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Basic bioethics: Why Christians should care about bioethics

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March 23, 2017

Editor’s note: This is the first article in a monthly series on what Christians should know about bioethics.

Abortion. Euthanasia. Surrogacy. Cloning. Some of the most contentious and disputed issues of our day are matters of bioethics, an interdisciplinary field that addresses what we should and should not pursue in matters of life and health. These issues touch on the very core of our humanity: dignity and worth, sickness and health, life and death. Yet the harsh reality is that while bioethical concerns are increasingly confronting us in the media, in the public square and in our personal lives, few people grasp the science involved in the “bio,” or the moral dilemmas involved in the “ethics” of bioethics.

As Christians, we need to reflect on these advances, changes and controversies and to know how they are changing the way we live. To aid in the basic understanding of bioethics for Christians, I’m starting a monthly series to explain a broad range of concepts and issues for those with no special knowledge (or even particular interest) in the ongoing debates.

But before we begin looking at individual issues, let’s first consider five reasons why Christians have a particular responsibility to understand and be involved in bioethics:

5 reasons Christians should care

The first reason is what can be called the “It can’t happen to me” syndrome. The situations that arise in bioethics are often considered to be concerns that affect other people but have no bearing on our own lives: Other people must make painful decisions about the dying process; other people suffer from the problems associated with infertility; other people must make decisions about “spare” embryos.

Yet even when we are not directly affected, our role as “neighbors” to people in a fallen world will lead us to face these concerns. A friend may experience an unexpected pregnancy and seek our advice about abortion. A parent’s health may deteriorate to the point where decisions must be made about feeding tubes or respirators. A friend may find they are unable to have children and will seek technological solutions to cure their infertility.

The pace and proliferation of biomedical advancement also compels our involvement in bioethics. Nearly every week the media announces a new discovery, treatment or advance in medicine. How are we to respond as Christians? In his book Brave New Church: What the Future Holds, Richard Kew says, “It would appear that research is advancing at such a pace that our ethical understanding of its consequences is unable to keep up with the moral outcome of our actions.” Science’s outpacing of ethics places a burden, as Kew notes, on “the Christian community to step in and become society’s conscience in some way or another.”

A third reason for our necessary involvement in bioethical issues relates to our rights and responsibilities as citizens. As Americans, we have a right to participate in the political processes of our country and the corresponding responsibility to inform ourselves on the issues. This is a responsibility not to be taken lightly. Notre Dame philosopher David Solomon says, “The political realm has replaced the ethical realm in our society.” And George Annas, Boston University professor of health law notes, “Ethics is generally taken seriously by physicians and scientists only when it either fosters their agenda or does not interfere with it.”

Additionally, our responsibilities as Christians have bearing on our involvement in bioethics. Bioethics affects us not only on a personal level as individuals but also on a corporate level as members of the body of Christ. Bioethics touches areas of our lives that are deeply personal, often when we are physically and emotionally vulnerable. Many of our brothers and sisters in Christ are currently struggling with bioethical issues in their lives, and even more of our neighbors outside of the church are in need of our counsel. In times of personal bioethical crisis, they tend to seek out communities of faith for objective, reasoned, biblically sound guidance. As the body of Christ, we must be ready to respond to those who are hurting, reach out to them and point them to Christ, whether by providing prayer, encouragement or ethical advice.

Finally, wisdom demands that we be prepared, that we develop a carefully reasoned, biblically based approach to bioethics before it is needed. Bioethical quandaries often arise suddenly and in the midst of personal crises. If we have not taken the time to prepare a godly response, we can easily slip into the popular medical ethos of our time, which relies on utilitarian ethics and emotional responses. As Christians, we must reject this individual approach by providing a God-centered alternative.

In both society and in our personal lives, either the Christian perspective on bioethics will achieve a dominant level of acceptance or the secularist view will win, slowly but assuredly, by default. Each path will lead to sharply different results. The Christian approach leads to freedom, equality and respect for all humanity. Basing bioethics on utilitarian and emotive values, however, results in the degradation of human dignity. Which path we choose will determine the fate of bioethics. And the choices we make in bioethics will largely determine the outcome of our earthly future.

Note: Portions of this article were adapted from an essay I previously co-wrote with Matthew Eppinette, the executive director for The Center for Bioethics and Culture Network.

 

Joe Carter

Joe Carter is the author of The Life and Faith Field Guide for Parents, the editor of the NIV Lifehacks Bible, and the co-author of How to Argue Like Jesus: Learning Persuasion from History’s Greatest Communicator. He also serves as an executive pastor at the McLean Bible Church Arlington location in Arlington, Virginia. Read More

Article 12: The Future of AI

We affirm that AI will continue to be developed in ways that we cannot currently imagine or understand, including AI that will far surpass many human abilities. God alone has the power to create life, and no future advancements in AI will usurp Him as the Creator of life. The church has a unique role in proclaiming human dignity for all and calling for the humane use of AI in all aspects of society.

We deny that AI will make us more or less human, or that AI will ever obtain a coequal level of worth, dignity, or value to image-bearers. Future advancements in AI will not ultimately fulfill our longings for a perfect world. While we are not able to comprehend or know the future, we do not fear what is to come because we know that God is omniscient and that nothing we create will be able to thwart His redemptive plan for creation or to supplant humanity as His image-bearers.

Genesis 1; Isaiah 42:8; Romans 1:20-21; 5:2; Ephesians 1:4-6; 2 Timothy 1:7-9; Revelation 5:9-10

Article 11: Public Policy

We affirm that the fundamental purposes of government are to protect human beings from harm, punish those who do evil, uphold civil liberties, and to commend those who do good. The public has a role in shaping and crafting policies concerning the use of AI in society, and these decisions should not be left to those who develop these technologies or to governments to set norms.

We deny that AI should be used by governments, corporations, or any entity to infringe upon God-given human rights. AI, even in a highly advanced state, should never be delegated the governing authority that has been granted by an all-sovereign God to human beings alone. 

Romans 13:1-7; Acts 10:35; 1 Peter 2:13-14

Article 10: War

We affirm that the use of AI in warfare should be governed by love of neighbor and the principles of just war. The use of AI may mitigate the loss of human life, provide greater protection of non-combatants, and inform better policymaking. Any lethal action conducted or substantially enabled by AI must employ 5 human oversight or review. All defense-related AI applications, such as underlying data and decision-making processes, must be subject to continual review by legitimate authorities. When these systems are deployed, human agents bear full moral responsibility for any actions taken by the system.

We deny that human agency or moral culpability in war can be delegated to AI. No nation or group has the right to use AI to carry out genocide, terrorism, torture, or other war crimes.

Genesis 4:10; Isaiah 1:16-17; Psalm 37:28; Matthew 5:44; 22:37-39; Romans 13:4

Article 9: Security

We affirm that AI has legitimate applications in policing, intelligence, surveillance, investigation, and other uses supporting the government’s responsibility to respect human rights, to protect and preserve human life, and to pursue justice in a flourishing society.

We deny that AI should be employed for safety and security applications in ways that seek to dehumanize, depersonalize, or harm our fellow human beings. We condemn the use of AI to suppress free expression or other basic human rights granted by God to all human beings.

Romans 13:1-7; 1 Peter 2:13-14

Article 8: Data & Privacy

We affirm that privacy and personal property are intertwined individual rights and choices that should not be violated by governments, corporations, nation-states, and other groups, even in the pursuit of the common good. While God knows all things, it is neither wise nor obligatory to have every detail of one’s life open to society.

We deny the manipulative and coercive uses of data and AI in ways that are inconsistent with the love of God and love of neighbor. Data collection practices should conform to ethical guidelines that uphold the dignity of all people. We further deny that consent, even informed consent, although requisite, is the only necessary ethical standard for the collection, manipulation, or exploitation of personal data—individually or in the aggregate. AI should not be employed in ways that distort truth through the use of generative applications. Data should not be mishandled, misused, or abused for sinful purposes to reinforce bias, strengthen the powerful, or demean the weak.

Exodus 20:15, Psalm 147:5; Isaiah 40:13-14; Matthew 10:16 Galatians 6:2; Hebrews 4:12-13; 1 John 1:7 

Article 7: Work

We affirm that work is part of God’s plan for human beings participating in the cultivation and stewardship of creation. The divine pattern is one of labor and rest in healthy proportion to each other. Our view of work should not be confined to commercial activity; it must also include the many ways that human beings serve each other through their efforts. AI can be used in ways that aid our work or allow us to make fuller use of our gifts. The church has a Spirit-empowered responsibility to help care for those who lose jobs and to encourage individuals, communities, employers, and governments to find ways to invest in the development of human beings and continue making vocational contributions to our lives together.

We deny that human worth and dignity is reducible to an individual’s economic contributions to society alone. Humanity should not use AI and other technological innovations as a reason to move toward lives of pure leisure even if greater social wealth creates such possibilities.

Genesis 1:27; 2:5; 2:15; Isaiah 65:21-24; Romans 12:6-8; Ephesians 4:11-16

Article 6: Sexuality

We affirm the goodness of God’s design for human sexuality which prescribes the sexual union to be an exclusive relationship between a man and a woman in the lifelong covenant of marriage.

We deny that the pursuit of sexual pleasure is a justification for the development or use of AI, and we condemn the objectification of humans that results from employing AI for sexual purposes. AI should not intrude upon or substitute for the biblical expression of sexuality between a husband and wife according to God’s design for human marriage.

Genesis 1:26-29; 2:18-25; Matthew 5:27-30; 1 Thess 4:3-4

Article 5: Bias

We affirm that, as a tool created by humans, AI will be inherently subject to bias and that these biases must be accounted for, minimized, or removed through continual human oversight and discretion. AI should be designed and used in such ways that treat all human beings as having equal worth and dignity. AI should be utilized as a tool to identify and eliminate bias inherent in human decision-making.

We deny that AI should be designed or used in ways that violate the fundamental principle of human dignity for all people. Neither should AI be used in ways that reinforce or further any ideology or agenda, seeking to subjugate human autonomy under the power of the state.

Micah 6:8; John 13:34; Galatians 3:28-29; 5:13-14; Philippians 2:3-4; Romans 12:10

Article 4: Medicine

We affirm that AI-related advances in medical technologies are expressions of God’s common grace through and for people created in His image and that these advances will increase our capacity to provide enhanced medical diagnostics and therapeutic interventions as we seek to care for all people. These advances should be guided by basic principles of medical ethics, including beneficence, non-maleficence, autonomy, and justice, which are all consistent with the biblical principle of loving our neighbor.

We deny that death and disease—effects of the Fall—can ultimately be eradicated apart from Jesus Christ. Utilitarian applications regarding healthcare distribution should not override the dignity of human life. Fur- 3 thermore, we reject the materialist and consequentialist worldview that understands medical applications of AI as a means of improving, changing, or completing human beings.

Matthew 5:45; John 11:25-26; 1 Corinthians 15:55-57; Galatians 6:2; Philippians 2:4

Article 3: Relationship of AI & Humanity

We affirm the use of AI to inform and aid human reasoning and moral decision-making because it is a tool that excels at processing data and making determinations, which often mimics or exceeds human ability. While AI excels in data-based computation, technology is incapable of possessing the capacity for moral agency or responsibility.

We deny that humans can or should cede our moral accountability or responsibilities to any form of AI that will ever be created. Only humanity will be judged by God on the basis of our actions and that of the tools we create. While technology can be created with a moral use in view, it is not a moral agent. Humans alone bear the responsibility for moral decision making.

Romans 2:6-8; Galatians 5:19-21; 2 Peter 1:5-8; 1 John 2:1

Article 2: AI as Technology

We affirm that the development of AI is a demonstration of the unique creative abilities of human beings. When AI is employed in accordance with God’s moral will, it is an example of man’s obedience to the divine command to steward creation and to honor Him. We believe in innovation for the glory of God, the sake of human flourishing, and the love of neighbor. While we acknowledge the reality of the Fall and its consequences on human nature and human innovation, technology can be used in society to uphold human dignity. As a part of our God-given creative nature, human beings should develop and harness technology in ways that lead to greater flourishing and the alleviation of human suffering.

We deny that the use of AI is morally neutral. It is not worthy of man’s hope, worship, or love. Since the Lord Jesus alone can atone for sin and reconcile humanity to its Creator, technology such as AI cannot fulfill humanity’s ultimate needs. We further deny the goodness and benefit of any application of AI that devalues or degrades the dignity and worth of another human being. 

Genesis 2:25; Exodus 20:3; 31:1-11; Proverbs 16:4; Matthew 22:37-40; Romans 3:23

Article 1: Image of God

We affirm that God created each human being in His image with intrinsic and equal worth, dignity, and moral agency, distinct from all creation, and that humanity’s creativity is intended to reflect God’s creative pattern.

We deny that any part of creation, including any form of technology, should ever be used to usurp or subvert the dominion and stewardship which has been entrusted solely to humanity by God; nor should technology be assigned a level of human identity, worth, dignity, or moral agency.

Genesis 1:26-28; 5:1-2; Isaiah 43:6-7; Jeremiah 1:5; John 13:34; Colossians 1:16; 3:10; Ephesians 4:24