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                     [CurePD-NorCal] National Bioethics Advisory Commission (NBAC
                Date:
                     2 Oct 1999 11:05:32 -0000


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                                        From:  Kelly Abbett <[log in to unmask]>

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                              Subject:  Washington Fax September 14, 1999 - From PAN
                                        Date:  Tue, 14 Sep 1999 08:53:46 -0700


                         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

                                     _______________
--
Charlotte Mancuso
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