Stem cells

Embryos under the knife

The latest reproductive technology is just the next step on our sprint toward human cloning.

When Maureen Kass entered the in vitro fertilization program at a Long Island hospital, she took fertility drugs to increase the number of eggs she produced. Using a long needle guided by ultrasound, her doctor removed her eggs and fertilized them in a plastic dish with her husband’s sperm. In eight attempts, she became pregnant twice. The first one ended in a miscarriage; the other resulted in an ectopic pregnancy that had to be surgically removed. Already the Kasses had spent nearly $75,000 on their fertility treatments, but still no baby.

On the ninth attempt, Maureen’s doctors removed 16 eggs. Nine were fertilized — too many to be safely implanted into Maureen. So five embryos were frozen for later use. Like most IVF clinics, the hospital insisted that the couple sign an advance directive regarding the fate of the frozen embryos in case the Kasses no longer wished to use them. The choices were to terminate the embryos, donate them to another couple or cede them to research. The Kasses chose research.

Now their private decision is at the heart of a public controversy. In the next few months, Congress will decide whether a ban on research that destroys embryos should be lifted altogether. At fertility clinics across the country, over 150,000 human embryos lie suspended in liquid nitrogen tanks resembling three-foot-tall thermoses. Scientists and biotech companies want access to these embryos, not to create a baby for an infertile couple, but to use the embryos’ stem cells to produce medical treatments. These primitive cells can grow into every type of tissue, including nerves, bones and muscles. But turning human embryos into biological factories raises enormous ethical concerns, converting potential people into products and launching us on a slippery slope toward genetic enhancement and the cloning of human beings.

I’ve spent the last 20 years studying the ever-growing monster of reproductive technology and have followed the debate about embryo research with increasing alarm. What seems to be a simple issue of medical progress — Can we save lives with tissue that would never otherwise be used? — has the potential to turn into a sci-fi nightmare that many would not imagine possible.

Each step along the way, from sperm donation to in vitro fertilization to surrogate mothers to embryo research, we have gradually yet inexorably moved closer and closer toward engineering human life to fulfill individual desire. The compelling tales of infertile couples moved us to endorse creating the potential test-tube babies. And the hopeful pleas of the sick and injured are making us consider the idea of medical research on the leftover embryos. Now a British panel of doctors has suggested that their government allow cloned embryos for research purposes.

This week, Great Britain’s chief medical officer, Liam Donaldson, urged Parliament to allow doctors to begin “therapeutic cloning.” This involves creating an embryo that is a clone of the patient and using that embryo as the source of stem cells, which would guarantee that the resulting tissue is not rejected. Yet perfecting a technique to clone human embryos would pave the way for any such embryo to actually be implanted in a woman to create a living, breathing human clone.

Stakes are high on both sides. At congressional hearings last April, the former Man of Steel, Christopher Reeve, urged the use of embryo stem cells on spinal cord injury victims. Reeve, rendered quadriplegic after a fall from a horse, is confined to a wheelchair which he directs with his breath (a hard breath turns it right, a soft one, left). To speak, he must wait for his respirator to swish air over his vocal chords.

“Why has the use of discarded embryos for research become such an issue?” Reeve asked. “Is it more ethical for a woman to donate unused embryos that will never become human beings, or let them be tossed away as so much garbage when they could help save thousands of lives?”

But critics of embryo research hold no truck with such rhetoric. David Prentice, an embryologist at Indiana State University, likens Reeve’s argument “to the one in Nazi Germany saying we’re going to have these Jews killed, so why not experiment on them?”

A little inflammatory? Perhaps, but Prentice is articulating the concerns of many who are dismayed by the headlong rush towards embryo stem cell research and what it signals about medicine’s increasingly cavalier attitude toward human life. Since removal of the cells destroys the embryo itself, some women have also voiced their concern that embryos will become nothing more than research fodder.

“It’s not like I left a toenail cell at the clinic,” says Risa York, an in vitro fertilization patient with seven frozen embryos. “Each embryo is a potential child. We have to be very careful — and respectful — about how we make decisions about them.”

Despite such dissenting views, embryo research now seems inevitable. This month, the National Institutes of Health (NIH) plans to give the go-ahead for embryo stem cell research — a slap in the face to legislators who believe that it violates an existing federal law banning research which destroys embryos. NIH claims to have found a loophole: federally-funded researchers will not remove the cells themselves (which would terminate the embryos), but will perform research on cells that have already been removed.

Douglas Johnson, legislative director of the National Right to Life Committee, responds bluntly: “If we had a law that barred research in which porpoises were killed, no one would entertain for five seconds that a federal agency could arrange for someone else to kill the porpoises and then proceed to use them in research.”

The upcoming congressional bill, sponsored by Sen. Arlen Specter, R-Pa., will to allow federally funded embryo stem cell research on leftover in vitro embryos, like the ones the Kasses stored at the Long Island clinic. This bill, which has overwhelming support due to the compelling testimony of patients like Reeve, would lead to massive experiments on embryos by researchers at the NIH and at university labs and medical centers that receive federal funding. Already, on the NIH Web site, every institute has posted a plan for what it will do if it can use embryo stem cells. The Heart, Blood and Lung Institute wants to repair failing hearts and grow new heart chambers. General Medical Sciences wants to develop artificial skin. Even Environmental Sciences wants to get into the act, proposing to use embryo stem cells to test “the toxic effects of biologicals, chemicals and drugs.”

Yet if this sounds like an issue that will divide pro-lifers with their strict life-is-sacred values against liberal humanists with their let’s-control-fate-through-science convictions, think again. While staunch pro-lifers, such as Sen. Gordon Smith, R-Ore., have embraced the research because of its potential medical benefit, some pro-choice Protestant groups are lobbying against the bill.

Protestant theologian Gilbert Meilander of Valparaiso University in Indiana argues that while abortion is justified because of the claims of the pregnant women, “there is no such direct conflict of lives involved in embryo research.” The 8.5 million member United Methodist Church opposes embryo stem cell research on the grounds that it turns human life into a commercial product.

A far-fetched fear? Not for the West Coast infertility clinic director who recently called me for advice about the unclaimed embryos in his care. Recognizing that human embryos are now a treasure trove of potential medical cures, he queried: “We have lots of embryos that couples haven’t asked about for a while. Can we sell them to a biotech company?”

But imagine the heartache of the couple who comes back to the clinic a few years later to get pregnant only to learn that their future child has been turned into a kidney. Even couples like the Kasses, who checked off “research” on the forms, might have expected that the clinic would be doing the sort of research that was most important to the couple — infertility research. They might be appalled by the idea that their embryo was converted into a set of nerve cells that was for sale to the highest bidder.

And what if the couple now disagree on the fate of the embryo? After their ninth attempt at in vitro fertilization failed, Maureen and Steve Kass divorced. She then wanted to use her frozen embryos to create a child, but Steve disagreed. After five years of litigation, the highest New York court decreed that the fate of the embryo was governed by the form the couple had initially filled out, saying leftover embryos could be used for research. Although Mrs. Kass desperately wants a baby from the embryos created with her eggs, those embryos are now fodder for research.

What’s perhaps more disturbing is that there’s no guarantee that embryo stem cells will be used to cure serious diseases. Indeed, biotech companies can make more money by offering to use them for the burgeoning market of “enhancement” medicine. Where cardiac patients might need new heart cells to repair a damaged chamber, athletes may use these same cells to increase stamina. Geron Corp., which holds the exclusive U.S. license on embryo stem cell technology, touts the artificial skin it is developing as a treatment not just for burn victims but for people with sun damage and other age-related conditions. Indeed, 70-year-old Specter let slip his real interest in embryonic stem cells when he referred to them as “a veritable fountain of youth.”

“You could use embryo stem cells for genetic engineering and enhancement,” says Prentice, who predicts that doctors will say: “If you want to be a marathon runner, we’ll fix that for you.”

Across the world, government policymakers are eyeing the United States to see how the laws around embryo research will develop. Many countries have national bans on embryo research that forbid even privately funded companies like Geron from undertaking such work. A member of the French Parliament is concerned that medical products made from human embryo cells will become so routine that Europeans will inadvertently use them, despite their own laws. He advocates an “ethical” label, like the European labels that indicate which foods are genetically engineered and which clothes were not made with child labor, to give people a choice not to partake of the products of human embryos.

Specter is trying to head off criticism by including two restrictions in his bill. The proposed law bans the creation of embryos for research (relying only on “excess” embryos from infertility clinics) and forbids the implantation of cloned embryos to create humans. But neither limit is likely to last. As Dr. Edmund Pellegrino of Georgetown University, a Roman Catholic physician and ethicist, puts it: “How is it possible to separate ‘spare’ embryos from embryos intentionally produced as stem cell sources? The temptation to make ‘spares’ is obvious.”

And eventually, even the bright line against cloning whole humans will grow blurry. Specter’s co-sponsor on the bill, Sen. Tom Harkin, D-Iowa, has already gone on record as favoring human cloning. When President Clinton previously urged Congress to ban cloning, Harkin said there should be no limits to scientific research. He told Clinton, “Take your ranks alongside Pope Paul V who in 1616 tried to stop Galileo.”

Does opposing embryo stem cell research really mean throwing in one’s towel with the Pope Pauls of history? Or is there something to be said for restraining the technologies that control life?

Ironically, despite charges that this ban will block promising medical research, it may be having just the opposite effect. The legal restrictions on embryo stem cell research (including flat-out bans on embryo research in eight states — Florida, Maine, Massachusetts, Michigan, Minnesota, North Dakota, Pennsylvania and Rhode Island) have sent scientists scurrying to find other body cells with similar properties. Over the past year, a series of scientific breakthroughs occurred that challenged the traditional idea that adult cells were permanently wedded to their specialized roles in the body.

“Everyone thought that adult cells had gone past the point of no return,” says geneticist Eugene Pergament of Northwestern School of Medicine. “But now we know that, from a genetic perspective, any cell with a nucleus can be made into a stem cell.”

In research on mice, Italian and Canadian scientists found that adult stem cells from the brain can shed their identities and reinvent themselves as blood cells. Researchers at the University of Toronto discovered retinal stem cells in adults that could be used to regenerate damaged eyes. Pancreatic stem cells — including those taken from cadavers — can be persuaded to create insulin-producing cells. And, just this week, researchers announced that adult stem cells from bone marrow can create nerve cells to potentially treat Alzheimer’s, Parkinson’s or spinal cord injuries.

The latest findings suggest that adult stem cells have a developmental repertoire close to that of embryo stem cells. They retain their potential after long-term culture, and can be frozen for later use. If adult stem cells live up to their potential, there may be less reason to disturb those souls-on-ice in infertility clinics.

“The issue is bigger than the fate of some embryos,” says Risa York. “It’s possible to be pro-choice and still respect human embryos as life.” She worries that commercializing embryos — seeing them as just the raw material for medical products — is a trend that could diminish us all. Yet in an era when reproductive medicine is changing faster than a baby grows, York’s vision may soon seem quaintly antiquated.

Lori B. Andrews is a professor at Chicago-Kent College of Law and the director of the Institute for Science, Law and Technology. She is the author of 14 books, including "The Clone Age: Adventures in the New World of Reproductive Technology."

Gov. Rick Perry underwent stem cell therapy

...the kind that Christian conservatives like

FILE - In this June 18, 2011 file photo, Texas Gov. Rick Perry speaks at the Republican Leadership Conference in New Orleans. Should Perry conclude that voter discontent has left him an opening to enter the presidential race, the longtime Texas governor would be among the GOP field's most conservative candidates. (AP Photo/Patrick Semansky, File)(Credit: AP)

Rick Perry, the Texas governor who may soon enter the GOP presidential race, is an outspoken critic of stem cell research. Earlier this year he claimed that under the Obama administration, stem cell research was “turning the remains of unborn children into nothing more than raw material.”

It is perhaps surprising to learn, then, that Perry himself was injected with stem cells last month to treat a recurring back injury, as the Texas Tribune revealed. However, Perry was treated with adult stem cells from his own tissue, not embryonic stem cells.

The Texas Tribune points out that Perry’s procedure was nonetheless experimental and controversial: it isn’t FDA approved, has mixed evidence of success and can cost tens of thousands of dollars (and is not covered by insurance). Researchers have also said that “despite the great potential adult stem cells may have, so far they’ve seen nothing more definitive than the so-called ‘placebo effect’.”

On Wednesday, a spokesperson for Perry said that the governor’s “innovative” procedure had been “successful” and The Tribune notes that Perry’s Emerging Technology Fund has already pledged millions of dollars to adult stem cell research.

Although still experimental, adult stem cell therapy is not embroiled in the political quagmire that surrounds embryonic research — a hot button issue for pro-life advocates. That is not to say that Perry’s public endorsement of adult stem cell research won’t have political fallout or consequences for the scientific community.

An article in the Christian Post Thursday is illustrative of this. It notes that according to pro-life advocates, “embryonic stem cell research, besides being immoral, is unnecessary due to the advances in adult stem cell research.”

Conservative Christian groups argue that advancements in adult stem cell research render the use of embryos unnecessary, but scientists are generally skeptical about the effectiveness of adult stem cell injections and still see the use of embryos as crucial to the to the advancement of stem cell research. As Dr. David Baltimore, president of CalTech, told ABC News in April: embryonic stem cell research “[is] one of the most exciting things that has happened in science and we are not allowed to study it.”

Perry’s adult stem cell success story will no doubt serve as a useful weapon in the highly politicized fight against such research.

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Natasha Lennard covers the Occupy movement for Salon. A British-born, Brooklyn-based journalist, she has been covering Occupy Wall Street since before the first sleeping bag was unrolled in Zuccotti Park. One of the first journalists arrested at an Occupy action, she has managed to enrage Andrew Breitbart, Rush Limbaugh and Glenn Beck. You can follow her on Twitter (@natashalennard), and email her any Occupy updates/videos/ideas to natasha.lennard@gmail.com

Justice Department will appeal ruling in stem cell case

Federal judge has blocked additional taxpayer money from being used in embryonic research

The Obama administration will appeal a court ruling that undercut its efforts to expand stem cell research, the Justice Department said Tuesday.

The appeal is expected this week, said spokesman Matthew Miller.

On Monday, a federal judge ruled that the stem cell research violated the will of Congress in prohibiting the destruction of human embryos.

National Institutes of Health Director Francis Collins said dozens of studies of promising stem cell therapies — about $54 million worth — would have to stop because of the court ruling that temporarily forbids any additional money from being granted.

Monday’s ruling will “drive the best scientific minds into work less likely to yield treatments,” added Sean Tipton of the American Society for Reproductive Medicine. “It will be incredibly disruptive.”

Stem cells reverse blindness caused by burns

In a study deemed a "roaring success," dozens of people regain their vision after transplants

Dozens of people who were blinded or otherwise suffered severe eye damage when they were splashed with caustic chemicals had their sight restored with transplants of their own stem cells — a stunning success for the burgeoning cell-therapy field, Italian researchers reported Wednesday.

The treatment worked completely in 82 of 107 eyes and partially in 14 others, with benefits lasting up to a decade so far. One man whose eyes were severely damaged more than 60 years ago now has near-normal vision.

“This is a roaring success,” said ophthalmologist Dr. Ivan Schwab of the University of California, Davis, who had no role in the study — the longest and largest of its kind.

Stem cell transplants offer hope to the thousands of people worldwide every year who suffer chemical burns on their corneas from heavy-duty cleansers or other substances at work or at home.

The approach would not help people with damage to the optic nerve or macular degeneration, which involves the retina. Nor would it work in people who are completely blind in both eyes, because doctors need at least some healthy tissue that they can transplant.

In the study, published online by the New England Journal of Medicine, researchers took a small number of stem cells from a patient’s healthy eye, multiplied them in the lab and placed them into the burned eye, where they were able to grow new corneal tissue to replace what had been damaged. Since the stem cells are from their own bodies, the patients do not need to take anti-rejection drugs.

Adult stem cells have been used for decades to cure blood cancers such as leukemia and diseases like sickle cell anemia. But fixing a problem like damaged eyes is a relatively new use. Researchers have been studying cell therapy for a host of other diseases, including diabetes and heart failure, with limited success.

Adult stem cells, which are found around the body, are different from embryonic stem cells, which come from human embryos and have stirred ethical concerns because removing the cells requires destroying the embryos.

Currently, people with eye burns can get an artificial cornea, a procedure that carries such complications as infection and glaucoma, or they can receive a transplant using stem cells from a cadaver, but that requires taking drugs to prevent rejection.

The Italian study involved 106 patients treated between 1998 and 2007. Most had extensive damage in one eye, and some had such limited vision that they could only sense light, count fingers or perceive hand motions. Many had been blind for years and had had unsuccessful operations to restore their vision.

The cells were taken from the limbus, the rim around the cornea, the clear window that covers the colored part of the eye. In a normal eye, stem cells in the limbus are like factories, churning out new cells to replace dead corneal cells. When an injury kills off the stem cells, scar tissue forms over the cornea, clouding vision and causing blindness.

In the Italian study, the doctors removed scar tissue over the cornea and glued the laboratory-grown stem cells over the injured eye. In cases where both eyes were damaged by burns, cells were taken from an unaffected part of the limbus.

Researchers followed the patients for an average of three years and some as long as a decade. More than three-quarters regained sight after the transplant. An additional 13 percent were considered a partial success. Though their vision improved, they still had some cloudiness in the cornea.

Patients with superficial damage were able to see within one to two months. Those with more extensive injuries took several months longer.

“They were incredibly happy. Some said it was a miracle,” said one of the study leaders, Graziella Pellegrini of the University of Modena’s Center for Regenerative Medicine in Italy. “It was not a miracle. It was simply a technique.”

The study was partly funded by the Italian government.

Researchers in the United States have been testing a different way to use self-supplied stem cells, but that work is preliminary.

One of the successful transplants in the Italian study involved a man who had severe damage in both eyes as a result of a chemical burn in 1948. Doctors grafted stem cells from a small section of his left eye to both eyes. His vision is now close to normal.

In 2008, there were 2,850 work-related chemical burns to the eyes in the United States, according to the Bureau of Labor Statistics.

Schwab of UC Davis said stem cell transplants would not help those blinded by burns in both eyes because doctors need stem cells to do the procedure.

“I don’t want to give the false hope that this will answer their prayers,” he said.

Dr. Sophie Deng, a cornea expert at the UCLA’s Jules Stein Eye Institute, said the biggest advantage was that the Italian doctors were able to expand the number of stem cells in the lab. This technique is less invasive than taking a large tissue sample from the eye and lowers the chance of an eye injury.

“The key is whether you can find a good stem cell population and expand it,” she said.

——

Online:

New England Journal: http://www.nejm.org

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How the Super Bowl won me over

I used to be a sports-hating snob. Then I fell for a fan and discovered football is the best reality TV there is

In 1977, the Oakland Raiders finally made it to the Super Bowl. I was living at the beach that year, temporary roommates with my best friend, Stephen Salinger, a life-long Raiders fan. He made food, invited friends in, cheered through the game and celebrated for days after the Raiders’ decisive 32-14 win against the Minnesota Vikings.

I went surfing.

He couldn’t believe it. I had to be the only man in America not watching the game. It was perverse, it was pathological. It was unpatriotic. But there was a swell running and, in a favorite phrase of mine at the time, football was just “guys jumping into piles” anyway. I thought I was “above” football, but the truth is I was a petty little snob from an Upper East Side, socialist-leaning family. (My mother voted for Adlai Stevenson. Twice.) We went to antiwar demonstrations and Pete Seeger concerts (yes, we sang along), not football games. Running photographs at half-time from Shea Stadium to the pressroom at the Daily News, years before, I had gotten a closer brush with the sport. I came away impressed by the sheer size of the players and the gladiatorial brutality of the game itself. But I wasn’t inspired to watch.

I later became friendly with one of the players on the field that day, Jets cornerback Steve Tannen. We sat in my step-brother’s living room watching another Super Bowl, and he explained what was going on. I still didn’t get it. My smug superior pose was like a suit of armor. I clanked when I walked. An actual NFL player was sitting on a couch with me, explaining the intricacies of the game, and all I could think was, “This is way too complicated for such a dumb sport.”

I might never have discovered the game at all, but around 10 years ago, something completely unexpected happened. I fell in love with a fan.

Annie and I worked together in my contracting business and we were painting a kitchen one Sunday afternoon, when she put on the radio. Not NPR as usual, but an AM station out of New York City, WFAN. The Giants were playing, and she didn’t want to miss the game. She liked listening almost as much as watching, which was convenient since the hated Patriots had knocked the Giants off the Boston television stations most Sundays.

Bob Papa and Dick Lynch called the games better than the boneheads on Fox and ABC, and she liked constructing the plays in her mind from their rapid-fire descriptions: “It’s third and 18, Collins in the shotgun. Amani Toomer split wide left, Cross to the right, Tiki Barber in the slot. Long snap from center. Collins back to pass. He has Amani Toomer up the left side line, he’s all alone … the pass is short, he comes back for the ball, makes the catch, in typical Toomer fashion, dragging both toes in-bounds. That’s a miraculous catch at the 12 yard line and — no, there’s a flag on the play. It’s coming back, folks.”

I didn’t understand most of this. It was like listening to cricket or curling. But Annie sure did. I’ll never forget her howl and rage and frustration at that moment, when it turned out that Roman Oben had forced the holding call.

“What the hell are you doing?!” she shouted at the radio. “They’re killing us with these penalties! You don’t hold there! Not there! Not now! We’re giving them the game! Why can’t they just let them play? Now watch! It’s fourth and inches and Fassel’s going for the field goal! Just give Tiki the ball! Let him run it!” But he didn’t, and the kick went wide. Another dismal day for the Giants.

But the fans were used to days like that, in the lean years before the great squad of the mid-’80s and the tough years since. And at the end of all those seasons, they’d just sigh and say, “Maybe next year…” There was always plenty of time to lick your wounds and prepare for the next season: It was a long way to September.

Eventually I learned the terminology, and more and more every Sunday I got drawn into the games. It had happened the same way for Annie, as a little girl, sitting with her dad, watching the games on television — or traveling to Yankee Stadium, and even the Yale Bowl, during those seasons when the Giants didn’t have a venue of their own. Football turned into the best way to spend time with him: It gave them an endlessly fascinating topic in common, and a perfect strategy for getting to know her otherwise difficult and remote father. A few years later I saw “Remember the Titans,” and thought I glimpsed a little of Annie in the white coach’s 10-year-old daughter, screaming at the TV. Not that much has changed. She still paces and chides and screams, “GO DEFENSE,” on those crucial goal-line stands. I don’t think Annie sat down once through the whole of Super Bowl 44, when the Giants triumphed in their rematch with the hated Patriots.

She’s had her glory moments as a fan. She submitted a song about the team — lyrics to the tune of Ora Lee — in a FAN contest, and won it. She wound up singing on the radio with Offensive Tackle Karl Nelson. Bob Papa had written “Good” on the sheet she submitted — as terse and emphatic as the call on an extra point. Some sample lyrics:

Twelve and Four

Twelve and Four

We are playoff bound

With Stephen Baker in the air

And Otis on the ground

A friend of Annie’s worked for the New Yorker, and the big day got written up as a Talk of the Town piece.

Cool.

The more I watched, the more I fell in love with the game. I gloried in the spectacular pounding the Giants gave the Vikings on the way to that other Super Bowl, in 2000 — and suffered through their humiliating loss to the Ravens, a few weeks later. We drove all the way down to Connecticut for that calamity. Annie’s whole family was morbidly in tune with the team, reading the mood on the field even before the kickoff. “They look flat,” her dad announced as the Giants ran out onto the field. It seemed nuts to me, but they were right. “It’s all about emotion,” Annie told me, and I began to sense that myself, feeling the shifts in psychic energy on the field with that crucial touchdown before the halftime, or the break in concentration when the other team called a disruptive timeout.

With the increasing popularity of so-called reality TV and the cultural ascendance of unscripted drama — from “The Amazing Race” to “American Idol,” from “Survivor” to “The Biggest Loser” — I started to realize a curious small truth: Football is our true reality TV, and our most fascinating unscripted drama. I had seen football movies like “Varsity Blues,” where the final victory was a foregone conclusion. In the actual game, anything can happen. An interception or a turnover, a miscalculated on-side kick, can turn a game upside down.

I realized that football defines itself through series of paradoxes. It represents a kind of utopian view of America, where people work together toward a common goal, a world without rancor or racism, a peaceable kingdom … where men are broken and battered in ferocious combat every week. It’s a brutal sport that rewards elegance and grace, that elevates men to unparalleled stardom through intricate self-effacing military teamwork; a bruising physical competition that relies on levels of knowledge and intuition and cerebral analysis that would give an MIT statistics professor pause. It takes place on a hundred-yard playing field, and yet any individual game can be decided by a matter of inches; it plays itself out over almost four hours but so often resolves itself in the last few seconds — that overtime field goal in the air as the clock runs down.

It draws families together, like Annie’s; and friends, like Stephen and me (we commiserate now, about the Raiders and the Giants); and cities, like New Orleans and Indianapolis, whose teams will be duking it out this Sunday in Miami. And it gives us an extraordinarily diverse cast of characters to enjoy: the old legends thinking about retirement, the kids scoring their first NFL touchdowns ever, in the autumn sunlight; the younger brother struggling in his brother’s shadow and the older brother moving closer to the title of greatest quarterback of all time, and closing in on it this weekend, beyond the glory of another ring. And the other players who’ll never get the ring — Tiki Barber, who retired too soon; or Barry Sanders, quitting because he was contractually bound to play out his career with a losing team. All the great careers ruined by traffic accidents and drug scandals, or by carrying a loaded gun in the waistband of your sweat pants and accidentally shooting yourself in the leg.

It’s a complex, fascinating world and I know I’m a part of it at last as I wait for Peyton to throw that first pass on Sunday, and wonder what happened to his little brother’s team, lying down to be trampled by the Vikings in a humiliating final game, and blow out a long breath and say, “Oh well. Maybe next year.”

I’ll be watching the Combine and the draft on the NFL channel, discussing the prospects with my family. (The Giants need help on their offensive line.) It’s not much, but I’ll take what I can get.

It’s a long way to September. 

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What would Jesus do with a frozen embryo?

It's an interesting question, but let's keep in mind that not everyone's asking it

After my first reading of a Chicago Tribune article about parents deciding what to do with leftover embryos following IVF treatment, I was so confused I had to consult my smart friend Laura. I IM’ed her the link and asked, “Am I crazy, or does this article totally take it on faith (ha!) that everyone deciding what to do with an embryo is religious?” Laura’s verdict? “Man, those babies in the picture are cute. Especially the yawning one.” Also, “You are definitely not crazy. This is an article about Christians struggling with this decision, which is very interesting, but nowhere in the article does the writer specify that.”

Technically, that’s not true — 11 paragraphs into the article, the religions of the couple in question, Adrianna and Robert Potter, are mentioned (she’s a lapsed Catholic, he’s a Methodist). And after 10 paragraphs, the author, Manya A. Brachear, notes, “Such decisions, doctors say, are often informed and framed by faith” — which is enough to justify focusing on that angle for one article. But it would be nice if said article either led with a clear indication that it was doing just that, or else acknowledged that “What would Jesus do?” is not the central question facing every couple with embryos in storage. Laura continues, “There is no one saying, ‘Hey, guess what, embryos aren’t people’ — whether that comes from a scientist, an atheist, or simply a different set of Christians. There’s also no ‘here are some of the things that stem cell research is used for’ info. It’s all, ‘Your dead babies will go to Science, whatever that is.’”

That’s an exaggeration, but not by all that much. Writes Brachear, “At this time last year, doctors say, the absence of government funds combined with the economic downturn stalled most meaningful embryonic science, making donations to research a riskier and more radical option. Some laboratories stopped accepting donations, forcing some fertility centers to hold on to embryos despite parents’ preference to devote them to research.” So, wait, deciding that you’d like your embryos to go to science somehow becomes “risky” and “radical” if there’s a chance they might not be used for research? I guess that makes sense if, like Adrianna Potter, you only favor donating embryos to science to promote “the creation of new life” — she notes that research led to their ability to conceive via IVF, and would like to help other couples. Her husband, Robert, either wants to keep them “to fulfill God’s mandate to be fruitful and multiply” or donate them to another infertile couple. So for them, donating embryos to science with no guarantee that they’ll be used might indeed seem risky and/or radical. But what about couples who make that choice simply because they’d rather see the embryos go to good use than discard them? Because they believe in the promise of stem cell research — and at this time last year, were probably hoping that Obama would revoke the ban on federal funding for it, which he did? At this point in the article, there’s still been no clear acknowledgment that this particular debate has a faith-specific context — but any other context is completely ignored.

And that’s the subtle part. Later, Brachear writes, “Robert doesn’t trust that every embryo [donated to science] fulfills a greater purpose. He can’t imagine sentencing two potential children to short lives that would end in a laboratory.” I’m sorry, I can get on board with “potential children,” emphasis on potential, but short lives? No. The idea that an embryo has a “life” that can be ended, even when it’s never seen the inside of a woman’s uterus, is a purely religious one; Robert seems to hold that belief as part of his faith, which is fine, but could we please get some quotation marks, or even a non-specific “he said” on that? Because otherwise, you’re asking the reader to accept the concept of embryonic personhood as a given. And boy, this reader doesn’t.

As Laura said, an article about Christians struggling with a decision that raises serious questions about their own faith versus science is a very interesting idea — and if the headline or subhead or first nine and a half paragraphs indicated that that is, in fact, the subject here, I would have an entirely different take on the execution. Instead, a peculiarly religious dilemma is universalized — “Families struggle with science, faith,” reads the subhead — and people who have no faith-based qualms about donating embryos to science (including many religious people, as well as those who don’t have faith-basied qualms, period) are simply not acknowledged. Not to mention, “struggling with science” is presented as wondering whether your embryos’ “lives” will have meaning in a lab — which, call me crazy, still sounds more like struggling with faith. At a time when anti-choice groups are sincerely attempting to redefine personhood as “the beginning of biological development” — raising the possibility of everything from miscarriages being investigated as potential homicides to pregnant women qualifying for the carpool lane — blurring the line between religious beliefs and observable facts is what I would call “risky” and “radical.” 

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Kate Harding is the co-author of "Lessons From the Fatosphere: Quit Dieting and Declare a Truce With Your Body" and has been a regular contributor to Salon's Broadsheet.

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