Bioethics, Bio1ogy, and The Biosphere: by Van Rensselaer Potter

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Bioethics,

Bio1ogy, and the Biosphere


The Report's editorial mandare is
both to examine issues of current
importante and to invite bioethics
to broaden the range of issues it
probes. Thus along with articles ex-
ploring the relationship between pa- by VAN RENSSELAER POTTER
tients and doctors, or health policy,
or any of the myriad other familiar
concerns of ethics in medicine, from t was Aldo Leopold at the Uni- nomic, entailing privileges but not
time to time the Report has pub- versity of Wisconsin who saw obligations ."' Leopold realized that
lished articles about public health, the coming environmental crisis the task of democracy, to say noth-
animal experimentation, or "envi- as a failure of economic activiry to ing of governments in general,
ronmental ethics" broadly construed. proceed on an ethical basis. The would not be simple . He tried to
problem lay in the fact that there develop an ethic to supplement and
The most recent was the special sup-
simply was no environmental ethic. guide the relationship to land, "a
plement Nature, Polis, Ethics in the Curt Meine, in his masterful bio- mode of guidance for meeting eco-
November-December (1998) issue. graphy of Leopold, showed how logical situations so new or intricate,
Some, of course, have argued that Leopold developed an environmen- or involving such deferred reactions,
"bio-ethics" ought always to encom- tal ethic after he reflected on the that the path of social expediency is
pass concern for issues beyond the ethics of his time as having devel- not discernible to the average indi-
oped in two stages.' In simple terms, vidual. " 4 This insight led me in turn
bedside. When the biologist Van
it all began with the relation berween to the original conception of what
Rensselaer Potter proposed the term individuals. Leopold saw the second might now be called " bridge bio-
bioethics nearly thirry years ago, the stage as the reciprocal relation be- ethics":
field he had in mirad lay at the inter- tween individuals and society, sug-
If there are "rwo cultures" that
section of ethics and the biological gesting that the Golden Rule fries
seem unable to speak to each
sciences in general. In light especially to integrare the individual with soci-
other-science and the humani-
ery, while democracy fries to inte-
of Nature, Polis, Ethics's call for a ties-and if this is part of the
grare social organization and the in-
substantive "humans-nature ethics" reason that the future seems in
dividual. Then carne the intellectual
doubt, then possibly we might
it seems appropriate, therefore, to in- leap: "There is as yet no ethic deal-
build a "bridge to the future" by
vite one of the earliest proponents of ing with man's relation to the land
building the discipline of Bio-
a generous understanding of bio- and to the animals and plants which
ethics as a bridge between the two
ethics to reflect on the character of grow upon it."'
cultures. s
But there was a catch twenty-two
the field and the questions with
to creating a land ethic: "Land, like
which it should grapple. Below Pot- Odysseus' slave girls, is still property.
ter and colleague Peter Whitehouse The land-relation is still strictly eco-
share their thoughts on this most s Chis understanding of bio-
interdisciplinary of disciplines. ethics has been narrowly rede-
Van Rensselaer Pottcr, "Fragmented Ethics and
-B-JC, GK `Bridge Bioethics,"' Hastings Center Report 29, fined by medical ethicists, as it has
no. 1 (1999): 38-40. developed finto "global bioethics,"6

HASTINGS CENTER REPORT january-February 1999


and as it has come to be envisioned as an ethic that integrales our relation- logical citizenship as parí of a global
"deep and global, Leopold's worry ships with each other and the land bioethic for sustainability in a hu-
about the "path of social expediency" into a single system."9 mane world society. Joan Engel has
has become the leading problem as The goals outlined by Strachan defined democratic ecological citizens
we face the twenty-first century and Donnelley and colleagues in Nature, in terms of their most basic traits:
the third millenium. The economice Polis, Ethics are agreeably stated by
• concern that nature continue to
of land as properry is still a sticking Lewis when he writes:
flourish and be an integral, val-
point, and the ethics specialties have
An acceptable social ethical stan- ued part of human experience,
failed to deal with a problem that
dard is more often mea when we
calls upon environmental ethics, agri- • insight that local regions are
have a life-support system that as-
cultural ethics, and social ethics to nested in a larger reality, and
sures us of the basis for life, beau-
come to terms with each other as they
tiful surroundings that enhance • recognition of existing inequali-
deal in turn with earth care, farm
our behavior, a sense of place that ties of wealth and power with
care, and people tare. Social ethics
provides comfort, and a rich and intent to extend more fully and
continue to be dominated by the
diverse environment where we equitably opportunities for peo-
economic interesas of overprivileged
have the freedom to be selective in ple to improve their lives in rela-
cohorts overriding underprivileged
our choices. (p. 30) tion to nature.`
cohorts in the matter of earth tare,
farm tare, and people care, because But, Lewis cautions, "Even in pros- These estimable goals are quite in
Leopold's "average individual" across perous nations, efforts to provide harmony with what 1 have called
the spectrum is unable or unwilling housing, food, and health tare have global bioethics and with Lewis's de-
to see beyond immediate self-interest often failed to ensure adequate re- sign for tmorrow. They are the traits
and envision "ecological situations so sources for all.... Wars, slums, inad- that are found , among others, in the
new or intricate, or involving such equate food, and health problems besa of our citizens . Democratic eco-
deferred reactions, that the path of can all be the by-producís of a failed logical citizens are the people ad-
social expediency [for the long term] land ethic and diminish the opportu- dressed by Aldo Leopold.
is not discernible." nities of any constructive social ethic"
Signs of change are emerging, (p. 30).
however. Consider the Hastings Cen- These problems also represent a
ter project Nature, Polis, Ethics, which failure of contemporary professionals
takes bioethics to mean more than to act as overprivileged citizens con-
"ethics in medicine or health policy."s cerned about the plight of the under- ut what about the professionals
By examining regional issues from an privileged, who lack the "opportuni- decried by Brint? When Lewis
ethical perspective, trying to consider ties of any constructive social ethic." remarks that a failed land ethic can
together the many values and moral Steven Brint, a sociologist at the be held responsibile for the failure to
obligations pertaining to humans and University of California (Riverside), develop a constructive social ethic, he
nature, and taking nature seriously as has documented the fact that pro- places a great burden on specialties
a moral and civic regional concern, it found changes have taken place in within ethics, each of which could be
comes down squarely on the side of professional attitudes. He noted that raid to have failed to pick up the
Leopold. early in Chis century professional sta- burden of a constructive social ethic.
This kind of regional ethics vision tus was defined as much by a sense One specialiry that stands out in this
is expanded by one of the world's of ethical and public responsibiliry as connection is the medical ethics that
most outstanding regional planners by specialized knowledge, but con- has assumed the name "bioethics."
in a recent summary of views that go cluded that today "professionals in- This specialry fails to deal with the
beyond both Leopold and the Hast- creasingly define themselves strictly issues that bridge bioethics was de-
ings Center project. In Tomorrow by in terms of their command of tech- signed to cover.
Design: A Regional Design Process for nical matters, by their marketable Perhaps some fault líes with the
Sustainability, Philip Lewis (like knowledge and skills, while they are system: the academic system demands
Leopold, a professor at the Universiry relatively skeptical about moral cer- that young scientists focus on their
of Wisconsin) declares, "The Region- tainties."10 He might have added that profession. Perhaps among academics
al Design Process needs an ethical they are skeptical about their involve- it is only the emeritus professors who
foundation that integrales a land ment in the "democratic ecological can qualify as "ecological citizens."'
ethic with a social ethic. . . . Aldo citizenship" called for by J. Ronald The problem with medical bioethics
Leopold articulated a land ethic ... Engel." has been discussed by K. Danner
that is widely known and respected. We need to recruit all manner of Clouser in tercos of the narrow views
A further step is necessary to adopt professionals in the effort to see eco- of the medical profession as the in-

january-February 1999 HASTINGS CENTER REPORT


evitable result of the medical school parts of the world; it ought instead to never attempted to explore. Biologi-
environment: call for "human health as the global cal knowledge is the possible bridge
bioethic" in the context of the sur- between the specialties that will en-
The setting is, in fact, a kind of
vival and improvement of the human able them to come out of their isolat-
conceptual ghetto, and seems to
race, not just a chosen few.16 ed ghettos.
reflect the setting of all profession-
An environmental ethic seeks the
al schools, not just medicine.
preservation and restoration of the
When the lame presuppositions,
natural landscape, planes, and ani- 1. Curt Meine, Aldo Leopold: His Life and
purposes , and points of interest are
mals; clean air; plentiful, nonpolluted Work (Madison, Wisconsin: University of
shared by a community, it is as
water; and large areas in the wild Wisconsin Press, 1988); Aldo Leopold, A
though they are locked into a
state. It is the land ethic come of age. Sand County Almanac (New York: Oxford
ghetto. Their view of themselves, Univeriiry Press, 1987 [1949]).
The goals mesh with Nature, Polis,
others , their relationships, goals 2. Leopold, A Sand County Almanac.
Ethics's vision for the Chicago region,
and desiderata are the same." 3. Van Rensselaer Potter, Bioethics, Bridge
but affect private ownership and cor-
to the Future (Englewood Cliffs, N.J.: Pren-
Here we see the reason for the fail- porations seeking to maximize profit tice-Hall, Inc., 1971).
ures of each of the ethics specialties in the short term. The environmental 4. Van Rensselaer Potter, Global Bioethics:
to act any differently from Leopold's ethic is confronted by the agricultural Building on the Leopold Legacy (East Lans-
"average individual." They cannot ethic, which tends to demand more ing, Mich.: Michigan State Universiry Press,
discern "the path of social expedien- land under cultivation in order to 1988), pp. 19-20.

cy" in the face of situations "so new cope with an ever increasing world 5. Potter, Bioethics, p. vii.
or intricate, or involving such de- population. 6. Potter, Global Bioethics.
ferred reactions," because ethics pro- 7. Van Rensselaer Potter and Peter J.
Social ethics is on a constant colli-
Whitehouse, "Deep and Global Bioethics
fessionals were nurtured in an intel- sion course with the economic or for a Livable Third Millenium," The Scien-
lectual ghetto. capitalist ethics coming from what tist 12, no. 1 (1998): 9.
In 1970 and 1971 1 argued for might be called the free market ghet- 8. Strachan Donnelley, ed., "Nature,
bridge bioethics precisely as a vision to. The corporate drive for maximum Polis, Ethics: Chicago Regional Planning"
that was intended to build a bridge profit calls for continual growth, ex- [Special Supplement], Hastings Center Re-
port 28, no. 6 (1998): S1-S41.
between "two cultures"-science and panding markets, a limitless cheap
9. Philip H. Lewis, Tomorrow by Design:
humanities, or more specifically, bio- labor supply, and sustained popula-
A Regional Design Process for Sustainability
logical knowledge and ethics (bio- tion growth. Workers' rights, volun- (New York: John Wiley and Sons, 1996), p.
ethics)-and thereby to build a tary control of human reproduction, 23.
bridge to the future. But as we face regulation of the overprivileged class- 10. Steven Brint, In an Age of Experts:
the twenty-first century and the thid es and protection of the underprivi- The Changing Role of Professionals in Politics
millenium, bridge bioethics is called leged, world health, human dignity, and Public Life (Princeton: Princeton Uni-
versiry Press, 1994).
upon to deal not with just two cul- and justice all call upon a social ethic
11. J. Ronald Engel, "The Faith of De-
tures, but with a host of ethics spe- that is informed by all the others. mocratic Ecological Citizenship," Hastings
cialties, to each of which it must say, Deeply into this morass, religious CenterReport28, no. 6 (1998): S31-S41.
"Get out of the ghetto." ethics too often largely attempts only 12. Joan Gibb Engel, "Who Are Democ-
to achieve harmony among sectarian ratic Ecological Citizens?" Hastings Center
factions, with only a divided approach Report 28, no. 6 (1998): S21-S30.

to voluntary control of human repro- 13. Van Rensselaer Potter, "Emeritus Pro-
fessors Can, Assistant Professors Mustn't"
duction and no attention to human
[Editorial], FASEB Journal 7 (1993): 255-
ow does each specialty within survival in a decent civilization en 56.
ethics relate to the intertwined this planet in the long term. 14. Quoted in Potter, Global Bioethics,
social ethic and the land ethic in the The key concept in bridge bio- p. 79.
context of bridge bioethics? ethics is the "bridge to the future." 15. Daniel Callaban, False Hopes: Why
Medical ethics is today deeply in- This is the test applied to regional America's Questfor Perfect Health Is a Recipe
volved in what is really a very par- plans, the land ethic, solutions to the for Failure (New York: Simon and Schuster,
1998).
ochial problem, one that has been population problem, and each of the
16. Potter, Global Bioethics, p. 154.
complicated by "America s quest for specialized ethics. Aldo Leopold
17. Paul Heltne, "Basic Concepts of
perfect health."15 Parochial because would be enthusiastic to see Paul Ecology and Evolutionary Biology," Hast-
America's quest ignores the health Heltne's list of the features of "eco- ings Center Report 28, no. 6 (1998): S12-
problems of multitudes in some other logical regions," which Leopold S22.

HASTINGS CENTER REPORT january-February 1999

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