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Wednesday, February 29, 2012

Lebens Unwertes Leben

“Wherever the real power in a Government lies, there is the danger of oppression." — James Madison

The phrase "life unworthy of life" (in German: "Lebensunwertes Leben") was a Nazi designation for the segments of populace which had no right to live and thus were to be "euthanized". The term included people with serious medical problems and those considered grossly inferior according to racial policy of the Third Reich. This concept formed an important component of the ideology of Nazism and eventually helped lead to the Holocaust.

This Nazi policy was the off shot of the Eugenics Movement. At its peak of popularity eugenics was supported by a wide variety of prominent people, including Winston Churchill, Margaret Sanger, Marie Stopes, H. G. Wells, Theodore Roosevelt, George Bernard Shaw, John Maynard Keynes, John Harvey Kellogg, Linus Pauling, and Sidney Webb Many members of the American Progressive Movement supported eugenics, seduced by its scientific trappings and its promise of a quick end to social ills. Its most infamous proponent and practitioner was, however, Adolf Hitler who praised and incorporated eugenic ideas in Mein Kampf and emulated Eugenic legislation for the sterilization of "defectives" that had been pioneered in the United States.

Eugenics became an academic discipline at many colleges and universities, and received funding from many sources. One of the leading schools in the United States was the University of Indiana. Three International Eugenics Conferences presented a global venue for eugenicists with meetings in 1912 in London, and in 1921 and 1932 in New York. Eugenic policies were first implemented in the early 1900s in the United States. Later, in the 1920s and 30s, the eugenic policy of sterilizing certain mental patients was implemented in a variety of other countries, including Belgium, Brazil, Canada, and Sweden, among others. The scientific reputation of eugenics started to decline in the 1930s, a time when Ernst Rüdin used eugenics as a justification for the racial policies of Nazi Germany, and when proponents of eugenics among scientists and thinkers prompted a backlash in the public. Nevertheless, in Sweden the eugenics program continued until 1975.

Since the postwar period, both the public and the scientific communities have associated eugenics with Nazi abuses, such as enforced racial hygiene, human experimentation, and the extermination of "undesired" population groups. However, developments in genetic, genomic, and reproductive technologies at the end of the 20th century have raised many new questions and concerns about what exactly constitutes the meaning of eugenics and what its ethical and moral status is in the modern era. [Source: Wikipedia]

Eugenicists advocate specific policies that (if successful) they believe will lead to a perceived improvement of the human gene pool. Since defining what improvements are desired or beneficial is perceived by many as a cultural choice rather than a matter that can be determined objectively (e.g., by empirical, scientific inquiry), eugenics has often been deemed a pseudoscience. The most disputed aspect of eugenics has been the definition of "improvement" of the human gene pool, such as what is a beneficial characteristic and what is a defect. This aspect of eugenics has historically been tainted with scientific racism.

Early eugenicists were mostly concerned with perceived intelligence factors that often correlated strongly with social class. Many eugenicists took inspiration from the selective breeding of animals (where purebreds are often strived for) as their analogy for improving human society. The mixing of races (or miscegenation) was usually considered as something to be avoided in the name of racial purity. At the time this concept appeared to have some scientific support, and it remained a contentious issue until the advanced development of genetics led to a scientific consensus that the division of the human species into unequal races is unjustifiable. This was one of the theories advanced by Margaret Sanger, the founder of Planned Parenthood

Eugenics has also been concerned with the elimination of hereditary diseases such as hemophilia and Huntington's disease. However, there are several problems with labeling certain factors as genetic defects. In many cases there is no scientific consensus on what a genetic defect is. It is often argued that this is more a matter of social or individual choice. What appears to be a genetic defect in one context or environment may not be so in another. This can be the case for genes with a heterozygote advantage, such as sickle-cell disease or Tay-Sachs disease, which in their heterozygote form may offer an advantage against, respectively, malaria and tuberculosis. Although some birth defects are uniformly lethal, disabled persons can succeed in life. Many of the conditions early eugenicists identified as inheritable (pellagra is one such example) are currently considered to be at least partially, if not wholly, attributed to environmental conditions. Similar concerns have been raised when a prenatal diagnosis of a congenital disorder leads to abortion.

After the end of the Second World War and details of the Holocoust and the Nazi policies of extermination became well known promoters of Eugenics became less and less.

Today with the constant push for abortion we have entered a new era where Eugenics for financial or social reasons is gaining open support.

Two ethicists working with Australian universities argue in the latest online edition of the Journal of Medical Ethics that if abortion of a fetus is allowable, so to should be the termination of a newborn.

Alberto Giubilini with Monash University in Melbourne and Francesca Minerva at the Centre for Applied Philosophy and Public Ethics at the University of Melbourne write that in “circumstances occurring after birth such that they would have justified abortion, what we call after-birth abortion should be permissible.”

The two are quick to note that they prefer the term “after-birth abortion“ asNewborn-620x407 opposed to ”infanticide.” Why? Because it “emphasizes that the moral status of the individual killed is comparable with that of a fetus (on which ‘abortions’ in the traditional sense are performed) rather than to that of a child.” The authors also do not agree with the term euthanasia for this practice as the best interest of the person who would be killed is not necessarily the primary reason his or her life is being terminated. In other words, it may be in the parents’ best interest to terminate the life, not the newborns. (Note the change in language from infanticide to after-birth abortion)

The circumstances, the authors state, where after-birth abortion should be considered acceptable include instances where the newborn would be putting the well-being of the family at risk, even if it had the potential for an “acceptable” life. The authors cite Downs Syndrome as an example, stating that while the quality of life of individuals with Downs is often reported as happy, “such children might be an unbearable burden on the family and on society as a whole, when the state economically provides for their care.”

This means a newborn whose family (or society) that could be socially, economically or psychologically burdened or damaged by the newborn should have the ability to seek out an after-birth abortion. They state that after-birth abortions are not preferable over early-term abortions of fetuses but should circumstances change with the family or the fetus in the womb, then they advocate that this option should be made available. In essence “Lebensunwertes Leben

The authors go on to state that the moral status of a newborn is equivalent to a fetus in that it cannot be considered a person in the “morally relevant sense.” On this point, the authors write:

Both a fetus and a newborn certainly are human beings and potential persons, but neither is a ‘person’ in the sense of ‘subject of a moral right to life’. We take ‘person’ to mean an individual who is capable of attributing to her own existence some (at least) basic value such that being deprived of this existence represents a loss to her.

[...]

Merely being human is not in itself a reason for ascribing someone a right to life. Indeed, many humans are not considered subjects of a right to life: spare embryos where research on embryo stem cells is permitted, fetuses where abortion is permitted, criminals where capital punishment is legal.”

The authors go on to state:

The authors go on to state that the moral status of a newborn is equivalent to a fetus in that it cannot be considered a person in the “morally relevant sense.” On this point, the authors write:

“Both a fetus and a newborn certainly are human beings and potential persons, but neither is a ‘person’ in the sense of ‘subject of a moral right to life’. We take ‘person’ to mean an individual who is capable of attributing to her own existence some (at least) basic value such that being deprived of this existence represents a loss to her.

[...]

Merely being human is not in itself a reason for ascribing someone a right to life. Indeed, many humans are not considered subjects of a right to life: spare embryos where research on embryo stem cells is permitted, fetuses where abortion is permitted, criminals where capital punishment is legal”

Giubilini and Minerva believe that being able to understand the value of a different situation, which often depends on mental development, determines personhood. For example, being able to tell the difference between an undesirable situation and a desirable one. They note that fetuses and newborns are “potential persons.” The authors do acknowledge that a mother, who they cite as an example of a true person, can attribute “subjective” moral rights to the fetus or newborn, but they state this is only a projected moral status.

The authors counter the argument that these “potential persons” have the right to reach that potential by stating it is “over-ridden by the interests of actual people (parents, family, and society) to pursue their own well-being because, as we have just argued, merely potential people cannot be harmed by not being brought into existence.”

And what about adoption? Giubilini and Minerva write that, as for the mother putting the child up for adoption, her emotional state should be considered as a trumping right. For instance, if she were to “suffer psychological distress” from giving up her child to someone else — they state that natural mothers can dream their child will return to them — then after-birth abortion should be considered an allowable alternative.

The authors do not tackle the issue of what age an infant would be considered a person.

The National Catholic Register thinks that these authors are right — once you accept their ideas on personhood. The Register states that the argument made by the ethicists is almost pro-life in that it “highlights the absurdity of the pro-abortion argument”:

“The second we allow ourselves to become the arbiters of who is human and who isn’t, this is the calamitous yet inevitable end. Once you say all human life is not sacred, the rest is just drawing random lines in the sand.”

First Things, a publication of the The Institute on Religion and Public Life, notes that while this article doesn’t mean the law could — or would — allow after-birth abortions in future medical procedures, arguments such as “the right to dehydrate the persistently unconscious” began in much the same way in bioethics journals.

The editor of the Journal of Medical Ethics today defended his decision to publish an article in which two ethicists advocated “after-birth abortion.” What was truly surprising about the article, editor Julian Savulescu writes, is not that the authors find infanticide morally permissible — but, rather, that opponents to infanticide would react to the article with vehemence. From Savulescu’s defense:

“What is disturbing is not the arguments in this paper nor its publication in an ethics journal. It is the hostile, abusive, threatening responses that it has elicited. More than ever, proper academic discussion and freedom are under threat from fanatics opposed to the very values of a liberal society.

What the response to this article reveals, through the microscope of the web, is the deep disorder of the modern world. Not that people would give arguments in favour of infanticide, but the deep opposition that exists now to liberal values and fanatical opposition to any kind of reasoned engagement.”

Note his reference to a “liberal society.” Savulescu might have a point that some of the responses to the article crossed the line. Of those he quoted, a couple were overtly racist and at least one was an outright death threat to anyone who would willingly perform an “after-birth abortion.” But that he doesn’t see the arguments forwarded by the authors as evidence of “the deep disorder of the modern world” is far more disturbing than comments thoughtlessly dashed off by justifiably outraged opponents of infanticide.

Sir Thomas More wrote in his 1516 book Utopia, describing a fictional island in the Atlantic Ocean where the people lived in a utopian society. The term has been used to describe both intentional communities that attempt to create an ideal society, and fictional societies portrayed in literature. More described Utopia as being a place where masterminds made all of the decisions and where the old and infirm were urged to commit secede as their lives no longer had a value to the community and were a drain on the community’s resources. The masterminds also allowed a limited number of children in order to control the population so they could maintain the quality of life on the island.

Once upon a time, abortion advocates would accuse pro-lifers of “slippery slope logic” when those pro-lifers suggested it was only a matter of time before someone would use the abortion advocates’ arguments to defend infanticide. According to Savulescu, that began to happen a long time ago — and it continues to happen today. Turns out, it is a slippery slope, after all. If humans don’t have a right to life from the moment of conception, when does the right to life kick in? The moment a human becomes a person? When is that? Who determines when? The standard becomes movable — and, consequently, impossible to uphold.

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