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The brain makes a person

Ivan Padovani (March 19) points out that a foetus is both living and human, and equates this with being "a living human being". He then asserts that no-one anywhere challenges this. When was Dr Padovani elected spokesman for all people on the planet?

Anything containing living human cells fits the characteristics given, as in a human heart, human liver, human blood. They are living, and they are human yet they are not living human beings, nor are they persons. Thanks to that little fact we have organ transplants today.

The reason that the result is not Frankenstein's monster is that these, despite being human and alive, are not the person. These organs, removed from one body, are kept alive until they can be transplanted into another body.

A foetus consists of living human cells, but as I showed above, that is not enough to make a person. The heart can be beating but a beating heart is just a pumping organ. A person's heart can be kept beating after the brain has died, and you can replace the heart, and many other organs, while the person remains the same. Distinct DNA is also not an issue - identical twins have similar DNA but still are distinct individuals. It certainly has nothing to do with the external appearance of a foetus.

It is indeed the brain that makes us humans (as opposed to collections of human cells) and persons. Personhood can only exist with a functioning brain, and ends when that brain permanently ceases its activity. You could transplant just about any organ in the body because what you'd be doing is rearranging the appendages to the brain - the seat of the human person.

Dr Padovani accuses Dr Azzopardi of "sophistry and deceit", but his own letter is hardly a model of honesty. Many people challenge the idea that life begins when at fertilisation. And although a human being is indeed a person, not any collection of human cells is.

Finally, abortion is a right in most countries - Malta is the only EU country where it is banned in all situations. Some might be surprised to learn that abortion is also accepted by many religions and denominations, including many branches of Judaism, Christianity, Islam, Hinduism and other faiths. Perhaps if Dr Padovani were to look a bit further afield, he would realise that this is not a debate of good people versus evil monsters.

This is a debate between people, often sharing the same religious beliefs, morality and values, who disagree on the seemingly simple matter of when exactly life begins.

Think of it this way: to a person who believes life begins at some later stage, then an abortion carried out before that point is not immoral in any way. From the information we have so far, I have to say that the idea that a single fertilised egg is a person sounds quite absurd to me.

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Comments

Martin Schranz (on 29/3/08)
OK Mark, let me put it to you using your own analogy. When a gamete is formed it represents a brand new form (a brand new genetic sequence), just as when hydrogen and oxygen combine to form water. A new human life is formed at this stage , just like when a new molecule is formed by the combination of atoms of hyrogen and oxygen to form water. At fertilisation two gametes join to form an embryo. This can be compared to the same process as when liquid freezes to form ice. Water may look different when in the different forms of liquid and ice, but that is just an illusion. If you look closer, you will realise that it is the same water you are looking at. Water and ice look different because they are reacting differently in response to a changing environment. The same applies to the process of fertilisation, it results in a change in the physical appearance of a human life but if you look closer you will realise that you are looking at the same two gametes that have joined forces in response to a changing external environment. Therefore this change in appearance from a gamete to an embryo is a delusion that is tricking your mind, look closer and you will realise that the change from gamete to embryo is a simply physical reaction to a changing environment, and not the "big bang phenomenon" that some correspondents on this forum are convinced represents the starting point of human life.
Mark Azzopardi (on 28/3/08)
Kyle, I obviously misunderstood you and thought that you were implying that an embryo is a person, not simply a human being. Apologies.
In that case, I agree with you. However, I disagree that it is an "independent human being." In fact, it is very much dependent, not on a society, which could provide suitable structures in order to sustain it but, exclusively, on another human being - its mother.
Several abortion statisticians have come to the conclusion that, even where no abortion legislation exists, a pregnant woman, who is determined not to go through with her pregnancy, will resort to any possible means to abort , even at the expense of causing herself some grave injury in the process.
As a result, most countries have legalised abortion for compassionate reasons, so that, at least, one of the two would survive.
Having said this, I agree that society should take every possible measure to reduce the necessity of abortion, not through coercion or criminalisation (which, invariably, has been shown to fail miserably and just drive it underground), but through educational and financial support, if necessary.
Martin, since your baby is obviously science and not the "murky worlds of philosophy, religion or politics," I shall make an attempt to reply in your favourite language.
According to you, a zygote is no different from the individual gametes that fused together to form it, since "...all that fertilisation does is to bring two human genome sequences a little bit closer to each other so that some genes can be matched or exchanged...No new matter is created or destroyed in the process of fertilisation."
Indeed, when two molecules of hydrogen react with one of oxygen, one molecule of water is formed. No new matter is created or destroyed in this process either.
I can assure you, Martin, that a zygote is as different from the gametes that went into its make-up as water is from either of the gases, hydrogen and oxygen.
Scientific yet simple enough for every lay-person to understand? I should think so.
Kyle Pullicino (on 28/3/08)
Please quote any parts of my comments where I have stated that the human embryo is a person, Mr. Azzopardi, because of its genome. All I said is that it is a human being (I repeat that this is a fact no one denies), just like you and me, since I don't consider myself a judge over life and who is a person or not.

Now, since the human embryo is an independent human being (as I've explained in my previous comments), just like you and me, I will never call it different than either any of us. Therefore, since it is no different than any of us, it has the same rights we enjoy (including the mother which as you correctly stated has her own genome with the SAME structure as that of the embryo).

Finally, since both the embryo and the mother have the right to life, abortion is something which cannot be legal in a nation which enforces the "Right to Live" (yes I am saying I do not agree with the rest of Europe in legalising abortion)

I really do feel for the women that are pregnant and have no means to care for the child within their womb and these are women the society needs (and has the duty) to help. Once we begin making exceptions when it comes to rights (and very important rights such as that of life), your rights will also become subject to these exceptions leading to the downfall of the society as a whole.
Martin Schranz (on 28/3/08)
Mark, your reasoning would seem to be logical if it didn't rely on one single flawed concept, the abstract term you call "personhood", which is where all your arguments fall apart. There is no such thing as personhood, your own personhood is simply a figment of imagination of your own mind, encouraged perhaps by the fantasies of other minds. In other words, it is simply an illusion (or delusion if you like). The concept of personhood is an invention that was probably only created for legal , religious or philosophical reasons and has no place in a scientific world that is based on facts and not on fiction. Of course should you move away from science and into the murky worlds of philosophy , religion or politics you may find solace in using such abstract terms, in such case you are free to remain deluded like the rest of the correspondents on this forum, should that give you comfort.
Regarding Kyle's insistence that human life starts at fertilisation, can i just remark that the full human genome sequence is present in both gametes ell before fertilisation, all that fertilization does is bring two seperate human genome sequences a little bit closer to each other so that some genes can be matched or exchanged. In other words the chromosomes from both gametes simply just come closer together and pair off. So I am baffled why correpespondents are giving such an importance to an event that is simply one of a change of distance, No new matter is created or destroyed in the process of fertilisation. So why the big fuss over a few nanometres? Should a difference of a few nanometres determine whether a human organism should live or die? Isn't that too harsh? Finally the correspondents on this forum seem to be ignoring the fact that human embryos have recently been created from adult human stem cells , skipping the process of fertilisation completely, and therefore throwing Kyle's absurd theory that human life begins at fertilisation to the wind.
Mark Azzopardi (on 28/3/08)
Kyle, it is my understanding and that of many others all over the world that, without a brain, there can be no person - no personal identity, no self-awareness, no individuality.
According to you, personhood equates with the human genome, although you are also prepared "to applaud Ms Zammit" for her correct assertion that it is a "moral argument and cannot be explained scientifically."
So what is it to be, Kyle? The science of the human genome or the moral argument? You certainly cannot have it both ways!
If you go with the human genome, then you will no doubt be aware that a pregnant woman has one of her own. Thus, both the pregnant woman and the foetus would have an equal right to self-determination. In such a scenario, in the event of a clash, social history amply demonstrates that a pregnant woman will go to great lengths to have it her way, even if this means endangering her own life. So, what you end up with is a deceased foetus and a deceased woman.
As a result, humane societies have come to the conclusion that it would make infinite more sense if, at least, one stayed alive - preferably the one who is already a fully-fletched member of that society.
If, on the other hand, you go for the moral argument, then you will have to respect the fact that there are people, like me, who equate personhood and rights to the human brain (or, more correctly, the mind), just as you equate it with conception. The argument cannot be resolved scientifically, only philosophically, ethically or religiously.
And, all three depend, at least in part, on hypothetical conjecture!
So Kyle, just as you are unable to "find any hard, solid facts" to your religious beliefs, you will be unable to find them in my philosophical and ethical conjecturing.
At the end of the day, it is the pregnant woman who will decide the fate of the foetus within her. Malta's population is, reputedly, almost entirely against abortion. Yet, this doesn't seem to stop the steady flow of abortion-seekers to countries where it has been legal for years.
It would appear that, when necessity demands, even we Maltese are prepared to suspend our religious and traditional beliefs, at least momentarily, for something which we consider a necessity.
Mark Azzopardi (on 28/3/08)
Martin, I'm surprised you've never heard the term personhood before! Personhood is the recognition of status as a person, from which the concept of rights ultimately derives. As I've already mentioned, it is a non-scientific term and is more directly related to philosophical, religious, medical and ethical notions.
Features, such as personal identity, self-awareness, self-determination and individuality have all been touted as being important indicators of the status of personhood.
Although all born human beings are considered to be persons, the status is not restricted to the human genome and it is conceivable that a being who could laugh with us, cry with us and aspire with us, although not sharing our genetic make-up, would be considered a person in its own right, by our society.
As a side-note, Peter Singer, of Princeton University, considers that a fully-grown chimpanzee (an animal that is part of an advanced and sophisticated social structure) is a person, but a human foetus isn't.
Your claim that the brain is just another organ is as absurd as your assertion that an ovum is a human being in its own right, just because it has the potential to become a person, if it is fortunate enough to ever get impregnated!
In fact, it would be possible, conceptually at least, to replace every other part of the body without sacrificing identity.
I'll put it in simpler terms, Martin. If it were, thoeretically, possible for you and me to exchange our brains, so that my body ended up with your brain and your body ended up with mine, which person would you consider yourself to be? I would go with my brain. Wouldn't you?
As for you, Shirley, you are perfectly entitled to your beliefs. My name, however, is Azzopardi, not Cassar, like yours. It would appear you have some difficulty with nomenclature, as you demonstrate when, in your enthusiasm to cast aspersions, you confuse bioethics with eugenics!
Kyle Pullicino (on 28/3/08)
As I've already said, I disagree with Mr. Schranz that a new individual human life beings before fertilisation because of what I've mentioned previously.

I cannot help to point out though that Mr. Azzopardi is once again trying to prove his point subjectively. Personhood is something totally abstract yet you have made yourself person enough to decide who else is a person or not.

When you say that, "Contemporary thought would suggest that the foetus, although having certain moral rights, is unable to enjoy equal moral rights with its mother, certainly not before the hard-wiring of its brain has taken place," you, once again, fail to prove why the brain is necessary for personhood. I can't find any hard, solid facts anywhere (Don't give us hypothetical situations that don't work please. We want facts.) suggesting this.

The hard, solid fact is that at fertilisation there is a new human being (because it has a full human genome) and that is something which has been proved. No goverment, bioethist or any other professional is above others at deciding who is a person or not.

I'd like to applaud Ms. Zammit at saying it loud and clear that "A person is a moral argument and cannot be explained scientifically no matter how important you may feel when you try."
Martin Schranz (on 27/3/08)
Mark, what do you mean by personhood? I never heard of such a term used. It sounds lke this is an abstract term which in science means absolutely nothing. Your claim that it is the brain that makes us human is absurd, the brain is just one other organ and is nothing special , and not even essential for life. Some babies are unfortunately born without a brain, are these not human? It can only be our unique human genome pattern that distinguishes us from other living organisms. And this unique human genome pattern is always evolving. I agree with Claire Zammit that most comments on this bizarre and ridiculous, not the least her own comment that human life begins at conception, some 8 million indignant maltese human ova would beg to disagree.
Shirley Cassar (on 27/3/08)
Dr Cassar a human being starts at conception. It is not true that most bio ethicists’ think that it life starts later, if anything, they are in the minority as you are. It is clear that Eugenics means Bioethics to you.
Mark Azzopardi (on 27/3/08)
Although science plays a not insignificant role in the abortion debate, the crux of the matter remains the non-scientific status of personhood, which is, ultimately, an arbitrary definition. Some bioethicists consider personhood to begin at conception, but a great majority considers that it begins some time later. In modern rights-based societies, the question of personhood does not arise with individuals, who are already born, irrespective of their mental development, simply because their rights are safeguarded by society itself and, should a couple not desire to keep a child, a substitute could be easily located.
However, during pregnancy itself, the viability of the foetus is entirely dependent on its mother. In this scenario, since the pregnant woman has full moral and legal rights, bioethicists attempt to establish the moral rights of the foetus by using a series of established benchmarks, thereby providing an indication of the foetus' right to life, relative to the mother. Contemporary thought would suggest that the foetus, although having certain moral rights, is unable to enjoy equal moral rights with its mother, certainly not before the hard-wiring of its brain has taken place. Subsequently, in the situation where a clash of rights is taken to exist, the mother's rights would easily override the rights of the foetus and an abortion would become morally justifiable.
Clalre Zammit (on 27/3/08)
Oh Please Mr Schranz, we already have enough prophets of personhood confusing people. A person is a moral argument and cannot be explained scientifically no matter how important you may feel when you try. We all begun at conception and the majority here in Malta and Gozo believe this. An ovum is not a human life. If that where some I would be grieving every month my cycle came along. I have had enough of these ridiculous opinions and won't be reading this space and some of these incredibly bizarre comments any longer.
Men, leave our wombs and our babies alone. The amount of men trying to get us to legally abort in this country is sickening. The only men I respect are those that respect me as a woman, not a woman that has to have the right to do something wrong. Let women fight for abortion if they want but you men for abortion should stay out of it Women in Malta are mostly pro-life unless you are Daphne or someone like her.
Martin Schranz (on 27/3/08)
Andre Xuereb is unfortunately bringing religion and morality into what is essentially a scientific argument.
Kyle Pullicino , on the other hand, seems to define human DNA by the quantity of DNA material in a cell. It is quite obvious, to myself anyway, that what distinguishes human DNA is not the quantity of DNA (which can vary greatly between humans) but the quality of DNA, in other words the specific human genome sequence. That is why an ovum should qualify as a human, because it has its own unique human genome pattern , and interacts with the environment just like any other organism. Once again I emphasise that the step of fertilisation is being over-rated in this discussion, though I admit that fertilisation is useful in that it gives the human organism the chance to randomly mutate and therefore adapt to a changing external environment.
Kyle Pullicino (on 26/3/08)
Not really Mr. Schranz since what defines an organism from its parent is the fact that it has a diploid number of DNA material (for humans the diploid is 46 and for those with down syndrome is 47) while sex cells such as the ovum has half the DNA material or the haploid number of DNA material (which is therefore 23 for human beings) so that only when both sex cells meet, a new organism is formed with the diploid number of DNA material in each cell (fertilisation).

This is the reason that even a single-celled embryo is a human being and has all the rights every other human being, such as ourselves, enjoy. This also means that a sex cell is not an individual human being but rather part of (belongs to) the human being that produced it.

A good article on this is found at: http://en.wikipedia.org/wiki/Somatic_cell

Also, if I'm not mistaken, the contraceptive pill and the intra-uterine device are both banned from being imported in Malta due to the fact you mentioned: both are abortive and kill the human being.
André Xuereb (on 26/3/08)
I sincerely hope Mr Schranz is being sarcastic. Be that as it may, the arguments he put forward are precisely the kind of logical fallacies that arguing about what are, essentially, moral choices brings about. And for those people who believe that it is the/a God/god-given right for the embryo live, may I remind you (yes, I am referring to the past: there is nothing wrong in looking back towards one's past mistakes in order to better one's future) that a few centuries ago, people in Rome thought it was a God-given right for the Earth to be at the centre of the universe... and people were burnt at the stake for saying otherwise. They are no less convincing, and no more wrong, than those saying that "it is morally wrong to kill an embryo... because an embryo is a person." If you believe that divorce and/or abortion is/are wrong, by all means, express your opinion, take part in the debate, but do not deny other people the right to their choice. Morality, like all laws (including most religious laws, if I understand history correctly), evolved out of human consensus. History has shown us that human consensus changes. It follows, then, that moral laws change with time. Whether or not you chose to ignore these words is your choice; but please stop trying to force your views -- that are based wholly on your religious perspective -- on other people, especially in a society that allows people to form their own religious, and moral, perspective.
Martin Schranz (on 26/3/08)
The central importance of fertilisation to this debate is being overestimated , human life doesn't begin at fertilisation, it starts well before that, in fact unique DNA is created inside a human cell about 30 years before fertilisation even occurs. Each ovum has unique DNA and adapts to its environment in a similar way that an adult human life-form would. An ovum is no less a human life than an embryo, though the odds of an ovum reaching a full adult form are somewhat less than 1%, while an embryo has a favourable odds of over 50% of reaching a full adult form. In addition fertilisation is not essential for a unique human life, several human embryos have recently been created by asexual cloning from stem cells without any fertilisation at all. Such asexual human ebryos are no less human than an embryo ceated as a result of fertilisation.
Finally, many people seem to be ignoring the fact that the contraceptive pill and the intra-uterine coil can both terminate human life and are probably the most commonly used abortive methods used in Malta at this time, and thats not even including the condom which can also be considered a form of abortion since it destroys at least one potential unique human life every time it is used, though ironically the condom can also save lives by preventing the spread of life-threatening infections.
Sue Zammit (on 26/3/08)
Danica, abortion is wrong and a baby dies in the process. I can't see any logic at all in what Mr casha is saying. Science cannot tell us if we are a person or not. That is a moral argument. I have studied medicine and philosophy in debt enough to know that Mr. Casha really has no idea what he is talking about. Abortion kills a human being, if you choose to call that human something other than a person, it makes no difference. I agree with Maria Attard, but because Mr. Casha is so insulting in his assertions that a child is nothing only because it cannot think. Well, I suppose that if belittling a defenseless baby makes him feel important that is his business. He pretends to know what he is talking about but has not got a clue. Women must resist abortion. This is a man’s world and now they want our wombs also.
Danica Rosso (on 26/3/08)
Ms. Attard, you shouldn't be deciding for other women either. I personally oppose abortion but who am I to impose my beliefs on others? Who am I to judge?
Chris Barbara (on 26/3/08)
First off, I am not religious and consider myself a liberal. However, I have always found abortion a tough pill to swallow. Although a fertilised egg is not an independent person, it is an individual since it contains a unique genetic combination and is developing into a person. Now, doesn’t this individual have a right to have a go at life, regardless of whether the parents are ready to raise children? I strongly believe that nobody owns another individual, not even “God”, let alone the human parents. Thus, they should not have the right to hamper their developing child from being born and living a life.

To Ms. Attard: I can’t believe you’d be so overtly sexist as to suggest that the pro-abortion movement is male propaganda to force a woman into aborting her baby. Unless you have living on another planet, you should be familiar with the pro-abortion rallies where, more often than not, women are at the forefront flashing “Our bodies, Our right [to abort]” posters.
Ramon Casha (on 26/3/08)
I would be interested to know which bits in particular Maria disagrees with, and why.
André Xuereb (on 26/3/08)
Mr Casha: thanks for trying to put the voice of reason in the debate... as you can see, the Maltese public is not mature enough for this discussion or anything vaguely controversial. Ms Attard: thanks for proving my point.
v.deguara (on 26/3/08)
Dear Ramon, you should read and reflect on Dr.Buttigieg's piece that appears exactly above...abortion is negative, evil and surely goes directly against the GIVER OF LIFE - GOD. Please, DO READ dr. Buttigieg's piece and reflect in the sancta sanctorum of your conscience,
David Buttigieg (on 26/3/08)
So a severely brain damaged person could be killed. A new born baby doesn't think so might as well allow killing it too.

Can you mention Christian denominations that do allow abortion? Very few even allow divorce, let alone abortion. And anyway it is not a matter of religion.

Just because this type of murder is allowed in other countries, EU or otherwise does not make it a right. Nazi Germany allowed the murder of Jews, did that make it a right in any way?

Yet today we have a holocaust that equals & exceeds that of that most terrible holocaust caused by the Nazis.

Maria Attard is right.
Maria Attard (on 26/3/08)
What a load of nonsense from Ramon. Some people really have no idea on 1. how to make sense at all 2. how to make someting that is obvioulsy untrue, sound remotely credible.
You are a man and have no right to tell us women when our child is a person. It is not about personhood at all. It is about a baby that lives in our wombs. How typically male and hedonistic!

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