If I have one big takeaway from this book, it's this: there needs to be a LOT more interaction between scientists and sociologists. While I appreciated and was fascinated by the science detailed in this book, I was frankly incredulous about Doudna's reaction to the effects CRISPR have wrought in the world because I do not see how anyone could have failed to see them coming. Her obliviousness (honestly, I don't know what else to call it) lends credence to the idea that scientists are disconnected from the world because they spend all their time holed up in their labs conducting experiments.
Now, I want to say a couple of things before I get deeper into what I found so disturbing about this book. I tend to be something of an idealist myself, so my cynical view of Doudna's idealism took me aback. I'm also a huge advocate for science and am dismayed by the growing ignorance of science I see manifesting in the U.S. My argument is not that people shouldn't try to make the world a better place, or they shouldn't be focused on finding ways of improving the human condition, or that science is evil. I do not think the importance of science can be overstated. However, I have serious concerns about unfettered science. Didn't humans' experiences with the nuclear arms race and the fundamental ways in which that has changed our world teach us a lesson we should not have forgotten? When science is divorced from sociology and politics, chaos ensues.
The idea of editing the human germline in order to prevent future suffering is laudable. I truly believe that. There are a lot of horrifying diseases that affect humans in unthinkable ways, and I am all for finding better treatments if not cures for these diseases. However, humans never seem to learn that when they mess with nature, the results are not usually favorable to us. You need look only at climate change, invasive species, and the rise of antibiotic-resistant bacteria to see abundant evidence of this. Editing the germline might sound like a great idea, but the problem is we have no way of knowing what effects that editing might have a few generations down the line. What if in trying to eradicate known diseases, we create a whole new raft of even more powerful, even more horrifying, diseases? I'm not saying scientists shouldn't work to find solutions to these problems. What I am saying is that there needs to be a lot of thought given to these things. Doudna points out throughout the book that scientists need to think about not whether they can do something, but whether they should, yet she seems to reach the same conclusion every time: well, there could be bad consequences, but we should. I'm not comfortable with that mindset.
I also think Doudna fails to look at the larger picture in many cases. She touts GMOs, but using the argument that they're safe for human consumption. Okay, but what about the problem of mega corporations patenting the genes for these GMO plants? What about the plight of farmers who are sued by these corporations when seeds from said plants drift into their fields? What about the rise of super weeds, which have developed resistance to the pesticides GMO seeds were engineered to resist? What about how these genetically engineered plants affect the larger ecosystem? Doudna talks about unintended consequences, but in a very shallow way. When humans play around with genes, we're fundamentally changing nature in ways nature might not be prepared for, and it only stands to reason that we're going to interfere with evolution in other unforeseen ways, as we did by bringing non-native plants to many areas only to find those plants choking out native vegetation. Human don't tend to tread lightly on our delicate planet; instead, we have a habit of trouncing all over it. I was very put off by her lack of respect for the sanctity of any form of life other than human life.
I think what bothered me most of all, though, was that Doudna fails to think about the social implications of gene editing in a deep way. Yes, she does address concerns about inequality, but to me it sounded like her ultimate conclusion was, "Well, but humans are good, so we won't do that." Humans may be good for the most part, but there are plenty of bad humans, and those humans are going to have no compunction about exploiting technological advances to their own favor. The fact that she didn't even stop to think that terrorists might look to exploit gene editing left me floored. How could she not have foreseen that? Those who seeks to destroy will always look for ways to weaponize new technological advances, and I was kind of appalled that Doudna didn't anticipate that.
I'm also skeptical of her views about how gene editing may further the field of medicine. There's no doubt a good number of people would benefit from these technologies, but she glosses over who stands to benefit from them. She does point out the possibility of further societal stratification based on genes, but I don't think she gives that point enough weight. One look at the current state of health care in America will tell you everything you need to know about who will ultimately benefit from gene editing, and it's not going to be the poorest of the poor. We live in a society where many of our fellow citizens can't access even the most basic health care services, and I frankly think she's willfully ignoring this when she touts the marvels of gene editing. If some members of society can't even afford to seek medical care when they have the flu, in what world does she think they're going to benefit from gene editing?
Lastly, I also think she glides right over questions of "designer" babies. Of course this technology will be developed. We already live in a world where people abandon or kill babies who don't have "desirable" traits, so how would she think gene editing would change this? As with health care, once this technology becomes a reality, the rich will benefit the most. The thought of a world where the richest have many genetic benefits, both from a health perspective and from the perspective of their possessing extraordinary intelligence or strength or whatever ought to keep Doudna up at night. There's a reason why science fiction writers tend to sound the alarm when it comes to technological developments, and it isn't because ours is a world where everyone benefits equally from technological advances.
Honestly, the book kind of left me with a bad taste in my mouth. I can see how when scientists are caught up in their research, they don't see the larger picture of how their actions will affect others. After all, scientists are human, and humans in general are bad at that. I will give credit where it's due and say I think it's laudable that Doudna wants the public to have better access to information, that she thinks scientists need to engage with the public more, and that she thinks everyone should have a stake in deciding how technology should be applied, not just those who develop it, but the cynical side of me says it's too little too late. Pandora's box has been opened. Now more than ever, science needs more oversight, and scientific ethics need to be given far more weight than they have been. I'm not advocating for holding back progress, but I firmly believe that we need loud, informed voices helping to guide that progress, for the good of all.