Friday, April 29, 2011

Why we should not allow parents to genetically enhance their children's intelligence


             Is it ethical to genetically enhance our children's intelligence? Not at all! Why? Here are my three reasons that explains why we should NOT artificially enhance our children's smartness: to prevent a bigger socioeconomic gap between the poor and the rich, to instill diligence in our children, and to help children appreciate their own accomplishments. 
            Manipulating children’s genes to make them smarter has the potential to increase the gap between the poor and the wealthy in today’s society. Today’s society places heavy emphasis on intelligence, and the people who have high level of intelligence occupy the white-collar jobs that pays better than most blue-collar jobs. The children who had their intelligence genetically enhanced will therefore have more opportunities to obtain a white-collar job and receive a higher income than those who have not had their intelligence artificially enhanced. The cycle will then repeat, and the genetically modified parents, whose jobs pay better than those with the blue-collar jobs, will be able to afford to increase the level of intelligence in their children, whereas the parents who did not have their intelligence enhanced will not have enough money to help their children compete against smarter, genetically modified children. This phenomenon will inevitably lead to a large gap between the poor and the wealthy and may even divide the population into two groups: genetically enhanced group comprised of wealthier part of the population and the group without any genetic changes comprised of the poorer part of the population. Aside from the socioeconomic gap, manipulating the children’s genes also threatens to eliminate diligence in children.
            Artificially improving our children's intelligence will make it harder for our children to learn diligence. Children who have genetically modified intelligence will encounter fewer problems, especially in academics, than those with unmodified intelligence. This will give genetically enhanced children less opportunities to learn from their mistakes and problems, and as adults, they will face the same type of problems and not be able to surmount them. For example, artificially intelligent children will require less time to study for tests and to complete homework. When they mature and face more arduous, difficult tasks, they will easily give up because they will not have the diligence and resilience to complete the tasks that the children who have already acquired diligence could endure and complete. By enhancing our children’s genes, we are not only depriving them of diligence, but also their appreciation for accomplishments.
            Lastly, genetically enhancing children diminishes their ability to appreciate accomplishments and overcoming challenges. Children gain their confidence and self-respect through solving any types of problems, from a math problem to a relationship problem, by themselves. If children are given intelligence and do not have the chance to resolve issues with their own skills and intelligence, then they will realize that their ability to complete tasks easily and quickly is not because they are innately smart, but because their parents have modified them. This may lead to depression, and even worse, lack of confidence and ownership. Destroying children’s sense of confidence and ownership will discourage children from taking risks and may lead to self-doubt.
            In conclusion, I strongly believe that genetically enhancing children’s intelligence will have adverse effects on both the children and the society. Although genes may prove useful in treating diseases like diabetes in the future, they must not be used to improve a human trait, like intelligence, that should be diligently learned.

Friday, March 18, 2011

HIV/AIDS in China



This post is very unusual in the sense that it is a bit long and heavily dependent on my personal experiences.

In May 2009, during my last month of studying abroad in China, instead of taking final exams, the program that I was in, called School Year Abroad, allowed students to form groups and do a research on a topic that was of course about China and that interested us. During our topic brainstorming session, one of my classmates brought up HIV/AIDS. HIV/AIDS? What is that? Does that disease even exist in China? Not knowing what I was getting myself into, we decided to do a research on HIV/AIDS in China.

This decision that we made changed my life. Literally, forever. Before doing this research, I had no idea what HIV/AIDS was, how big of an effect HIV/AIDS had on China, and firmly believed that the only obstacle in medicine was science and money. But after doing countless number of interviews with HIV/AIDS experts, browsing through numerous HIV/AIDS websites, and exhibiting our findings to fellow students and teachers, I began to realize the gigantic scope of HIV/AIDS and how deep of a problem it was.

First, HIV and AIDS are related, but they are two different things. HIV stands for human immunodeficiency virus, and it is a type of virus that attacks vital cells in our immune system, such as helper T-cells. HIV causes AIDS, which stands for acquired immunodeficiency syndrome. An AIDS patient will suffer from different types of fatal opportunistic infections due to the failing immune system. HIV is transmitted most commonly by sexual intercourse, blood transfusion, breast feeding, and using a infected needle (for drugs or medicinal purposes).

The first case of HIV/AIDS in China was reported in 1985, and supposedly, a foreign traveler brought the virus to China. In subsequent years, the numbers of HIV/AIDS cases in China increased. In China, sex workers, drug users, and plasma/blood donors and recipients are most vulnerable to HIV/AIDS. Most sex workers in China are migrant workers, who mostly come from rural villages in China. As migrant workers, they usually float around from one city to another city, increasing the risk of HIV/AIDS infections as they travel. For drug users, this problem is most prominent in Southwestern China, especially in Yunnan province where there is a high level of illegal drug activity. HIV virus is transmitted through using the same needle to inject the drug. Lastly, blood transfusion also infects people with HIV/AIDS. If the donated blood and plasma are not screened carefully, then the recipients of blood/plasma donors are vulnerable to HIV virus. The following website provides more detailed information about HIV/AIDS in China: http://www.avert.org/aidschina.htm.


During the research, how HIV/AIDS looked like and functioned was very trivial to what I learned from the research. What I realized can be separated into 3 categories: role of government, role of society, and the role of the patients.


Back in the spring of 2009, the Chinese government’s role in dealing with HIV/AIDS was almost ambivalent. On one hand, the Chinese government appeared to have implemented policies that welcomed HIV/AIDS patients into hospitals for treatments and several NGOs now offer free treatment for HIV/AIDS patients in China. In addition, a policy provides free HIV/AIDS screening. However, people in rural villages still cannot receive these benefits because they do not have a hospital nearby. It takes them many hours or even days to get to the closest hospital to receive treatment. The antiretroviral drugs (ARV) used to treat patients are also outdated; some are outdated by 10 years according to WHO’s standards. Furthermore, the government is still not fully tolerant of HIV/AIDS patients in China. HIV/AIDS patients still cannot get employed easily or lose their job due to their status as a HIV/AIDS patient. For example, a teacher was refused a teaching position due to his HIV positive status. For more details, please refer to http://www.boston.com/news/world/asia/articles/2010/11/12/defendant_loses_chinas_first_hiv_jobs_bias_case/. 


Chinese society plays a large role in the mental health of HIV/AIDS patients in China. Generally, there is still widespread ignorance of HIV/AIDS and discrimination against HIV/AIDS patients. This is partly due to the lack of sex education in Chinese education system. Furthermore, China is still a relatively conservative country, and topics like sex is not talked about in public because they are considered taboo. In addition, many Chinese people see HIV/AIDS as a “foreigner’s disease,” or a disease that they are somehow immune to. Lastly, many people see HIV/AIDS patients not as patients, but as people who have done something wrong and thus punished for it. Although the society in general is ignorant towards HIV/AIDS, there is still a large group of people who are aware and do their best to raise awareness for HIV/AIDS in China. A good example is Professor Xia Guomei. Her main argument is that HIV/AIDS patients are victims and that they should not be treated as social outcasts. For more information, please refer to the following website: http://www.womenofchina.cn/html/report/101544-1.htm.


The patients themselves are afraid to test and receive treatment for HIV/AIDS, and this fear comes from society. Patients know that if they are diagnosed with the disease, then they know that they only have certain number of years to live. However, the bigger concern is not the effect of disease on their body, but the effect of the disease on the society’s perception of the HIV/AIDS patients. HIV/AIDS patients are discriminated against not only by employers, but also by family members. And the effects of the disease not only affect one generation. A son or daughter of a HIV positive parent might have difficulty in finding a partner because of the social stigma surrounding the disease.

In conclusion, HIV/AIDS is still a major problem in China. There are currently approximately 740,000 people living with HIV in China, and just in 2009, 26,000 people died in China from AIDS. The problem of HIV/AIDS is not just a purely scientific issue. It’s a governmental, societal, and emotional issue. The best way to approach HIV/AIDS in China is to tackle the societal discrimination against HIV/AIDS patients by pushing the government to push for more policies benefiting HIV/AIDS patients and to raise awareness of HIV/AIDS and other sexually transmitted diseases.

Thursday, March 17, 2011

Welcome!

Welcome to Normative Medicine!

This blog will be about many different problems regarding medicine facing society today and my beliefs on how we should solve the problems. It will be a hybrid of reviews, opinion, and prescription. 

I have always wanted to become a doctor and a researcher in medicine. However, one thing kept me away from approaching medicine and criticizing it. This one thing was fear of being small. I thought I was too young or not knowledgeable enough in the field of medicine to make correct judgments or opinions. After all, I'm only a college student. What can I do? Everything. I realized I have as much power as anyone out there. I have the right to speak up and express my own opinions about medicine and what should be done with it. After all, medicine and access to medical care is a human right, not an exclusive topic which only the elites talk about over dinner. Actually, everyone should be talking about medicine daily. It's the thing that's keeping us alive. 

The format of each blog post will be the following. I will first introduce an issue within 2-3 paragraphs and then insert my own opinions in the last 2-3 paragraphs. My goal here is to make it short and sweet. If you want to learn more about a topic, please go through places like JStor. My site is primarily for introducing things and making opinions on things, not describing things in terms of how they work. 

I'm very passionate about health-related issues and at times, I might get feisty and harshly criticize something. Please don't take anything that I say personally. 

I warmly welcome any contributions. Please email me at jhk931@gmail.com if you would like to contribute. 

Look forward to sharing my ideas with you all!

Jang