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David R. Larson            Loma Linda, California 

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The Difference Between "Possible" and "Potential" Human Persons and Why It Matters in Christian Medical Ethics

May 27, 2007.  When discussing issues in Christian  medical ethics we often fail to distinguish  between "potential" and "possible" human persons.  This is a mistake, one with unfortunate practical consequences.

Consider a pebble.  No matter how it interacts with one or more other pebbles it can never become a human person.  For every pebble on every beach this is an "impossibility."

A single sperm or ovum does have the "possibility" of becoming a human person because this can happen if it establishes and maintains the right kind of relationships; however, in and of itself, neither the sperm nor the ovum has human "potentiality" because on its own it lacks the inherent power to accomplish this.

This why we do not try to rescue sperm and ova and why we do not mourn their loss.  This is also why we need not not have ethical reservations about contraceptive methods that prevent fertilization.

The presence or absence of this inherent power divides the truly potential from the merely possible. We see this in related words such as "potentate," "potency" and "impotency."

Inherent power or the lack of it makes all the difference.

This criterion also establishes that a fertilized ovum is a "possible" human person but not a "potential" one until it is successfully implanted in the uterus.  This is because a fertilized ovum that has not implanted also lacks the required inherent power."

A "possible" human person becomes a "potential" one when a sperm fertilizes an ovum and the new entity successfully implants.  Many fertilized ova never implant.  The body discards them in the normal course of things, a process that we all regard as "natural."  This should teach us much.

The correct distinction between the "possible" and the "potential" is an ethical blade that cuts both ways.  On the one hand, it makes miscarriages and abortions, events that terminate the lives of implanted fertilized ova, more regrettable than contraceptives.  Because they are the result of human intervention rather than misfortune, abortions are more regrettable than miscarriages, ethically and otherwise. 

This does not mean that all abortions are unethical; however, it does mean that careful studies of the facts, alternatives and pertinent ethical principles should precede them.

On the other hand, this distinction makes it possible ethically to endorse those contraceptive measures that prevent implantation rather than fertilization.  It makes it   ethically possible to discard fertilized but unneeded ova in in vitro fertilization clinics too.

Distinguishing between "possible" and "potential" human persons, and doing so in a way that is faithful to the root meanings of these words and to the relevant facts and norms, makes it morally permissible to utilize embryos in stem cell research and therapy.  This is something that Christians can support with clear consciences.

 

 
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