Inventing Bioethics

In Swasti Bhattacharyya’s book Magical Progeny, Modern Technology, she discusses the Hindu perspectives on reproductive technologies, including IVF, adoption, and surrogacy. To do so, she cites many traditional Hindu stories, relying primarily on the Mahabharata and the messages it carries. In addition to this primary goal, Bhattacharyya also speaks extensively about the importance of cultural competency in a clinical setting, as well as the presence (or lack thereof) of religion in both academia and clinical environments. Bhattacharyya sets the scene by stressing the relevance of incorporating Hindu perspectives into bioethics debates. In the United States and globally, those ascribing to a Hindu tradition are numerous and growing, yet bioethics tend to be centered around Christian and Judaic perspectives. The importance of learning from and about different perspectives is increasingly important as America continues to become more diverse, and second/third/fourth generations immigrants formulate their own unique worldview that incorporates a great many set of identities. These religious beliefs underscore the perceptions and actions of many people, but religion tends to be marginalized in academic settings and poorly understood in clinical settings. This problem has seeped into bioethics discussions as well. But to cast aside religious perspectives is to leave out the most important factor for individuals when dealing with dilemmas involving life, birth, and death. It is therefore important and relevant to expand current religious influences on bioethics to include perspectives that accurately represent what individuals deal with when considering procedures such as IVF or abortion.

Hindu perspectives on reproductive technologies present themselves quite differently from other religious traditions. Whereas it was simple for us to read Donnum Vitae and understand wholly the position of Catholicism on reproductive technologies, there is no one central Hindu authority, or even a clear consensus about what a “Hindu perspective” would entail. It is multivalent, subjective, and malleable, and focuses more on acting ethically in a given situation rather than establishing absolutes. Bhattacharyya reconciles this by presenting a foundation of Hindu values and stories from which they’re drawn, and then discusses the perspectives that could be formulated from them. The mythologies presented in the Mahabharata serve as Bharracharyya’s key evidence for how Hindu perspectives about ART are structured. These stories discuss extensively the ideas of childbirth, procreation, kinship, and lineage, and include many fictive parallels to modern day reproductive technologies. Mythical stories about gods as sperm donors, surrogacy, adoption, exogenous birth, and more, establish an already fairly liberal precedent for the modern day equivalents of these stories. The characters in the Mahabharata “reflect a creativity and moral openness” (99) in finding ways to circumvent “normal” procreative processes. The author then identified six Hindu characteristics that embrace “a diversity of thought and experience”: emphasis on societal good, unity of life, dharma, the multivalent nature of Hindu thought, karma, and commitment to ahimsa. Each of these parts can be easily applied to bioethical debates about ART—for example, the idea of dharma and a woman’s responsibility to fulfill her childbearing responsibilities. All of these six characteristics intersect to provide a diverse, complementary worldview where alternate views are not only tolerated but are welcomed and internalized. The case study of Jacyee Buzzanca exemplifies this commitment to “viewing and honoring the views of life from many perspectives” (97) and is compared/contrasted to a Roman Catholic perspective, a tradition much more concerned with establishing absolutes and universal rules.

A Hindu perspective on bioethics and ART is one that contains ideals commonly represented in religious traditions—ideas of doing no harm, responsibility for actions, and one’s prescribed role in this world. However, the way that these concepts come together is quite unique, and is a perspective that is important to incorporate into bioethical debates. In many cases, involving religion tends to place limits on what one can and cannot do. Hinduism opens it back up and provides grounds upon which case-by-case moral dilemmas can be creatively managed.

The article by Bob Simpson, Impossible Gifts, takes yet another approach to viewing reproductive technologies, as well as organ and tissue donation. Interestingly, he talks about Ayurvedic medicine and how sperm donation is not a well-received practice due to issues of paternity. This contrasts quite heavily with the previous reading about Hindu bioethics, which also have links to Ayurvedic medicine. Beyond this, the article gives another very distinct view of tissue donation as “gift giving,” a practice deeply rooted in Buddhism that carries a lot of weight. Both of these readings truly show the process of “inventing bioethics” and how groups come to form their own ideas of what is moral and right.

After reading and reflecting on both of these very nuanced schools of thought, I wonder if we will ever reach a point in America where all of these diverse opinions will be incorporated in bioethics conversations? America, although nominally secular, definitely takes Christian viewpoints more seriously than others. Will Hindu or Buddhist perspectives ever carry much weight when it comes down to making legislative decisions about what is right or wrong?