Nobel Prize for Medicine

This year’s Nobel Prizes are being announced this week. In general the Nobel Committee makes good decisions on who deserves recognition in the sciences and it isn’t often that I would quarrel with their choice. I’m not really competent to judge when it comes to the Literature prize. And it seems to me the Peace prize is always something between the doings of the court jester and a political football.

The first of this year’s prizes, announced on Monday, was the prize for Medicine which was awarded to Prof. Robert Edwards who devised (and with Prof. Patrick Steptoe developed) IVF.

I apologise in advance if my view upsets anyone (I know it will some) but this is one science award I will quarrel with. In my view IVF should have been strangled at birth.

I take a basically “egalitarian” view of our relationship with Nature: “Nature must be interfered with as little as possible. There are no safe limits so we must always show caution. Nature is fragile. Any risk is unacceptable.” (OK like all these generalisations that is a slight exageration of the detail of what I believe, but I certainly tend more towards the “egalitarian” view than any other.)

In consequence I feel that if a couple are unable to have children naturally then Nature has some good underlying reason for this and perhaps we should not be playing God. To me IVF is not a step forward but something which we should not be meddling in; it is the medicalisation of a normal part of normal life. Not being able to have children isn’t a life-threatening, debilitating or even disfiguring disease. Compare it with, for instance, on the one hand elective cosmetic surgery and on the other type 1 diabetes. (It is also the first step on the path to eugenics, but that’s a completely different argument which we won’t go into here.)

As such to me IVF is not something worthy of a Nobel prize. That is in no way to belittle Prof. Edwards’ and Prof. Steptoe’s undoubted medical and technical skills and their vision of how to solve the problems from which much has indeed been learnt. (For example, Prof. Steptoe was a pioneer in the development of laparoscopy as a surgical technique.) But just because we have the technology to do something does not mean we have to do it.

Prof. Edwards is on record as saying “The most important thing in life is having a child. Nothing is more special than a child.” All I can say is that if he thinks that putting another mouth to be fed on this planet is the most important thing ever, well I despair. Where are his ethics? Where was his Ethics Committee? Oh, hang on, back in ’60s and ’70s when the work was being done there probably wasn’t an Ethics Committee. Hmmm.