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Below please find a story taken from the September 14 issue of the
Washington Fax, an online information source covering national medical
and political news.  The article discusses the recently announced
recommendations of the National Bioethics Advisory Commission (NBAC)
regarding federal funding of stem cell research and provides an update
on the status of this important medical research issue.

Subscribers to this Listserve may be particularly interested in
President Clinton’s comments listing Parkinson’s patients as likely
beneficiaries of
advances in stem cell research.

As a founding member of the Patients’ CURe (Patients’ Coalition for
Urgent Research), the Parkinson’s Action Network works in concert with
a broad alliance of patient groups to educate Congress and the public
and encourage support for federal funding of stem cell research.

While pursuing the important work of the Patients’ CURe, the Network
remains focused on the other priorities of the Parkinson’s community,
including
doing everything possible to increase the level and focus of federal
funding for Parkinson’s research.

Questions, comments or requests for more information should be directed
to the Network’s Policy Coordinator, Michael Claeys, at (202) 628-2079
or emailed to [log in to unmask]


NATIONAL BIOETHICS ADVISORY COMMISSION RELEASES FINAL STEM CELL
RECOMMENDATIONS

As expected, the National Bioethics Advisory Commission (NBAC), in a
final report issued late yesterday, has recommended that "research
involving the derivation and use" of stem cells from human embryos
should be eligible for federal funding, asserting that the current ban
on publicly supported embryo research raises "serious moral and public
policy concerns."

"In our view, the ban conflicts with several of the ethical goals of
medicine and related health disciplines, especially healing, prevention
and research," the report states. "These goals are rightly
characterized by the principles of beneficence and nonmaleficence,
which jointly encourage pursuing social benefits and avoiding or
ameliorating potential harm."

NBAC restricts its recommendation for federal funding to work with
human embryos "remaining after infertility treatments" and to work with
aborted fetuses. The commission opposes using federal funds for
research with embryos created solely for scientific purposes, saying
that, in addition to the moral problems involved, leftover embryos,
along with aborted fetuses--a stem cell source already available to
federally-funded scientists--should "provide an adequate supply" of
material, at least for the time being.

President Clinton, who last November asked NBAC to review stem cell
research, issued a statement commending the commissioners for their
"thoroughness" in seeking all points of view. He did not comment
directly on the report's recommendations.

Clinton, however, noted that "the scientific results that have emerged
in just the past few months already strengthen my hope that one day,
stem cells will be used to replace cardiac muscle cells for people with
heart disease, nerve cells for thousands of Parkinson's patients, or
insulin-producing cells for children who suffer from diabetes."

Recent advancements in deriving stem cells from human embryos have
prompted great excitement among patient advocates and scientists, given
the stem cells' potential to become almost any type of human tissue and
to be a new source for a host of regenerative therapies. However,
opponents of embryo research say scientists should seek other methods
of achieving the same ends and should not destroy what is potentially a
human life solely for medical purposes.

The National Institutes of Health (NIH) stoked the controversy earlier
this year when, citing a legal opinion issued by the Department of
Health and Human Services, it asserted that the existing ban on embryo
research does not legally block federal grantees from working with
embryonic stem cells, as long as the cells are derived with private
funds.

NIH currently is trying to develop guidelines that could allow grantees
to seek funding for work with stem cells obtained from private sources.

The final NBAC report rewords language from a previous draft version
that said, among other things, that there is "no compelling ethical
justification for  distinguishing between the derivation and use of
human stem cells."

The final report focuses on the scientific importance of supporting
both use and derivation of stem cells. It argues that "although some
may view the derivation and use of (embryonic stem) cells as ethically
distinct activities, we do not believe these differences are
significant from the point of view of eligibility of federal funding."

"This separation--under which neither biomedical researchers at NIH nor
scientists at universities and other research institutions that rely on
federal support could participate in some aspects of this
research--rests on the mistaken notion that the two areas of research
are so distinct that participating in one need not mean participating
in the other," the report states. "We believe this is a
misrepresentation of the new field of human stem cell research and this
misrepresentation could adversely affect scientific progress for
several reasons."

NBAC notes that research in which stem cells are extracted from human
embryos can provide scientists with information crucial to both basic
understanding of cellular process and to the development of stem
cell-based therapies. The report states that those who want to see stem
cell research obtain the maximum scientific and therapeutic benefits
"within a system of
appropriate ethical oversight" should be "dissatisfied with a position"
that allows funding for use but not derivation.

Tim Leshan, director of public policy for the American Society for Cell
Biology, said the NBAC report is "important" because the commission's
work involved "a diverse body of folks looking at the various
recommendations and clearly coming down on the side of derivation and
use."

Several observers also noted that the NBAC report should spur action on
the NIH guidelines, which the agency initially had planned to release
this summer, and should stimulate a much-needed debate on Capitol Hill.

--Matthew Davis


The report is to made available today on the NBAC web site:
http://www.bioethics.gov


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