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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 />

C<strong>on</strong>clusi<strong>on</strong><br />

8.45 It is rare for there to be a single ‘right’ regulatory soluti<strong>on</strong>, whether the ‘problem’ to be solved is<br />

a substantive regulatory issue or a problem of a feature of regulatory instituti<strong>on</strong>al design. That is<br />

particularly the case in domains marked, as is emerging <str<strong>on</strong>g>biotechnologies</str<strong>on</strong>g>, by ambiguity and<br />

uncertainty, and it happens also to be a feature, as we have emphasised above, of the nature of<br />

design theory in regulati<strong>on</strong>. Regulatory decisi<strong>on</strong> making is a special case of a larger feature<br />

emphasised throughout this Report, namely, the way decisi<strong>on</strong>s c<strong>on</strong>stantly close down and open<br />

up ranges of opti<strong>on</strong>s. It therefore follows that what is important in regulati<strong>on</strong> is that, in closing or<br />

opening possibilities or choices there has to be, in part, a sense of the ethical implicati<strong>on</strong>s of<br />

choices made.<br />

C H A P T E R 8<br />

8.46 In <strong>on</strong>e form or other, approaches guided by cauti<strong>on</strong> are now embedded in the language of<br />

emerging <str<strong>on</strong>g>biotechnologies</str<strong>on</strong>g> regulati<strong>on</strong> – rightly so, because of those defining features that have<br />

loomed large in this Report: uncertainty, ambiguity and transformative potential. However, as is<br />

clear from the discussi<strong>on</strong> earlier in this Chapter, the implicati<strong>on</strong>s of cauti<strong>on</strong> are not themselves<br />

without ambiguity. This simply adds weight to our advocacy of the virtue of cauti<strong>on</strong>: the<br />

importance of humility in the face of uncertainty and the importance of c<strong>on</strong>sidering the widest<br />

possible range of affected interests.<br />

8.47 Much of the discussi<strong>on</strong> of public engagement with emerging <str<strong>on</strong>g>biotechnologies</str<strong>on</strong>g> is couched in the<br />

language of ‘managing’ public expectati<strong>on</strong>s and percepti<strong>on</strong>s, particularly expectati<strong>on</strong>s and<br />

percepti<strong>on</strong>s created and sustained by the mass media. This was noted by a number of those<br />

who submitted evidence in resp<strong>on</strong>se to our open c<strong>on</strong>sultati<strong>on</strong>. No doubt the engagement is<br />

important for the avoidance of manifestly distorted percepti<strong>on</strong>s. However, there is a more<br />

fundamental reas<strong>on</strong> for public engagement and it arises out of a key feature of the regulatory<br />

system emphasised throughout this Chapter: the regulati<strong>on</strong> of the domain offers no single,<br />

intellectually compelling soluti<strong>on</strong>s to pressing regulatory problems. At best it offers <strong>on</strong>ly a range<br />

of possible soluti<strong>on</strong>s, typically involving hard choices between alternatives (hence, dilemmas).<br />

The critical features of such choices are that they are, at least in part, ethical in character and<br />

have to be made in an uncertain world. Public engagement is not a mechanism for the<br />

management of expectati<strong>on</strong> but should be an intrinsic part of the regulatory process albeit that<br />

no effective regulatory system can simply c<strong>on</strong>sist of a forum for popular choice.<br />

8.48 A key theme of this Chapter has been the problematic c<strong>on</strong>tributi<strong>on</strong> of theories of instituti<strong>on</strong>al<br />

design to the creati<strong>on</strong> of effective regulati<strong>on</strong>. Most regulatory problems are dilemmas. They do<br />

not admit of technical administrative soluti<strong>on</strong>s but instead involve hard choices that often have<br />

significant ethical implicati<strong>on</strong>s. In emerging <str<strong>on</strong>g>biotechnologies</str<strong>on</strong>g>, therefore, it is more important to<br />

focus <strong>on</strong> the ethical framework, and the framework of public engagement, than to chase<br />

particular forms of instituti<strong>on</strong>al design.<br />

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