In a recent article for First Things, Maureen L. Condic, PhD, Assistant professor of Neurobiology and Anatomy at the University of Utah, presents a convincing argument for meaning of the death protocol (used when organ harvesting is anticipated) to also be used when contemplating prenatal life. She has stated accurately that, “… the loss of integrated bodily function, not the loss of higher mental ability, is the defining legal characteristic of death.”
That is an accurate assessment of the meaning but there is confusion regarding this protocol because it addresses ‘brain death’, yet it doesn’t refer to loss of thinking ability. It should not be assumed that ‘being alive’ as a human being is solely a function of higher brain functioning, or even dependent upon the organ called brain.
To paraphrase Dr. Condic’s assertion: to be alive as an ORGANISM, the organism is functioning as an integrated whole, rather than life being defined solely from an organ, a form within the organism. The one organ defines alive notion was the perspective decades ago. People focused upon one organ when the heart was believed to be the center of function, before organ harvesting became a reality. When the heart stopped beating, the person was thought to be dead, thought to be no longer a functioning, integrated whole organism. Today, doctors routinely stop and start the heart, keeping the patient functioning for survival, viable as an integrated whole via artificial heart and lungs.
A person in an unrecoverable coma or vegetative state has no higher brain function, yet their body continues to function as an integrated whole. As Dr. Condic puts it, “Although such patients are clearly in a lamentable medical state, they are also clearly alive, [so] converting such patients into corpses requires some form of euthanasia. … Human life is defined by the ability to function as an integrated whole, not by mere presence of living human cells.”
Functioning as an integrated whole is far more complex than mere cellular structures, and the older the organism (in the first year from conception of the individual), the more the aliveness is spread out into sub-unit forms (the developing organs) of the alive yet integrated organism; the younger the human organism is, the less differentiated the sub-units are, the less spread out among forms is the integrated function.
A poster on an Internet discussion thread recently asserted that, “Unless you are looking at the issue [prenatal human life] solely from a religious standpoint, rational thinking minds would conclude that at 5-7 weeks, a fetus is not fully formed and is not a human life until at least 11-13 weeks.”
The first order in addressing such an assertion is the false comment that the earliest life of the conceptus is not human life. It is a human life, clearly, because the sex cells that conceived the new life are from human beings. The second glaring inaccuracy relates to the notion that at 5 – 7 weeks accepted definition holds the individual life to be in embryonic stage, not the fetal stage. [I prefer to use the term age as opposed to stage, since an age is but a segment along a continuum, and human lifetime is a continuum from conception until death.] Precise transition from embryo to fetus is not so easily assigned, however.
In order to accurately apply the meaning of the death protocol offered in Dr. Condic’s article, we will have to show how an embryo is more than a mere collection of cells. We will have to show how the embryo is in fact a functioning, integrated whole human organism. If the embryo can be defined on this basis, the definition of an alive, individual human being would fit, and the human being should be protected from exploitation and euthanasia.
What is the focus of the transition from embryo age to fetal age are the organs of the fetus. It is generally held that the organs are all in place when the individual life is redefined as a fetus. The gestational process during the fetal age is a process of the already constructed organs growing larger and more functional for survival. But during the fetal age, the not yet fully functional organs are not the sole sustainer of the individual life. The placenta is still drawing nourishment from the woman’s body and protecting the individual from being rejected as foreign tissue. If we are to apply the notion of a functioning integrated whole to define individual aliveness, the organs necessary for survival must all be included. Since the primitive brain stem and other organs such as primitive lungs, to be relied upon at a later age in the individual’s lifetime, are not yet fully functional, some other organ will have to be responsible for the functioning whole.
The first organ that a conceived human individual builds for its own survival is the placenta. This first organ is so important to the organism’s survival that in vitro fertilization doctors will not attempt implantation of an embryo until the encapsulating structure is in evidence. The newly constructed placental barrier is the organ that sends chemical messages to the uterine lining, for attachment to the woman’s life support system. This newly constructed barrier organ continues to grow and thicken, and is also what tricks the woman’s immune system into not rejecting the implanting life. The placenta functions as a survival capsule in which the alive, individual human being builds the other organs for later survival when exiting the womb.
Because of this amazing placental organ, an embryo is alive, functioning as an integrated whole organism. Further, it is an already alive organism that builds the organs of the later-age human body. It is not the woman’s body that builds the second individual on life support in her body.
The newly conceived life is a distinct and very much separate individual human being from the woman in whom it resides and grows. The Mother does not built the placental organ, nor any of the organs of the new individual, though it is from her body that the new individual receives protection and nourishment during the first age of its own lifetime, while that new individual organism builds the form (organs and structure) it will use for survival in the air world.
There is a popular argument that the transition from embryo to fetus is an acceptable stopping point for abortion on demand ... prior to the fetal stage, the woman would have exclusive right to determine which embryos will continue receiving a woman's life support and which will be disposed of for whatever reason the woman chooses to cite. If our society is to go down that road, let us not be dishonest in assigning non-human being status to the embryos euthanized.
It is scientifically impossible to discover a precise point when the individual alive being transitions from only embryonic to fully fetal in nature. Because that topic is deeply dependent on not so easily explained scientific facts, allow me to move to the next objection to such an arbitrary assignment of value when contemplating euthanasia.
Prior to the fetal age of the individual lifetime, the organs necessary for survival as a fully functional human being in the air world are not present but are being built by the embryo and looped into the primitive brain, the brain stem. The lungs are not sufficiently developed to support breathing until as old as twenty-one weeks from conception.
If survival functioning of brain and lungs and heart is what will be chosen to define an alive, viable, individual human being, it is important to note that the first organ built by the newly conceived individual, the first and crucial organ for survival is cast off at birth! That is why the choice of fetal age is so arbitrary in the false assertion that fetuses should be protected while embryos should not (should not, based on the specious notion of an integrated whole organism functioning for survival and growth and development only when the fetal age--with the organ structures for future survival--is reached). A human embryo fits the protocol for an alive, functioning, integrated whole organism, the same protocol upon which organ harvesting depends when contemplating the death of a human organism.
In the not so distant future, science will devise an artificial chamber, in which an alive, functioning, integrated whole human being in early fetal age may be sustained, kept alive. Following that seeming miracle, the artificial means will be devised for supporting the embryo into the fetal age. It is vital that our society rightly defines an individual human being’s aliveness, before the weighty issues of personhood, right to life, right of privacy, and property rights run headlong into the dehumanization of individual lifetimes.
In science, it is often the simplest solution that is the most elegant solution to a problem. Since the embryo builds its own survival capsule (the placenta) to allow it to have shelter and nourishment, it is elegantly factual to assert that the embryo is an alive, integrated whole for that age of its lifetime begun at conception. The embryo is no less an individual human being with at least one functioning organ that allows the integrated whole to survive into the future ages of the lifetime already up and running.
”viability”??? So we can terminate those with Cerebral palsy, Cystic fibrosis, Spina bifida, Tay-Sachs disease, Down syndrome, Muscular dystrophy…et al 3000 genetic diseases because they can’t exist on their own? That’s what your Liberaltarian social experiment is about? Thank God your political “system” is so irrelevant and common sense prevails.
Now you’re not only a hypocrite and a liar but no better than a Nazi.
Good morning, tp !
This legal definition is a silly one. Viability ? With what support ? Show me a newborn that can exist separately of extensive care by adults, and I'll grant the "viability" issue.
The fact is that now any "fetus" beyond the stage of an unfertilized egg can be "viable" given the right level of support. So "viability" falls on its face.
The only unimpeachable line falls at conception. After that, intentional acts to harm or expel the fetus person look like homicide to me.
And yes, the woman has a choice - right up until the time she commits the act leading to conception.