Eggs Are People Too!
It’s an interesting time to ponder the meaning of life and death in the eyes of the law. On one hand, Christian conservatives increasingly seek to sacralize embryos from the moment of conception. On the other, the Supreme Court just heard a case that, among other things, considers the extent to which the corporeal death of a parent is really the “end of the line” with regard to “survivor” benefits for children conceived by artificial insemination from the frozen sperm of a deceased father. On one hand, Citizens United granted First Amendment rights to corporations that are identical to—and some would say exceed—those of natural persons; on the other, the Second Circuit recently ruled that individuals, but not corporations, can be sued for human rights abuses.
It’s interesting to consider the larger social anxieties at play when it comes to the “right to life” debates. Rick Santorum recently made a great show for personhood amendments, declaring, “Personhood is defined as an entity that is genetically human and alive.” But unfertilized eggs are “genetically human.” And sperm swim, so technically they’re “alive.” (Or, as an irreverent friend suggested: fellatio must therefore be a form of cannibalism.) If egg and sperm are sacralized even before they meet, it goes a long way to explaining why the evils of contraception are back on the table.
But if we push this figuration only a little, “conceptually,” life begins with DNA. Conceivably, every cell in our body is brimming with generative potential, particularly given new technologies of assisted reproduction. Santorum’s stance thus becomes a peculiar cross between the theological imperative to be fruitful and multiply and the fetishism of microbiological cellular promise.
The oddity of this discourse is best revealed by a recent rash of satiric bills pressed by clever female legislators. Virginia State Senator Janet Howell wrote an amendment to the requirement that women be subjected to vaginal probe before being able to have an abortion: “Prior to prescribing medication for erectile dysfunction, a physician shall perform a digital rectal examination and a cardiac stress test. Informed consent for these procedures shall be given at least 24 hours before the procedures are performed.” (Her amendment was defeated, but by a satisfyingly narrow margin of 21 to 19.) In Oklahoma, Constance Johnson introduced the “anti-spillage” amendment, which holds that “any action in which a man ejaculates or otherwise deposits semen anywhere but in a woman’s vagina shall be interpreted and construed as an action against an unborn child.”
Frankly, I respect the Oklahoma Personhood Amendment’s proposal that life is sacred, “regardless of place of residence, race, gender, age, disability, health, level of function, condition of dependency, or method of reproduction.” But this expansive notion never seems to translate into policies that would provide actual food, shelter, healthcare or material succor for those precious lives, either pre- or post-birth. (In New Hanover, North Carolina, the County Board of Commissioners recently turned down a family healthcare grant, with one commissioner remarking that “if these young women were responsible people and didn’t have the sex to begin with, we wouldn’t be in this situation.”) Those claiming to give “voice to the voiceless” entities within the womb pit the interests of conceptual life against the bodies of living women. In any event, I’m not sure why regard for incipient humanity should make us feel bound to breed like bunnies within marriage or be constrained from copulating outside of it—particularly given that 99 percent of American women use some form of birth control.
At the same time, there are important principles being tested in these debates: the degree to which we feel sex to be a natural bodily function, whether pregnancy is always wholly a woman’s autonomous choice. Framed this way, our discussions of life and death seem oddly incoherent and disconnected. We love the very thought of life, but we disparage “anchor babies,” “welfare children” and teens of color like Trayvon Martin. We spend billions on fertility treatments for the wealthy but speak of pregnancy among the poor in terms of economic surplus, burden, free rider.
These discussions also vivify proxies of personhood in much the same way that corporations are enlivened: our updated Puritanism about reproduction is peppered with overly deterministic images of what DNA “says” and with marketed avatars of human perfectibility. Cytoplasm has been personified and given life and active voice; you’ve got to probe a woman’s body to see if there’s a separate life in there in need of rescue. You have to show her pictures of her blastodermic vesicles in case she doesn’t know.
Some anti-contraception arguments seem to cast birth control as actively harming real, microscopic little people, wee homunculi waiting to materialize, as though menstruation were a sinful waste. Eggs are people too! The maternal sanctity of the inspired neo-egg is posited in constant battle with the hot, sluttish moral disregard of any woman who has sex that is not at the behest of a husband’s procreative mission. Thus it is that Sandra Fluke becomes pluralized into all the women in her testimony; and all those women are reduced to a throbbing red light of a single really dirty body part.
But this is not mere political hyperbole. If we are not yet a theocracy, then it seems appropriate to observe that Santorum’s comprehensive invocation of “life” as a theological concept is, in the law, no more than a literary device—one that is employed when we construct legal fictions of all sorts. It is no different from granting “legal subjectivity” to a municipality or bestowing “personhood” on a corporation. This is not about what God endows. Rather, the law’s concern is what we as a constituted polity choose to animate and what we don’t. How “we the people” come alive in language, not merely in the womb, is the challenge of social justice: our love of life must not be locked away in the perpetually future contingent but fully engaged in the embodied present tense.

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Marvels, Madness, Medicine
In the January 2011 issue of the Journal of Policy History, Susan Reverby, a historian at Wellesley College, will publish a paper detailing a particularly sordid moment in American history. From 1946 to ’48, the Public Health Service, with the assent of some Guatemalan officials, engaged in medical experiments on 700 Guatemalan soldiers, prisoners, mental patients and children. The documents Reverby discovered show that doctors intentionally sickened many of their subjects with syphilis, either by injecting infected fluids into their spines and under their skin or by supplying them with afflicted prostitutes.
Of course, this horrendous project arose from “the best of intentions” — to improve serological testing for the disease and to measure the degree to which penicillin and other medicines could act prophylactically. The US military was also interested in finding STD protections for soldiers that might be simpler and less painful than those available at the time. Ultimately, the observations in Guatemala were inconclusive because it proved harder than anticipated to infect sufficient numbers to constitute an adequate data set.
The doctor in charge of the two-year project was John Cutler, an assistant surgeon general who, in his later years, was a “beloved” professor at the University of Pittsburgh School of Public Health. It was in his archives that Reverby found notes and photographs documenting the existence of the project. Even before this revelation, however, Dr. Cutler’s long-term legacy was one of infamy: He was one of the main researchers in the Public Health Service’s Tuskegee Syphilis Study, in which black sharecroppers went purposely untreated from the 1930s to 1972, when the project finally was exposed. In 1944, moreover, Dr. Cutler directed a study in which gonorrhea was injected into prison “volunteers” at the state penitentiary in Terre Haute, Indiana. And in 1953, after returning from Guatemala, he resumed his experiments with syphilis injections, this time with prisoners in Sing Sing prison in New York.
Dr. Cutler’s experiments, while horrific, were not unique. Nonconsensual medical experiments were a prominent feature of South Africa’s apartheid regime. In America, we know about the military’s experimentation with atomic radiation on unwitting soldiers and patients from the 1950s to the ’70s and experiments with LSD in the ’70s. In the ’90s New York City foster children were used to test the effects of certain unlicensed drugs for AIDS. And let’s not forget all the “tests” done at Guantánamo Bay.
It’s important to understand how we repeatedly deceive ourselves into appalling forms of corruption by wrapping ourselves in the language of high standards. Reverby cites a telling quote from the 1967 autobiography of virologist Thomas Rivers: “I tested out live yellow fever vaccine right on my ward in the Rockefeller Hospital. It was no secret, and I assure you that the people in the New York City Department of Health knew it was being done…. Unless the law winks occasionally, you have no progress in medicine.” Rationalization has ever been thus: It’s humanitarian in the long run. We confuse, in other words, motives and means.
The United States Holocaust Memorial Museum posits three contexts in which nonconsensual medical experimentation took place in Nazi Germany: first, in military organizations, premised on rationalizations of security, exigency and defense; second, in the hunt for new pharmaceuticals and treatment methods; third, in conjunction with ideologies of racial, ethnic or religious superiority in which “common sense” dictates that some humans are less valuable than others and can be sacrificed for the “greater good.” The moral lesson of the Guatemalan experiment ought to spur public conversation and review of all these areas. My list of topics would include:
1. Despite more encompassing interpretations of the Biologic and Toxin Weapons Convention, we are increasingly converting academic research facilities into biodefense containment labs. A 2004 American Journal of Public Health article points to “inadequately characterized risks,” as well as concern that the program is informed by a “political rather than health agenda.”
2. The weakened condition of the FDA means that many drugs have been inadequately vetted before coming to market. The scandals involving Vioxx and Avandia are great failed experiments inflicted on a trusting, unsuspecting public.
3. Pharmaceutical companies and venture capitalists are investing in miracle drugs and testing by seeking out very poor people as “volunteers” in exchange for “medical treatment” or for token amounts of money that are dwarfed by the health risks involved.
4. Our consent procedures must be scrupulously overseen and updated, particularly where “volunteers” are used in places like prisons, mental health institutions, foster care or orphanage settings or on populations living under oppressive regimes. (As Reverby points out, Guatemala in the ’40s was essentially run by the United Fruit Company.)
5. Germ line therapy and genetic manipulation will increasingly implicate future generations. We must ask ourselves if our present zeal for “transhuman,” “gen-rich,” “enhanced” versions of ourselves is but a vast experiment in narcissism.
Scientific revolution always tempts us with blinding hubris. How else could Dr. Cutler engage in experimentation at the same time as and of the very sort for which the United States was prosecuting Germans in Nuremberg? So while President Obama and Secretary of State Hilary Clinton issue formal apologies to the people of Guatemala, we must interrogate our own freighted contemporary moment — of economic desperation, of rising nativism, of promises of hellfire to come, of soaring incarceration rates. These are divisions that have never been exploited to any good or decent end.
Patricia J. Williams, a professor of law at Columbia University and a member of the State Bar of California, writes The Nation column “Diary of a Mad Law Professor.” Her books includeThe Rooster’s Egg (1995) and Seeing a Color-Blind Future: The Paradox of Race (1997).
Copyright © 2010 The Nation — distributed by Agence Global
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Released: 07 October 2010
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