In Pursuit of Human Augmentation

When you’re sick, it’s obvious that you and your doctor should work, if possible, to help you get better. Nobody would argue against a treatment that restores normal function to a sick or disabled individual. But the consequences of going further than that–going beyond “normal”–are not commonly studied, nor endorsed by many in medicine. Indeed, in any medical procedure, there is risk. If you are already normal, then conventional wisdom dictates that that’s enough. “Do no harm,” the old aphorism says–we should focus on altering the body and mind only when the risk of the alteration is justified, preferably by the hope of solving a deficit of vastly greater magnitude.

Science has endorsed something of a parallel attitude in its pursuit of biological and biomedical research. Namely, in biology, many key insights have emerged via study of the absence of the phenomenon of interest. For example, throughout the 20th century, many insights about the brain arose from the knocking out of specific genes, or the ablation of specific neurons in animals, or the examination of human patients who have suffered the loss of brain regions from conditions such as war or medically mandated surgery. In this way, we learned that patients without their hippocampi become unable to form new memories; humans and experimental animals with prefrontal-cortex damage make bad decisions and lack impulse control; subjects without dopamine-producing neurons exhibit symptoms of Parkinson’s disease. These studies are good at demonstrating the necessity of a specific neural circuit, or brain region, to the normal state. The idea that biomedical science is supposed to bring us up to normal is embedded, to a degree, in the very structure of the experiments we commonly do in the laboratory.

There is nothing wrong with this line of thought. This angle of research is fully consistent with our medical goal. It has brought us many of the triumphs of the last century, and it continues to yield insights into the vast range of diseases that plague us throughout life. When researchers leave this line of thought, though, they point toward the possibility that going beyond normal may change us in new and unprecedented ways, improving our lives in ways that are hard to even imagine. One fascinating line of research over the past few decades has revealed that life span, which long appeared to be solidly set in stone, can be lengthened through pharmacological and genetic manipulations–at least in worms, yeast, and, most recently, mice. This work may someday (quite possibly soon) lead to drugs that can extend human life span. Or note that this past summer, double amputee Oscar Pistorius won second place in a race against able-bodied runners, racing with his prosthetic carbon-fiber legs. Now he is hoping to take on the Olympics, which has led international athletic bodies to worry that augmented humans may be better at running than normal ones are. As a final example, cognitive-augmentation drugs such as modafinil, which enhances alertness even after long hours of wakefulness, are becoming widespread. (Broadly interpreted, good ole coffee might be considered the original neurotechnology, having augmented attention, alertness, and memory in tired humans for millennia.)