Another challenge to be faced by bioethics in the decades ahead is the downstream consequences of falling birth rates.
Once fertility begins to fall, it keeps falling to levels which once seemed (sorry) inconceivable. The replacement birth rate is 2.1 children per woman. But in South Korea, parts of Spain, and Russia it has fallen below 1.3. At that rate, population begins to decline fairly rapidly. A small population could have big political consequences.
This worries the leaders of Iran. The birth rate in Iran has fallen more swiftly than anywhere else in the world – from 6.4 in 1986 to a current low of 1.8. When they look into their crystal ball, they see a weak and depopulated nation.
This is why the Supreme Leader, Ayatollah Ali Khamenei, recently released a 14-point plan to reverse decades of propaganda for small families and double his country’s population to 150 million. His proposals include: increasing the birth rate to more than 2.3; lowering the age of marriage; an Islamic-Iranian lifestyle and opposing undesirable aspects of the Western lifestyle; and providing treatment for both male and female infertility.
A bill is already being drafted to ban abortions and sterilisations. Government support for family planning and contraceptives has already been discontinued. A program offering free vasectomies has been terminated.
For Westerners like me, the social policy and politics of a theocratic country like Iran are quite mysterious. But if its rulers are as impatient and stubborn as the media makes them out to be, they may try to impose pro-natal policies, lest they drift into geopolitical irrelevance. Today most bioethics deals with issues relating to having fewer children. What happens when women are pressured into having more children? What dilemmas will bioethicists face then?
|This week in BioEdge|