Non-ideal Critical Realism Analysis on the Ethical Positions of Secular Doctors Towards Human Genome Editing

https://doi.org/10.22146/jf.76019

Albert Adiputra(1*), Sindung Tjahyadi(2), Retna Siwi Padmawati(3)

(1) Graduate School, Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Faculty of Philosophy, Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Human genome editing could be used to improve human intelligence, appearance, and physical strength. The ethical issues posed by the technology are causing public concern. Secularism views efforts to find moral truth do not depend on supernatural authority. The existence of a secular minority in Indonesia is considered an anomaly in public discourse and is left behind in the morally critical policy-making deliberations on genome editing regulations. The research explored Indonesian secular doctor’s view of human genome editing. This qualitative research used a non-ideal critical realism approach through in-depth interviews and literature review. Secular doctors say that human genomic editing has no different weight from other artificial selection. After conducting a risk-benefit analysis through moral calculus, secular doctors generally have positions and attitudes that support the research and implementation of human genomic editing technology.


Keywords


Secular, Moral, Ethics, Genome Editing

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References

Admirand, P. (2019). Humbling the Discourse: Why Interfaith Dialogue, Religious Pluralism, Liberation Theology, and Secular Humanism Are Needed for a Robust Public Square. Religions, 10(8), 450. https://doi.org/10.3390/rel10080450

Alderson, P., Sutcliffe, K., & Mendizabal, R. (2020). A critical realist analysis of consent to surgery for children, human nature and dialectic: The pulse of freedom. Journal of Critical Realism, 19(2), 159–178. https://doi.org/10.1080/14767430.2020.1733922

Angeline, W. K. (2020). CRISPR - Inovasi Biologi Molekuler dan Medis yang Kontroversial. Cermin Dunia Kedokteran, 47(3), 218-221. https://dx.doi.org/10.55175/cdk.v47i3.375

Ballinger, S., Tisdale, T. C., Sellen, D. L., & Martin, L. A. (2017). Slowing Down Time: An Exploration of Personal Life Extension Desirability as it Relates to Religiosity and Specific Religious Beliefs. Journal of Religion and Health, 56(1), 171–187. https://doi.org/10.1007/s10943-016-0218-7

Beauchamp, T. L., & Childress, J. F. (2013). Principles of biomedical ethics (7th ed). Oxford University Press.

Brummett, A. (2020). Reaching Across The ‘Deepest Divide’: Moral Acquaintanceship, Religion, And Bioethics. The Heythrop Journal, 61(4), 677–688. https://doi.org/10.1111/heyj.13573

Carlin, N. (2020). Correlating Bioethics and Theology. The American Journal of Bioethics, 20(12), 49–51. https://doi.org/10.1080/15265161.2020.1833103

Cherry, M. J. (2018). Bioethics After the Death of God. The Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine, 43(6), 615–630. https://doi.org/10.1093/jmp/jhy024

Colgrove, N. (2020). The Devil in the Details. The AmericanJournal of Bioethics, 20(12), 18–20. https://doi.org/10.1080/15265161.2020.1832614

De Nutte, N. (2019). Vrijzinnigheid: Secular Humanism in Belgium. Free Inquiry, 39(5).

Eberl, J. T. (2020). Purely Faith-Based vs. Rationally-Informed Theological Bioethics. The American Journal of Bioethics, 20(12), 14–16. https://doi.org/10.1080/15265161.2020.1832612

Edwards, B. A., Roberts, J. A., Bowen, C., Brownell, S. E., & Barnes, M. E. (2022). An exploration of how gender, political affiliation, or religious identity is associated with comfort and perceptions of controversial topics in bioethics. Advances in Physiology Education, 46(2), 268-278. https://doi.org/10.1152/advan.00008.2022

Ekayanti, F., Haryoso, W. A., & Mahardhika, Z. P. (2021). Students’ Perception on Medical Ethics Learning from Two Medical Faculties in Jakarta: Advances in Social Science, Education and Humanities Research. International Conference on Medical Education (ICME 2021), Yogyakarta, Indonesia. https://doi.org/10.2991/assehr.k.210930.006

Engelhardt, H. T. (2012). A Skeptical Reassessment of Bioethics. Bioethics Critically Reconsidered, 1–28. https://doi.org/10.1007/978-94-007-2244-6_1

Epstein, G. (2009). Good Without God. Harper Collins.

Erduran, S., Guilfoyle, L., Park, W., Chan, J., & Fancourt, N. (2019). Argumentation and interdisciplinarity: Reflections from the Oxford Argumentation in Religion and Science Project. Disciplinary and Interdisciplinary Science Education Research, 1(1), 1-10. https://doi.org/10.1186/s43031-019-0006-9

Fadli, M. R. (2021). Hubungan Filsafat dengan Ilmu Pengetahuan dan Relevansinya Di Era Revolusi Industri 4.0 (Society 5.0). Jurnal Filsafat, 31(1) 130-161. https://doi.org/10.22146/jf.42521

Feeney, O., Cockbain, J., & Sterckx, S. (2021). Ethics, Patents and Genome Editing: A Critical Assessment of Three Options of Technology Governance. Frontiers in Political Science, 3, 731505. https://doi.org/10.3389/fpos.2021.731505

Frith, L. (2012). Symbiotic Empirical Ethics: A Practical Methodology. Bioethics, 26(4), 198–206. https://doi.org/10.1111/j.1467-8519.2010.01843.x

Furton, E. J. (2003). Bioethics, Evolution, and Atheism. The National Catholic Bioethics Quarterly, 3(3), 455-462. . https://doi.org/10.0.22.208/ncbq20033326

Geppert, C. M. A., & Schonfeld, T. (2020). Talking Can Be Harmful Depending on What You Say. The AmericanJournal of Bioethics, 20(12), 42–44. https://doi.org/10.1080/15265161.2020.1833100

Gómez, I. R. (2020). What’s Missing in Secular Bioethics? The False Dichotomy between “the Secular” and “the Theological”. The American Journal of Bioethics, 20(12), 34–37. https://doi.org/10.1080/15265161.2020.1833099

Gutmann, A., & Thompson, D. (1997). Deliberating about Bioethics. The Hastings Center Report,27(3), 38-41. https://doi.org/10.2307/3528667

Héliot, Y., Gleibs, I. H., Coyle, A., Rousseau, D. M., & Rojon, C. (2020). Religious identity in the workplace: A systematic review, research agenda, and practical implications. Human Resource Management, 59(2), 153–173. https://doi.org/10.1002/hrm.21983

Hidayah, S. (2012). The Politics of Religion: The Invention of “Agama” in Indonesia. Kawistara, 2(2), 121–139. https://doi.org/10.22146/kawistara.3967

Hidayatullah, S. (2019). Agama dan Sains: Sebuah Kajian Tentang Relasi dan Metodologi. Jurnal Filsafat, 29(1), 102-133. https://doi.org/10.22146/jf.30246

Iltis, A. S. (2018). Engelhardt on the Common Morality in Bioethics. Conatus, 3(2), 49-59. https://doi.org/10.12681/conatus.19284

Irhamahayati, I., Hubeis, M., Hermawan, A., & Djohar, S. (2018). Generational Conflicts at the Indonesian Public Sector Workplace from the Millenials Perspective. Polish Journal of Management Studies, 18(2), 151–161. https://doi.org/10.17512/pjms.2018.18.2.12

Izzah, S. N., Setyanto, D., Hasanatuludhhiyah, N., Indiastuti, D. N., Nasution, Z., & d’Arqom, A. (2021). Attitudes of Indonesian Medical Doctors and Medical Students Toward Genome Editing. Journal of Multidisciplinary Healthcare, 14, 1017–1027. https://doi.org/10.2147/JMDH.S303881

Kusumawati, W., Prihatiningsih, T. S., Rahayu, G. R., & Sastrowijoto, S. (2015). Identification of professional behavior attributes for Indonesian Medical Education. South-East Asian Journal of Medical Education, 9(1), 19-25. https://doi.org/10.4038/seajme.v9i1.92

Li, H.-L. (2020). Public Reason as the Way for Dialogue. The American Journal of Bioethics, 20(12), 29–31. https://doi.org/10.1080/15265161.2020.1832618

Madung, O. G. N. (2021). Post-Secularism as a Basis of Dialogue between Philosophy and Religion. Jurnal Filsafat, 31(2), 271-289. https://doi.org/10.22146/jf.65189

Mahdi, S., Ghannam, O., Watson, S., & Padela, A. I. (2016). Predictors of Physician Recommendation for Ethically Controversial Medical Procedures: Findings from an Exploratory National Survey of American Muslim Physicians. Journal of Religion and Health,55(2), 403–421. https://doi.org/10.1007/s10943-015-0154-y

Marceta, J. A. (2019). A non-ideal authenticity-based conceptualization of personal autonomy. Medicine, Health Care and Philosophy, 22(3), 387–395. https://doi.org/10.1007/s11019-018-9879-1

Matisonn, H. (2020). Talking at Cross Purposes: Why We Shouldn’t Re-Establish the Relationship Between Theological and Secular Bioethics. The American Journal of Bioethics,20(12), 45–47. https://doi.org/10.1080/15265161.2020.1833101

McCarthy, M., Homan, M., & Rozier, M. (2020). There’s No Harm in Talking: Re-Establishing the Relationship Between Theological and Secular Bioethics. The American Journal of Bioethics,20(12), 5–13. https://doi.org/10.1080/15265161.2020.1832611

McKeown, A. (2017). Critical Realism and Empirical Bioethics: A Methodological Exposition. Health Care Analysis,25(3), 191–211. https://doi.org/10.1007/s10728-015-0290-2

Menuge, A. J. L. (Ed.). (2013). Legitimizing human rights: Secular and religious perspectives. Ashgate.

Neitzke, A. B. (2021). Critical Theoretical Methodology for Nonideal Contributions to Bioethics. In E. Victor & L. K. Guidry-Grimes (Eds.), Applying Nonideal Theory to Bioethics: Living and Dying in a Nonideal World 71–97. Springer International Publishing. https://doi.org/10.1007/978-3-030-72503-7_4

Obasogie, O. K., & Darnovsky, M. (Eds.). (2018). Beyond bioethics: Toward a new biopolitics. University of California Press.

Ogbogu, U., & Hardcastle, L. (2021). Bioethics and practical justice in the post‐COVID‐19 era. Developing World Bioethics, 21(1), 31–35. https://doi.org/10.1111/dewb.12279

Otto, D. S. N. (2016). Infidels in Indonesia: The Intention of Initiating Interaction Instead of Intolerance [Masters thesis]. University of Amsterdam.

Pinker, S. (2015, August 1). The moral imperative for bioethics. Boston Globe. https://www.bostonglobe.com/opinion/2015/07/31/the-moral-imperative-for-bioethics/JmEkoyzlTAu9oQV76JrK9N/story.html

Porter, A. (2017). Bioethics and Transhumanism. The Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine, 42(3), 237–260. https://doi.org/10.1093/jmp/jhx001

Pradhan, D., & Haris, H. (2021). Religious tolerance in multifaith democracies: A comparative legal study of Indonesia and India. Legality : Jurnal Ilmiah Hukum, 29(1), 46–62. https://doi.org/10.22219/ljih.v29i1.14694

Putra, Y. S. (2017). Theoretical Review: Teori Perbedaan Generasi. Among Makarti, 9(2). https://doi.org/10.52353/ama.v9i2.142

Quack, J., Schuh, C., & Kind, S. (2019). The Diversity of Nonreligion: Normativities and Contested Relations (1st ed.). Routledge. https://doi.org/10.4324/9780429196799

Rudnev, M., & Savelkaeva, A. (2016). Public Support for the Right to Euthanasia: The Competing Roles of Values and Religiosity Across 35 Nations. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.2757670

Sarhindi, I. L. (2017). Symbolic Violence in Indonesian Society: Does Islamic Radicalisation Lead to Religious Intolerance?. Journal of Southeast Asian Human Rights, 1(1), 57–79. https://doi.org/10.19184/jseahr.v1i1.5347

Savarino, L. (2017). Moral Pluralism and Christian Bioethics: On H. T. Engelhardt Jr.’s After God. Christian Bioethics: Non-Ecumenical Studies in Medical Morality, 23(2), 169–182. https://doi.org/10.1093/cb/cbx008

Schäfer, S. (2016). Forming “Forbidden” Identities Online: Atheism in Indonesia. Austrian Journal of South-East Asian Studies, 9(2), 253–268. https://doi.org/10.14764/10.ASEAS-2016.2-5

Setiawan, J., & Sudrajat, A. (2018). Pemikiran Postmodernisme dan Pandangannya terhadap Ilmu Pengetahuan. Jurnal Filsafat, 28(1), Article 1. https://doi.org/10.22146/jf.33296

Skitka, L. J., Hanson, B. E., Washburn, A. N., & Mueller, A. B. (2018). Moral and religious convictions: Are they the same or different things? PLOS ONE, 13(6), e0199311. https://doi.org/10.1371/journal.pone.0199311

Stambler, I. (2017). Human Life Extension: Opportunities, Challenges, and Implications for Public Health Policy. In A. M. Vaiserman (Ed.), Drug Discovery (pp. 535–564). Royal Society of Chemistry. https://doi.org/10.1039/9781782626602-00535

Swatos, W. H. (Ed.). (1998). Encyclopedia of Religion and Society. Rowman Altamira.

ten Have, H. A. M. J. (2016). Global bioethics: An introduction. Routledge, Taylor & Francis Group.

Tham, J. (2013). A Response to Irreligious Bioethics. Studia Bioethica,6(2), 12-19.

Warburton, E., & Aspinall, E. (2018). Explaining Indonesia’s Democratic Regression: Structure, Agency and Popular Opinion. Contemporary Southeast Asia, 41(2), 255–285. https://doi.org/10.1355/cs41-2k

Żuradzki, T., & Wiśniowska, K. (2020). A Data-Driven Argument in Bioethics: Why Theologically Grounded Concepts May Not Provide the Necessary Intellectual Resources to Discuss Inequality and Injustice in Healthcare Contexts. The American Journal of Bioethics, 20(12), 25–28. https://doi.org/10.1080/15265161.2020.1832617



DOI: https://doi.org/10.22146/jf.76019

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