28th January 2008. Human Fertilisation and Embryology Bill.
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The Lord Bishop of St Albans: My Lords, I should like to begin this brief speech by reminding the House of some words of Professor Sir Liam Donaldson, which he gave at the pre-legislative scrutiny committee:
“We have had, generally, in this country a deficit in medical ethics, both in the input to some of our decisions over the years and, also, in medical ethicists”.
That is a statement we should take seriously. Why is there such a dearth? Because we do not take the teaching of philosophy in schools with the seriousness we should or treat it with the seriousness we should at university level or in medical schools.
The normal response in the context of this Bill when anyone suggests there is a need for a national committee is to say, as has been said today: “We already have such groups—the HFEA ethics and law advisory group, the Nuffield Council on Bioethics, and so on”. None of them, to the best of my knowledge, has any statutory authority. Quite rightly, noble Lords have raised questions of membership should a national body be set up. Can we be absolutely certain that those ethical groups which already exist include, with full voting rights, those who for significant ethical or religious reasons cannot and do not share the presuppositions of other ethicists in those bodies? My information is that that does not happen.
There is not time in a debate of this kind to look at the current stage of ethical thinking in our country. In general, over the past few decades, it seems that it has become increasingly utilitarian and pragmatic. However, within the history of philosophical and ethical thinking in western Europe there have been two significant strands. The first strand is based on the powers of human reason and the capacity for logical thought. I cherish that strand. The second strand is based on the possibility, only the possibility, that the words revelation, epiphany, theophany and disclosure—the kind of words used in the Judaeo-Christian tradition—have a basis in reality, in personal experience and in social experience.
It seems to me that the danger facing ethical thinking in the United Kingdom is that this second strand is treated these days as a lifestyle choice and dismissed as having no more significance than, say, the choice of a gym or a fitness regime. I think that it is slightly unjust to suggest that churches and faith groups might be involved in entryism. What seems to happen most of the time is that, because those of us who have a faith are treated as though we were lifestyle idiots, or the last of the witch doctors, the doors are not opened. Quite the opposite—they are bolted shut. For some reason it is assumed that we are unable to think logically or reasonably and have nothing to contribute. That is very sad.
Suppose for a moment that ethics are not simply about practical and utilitarian behaviour but are also concerned with what is or should be or may be actually true. If that is the case, it seems only fair and just that the significant strand of Judaeo-Christian ethical thinking to which I alluded should be a foundational part of ethical thinking in our country and not treated as though we are somehow bigoted entryists. To exclude that kind of thinking seems discriminatory.
If what I have said is at all accurate, then to ensure that we have in our country a national committee concerned with human bioethics seems a reasonably wise step. The challenges facing those in research and treatment procedures in medicine are massive, and we are all indebted to the scrupulous care which the best medical practitioners and research scientists bring to their work. Having served on the pre-legislative scrutiny committee, I recognised that I was in the presence of such practitioners and such scientists. It was an enormous privilege simply to listen to what they are doing and to try to understand it.
I do not think a national bioethics committee should be seen as something which would hinder research or treatment. Nor should it be seen as an either/or. Can we not still have Select Committees? Can we not still have HFEA ethics and law committees? Can we still not have Nuffield committees? Of course we can. By adding the word “national”, however, would we not assist the ethical thinking that everyone in our country should do so that the treatments and the research which our remarkable scientists and medics are undertaking now and will undertake in the future will be seen as being for the common good and for the well-being of individuals and society? If ethical thinking is sidelined, or treated only by those who have an interest in these things, or treated as a matter simply of pragmatism, then trust in research and treatment will decrease and scepticism will set in, which will be to the detriment of science and our society.
In no sense is the creation of a national human bioethics committee outsourcing ethics. I have learnt a huge amount about ethics by being a Member of this House, and this must and will continue here. This is a question not of either/or, but of both/and, if we do not set up such a commission, we will have missed a great opportunity.
