Published online 30 November 2009 | Nature 462, 553 (2009) | doi:10.1038/462553a

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US bioethics commission promises policy action

Obama launches wide-ranging advisory body.

Amy Gutmann is to head the US bioethics commission.Univ. Pennsylvania

Five months after abruptly dismantling the bioethics advisory council left by his predecessor, US President Barack Obama last week created a new bioethics commission that will move beyond the issues that consumed previous panels, such as stem cells and cloning. Based within the Department of Health and Human Services, the Presidential Commission for the Study of Bioethical Issues is explicitly charged with recommending legislative and regulatory action and promises to have more influence on policy.

Bioethical, social and legal questions relating to genomics and behavioural research are all on the commission's agenda. So are issues of intellectual property, scientific integrity and conflicts of interest in research.

The contrast with the previous bioethics council established by President George W. Bush is stark. Bioethicist George Annas of Boston University, Massachusetts, has described that council, which existed in two incarnations, as having a "narrow, embryo-centric agenda", focusing largely on the research implications of questions such as the moral status of the embryo and when life begins (see Nature 431, 19–20; 2004).

In another break with the past, Obama has chosen not to appoint bioethicists to lead the commission. Instead, it will be chaired by political theorist Amy Gutmann, president of the University of Pennsylvania in Philadelphia, and its vice-chair will be materials scientist James Wagner, president of Emory University in Atlanta, Georgia.

Gutmann's work deals with deliberative democracy, and using reasoned argument to depolarize politics. Wagner served at the Food and Drug Administration's Center for Devices and Radiological Health for a decade, and now, as Emory's president, stresses that ethical engagement is integral to the university's strategic vision.

"The appointments of Gutmann and Wagner reinforce the expectation that this commission will seek to provide practical, actionable guidance to the administration and the country," says Ruth Faden, executive director of the Berman Institute of Bioethics at the Johns Hopkins University in Baltimore, Maryland. "This is a wise way to structure the leadership of the commission."

The remaining members of the 13-strong commission are expected to include bioethicists specializing in medicine and law, along with experts chosen from the fields of science, engineering, theology and philosophy. Between one and three of those members will be appointed from the government's executive branch. "These appointments, and the council's place in the executive branch of the government, suggests that it will be more than just a talking shop, with perhaps a significant influence over practice," says political theorist Michael Gottsegen of Brown University in Providence, Rhode Island.

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Annas believes that the commission may not be sufficiently independent of government. "Bioethics advisory commissions should be totally free-standing, and not linked to the government and presidential terms, in order to avoid doing 'Republican' or 'Democratic' bioethics," he says.

The commission's wider scope will also force some tough choices in deciding priorities, says Annas. "Doctors' [involvement in] force-feeding prisoners at Guantanamo, doctors and torture, and international human-research rules are pressing issues of our day which demand our attention," he says. Among the other issues he thinks the commission should juggle are new reproductive technologies, an overhaul of informed-consent procedures and — perhaps most immediate — fairer ways to apportion health care. 

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  • #60064

    Interesting. While we should be concerned about future ethics considerations with human bio-expermentation, we also examine past "abuses".
    What happened in Guatemala in the 1940's, as well as creating a population of syphillitic blacks in the 1950's was reprehensible. Let us not be too smug in taking the moral high-ground, however. I think the results of Nazi experiments on living subjects was used extensively in the first generation of extreme high-altitude aircraft after ww2.

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