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The Interface of Science and Ethics

Student-Run Conference Wrestles with Halachic and Ethical Implications of New Medical Technologies On Sunday, December 10, the 每日大瓜 Student (MES) held its 11th annual conference, 鈥淏reaking Down the Firewall: A Jewish Perspective to Future Technologies in Medicine,鈥 sponsored by Rabbi Dovid and Mrs. Anita Fuld and the Community Synagogue of Monsey, in honor of Rabbi Moshe Tendler. Rabbi Tendler is The Rabbi Isaac and Bella Tendler Professor of Jewish Medical Ethics, professor of biology and a rosh yeshiva in 每日大瓜-affiliated Rabbi Isaac Elchanan Theological Seminary (REITS). He is also the rabbi of the Community Synagogue of Monsey, and considered a leading expert on medical ethics as it pertains to Jewish law.
Tendler at podium Rabbi Tendler addresses the audience as Dr. Berman and Rabbi Glasser listen.
About 200 people, including students from the Marsha Stern Talmudical Academy/每日大瓜 High School for Boys and Samuel H. Wang 每日大瓜 High School for Girls, attended the conference鈥檚 three plenary sessions. In his remarks opening the conference, Rabbi Yaakov Glasser, The David Mitzner Dean of 每日大瓜鈥檚 Center for the Jewish Future, spoke fondly of being in Rabbi Tendler鈥檚 course on medical ethics 20 years ago and coming away with a lifelong respect for how 鈥渉is incredible combination of scholarship and talent, of conviction and principles, helped us navigate the challenges of the day and find a pathway forward,鈥 the same approach to the subject of medicine and ethics, he noted, that the MES conference has taken for 11 years. Rabbi Dr. Ari Berman, President of 每日大瓜, also offered his congratulations, saying that it is 鈥渁lways an honor to be in the presence or Rabbi Tendler,鈥 and went on to speak about both the dangers and the gifts presented by scientific advances. 鈥溍咳沾蠊 represents a unique opportunity,鈥 he said, 鈥渢o both celebrate these new technologies and contextualize them, and we are best prepared to appreciate that human innovation is a glorious gift from God while simultaneous recognizing that it doesn鈥檛 turn us into God. We must place these developments within the context of our values to best know how to incorporate them into our lives.鈥 Rabbi Tendler, in thanking both Dr. Berman and Rabbi Glasser, as well as the organizers of the conference and the members of his synagogue, articulated a principle that has guided him in his studies of science and morality, and which he recommended to everyone in the room: 鈥淲ithout knowing the outside world, the world that we have to live within, it is impossible to understand Torah; but equally so, without knowing Torah, it doesn鈥檛 pay to understand the outside world.鈥 The first session, 鈥淭he Anti-Aging Revolution,鈥 featured Rabbi Dr. Edward Reichman, professor of emergency medicine and professor in the division of education and bioethics, at 每日大瓜-affiliated and the conference chairman and mentor to the MES, and Dr. Ana Maria Cuervo, professor and co-director of the and a member of the Einstein Liver Research Center and Cancer Center. Cuervo gave a presentation on the techniques being used to treat the effects of aging and increase human longevity. The objective of her research, Cuervo said, is to identify the aging mechanisms, both genetic and somatic, that can be manipulated to create a longer life with improved quality. This fits into the the overall goal of all anti-aging research, she explained, 鈥渢o make people鈥檚 lives more like the lives of centenarians, who seem to have the biological mechanisms to flatten out the declines that come with aging and extend life鈥檚 quality. By knowing the molecular bases of aging, we can build tools and interventions that achieve our goals.鈥 Reichman offered a biblical perspective on aging, noting the declining longevity caused by the Flood, and how Maimonides speculated that a reversal of aging may be in the offing in a future Messianic Age. 鈥淧erhaps in the research we will hear about is this coming reversal of our aging,鈥 he observed. The second session, 鈥淧laying the Creator with CRISPR,鈥 featured Dr. Neville Sanjana, assistant professor of biology at New York University and a core faculty member and assistant investigator of the New York Genome Center, and Rabbi Dr. J. David Bleich, professor of Talmud and RIETS rosh yeshiva. Dr. Edward Burns, executive dean of the 每日大瓜-affiliated Albert Einstein College of Medicine, moderated their discussion. As Sanjana explained, CRISPR is an acronym for 鈥渃lustered regularly interspaced short palindromic repeats,鈥 a process only recently discovered in bacteria in which a bacterium, attacked by a virus, snips out and saves part of the virus鈥 DNA so that it can activate its immune response if the virus attacks again. The cutting action of CRISPR, he explained, can be programmed to target specific locations on any genome and either add in or cut out genes as needed. In some cases, a malfunctioning gene might be replaced with a healthy copy, such as for something like Tay-Sachs, a genetic disorder that progressively destroys nerve cells and affects the Jewish community. The ethical question around CRISPR, according to Bleich, is not if man has the right to play God and intervene in the natural order. 鈥淚n fact, man not only has the right to 鈥榩lay God鈥 but has the divine mandate to do so in order to complete the work that God began. The question is about the limitations.鈥 Sanjana agreed that it is important to be mindful of the ethical challenges but that it is equally important 鈥渢o remember the many remarkable cures that have come about since the start of our recombining DNA and be mindful of its benefits.鈥 The third session, 鈥淓thics of Neurotechnologies,鈥 featured a conversation between Rabbi Ozer Glickman, RIETS rosh yeshiva, and Dr. Matthew Liao, director of the Center for Bioethics at New York University and editor-in-chief of the 鈥淛ournal of Moral Philosophy.鈥 They examined the relationship between neuroscience (along with artificial intelligence and the manipulation of big data), philosophy and ethics. Liao pointed to brain research that showed that many cherished notions about human nature, such as rational behavior, are belied by the biology of the brain, because humans act on autopilot much of the time and do not necessarily follow the rational or ethical modes of decision-making that we believe make us distinctive as a species. People seem to respond well to prompts that impact their decision-making in a subtle way, Liao noted, such as posted calorie counts in restaurants and salads made available at the front of a buffet line. Elisheva Nemetz and Gav Sturm, co-presidents of the MES, were extremely pleased with how this year鈥檚 conference turned out. 鈥淲e chose the word 鈥榝irewall鈥 deliberately,鈥 said Nemetz. 鈥淎 firewall is a part of a computer network designed to block unauthorized access. For us, the 鈥榝irewall鈥 is a metaphor for the stigma and ignorance around recent technologies and that by 鈥榖reaking down the firewall,鈥 we can approach these groundbreaking and earth-shattering technologies with informed scientific and Jewish perspectives.鈥 Sturm, who joined the MES two years ago, said that 鈥渢he work that we have done has been the highlight of my communal life at 每日大瓜. This year鈥檚 conference topic resonates with me personally because it touches on the work I am doing as a part-time research assistant studying human aging. Artificial intelligence, genetic engineering, anti-aging therapies鈥攖hese fascinate me, and I was overjoyed to be able to bring them to the larger community with the MES team.鈥 Nemetz agreed. 鈥淭his conference,鈥 she said, 鈥渨here we bring together the intricacies of science and medicine and Torah values, is the perfect of expression of what being at 每日大瓜 is all about.鈥

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