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Susan L. Solomon

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Stem Cell Research: Science, Not Politics

Posted: 09/22/10 12:04 PM ET

On October 31, 1940, Franklin Delano Roosevelt dedicated the Campus of the National Institutes of Health in Bethesda, Maryland, just a few miles from here. That day, knowing we were moving toward a world war, he said:

The total defense, which this Nation seeks, involves a great deal more than building airplanes, ships, guns and bombs. We cannot be a strong Nation unless we are a healthy Nation. And so we must recruit not only men and materials but also knowledge and science in the service of national strength.

FDR understood the role that science would play in the future of a strong and healthy United States and he was clear that medical breakthroughs were as important to our nation as guns and missiles.

Never has that been more apparent in our history than today. In some ways FDR's vision became a reality. Americans are living longer than at any time in our history... but there's a difference between living a long life that's productive and healthy -- and one filled with illness, disease and disability. FDR was saying that the government had a responsibility to do what it could to use the tools of medical research to help its citizens to live healthy and productive lives.

August 9, 2001 was another important date in our country's history. It was the day President Bush limited federal funding for human embryonic stem cell research and, in effect, took the opposite position from Franklin Delano Roosevelt -- closing, or at least partly closing, the door that Roosevelt had opened so wide to Federal support of medical research. By his action in 2001, President Bush ignited a debate that has continued to rage for the last nine years. Politicians, scientists, religious leaders, ethicists, the American public and of course millions of Americans living with disease and disability have passionately argued all sides of this issue.

The debate has not ended, and will not end, but what those of us committed to the promise of stem cell science know is that the ability of science to proceed unencumbered by politics was severely compromised. The federal government was saying that values other than those of pure science could determine research and funding priorities. For many stem cell scientists, it felt like, as one of them said, a boxer 'going into the ring with only his left hook but not his right jab.' And for the millions suffering from a debilitating and sometimes fatal disease, the pace of discovery was slowed to a crawl.

What this country truly needed then -- as it had since Jamie Thompson and John Gearhart discovered the potential of human embryonic stem cell research in l998 -- was leadership. Political leadership that understood the difference between politics and science, political leadership that knew, as FDR did, that the act of support for science meant allowing the values of science to take precedence over the issues of politics. I was honored to have been in the East Room of the White House on March 9, 2009 when President Obama signed the Order stating:

Today... we will bring the change that so many scientists and researchers; doctors and innovators; patients and loved ones have hoped for, and fought for, these past eight years: we will lift the ban on federal funding for promising embryonic stem cell research. We will vigorously support scientists who pursue this research. And we will aim for America to lead the world in the discoveries it one day may yield.

But medical miracles do not happen simply by accident. They result from painstaking and costly research -- and from a government willing to support that work... When government fails to make these investments, opportunities are missed. Promising avenues go unexplored.

Those were inspiring words, and despite the fact that there were still limitations to the NIH guidelines, it looked like it was now time to get to work.

And then on August 23rd of this year, all of you know what happened. Just as the door of Federal support had finally begun to open, Federal district Judge Lamberth blocked President Obama's 2009 executive order that expanded embryonic stem cell research, saying it violated a ban on federal money being used to destroy embryos. Research at the NIH was disrupted yet again, and a cold chill went through the scientific community in this country. Francis Collins, director of the NIH, likened the decision to "pouring sand into the engine of discovery." While a temporary stay of this ruling has occurred, we still don't know, long-term, where this will end up if it is left to the courts. And the last thing science needs is a nail-biter. Thrillers belong in the movies, not in the world in which scientists try to plan medical research.

What these recent events have made absolutely clear is that we need unambiguous legislation passed by Congress this year. Stem cell research is the "don't ask, don't tell" of science. The Dickey-Wicker Amendment remains in full force and Congress must find the political will to change it. As most of you know, Dickey-Wicker was created in 1996, two years before the field of human embryonic stem cell research even existed, and it was created to be a deterrent to abortion, not to slow down the most promising medical research of our time. But the opponents of stem cell research, in their determination to block the progress of science, are using the old law to new purposes. It will mean, among other things, that more than 400,000 frozen embryos left over from IVF treatments that could have been used for medical research will instead be discarded as medical waste. Is this what is meant by "pro life"?

Everyone wants cures for diseases and it is time to acknowledge that the tens of millions of living Americans suffering from chronic illness and disabling conditions are more important than cells in a petri dish. The Dickey Wicker Amendment has had the net effect of giving political cover to conservative members of Congress, both Democratic and Republican, and it is time for them to act courageously and stand up for those who cannot. Now is the moment to vote, not for what is politically expedient but for what it right.

We have primed the pump and now we need to establish programs that truly challenge our scientific community to take human embryonic stem cell research to the next level. Let the only limits be those that our scientists place on their own imagination, creativity and perseverance. Let us seize the opportunity for excellence.

The partner for support from federal and state governments is private philanthropy. The role of private philanthropy is to be nimble, to be entrepreneurial, to do the cutting edge and controversial work -- to test the concepts that, if they prove successful, can later be scaled up by public support. Historically, private philanthropy has been at the root of almost all of our major medical breakthroughs. But private philanthropy has always operated on the assumption that public support would be waiting in the wings to scale up the most promising work. Now, in the stem cell field, we have no such certainty. We don't know if the NIH will be there for us.

We are working hard to keep up our side of the bargain at The New York Stem Cell Foundation, where our stem cell research laboratory in Upper Manhattan has now become one of the finest such laboratories in the United States, with 20 fulltime researchers deriving stem cell lines and making them available to researchers throughout the country. Because we are private and receive no Federal funds, we are able to continue our work through these frustrating and debilitating cycles of off-again, on-again, off-again NIH support. But most of our collaborators are not so lucky. And there is no satisfaction for us in continuing to work when so many of our colleagues and collaborators cannot, especially since one of NYSCF's core missions is to expand the field. But it is not easy to do that when the climate is so uncertain.

We are growing the stem cell field now through our post doctoral Fellowship program and our new Investigator Program, both of which train and support young scientists in the pursuit of the most innovative and advanced translational stem cell research. This elite group of researchers is revolutionizing the practice of medicine. We have had 23 post-doctoral fellows in our program since we began in 2006. And this year I am proud to announce that NYSCF is expanding its efforts to cultivate the next generation of stem cell scientist by providing $24.5 million in funding to 17 Investigators to launch their own independent research, train other scientists, and foster innovative high risk / high reward research. But for the NYSCF's Fellowship and Investigators programs to truly succeed we must have a climate in this country that encourages these young men and women to enter this exciting field of science, not one that makes them worry if it is going to be a dead end. We don't want our program to feel like a small safe house in a hostile world. We want it to be the center of a large and healthy scientific community.

Like Franklin Delano Roosevelt, the United States must continue to recruit not only men and materials but also knowledge and science in the service of national strength. By doing so we will continue to be the model for the world in judging stem cell research for its scientific merit, and in making science, not politics, the standard we go by -- and we will know that we are doing all we can to enable the great discoveries that will be made by all of you in this room today. Tomorrow you are all going to Capitol Hill to educate our elected officials as to why stem cell research is so critical. It is critical to American leadership. It is critical to the economy. It is critical to our great institutions and the scientists who make them great. But it is critical most of all to the tens of millions of Americans who suffer from chronic diseases and disabling conditions, for whom stem cell research symbolizes promise, not politics. I am confident that what we do tomorrow will truly make a difference.


This was a speech delivered in Washington, DC on September 21, 2010.

 

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03:50 PM on 09/23/2010
Krugnac as a scientist is poorly informed about iPS cells.......they are not an absolute substitute for hECR:

Induced Pluripotent Stem Cells Do Not Fully Replace Embryonic Stem Cells As Disease Models
http://www.medicalnewstoday.com/articles/189009.php

notwaff, please stop offending my paralyzed son Jason claiming that adult stem cell treaments are available for spinal cord injuries. Until adult stem cells allow the 1.2 million spinal cord injured Americans to all walk, including my son Jason, evidently there IS NO effective adult stem cell cure for spinal cord injury. So stop claiming there are adult stem cell treatments for spinal cord injury among the 73 "treatments from adult stem cells" unless you are promoting quackery.
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Orly Holmes
02:38 AM on 09/23/2010
How come you lefties always invoke better Democrats than the ones we have now in order to make your cases? Get the thing out there, and when we see elective abortions for moola shooting through the roof in a few years, then we will know that the critics were right [as the CDC maintains that these types of abortions are half of all of them performed annually at a minimum anyway, we can have plenty to get to an American zero population and keep folks alive while doing it].

Just do not insult us by acting like Flo Nightingale while you are doing it.
01:40 AM on 09/23/2010
I cannot believe that one man, a judge, can hold up medical progress based on his beliefs and that is what the judgment passed seems to me. People who argue against stem cell anything whether it has been updated to a new science or still requires funding or not, have been fed or misled based on religious beliefs. It seems like America is becoming more and more like the countries from 1776 and before. This is what America did not like about Europe and now seems to be going backwards instead of forward. America has become more religious than any nation other than the Muslim nations. I thought the state came first. America surely is turning inside of itself and this is the problem of a two party system, an America that is divided on just about everything and it is getting worse by the day, the recession is not helping. Why can't Americans be more open minded about things, they say they are, but in reality America is becoming more and more close minded. Innovation will die if things keep going the way they are now. Pres Bush put back the scientific community by 10 years because of HIS decision, one based on religion. This is the fault of AA and their beliefs which touched upon a president who had alcohol problems. One or few people should not decide for all, referendums are the only solution, hopefully, for the people by the people.
been2there
Facts have a liberal bias.
01:07 AM on 09/23/2010
If all life is precious, then the lives of those suffering from horrendous diseases, or even common, but miserable diseases, are precious. There is no justification for continuing their suffering when the alternative does not involve suffering, either mental or physical. A blastocyte does not feel pain or fear.
11:24 PM on 09/22/2010
It is pointless and fruitless to argue the merits of stem cell research on scientific grounds. It has to be argued upon ethical and moral grounds. And here I mean the ethics of rationality and Reason and not faith and religion.

All proponents of stem cell research should say to the opponents that we have the right to do this, it is proper to do it because it furthers human life and that furtherance of human life is the only standard that morality should be based on.

The faith based arguments are not arguments at all and they should not be entertained. I mean what is the basis of an argument except logic, reason and evidence. Why is "I believe" something or "it is written in a book" an argument and why are the scientific community so afraid of calling a specious argument for what it is?
01:43 AM on 09/23/2010
Point well taken.
08:31 PM on 09/22/2010
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No body stopped the research on adult stem cells. If researchers are sitting around waiting for embryos, their wasting time, money and potential loss of new discoveries. There's zero slowdown on the pace of discovery in adult stem cell research. At present count there are 73 different medical conditions being treated with adult stem cells.
http://www.stemcellresearch.org/facts/treatments.htm
Embryonic stem cell treatment is zero.

And please don't give the - getting rid of "values other than those of pure science." The logical end to your position is Eugenics or the ethics of Peter Singer of Princeton - deplorable.
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10:20 PM on 09/22/2010
I love how embryonic cells are denounced by the fringe as being a dissapointing scientific dead end. If it is so unpromising why not let the free market determine it's value. That's because they know it's not true. Embryonic cells have been a great help in learning how adult stem cells work. Not to mention its huge vale in potential embryonic stem cell treatments. Embryos are not humans. In the end the superstitious extremists will step aside in the wake of scientific progress. This time is coming very soon in the field of embryonic stem cell research.
07:12 PM on 09/22/2010
As a scientist who has worked with Embryonic Stem Cells myself, I can say without reservation that the research talked about here is OBSOLETE. The only reasons to continue pushing it is for ideological purposes, not scientific ones.

During Bush's term, the NIH completed the doubling of its budget. NIH funded scientists have since developed iPS cells, or Induced Pluripotent Stem Cells, which do not require the destruction of a human embryo. These iPS cells also can be grown from adult patients, which would make any cell therapy completely immunocompatible.

There is quite literally no scientific or medical purpose that has been proposed for the old hESC research that can't be done better, more powerfully, and more ethically with iPS cells.

At this point there are really only two groups still pushing for hESC research. Those labs that are already doing it and risk losing some of their funding to other labs doing better research with better cells. And the ideologues that only support it because they consider human embryos to have no value whatsoever and WANT them destroyed for hESC lines.

The problem with the first group is that they have a direct conflict of interest. The problem with the second is that it's still misappropriation of scarce research dollars that would be better spent on iPS research.

The NIH agrees. On a 2009 list of 8 High Priority stem cell research topics, 7 were for iPS cells, 1 was for adult cells, and ZERO were for hESC.
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10:44 PM on 09/22/2010
Due to your expertise could I ask you to confirm or refute a couple of assumptions of mine which are as follows:

That human embryos were destroyed for stem cell research purposes at the blastocyst or zygote stage of development.

That under a microscope at the above mentioned stages all mammal embryos would look the same, i.e. one could not tell which one is human or chimp or whale or canine, etc.

Thank you.
12:04 PM on 09/23/2010
Not at the zygote stage. Cells are taken from the Inner Cell Mass of the blastocyst.

As to the morphology under a microscope, there are visually observable differences even at this early stage.

http://evidence5.beyondgenes.com/images320/eg7.JPG

Within mammals, the size of the blastocyst can vary quite a bit, for instance.

If you were doing an IVF procedure and accidentally mixed human and kangaroo blastocysts, for example, you could pick out the human ones under a microscope with very high confidence.
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Rachel O
02:46 AM on 09/23/2010
You're a small business owner AND a scientist?
11:55 AM on 09/23/2010
I'm a busy guy.
06:59 PM on 09/22/2010
Stem cell research should be further researched, period. But only adult stem cell research. There has yet to be a study in which embryonic stem cells were proved to be more effective than adult stem cells. While using embryonic stem cell is murder, adult stem cells are life saving. Funding embryonic stem cell research is like funding nuclear weapons, you are funding in creating death. You are taking a life to save a life. No one has the right to say which life is worth more value. Embryonic stem cell research is the ineffective younger brother of Adult stem cell research. Imagining your sick and need stem cells, funding for adult stem cell research could save your life.
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Ainsaade
Covered in bees
05:49 PM on 09/30/2010
A. embryonic stem cell research is done with embryos that are donated because they were no longer needed by infertile couples. B. Adult stem cells are used to treat blood cancers in the form of bone marrow transplants, that's it. You can't use an adult stem cell to treat any kind of brain disease, or anything else. Adult stem cells have their uses, but they are nothing to compare to embryonic cells.
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Rachel O
06:05 PM on 09/22/2010
As someone whose mother has been dying of Parkinson's disease since I was 14, I am personally grateful for these efforts. But in light of the continuing role that superstition plays in this country's politics, I encourage the researchers involved to take their work overseas. Science is too important for these petty squabbles.
T-Haight
What was wrong with federalism?
04:51 PM on 09/22/2010
Amazing that someone can right so many words about this subject and never truly discuss ethics, much less the ethical beliefs of those with whom the disagree.

Pure science doesn't settle ethical questions; only philosophical debate. That's the first misnomer of the "science first" advocates of stem cell research. That's why President Obama's claims that restoring stem cell funding "restores science to its rightful place" are misguided and wrongheaded.

The ethicsl qualm of those opposed is that no benefit is worth the destruction of what they believe is human life. This is traced back to the biblical story of Lot, who asked God whether he would destroy Sodom and Gomorrah if good people were there. The simple answer: God wouldn't destroy them if but a single good person would die in the process. Similarly, many ethical people believe that no cure is worth having if it involved killing a person to achieve it, and that's what they believe is happening.

Is this science? No. It is an ethical belief; one of many widely held throughout society. Casting it as science versus a restrictive ideology is a sham put forth to discredit it. Note that at no time have private funds been restricted in stem cell research; if it were rigid ideology, opponents would be calling for full prohibition.
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Rachel O
05:46 PM on 09/22/2010
No benefit is worth the destruction of human life? Why then are these people not bringing court cases against our tax money supporting wars and executions?

Stopping stem cell research is a step too late for the fetus-cult, anyway. The fetuses they are provided are already discarded. The only thing accomplished by stopping this research is the assurance that they will go directly to the medical waste pile instead of benefiting humanity in any way. It's as fruitful as refusing the use of organs from death row inmates.
04:48 PM on 09/22/2010
i'm in favor of embryonic stem cell research, but i think a great first step is making AUTOLOGOUS stem cell therapy widely available. these are stem cells from our own bodies that can heal us. pres. obama should tell the fda to make this therapy available NOW.
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04:25 PM on 09/22/2010
10:1 odds the author owns a nice, big chunk of stock in companies like Advanced Cell Technologies, just like Al Gore's involvement in Generation Investment Management. Say what you like, I'm always suspect of someone's "altruism" when it just happens to also be very a very profitable platform.
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Rachel O
05:49 PM on 09/22/2010
Why busy yourself weighing causes and benefits when you've got an all-purpose "money=bad" platform by which to judge all things?
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09:51 AM on 09/23/2010
no, not to "judge all things," just to aid in assessing an individual's actual (pecuniary) motives for such purported altruism.
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lightningbolt
03:13 PM on 09/22/2010
The republican opposition to stem cell research is simply another wedge issue the republicans use to get the votes of science deniers and religious fanatics.

We must not let science deniers, religious fanatics, or politicians interfere with research that can save many lives.  It is an outrage that a judge overturned Obama's executive order which would have saved lives.  That judge should be ashamed of himself for caring more about cells in a petri dish than about sick people who really need treatment.