Cognitive Enhancement and Theories of Justice: Contemplating the
Malleability of Nature and Self Eva Orlebeke Caldera Institute for Ethics School of Law University of New Mexico Journal of Evolution and Technology - Vol. 18 Issue 1 – May 2008 – pgs 116-123 http://jetpress.org/v18/caldera.htm Abstract
As techniques for cognitive enhancement are being developed (including pharmacology, surgical modifications, transcranial magnetic stimulation, brain implants and other technologies), new questions are emerging about the availability, distribution and permissible uses of such techniques. This paper will provide an overview of possible approaches to these questions from within three different frameworks offered by political theory – libertarian (e.g. Robert Nozick), social contractarian (e.g. John Rawls) and communitarian (e.g. Michael Sandel). Each of these theories rests on particular assumptions about the relationship between individuals and society and on particular conceptions of human flourishing. This paper will examine whether the potential for cognitive enhancement requires re-examination of these fundamental premises about human nature and personal identity in connection with these theories of justice. Ongoing advances in
genetics, neuroscience and bioengineering, are opening the door to what many
believe is a new chapter in human experience, a chapter in which humans will
develop unprecedented techniques for manipulating biology to alter and
“enhance” our bodies, our minds and ultimately our societies. For some, the
prospect of these opportunities is exhilarating; the drive to perfect ourselves
is powerful and appealing. For others, the possibility that humans will
manipulate nature for human ends “beyond therapy” is a deeply unsettling
manifestation of hubris, doomed to failure.
In the face of sweeping
predictions about the promises and the perils of enhancement technologies –
technologies that remain for the most part speculative, the purpose of this
paper is to take a preliminary look at these theoretical possibilities from a
different vantage point. Specifically,
I would like to examine how the opportunity for human enhancement, particularly
cognitive enhancement, could affect the way we think about justice. Put another
way, if the emergence of cognitive enhancement has the potential to change our
understanding of human nature, how will these new possibilities also require us
to rethink our understanding of our relationships to each other and our
conceptions of justice in human society?
Some tools for cognitive
enhancement are already in widespread use – Ritalin for improving focus and
attention (even among those who are not diagnosed with attention deficit
disorders), tranquilizers for calming down, and other psycho-pharmaceuticals
used to regulate mood, sleep, and so on (Harmon 2005). Other technologies for
cognitive self-improvement are still in development – “smart pills” that will
fight Alzheimer’s disease and also be able to improve memory in healthy people
(Curtis 2006) or neural prostheses to be implanted in the brain to repair and
alter neural circuitry (Graham-Rowe 2003).[1]
As these new tools and technologies develop, we can begin to imagine that
individuals will experience an increasing sense of freedom to choose to change
what nature has handed them. For the person on Prozac, it is already possible
to say “I never really felt like myself until now” (Elliott 1998). The
constraints of nature no longer apply, and “feeling like myself” by taking a
pill becomes a matter of choice. Yet this newfound freedom
has its unsettling side. As Ronald Dworkin explains, “Our physical being – the
brain and body that furnishes each person’s material substrate – has long been
the absolute paradigm of what is devastatingly important to us and, in its
initial condition, beyond our power to alter and therefore beyond the scope of
our responsibility, either individual or collective” (Dworkin 2000,
444-445). When we find ourselves able
to use enhancement technologies to change more and more of what was formerly
understood as “given,” we experience, in Dworkin’s words, the disruption of
“the boundary between chance and choice”
(Id.). If our traits are to
become a matter of choice (our own or perhaps our parents’ in the case of
genetic engineering), then what is left of our notion of shared responsibility
for others whose choices – as opposed to chances (or luck) – differ from our
own or differ from the norm? A glimmer
of this possibility can be seen today in the concerns of parents of children
with Down syndrome; because prenatal testing for this condition, followed by
abortion, has become a widely available choice, these parents find themselves
confronting the harsh judgments of others who no longer see such children as
products of chance but instead as “tragic mistakes” and a “drain on society”
(Bauer 2005). In the rest of my
discussion, I intend to examine how the emerging choices offered by the
development of cognitive enhancement technologies can be analyzed from the
standpoint of three different
frameworks for thinking about justice – social contractarian (represented by
John Rawls), libertarian (represented by Robert Nozick), and communitarian
(represented by Michael Sandel). Each of these frameworks rests on particular
assumptions about the relationship between individuals and society and on
particular conceptions of human flourishing. For each of these traditions,
human enhancement, particularly cognitive enhancement, poses a new set of
questions and requires re-examination of longstanding assumptions about personal
identity, human responsibility and the shrinking role of nature in our
self-understanding. It is my hunch that these
theories are incomplete when it comes to these new challenges, because they
each make certain foundational assumptions about the role of the “natural
lottery” in shaping humans and the bonds of society. If the day should come
when we know our own brains well enough to shake off the constraints of the
natural lottery and assume explicit responsibility for shaping ourselves, none
of these theories seems to provide an adequate framework for managing these
unprecedented kinds of choices. Instead, we may well have to be open to
imagining new kinds of self-governance and new understandings of our
obligations to each other. Cognitive
Enhancement and the Social Contract
Justice, according to Rawls’
social contract theory, is the product of a contract in which all members of
society agree to pool the assets that they have each drawn in the “natural
lottery” of wealth, class and talent. That contract, Rawls asserts, would be
agreed upon by a hypothetical group of equal rational persons behind what he
calls a “veil of ignorance” that keeps each of them from knowing “his place in
society, his class position or social status…his fortune in the distribution of
natural assets and abilities, his intelligence, strength and the like” (Rawls
1971, 12). Because no person deserves
his or her winnings or losses in the natural lottery, it is rational for all to
agree to “share one another’s fate” (Rawls 1971, 102). In the resulting
cooperative social system, social and economic inequalities can be tolerated
only if they work to the benefit of the least advantaged members of society
(Rawls 1971, 101). Put simply, the mutual obligations of citizens arise from a
collective recognition of “there, but for the grace of God, go I.” Now imagine a hypothetical
world in which “there, but for the grace of God, go I,” is replaced with
“there, but for the effectiveness of my cognitive enhancements, go I.” In such
a world, if options for the losers of the natural lottery to improve their lot
were readily available, would the sense of shared fate that supports a social
contract be diminished? Would social responsibility for the less fortunate be
undermined by greater and greater emphasis on individual responsibility to pull
oneself up by one’s bootstraps – or one’s choice of enhancements? At the same time, would social pressures
increase for individuals to choose standard kinds of enhancements (for example,
adequate happiness quotients, minimum memory implants, and so on) in order to
fulfill expectations for being a “reasonable person” and avoid being blamed for
making poor choices?[2] Indeed, if the parties
behind the Rawls’ hypothetical “veil of ignorance” were to realize that aspects
of the natural lottery could be overcome through technology, would they not
simply agree to protect everyone’s interests by specifying that the initial
distribution of natural talents be adjusted –
through genetic engineering, cognitive enhancement, and other available means – until everyone had an equal portion of these
shared assets? In a brief aside on
eugenic policies, Rawls suggests just such a result: those in the original
position would shape the distribution of natural abilities such that “if there
is an upward bound on ability, we would eventually reach a society with the
greatest equal liberty the members of which enjoy the greatest equal talent” (Rawls 1971, 108, emphasis supplied). What would it mean for a
social contract to produce the “greatest equal talent” of its members? Kurt Vonnegut’s story “Harrison Bergeron”
comes to mind – a science fiction story set in 2081, at which time equality has
become a government mandate and those who are above average are required to
wear various kinds of cruel handicapping devices to erase differences among the
citizens (Vonnegut 1968).[3]
This unappealing possibility underscores the extent to which Rawls’s theory
depends on the assumption that human abilities and life prospects are not freely chosen but are largely shaped
by nature. Once we imagine that individuals will have the option to improve
upon their draw in the natural lottery, we confront a very difficult set of
questions if we aspire to be governed by principles of equal distribution and
respect for individual rights. What should be the metric for measuring and
comparing degrees and kinds of natural assets? How should we compare the values
of pleasant dispositions, imagination, creativity, mathematical ability,
photographic memory, and so on? What would count as an asset and what as a
deficit to be eliminated – deafness? dreaminess? Ultimately, talents and
natural assets are so closely bound up with individual personalities and
identities that it is far from obvious that our hypothetical representatives in
the original position would readily agree that these aspects of their very
identities were subject to redistribution or to manipulation for the sake of
equalizing cognitive abilities throughout society. Such a project of
engineering equality of talents conflicts with the fundamental value of respect
for persons that underlies the egalitarian conception of justice. Even if the
veil of ignorance were to prevent the inhabitants of the original position from
seeing their future selves, they would, as rational persons, appreciate the
importance of human individuality and uniqueness. Because that uniqueness is
necessarily tied to a particular configuration of talents, including mental
abilities, significantly changing that configuration – even for the sake of
justice – might change each person from who he or she is into someone else. Cognitive
Enhancement and Liberty
Human freedom to express
individuality, choose our own ends and realize our particular conceptions of
ourselves without interference from others, is at the heart of the libertarian
conception of justice (Nozick 1974). In
the context of cognitive enhancement, does this translate to an unfettered
right to what advocates have called “cognitive liberty”– the freedom to
cultivate and control one’s own mind using available neurotechnologies “to
foster the unlimited potential of the human mind and to protect freedom of
thought” (Center for Cognitive Liberty and Ethics 2006)? Or might cognitive
enhancement alter the identity of the freely choosing subject in fundamental
ways that undermine that individual’s self-ownership and self-expression? If we
begin to think of our brains as things to be shaped and manipulated using a
menu of pharmaceuticals to shape moods, enhance intellectual performance, erase
difficult memories and so on, what will be left of our notion of the self? Consider the following
invented example. Imagine that you are tone deaf and you buy a musical talent
implant from an inventor. After acquiring this implant and having it surgically
implanted, you are effortlessly transformed into a brilliant singer. Are you now musically talented? If you
appear on American Idol, will you be entitled to take credit for your
performance? If you make a best-selling album, will the inventor of the implant
be entitled to a share of the profits? Notice that none of these questions
would come up if the inventor were instead your music teacher. According to core
libertarian notions of self-ownership, individuals own themselves and have a
right to control the fruits of their own labor for their own purposes. If you
take singing lessons and practice hard, you invest your own labor in the
results. But by taking a shortcut through the use of an implant, you avoid
expending any effort at all, and although you may have legitimately acquired
the right to use the implant to give yourself marketable skills, you may have
cheated yourself of truly owning the fruits of your labor. Further, if the new musical
implant technology makes it possible for you to acquire musical ability
effortlessly, do you nevertheless deserve the rewards associated with this
implanted musical ability or are you guilty of a kind of fraud?[4]
Is there an important difference between investing your own labor and using
technology to take a shortcut to achievement? Would the government have a
legitimate role to play in requiring you to disclose your use of an
enhancement? Still more difficult
questions arise in connection with concerns about enhancement and
coercion. Assuming musical implants
were to become increasingly common, other musicians might feel increasing
pressure to adopt this enhancement to remain competitive, particularly if large
numbers of people decide to acquire musical ability through implants. This kind
of pressure to conform for competitive reasons is similar to the pressure to
practice harder or buy better musical equipment, but it is different as well.
Practicing or getting a better violin extends but does not alter the self. By
contrast, does the implant cross the boundary into becoming “other” and
ultimately coerce its users into changing the very selves that the libertarian
purports to protect? If that self can be changed in fundamental ways, then it
is no longer clear what it means for that self to be free to express its
essential nature. In a thought experiment,
Nozick posits the existence of a transformation machine “so that we could
accomplish anything by pushing a button to transform ourselves into someone who
could do it easily, [and] there would remain no limits we need to strain against or try to transcend. Would there be anything left to do? Do some theological views place
God outside of time because he couldn’t fill up his days?” (Nozick 1974, 44). Arguably someone who invoked
her “cognitive liberty” to use such an enhancement machine would never actually
live life. Although she might exercise a certain kind of freedom of choice, she
would no longer direct or own her own life; instead her life would be owned by
the machine or perhaps by the one whose labor created the transformation
machine. If the liberty to shape oneself and choose one’s own ends is central,
ceding control of one’s cognitive capacities to something external – a machine,
an implant or a drug, might at first appear to be an expression of a free
choice but in the end might also undermine the very freedom one had hoped to
express. Cognitive
Enhancement and Community
This question of who we
really are – how we get at what is fundamental about ourselves – is at the
heart of the struggle to understand the ethics of cognitive enhancement. From
the standpoint of the tradition of liberal individualism, each person is above
all a choosing self, free to pursue a good life according to her own values and
ends. Given this emphasis on individual choice, we can each decide for
ourselves whether we think enhancement is a good thing and each decide whether
we want to be consumers of new enhancement possibilities. But do we really make these
choices and define our values alone? Largely left out of the liberal account,
argue the communitarian critics, is any kind of strong notion of the
individual’s rootedness in a society or a community. For communitarians, a just
society is a kind of organic self-regulating community composed of what Michael
Walzer calls “spheres of justice.” Shares and obligations in the various
spheres of community life (e.g., politics, family life, money) are allocated
according to rules and obligations shaped by tradition and culture (Walzer
1983). Sandel’s communitarian critique
of liberalism draws a contrast between this kind of ideal community and the
liberal ideal of the “unencumbered self”; he argues for an alternative
conception of the individual as a “situated self,” shaped in part by the
particulars of the community in which a person finds himself or herself (Sandel
1982). By emphasizing the primacy of individual choice, he asserts, liberals
give short shrift to the value of collective democratic conversation about
whether some choices are better than others and about what kinds of substantive
human goods our society should cherish. An alternative vision would emphasize
the role played by shared community values, common history, and culture in
addressing address the dilemmas posed by technologies that allow us to become
masters of our own natures. But what are those shared
values when it comes to enhancement in today’s culture? The prevailing ethos in
contemporary culture is arguably one of unfettered free choice, with
individuals aided by any self-improvement technology that can be designed and
that an individual can afford. The continually growing popularity of cosmetic
surgery illustrates our society’s seemingly uncritical embrace of a menu of
choices for enhancement. Ironically,
these supposedly free choices are often dictated by peer pressure to keep up
with the latest options to come on the market and set the bar ever higher in
the drive for perfection. In such an environment, the very concept of community
is called into question, as individuals look to others merely to validate their
market and technology driven choices. Is it possible to shape a legitimate
collective vision of the best way to incorporate these complex new
possibilities into society as a whole? Or might widespread use of cognitive
enhancement change our very assumptions about democracy and community? If
enhancements become widespread, could it, for example, become acceptable to
require enhancements to participate fully in civic life – to vote, to hold public office, or to hold other positions of
responsibility in education, medicine, the military and so on? Like Rawls,
Sandel invokes the “natural lottery” as a source of social glue; the notion
that members of communities share a common fate –
that natural talents are a matter of good fortune rather than merit – is
essential for fostering the social solidarity that binds communities together.
(Sandel 2004) When individuals are able
to remake themselves through technology, this solidarity is undermined. The
enhanced individuals are likely to perceive the technology as the source of
their success; their sense of a debt to society and a corresponding sense of
responsibility to the less fortunate diminishes as well (Sandel 2004). Thus,
the emergence of an increasingly individualistic ethos of choice and control
through biotechnology may well undermine the very prerequisites for the kind of
community which can reach meaningful consensus about justice. Conclusion
The extent to which humans will succeed in learning how to
enhance themselves is currently impossible to foresee, and much of what we
imagine may well turn out to be science fiction. Nevertheless, as scientists develop new opportunities for
self-improvement through technology, society is likely to be faced with choices
about accepting, rejecting or regulating these new kinds of possibilities. This paper attempts to anticipate some of
the theoretical problems that such opportunities might present when approached
through the lenses of several important traditions in political theory. If enhancement technologies continue their
rapid development, we will need to grapple explicitly with the significant
challenges that enhancement possibilities present to our longstanding
assumptions about human nature and human identity, assumptions that are deeply
embedded in these traditions. By recognizing these challenges, we may be able
to take the first steps toward developing a new vocabulary for debating the
meaning of democracy and social responsibility in a society where the
availability of self-improvement technology is likely to offer new kinds of
freedom and at the same time tremendous pressure to conform to new expectations
created by such technology.
References
Bauer, P. 2005. The Abortion Debate No One Wants to Have. The Washington Post, October 18, 2005. Center for Cognitive Liberty and Ethics. 2006. Mission Statement. http://www.cognitiveliberty.org/mission.html, last accessed August 4, 2006. Curtis, P. 2006. Alzheimer’s Drug Could Make Everyone Brainier. The Guardian, January 27, 2006. Available at http://www.guardian.co.uk/medicine/story/0,11381,1695996,00.html?gusrc=rss. Daniels, N. 1981. Health-Care Needs and Distributive Justice. In Medicine and Moral Philosophy, ed. M. Cohen, T. Nagel, and T. Scanlon. Princeton, N.J.: Princeton University Press. Dworkin, R. 2000. Sovereign Virtue: The Theory and Practice of Equality. Cambridge, Mass.: Harvard University Press. Elliott, C. 1998. The Tyranny of Happiness: Ethics and Cosmetic Psychopharmocology. In Enhancing Human Traits: Ethical and Social Implications, ed. E. Parens, 177-188. Washington, D.C.: Georgetown University Press. Graham-Rowe, D. 2003. World’s First Brain Prosthesis Revealed. New Scientist, March 12, 2003. Available at http://www.newscientist.com/article.ns?id=dn3488. Harmon, Amy. 2005. Young, Assured and Playing Pharmacist to Friends. New York Times, November 16, 2005. Nozick, R. 1974. Anarchy, State and Utopia. New York: Basic Books. Rawls, J. 1971. A Theory of Justice. Cambridge, Mass.: Harvard University Press. Sandel, M. 1982. Liberalism and the Limits of Justice. Cambridge: Cambridge University Press. Sandel, M. 2004. The Case against Perfection. Atlantic Monthly. April 2004. Vonnegut, K. 1968. Harrison
Bergeron. In Welcome to the Monkey House.
New York: Delacorte Press. [1] As with the development of any new medical
intervention, the implementation of these technologies requires careful
balancing of risks and benefits for human users and a full opportunity for
informed consent in the face of inevitable uncertainty about long term health
effects. For the purposes of this
discussion, these very significant issues of safety and full disclosure of
risks (arguably more significant where the purported benefit is to enhance
rather than cure) will be set aside.
Instead, I will assume that individuals who might use cognitive enhancements
of various kinds will be able to make an informed choice to do so. [2] This line of questions makes the hypothetical (and currently unlikely) assumption that enhancements would in time be affordable and available to all. Absent this assumption, a Rawlsian framework could be used to govern the distribution of scarce enhancement resources by, for example, requiring that they be available to those who would use them to benefit the least well off – for example school teachers in the inner city who would use their enhanced capabilities to improve the prospects of underprivileged children. Alternatively, a voucher system might be designed to distribute fairly the opportunities to enhance, although this would present familiar policy challenges of defining covered enhancements and deciding on appropriate levels of subsidy to provide each person with a normal, species-typical range of opportunity for cognitive functioning. (See Daniels 1981) [3] Of course, cognitive enhancement scenarios presume that the lowest common denominator will be raised not lowered. Likewise, Rawls notes that “it is not in general to the advantage of the less fortunate to propose policies which reduce the talents of others. Instead … they view the greater abilities as a social asset to be used for the common advantage” (Rawls 1971, 107). [4] This question shares the intuition behind concerns about athletes and steroids – does the superstar athlete deserve the credit for his or her accomplishments or does the credit belong to the trainer or doctor who designed the athlete’s steroid regimen? |