As humankind begins the twenty-first century armed with ancient
urges and cultural bric-a-brac from millennia of biological and
social evolution, the brave new world of reproduction that beckons
is very different from the one left behind. Imagine the scenes.
A woman persuades her teenage daughter to be sterilised and to bank
eggs for reproduction by In-Vitro Fertilisation (IVF) later in life.
A mother and son sit in a *Reproduction Restaurant* choosing his
ideal gamete partner from an Internet database. A man who cannot
produce sperm sires a child on the other side of the world - with
another man. Is this the future of human reproduction? Is this what
will happen when ancient urges meet future technology?
'Ancient urges' - a powerful phrase conjuring up thoughts of wanton
promiscuity and public sex. Of course, most of us don't run our
reproductive affairs this way - but the beast is in us nonetheless,
a sexual legacy from the past million years. Yet in the twenty-first
century, the old animal within us is under threat. How *will* the
beast cope with those developments that almost without warning have
become part of our reproductive destiny: IVF, cloning, surrogate
mothers, surrogate testes, nucleus transfer, gamete banks and frozen
embryos, or even with simple paternity testing and child support
enforcement? The prediction is that these developments will trigger
a social revolution as far-reaching as any so far in human history.
Two major developments are expected. First, lone-parent families
- and the blended families that arise when lone-parent families
cohabit - will become the social norm. Secondly, the divorce of
sex from reproduction - which is already nisi - will become absolute.
The lone-parent society - a new era in human social evolution
The 20th century spawned an institution - the lone-parent family
- destined to change the face of society. One in five children already
live in such families in Britain and the United States and everywhere
the proportion is increasing. If the trend continues, lone-parent
families - over 90 per cent of which have lone-*mothers* - will
soon replace the traditional nuclear family as the social norm.
It is true that current social and political attitudes to lone-parent
families are negative. It is also true that lone-parenthood for
the moment has undesirable consequences *on average* for both mother
and children: survival, health, fertility, performance at school
and delinquency rates all suffer. But a disadvantageous past and
present does not necessarily herald a disadvantageous future. Biologically,
the environment is changing - and it is changing in a way that will
make lone-parent families as successful as any institution that
has gone before.
To understand this change, we need to ask why in the past lone-mothers
have often struggled to match their nuclear counterparts. The answers
are obvious - weaker finances and elusive, unaffordable day-care.
When these financial factors are under control, the negative facets
of lone-parenthood disappear. It is not lone-motherhood *per se*
that causes the problems, but the lack of money and help. Children
do not suffer from the simple absence of a live-in male. There are
no negative social or psychological consequences when children are
raised by a financially secure mother or by a mother and grandmother.
Nor does *how long* a live-in adult male is missing make any difference.
We should not be surprised; we should not exaggerate a man's traditional
contribution to parenthood. Of 80 non-industrial human cultures
in a world survey, fathers were 'rarely' near their infants in 18
and were 'close' to them in only 3. Even then, fathers spent only
3 hours per day with their children. In industrial societies some
fathers may spend as little as 45 minutes *per week* in direct interaction.
A man's main contribution to successful parenthood is not via his
presence or masculinity but via the resources he generates.
Lone-parent and nuclear families are *biological* institutions and
these mostly form under certain conditions and disintegrate under
others - whatever moralists, traditionalists and legislators might
wish. To the romantic, men and women live together and sleep together
because they love each other. To the cynical biologist, however,
they do these things to make it difficult for their partner to have
sex with anybody else. Nuclear families form when females need male
live-in help to raise offspring and males need to protect sexual
access and paternity via mate guarding. In humans, mothers are vulnerable
to being left destitute and men are vulnerable to being cuckolded.
This vulnerability - mutual fear of both infidelity and desertion
- is biological cement, binding couples together. Independence is
the opposing force, weakening couples' biological bonds. Beyond
a certain point, these bonds disappear altogether - and this is
where the modern environment is leading. *Child Support* Legislation*will
free women from the fear of destitution. Routine *Paternity Testing*will
free men from the subconscious fear of unknowingly raising another
man's child. Together, these two developments will free people to
pursue their *individual* ambitions, hastening the demise of the
nuclear family and promoting the lone-parent family still further.
We stand on the brink of a new age in human social evolution - an
age in which lone- and blended-families, not the nuclear, will dominate
society.
There are two main groups of lone-mothers: those who are the victims
of rape, desertion, or separation and those of independent means
who choose lone-parenthood, are happy with their situation, and
can afford to raise their children without disadvantage. Currently,
the former, more vulnerable, group is in the majority. Over the
next few decades, though, the second group should mushroom - because
the main factor that has recently changed and will change even more
is the level of women's financial dependence on *living* with a
man.
Which brings us to a modern irony. The crusade for Child Support
enforcement had an undeniably punitive element, aimed at making
men suffer when they left their families. In all the polemic, it
was expected that Child Support legislation would pressurise nuclear
families into staying together. In the hands of biological urges,
however, Child Support and the increasingly associated Paternity
Testing have the opposite effect. No longer will a woman need to
tolerate an inept, perhaps violent, and increasingly undesirable
man simply to avoid becoming destitute. Child Support legislation
will see to that. No longer will a man need to spend his life with
a woman simply to guard against cuckoldry. Paternity Testing will
see to that. Biological cement will crumble and couples will simply
separate once initial feelings of love and excitement disappear.
Today, the lone-parent lobby is still only a minority voice - but
it is growing louder and will soon crescendo. Eventually lone-parents
will become the bulk of the electorate; governments will become
*their* hostages. From that moment, lone-parent families - and the
blended families that arise when lone-parents cohabit - will become
the social norm, heralding a new era in human social evolution.
Divorcing Sex from reproduction
But the collapse of the nuclear family is only the beginning of
the social revolution. The burgeoning lone-parent society will find
that technological developments ease reproductive life, enhancing
rather than eroding the new social structure. Most importantly,
these developments will inevitably lead to foolproof contraception
and a final separation of sex from reproduction, fewer and fewer
babies being conceived via intercourse.
The chance to completely sever sex from reproduction is the jewel
in the future's procreative crown. Sex can become purely recreational
- and reproduction can become purely clinical, the product of In-Vitro
Fertilisation (IVF). Already over half a million people - the oldest
now 22 - owe their origins to a Dish rather than parental union,
and like the first swallows of spring they are the harbingers of
a new summer. Modern reproductive technology is leading us headlong
into a new phase of human social evolution. How will we cope? Is
this the end of relationships as we know them?
Undoubtedly, we *shall* cope - just as we coped with the contraceptive
pill, artificial insemination and IVF in the Twentieth Century.
In fact, *psychologically* the separation of sex from reproduction
needs no adjustment. It is nothing new. The human psyche has *always*
been able to divorce the two; any link seeming so tenuous that our
ancestors had more trouble connecting than separating them. We can
easily see why. In cultures lacking contraception, an average of
about seven children is produced from about 3500 acts of intercourse
- a link of around one in 500. Little wonder, then, that to many
of our ancestors a relationship between the two seemed absurd.
Our own society has recognised for a few millennia that *some* link
exists between sex and reproduction. Even so, we acknowledge that
our sexual urges are separate from and much more frequent than our
urges to reproduce. Hence the popular notion of sex as a recreational
activity. But any claim that humans are the only species for which
sex has a recreational role is biological nonsense. Lions, for example,
have sex 3000 times for the production of each lion and our two
nearest relatives, chimpanzees and bonobos - the latter in particular
- are forever having sex. For them, intercourse is virtually a greeting
- a handshake. Clearly, natural selection weakened the link between
sex and reproduction long before technology came on the scene. All
that modern technology has found the potential to do is sever the
link completely - something natural selection could never quite
have managed.
Assisted conception techniques - IVF, surrogate motherhood, surrogate
ovaries and testes, gamete manufacture and cloning - herald an end
to infertility. That is, after all, why they were developed in the
first place. But just as bottle feeding began as a treatment for
those who *could not* breast feed, then rapidly transformed into
a commodity for those who *did not want to* breast feed, then so
too will assisted conception techniques be grasped by lone-parents
and transformed from treatment into commodity. The process has already
begun - and before long the trickle of single women to sperm donor
and IVF clinics will become a flood.
The BlockBank system
The future separation of sex from reproduction will be the technological
end-point of a drive for foolproof contraception and family planning
that gained increasing momentum during the past century. Even this
drive, though, has its roots firmly embedded in our biological past.
Life has always been a roller- coaster of highs and lows, good times
and bad - and parenthood has always been a demanding occupation.
The very effective system of family planning that natural selection
produced for our primate ancestors and which we inherited was to
intersperse periods of *stress-induced infertility* during the hard
times with periods of high fertility during the good times. Until
the twentieth century, stress was most women's only contraceptive
- as to some extent it was men's. Nowadays, though, couples naturally
prefer to rely on biotechnology than stress - but do so at a price.
Current contraceptive methods are either decidedly 'unfriendly',
inefficient or a danger to the user's health. We might even predict
that barrier methods can *never* be user-friendly and chemical methods
based on altering the body's hormone or immune system can *never*
be free of health risks.
Part of the problem for contraception technology has always been
the primary need for users to retain their fertility so that they
can reproduce later if they wish. Modern reproductive technology,
though, could make this requirement redundant, thus paving the way
for a completely new approach to contraception and family planning.
Combine the demand for assisted conception with that for a foolproof,
user-friendly and health risk-free method of contraception and we
produce the *BlockBank* system
By the middle of the twenty-first century, men and women will *bank*
(i.e. cryopreserve or freeze-store) their sperm or eggs at some
time early in life and have their tubes (vasa deferentia or oviducts)
cut, tied or otherwise *blocked*. The avoidance of unwanted pregnancies,
unwanted abortions - and unwanted Child Support Payments - will
be guaranteed. At the same time such people will give themselves
total freedom to have a family any*time* they wish - and increasingly
with almost any*body* they wish. To have a baby, all a person needs
to do is arrange to have their gametes united with those of the
person of their choice via IVF. The age-old search for a gamete
partner (the genetic other-parent of one's next child) would take
on a radical new meaning. And in the hands of the ever-more competent
medical technology of the future, the result will be greater *sexual
freedom* and an ever-burgeoning range of *reproductive choices*.
The way will be open for individuals to become lone-parents by *commissioning*
children when and with whom they want or can afford. They could
negotiate to obtain gametes from people they know or - according
to finance - from the rich and famous, and then use them to reproduce
via IVF with their own gametes. The freedom to integrate family
planning and mate-choice with a successful career will become total.
But if a person is commissioning gametes but not necessarily living
with the baby's other parent, there is little incentive to have
every child with the same person. Increasingly, each person's family
will be from a mixture of 'second' parents. And because the technology
of gamete manufacture will allow sperm to fertilise sperm and eggs
to fertilise eggs, for those who wish it homosexual reproduction
could be commissioned as readily - though probably not as cheaply
- as heterosexual.
Of course, love, pragmatism and the need for companionship will
often lead two (or more) lone-parents to live together to raise
children within blended families - as many do already. Also as now,
cohabiting couples will probably have sexual relations - but because
of the BlockBank system they won't necessarily have children ('mutuals')
together. This separation of sex from reproduction, combined with
computer technology, will open up a bewildering range of choices.
In the United States, donor sperm and eggs can already be obtained
with relative ease and couples living elsewhere are taking advantage
of the fact. Some services even combine express-mail delivery with
World Wide Web sites that allow prospective parents to screen for
donor characteristics such as height, weight and eye colour. Assisted
reproduction technology is already a growth industry in the United
States thanks to the market forces of supply and demand.
In the future, most such gamete selection is likely to take place
over the Internet. Not least because there will be a need for worldwide
regulation of the selection process - for example, to prevent the
biological effects of inadvertent incest. The establishment of something
like an international *Gamete Marketing Board (GMB)* would seem
to be essential. Then, just as the twentieth century saw the formation
of Internet Cafés, so too could the commissioning process of the
twenty-first century literally see the establishment of *Reproduction
Restaurants*. Places where people could go to eat, drink and browse
their reproductive possibilities - and maybe even commission a child
from the GMB web-site over a gourmet meal and a bottle of wine.
Imagine the options. Should a person reproduce with somebody he
or she knows - a joint venture? Or should they go it alone and purchase
the gametes of somebody famous - or even dead? Should they reproduce
with somebody the same sex as themselves or the opposite sex? If
they are female, should they gestate the child themselves or should
they commission a surrogate or hire an artificial womb? And when
should they have their first child - in their teens, or in their
twenties, thirties, forties, fifties - or even sixties? Advertised
on the Internet and browsable from *Reproduction Restaurants*, people's
reproductive choices will be almost endless - as, of necessity,
will advice and counselling.
Men will be able to commission a family - by purchasing a woman's
eggs from the GMB and hiring a surrogate mother - just as well as
women. Biologically, though, the beast within men is programmed
more for itinerant sexual activity than for long-term commitment
to parenthood. For most men, reproduction will stem from negotiation
- persuading women to purchase their sperm in exchange for financial
support (after paternity testing). Famous men - and women - though,
will have little need of such negotiations. Families will be scattered
worldwide as far-flung admirers forego child support in exchange
for the chance to purchase their gametes.
The process raises many intriguing questions. Will genetic parents
want to keep in touch with their global family? Will people show
an interest only in the children *they* commission and raise - or
also in the children other people commission from them? What financial
and contingency arrangements will be needed for the raising and
safeguarding of commissioned children? Should people pay for the
maintenance of children other people have commissioned from them
or only for the children they themselves commission? Would all reproduction
become a matter of financial negotiation before the child's conception
is initiated?
In principle, the BlockBank system is the perfect form of family
planning - no unwanted pregnancies, but instead babies to order.
In addition, to judge from people who have already been blocked,
there should be none of the side effects associated with modern
contraceptives. Maybe this isn't surprising, because unlike other
modern forms of contraception, blocked tubes are 'natural' in at
least one sense - they do occur naturally! Around three per cent
of men and women inadvertently acquire blockages via urinogenital
infections. And until such people discover that they cannot reproduce,
they have no indication from their libido, sexual performance, health
or general behaviour that their tubes *are* blocked.
Of course, it is easy to imagine problems with the BlockBank system
- but are they real or do they simply stem from a reflex distrust
of anything new? For example, as with any banking system men and
women might not trust the Gamete Banks with their sperm and eggs.
What if people's gametes get mixed up or cannot be traced when needed?
In theory, of course, thanks to DNA fingerprinting, bar code labelling
and computer technology there should be little danger of such mishaps
- but past experiences with monetary banks do not inspire *total*
confidence. Reassurances will be essential - such as DNA testing
to confirm genetic parenthood before embryos are placed in the gestation-mother's
womb.
What if a person falls behind in the payment of his or her gamete
storage premiums, or if the Storage Company goes out of business?
Payment protection policies will undoubtedly be needed, as will
government underwriting of any private storage companies. What if
a person's gametes are really lost? Or, even worse, what if a malevolent
government mistakenly destroys a person's gametes as punishment
for supposed social misdemeanours? We can relax. No such calamities
are terminal; there is a safe fallback. After all, both men and
women continue to produce gametes even *after* their tubes are blocked
- it's just that they never find their way to a place where fertilisation
can occur. So if a person's adolescent deposit into their gamete
bank account does happen to be lost or destroyed, further deposits
can be made later in life, if necessary.
The BlockBank scheme won't immediately appeal to men or women who
dislike all medical invasion, no matter how trivial. Tube blocking
currently requires surgery, albeit minor. In addition, women would
need to go through induced ovulation and egg harvesting when initially
banking eggs. Finally, the fertilised egg needs to be inserted directly
into the woman's womb - another uncomfortable procedure. All of
these processes are unpleasant and such discomfort is a definite
minus on the balance sheet of user-friendliness.
So - will the men and women of the future be prepared to put themselves
through such discomfort in the name of contraception and family
planning? The indications are that many might. After all, in the
pursuit of health, women have been prepared to suffer the discomfort
of cervical smear tests for years. In the pursuit of family planning,
they have been prepared to tolerate the discomfort of being fitted
with Intra Uterine Devices (IUDs) - and later having them removed.
They have even been prepared to risk their lives with back-street
abortionists. And in the pursuit of reproduction, *infertile* men
and women have been prepared to put up with the discomfort of a
wide range of treatments, such as Testicular Sperm Extraction (TESE)
and IVF. Finally, in the pursuit of contraception, both men and
women have already been prepared to have their tubes blocked - and
in surprising numbers. In Britain 15 per cent of women of childbearing
age and 16 per cent of their partners are already sterilised, with
most men having their vasectomies in their thirties. In Asia, half
of all couples who need contraception choose the sterilisation of
one partner; in India alone this figure rises to three-quarters.
It seems highly likely, then, that if the BlockBank scheme were
on offer *now* a significant number of people *would* opt to use
it in their quest for foolproof and risk-free control over their
reproductive lives. They would tolerate three or four moments of
discomfort in their lifetime for the freedom to reproduce when and
with whom they wanted with no risk of accident or misfortune. And
in the future, with all elements in the scheme becoming increasingly
user-friendly, reliable and socially acceptable, BlockBanking's
future seems assured; it is destined to become the favoured form
of family planning for the majority of people.
BlockBanking is most advantageous when performed early in a person's
life - such as soon after puberty. Not only does the blocking provide
contraceptive protection at a most vulnerable age but also the banking
of eggs and sperm during adolescence is of extra value. First, it
provides early insurance against accident and disease - ovarian
or testicular cancer for example - later in life that could threaten
a person's reproduction. Secondly, sperm and eggs produced while
young perform much better in IVF than those produced when older.
And for women in particular, eggs produced when young are much less
likely to create children with genetic disabilities, such as Down's
syndrome. The chances are, therefore, that when the scheme finally
gains public confidence, many a parent will urge their post-pubescent
child to join as soon as possible. Dastardly though such parental
coercion might seem at first sight, it is a much more responsible
and caring act than, say, the acts of circumcision that parents
in many cultures, including our own, have for centuries happily
inflicted on unwitting sons and daughters.
Who would pay for the BlockBank scheme, given the undoubted costs
of blocking, banking and IVF? Is this just one more sign of a future
society in which only the rich can afford the advantages that technology
will offer? Maybe - but maybe not. Governments already spend large
sums of money on free contraception and then on the medical and
social problems that arise when contraception is neglected or fails.
Subsidising the BlockBanking scheme to make it available to as wide
a cross-section of people as possible may well be cost-effective.
Love in the future
Many people are already worried - even terrified - by the potential
consequences of any such social revolution. 'Unnatural' say many
people. 'Demeaning,' 'a threat to human dignity' or 'contrary to
the will of God' say others. Opposition to change is immediate,
almost instinctive - a knee-jerk reaction.
A similar furore greeted women who opted not to breast-feed in the
seventeenth century - and also greeted bottle-feeding, artificial
insemination and IVF in the twentieth. But society has survived
and even progressed on the back of such dastardly innovations. Humans
are adaptable and have an unflagging ability to cope with social
change and an even greater ability to be eclectic over what they
consider to be natural and dignified. After all, clothing, shaving,
depilatory creams, deodorants and bottle-feeding are all 'unnatural'.
So, too, are supermarkets, cars and aeroplanes. Yet how many people,
in the name of natural human dignity, walk naked, hairy and smelly
into the countryside each day to forage for food?
It would be easy to be pessimistic about the future - to lament
the passing of the familiar. But there is probably no need. The
human species *will* continue and will probably even be enriched
by the changes to come. The people who live in future societies
will look back on ours as quaint and underprivileged, much as we
look back on previous societies. When ancient urges meet future
technology, there should be no winner or loser. Instead the two
are likely to join forces and, with a little help from the immortal
power of natural selection, should propel human reproduction through
the next hundred years of its evolution with profit, not cataclysm.
Such is the prediction.
And what of relationships? What does the future hold for the ancient
magic of love, procreation and the raising of children? Life - particularly
family life - is bound to change in the future but nothing will
stop people from experiencing sexual and parental emotions. These
are ingrained - genetically programmed into body chemistry and psyche
by millennia of natural selection. Nevertheless, when set against
a future *social* backdrop of ever more numerous lone-parent and
blended families and a future *medical* backdrop of increasing supremacy
over sexually transmitted diseases, the separation of sex from reproduction
will undoubtedly release many biological brakes. More dramatically
and lastingly than followed the contraceptive revolution of the
1960s, women in particular will be freed from the constraints of
their gender. Inevitably, relationships will become shorter-lived
and promiscuity will increase; it will become the norm for a person
to have children with more than one partner. Half-siblings will
abound and increasingly people will think of their family as *theirs*
rather than as theirs *and* a partner's. But of course people will
still experience the whole range of life's emotions. They will still
fall in and out of love and still dote on - and argue with - their
children and parents. The divorce of sex from reproduction is destined
to create a social revolution as great as any humankind has ever
seen - but it cannot kill the ancient urges that made us human in
the first place.
|