(3 of 3)
Even thornier is the question of what kinds of genetic tinkering parents might be willing to elect to enhance already healthy children. What about using gene therapy to add genes for HIV resistance or longevity or a high IQ? What about enhancements that simply stave off psychological pain--giving a child an attractive face or a pleasing personality? No one is certain when these techniques will be available--and many professionals protest that they're not interested in perfecting them. "Yes, theoretically you could do such things," says Baylor University human-reproduction specialist Larry Lipshultz. "It's doable, but I don't know of anyone doing it."
Sooner or later, however, someone will do it. In countries with national health services, such as Canada and Britain, it tends to be easier to dictate what sorts of genetic enhancement will be permitted and what will be forbidden. But in the U.S., despite the growth of managed care, there will always be people with enough money--or a high enough limit on their credit cards--to pay for what they want. "Typically," says Princeton's Silver, "medical researchers are moved by a desire to cure disease more effectively. Reprogenetics [a term Silver coined] is going to be driven by parents, or prospective parents, who want something for their children. It's the sort of demand that could explode."
Silver even contemplates a scenario in which society splits into two camps, the "gen-rich" and the "gen-poor," those with and those without a designer genome. The prospect is disturbing, but trying to stop it might entail even more disturbing choices. "There may be problems," admits James Watson, whose co-discovery of the structure of DNA in 1953 made all this possible. "But I don't believe we can let the government start dictating the decisions people make about what sorts of families they'll have."
--Reported by David Bjerklie and Alice Park/New York and Dick Thompson/Washington