Emerging biotechnologies: full report - Nuffield Council on Bioethics
Emerging biotechnologies: full report - Nuffield Council on Bioethics
Emerging biotechnologies: full report - Nuffield Council on Bioethics
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E m e r g i n g b i o t e c h n o l o g i e s<br />
Chapter 8 - Regulati<strong>on</strong><br />
Chapter overview<br />
In this Chapter we sketch the main aims of regulati<strong>on</strong> and argue that the difficult choices faced in the regulati<strong>on</strong> of<br />
emerging <str<strong>on</strong>g>biotechnologies</str<strong>on</strong>g> are themselves examples of difficult choices made in most other important regulatory domains.<br />
Also in comm<strong>on</strong> with other domains, the regulati<strong>on</strong> of emerging <str<strong>on</strong>g>biotechnologies</str<strong>on</strong>g> is framed predominantly by noti<strong>on</strong>s of<br />
risk of harm (in the dimensi<strong>on</strong>s of safety and security) and the likelihood of benefits. However, following from our<br />
c<strong>on</strong>clusi<strong>on</strong>s in Chapter 3 that <str<strong>on</strong>g>biotechnologies</str<strong>on</strong>g> are characterised by radical uncertainty and that what c<strong>on</strong>stitutes risks and<br />
benefits has complex social dimensi<strong>on</strong>s (in additi<strong>on</strong> to obvious physical harm) we argue that the focus <strong>on</strong> narrow<br />
c<strong>on</strong>cepti<strong>on</strong>s of risk is inappropriate to the development of <str<strong>on</strong>g>biotechnologies</str<strong>on</strong>g> (as distinct from the use of biotechnology<br />
products).<br />
A number of other characteristics of regulati<strong>on</strong>, notably its nati<strong>on</strong>al organisati<strong>on</strong>, its preoccupati<strong>on</strong> with nati<strong>on</strong>al values<br />
and imperatives, its uneasy relati<strong>on</strong>ship with layers of extra-nati<strong>on</strong>al regulati<strong>on</strong>, its ambiguous accountabilities and its<br />
diffusi<strong>on</strong> within a blurred advisory-policy-regulatory complex of governance instituti<strong>on</strong>s lead to the multiplicati<strong>on</strong> of<br />
potentially c<strong>on</strong>flicting framings of biotechnology with no obvious privileged ground <strong>on</strong> which to resolve them. We identify a<br />
number of c<strong>on</strong>crete problems to which this gives rise: problems of coordinati<strong>on</strong> and c<strong>on</strong>sistency, of voluntary and<br />
involuntary circumventi<strong>on</strong>, and of democratic accountability.<br />
We c<strong>on</strong>clude that regulati<strong>on</strong> cannot provide all the answers to securing benefits or averting harms from emerging<br />
<str<strong>on</strong>g>biotechnologies</str<strong>on</strong>g>, not least because emerging <str<strong>on</strong>g>biotechnologies</str<strong>on</strong>g> do not fit into risk-based regulatory models but require<br />
instead an approach guided by the virtue of cauti<strong>on</strong> which, in turn, requires a c<strong>on</strong>tinuous and reflective engagement with<br />
broader societal interests.<br />
Introducti<strong>on</strong><br />
8.1 Regulators in the field of <str<strong>on</strong>g>biotechnologies</str<strong>on</strong>g> work under at least two (somewhat c<strong>on</strong>tradictory)<br />
pressures. On the <strong>on</strong>e hand, regulati<strong>on</strong> is expected to manage and mitigate the ‘risks’<br />
associated with emerging <str<strong>on</strong>g>biotechnologies</str<strong>on</strong>g>; <strong>on</strong> the other, it is expected to do this while enabling,<br />
or even facilitating, the delivery of substantial, possibly transformative benefits. As we<br />
characterised them in Chapter 3, emerging <str<strong>on</strong>g>biotechnologies</str<strong>on</strong>g> present special challenges of<br />
uncertainty, ambiguity and transformative potential that are substantially settled in the case of<br />
established technologies. <str<strong>on</strong>g>Emerging</str<strong>on</strong>g> <str<strong>on</strong>g>biotechnologies</str<strong>on</strong>g> therefore often come up against regulatory<br />
c<strong>on</strong>diti<strong>on</strong>s that are maladapted to them and that may unnecessarily inhibit certain trajectories or<br />
compound uncertainty.<br />
8.2 In this Chapter we start by describing what might be called the ‘dominant frame’ in the<br />
regulati<strong>on</strong> of emerging <str<strong>on</strong>g>biotechnologies</str<strong>on</strong>g>: a frame that stresses particular noti<strong>on</strong>s of ‘risk’ and that<br />
shapes regulatory language, decisi<strong>on</strong>s and practice. We provide examples of regulatory<br />
systems that focus particularly <strong>on</strong> ‘risk’ and argue that the special challenges of emerging<br />
<str<strong>on</strong>g>biotechnologies</str<strong>on</strong>g> show this risk-based frame to be unduly restrictive. Appropriate regulati<strong>on</strong><br />
involves both more and less than the identificati<strong>on</strong> and management of measurable ‘risk’: more<br />
because risks may be narrowly c<strong>on</strong>ceived; less because pursuing this focus may obscure other<br />
c<strong>on</strong>siderati<strong>on</strong>s of importance.<br />
The purposes of regulati<strong>on</strong><br />
8.3 Regulati<strong>on</strong> is often understood as being animated by the aim of avoiding adverse<br />
c<strong>on</strong>sequences – physical, envir<strong>on</strong>mental, social or moral – of something that it is otherwise<br />
beneficial to do. These c<strong>on</strong>sequences, beneficial and adverse, are, of course, not necessarily of<br />
the same order. It is noteworthy that some <str<strong>on</strong>g>biotechnologies</str<strong>on</strong>g> are particularly associated with<br />
‘ethical regulati<strong>on</strong>’ that is not necessarily understood in terms of the protecti<strong>on</strong> of the interests of<br />
those directly involved (research participants, patients, c<strong>on</strong>sumers, the public, future<br />
generati<strong>on</strong>s, etc.) but goes to the public values of society more generally. 562<br />
562 See, for example, the regulatory c<strong>on</strong>straints imposed <strong>on</strong> human embryo research in the UK (see the ‘Warnock <str<strong>on</strong>g>report</str<strong>on</strong>g>’:<br />
Committee of Inquiry into Human Fertilisati<strong>on</strong> and Embryology (1984) Report of the committee of inquiry into human<br />
fertilisati<strong>on</strong> and embryology, available at:<br />
136