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BIOPOLITICS, ETHICS AND REGENERATIVE MEDICINE . João Arriscado Nunes CENTRO DE ESTUDOS SOCIAIS – LABORATÓRIO ASSOCIADO FACULDADE DE ECONOMIA DA UNIVERSIDADE DE COIMBRA jan@ces.uc.pt. Biopower and biopolitics. Truth discourses about the “vital” character of living human beings
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BIOPOLITICS, ETHICS AND REGENERATIVE MEDICINE João Arriscado Nunes CENTRO DE ESTUDOS SOCIAIS – LABORATÓRIO ASSOCIADO FACULDADE DE ECONOMIA DA UNIVERSIDADE DE COIMBRA jan@ces.uc.pt
Biopower and biopolitics • Truth discourses about the “vital” character of living human beings • Array of authorities considered competent to speak the truth • Strategies for intervention upon collective existence in the name of life and health • Modes of subjectification: individuals work on themselves in the name of individual or collective life or health (Rabinow and Rose, 2003)
Postgenomic biomedicine and changing conceptions of the biological and of biopolitics • From deterministic to open-ended and dynamic conceptions of biological complexity • From “Biology as Destiny” to biology as changeable, “repairable” and “optimizable” through technoscientific interventions
The rise of the “somatic citizen” • Health as a responsibility of individuals • Risk and susceptibility: the emergence of the “healthy”, pre- or a-symptomatic ill • “Optimization” and the promissory notes of regenerative medicine
Biosocialities and biocapital • The somatic citizen and his/her attachments to medicine and professionals • The emergence of new collectives based on the sharing of biological conditions (e.g., patient associations, platforms, coalitions, social movements in health) • The rise of biocapital and of a new political economy of “life itself” (public and private support of R&D, role of startups, venture capital, big pharma, medical-industrial complex)
Ethical/biopolitical challenges • Codes vs regulation • Regulation of stem cell research and of the use of human embryos in research • Regulation of research on biomedical innovations involving human subjects • (Contested) boundaries of the human • The politics of health care in the postgenomic era: priorities, limited resources, inequalities and access, protection of patients/citizens
Biopolitical responses • International instruments (declarations, EU directives…) • Self-regulation (scientists, medical profession…) • Market regulation • National legislation • Bioethics committees • Public engagement initiatives • Collective action