The Bioethics of Biostasis Martine Rothblatt Yale University Institution for  Social and Policy Studies  Interdisciplinary Center for Bioethics
Definition of Terms Transbeman A being desirous of human rights but not conventionally considered so eligible, as well as other beings who self-identify with such beings Biostasis A virtually complete and intentionally reversible arrest of biological processes Alive Capable under appropriate conditions of autonomous activities
Legal Definition of Death  Originally, in Common Law “ (1) irreversible cessation of circulatory and respiratory functions…” After Cardio-Pulmonary Support & Organ Transplantation Created a Reason for Alternative Definition “ or, (2) irreversible cessation of all functions of the entire brain, including the brain stem” Uniform Determination of Death Act, 1980-1981 National Conference of Commissioners on Uniform State Laws, ABA & AMA; State laws vary slightly
Questions Raised by  21st Century Technology If cryonic biostasis is  reversible , then aren’t cryonauts still alive? If brain  functions  are transplanted to a computer before brain death, then aren’t the transplantees still alive?
Response from Current  Juridico-Medical Establishment Definition of Death: Subject to “accepted medical standards” Must be “construed to effect its general purpose.” Cryonic Revival & Cyber-Consciousness are Now Impossible Society Needs Certainty of Death
But it Took Only 50 Years to Go From This Also no skyscrapers, a/c, galaxies or nukes in 1900…
To this!
And just 30 more years to
And rapid advancement is not just in aeronautics 1967 -- 1st Heart Transplant 2006 -- 75,000th Heart Transplant ( ten per day ) 1984 -- Vitrification proposed 2005 -- Kidney vitrification reversed 2001 -- 1st Human Vitrification 20?? -- Vitrification Revivals 1980 2005 25 yrs 41 yrs 19 yrs
And Advancement is Exponential, Not Linear
Even Today Some Brain  Functions  Can Be Computerized Memory, pattern recognition, reasoning Our uniqueness as people can be digitally stored and presented: Mannerisms Personality Recollections Feelings Beliefs Attitudes Values
We Call These Digital Copies of Key Brain Functions “Bemes” Bemes are the smallest units of our beingness Beingness is our essential nature or character By holding our bemes, sites like  CyBeRev.org  perform a brain function A “bemenaut” has thus not ceased “ all of the  functions of the entire brain” --  they are alive
Back to the  Medico-Legal Problems Bemes are not now “accepted medical standards” The purpose of the rules is to get you dead, definitely dead Can’t use the rules to defeat their purpose
Solutions to Legal Death Get Psychiatry to Accept Reality of Bemes As a Brain Function Merge Bemes with Mindware to Evidence Cyber-Consciousness Show Cryonic Revival Persuade Society that Death is Unnecessary
Motivations to Get Society to Accept Cyber-Life Avoid bad suffering without euthanasia Ending body doesn’t end a person’s life Gratitude to our those who risk lives (eg cops) Shouldn’t have to lose body  and  life  Keep benefiting from key contributors Comedians, Writers, Elvis, Heroes in virtuality
Society’s Deathism Is Unnecessary World Population Grew from 1 Billion to 6 Billion in 100 yrs Average Lifespan Doubling ≈40 > ≈80 O’Neill Showed the Solar System Could Support >500x Earth’s Population
Outline of Legal Petition for Biostasis Life IA. Bemes stored  ex vivo , hence  all  functions of the brain  (e.g. memory)  not ceased IB. Medical science agrees that memory is function of brain and computers  IIA. Consciousness retrievable hence no irreversible loss of that brain function either IIB.Medical science agrees consciousness emerges from thought & not intrinsic to tissue III. Not contrary to Act’s purposes because  organ-harvest neutral IV. Find plaintiff with no 3rd parties aggrieved by lack of death certificate, or argue Plaintiff’s interests outweigh others
How About Real Death? Real death occurs when there is an  irreversible loss of consciousness But consciousness is  subjective,  and  “ what is   irreversible”  nearly so So real death occurs when there is  belief  that consciousness is forever gone
Socrates:  It is only my body that is dying, not my self
Legal Death is Not Real Death Has the  information constituting someone  been irreversibly lost? Legal death reflects society’s consensus Yes , if heart, lungs & whole brain flatline Real death reflects emerging realities No , if their brain is quickly cryonicized or its material content is uploaded as bemes
People Will Disagree Transbemans in biostasis are  alive because some people  (themselves at least)  are sure consciousness will return  to them Transbemans in biostasis are dead to non-believers
One  Can  Be Dead  And  Alive Mortalists: Cryonics is irreversible Even if reversed, it is a new being born Mind-transfer is not that  You are dead Immortalists: Cryonics is reversible When reversed, same being patterns result Mind-transfers lead to cyber-consciousness    I am alive
Final Analysis Death is irreversible end to beingness No objective answer (can’t measure) to whether or not beingness has forever ended Death is therefore a subjective state, the objective indicia of which can be generally agreed-upon in law and culture Transbemans in biostasis are alive because (1) they intend to reverse their biostasis, (2) they believe their biostasis reflects their beingness, and (3) their beliefs are reasonable to at least some in their reality.
How Might We Accommodate Treating Death as Subjective? Individuals choose by contract to  “opt out”  of legal death via  certified biostasis National Opt-Out Registry certifies biostases programs Cryonics Firms Beme Storage Firms
Requirements for Certification Perpetual (like Alcor’s Patient Trust) Funding Dedicated to Reversibility Research Program Focused on Revival Compliance with “Good Biostasis Practices” National Death Opt-Out  via Biostasis Registry “ NDOBR” ( endober )
Consequences of Opting Out of Death Via NDOBR Death Certificate Replaced with Biostasis Certificate No Dissolution of Marriage by Death or Loss of Property, Legal or Citizenship Rights Decisions for Biostasee Made by Trustee  Legally the same as if biostasee were in coma
Conclusions Transbemans in biostasis are alive because They reasonably intend their status to be reversible and their identity to be constant Legal death is not the same thing as real death The law will change to recognize them as living once Plaintiffs succeed in showing biostasis ≠death, or NDOBR is legislated or accepted by courts, or Reversible biostasis with seemingly constant identity is shown & Social benefits of immortalism are shown to outweigh social interests in death
A National Opt-Out Registry Is Something We Can Do Now Respects the great Western value of individual choice Provides an alternative to a death certificate Commences regularization of biostasis firms

Bioethics of Biostasis

  • 1.
    The Bioethics ofBiostasis Martine Rothblatt Yale University Institution for Social and Policy Studies Interdisciplinary Center for Bioethics
  • 2.
    Definition of TermsTransbeman A being desirous of human rights but not conventionally considered so eligible, as well as other beings who self-identify with such beings Biostasis A virtually complete and intentionally reversible arrest of biological processes Alive Capable under appropriate conditions of autonomous activities
  • 3.
    Legal Definition ofDeath Originally, in Common Law “ (1) irreversible cessation of circulatory and respiratory functions…” After Cardio-Pulmonary Support & Organ Transplantation Created a Reason for Alternative Definition “ or, (2) irreversible cessation of all functions of the entire brain, including the brain stem” Uniform Determination of Death Act, 1980-1981 National Conference of Commissioners on Uniform State Laws, ABA & AMA; State laws vary slightly
  • 4.
    Questions Raised by 21st Century Technology If cryonic biostasis is reversible , then aren’t cryonauts still alive? If brain functions are transplanted to a computer before brain death, then aren’t the transplantees still alive?
  • 5.
    Response from Current Juridico-Medical Establishment Definition of Death: Subject to “accepted medical standards” Must be “construed to effect its general purpose.” Cryonic Revival & Cyber-Consciousness are Now Impossible Society Needs Certainty of Death
  • 6.
    But it TookOnly 50 Years to Go From This Also no skyscrapers, a/c, galaxies or nukes in 1900…
  • 7.
  • 8.
    And just 30more years to
  • 9.
    And rapid advancementis not just in aeronautics 1967 -- 1st Heart Transplant 2006 -- 75,000th Heart Transplant ( ten per day ) 1984 -- Vitrification proposed 2005 -- Kidney vitrification reversed 2001 -- 1st Human Vitrification 20?? -- Vitrification Revivals 1980 2005 25 yrs 41 yrs 19 yrs
  • 10.
    And Advancement isExponential, Not Linear
  • 11.
    Even Today SomeBrain Functions Can Be Computerized Memory, pattern recognition, reasoning Our uniqueness as people can be digitally stored and presented: Mannerisms Personality Recollections Feelings Beliefs Attitudes Values
  • 12.
    We Call TheseDigital Copies of Key Brain Functions “Bemes” Bemes are the smallest units of our beingness Beingness is our essential nature or character By holding our bemes, sites like CyBeRev.org perform a brain function A “bemenaut” has thus not ceased “ all of the functions of the entire brain” -- they are alive
  • 13.
    Back to the Medico-Legal Problems Bemes are not now “accepted medical standards” The purpose of the rules is to get you dead, definitely dead Can’t use the rules to defeat their purpose
  • 14.
    Solutions to LegalDeath Get Psychiatry to Accept Reality of Bemes As a Brain Function Merge Bemes with Mindware to Evidence Cyber-Consciousness Show Cryonic Revival Persuade Society that Death is Unnecessary
  • 15.
    Motivations to GetSociety to Accept Cyber-Life Avoid bad suffering without euthanasia Ending body doesn’t end a person’s life Gratitude to our those who risk lives (eg cops) Shouldn’t have to lose body and life Keep benefiting from key contributors Comedians, Writers, Elvis, Heroes in virtuality
  • 16.
    Society’s Deathism IsUnnecessary World Population Grew from 1 Billion to 6 Billion in 100 yrs Average Lifespan Doubling ≈40 > ≈80 O’Neill Showed the Solar System Could Support >500x Earth’s Population
  • 17.
    Outline of LegalPetition for Biostasis Life IA. Bemes stored ex vivo , hence all functions of the brain (e.g. memory) not ceased IB. Medical science agrees that memory is function of brain and computers IIA. Consciousness retrievable hence no irreversible loss of that brain function either IIB.Medical science agrees consciousness emerges from thought & not intrinsic to tissue III. Not contrary to Act’s purposes because organ-harvest neutral IV. Find plaintiff with no 3rd parties aggrieved by lack of death certificate, or argue Plaintiff’s interests outweigh others
  • 18.
    How About RealDeath? Real death occurs when there is an irreversible loss of consciousness But consciousness is subjective, and “ what is irreversible” nearly so So real death occurs when there is belief that consciousness is forever gone
  • 19.
    Socrates: Itis only my body that is dying, not my self
  • 20.
    Legal Death isNot Real Death Has the information constituting someone been irreversibly lost? Legal death reflects society’s consensus Yes , if heart, lungs & whole brain flatline Real death reflects emerging realities No , if their brain is quickly cryonicized or its material content is uploaded as bemes
  • 21.
    People Will DisagreeTransbemans in biostasis are alive because some people (themselves at least) are sure consciousness will return to them Transbemans in biostasis are dead to non-believers
  • 22.
    One Can Be Dead And Alive Mortalists: Cryonics is irreversible Even if reversed, it is a new being born Mind-transfer is not that  You are dead Immortalists: Cryonics is reversible When reversed, same being patterns result Mind-transfers lead to cyber-consciousness  I am alive
  • 23.
    Final Analysis Deathis irreversible end to beingness No objective answer (can’t measure) to whether or not beingness has forever ended Death is therefore a subjective state, the objective indicia of which can be generally agreed-upon in law and culture Transbemans in biostasis are alive because (1) they intend to reverse their biostasis, (2) they believe their biostasis reflects their beingness, and (3) their beliefs are reasonable to at least some in their reality.
  • 24.
    How Might WeAccommodate Treating Death as Subjective? Individuals choose by contract to “opt out” of legal death via certified biostasis National Opt-Out Registry certifies biostases programs Cryonics Firms Beme Storage Firms
  • 25.
    Requirements for CertificationPerpetual (like Alcor’s Patient Trust) Funding Dedicated to Reversibility Research Program Focused on Revival Compliance with “Good Biostasis Practices” National Death Opt-Out via Biostasis Registry “ NDOBR” ( endober )
  • 26.
    Consequences of OptingOut of Death Via NDOBR Death Certificate Replaced with Biostasis Certificate No Dissolution of Marriage by Death or Loss of Property, Legal or Citizenship Rights Decisions for Biostasee Made by Trustee Legally the same as if biostasee were in coma
  • 27.
    Conclusions Transbemans inbiostasis are alive because They reasonably intend their status to be reversible and their identity to be constant Legal death is not the same thing as real death The law will change to recognize them as living once Plaintiffs succeed in showing biostasis ≠death, or NDOBR is legislated or accepted by courts, or Reversible biostasis with seemingly constant identity is shown & Social benefits of immortalism are shown to outweigh social interests in death
  • 28.
    A National Opt-OutRegistry Is Something We Can Do Now Respects the great Western value of individual choice Provides an alternative to a death certificate Commences regularization of biostasis firms