity  Cedarville University’s Center for Bioethics 5/4/2016 2:27 PMBioethics Overview - C. Hall 6
  • 6. My Experience with Bioethics  BDOC 354 – Christian Ethics (Premedical)  Dr. David Smith, M.D., MA  Palliative care physician  Graduate of Trinity CBHD  Personal interest:  Christian bioethics moral philosophy  Lockean Natural Law  Pursuing M.D./Ph.D. next fall 5/4/2016 2:27 PMBioethics Overview - C. Hall 7
  • 7. Abortion and the Right to Life A Discussion on Human Dignity and the Moral Status of the Embryo 5/4/2016 2:27 PMBioethics Overview - C. Hall 8
  • 8. Ohio Attorney General Mike DeWine, Letter to Planned Parenthood on 12/11/2015 5/4/2016 2:27 PMBioethics Overview - C. Hall 9
  • 9. A Worldwide Pandemic  World Health Organization  1 in 5 pregnancies are terminated by abortion  42 million abortions worldwide in 2003 (Best 141, citing Guttmacher In Brief)  1.2 million abortions in the U.S. in 2008 (Best 155, citing Guttmacher In Brief)  Landmark case: Roe v. Wade in 1973 (410 US 113) legalized abortion in the U.S.  Recent victory: Gonzalez v. Carhart (550 US 124) upheld Partial-Birth Abortion Ban Act 5/4/2016 2:27 PMRight to Life - C. Hall 10
  • 10. The Question of Right to Life  Debate over “Right and Life” and “Right to My Own Body”  Question on human dignity  Two major areas of discussion:  Scientific definition of conception  Religious concept of the soul 5/4/2016 2:27 PMBioethics Overview - C. Hall 11
  • 11. A Timeline of Human Development 5/4/2016 2:27 PMBioethics Overview - C. Hall 12
  • 12. Human Embryology 5/4/2016 2:27 PMBioethics Overview - C. Hall 13 Image Credit: https://commons.wikimedia.org/wiki/File:HumanEmbryogenesis.svg
  • 13. Human Embryology 5/4/2016 2:27 PMBioethics Overview - C. Hall 14 Image Credit: http://www2.sfasu.edu/cte/Michelle_Files/HMS_353_Web_Content/stages_o f_human_dev.jpg
  • 14. When Is Abortion Performed? 5/4/2016 2:27 PMBioethics Overview - C. Hall 15
  • 15. Abortion Procedures – A Timeline 5/4/2016 2:27 PMBioethics Overview - C. Hall 16 (Lim and Singh 860)
  • 16. Abortion Procedures – Vacuum Aspiration 5/4/2016 2:27 PMBioethics Overview - C. Hall 17
  • 17. The Question of Right to Life  Debate over “Right and Life” and “Right to My Own Body”  Question on human dignity  Two major areas of discussion:  Scientific definition of conception  Religious concept of the soul 5/4/2016 2:27 PMBioethics Overview - C. Hall 18
  • 18. A Secular Approach  Utilitarian Ethics: Four Principles  Consequence principle  Utility principle  Hedonistic principle  Universal principle  Major proponent: Peter Singer from Princeton University 5/4/2016 2:27 PMBioethics Overview - C. Hall 19
  • 19. Peter Singer’s Practical Ethics 5/4/2016 2:27 PMBioethics Overview - C. Hall 20
  • 20. Peter Singer’s Practical Ethics 5/4/2016 2:27 PMBioethics Overview - C. Hall 21
  • 21. A Christian Approach  Christians generally support a moral dualism Idea of a marriage between body and soul Rich history of discussion since Augustine (and even Aristotle!)  The concept of imago dei What is this? Still hard to identify Human essential vs accidental characteristics 5/4/2016 2:27 PMBioethics Overview - C. Hall 22
  • 22. Genesis 1:26-27 (KJV) Right to Life - C. Hall 5/4/2016 2:27 PM 23
  • 23. Genesis 9:6 (KJV) Right to Life - C. Hall 5/4/2016 2:27 PM 24
  • 24. Psalms 139:13-16 (KJV) Right to Life - C. Hall 5/4/2016 2:27 PM 25
  • 25. Luke 1:41-44 (KJV) Word for “babe” is Greek “βρεφος”, same as for Jesus in Luke 2:12 Right to Life - C. Hall 5/4/2016 2:27 PM 26
  • 26. Luke 2:12 (KJV) Word for “babe” is Greek “βρεφος”, same as for John in Luke 1:44 Right to Life - C. Hall 5/4/2016 2:27 PM 27
  • 27. Some Biblical Conclusions The Christian should recognize the dignity of all human life made in the Imago Dei The Bible confirms the continuity between embryo and baby In addition, Scripture teaches a respect for the unborn embryonic human 5/4/2016 2:27 PMRight to Life - C. Hall 28
  • 28. Embryo: A Defense of Human Life  A 2008 book by Robert George and Christopher Tollefsen  Argues for protection of every human from the moment of conception  Establishes the concept of an unalienable “human essence” demanding respect 5/4/2016 2:27 PMBioethics Overview - C. Hall 29
  • 29. George and Tollefsen’s Embryo (pp. 3-4) 5/4/2016 2:27 PMBioethics Overview - C. Hall 30
  • 30. Fearfully and Wonderfully Made  A 2012 book by Megan Best, a palliative care physician and bioethicist at CBHD  Surveys the ethical implications of reproductive technology, especially the moral status of the embryo  Contrasts secular and Christian perspectives within this debate 5/4/2016 2:27 PMBioethics Overview - C. Hall 31
  • 31. Megan Best’s Fearfully and Wonderfully Made (p. 50) 5/4/2016 2:27 PMBioethics Overview - C. Hall 32
  • 32. Michael Clancy Video 5/4/2016 2:27 PMBioethics Overview - C. Hall 33
  • 33. Future Directions The ongoing search for the definition of human dignity 5/4/2016 2:27 PMBioethics Overview - C. Hall 34
  • 34. Defining Dignity  Towards a Public Theology of Protecting Embryonic Humans  Lockean Natural Law Theory and the Definition of “Dignity”  Finding the Defining Property Which Confers Dignity 5/4/2016 2:27 PMBioethics Overview - C. Hall 35
  • 35. Suggested Resources  Megan Best’s Fearfully and Wonderfully Made  George and Tollefsen’s Embryo: A Defense of Human Life  Nathan Guy’s Thesis: “Is Dignity Out on a Limb?” (see me for access)  In addition, I am providing a few copies of a recent paper I submitted as a review of George and Tollefsen and another book, Sacred Cells, by Peters et al. 5/4/2016 2:27 PMBioethics Overview - C. Hall 36
  • 36. Works Cited  Best, D.M. (2012). Fearfully and Wonderfully Made Ethics and the Beginning of Human Life (Kingsford, N.S.W.: InterVarsity Press).  Elkins, G.S. (2010). Sacred Cells? A Reply to Peters, Lebacqz, and Bennett. Ethics Med. Int. J. Bioeth. 26, 147–160.  George, R.P., and Tollefsen, C. (2011). Embryo : a defense of human life (Princeton, New Jersey: Witherspoon Institute, c2011.).  Kilner, M.J.F. (1992). Life on the Line: Ethics, Aging, Ending Patients’ Lives, and Allocating Vital Resources (Bannockburn, Ill.: Wm. B. Eerdmans Publishing Co.).  Lim, L.M., and Singh, K. (2014). Termination of pregnancy and unsafe abortion. Best Pract. Res. Clin. Obstet. Gynaecol. 28, 859– 869.  Peters, T., Lebacqz, K., and Bennett, G. (2008). Sacred cells? : why Christians should support stem cell research (Lanham, Md. : Rowman & Littlefield Publishers, c2008.).  Sansom, D.L. (2010). How Much Respect Do We Owe the Embryo? Limits to Embryonic Stem Cell Research. Ethics Med. Int. J. Bioeth. 26, 161–173.  Human Embryonic Development | HHMI’s BioInteractive.  Somatic Cell Nuclear Transfer Animation | HHMI’s BioInteractive. 5/4/2016 2:27 PMBioethics Overview - C. Hall 37
  • 37. 5/4/2016 2:27 PMBioethics Overview - C. Hall 38

Editor's Notes

  1. Poll Title: How would you define bioethics? https://www.polleverywhere.com/free_text_polls/cvlQ3WLcY6P6xMQ