Should we play God? It’s time we dumped that question. It only shows how deluded we are about where we’ve already got to.

Playing God is taking over responsibility for the things that once could only be committed to prayer, ritual and trust in the Almighty – the things that couldn’t be controlled, including most things to do with the health of you and those you loved.
You become responsible for what was just “in God’s hands”. A hazard of life becomes a risk you accept. Nowhere is this more obvious than in the matter of starting a family.
The almost universal use of ultrasound in pregnancy is a case in point.
It’s not used to narrow down the choice of names and get the appropriate colours in baby clothes. It’s not to get a really early baby picture for the grandparents. Ultrasound is used to confirm the stage of the pregnancy, the likely due date, and to check for any obvious signs of problems with the placenta or foetus.
If a problem is identified the doctor will then help the couple work out their options. There could be several, depending on the problem found, but there will usually be at least two: proceed with the pregnancy or terminate it.
The decision will be the couple’s, and responsibility for the consequences of the decision will be theirs as well. That’s how playing God works.
But it’s not as if they had a choice in the first place. If a couple were to decide that they didn’t want to have an ultrasound and avoid the risk of facing a really hard decision about the pregnancy, they would be responsible for their deliberate ignorance too.
It could be that they’d compromised the progress of the pregnancy and the outcome for their baby – for there’s no question that the use of ultrasound has been one of the factors that has improved pregnancy outcomes for mothers and babies.
The ancients praised God in wonder, singing, “you knit me together in my mother’s womb…your eyes beheld my unformed substance” (Psalm 139). But that’s just another day at the office for antenatal care these days.
The couple who discover they are carriers of one of these genetic conditions can opt to conceive using IVF with preimplantation genetic diagnosis (PGD) of their embryos.
Only unaffected embryos would then be transferred to the woman’s uterus. Alternatively they could use donor eggs, sperm or embryos, choose to adopt, or simply resolve to remain childless.
Some might decide just to risk it, conceive naturally and then, if necessary, accept the consequences of losing their gamble – terminate the pregnancy or raise the disabled child.
Whatever they decide, they’ll be responsible for the consequences. That’s how playing God works.
But there are issues that concern us all here, not just the couple playing God.
One of the reasons for the prohibition on sex selection in IVF is Australia is that it could reinforce a cultural preference for one sex that could entrench the disadvantages still faced by the other.
Fair enough.
One of the unforeseen outcomes of China’s one child policy was to create a shortage of women – not to mention the reported suffering of baby girls in that generation. But the disability lobby mounts a very similar argument against the increasing use of genetic screening in family formation.
They point out that this isn’t a case of medical science being used to treat inherited conditions or to improve the lives of those suffering from those conditions, but to prevent them from ever being born.
A society that thinks that it would be better off if its disabled members had never been born will soon exhaust its moral reserves. It will eventually mandate a government to penalise the parents of those individuals for ever delivering them and, finally, penalise those individuals themselves for ever being born.
For they will continue to be born – or created, since most “disabled” people do not inherit, but acquire their impairments through injury, illness or ageing.
Should use of the new genetic screening kit be permitted in Australia? I think it should. There’s no doubt that it could help some families avoid the horrible anguish of having a baby whose life is cruelly short and agonised.
But aren’t we on a slippery slope? Of course we are. It’s not as if there’s anywhere else we could be.
This is the only path we have and, given that it’s ethically slippery, we have to proceed with caution.
If we must “play God” we need to consciously import into our debate and decisions some of the qualities ascribed to the deity of choice beyond mere power – wisdom, compassion, justice, and a concern for individuals that keeps in view the wellbeing of communities, humankind, and the earth as a whole.
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