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Subcommittee on Health
June 20, 2001
10:15 AM
2123 Rayburn House Office Building
Chairman Bilirakis, and Members of the Committee:
Thank you for the opportunity to come before this
committee today to address the promise and perils surrounding cloning
technologies.
As the head of a not-for-profit group eager to
find cures, preventions and overall better health and vitality for the elderly,
my views on research reflect the medical needs of the growing population of
older Americans.
The Alliance for Aging Research works to
stimulate academic, governmental and private sector research into the chronic
diseases of human aging. Our organization takes up the cause of the vast
majority of Americans who fervently wish to benefit from scientific discoveries
that improve the human experience with aging. Our survey research tells us that
most Americans believe the federal government has a critical role to play to
prepare the way for new medical breakthroughs and to hurry applications of
science in health care in order to relieve human suffering and improve the
quality of life for their family members and for themselves.
On behalf of a growing American constituency for
healthy aging - powered by the aging of the Baby Boom generation - I am here
to express a concern to the committee. The Alliance for Aging Research believes
that broadly drafted legislation, intended to prevent the cloning of a human
being, could have the effect of derailing promising lines of health research
which could ultimately benefit older Americans, their families and the nation as
a whole.
Every day in America another 6,000 people
celebrate a 65th birthday. Just behind them, the Baby Boomers are cruising into
their 50s in even greater numbers. In just 10 years the post World War babies
will begin swelling the Medicare roles.
In less than 30 years, the whole of our largest
generation will be old enough to receive health care paid by Medicare. If,
during these years just ahead, we fail to reduce the threat of age-related
diseases, the U.S. will encounter staggeringly high economic costs, as well as
we will face a toll on human lives due to mounting deaths and disabilities from
cancer, stroke, macular degeneration, joint and bone diseases, Alzheimer's and
Parkinson's diseases.
If we stifle future medical breakthroughs, and
must manage the aging of 75 million Baby Boomers with today's halfway health
technologies, we risk economic and social catastrophe within a generation.
Fortunately, we can choose a wiser, more humane,
and ultimately less costly alternative. That alternative is to encourage rapid
advances and applications from medical and behavioral research to prevent much
of the declining health status we now associate with old age.
There is good reason to hope that scientific
understanding of the mechanisms of aging within our own cells, genes and
proteins may ultimately permit a significant delay in disabilities caused by
diseases of aging.
Regenerative medicine is the concept of
harnessing powers of growth and healing within our own bodies at a fundamental
level of human biology. We can look forward to future health technologies that
use stem cells, engineered tissues, growth factors and other tools of
regenerative medicine. It's a growing possibility that physicians one day will
be able to replace damaged tissues, using a person's own cells to treat
blindness, spinal cord injury, coronary artery damage, diabetes and other
diseases that result from injured, malfunctioning or aged cells.
Scientists involved in this research say that
human somatic cell nuclear transfer is an enabling technology that can be used
to generate healthy cells and tissues for repair or replacement in a vast array
of medical applications. To deny our aging population the opportunity to benefit
from this research would be a tragic reversal of recent biomedical progress
toward permanent cure of diseases that compromise quality of life, and which
account for so much of our nation's health care expenditures.
A prominent member of the Alliance's Science
Advisory Board is Dr. George M. Martin of the University of Washington in
Seattle. Dr. Martin has written: "those of us in the Alzheimer's Disease
Research Center are using cell cultures in attempts to discover the fundamental
molecular mechanisms that lead to differing rates of neuronal damage in
dementias of the Alzheimer type and related disorders. For obvious reasons, we
cannot work with samples of brain tissue from living subjects. We are forced to
utilize surrogate cells, typically fibroblasts that can be grown from tiny skin
biopsies. The ability to reprogram such cells so that they can exhibit the
properties of the donor 's neural cells would represent an enormous
advance."
I want to make it abundantly clear that the
Alliance for Aging Research is strongly opposed to the cloning of a human being.
To my knowledge that position is supported by virtually every responsible
scientific and health advocacy organization in the U.S. The Alliance does
support responsible and sound biomedical research, including emerging cellular
therapies, which could lead to the development of treatments or cures for scores
of age-related diseases and disabilities.
We urge this committee to lead the way by drawing
a clear distinction between cloning for human reproductive purposes - which we
oppose - and cloning cells for human therapeutic purposes. Millions of
patients and families, organizations and advocates for health and scientific
research across the land would applaud that kind of leadership.
Some measures before this committee propose to
avoid the cloning of a human being by bringing into the laboratory the full
police powers of the federal government. These intended anti-cloning proposals
would criminalize laboratory techniques that otherwise might help us find cures
for diseases such as cancer and Alzheimer's.
To threaten university scientists with massive
fines and prison sentences would constitute a massive and unprecedented assault
on research. It would cast a pall over the conduct of academic science. And it
would diminish and contradict the accomplishments of a U.S. Congress that even
now is working nobly to double research funding through the National Institutes
of Health.
At this very moment, tens of millions of older
Americans are suffering from Alzheimer's, Parkinson's, cancer, diabetes and
chronic health problems of aging. Not only are they suffering, but their
families and caregivers are suffering too, and they are hoping that scientists
will find cures for these devastating diseases and conditions while there is
still time. They are in a hurry for answers, and they look to leaders like you
to be their advocates and protectors.
Mr. Chairman, it is likely that we will continue
to be confronted with scientific advances that pose difficult social and ethical
questions. The present momentum in the life sciences, and the profound
implications of what we are learning, will inevitably raise public concerns.
There is ample time for policymakers, ethicists,
scientists, and patient groups to discuss options that would prevent human
cloning, but which would preserve promising health research. Congress is at its
best when its actions are informed and enriched by slow and careful debate, by
advice from expert sources, and when taken in respect for minority opinion.
In the case of proposals to limit any of the
tools for scientific and medical research, the need for prudence is especially
important, due to the technical complexity of the issues and the consequences
for public health and well being.
On behalf of the Alliance for Aging Research, I
thank the committee again for its deliberations and for the opportunity to speak
to this issue.
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