Abstract
One controversy within bioethics regards whether the use of potential cognitive enhancements would decrease fairness in society by giving advantages to the already privileged or increase fairness by enabling the worst off to compete with others. Both positions are based on a notion of society as competitive, in which fairness is the purpose of a certain degree of institutional intervention. In the context of cognitive enhancement, this intervention would be the regulation or deregulation of the use of certain drugs by schools, universities, employers or legislators with the goal to protect competition. In the context of neo-liberalism the state intervenes in the market to protect competition. In both contexts, the aim is to level the playing field and to provide equal opportunities to compete. Within the framework of Michel Foucault’s terminology, I will argue that the bioethical debate on fairness forms part of a neoliberal governmentality.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
- 2.
To further explore the fantasies and underlying normative assumptions on cognitive enhancement, I conducted focus group discussions in Germany and the US with students who do not necessarily take medication themselves. Results are not published yet.
- 3.
Foundation of the “Neuroethics Society” (2006), Foundation of the “European Neuroscience and Society Network” (2007). Two neuroethical journals: Neuroethics (2008) and American Journal of Bioethics – Neuroscience (2010).
- 4.
Bruno Latour who explores the dualistic distinctions made by modernists between nature and society, between humans and non-humans, asks (Latour 1993, 124): “Are not most ethicists busy with those two opposite but symmetrical tasks: defending the purity of science and rationality from the polluting influence of passions and interests; defending the unique values and rights of human subjects against the domination of scientific and technical objectivity?”.
- 5.
Two of the co-authors of the memorandum, Jan Christoph Bublitz and Dimitris Repantis, are also contributors to this book.
- 6.
Positional goods are goods that are valued for their scarcity alone (cf. Hirsch 1977).
- 7.
Ian Hacking points out, that although Habermas put “Human Nature” into the title of his book it is not human nature’s integrity itself that forms the basis of his argument, but human dignity. Fukuyama, instead, uses this phrase in itself as the basis of his entire argument (cf. Hacking 2009, 16).
- 8.
This doesn’t mean that today’s psychiatric neuro-interventions are not coercive any more.
References
Amable B (2010) Morals and politics in the ideology of neo-liberalism. Socio-Econ Rev 8:1–28. doi:10.1093/ser/mwq015
Bröckling U, Krasmann S, Lemke T (2000) Gouvernementalität der Gegenwart. Studien zur Ökonomiserung des Sozialen. Suhrkamp, Frankfurt am Main
Burchell G (1996) Liberal government and techniques of the self. In: Barry A, Osborne T, Rose N (eds) Foucault and political reason. The University of Chicago Press, Chicago
Caplan AL (2003) Is better best? A noted ethicist argues in favor of brain enhancement. Sci Am 289:104–105
De Jongh R, Bolt I, Schermer M, Olivier B (2008) Botox for the brain: enhancement of cognition, mood and pro-social behavior and blunting of unwanted memories. Neurosci Biobehav Rev 32:760–776. doi:10.1016/j.neubiorev.2007.12.001
Farah M, Wolpe P (2004) Monitoring and manipulating brain function. New neuroscience technologies and their ethical implications. Hastings Cent Rep 34:35–45. doi:10.2307/3528418
Farah M, Illes J, Cook-Deegan R, Gardner H, Kandel E, King P, Parens E, Sahakian B, Wolpe P (2004) Neurocognitive enhancement: what can we do and what should we do? Nat Rev Neurosci 5:421–425. doi:10.1038/nrn1390
Forlini C, Racine E (2009) Disagreements with implications: diverging discourses on the ethics of non-medical use of methylphenidate for performance enhancement. BMC Med Ethics 10:9. doi:10.1186/1472-6939-10-9
Foucault M (1986) The care of the self. Pantheon, New York
Foucault M (1988) Technologies of the self. In: Martin LH, Gutman H, Hutton PH (eds) Technologies of the self. University of Massachusetts Press, Amherst
Foucault M (2008) The birth of biopolitics: lectures at the collège de France, 1978–1979. Palgrave Macmillan, Basingstoke
Franke AG, Bonertz C, Christmann M, Huss M, Fellgiebel A, Hildt E, Lieb K (2011) Non-medical use of prescription stimulants and illicit use of stimulants for cognitive enhancement in pupils and students in Germany. Pharmacopsychiatry 44:60–66. doi:10.1055/s-0030-1268417
Galert T, Bublitz C, Heuser I, Merkel R, Repantis D, Schöne-Seifert B, Talbot D (2009) Das optimierte Gehirn. Gehirn und Geist 11:40–48
Greely H, Sahakian B, Harris J, Kessler RC, Gazzaniga M, Campbell P, Farah M (2008) Towards responsible use of cognitive enhancing drugs by the healthy. Nature 456:18–25. doi:10.1038/456702a
Hacking I (2009) The abolition of man. Behemoth J Civil 3:5–23. doi:10.1524/behe.2009.0017
Hayek FA (1978) The results of human action but not of human design. In: Hayek FA (ed) New studies in philosophy, politics, economics, and the history of ideas. Routledge & Kegan Paul, London/Henley
Hirsch F (1977) The social limits to growth. Routledge & Kegan Paul, London
Hughes J (2010) TechnoProgressive biopolitics and human enhancement. In: Moreno J, Berger S (eds) Progress in bioethics. MIT Press, Cambridge
Klerman GL (1972) Psychotropic hedonism vs. pharmacological calvinism. Hastings Cent Rep 2:1–3. doi:10.2307/3561398
Langlitz N (2010) Das Gehirn ist kein Muskel. Frankfurter Allgemeine Sonntagszeitung. http://www.faz.net/aktuell/wissen/medizin/neuro-enhancement-das-gehirn-ist-kein-muskel-1912020.html
Latour B (1993) We have never been modern. Harvard University Press, Cambridge
Lemke T (2001) The birth of bio-politics: Michael Foucault’s lectures at the College de France on neo-liberal governmentality. Econ Soc 30:190–207. doi:10.1080/713766674
McCabe SE, Knight JR, Teter CJ, Wechsler H (2005) Non-medical use of prescription stimulants among US college students: prevalence and correlates from a national survey. Addiction 100:96–106. doi:10.1111/j.1360-0443.2005.00944.x
Partridge BJ, Bell SK, Lucke JC, Yeates S, Hall WD (2011) Smart drugs: “as common as coffee”: media hype about neuroenhancement. PLoS One 6(11):doi:10.1371/journal.pone.0028416
Quednow BB (2010) Ethics of neuroenhancement: a phantom debate. BioSocieties 5:153–156. doi:10.1057/biosoc.2009.13
Rawls J (1971) A theory of justice. Harvard University Press, Cambridge
Rose N (2003) Neurochemical selves. Society 41:46–59. doi:10.1007/BF02688204
Rose N (2004) Becoming neurochemical selves. In: Stehr N (ed) Biotechnology, commerce and civil society. Transaction Publishers, New Brunswick
Sabin J, Daniels N (1994) Determining “medical necessity” in mental health practice: a study of clinical reasoning and a proposal for insurance policy. Hastings Cent Rep 24:5–13. doi:10.2307/3563458
Savulescu J (2006) Justice, fairness and enhancement. In: Sims Bainbridge W, Roco MC (eds) Special issue: progress in convergence: technologies for human wellbeing. Ann N Y Acad Sci 1093:321–338. doi:10.1196/annals.1382.021
Schaper-Rinkel P (2007) Die neurowissenschaftliche Gouvernementalität. Re-Konfigurationen von Geschlecht zwischen Formbarkeit, Abschaffung und Re-Essentialisierung. In: Dölling I, Dornhof D, Esders K, Genschel C, Hark S (eds) Transformationen von Wissen, Mensch und Geschlecht. Transdiziplinäre Interventionen. Ulrike Helmer Verlag, Königstein/Taunus
The President’s Council on Bioethics (2003) Beyond therapy: biotechnology and the pursuit of happiness. Dana Press, Washington, DC
Vanberg VJ (2006) Marktwirtschaft und Gerechtigkeit. Zu F.A. Hayeks Kritik am Konzept der “sozialen Gerechtigkeit”. In: Held M, Kubon-Gilke G, Sturn R (eds) Jahrbuch Normative und institutionelle Grundfragen der Ökonomik, Bd. 5, Soziale Sicherung in Marktgesellschaften. Metropolis-Verlag, Marburg
Vidal F (2009) Brainhood, anthropological figure of modernity. Hist Hum Sci 22:5–36. doi:10.1177/0952695108099133
Weber M, The agrarian sociology of ancient civilizations (trans: Frank RI, 1976). Verso Classics, London
Weber M (2001) The protestant ethic and the spirit of capitalism. Routledge, London
Acknowledgements
I would like to thank Nicolas Langlitz for many very inspiring discussions that have enriched this chapter and Thomas Biebricher, Georg Fischer and Isabell Trommer for valuable editing and comments.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Wagner, G. (2013). Leveling the Playing Field: Fairness in the Cognitive Enhancement Debate. In: Hildt, E., Franke, A. (eds) Cognitive Enhancement. Trends in Augmentation of Human Performance, vol 1. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-6253-4_18
Download citation
DOI: https://doi.org/10.1007/978-94-007-6253-4_18
Published:
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-007-6252-7
Online ISBN: 978-94-007-6253-4
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)