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Wednesday, April 16, 2008
Beatie’s Story
Ten years ago, after deciding that she had been born into the wrong body, Tracy Beatie had her breasts removed and received masculinizing hormone treatment. She kept her original reproductive organs, though – apparently thinking all along that she might someday want to use them to have children. Now a man and named Thomas, Beatie got married to Nancy, who, as it turns out, cannot bear children. After stopping the hormones and undergoing several rounds of artificial insemination, Thomas is now pregnant.
The story, brought to public attention on Oprah a couple of weeks ago, is beautiful and exciting to some but has elicited horror in others. Beatie has been vilified on conservative blogs, and MSNBC's Joe Scarborough says he’s so disgusted, he’s “going to be sick.”
The different views of Thomas Beatie’s pregnancy reflect different views about what’s natural for human beings. This was underscored last week by an editorialist in Nature, who has heard just about enough of “nature” from social commentators and asked them, in effect, to stop talking about it.
The editorial offers two rejoinders to the outrage about Beatie. One is that no moral value can be attached to nature. This is a sweeping response, though, with ramifications for social debates well beyond human body modification. If we decide that we don’t care at all, morally, for what is natural, then we can offer only aesthetic reasons for saving endangered species and “wildernesses.” The concern for endangered species is certainly felt (by those who feel it) as more than an aesthetic position, and if it is only aesthetic, then it doesn’t seem to hold much weight against the economic reasons for letting species and wild spaces pass into oblivion. A more modest position on the moral value of nature would be that nature does not tell us what to value; it is up to us to decide (in a manner of speaking) what we value about nature.
The other rejoinder is that Beatie’s experience is not unnatural. “When we consider this story with the reasoning parts of our brains, exactly what was so ‘unnatural’? The longing to have a baby? [But] that is a profoundly human desire, whether the prospective parents are male, female or transgendered.” And if it’s the transgendered part that’s bothering you, the editorial adds, then you should know that gender-straddling and switching behavior is now known to be common throughout the animal world, including the human part of it.
One interesting thing about this response is that it suggests some things we might value about nature. Beatie’s story is “profoundly human.” It evinces desires and commitments that we are proud to claim as part of human nature.
The Nature editorial’s oblique appeal to human nature shows different layers in the debate about whether nature is valuable and what is valuable in it. Much of the debate about the moral value of human nature dwells on fairly specific claims: the category “humans” is comprised of “male” and “female”; it is natural for men to be like this and women like that, with these abilities and aptitudes; it is natural for men and women to join in families with this kind of structure, then to have children, then to die; and so on. Many of these claims are about limitations, in one way or another--the subcategories into which we fall, the trajectories to which we are assigned, the outcomes we can expect.
They are also highly debatable. They may conflate social expectations with real human characteristics, they may simply get the facts wrong, and people may have very different views about those facts. They emphasize uniformity where variability and individuality might be the more important and attractive points to make.
The more compelling characteristics of “human nature” are more general: desire, love, commitment – even beyond that, a sense of selfhood and a sense of value. They reflect basic human capacities, not limitations. They are present to different degrees in different people, and sometimes seem notable chiefly for their absence, but by and large they seem integral to any human life. All of them are part of Beatie’s story.
These broader features of human nature rarely come up in discussions about what we would try to get rid if we had free rein to enhance ourselves. My sense is that they are so integrally part of human life that it’s hard to envision human life without them, and whose value is too obvious to be in question.
If this is right, then the concept “human nature” cannot be put to the use Joe Scarborough wants to make of it. On the other hand, it also cannot be dismissed as useless, as the Nature editorial admonishes: “Nature” in the world around us has acquired moral value only now that we have acquired the ability to extinguish it. Similarly, perhaps we will someday find that “human nature” has some moral value, if and when we are able to create beings that lack the basic human capacities that we value. But as the story of Thomas Beatie makes clear, pregnant transgendered men are not at all transhuman.Comments are sent to the forum moderator. Select responses may be posted.
A Phony 'War on Science'
Michael Gerson, Washington Post
“In their talk of a Republican war on science, liberals may be blinding themselves to a very different kind of modern war in which their own ideals are deeply implicated: a war on equality.”
It’s Not Immoral to Want to be Immortal
Arthur Caplan, MSNBC
“Despite a lot of hand-wringing and finger-pointing, it is not obvious that wanting to live a lot longer is evil or immoral.”
Science Is Leading Us to More Answers, but It's Also Misleading Us
David A. Shaywitz, Washington Post
“Consumers of scientific information must balance the hope we place in global biology with the skepticism this field has surely earned.”
Taking the Scary out of Breast Cancer Stats
Carol Tavris and Avrum Bluming, LA Times
“The media understand how deeply women fear breast cancer, and the result is that every study that seems to find a link between some new risk factor and the disease makes headlines everywhere.”
Dollars to Doughnuts Diagnosis
Albert Fuchs, LA Times
“Insurance doesn't make routine care affordable; it makes it more expensive by adding a middleman.”
Tainted Medicine
Jerome P. Kassirer, LA Times
“Disclosure of financial ties may give a scientist or researcher a clean conscience, but that doesn't erase the possibility of a conflict.”
Children's health can't be left to faith alone
Arthur Caplan, MSNBC
“Parents do not have the right to watch a child wither away while they pray.”
Transplant List Numbers Raise Doubts
Arthur Caplan, MSNBC
“The American people have a right to expect absolute honesty about the number of people waiting for a transplant at any time.”
An Epidemic No One Wants to Talk About
Robert E. Fullilove et al., Washington Post
“Simply put, we will never rid the United States of HIV and other STDs if our only weapon is medical treatment.”
Making Cells Like Computers
Erik Parens, Boston Globe
“Conceivably, we are on the verge of installing synthetic genomes in bacterial cells to create products we want. But we are still a long, long way from doing what most people mean by ‘synthesizing life.’”
Miracle Workers?
David Rieff, New York Times Magazine
“Even today, the oldest of all relations between patient and physician — that of supplicant to shaman — continues to exert its authority.”
Overselling Overmedication
Judith Warner, NYTimes.com
“Most of the critics decrying the over-medicalization of the American mind rest their arguments upon the bedrock assumption that people who have nothing wrong with them are being medicated for largely fictitious concerns.”
Ads Spur Urge for Drugs
David Lazarus, LA Times
“DTC advertising has turned prescription drugs into just another gotta-have-it consumer product.”
Food Politics, Half-Baked
James E. McWilliams, New York Times
“Lost in this rhetorical battle was a quiet middle ground where the benefits and drawbacks of genetically engineered crops were responsibly considered.”
Perpetrating the Autism Myth
Benjamin Kruskal and Carole Allen, Boston Globe
“The scientific evidence is clear: neither the MMR vaccine nor thimerosal (mercury) in vaccines has any relationship to autism.”
Closing the Barn Door After the Cows Have Gotten Out
Verlyn Klinkenborg, New York Times
“The real beneficiaries are the nation’s large meatpacking companies — the kind that would like it best if chickens grew in the shape of nuggets.”
Human Embryos Cloned: What Does It Mean?
Art Caplan, MSNBC
“Let's not be frightened by scare tactics into not funding research that may be the key to curing what is currently incurable.”
Don’t Ask, Don’t Tell Is Bad Policy for Cloned Food
Art Caplan, MSNBC
“All of this fear-mongering about clones has made Americans forget that cloning is nothing more than artificially creating twins.”