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45 pages 1 hour read

Michael J. Sandel

The Case Against Perfection: Ethics in the Age of Genetic Engineering

Nonfiction | Book | Adult | Published in 2007

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Chapter 4Chapter Summaries & Analyses

Chapter 4: “The Old Eugenics and the New”

Chapter 4, Introduction and Section 1 Summary: “The Old Eugenics”

Eugenics initially developed in the late 1800s. Sir Francis Galton coined the term, which comes from Greek roots and means “well born.” Eugenics began in a deliberate misreading of Charles Darwin’s theory of natural selection: Since nature dictates survival of the fittest, the eugenicists argued, only those who are fit should procreate.

The idea became popular in the US in the early 1900s. Some early arguments in favor of birth control framed it as a necessary eugenic tool. Beginning in 1907, states like Indiana forcibly sterilized anyone deemed unfit. These sterilization efforts impacted an estimated 60,000 Americans across 29 states. People with mental health conditions were common targets of eugenic programs.

Adolf Hitler was a fan of the American eugenics project and implemented his own version of it in Germany. In a grotesque irony, he wrote that eugenics would “spare millions of unfortunates undeserved sufferings” (67), making it ultimately a humanitarian practice. American newspapers suggested that Hitler’s eugenics program was “an aspect of the new Germany that America, with the rest of the world, can little afford to criticize” (67). The atrocities that Hitler and his regime committed during WWII led many Americans to rethink eugenics. In the early 2000s, some states formally apologized for forcibly sterilizing people. Today, many people compare genetic enhancements to eugenics. Others suggest that the two things are different, and that if genetic engineering could be done without coercion, it would not be morally wrong or comparable to eugenics.

Chapter 4, Section 2 Summary: “Free-Market Eugenics”

Sandel gives an example of what he considers a non-coercive eugenics policy: in Singapore in the 1980s, educated women received government incentives to have children, while uneducated women received incentives to undergo sterilization. Everyone was free to accept or refuse these incentives. Some people, Singaporean women not least among them, still found this system to be coercive. Sandel believes that coercion aside, there is something else wrong with eugenics. James Watson, one of the scientists who first described the structure of DNA, generated controversy when he said that parents should be able to terminate a pregnancy if they learned that the fetus would grow up to be gay. He later clarified that he was not singling gay people out; he believed parents should have the right to end a pregnancy on the basis of anything they perceived to be a genetic defect. That his position remained unpopular suggests that many people object to eugenic decisions about one’s own children, even when coercion is not part of the conversation.

The egg and sperm market is not wholly disconnected from eugenics. It is already possible for parents to seek out sperm or egg donors who have certain genetic traits that they deem desirable and, implicitly, to reject potential donors who do not have those traits. Some early sperm and egg banks, like The Repository for Germinal Choice, had explicitly eugenicist goals. Most contemporary sperm and egg repositories deliberately distance themselves from eugenicist thought. However, they still tend to favor sperm and eggs from donors whose genetic traits are deemed desirable. The only difference is that they are trying to cater to their customers’ demands, not to a rigid eugenic ideal. Sandel sees no difference between the two, arguing that “both practices are eugenic insofar as both make children into products of deliberate design” (75).

Chapter 4, Section 3 Summary: “Liberal Eugenics”

Today, some people argue for a new kind of eugenics. They believe that parents should be able to choose their children’s genetic characteristics, provided that their choices do not impinge on the children’s autonomy. This is more morally acceptable than the old eugenics, they argue, because parents’ preferences need not follow a strict mandate of what constitutes “fitness.” It is acceptable, and perhaps even obligatory, for parents to genetically engineer their children if their actions “make the lives of future generations of human beings longer and more full of talent and hence achievement” (76), argues philosopher Ronald Dworkin. While the old eugenics movement was, at least theoretically, interested in improving the human race, liberal eugenics is all about individual choice.

If genetic enhancements could be made entirely safe and could benefit all children—that is, could avoid biasing children toward a particular life path—some bioethicists believe they could become morally obligatory. Jürgen Habermas, a German philosopher, offers an argument against this view. He believes that it curtails people’s autonomy as they are no longer “the sole authors of their own life history” (80), and that it gives parents too much control over their children’s lives. Sandel rebuts this: Nobody is free to choose their genetic background, and parents can exert undue control over their children in lots of other ways. However, he agrees that genetic intervention “corrupts parenting as a social practice governed by norms of unconditional love” (83), gives parents too much control over children, and erases what makes children naturally unique.

Chapter 4 Analysis

Chapter 4 presents a history of eugenics as a cautionary tale, illustrating just how wrong things can go when societies place excessive emphasis on Mastery and Control. In the early 20th century, many respected thinkers advocated eugenics, and in Sandel’s framing, it was not until after the horrors of the Holocaust in Nazi Germany had been exposed to the world that these ideas were thoroughly discredited. The purpose of this history, for Sandel, is to show how easily harmful ideas can take root and come to seem like common sense. Genetic engineering, in Sandel’s view, represents a “new eugenics,” and history will come to view it just as unfavorably as the “old” eugenics.

If the promises of genetic engineering seem too good to resist, Sandel argues that this is because Openness to the Unbidden is difficult to fully accept. It means accepting that one cannot dictate the shape of other people’s lives—even the lives of one’s children. As an example of the dangers of too much mastery and control, Sandel cites the geneticist James Watson, who argued that parents should be able to terminate a pregnancy if they learn that the fetus carries a gene predisposing the eventual child to be gay. For Sandel, this self-evidently immoral idea is evidence of the eugenicist tendencies inherent to genetic engineering: Rather than working to eliminate social prejudices, genetic engineering means designing people to conform to those prejudices. Editing a child’s genome may not violate their autonomy, but it does violate their personhood. It would, after all, presumably be unethical to edit the DNA of one’s spouse, friend, sibling, or parent, especially without their prior consent; children are also complete people whose DNA should not be subject to the whims of others.

This normative principle is the core distinction Sandel draws between Health and Eugenics. Eugenics does not seek simply to eliminate illness and suffering: It is a framework that positions certain people as inherently more valuable than others. Eugenics is inextricable from racism and white supremacy: Forced sterilizations in the United States disproportionately targeted Black and Indigenous women. It is also a classist doctrine that frames the eradication of poor people (rather than the amelioration of their living conditions) as the solution to poverty. Eugenics is ableist, framing people with disabilities as unfit for life and suggesting that their lives cannot be rich, full, and worth living because they fail to meet an arbitrary standard of health or ability. For Sandel, genetic engineering repeats the same mistakes.

Eugenics is always based on a desire for Mastery and Control over a population. Fitness is not a truly biological or quantifiable concept; it is primarily a social construct. Standards of “fitness” change as societies and economies develop. Any eugenic project is therefore inherently discriminatory: There will always be people who fit into an arbitrary standard of fitness better than others. The end goal of eugenics is not, as people like Galton claimed, the propagation of a healthier, stronger human race. It is genocide and the establishment of a rigid racial hierarchy. Hitler’s actions in Germany testify to exactly how eugenics and the categorization of human beings can lead to unmitigated horror.

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