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Pru Urevu (Part 7) By Rabbi Yitzchak Breitowitz
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we'll hopefully finish theim of PR Vu
today and the next two weeks we'll talk
about Kana and then after that who knows
I have to uh I can't think more than two
weeks ahead of time so uh we'll work
something out that hopefully will be
will be interesting uh I want to end
this series with uh dealing with some
hypotheticals let's imagine that you
have a husband and wife who uh have
fertility issues and uh they enroll in a
fertility clinic right United States
Israel whatever it would be now uh
they're going to do an IVF they're going
to practice an invitro
fertilization
procedure uh and they're not using
surrogates they're not using egg donors
they're simply going to do what you
might call plain vanilla it is going to
be husband's sperm and wife's egg it
will hopefully be fertilized uh in the
petri dish and then be transferred to
the wife and the hope would be after 9
months that will be a beautiful baby a
standard invitra now here's the thing
about invitra generally speaking uh when
a woman ovulates it's only one egg one
egg is released per month now for an
invitro procedure that would be very
very bad because uh an invitro procedure
anyway does not have a tremendous
percentage of success maybe it's 30% 40%
and if there's only one egg and there's
only one chance you may have to do you
know five six seven inv vitros Each of
which is expensive and even Insurance
stops covering it uh Beyond a certain
point so as a result it is standard
procedure in invitro to give a woman
drugs that stimulat uh multiple
ovulation it's actually called super
ovulation and they will
extract five six 10 eggs and expose them
and that greatly increases the
probability of fertilization now if 10
eggs are extracted and one or two get
fertilized no problem we simply give
them you know we put into the woman one
or two but the problem is going to
happen when you have ex you have many
eggs that are fertilized let's assume
all 10 get fertilized so uh the the the
term that's often used is although it's
kind of a demeaning term these are spare
embryos spare leftover extra
what do you do with ext now the truth of
the matter is even as a matter of law
contract law uh when you sign a contract
uh this is an important paragraph in the
contract about you have to check off the
options for the disposal of what are
called spare embryos so let's analyze it
Hally meaning that you'll be given a lot
of choices which choices does halaka
permit and which choices would halaka
not permit if you're assuming you're a
religious couple that keeps the Torah so
option number one is freeze the
embryos to use them for a later
reproductive
cycle uh Hally that's perfectly fine
Hally embryos can be
frozen uh interestingly enough that
would actually mean that children might
be born that might be years apart that
were actually fertilized at the same
time but what that's not a problem uh
just because my younger brother was
conceived the same time I was I'm still
the older because I was born first so
that's not a huic problem so embryo
freezing is uh a well-known technology
an interesting halic Shiloh would be are
you allowed to desecrate chabas to save
the life of an unimplanted embryo I mean
let's imagine the freezer breaks
down so to get a guy to fix it that's
not a problem but could a Jew be
for p does p
extend to the life of a frozen embryo so
rner actually has a chuva that yeah yeah
because remember that the logic of
shabas for any any life person is better
to desecrate one chabas in order that
many chabus be kept well same thing with
the frozen embryo if we save this frozen
embryo he or she may grow up and keep
many many shabes therefore we're
permitted to do so now uh
yeah well well okay okay I think you're
confusing two different time periods the
rule the rule of 30 days is 30 days uh
after birth 40 days is 40 days from
conception it's a different rule no
that's fine but but since the idea of
shabas yeah the the embryo might might
not be a living being yet but
potentially uh it will be able to
eventually keep chabas so the the hetra
of chabas is desecrate one chabas in
order to realize the potential of
keeping many shabes that does not
require that it actually have the status
of a living being at that at that
particular particular Point
yeah yeah
yeah that that would be the logic
because of its future potential its
potentiality so that's option one and
again that's a totally much uh freezing
for later later use okay option
two uh
donation of human
embryo to
another infertile couple
which essentially would mean that
whichever woman gets it would
essentially be like a surrogate although
it would be carrying it for herself uh
could H so the question is Jewish not
Jewish from not from so once again
without repeating all of our discussion
last week there are enormous halakic
problems in donation to another couple
uh because of the problem of who is the
halakic mother remember we discussed if
one woman is the genetic egg contributor
and another woman is the birth mother
there is considerable debate mlus if
motherhood is halakic motherhood is
determined by genetic origin or halakic
motherhood is determined by the birth
process and certainly if the couple that
gets it is a guy you'd have a suff is
the kid Jewish or not Jewish and even if
it's to a Jewish couple well once again
the kid for sure would be Jewish but if
they're not from how can you give a
child away to a non-religious couple and
if they are from there'll still be
confusion who are the relatives Etc so
generally speaking we would not
encourage donation of the embryo to an
infertile couple so option one is
freezing for later use option which is
Hally fine option two would be donation
to an infertile couple uh whether it's
Jew or not Jew that would normally not
be recommended not be recommended option
number three would be essentially
donating the spare embryo to science and
in particular the particular science
that's most applicable here is to get
stem cells uh we know that stem cells
are a very remarkable part of uh the
human genome really even animal genomes
as well and that is uh stem cells are
well I remember um somebody once
remarked someone who actually died of
cancer but was being treated with stem
cells said stem cells are cells that
haven't yet decided what they want to be
when they grow up and that is actually a
very very perfect uh definition a stem
cell is a cell in the early well there
are adult stem cells but we're talking
about embryonic stem cells stem cells
obtained from embryos are cells that
have not yet acquired a specialized
function so they're not yet brain or
kidney or skin or liver cells they are
cells eventually they become something
DNA gets activated but in on be before
they I differentiate they're called stem
cells now typically these have to be
harvested within two weeks of
fertilization or if you freeze them you
know whatever it would be because after
that point the cells get
differentiated now stem cells
uh because they're chameleon like
because they can become
anything uh are extremely valuable they
could be used uh if a person has spinal
cord injuries it can generate spinal
cord tissue heart valve Replacements
they can act eventually we're not there
yet eventually stem cells might be
capable of creating a whole organ a
whole heart now to date that has not
been done but but uh certainly stem
cells have been Coes to become heart
tissue spinal cord tissue brain tissue
and this is really a very remarkable
technology but the problem is if you're
harvesting them from embryos the embryo
gets destroyed so a very interesting
question would be would a couple be
allowed to
essentially donate embryos that they
don't want for
implantation to be used to be Harvest
harvesting of stem cell church
now well well again this is connected
again I this is connected to many many
weeks of of of discussion uh the
question becomes
basically uh is the destruction of the
embryo considered to be an abortion that
that's really the problem again I'm not
going to go over the laws of abortion
other than to note that abortion is
normally user okay that's fine the
question is does abortion
extend to an embryo that has not yet
been
implanted in a woman's body now the
Catholic Church takes the position the
Catholic Church of is of course
anti-abortion they actually take the
position that the harvesting of
embryonic stem cells is an early
abortion and the Catholic position is it
is not permitted under any circumstances
now that's the Catholic Church's
position what is the halic position
regarding the status of an unimplanted
fertilized embryo VAV the abortion rule
so now please I I you have to consider a
number of of points first of all even if
a woman is carrying a
baby regular pregnancy there are some
shetos that do permit abortion within 40
days of
conception some shetos not all now
obviously if abortion within 40 days of
conception is going to be permitted
based on the gamorra statement that an
embryo within 40 days is mere water in
terms of its development obviously if
you are going to allow abortion within
40 days of conception in a woman's
body you will allow the harvesting of
stem cells from an externalized embryo
Which is far less than 40 days in
development so like those opinions for
sure the harvesting of stem cells would
be permitted however not all pokim agree
to the 40-day limit uh many poim do take
the position that abortion is starts the
prohibition of abortion starts upon
conception if it's within the woman's
body so the question would be how would
you then apply it to an external embryo
now
one might make another argument one
might say well wait a second
here abortion is
permitted for PES to save the mother's
life right that's a well-known idea so
maybe you could look at harvesting
embryonic stem cells in a different way
instead of saying it's not
abortion let's say it is abortion but
it's abortion that
potentially May save lives so yeah let
it be abortion but Hally it would still
be proper
because of the PES rule so here I want
to say this is again as you might expect
a much deeper
question than you might uh think because
it's true it is absolutely true that the
mishna says
explicitly that if a woman is in hard
labor and the emergence of of the baby
may possibly kill
her the is very beish that you terminate
the pregnancy in order to save the
mother's life that's given but the
question is why should that be Sy we
normally have a rule that you don't
prefer One Life over another life if a
if a if a bandit goes over to me and
says kill
him or kill this innocent person or I'll
kill
you the is you must allow yourself to be
killed you can't you you can kill the
guy threatening you because they're a
Roda a pursuer but you can't kill an
innocent person so why does the mishna
say you can kill the fetus to save the
mother let the birth happen let the
mother die and let the fetus live
meaning what gives you the right to
prefer the life of the mother over the
life of the fetus is this not the famous
principle
called nees we don't set aside one life
for another life so on this there's a
fundamental
M Rashi and the
rambam trying to
explain the reason for preferring the
life of the mother Rashi says the
following Rashi says that even a fetus
Beyond 40 days is not yet a complete
nephesh it is not a complete nees until
it's born the mother who of course is
already born is a complete nefes so as a
result the PES of a complete life
overrides the
PES of a quasi life and therefore the
life of the fenus oh the life of the
mother
overrides the life of the fetus this is
Rashi rambam doesn't buy that rambam
apparently
maintains that you would not be
permitted to favor mother over baby
based on inferior status of unborn child
rambam invokes a new principle a
principle of
Roda amazing the law of Roda is a well
is a wellestablished law
right someone's trying to kill me or
kill somebody else I'm allowed to I'm
allowed I'm even commanded to kill them
this is the HRI to kill a terrorist uh
that H you to kill anybody brandishing a
weapon who might kill somebody Etc the
Kish of the Raba which is not his Kish
it's it's from the gamorra is that a r
doesn't have to be a bad person aode
doesn't have to be a terrorist or a
criminal or somebody with malevolent
intent
but an unborn fetus can be a Rodi if
this fetus is the reason why the
mother's life is in danger this fetus is
endangering the mother's life you can
abort the fetus because of
Roa now again the Kish of the rambam is
that uh even a
normal Act of nature so to speak can
create a den of Roda now now here's the
thing the
rule that a fetus can be a Roda this
does raise a very very difficult problem
because if you go back to the whole
source of
this which is the
Mish again the Mish lays down the rule
you abort a fetus to save the mother's
life right that but then the mishna says
listen to what Mish says but if the
fetus's
head most of its forehead has has
emerged from the mother's
womb that is halachically a
birth once a halakic birth has taken
place you cannot kill the
baby even if that means the mother is
going to die now according to
Rashi that's beautiful it's very
understandable because according to
Rashi the heter of aborting the fetus is
because the fetus is not a complete
nephesh and the mother is a complete
nephesh so saving the mother will
override the child once the child is
born which is how be defined as a
majority of the forehead coming out so
now the child is a complete nefes so now
it's not nephesh versus partial nephesh
now it's nephesh versus nephesh you're
not allowed to kill the mother to save
the baby like like Rashi in other words
the
Mish is very
understandable but according to the
rambam it's actually a Pella because if
according to the rambam the fetus by
endangering the mother's
life has the
status of a
Roa so even if he was born I mean we can
kill a Roda even if a Roda is born right
so the question becomes and the funny
thing is or the hard thing is the rambam
himself after giving the explanation of
Roda the rambam then proceeds to say
exactly what the mishna says that once
the kid sticks out his
head we cannot push aside one nees for
another nees this is one of the great
great great difficulties in the rambam's
formulation uh there are like seven or
eight answers given to this a very very
lengthy uh essay very deep explanation
of it we don't have the time to go over
it uh but nevertheless at least if the
fetus did not come out yet the ramban
predicates it on R so Rashi says the
hetes to abort is based on the The
Unborn not being a full nees the rambam
says the hat is based on the law of R
now the when the brings down the rule
that we perform abortions to save the
mother's life the uses the rambam's
rationale of rad now let's apply this to
stem cell
research I suggested an argument that if
there's a surplus embryo it might be
permitted to harvest stem cells because
they may be used in a
lifesaving procedure and therefore it's
m well that may be true according to
Rashi because the the embryo is not yet
a nephesh and I may use stem cells to
save a real nephesh so according to
Rashi maybe that argument works but
according to the rambam that's not going
to work because there's no way the
embryo in
California is a Roda of a cancer patient
in Tel Aviv I mean that embryo is doing
nothing to that cancer patient to say I
can Harvest stem cells from this embryo
because I'm going to Save a Life
somewhere
else is totally inconsistent with the
Roda rationale although it does fit
rashi's rationale and since the
shul follows the Roda rationale so the
harvesting of embrionic stem cells would
not be justifiable on the grounds of PES
if if it has the status of
abortion so the final argument would be
this and this is actually accepted by
many poin and that
is even if abortion is
prohibited prior to 40 days that is only
when there's implantation in the woman's
body because it is in an environment
where its potentiality can be
actualized through a gestation
but as long as it's in the petri
dish it is not regarded as capable of
living because it can't it can't develop
Beyond a certain point and therefore
it's not an abortion in other words
instead of saying it's an abortion and
it's
m disposal of
unimplanted
embryos is Hally not an abortion now I
see the or there's an organization in AR
toell here it's a very valuable
organization poor
some of you might have heard about it uh
Pua uh deals with all of the issues
concerning
infertility and and and the like you
know surrogacy all of these all of these
issues and somebody just sent me a
letter I don't know what the letter was
I don't know what they were responding
to but they said it is our firm con our
firm conviction Hally that life begins
when the embryo is implanted in the
woman's uterus
uh which actually means exactly what I'm
saying the externalized preemo is not
yet subject to abortion status uh unlike
the Catholic church and therefore Haka
would permit the
harvesting of embrionic stem cells from
unimplanted
embryos and therefore an infertile
couple going through a fertility regimen
would be able to donate uh unwanted
embryos for that particular
purpose so now I want to switch gears to
a different
hypothetical and uh over the years many
of you are probably familiar for sure
with dor
yarim now dor
yarim uh started a long time ago already
started in the
1970s and it was this this is uh when
genetic testing was not a common place
but the very beginning of widespread
genetic testing and this was designed to
deal with the problem of TX tasac Jewish
ashkanazi genetic childhood disease uh
so far to this day there is no cure for
it uh there's a lot of suffering a lot
of pain a lot of loss of function kind
of like
ALS uh and
uh genetically it requires that both
parents carry the gene for it and if
both parents are carriers there is a one
in four chance one in four that a child
will have the disease if only one parent
is a carrier then the child will not
have the disease except in the extreme I
mean truth of the matter is there are
actually extremely rare cases of a
spontaneous mutation me me meaning if
you're asking me is it possible for a
child to get taxs if neither parent is a
carrier the answer is it is possible but
it is like one in a million I mean there
is a phenomenon of spontaneous mutation
so I'm aware of that but that is
extremely rare so we can ignore it for
now in the normal course of events if
both parents are carriers there's a one
in four if only one parent is a carrier
or or nobody's a carrier then basically
it won't there won't be that disease so
what Doria shum started off doing only
for TX only for T is that they
recommended that when a man is dating a
woman uh they get tested and uh and
dorya Sharm would then notify them are
you compatible or you're not compatible
now if they tell you not compatible then
you know both of you are carriers if
they tell you compatible they didn't
want to tell you if anybody was a
carrier you don't know maybe we both are
not carriers maybe I'm a carrier and
she's not or maybe she's a carry and I'm
not they didn't want to say they didn't
want to put stigmas on people now of
course truth of the matter is
today uh th those those confidentiality
things are kind of very artificial
because now you can go to any doctor's
office any Clinic you can get genetic
testing if you pay for it so there's no
secrets anymore meaning you don't really
you don't need dorm as an entree for
genetic testing and if you want to know
if you're a carrier you could certainly
find it out and then by implication you
could guess figure out what the other
person is but be it as it may Doria
Sharm started off for KX and at the time
they did get
a from raos because people raised the
question well maybe you should have auna
why should you check things out why
should you look for problems just accept
things so ra mosha wrote that since
kazal warn us about not making shim
where there are diseases like epilepsy
that could affect the children kazal
were concerned that we should try to
avoid situations that may
transmit uh these hereditary
diseases I'm sorry I didn't hear you
yeah therefore rosha says if a person
simply ignores finding out you're
closing your eyes to what uh you should
have an obligation to check out now what
has happened I'm not going to uh opine
on this but what has happened is that
over the years dor Shar has enlarged
all of the conditions that it is testing
for uh of course you can specify a
limited test or a full test and they
have more than
200 conditions some of them are indeed
life-threatening similar to TX others
are you know Tendencies towards deafness
you know obesity different types of
things and many people are critical of
the direction of tax because not of D
sharam rather because uh they're trying
to create the perfect the perfect child
and at some point the person has to
realize that will runs the world okay
again I don't want to get into that but
in many many situations people say a lot
of times they will not allow their child
to go out with somebody unless they do
doram tests I mean it's it's like you
know that and the apartments in you know
you know conditions a half a million
dollars and dor sharim are my my two
conditions you want to see go out with
my go out with my son or whatever
whatever whatever it is uh
yeah
yeah people sa a lot of money on KN
issues early right so so I'm gonna go
I'm gonna go over that in a minute yeah
yeah so now here's my question this is
exactly the situation I want I want to
hypothesize with you let's imagine that
you have a couple that didn't do
dorar and after they're
married they discover
unfortunately that both of them are
carriers of this potentially very very
serious
illness so what should they do what can
they do what is a proper thing to do
what's an improper thing to do so I'm
going to give you a list of options and
ask yourself in each case is this the
right thing to do or the wrong thing to
do Hally ethically morally and the like
so option number one is get a divorce uh
if there's a risk that the children
we're going to have may carry very
serious and fatal genetic flaws
particularly when there's pain and
suffering maybe we ought to get divorced
and try elsewhere well obviously people
have a right to make that decision but
as you would imagine Judaism
generally very much is not in favor of
breaking up happy marriages right we
don't do that
uh what does thear
say anyone who divorces his wife and say
it's the first wife the first
marriage even the altar
in so to Simply tell people they got a
divorce that's a bit cruel but again it
is an option option number two permanent
contraception okay we'll have a marriage
we won't have kids well uh there's a
real problem with that because obviously
the very first Mitzvah of the Torah is
PR Vu and forer generally speaking uh if
a man and woman are capable of having
children they are generally to try to
have at least a son and a daughter
because of PR or Vu so permanent
contraception because of a fear of
possible genetic defect would not in
itself be
Baer uh option number three let's try
pregnancies and we'll do
amniocentesis uh right that's to
determin so here we get into a huge huge
issue uh meaning if the baby's healthy
we'll go on everything is great if not
well then the question is if not what so
here's the question there's a huge
mlus between RAB elazar venberg who was
a great po particularly in medical he
wrote uh more than 20 volumes of shos
chubos called
sitzer on all areas of Hal but but
medical was I mean he was a post but
medical was probably his greatest
specialty he was the POS of shared for
many many years and R venberg wrote many
many Pim U many are not controversial
but this is the most controversial of
his Pim in which he permitted
abortion of a tasac
fetus until the last
trimester meaning up to six
months and he made the argument that the
pain and suffering of the
child is so
significant that this qualifies as
a that would permit termination of the
pregnancy even if the mother's life is
not in danger now now it's very
important it's very important that you
don't you don't overgeneralize this Pak
sometimes people paraphrase that sit
elzar is saying you're allowed to abort
If the child has a genetic defect
absolutely not uh you cannot abort a
Down syndrome fetus you cannot abort a
cleft pallet which is correctable by
surgery this is dealing with a unique
it's not the only type of CAS but a
unique situation of an illness that has
no cure an illness that starts very
early an illness that has tremendous
pain and suffering it is not a heter to
abort a Down Syndrome baby God forbid
under no circumstances but still rev
venberg did permit the abortion of a TX
fetus uh until the last trimester so
according to rev venberg early early
anoesis would certainly be advisable but
I have to say rosha Feinstein
was absolutely incensed he used very
harsh words he said R venberg needs the
Forgiveness of
Hashem for permitting such a
horrendous sin and because of this it's
yua that rosha FR was against amnios
Andis at all because he said what are
you gonna do with the
information meaning if you're not going
to be able to abort
no matter what you find then maybe it's
better not to know because there is a
kind of a cabalistic idea that until you
know something God could change the
msas miraculously once you know it it's
not going to be changed now if you could
correct it that's one thing uh if you
have a heter of abortion like renberg
that's one thing but dha's argument is
am amniocentesis is not
justifiable if if there's no response
you can have towards that so this would
be the m venberg and and and and moia so
I mentioned I think three options uh
divorce permanent contraception anoesis
right so that Remos would say is not
available uh the fourth option we might
call the option of thead and the sad and
that is
whatever Hashem does is for the good so
number one who says Jews are governed by
statistics you know one again as anyone
understands statistics the fact that
there's a one out of four chance of a
disease does not mean one out of my four
children will have the disease you know
uh statistics are in the aggregate so
I'll take my chances and
ifom a child is sick that's also gamova
and that's my niss in life and what do I
have to get involved in abortion in
contraception in divorce I will take it
as I get it or if I'm not able to do
that a child could be put up for
adoption as well uh know there are
families that specialize in adoption of
special needs children so that's an
option number four but that option is a
very difficult option because not
everybody is on the madrea to do that
that's a a very very high high high
level it may not be
Ben from for many people
yeah no I understand but you got but you
got the same problem in other words you
can't do abortion right I'm saying you
of mosha you wouldn't be able to abort
right so you'll just have to go go with
what you have whatever it is whatever it
is well uh okay so let let me mention
option five because option five is
really very interesting in light of what
I
said I had told you that many postum
take the position that there is no
prohibition of
abortion on an embryo that is not yet
implanted so now let's consider the
following husband and wife are carriers
of TXS or any other serious genetic
illness they can have interor
through some typee of birth control or
whatever it would be but they could
attempt all pregnancies through an
invitro fertilization
procedure as a result eggs will be
extracted they will be fertilized in
vitro they can then be examined prior to
implantation for any type of genetic
abnormality and even rosha who does not
allow abortion of its aex of course
Rosia didn't address but but at least
theoretically uh it would be M according
to this to destroy or not implant those
embryos now this indeed is a well-known
technique this is called
pre-implantation genetic screening and
halaka would
support
preimplantation genetic screening as a
way of not passing down serious birth
effects in point of fact although you
need to talk to RV about this the heer
of pre-implantation andic screening may
even apply to defects that are not so
serious again one has to talk to a REV
about that but the lumus that it's not
an abortion would seem to allow for any
reason at all even sex selection
theoretically although once again I have
to admit it makes me extremely
uneasy uh that you would destroy embryos
for trivial reasons but the lumus would
support because once you say there's no
iser of abortion then it's not it's not
a problem so be it as it may though
based on the idea that abortion doesn't
kick in until there's
implantation pre-implantation genetic
screening is actually a very good
solution for a lot of these genetic
problems without getting involved with
amniocentesis and abortion and that very
difficult area and it also means they
can have children in other words the
eggs that are or the not the eggs the
embryos that don't have the defect will
be the ones that will be implanted and
be there can be healthy children
yeah no that that yeah yeah
and goes places she does things shees in
aoup and she's a very happy person and
she
Happ y I might not
haveen if I you know but I of these yeah
um okay so well again again that that's
a very again it's a very very powerful
Testament I I know your daughter I know
that she's a happy person and
accomplishes things in the world and
it's a great braa and uh it's something
you have to think about again I'm
approaching this maybe from a very dry
legalistic halic discussion but in
reality in reality the whole issue of
special needs handicapped whatever
vocabulary you want to use that's not
important is something we have to think
about because when we have the attitude
that these are problems that we got to
figure out a way you know we should look
at them also
ases has many many different types of
people in the world and they all have
purposes and they all have
functions and we have to appreciate
those functions so it is a difficult
issue I understand and as I had
mentioned I did mention as one of the
options to Simply go with the go with
the flow go with what Hashem gives you
uh but just but just to be truthful not
everybody is always capable of that
people have different tolerance levels
different abilities of what they feel
they could they could take so Haka does
allow these Escape valves in various
situations but again your point is
extremely extremely valuable and it's a
perspective that we need to have always
in fact in all areas of raising children
you know um you know even if there's no
identifiable sickness or handicap of and
our kid is not the way we would like the
the kid to be uh and we might be
disappointed we might be frustrated but
when we so much focus on what it is we
don't have we don't see the The Treasure
of of what we do have and you know
that's that is a very important lesson
for sure
yeah but I happen to know a family where
was four in one four in one wow wow well
it's it's just shows you that statistics
uh you know are misleading uh because
you can have a whole family in which no
one will have it and you have family
where everybody has it because
statistics are just looking at you know
the whole picture but in any particular
part of the picture there could be a
total reversal or Distortion what did
Mark Twain say Mark Twain once said
there are lies there are damn lies and
there are
statistics which statistics are the
biggest the biggest lie lie lie of all
um yeah okay
yes yeah yeah so this is uh yeah this is
a very very exciting
technology and uh here is the
distinction that's often suggested and
that is there is distinction between
what you might call a Curative U
intervention versus an enhancement
intervention meaning to say the Torah
gives us license to try to heal
illnesses so if there is something in
the genetic structure like down syndrome
or whatever it might be at which you
might you might correct the defect so it
would not express itself that would in
theory be a permissible intervention on
the other hand enhancement would mean I
want my kid to be able to run 300 miles
an hour uh so that you kind of take what
God gives you now this distinction is
not going to be obvious in every case
you know one might you know there's a
lot of verbal manipulation meaning hey
if I can only run you know two miles an
hour or whatever it is you know maybe
I'm defective you you know when is when
is enhancement considered to be Curative
is a difficult question but but an easy
case an easy case I think would be if
you could correct tax or even down
syndrome uh by by some type of genetic
engineering that would be within the
license the Torah gives to cure illness
uh when you're talking about
enhancements that would be a much more
questionable questionable area um now
another problem though is that there's a
steep a steep learning curve for these
types of new technologies
and it is very very likely that
initially you things will become worse
before they become better meaning to say
it could very well be uh that children
born from these genetic manipulations
might in fact have more serious birth
defects and then the question becomes
guinea pigs you know it's not moral to
kind of make children's lives worse in
the course of trying to develop a
technology that in the long run will
help so that that's another problem with
all of this uh I'll just call your
attention to uh the movie Jurassic Park
uh about the thing or the movies the
things that happen when we try to
improve on God's uh natural plan and all
sorts of bad things can happen so that's
a cautionary note but in theory it would
be Rua it would be would be permitted
yeah
no no so so what I was saying is that
under those circumstances they should
not be donated but they can be used for
stem cell retrieval that that's basic
basically what what what what we're
saying but by the way the issue of
Frozen embryos has very very interesting
um mous ramifications as well uh this is
an actual case uh a very wealthy couple
went through an invitro procedure
and there were fertilized embryos again
husband sperm wife's egg and these are
frozen and then both husband and wife
died in a plane
crash and their estate was several
million dollars you know a big estate
and technically who are who are the yam
the yam are those eggs not eggs those
embryos so what happens here so there
were a number of very well-meaning
public-spirited women who came forward
um and uh they Vol they volunteered to
uh carry the embryos to chm and since
they would be the birth mother
presumably they would be the trustees
for the estate or whatever it would be
um so I I don't believe uh they were
successful I think the the SEC the
secular Court in California ruled that
the embryos have to be destroyed under
those
circumstances uh what halaka would say
is actually a little little bit of a
mystery halaka does say that born
fetuses can inherit property but the
question is these are not yet implanted
so it's not clear that these even have
the status of unborn embryos uh and that
would actually mean that this is a
couple that di died childless and
therefore the halic airs would be the
brothers or whatever it would be it
would not be the Frozen embryos because
they're not yet capable of of of yusa by
the way one other technology I want to
mention so sperm can be frozen of course
uh embryos can be Frozen and eggs can be
frozen actually eggs unfertilized eggs
can be Frozen and egg freezing is
actually a very interesting option for
older single women uh who think that
they haven't yet met their sh uh but
they're approaching the end of the
reproductive cycle so uh their eggs
could be Frozen and as a result you know
even after
menopause uh woman can actually carry uh
maybe able to carry a baby even though
there's no ovulation but there's her egg
and through invitro she would then be
able to carry the baby so egg free of
course that's still presos she'll find a
but but it gives her a little time so
there are rabbis who actually
Advocate that uh religious women who are
approaching
40 uh might consider egg freezing as a
way of prolonging a
reproductive uh cycle we discussed about
uh Anonymous sperm donor impregnation
that I mentioned there were some
problems with perhaps but egg freezing
uh in the sense of being used when she
gets married that that is actually a
perfectly helically viable solution now
conversely let me give you something on
the men's side that's an interesting
problem uh banking sperm in advance of
something like prostate surgery or or
testicular cancer uh this is an
interesting problem uh let's assume uh
that God forbid a man has a condition
that will render him unable to produce
sperm testicular cancer so the testes
have to be removed so he will not be
able to have biological
children after that condition but right
now he's capable of producing sperm so
the question would be would he be
permitted so to speak to bank sperm to
be used in an IVF procedure uh after he
has the the
cancer uh logically the answer is yes
because although you're not allowed to
emit sperm latala like masturbation this
is the other way around this is the
whole purpose of this is to use the
sperm for
fertility so one would have said that it
is
permitted uh and some say that other
poim and I I I find this a hard pck I
don't like this pck but but other poim
say they differentiate between a single
man and and a married man and they say
if he's a single man he doesn't yet have
the MIT for to have children because
he's not married yet therefore he would
not be allowed to emit sperm for later
use if he's a married man who already
has puru he could again I I I think
that's a difficult P because I think
logically even a single person certainly
anticipates and hopes to get married and
to fulfill prer vu so if he's doing it
with that intention I don't think there
ought to be a difference but just to be
honest with you there are post which
will not allow a single man uh to uh
procure sperm through a masturbation uh
for use uh in an IVF
yeah well uh Coen well well I'm not sure
which problem exactly I will mention
this
did tell us that even if a Jewish woman
was inseminated with non-jewish
sperm uh she is still allowed to marry a
Coen meaning if a woman has relations
with a GU she could not marry a CO but
he took the position that insemination
was not the same as sexual relations now
in terms of kahuna generally uh an IVF
child from a Coen is be a Coen that's
that's what you're asking meaning Coen
sperm fertilizes wife's egg and then
wife carries the embryo and gives birth
to it there is no problem in Kahuna
status there that is considered to be a
a a coing okay uh so um again I uh I
think we we covered a lot of things over
the past few weeks this is the end of
this particular sugya God willing next
week will be khek uh a of khah what is
it yeah a of khah so so we'll talk about
Kana that week and the week after so the
next two sessions will be about khah so
anyway