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>    Subject: ARTICLE: The Great Debate Over Stem Cell Research
>    From: Murray Charters <[log in to unmask]>
>    Date: Wed, 11 Jul 2001 22:34:47 -0700

Time.com
Thursday, July 12, 2001
The Great Debate Over Stem Cell Research

Scientists believe stem cells from human embryos could hold the
key to treatments and cures for disease. Pro-life advocates argue
using the cells is immoral, the equivalent of taking a life, even if it
is to save life. And the White House? Who knows?

BY      JESSICA REAVES

EASTERN VIRGINIA MEDICAL SCHOOL/AP
An eight-cell embryo three days after insemination

The National Institutes of Health: Stem Cells: A Primer
http://www.nih.gov/news/stemcell/primer.htm

From CNN: Donors Give Eggs, Sperm for Stem Cells
http://www.cnn.com/2001/HEALTH/07/11/stem.cells/index.html

Wednesday, Jul. 11, 2001
Suddenly, stem cells are everywhere. Once relegated to the depths
of esoteric health journals, the microscopic clusters have made their
way to the nation’s front pages.

The complexity and drama surrounding these relatively simple cells
has increased due a ticking clock: By the end of the month, President
Bush is scheduled to decide whether to continue federal funding for
stem cell research.

The question of using stem cells for research is intrinsically scientific,
and yet has become the political cause du jour in Washington. The
debate surrounding the cells threatens to rend traditional alliances,
challenging our comprehension of life and leaving some abortion
opponents in a very uncomfortable spot: Is it possible to protect the
strict boundaries inherent in the "sanctity of life" and still harvest
these cells to help the living among us?

Bringing the cells to light
In scientific terms, stem cells’ rise to fame has been straightforward:
Recent studies suggest these cells may hold the secret to treatment
— even cures — for some of our most baffling diseases, including
Alzheimer’s and Parkinson’s.

In political terms, however, the ascension has been less smooth.
At the heart of the stem cell debate is a battle over abortion — but
with a twist. Yes, these are cells from embryos. And according to the
religious orthodoxy, an embryo is life. Indeed, some pro-life
advocates have likened using stem cells for research to what Nazi
doctors did during World War II. But these cells also hold great
promise for millions of ailing patients and their families. Moreover,
many of the embryos would otherwise be unceremoniously discarded.
The political stakes are high, and almost everyone involved in the
debate has been obliged to reevaluate their position.

The political debate
For the first time in his presidency, George W. Bush finds himself in
what may prove an unwinnable situation. In the next few weeks, the
President is expected to decide whether to continue federal funding
for research on human stem cells. The administration itself is sharply
divided on the issue; HHS Secretary Tommy Thompson is fiercely in
favor of continuing the research, while White House chief of staff
Karl Rove, with one eye on the Catholic vote, has cast an adamant
ballot against it. (This, despite the fact, that the majority of Catholic
voters support federal funding.)

Embryonic stem cells are controversial. They come from the inner
cell mass of a blastocyst, the term for a fertilized egg four days after
conception. But while many pro-life advocates stand firm in their
opposition to using embryonic cells for research, others, including
Senator Orrin Hatch, have cast their lot with the scientific community
in favor of continuing research funding. High-profile activists,
including actor Michael J. Fox, who suffers from Parkinson’s disease,
have appeared before congressional subcommittees urging that
research continue. (Stem cell research, of course, will continue on
some level no matter what the President decides; private foundations,
clinics, and drug companies are unaffected by government funding).

The scientific debate
What can stem cells do for us? We don’t know, exactly. We do know,
however, that because stem cells are undifferentiated, (they aren’t
committed to becoming a liver cell, say, or a blood cell), scientists may
be able to prompt them into becoming whatever type of cell is needed.
The cells may also be able to replace damaged or sick cells in a patient
with an injury or degenerative disease.

Where are scientists getting these cells? Until very recently, the vast
majority of stem cells used in research came from discarded (or excess)
embryos stored at in-vitro fertilization clinics. If potential parents
decide against having more children, scientists working with stem
cells might ask them to consider donating the unneeded embryos to
research.

In the most controversial method, scientists can also pull stem cells
from aborted fetuses, first asking for signed consent from a patient
who’d previously (and independently) decided to terminate her
pregnancy. This is the procedure most often highlighted by pro-life
activists who oppose supporting stem cell research.

As opponents of stem cell research are quick to point out, there are
other, slightly less controversial means of culling the precious cells.
Unfortunately, none of those methods seems to yield stem cells with
the same vitality and versatility as those taken from embryos.

Is there another way?
Adult stem cells taken from the blood or organs of healthy adults have
recently demonstrated an  unexpected adaptability in lab experiments.
But these cells are marginally helpful to scientists, and do not show the
same promise as those culled from embryos. Adult cells are fairly set in
their ways, and don’t seem to grow or replicate themselves as quickly
as their younger counterparts.

New techniques for gathering the cells are in quiet development;
scientists are generally wary of disclosure, because public reaction
is difficult to predict. Revelations that scientists at a privately-funded
Virginia fertility clinic are growing human embryos with the intent of
harvesting stem cells have provoked widespread hand-wringing,
among both advocates and opponents of stem cell research.
Advocates worry that publicizing such a blatant and systematic cell
harvesting procedure can only harden hearts against the science;
in the crude terms of public relations, using stem cells from discarded
embryos is one thing, but purposefully creating an embryo only to
dismantle it is something else altogether. Opponents of the research
see the Virginia clinic’s methodology as the best indication yet that
we are carelessly sliding down the slippery slope of destroying
human life in order to advance our scientific curiosity.

Science is the search for answers
Beyond the political debate swirling around stem cells, there remains
a great deal of scientific skepticism. Will stem cells help us understand
the course of cellular development and differentiation? Could we
develop stem cells for transplant that did not set off an autoimmune
attack from their new host? Some day in the future, could scientists
use stem cells to eliminate the need for human subjects in drug tests?

For pro-life advocates, the moral cost of continuing such research
outweighs any potential benefits. For scientists, however, the
possibilities are both awe-inspiring and bewildering. No one denies
the moral dilemma of the stem cell debate. But to turn back now,
researchers say, would be tantamount to turning our backs on a
bright, sustaining light because we are terrified of the shadows it
creates.

SOURCE: TIME
http://www.time.com/time/nation/article/0,8599,167245,00.html

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