Why we can almost guarantee that genetic enhancement will never be fairly distributed

By Sinead Prince.

We’ve been discussing the possibility of genetic enhancement, and the ethics of such technology, for some time now. Many people are quite cautious about the idea of genetically modifying embryos as well as adults, but others have begun waving the green flag rigorously.

Genetic enhancement is the modification of genes using technologies such as CRISPR, for the purpose of bringing about specific kinds of physical traits e.g., blue eyes, bigger muscles, more reliable memories, and empathetic personalities. There are many questions these possibilities raise. For example, should we be modifying human nature? Is this actually good for us? Can we distribute this technology fairly?

It is the last question that I am concerned with. Proponents and critics of genetic enhancements alike argue that this can be done. Some argue that we will eventually distribute genetic enhancements, like all other technologies, through trickle down economicsOthers argue that governments will actively distribute genetic enhancements equally because such technologies will boost productivity and therefore the economy. Others argue that we might be able to distribute genetic enhancements in such a way as to mitigate social or economic disadvantage.

The fundamental problem with all these solutions and ideas is that they misunderstand how genes produce physical traits. The process by which genes produce physical traits is complex and still not entirely understood. However, one important process is the gene-environment interaction. Our environments can directly impact our physical traits by, for example: physically changing our DNA sequences, activating or inactivating specific genes, or intervening in the chemical environment that is responsible for instructing our DNA to make proteins.

These environments are relevant to genetic enhancements. For example, although we cannot choose our parents, our skin colour, or our childhood environments, these all directly impact our physical traits including our cognitive abilities and capacities to manage stress. Our socioeconomic class also directly and indirectly impacts our physical traits. Those with low socioeconomic class, for instance, age faster than their chronological age. They also experience a disproportionate burden of morbidity, poor exerciseincreased alcohol and tobacco consumption, and poor diets, all of which are known environments that produce pathological changes to our physical traits. Furthermore, they lack the same opportunities to express and exercise certain physical traits, such as quality education, and extracurricular activities.

We have also begun to realise how some environments actually produce better outcomes when they interact with specific genes. For example, better responses to social feedback and better skill development.

Even if we all had access to genetic enhancements, those subject to social, racial, and economic inequalities, will still suffer the same pathological changes to their physical traits. They might still technically have the ‘smart’ or ‘music’ genes, but if they cannot also enjoy an adversity-free childhood or go to quality schools on a regular basis, or access musical lessons, they will not enjoy the same physical traits as their peers. Those with positive environments will therefore not only enjoy the benefits of being ‘smart’, but will not experience pathological changes to the very genes that were enhanced. Equal access to genetic enhancement will not produce a fair distribution of the intended benefits of genetic enhancements. We don’t know the exact extent of such inequality, but we do know that if we seek to justify genetic enhancements on the grounds that they can be fairly distributed, the distribution of such physical traits cannot arise without social change.

Even proposals to distribute enhancements to compensate those suffering from inequality, such as by only enhancing them with ‘smart’ genes or giving them ‘resilient’ genes to change, are not straightforward. First, how does being smart compensate for a life of inequality and exclusion? If you are smart, but still cannot go to school because of socioeconomic inequality, you cannot express such enhancements and develop your physical traits. Second, enhancing people to be resilient to inequality does not justify the inequality they continue to suffer. Being cognitively enhanced is not moral compensation for suffering racism. If ensuring equality of physical traits is the aim in our ethical reasoning, removing the inequalities that already pathologically interfere with people’s genes is our first priority.

The gene-environment interaction will prevent any method of distribution from arising as intended. This means that no matter which way we distribute enhancement to achieve fairness, the inequality from our social, racial, and economic environments will always prevent such outcomes from arising. Furthermore, such distribution will exacerbate inequalities by improving the genes of those already privileged with positive environments.

The gene-environment interaction is missing from debates about the distribution of genetic enhancements. This undermines the argument that genetic enhancements are morally permissible because they can be distributed fairly. This is not to say we must ban genetic enhancements, but to show how we can achieve equality, by removing barriers that cause people to experience disadvantage and harm in the first place.

Paper title: The gene-environment interaction: Why genetic enhancement might never be distributed fairly

Author: Sinead Prince

Affiliations: Australian Centre for Health Law Research, Queensland University of Technology

Competing interests: None

Social media accounts of post author: @sinead_prince

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