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Redefining Reality - The Intellectual Implications of Modern Science

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We have looked at both chemical and genetic medicine and their<br />

ability to make us better but still maintain some unique human<br />

identity. We think <strong>of</strong> surgery and life-support technology as<br />

medical because they are used to restore, preserve, or enhance<br />

health. But what should we think about using these technologies<br />

for “cosmetic” purposes?<br />

<br />

In some cases, the difference between medical and cosmetic<br />

procedures is clear. Quadruple bypass surgery is obviously<br />

medical, while an injection <strong>of</strong> Botox to eliminate wrinkles is<br />

obviously cosmetic.<br />

Optometrists originally used a diluted amount <strong>of</strong> botulinum<br />

toxin to help people who suffer from blepharospasms,<br />

uncontrollable twitching <strong>of</strong> the eyelid. Injection <strong>of</strong> an<br />

<br />

control the twitching, bringing about relief from the symptom.<br />

In the 1980s, plastic surgeons discovered that this same toxin<br />

could be used to smooth out wrinkles.<br />

<br />

<br />

<br />

<strong>The</strong> ability to remove signs <strong>of</strong> aging means that aspects <strong>of</strong> our<br />

bodies that were once unavoidable facts <strong>of</strong> life became choices.<br />

By selecting to have or not have wrinkles, we turn biological<br />

processes into fashion. We can now make a cultural statement<br />

by allowing our bodies to age naturally or by arresting the<br />

appearance <strong>of</strong> these changes. Experience once implied<br />

wisdom, and displays <strong>of</strong> age gave one respect and standing.<br />

But now, displays <strong>of</strong> youth imply vitality; a different cultural<br />

value system is advanced with advancing technology.<br />

<br />

procedures is to say that a procedure is medical if it restores<br />

something to its natural state and cosmetic if it takes one intentionally<br />

out <strong>of</strong> a natural state. Wrinkles are a natural part <strong>of</strong> the face; thus, the<br />

use <strong>of</strong> Botox to make one better than natural is cosmetic. But its use<br />

to deaden the muscles controlling the eyelids returns the body to its<br />

natural state; thus, that treatment is medical.<br />

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