what is an essay on the principle of population about

An Essay on the Principle of Population

50 pages • 1 hour read

A modern alternative to SparkNotes and CliffsNotes, SuperSummary offers high-quality Study Guides with detailed chapter summaries and analysis of major themes, characters, and more.

Chapter Summaries & Analyses

Chapters 1-2

Chapters 3-5

Chapters 6-9

Chapters 10-15

Chapters 16-19

Key Figures

Index of Terms

Important Quotes

Essay Topics

Discussion Questions

Summary and Study Guide

An Essay on the Principle of Population by Thomas Malthus was first published anonymously in 1798. Its core argument, that human population will inevitably outgrow its capacity to produce food, widely influenced the field of early 19th century economics and social science. Immediately after its first printing, Malthus’s essay garnered significant attention from his contemporaries, and he soon felt the need to reveal his identity. Although it was highly controversial, An Essay on the Principle of Population nevertheless left its impression on foundational 19th century theorists, such as naturalist Charles Darwin and economists Friedrich Engels and Karl Marx. Modern economists have largely dismissed the Malthusian perspective . Principally, they argue Malthus underappreciated the exponential growth brought about by the advent of the Industrial Revolution; by the discovery of new energy sources, such as coal and electricity; and later by further technological innovations. These modern criticisms are easily defended with historical retrospective.

Malthus’s essay has been revised several times since its publication. This summary focuses on the contents of the first edition. In 1806, Malthus revamped his work into four books to further discuss points of contention in the first edition and address many of the criticisms it received. Three more editions followed (published in 1807, 1817, and 1826 respectively), each modifying or clarifying points made in the second version.

Get access to this full Study Guide and much more!

• 7,650+ In-Depth Study Guides
• 4,850+ Quick-Read Plot Summaries
• Downloadable PDFs

Although Malthus’s basic stance on the unsustainable growth of population to food production remains the same throughout all versions, the most dramatic change in format and content is found between the first and second editions. The first edition is notable for its long and detailed critique of the works of William Godwin, Marquis de Condorcet, and Richard Price on the perfectibility of humankind. Its lack of “hard data” and its unpracticed opinions on sex and reproduction were heavily criticized by his contemporaries. The 1806 publication, written at a later point in Malthus’s life, attempts to address these issues by focusing less on critiquing the works of other theorists and offering better data on the fluctuation of population growth throughout various European countries and colonies (Malthus, Thomas Robert. An Essay on the Principle of Population: the 1803 edition . Yale University Press. 2018).

The SuperSummary difference

• 8x more resources than SparkNotes and CliffsNotes combined
• Study Guides you won ' t find anywhere else
• 175 + new titles every month

An Essay on the Principle of Population begins with a preface and is subsequently separated into eleven chapters. The preface reveals that a conversation with a friend on the future improvement of society was what sparked Malthus’s inspiration for this work. Chapter 1 further credits the works of David Hume, Alfred Russel, Adam Smith, and many others for inspiring his own writing. He postulates that population grows exponentially, whereas food production only increases in a linear fashion. This disparity in power will inevitably lead to overpopulation and an inadequate amount of food for subsistence.

Chapter 2 further details the above premise. Malthus imagines a world of abundance. In such a society of ease and leisure, no one would be anxious about providing for their families, which incentivizes them to marry early, causing birth rates to explode. When there are too many people and too little an increase in food to support them, the lower classes will be plunged into a state of misery. Thus, Malthus concludes that population growth only happens when there is an increase in subsistence, and misery and vice keep the world from overpopulation.

In chapters 3, 4, and 5, Malthus applies his theory to different stages of society. He argues that “savage” and shepherding societies never grow as fast as their “civilized” counterparts because various miseries keep their numbers in check. Among “savage” societies, a lack of food and a general disrespect of personal liberties prevent their numbers from increasing rapidly. Shepherding communities, meanwhile, often wage war over territories and suffer a high mortality rate. Civilized societies grew rapidly after adopting the practice of tilling, but due to exhausting most fertile land, their numbers no longer increase at the same rate as before.

The following two chapters are notable because they are the only ones that contain hard data. Malthus cites philosopher Richard Price for his analysis of population in America and references demographer Johann Peter Süssmilch for his work on Prussia. Malthus uses both these examples to prove that population fluctuates in accordance with the quantity of food produced. Chapters 8 and 9 are dedicated to critiquing mathematician Marquis de Condorcet’s work while chapters 10 to 15 do the same for political philosopher William Godwin. Malthus rejects the idea of mankind as infinitely perfectible and dismisses charity as a method to relieve poverty.

Chapters 16 and 17 propose the increase of food production as the only solution to reduce extreme poverty and misery among the lower class. Malthus maintains that donating funds is but a temporary relief to aid the most unfortunate; only a permanent increase in agricultural yield can grow the lower class’s purchasing power. Nevertheless, the final two chapters remind readers that misery and happiness must coexist. The law of nature, the way of living intended by God and demonstrated by Malthus’s population theory, requires both wealth and poverty to function.

Don't Miss Out!

Access Study Guide Now

Featured Collections

Business & Economics

View Collection

European History

Philosophy, Logic, & Ethics

Poverty & Homelessness

Science & Nature

Malthus on Population

• Reference work entry
• First Online: 01 January 2021
• pp 4751–4760
• Cite this reference work entry

• Joseph R Burger 3 , 4  

222 Accesses

An Essay on the Principle of Population ; Exponential growth ; Malthusian growth

An Essay on the Principle of Population by Thomas Robert Malthus ( 1798 ) is a book widely viewed as having profound impact on the biological and social sciences by recognizing basic biophysical, demographic, and economic principles that can lead to population growth and possible collapse.

Introduction

Be fruitful and multiply. Fill the earth and govern it. Reign over the fish in the sea, the birds in the sky, and all the animals that scurry along the ground. – Genesis 1:28

The power of population is indefinitely greater than the power in the earth to produce subsistence. – Malthus 1798

An Essay on the Principle of Population by the Reverend, Political Economist, and Demographer, Thomas Robert Malthus (1766–1834), is perhaps the most important document ever published on population, yet its central thesis continues to be highly controversial between natural and social scientists today....

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

Barlow, N. (1958). The autobiography of Charles Darwin 1809–1882. With the original omissions restored. Edited and with appendix and notes by his grand-daughter Nora Barlow . http://darwin-online.org.uk/content/frameset?itemID=F1497&viewtype=text&pageseq=1

Bashford, A., & Chaplin, J. E. (2016). The new worlds of thomas robert malthus: Rereading the principle of population princeton . Princeton University Press.

Google Scholar  

Boserup, E. (1965). The conditions of agricultural growth: The economics of agrarian change under population pressure . London: Allen & Unwin.

Bricker, D., & Ibbitson, J. (2019). Empty planet: The shock of global population decline . New York: Crown.

Brown, J. H., Hall, C. A. S., & Sibly, R. M. (2018). Equal fitness paradigm explained by a trade-off between generation time and energy production rate. Nature Ecology and Evolution, 2 (2), 262. https://doi.org/10.1038/s41559-017-0430-1 .

Article   PubMed   Google Scholar  

Burger, J. R. (2018). Modeling humanity’s predicament. Nature Sustainability, 1 , 15–16. https://doi.org/10.1038/s41893-017-0010-z .

Article   Google Scholar  

Burger, J. R. (2019). Fueling fertility is emptying the planet’s resources. Bioscience, 69 (9), 757–758. https://doi.org/10.1093/biosci/biz084 .

Burger, J. R., Allen, C. A., Brown, J. H., Burnside, W. R., Davidson, A. D., Fristoe, T. S., Hamilton, M. J., Mercado-Silva, N., Nekola, J. C., Okie, J. G., & Zuo, W. (2012). The macroecology of sustainability. PLoS Biology, 10 , e1001345. https://doi.org/10.1371/journal.pbio.1001345 .

Article   PubMed   PubMed Central   Google Scholar  

Burger, J. R., Weinberger, V. P., & Marquet, P. A. (2017). Extra-metabolic energy use and the rise in human hyper-density. Scientific Reports, 7 . https://doi.org/10.1038/srep43869 .

Burger, J. R., Hou, C., & Brown, J. H. (2019a). Toward a metabolic theory of life history. Proceedings of the National Academy of Sciences . https://doi.org/10.1073/pnas.1907702116 .

Burger, J. R., Brown, J. H., Day, J. W., Jr., Flanagan, T. P., & Roy, E. (2019b). The central role of energy in the urban transition: Challenges for global sustainability. BioPhysical Economics and Resource Quality, 4 (5). https://doi.org/10.1007/s41247-019-0053-z .

DeLong, J. P., Burger, O., & Hamilton, M. J. (2010). Current demographics suggest future energy supplies will be inadequate to slow human population growth. PLoS One, 5 (10), e13206. https://doi.org/10.1371/journal.pone.0013206 .

Diamond, J. M. (2005). Collapse: How societies choose to fail or succeed . New York: Viking.

Ehrlich, P. R. (1968). The population bomb . Rivercity: River City Press.

Franklin, B. (1751). Observations concerning the increase of mankind, peopling of countries, etc. Online version: https://founders.archives.gov/documents/Franklin/01-04-02-0080 . Accessed 24 Sep 2019.

Ginzburg, L. R. (1986). The theory of population dynamics: I. Back to first principles. Journal of Theoretical Biology, 122 (4), 385–399. https://doi.org/10.1016/S0022-5193(86)80180-1 .

Hodgson. (2016). Book review: The new worlds of Thomas Robert Malthus: Rereading the principle of population by Alison Bashford and Joyce E. Chaplin. Population and Development Review, 42 (4), 717–721.

Jevons, W. S. (1865). The coal question: An inquiry concerning the progress of the nation, and the probable exhaustion of our coal mines . London: Macmillan & Co.

King, C. W. (2015). The rising cost of resources and global indicators of change. American Scientist, 103 (6), 410–417.

Malthus, T.R. (1798). An essay on the principle of population, as it affects the future improvement of society with remarks on the speculations of Mr. Godwin, M. Condorcet, and other writers. London. Online version: http://www.esp.org/books/malthus/population/malthus.pdf

Meadows, D. H., Meadows, D. L., Randers, J., & Behren, W. W. (1972). The limits to growth: A report for the Club of Rome’s project on the predicament of mankind . New York: Universe Books.

Moses, M. E., & Brown, J. H. (2003). Allometry of human fertility and energy use. Ecology Letters, 6 , 295–300.

Nekola, J. C., Allen, C. A., Brown, J. H., Burger, J. R., Davidson, A. D., Fristoe, T. S., Hamilton, M. J., Hammond, S. T., Kodrik-Brown, A., Mercado-Silva, N., & Okie, J. G. (2013). The Malthusian-Darwinian dynamic and the trajectory of civilization. Trends in Ecology and Evolution, 28 (3), 127–130. https://doi.org/10.1016/j.tree.2012.12.001 .

Sabin, P. (2013). The bet: Paul Ehrlich, Julian Simon, and our gamble over Earth’s future . New haven; London: Yale University Press.

Schramski, J. R., Woodson, C. B., Steck, G., Munn, D., & Brown, J. H. (2019). Declining country-level food self-sufficiency suggests future food insecurities. Biophysical Economics and Resource Quality, 4 (12). https://doi.org/10.1007/s41247-019-0060-0 .

Shermer, M. (2016). Doomsday catch: Why Malthus makes for bad science policy. Scientific American, 314 (5), 72. https://doi.org/10.1038/scientificamerican0516-72 .

Simon, J. L. (1980). Resources, population, environment: An oversupply of false bad news. Science, 208 , 1431–1437.

Simon, J. L. (1981). The ultimate resource . Princeton: Princeton University Press.

Strumsky, D., Lobo, J., & Tainter, J. A. (2010). Complexity and the productivity of innovation. Systems Research and Behavioral Science, 27 , 496–509.

Tainter, J. (2011). Energy, complexity, and sustainability: A historical perspective. Environmental Innovation and Societal Transitions, 1 (1), 89e95. https://doi.org/10.1016/j.eist.2010.12.001 .

Turchin, P. (2003). Complex population dynamics: A theoretical/empirical synthesis . Peter Turchin. Monographs in Population Biology 35, Princeton University Press, Princeton, NJ, 536.

Van Valen, L. (1973). A new evolutionary law. Evolutionary Theory, 1 , 1–30.

Wallace, A. R. (1905). My life, a record of events and opinions , 2 vols. London: Chapman and Hall.

Weinberger, V. P., Quiñinao, C., & Marquet, P. A. (2017). Innovation and the growth of human population. Philosophical Transactions of the Royal Society B: Biological Sciences, B 372 , 20160415. https://doi.org/10.1098/rstb.2016.0415 .

Download references

Author information

Authors and affiliations.

Duke University Population Research Institute, Durham, NC, USA

Joseph R Burger

Institute of the Environment, University of Arizona, Tucson, AZ, USA

You can also search for this author in PubMed   Google Scholar

Corresponding author

Correspondence to Joseph R Burger .

Editor information

Editors and affiliations.

Department of Psychology, Oakland University, Rochester, MI, USA

Todd K Shackelford

Viviana A Weekes-Shackelford

Section Editor information

Department of Psychology, University of British Columbia, Vancouver, BC, Canada

Farid Pazhoohi

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this entry

Cite this entry.

Burger, J.R. (2021). Malthus on Population. In: Shackelford, T.K., Weekes-Shackelford, V.A. (eds) Encyclopedia of Evolutionary Psychological Science. Springer, Cham. https://doi.org/10.1007/978-3-319-19650-3_1267

Download citation

DOI : https://doi.org/10.1007/978-3-319-19650-3_1267

Published : 22 April 2021

Publisher Name : Springer, Cham

Print ISBN : 978-3-319-19649-7

Online ISBN : 978-3-319-19650-3

eBook Packages : Behavioral Science and Psychology Reference Module Humanities and Social Sciences Reference Module Business, Economics and Social Sciences

Share this entry

Anyone you share the following link with will be able to read this content:

Sorry, a shareable link is not currently available for this article.

Provided by the Springer Nature SharedIt content-sharing initiative

• Publish with us

Policies and ethics

• Find a journal
• Track your research

• Liberty Fund
• Adam Smith Works
• Law & Liberty
• Browse by Author
• Browse by Topic
• Browse by Date
• Search EconLog
• Latest Episodes
• Browse by Guest
• Browse by Category
• Browse Extras
• Search EconTalk
• Latest Articles
• Liberty Classics
• Book Reviews
• Search Articles
• Books by Date
• Books by Author
• Search Books
• Browse by Title
• Biographies
• Search Encyclopedia
• #ECONLIBREADS
• College Topics
• High School Topics
• Subscribe to QuickPicks
• Search Guides
• Search Videos
• Library of Law & Liberty
• Home   /  

ECONLIB Books

An Essay on the Principle of Population

By thomas robert malthus.

There are two versions of Thomas Robert Malthus’s Essay on the Principle of Population . The first, published anonymously in 1798, was so successful that Malthus soon elaborated on it under his real name. * The rewrite, culminating in the sixth edition of 1826, was a scholarly expansion and generalization of the first.Following his success with his work on population, Malthus published often from his economics position on the faculty at the East India College at Haileybury. He was not only respected in his time by contemporaneous intellectuals for his clarity of thought and willingness to focus on the evidence at hand, but he was also an engaging writer capable of presenting logical and mathematical concepts succinctly and clearly. In addition to writing principles texts and articles on timely topics such as the corn laws, he wrote in many venues summarizing his initial works on population, including a summary essay in the Encyclopædia Britannica on population.The first and sixth editions are presented on Econlib in full. Minor corrections of punctuation, obvious spelling errors, and some footnote clarifications are the only substantive changes. * Malthus’s “real name” may have been Thomas Robert Malthus, but a descendent, Nigel Malthus, reports that his family says he did not use the name Thomas and was known to friends and colleagues as Bob. See The Malthus Homepage, a site maintained by Nigel Malthus, a descendent.For more information on Malthus’s life and works, see New School Profiles: Thomas Robert Malthus and The International Society of Malthus. Lauren Landsburg

Editor, Library of Economics and Liberty

First Pub. Date

London: J. Johnson, in St. Paul's Church-yard

1st edition

The text of this edition is in the public domain. Picture of Malthus courtesy of The Warren J. Samuels Portrait Collection at Duke University.

Table of Contents

• Chapter III
• Chapter VII
• Chapter VIII
• Chapter XII
• Chapter XIII
• Chapter XIV
• Chapter XVI
• Chapter XVII
• Chapter XVIII
• Chapter XIX

The following Essay owes its origin to a conversation with a friend, on the subject of Mr. Godwin’s Essay, on avarice and profusion, in his Enquirer. The discussion, started the general question of the future improvement of society; and the Author at first sat down with an intention of merely stating his thoughts to his friend, upon paper, in a clearer manner than he thought he could do in conversation. But as the subject opened upon him, some ideas occurred, which he did not recollect to have met with before; and as he conceived, that every, the least light, on a topic so generally interesting, might be received with candour, he determined to put his thoughts in a form for publication.

The Essay might, undoubtedly, have been rendered much more complete by a collection of a greater number of facts in elucidation of the general argument. But a long and almost total interruption, from very particular business, joined to a desire (perhaps imprudent) of not delaying the publication much beyond the time that he originally proposed, prevented the Author from giving to the subject an undivided attention. He presumes, however, that the facts which he has adduced, will be found, to form no inconsiderable evidence for the truth of his opinion respecting the future improvement of mankind. As the Author contemplates this opinion at present, little more appears to him to be necessary than a plain statement, in addition to the most cursory view of society, to establish it.

It is an obvious truth, which has been taken notice of by many writers, that population must always be kept down to the level of the means of subsistence; but no writer, that the Author recollects, has inquired particularly into the means by which this level is effected: and it is a view of these means, which forms, to his mind, the strongest obstacle in the way to any very great future improvement of society. He hopes it will appear that, in the discussion of this interesting subject, he is actuated solely by a love of truth; and not by any prejudices against any particular set of men, or of opinions. He professes to have read some of the speculations on the future improvement of society, in a temper very different from a wish to find them visionary; but he has not acquired that command over his understanding which would enable him to believe what he wishes, without evidence, or to refuse his assent to what might be unpleasing, when accompanied with evidence.

The view which he has given of human life has a melancholy hue; but he feels conscious, that he has drawn these dark tints, from a conviction that they are really in the picture; and not from a jaundiced eye or an inherent spleen of disposition. The theory of mind which he has sketched in the two last chapters, accounts to his own understanding in a satisfactory manner, for the existence of most of the evils of life; but whether it will have the same effect upon others, must be left to the judgement of his readers.

If he should succeed in drawing the attention of more able men, to what he conceives to be the principal difficulty in the way to the improvement of society, and should, in consequence, see this difficulty removed, even in theory, he will gladly retract his present opinions and rejoice in a conviction of his error.

An Essay on the Principle of Population

The book An Essay on the Principle of Population was first published anonymously in 1798 through J. Johnson (London). The author was soon identified as The Reverend Thomas Robert Malthus. While it was not the first book on population, it has been acknowledged as the most influential work of its era. Its 6th Edition was independently cited as a key influence by both Charles Darwin and Alfred Russel Wallace in developing the theory of natural selection. Warning: template has been deprecated.

PRINCIPLE OF POPULATION ,

AS IT AFFECTS

THE FUTURE IMPROVEMENT OF SOCIETY.

WITH REMARKS

ON THE SPECULATIONS OF MR. GODWIN,

M. CONDORCET,

AND OTHER WRITERS.

PRINTED FOR J. JOHNSON, IN ST. PAUL'S

CHURCHYARD.

The following Essay owes its origin to a conversation with a friend, on the subject of Mr. Godwin's Essay, on avarice and profusion, in his Enquirer. The discussion, started the general question of the future improvement of society; and the Author at first sat down with an intention of merely stating his thoughts to his friend, upon paper, in a clearer manner than he thought he could do, in conversation. But as the subject opened upon him, some ideas occurred, which he did not recollect to have met with before; and as he conceived, that every, the least light, on a topic so generally interesting, might be received with candour, he determined to put his thoughts in a form for publication.

​ The essay might, undoubtedly, have been rendered much more complete by a collection of a greater number of facts in elucidation of the general argument. But a long and almost total interruption, from very particular business, joined to a desire (perhaps imprudent) of not delaying the publication much beyond the time that he originally proposed, prevented the Author from giving to the subject an undivided attention. He presumes, however, that the facts which he has adduced, will be found, to form no inconsiderable evidence for the truth of his opinion respecting the future improvement of mankind. As the Author contemplates this opinion at present, little more appears to him to be necessary than a plain statement, in addition to the most cursory view of society, to establish it.

​ It is an obvious truth, which has been taken notice of by many writers, that population must always be kept down to the level of the means of subsistence; but no writer that the Author recollects, has inquired particularly into the means by which this level is effected: and it is a view of these means, which forms, to his mind, the strongest obstacle in the way to any very great future improvement of society. He hopes it will appear, that, in the discussion of this interesting subject, he is actuated solely by a love of truth; and not by any prejudices against any particular set of men, or of opinions. He professes to have read some of the speculations on the future improvement of society, in a temper very different from a wish to find them visionary; but he has not acquired that command over his understanding which would enable him to believe what ​ he wishes, without evidence, or to refuse his assent to what might be unpleasing, when accompanied with evidence.

The view which he has given of human life has a melancholy hue; but he feels conscious, that he has drawn these dark tints, from a conviction that they are really in the picture; and not from a jaundiced eye, or an inherent spleen of disposition. The theory of mind which he has sketched in the two last chapters, accounts to his own understanding, in a satisfactory manner, for the existence of most of the evils of life; but whether it will have the same effect upon others must be left to the judgement of his readers.

If he should succeed in drawing the attention of more able men, to what he conceives to be the principal difficulty in ​ the way to the improvement of society, and should, in consequence, see this difficulty removed, even in theory, he will gladly retract his present opinions, and rejoice in a conviction of his error.

June 7, 1798.

CHAP. VIII.

CHAP. XIII.

CHAP. XVII.

CHAP. XVIII.

This work was published before January 1, 1929, and is in the public domain worldwide because the author died at least 100 years ago.

Public domain Public domain false false

• Proofread texts
• Population studies
• Pages containing deprecated templates/Wikipediaref
• Headers applying DefaultSort key
• Ready for export

Navigation menu

• Project Gutenberg
• 73,567 free eBooks
• 6 by T. R. Malthus

An Essay on the Principle of Population by T. R. Malthus

On The Site

• Rethinking the Western Tradition
• business & economics

An Essay on the Principle of Population

The 1803 Edition

by Thomas Robert Malthus

Edited by Shannon C. Stimson

Series: Rethinking the Western Tradition

• Request Print Exam/Desk Copy
• Request eBook Exam Copy

624 Pages , 5.50 x 8.25 x 1.25 in , 2 b-w illus.

• 9780300177411
• Published: Tuesday, 13 Feb 2018
• 9780300231892

Also Available At:

• Barnes & Noble
• Seminary Co-op
• Description

Thomas Robert Malthus (1766–1834) was an English cleric and scholar. Shannon C. Stimson holds the Leavey Chair in the Foundations of American Freedom at Georgetown University. Her books include After Adam Smith: A Century of Transformation in Politics and Political Economy , Ricardian Politics , both with Murray Milgate, and The American Revolution in the Law .

“This affordable version represents significant added value, not only by providing a crisp readable text, but by its inclusion of five interpretive essays.”—Choice “This new edition fills a real gap and makes available a text of pivotal significance in nineteenth and twentieth century intellectual history. The ancillary essays make this a very useful edition for students and scholars alike.”—Robert Mayhew, author of Malthus: The Life and Legacies of an Untimely Prophet  

Related Books

Sign up for updates on new releases and special offers

Newsletter signup, shipping location.

Our website offers shipping to the United States and Canada only. For customers in other countries:

Mexico and South America: Contact TriLiteral to place your order. All Others: Visit our Yale University Press London website to place your order.

Shipping Updated

Learn more about Schreiben lernen, 2nd Edition, available now. 

Malthus�s Population Principle Explained

By Frank W. Elwell

This essay is a faithful summary of Malthus�s original 1798 �Principle of Population .� While nothing will substitute for reading the original essay with an open mind, I hope this summary will go some way toward rehabilitating this man�s reputation.

Here is the key to that riddle: Malthus made the mistake of illustrating the unequal powers of production and reproduction with a mathematical illustration. He supposes that when unchecked, the earth�s human population would double every twenty-five years (a good estimate consistent with current knowledge). Agricultural production at best, he argues, could not possibly keep pace.

He knows full well that population cannot grow long beyond the means of subsistence (�population must always be kept down to the means of subsistence�), he is simply trying to illustrate to his readers the unequal powers of growth in population and food production and therefore the necessity of checks on population. At one point in the Essay he even states: �I am sufficiently aware that the redundant twenty-eight millions, or seventy-seven millions, that I have mentioned, could never have existed� (63). But for various reasons many critics have taken this mental experiment as the theory of population itself and delight in writing that Malthus was wrong, that overshoot and collapse did not occur. Contrary to popular belief (and the belief of many who should know better), Malthus did not predict a future in which population would outrun food supply and eventually collapse.

Other critics write that Malthus was wrong because he did not take into account the possibility of dramatic increases in the production of food. Many criticize him for not taking into account the revolution in agriculture. But he anticipated this argument as well:

No limits whatever are placed to the productions of the earth; they may increase for ever and be greater than any assignable quantity, yet still the power of population being a power of a superior order, the increase of the human species can only be kept commensurate to the increase of the means of subsistence by the constant operation of the strong law of necessity acting as a check upon the greater power (9-10).

What are these checks that Malthus writes about? They are of two types: �Preventive checks� come into play through the �foresight of the difficulties attending the rearing of a family� (22). They include celibacy, contraception, and various forms of non-procreative sex. �Positive checks,� are the �actual distresses of some of the lower classes, by which they are disabled from giving the proper food and attention to their children� (22). Under this heading Malthus includes extreme poverty, diseases, plague, malnutrition, wars, infanticide, and famine. Positive checks are far more likely to operate within poor populations; preventive checks among the upper classes. In Malthus�s view, both positive and preventive checks�or the ways a people go about controlling their fertility�will greatly impact the rest of the sociocultural system.

Malthus�s principle of population is basically the law of supply and demand applied to the relationships between food production and population growth , which he makes clear time and again throughout the Essay. As the food supply increases, food becomes cheaper, and more children are brought into the world. As there are more mouths to feed, food becomes more expensive, thus causing stress on families, more children dying or steps taken to prevent conception itself. As food prices rise, more land is put under the plow, or greater efforts made in intensifying the production of the land itself.

Because people can reproduce faster than they can increase the production of food, population must always be checked through positive or preventive means. This and nothing more, is Malthus�s �Principle of Population.� Over the course of sociocultural evolution, however, the long-term tendency has been for both productivity and population to intensify. This reciprocal growth, of course, has great effect on other parts of the sociocultural system.

For a more extensive discussion of Malthus�s theories refer to Macro Social Theory by Frank W. Elwell.  Also see Sociocultural Systems: Principles of Structure and Change to learn how his insights contribute to a more complete understanding of modern societies.

Bibliography

Elwell, F. (2009), Macrosociology: The Study of Sociocultural Systems . Lewiston: Edwin Mellen Press.

Elwell, F. (2013), Sociocultural Systems: Principles of Structure and Change. Alberta: Athabasca University Press.

Malthus, T. R. (Thomas Robert) (2012-05-12). An Essay on the Principle of Population.   Kindle Edition.

Referencing this Site

To reference Malthus's Population Principle Explained you should use the following format: 

Elwell, Frank W., 2003, "Malthus's Population Principle Explained," Retrieved August 31, 2013, [use actual date] http://www.faculty.rsu.edu/~felwell/Theorists/Essay/Malthus1.htm 

�2013 Frank Elwell, Send comments to felwell at rsu.edu

Part of: An Essay on the Principle of Population, 2 vols. [1826, 6th ed.] An Essay on the Principle of Population, vol. 1 [1826, 6th ed.]

• Thomas Robert Malthus (author)

Vol. 1 of the 6th expanded edition of Essay on the Principle of Population. In this work Malthus argues that there is a disparity between the rate of growth of population (which increases geometrically) and the rate of growth of agriculture (which increases only arithmetically). He then explores how populations have historically been kept in check.

• EBook PDF This text-based PDF or EBook was created from the HTML version of this book and is part of the Portable Library of Liberty.
• ePub ePub standard file for your iPad or any e-reader compatible with that format
• Facsimile PDF This is a facsimile or image-based PDF made from scans of the original book.
• Kindle This is an E-book formatted for Amazon Kindle devices.

An Essay on the Principle of Population, or a View of its Past and Present Effects on Human Happiness; with an Inquiry into our Prospects respecting the Future Removal or Mitigation of the Evils which it Occasions (London: John Murray 1826). 6th ed.

The text is in the public domain.

• Economic theory. Demography

Related Collections:

• Malthus: For and Against

Related People

Critical Responses

William Godwin

A lengthy and belated reply to Malthus by the radical individualist Godwin. Whereas Malthus took a pessimistic view of the pressures of population growth, Godwin was more optimistic about the capacity of people to limit the growth of their families.

Morgan Rose

Malthus had no objection to the idea that wealth derived from manufacturing production could, subject to certain hindrances, be exchanged to increase the amount of food available. He seems only to have misjudged the degree to which those hindrances would be reduced over time. He did not recognize…

Paul Romer, Stanford University professor and Hoover Institution Senior Fellow talks with EconTalk host Russ Roberts about growth, China, innovation, and the role of human capital. Also discussed are ideas in creating growth, the idea that ideas allow for increasing returns, and intellectual…

Connected Readings

David Ricardo

Ross Emmett

An AdamSmithWorks Essay

While many liberty-loving economists are happy to correct the criticisms of Smith, many are equally happy to criticize Malthus for the Malthusian trap, not realizing that the usual portrayal of Malthus is equally false. Malthus shares far more with Smith than most expect. He is, in many ways, as…

• Architecture and Design
• Asian and Pacific Studies
• Business and Economics
• Classical and Ancient Near Eastern Studies
• Computer Sciences
• Cultural Studies
• Engineering
• General Interest
• Geosciences
• Industrial Chemistry
• Islamic and Middle Eastern Studies
• Jewish Studies
• Library and Information Science, Book Studies
• Life Sciences
• Linguistics and Semiotics
• Literary Studies
• Materials Sciences
• Mathematics
• Social Sciences
• Sports and Recreation
• Theology and Religion
• Publish your article
• The role of authors
• Promoting your article
• Abstracting & indexing
• Publishing Ethics
• Why publish with De Gruyter
• How to publish with De Gruyter
• Our book series
• Our subject areas
• Your digital product at De Gruyter
• Contribute to our reference works
• Product information
• Tools & resources
• Product Information
• Promotional Materials
• Orders and Inquiries
• FAQ for Library Suppliers and Book Sellers
• Repository Policy
• Free access policy
• Open Access agreements
• Database portals
• For Authors
• Customer service
• People + Culture
• Journal Management
• How to join us
• Working at De Gruyter
• Mission & Vision
• De Gruyter Foundation
• De Gruyter Ebound
• Our Responsibility
• Partner publishers

Your purchase has been completed. Your documents are now available to view.

An Essay on the Principle of Population (1798)

From the book the future of nature.

• Thomas Malthus
• X / Twitter

Supplementary Materials

Please login or register with De Gruyter to order this product.

Chapters in this book (51)

An Essay on the Principle of Population

Publisher description.

"An Essay on the Principle of Population" by Thomas Malthus discusses the potential for population growth to outpace food production, leading to societal issues. Malthus, an English scholar, contributed significantly to demography and political economy. The essay, initially published in 1798, underscores the tension between geometric population growth and arithmetic food supply increase, advocating for preventive checks to manage population growth

Cultural Relativity and Acceptance of Embryonic Stem Cell Research

Article sidebar.

Main Article Content

There is a debate about the ethical implications of using human embryos in stem cell research, which can be influenced by cultural, moral, and social values. This paper argues for an adaptable framework to accommodate diverse cultural and religious perspectives. By using an adaptive ethics model, research protections can reflect various populations and foster growth in stem cell research possibilities.

INTRODUCTION

Stem cell research combines biology, medicine, and technology, promising to alter health care and the understanding of human development. Yet, ethical contention exists because of individuals’ perceptions of using human embryos based on their various cultural, moral, and social values. While these disagreements concerning policy, use, and general acceptance have prompted the development of an international ethics policy, such a uniform approach can overlook the nuanced ethical landscapes between cultures. With diverse viewpoints in public health, a single global policy, especially one reflecting Western ethics or the ethics prevalent in high-income countries, is impractical. This paper argues for a culturally sensitive, adaptable framework for the use of embryonic stem cells. Stem cell policy should accommodate varying ethical viewpoints and promote an effective global dialogue. With an extension of an ethics model that can adapt to various cultures, we recommend localized guidelines that reflect the moral views of the people those guidelines serve.

Stem cells, characterized by their unique ability to differentiate into various cell types, enable the repair or replacement of damaged tissues. Two primary types of stem cells are somatic stem cells (adult stem cells) and embryonic stem cells. Adult stem cells exist in developed tissues and maintain the body’s repair processes. [1] Embryonic stem cells (ESC) are remarkably pluripotent or versatile, making them valuable in research. [2] However, the use of ESCs has sparked ethics debates. Considering the potential of embryonic stem cells, research guidelines are essential. The International Society for Stem Cell Research (ISSCR) provides international stem cell research guidelines. They call for “public conversations touching on the scientific significance as well as the societal and ethical issues raised by ESC research.” [3] The ISSCR also publishes updates about culturing human embryos 14 days post fertilization, suggesting local policies and regulations should continue to evolve as ESC research develops. [4]  Like the ISSCR, which calls for local law and policy to adapt to developing stem cell research given cultural acceptance, this paper highlights the importance of local social factors such as religion and culture.

I.     Global Cultural Perspective of Embryonic Stem Cells

Views on ESCs vary throughout the world. Some countries readily embrace stem cell research and therapies, while others have stricter regulations due to ethical concerns surrounding embryonic stem cells and when an embryo becomes entitled to moral consideration. The philosophical issue of when the “someone” begins to be a human after fertilization, in the morally relevant sense, [5] impacts when an embryo becomes not just worthy of protection but morally entitled to it. The process of creating embryonic stem cell lines involves the destruction of the embryos for research. [6] Consequently, global engagement in ESC research depends on social-cultural acceptability.

a.     US and Rights-Based Cultures

In the United States, attitudes toward stem cell therapies are diverse. The ethics and social approaches, which value individualism, [7] trigger debates regarding the destruction of human embryos, creating a complex regulatory environment. For example, the 1996 Dickey-Wicker Amendment prohibited federal funding for the creation of embryos for research and the destruction of embryos for “more than allowed for research on fetuses in utero.” [8] Following suit, in 2001, the Bush Administration heavily restricted stem cell lines for research. However, the Stem Cell Research Enhancement Act of 2005 was proposed to help develop ESC research but was ultimately vetoed. [9] Under the Obama administration, in 2009, an executive order lifted restrictions allowing for more development in this field. [10] The flux of research capacity and funding parallels the different cultural perceptions of human dignity of the embryo and how it is socially presented within the country’s research culture. [11]

b.     Ubuntu and Collective Cultures

African bioethics differs from Western individualism because of the different traditions and values. African traditions, as described by individuals from South Africa and supported by some studies in other African countries, including Ghana and Kenya, follow the African moral philosophies of Ubuntu or Botho and Ukama , which “advocates for a form of wholeness that comes through one’s relationship and connectedness with other people in the society,” [12] making autonomy a socially collective concept. In this context, for the community to act autonomously, individuals would come together to decide what is best for the collective. Thus, stem cell research would require examining the value of the research to society as a whole and the use of the embryos as a collective societal resource. If society views the source as part of the collective whole, and opposes using stem cells, compromising the cultural values to pursue research may cause social detachment and stunt research growth. [13] Based on local culture and moral philosophy, the permissibility of stem cell research depends on how embryo, stem cell, and cell line therapies relate to the community as a whole. Ubuntu is the expression of humanness, with the person’s identity drawn from the “’I am because we are’” value. [14] The decision in a collectivistic culture becomes one born of cultural context, and individual decisions give deference to others in the society.

Consent differs in cultures where thought and moral philosophy are based on a collective paradigm. So, applying Western bioethical concepts is unrealistic. For one, Africa is a diverse continent with many countries with different belief systems, access to health care, and reliance on traditional or Western medicines. Where traditional medicine is the primary treatment, the “’restrictive focus on biomedically-related bioethics’” [is] problematic in African contexts because it neglects bioethical issues raised by traditional systems.” [15] No single approach applies in all areas or contexts. Rather than evaluating the permissibility of ESC research according to Western concepts such as the four principles approach, different ethics approaches should prevail.

Another consideration is the socio-economic standing of countries. In parts of South Africa, researchers have not focused heavily on contributing to the stem cell discourse, either because it is not considered health care or a health science priority or because resources are unavailable. [16] Each country’s priorities differ given different social, political, and economic factors. In South Africa, for instance, areas such as maternal mortality, non-communicable diseases, telemedicine, and the strength of health systems need improvement and require more focus. [17] Stem cell research could benefit the population, but it also could divert resources from basic medical care. Researchers in South Africa adhere to the National Health Act and Medicines Control Act in South Africa and international guidelines; however, the Act is not strictly enforced, and there is no clear legislation for research conduct or ethical guidelines. [18]

Some parts of Africa condemn stem cell research. For example, 98.2 percent of the Tunisian population is Muslim. [19] Tunisia does not permit stem cell research because of moral conflict with a Fatwa. Religion heavily saturates the regulation and direction of research. [20] Stem cell use became permissible for reproductive purposes only recently, with tight restrictions preventing cells from being used in any research other than procedures concerning ART/IVF.  Their use is conditioned on consent, and available only to married couples. [21] The community's receptiveness to stem cell research depends on including communitarian African ethics.

c.     Asia

Some Asian countries also have a collective model of ethics and decision making. [22] In China, the ethics model promotes a sincere respect for life or human dignity, [23] based on protective medicine. This model, influenced by Traditional Chinese Medicine (TCM), [24] recognizes Qi as the vital energy delivered via the meridians of the body; it connects illness to body systems, the body’s entire constitution, and the universe for a holistic bond of nature, health, and quality of life. [25] Following a protective ethics model, and traditional customs of wholeness, investment in stem cell research is heavily desired for its applications in regenerative therapies, disease modeling, and protective medicines. In a survey of medical students and healthcare practitioners, 30.8 percent considered stem cell research morally unacceptable while 63.5 percent accepted medical research using human embryonic stem cells. Of these individuals, 89.9 percent supported increased funding for stem cell research. [26] The scientific community might not reflect the overall population. From 1997 to 2019, China spent a total of $576 million (USD) on stem cell research at 8,050 stem cell programs, increased published presence from 0.6 percent to 14.01 percent of total global stem cell publications as of 2014, and made significant strides in cell-based therapies for various medical conditions. [27] However, while China has made substantial investments in stem cell research and achieved notable progress in clinical applications, concerns linger regarding ethical oversight and transparency. [28] For example, the China Biosecurity Law, promoted by the National Health Commission and China Hospital Association, attempted to mitigate risks by introducing an institutional review board (IRB) in the regulatory bodies. 5800 IRBs registered with the Chinese Clinical Trial Registry since 2021. [29] However, issues still need to be addressed in implementing effective IRB review and approval procedures.

The substantial government funding and focus on scientific advancement have sometimes overshadowed considerations of regional cultures, ethnic minorities, and individual perspectives, particularly evident during the one-child policy era. As government policy adapts to promote public stability, such as the change from the one-child to the two-child policy, [30] research ethics should also adapt to ensure respect for the values of its represented peoples.

Japan is also relatively supportive of stem cell research and therapies. Japan has a more transparent regulatory framework, allowing for faster approval of regenerative medicine products, which has led to several advanced clinical trials and therapies. [31] South Korea is also actively engaged in stem cell research and has a history of breakthroughs in cloning and embryonic stem cells. [32] However, the field is controversial, and there are issues of scientific integrity. For example, the Korean FDA fast-tracked products for approval, [33] and in another instance, the oocyte source was unclear and possibly violated ethical standards. [34] Trust is important in research, as it builds collaborative foundations between colleagues, trial participant comfort, open-mindedness for complicated and sensitive discussions, and supports regulatory procedures for stakeholders. There is a need to respect the culture’s interest, engagement, and for research and clinical trials to be transparent and have ethical oversight to promote global research discourse and trust.

d.     Middle East

Countries in the Middle East have varying degrees of acceptance of or restrictions to policies related to using embryonic stem cells due to cultural and religious influences. Saudi Arabia has made significant contributions to stem cell research, and conducts research based on international guidelines for ethical conduct and under strict adherence to guidelines in accordance with Islamic principles. Specifically, the Saudi government and people require ESC research to adhere to Sharia law. In addition to umbilical and placental stem cells, [35] Saudi Arabia permits the use of embryonic stem cells as long as they come from miscarriages, therapeutic abortions permissible by Sharia law, or are left over from in vitro fertilization and donated to research. [36] Laws and ethical guidelines for stem cell research allow the development of research institutions such as the King Abdullah International Medical Research Center, which has a cord blood bank and a stem cell registry with nearly 10,000 donors. [37] Such volume and acceptance are due to the ethical ‘permissibility’ of the donor sources, which do not conflict with religious pillars. However, some researchers err on the side of caution, choosing not to use embryos or fetal tissue as they feel it is unethical to do so. [38]

Jordan has a positive research ethics culture. [39] However, there is a significant issue of lack of trust in researchers, with 45.23 percent (38.66 percent agreeing and 6.57 percent strongly agreeing) of Jordanians holding a low level of trust in researchers, compared to 81.34 percent of Jordanians agreeing that they feel safe to participate in a research trial. [40] Safety testifies to the feeling of confidence that adequate measures are in place to protect participants from harm, whereas trust in researchers could represent the confidence in researchers to act in the participants’ best interests, adhere to ethical guidelines, provide accurate information, and respect participants’ rights and dignity. One method to improve trust would be to address communication issues relevant to ESC. Legislation surrounding stem cell research has adopted specific language, especially concerning clarification “between ‘stem cells’ and ‘embryonic stem cells’” in translation. [41] Furthermore, legislation “mandates the creation of a national committee… laying out specific regulations for stem-cell banking in accordance with international standards.” [42] This broad regulation opens the door for future global engagement and maintains transparency. However, these regulations may also constrain the influence of research direction, pace, and accessibility of research outcomes.

e.     Europe

In the European Union (EU), ethics is also principle-based, but the principles of autonomy, dignity, integrity, and vulnerability are interconnected. [43] As such, the opportunity for cohesion and concessions between individuals’ thoughts and ideals allows for a more adaptable ethics model due to the flexible principles that relate to the human experience The EU has put forth a framework in its Convention for the Protection of Human Rights and Dignity of the Human Being allowing member states to take different approaches. Each European state applies these principles to its specific conventions, leading to or reflecting different acceptance levels of stem cell research. [44]

For example, in Germany, Lebenzusammenhang , or the coherence of life, references integrity in the unity of human culture. Namely, the personal sphere “should not be subject to external intervention.” [45]  Stem cell interventions could affect this concept of bodily completeness, leading to heavy restrictions. Under the Grundgesetz, human dignity and the right to life with physical integrity are paramount. [46] The Embryo Protection Act of 1991 made producing cell lines illegal. Cell lines can be imported if approved by the Central Ethics Commission for Stem Cell Research only if they were derived before May 2007. [47] Stem cell research respects the integrity of life for the embryo with heavy specifications and intense oversight. This is vastly different in Finland, where the regulatory bodies find research more permissible in IVF excess, but only up to 14 days after fertilization. [48] Spain’s approach differs still, with a comprehensive regulatory framework. [49] Thus, research regulation can be culture-specific due to variations in applied principles. Diverse cultures call for various approaches to ethical permissibility. [50] Only an adaptive-deliberative model can address the cultural constructions of self and achieve positive, culturally sensitive stem cell research practices. [51]

II.     Religious Perspectives on ESC

Embryonic stem cell sources are the main consideration within religious contexts. While individuals may not regard their own religious texts as authoritative or factual, religion can shape their foundations or perspectives.

The Qur'an states:

“And indeed We created man from a quintessence of clay. Then We placed within him a small quantity of nutfa (sperm to fertilize) in a safe place. Then We have fashioned the nutfa into an ‘alaqa (clinging clot or cell cluster), then We developed the ‘alaqa into mudgha (a lump of flesh), and We made mudgha into bones, and clothed the bones with flesh, then We brought it into being as a new creation. So Blessed is Allah, the Best of Creators.” [52]

Many scholars of Islam estimate the time of soul installment, marked by the angel breathing in the soul to bring the individual into creation, as 120 days from conception. [53] Personhood begins at this point, and the value of life would prohibit research or experimentation that could harm the individual. If the fetus is more than 120 days old, the time ensoulment is interpreted to occur according to Islamic law, abortion is no longer permissible. [54] There are a few opposing opinions about early embryos in Islamic traditions. According to some Islamic theologians, there is no ensoulment of the early embryo, which is the source of stem cells for ESC research. [55]

In Buddhism, the stance on stem cell research is not settled. The main tenets, the prohibition against harming or destroying others (ahimsa) and the pursuit of knowledge (prajña) and compassion (karuna), leave Buddhist scholars and communities divided. [56] Some scholars argue stem cell research is in accordance with the Buddhist tenet of seeking knowledge and ending human suffering. Others feel it violates the principle of not harming others. Finding the balance between these two points relies on the karmic burden of Buddhist morality. In trying to prevent ahimsa towards the embryo, Buddhist scholars suggest that to comply with Buddhist tenets, research cannot be done as the embryo has personhood at the moment of conception and would reincarnate immediately, harming the individual's ability to build their karmic burden. [57] On the other hand, the Bodhisattvas, those considered to be on the path to enlightenment or Nirvana, have given organs and flesh to others to help alleviate grieving and to benefit all. [58] Acceptance varies on applied beliefs and interpretations.

Catholicism does not support embryonic stem cell research, as it entails creation or destruction of human embryos. This destruction conflicts with the belief in the sanctity of life. For example, in the Old Testament, Genesis describes humanity as being created in God’s image and multiplying on the Earth, referencing the sacred rights to human conception and the purpose of development and life. In the Ten Commandments, the tenet that one should not kill has numerous interpretations where killing could mean murder or shedding of the sanctity of life, demonstrating the high value of human personhood. In other books, the theological conception of when life begins is interpreted as in utero, [59] highlighting the inviolability of life and its formation in vivo to make a religious point for accepting such research as relatively limited, if at all. [60] The Vatican has released ethical directives to help apply a theological basis to modern-day conflicts. The Magisterium of the Church states that “unless there is a moral certainty of not causing harm,” experimentation on fetuses, fertilized cells, stem cells, or embryos constitutes a crime. [61] Such procedures would not respect the human person who exists at these stages, according to Catholicism. Damages to the embryo are considered gravely immoral and illicit. [62] Although the Catholic Church officially opposes abortion, surveys demonstrate that many Catholic people hold pro-choice views, whether due to the context of conception, stage of pregnancy, threat to the mother’s life, or for other reasons, demonstrating that practicing members can also accept some but not all tenets. [63]

Some major Jewish denominations, such as the Reform, Conservative, and Reconstructionist movements, are open to supporting ESC use or research as long as it is for saving a life. [64] Within Judaism, the Talmud, or study, gives personhood to the child at birth and emphasizes that life does not begin at conception: [65]

“If she is found pregnant, until the fortieth day it is mere fluid,” [66]

Whereas most religions prioritize the status of human embryos, the Halakah (Jewish religious law) states that to save one life, most other religious laws can be ignored because it is in pursuit of preservation. [67] Stem cell research is accepted due to application of these religious laws.

We recognize that all religions contain subsets and sects. The variety of environmental and cultural differences within religious groups requires further analysis to respect the flexibility of religious thoughts and practices. We make no presumptions that all cultures require notions of autonomy or morality as under the common morality theory , which asserts a set of universal moral norms that all individuals share provides moral reasoning and guides ethical decisions. [68] We only wish to show that the interaction with morality varies between cultures and countries.

III.     A Flexible Ethical Approach

The plurality of different moral approaches described above demonstrates that there can be no universally acceptable uniform law for ESC on a global scale. Instead of developing one standard, flexible ethical applications must be continued. We recommend local guidelines that incorporate important cultural and ethical priorities.

While the Declaration of Helsinki is more relevant to people in clinical trials receiving ESC products, in keeping with the tradition of protections for research subjects, consent of the donor is an ethical requirement for ESC donation in many jurisdictions including the US, Canada, and Europe. [69] The Declaration of Helsinki provides a reference point for regulatory standards and could potentially be used as a universal baseline for obtaining consent prior to gamete or embryo donation.

For instance, in Columbia University’s egg donor program for stem cell research, donors followed standard screening protocols and “underwent counseling sessions that included information as to the purpose of oocyte donation for research, what the oocytes would be used for, the risks and benefits of donation, and process of oocyte stimulation” to ensure transparency for consent. [70] The program helped advance stem cell research and provided clear and safe research methods with paid participants. Though paid participation or covering costs of incidental expenses may not be socially acceptable in every culture or context, [71] and creating embryos for ESC research is illegal in many jurisdictions, Columbia’s program was effective because of the clear and honest communications with donors, IRBs, and related stakeholders.  This example demonstrates that cultural acceptance of scientific research and of the idea that an egg or embryo does not have personhood is likely behind societal acceptance of donating eggs for ESC research. As noted, many countries do not permit the creation of embryos for research.

Proper communication and education regarding the process and purpose of stem cell research may bolster comprehension and garner more acceptance. “Given the sensitive subject material, a complete consent process can support voluntary participation through trust, understanding, and ethical norms from the cultures and morals participants value. This can be hard for researchers entering countries of different socioeconomic stability, with different languages and different societal values. [72]

An adequate moral foundation in medical ethics is derived from the cultural and religious basis that informs knowledge and actions. [73] Understanding local cultural and religious values and their impact on research could help researchers develop humility and promote inclusion.

IV.     Concerns

Some may argue that if researchers all adhere to one ethics standard, protection will be satisfied across all borders, and the global public will trust researchers. However, defining what needs to be protected and how to define such research standards is very specific to the people to which standards are applied. We suggest that applying one uniform guide cannot accurately protect each individual because we all possess our own perceptions and interpretations of social values. [74] Therefore, the issue of not adjusting to the moral pluralism between peoples in applying one standard of ethics can be resolved by building out ethics models that can be adapted to different cultures and religions.

Other concerns include medical tourism, which may promote health inequities. [75] Some countries may develop and approve products derived from ESC research before others, compromising research ethics or drug approval processes. There are also concerns about the sale of unauthorized stem cell treatments, for example, those without FDA approval in the United States. Countries with robust research infrastructures may be tempted to attract medical tourists, and some customers will have false hopes based on aggressive publicity of unproven treatments. [76]

For example, in China, stem cell clinics can market to foreign clients who are not protected under the regulatory regimes. Companies employ a marketing strategy of “ethically friendly” therapies. Specifically, in the case of Beike, China’s leading stem cell tourism company and sprouting network, ethical oversight of administrators or health bureaus at one site has “the unintended consequence of shifting questionable activities to another node in Beike's diffuse network.” [77] In contrast, Jordan is aware of stem cell research’s potential abuse and its own status as a “health-care hub.” Jordan’s expanded regulations include preserving the interests of individuals in clinical trials and banning private companies from ESC research to preserve transparency and the integrity of research practices. [78]

The social priorities of the community are also a concern. The ISSCR explicitly states that guidelines “should be periodically revised to accommodate scientific advances, new challenges, and evolving social priorities.” [79] The adaptable ethics model extends this consideration further by addressing whether research is warranted given the varying degrees of socioeconomic conditions, political stability, and healthcare accessibilities and limitations. An ethical approach would require discussion about resource allocation and appropriate distribution of funds. [80]

While some religions emphasize the sanctity of life from conception, which may lead to public opposition to ESC research, others encourage ESC research due to its potential for healing and alleviating human pain. Many countries have special regulations that balance local views on embryonic personhood, the benefits of research as individual or societal goods, and the protection of human research subjects. To foster understanding and constructive dialogue, global policy frameworks should prioritize the protection of universal human rights, transparency, and informed consent. In addition to these foundational global policies, we recommend tailoring local guidelines to reflect the diverse cultural and religious perspectives of the populations they govern. Ethics models should be adapted to local populations to effectively establish research protections, growth, and possibilities of stem cell research.

For example, in countries with strong beliefs in the moral sanctity of embryos or heavy religious restrictions, an adaptive model can allow for discussion instead of immediate rejection. In countries with limited individual rights and voice in science policy, an adaptive model ensures cultural, moral, and religious views are taken into consideration, thereby building social inclusion. While this ethical consideration by the government may not give a complete voice to every individual, it will help balance policies and maintain the diverse perspectives of those it affects. Embracing an adaptive ethics model of ESC research promotes open-minded dialogue and respect for the importance of human belief and tradition. By actively engaging with cultural and religious values, researchers can better handle disagreements and promote ethical research practices that benefit each society.

This brief exploration of the religious and cultural differences that impact ESC research reveals the nuances of relative ethics and highlights a need for local policymakers to apply a more intense adaptive model.

[1] Poliwoda, S., Noor, N., Downs, E., Schaaf, A., Cantwell, A., Ganti, L., Kaye, A. D., Mosel, L. I., Carroll, C. B., Viswanath, O., & Urits, I. (2022). Stem cells: a comprehensive review of origins and emerging clinical roles in medical practice.  Orthopedic reviews ,  14 (3), 37498. https://doi.org/10.52965/001c.37498

[2] Poliwoda, S., Noor, N., Downs, E., Schaaf, A., Cantwell, A., Ganti, L., Kaye, A. D., Mosel, L. I., Carroll, C. B., Viswanath, O., & Urits, I. (2022). Stem cells: a comprehensive review of origins and emerging clinical roles in medical practice.  Orthopedic reviews ,  14 (3), 37498. https://doi.org/10.52965/001c.37498

[3] International Society for Stem Cell Research. (2023). Laboratory-based human embryonic stem cell research, embryo research, and related research activities . International Society for Stem Cell Research. https://www.isscr.org/guidelines/blog-post-title-one-ed2td-6fcdk ; Kimmelman, J., Hyun, I., Benvenisty, N.  et al.  Policy: Global standards for stem-cell research.  Nature   533 , 311–313 (2016). https://doi.org/10.1038/533311a

[4] International Society for Stem Cell Research. (2023). Laboratory-based human embryonic stem cell research, embryo research, and related research activities . International Society for Stem Cell Research. https://www.isscr.org/guidelines/blog-post-title-one-ed2td-6fcdk

[5] Concerning the moral philosophies of stem cell research, our paper does not posit a personal moral stance nor delve into the “when” of human life begins. To read further about the philosophical debate, consider the following sources:

Sandel M. J. (2004). Embryo ethics--the moral logic of stem-cell research.  The New England journal of medicine ,  351 (3), 207–209. https://doi.org/10.1056/NEJMp048145 ; George, R. P., & Lee, P. (2020, September 26). Acorns and Embryos . The New Atlantis. https://www.thenewatlantis.com/publications/acorns-and-embryos ; Sagan, A., & Singer, P. (2007). The moral status of stem cells. Metaphilosophy , 38 (2/3), 264–284. http://www.jstor.org/stable/24439776 ; McHugh P. R. (2004). Zygote and "clonote"--the ethical use of embryonic stem cells.  The New England journal of medicine ,  351 (3), 209–211. https://doi.org/10.1056/NEJMp048147 ; Kurjak, A., & Tripalo, A. (2004). The facts and doubts about beginning of the human life and personality.  Bosnian journal of basic medical sciences ,  4 (1), 5–14. https://doi.org/10.17305/bjbms.2004.3453

[6] Vazin, T., & Freed, W. J. (2010). Human embryonic stem cells: derivation, culture, and differentiation: a review.  Restorative neurology and neuroscience ,  28 (4), 589–603. https://doi.org/10.3233/RNN-2010-0543

[7] Socially, at its core, the Western approach to ethics is widely principle-based, autonomy being one of the key factors to ensure a fundamental respect for persons within research. For information regarding autonomy in research, see: Department of Health, Education, and Welfare, & National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research (1978). The Belmont Report. Ethical principles and guidelines for the protection of human subjects of research.; For a more in-depth review of autonomy within the US, see: Beauchamp, T. L., & Childress, J. F. (1994). Principles of Biomedical Ethics . Oxford University Press.

[8] Sherley v. Sebelius , 644 F.3d 388 (D.C. Cir. 2011), citing 45 C.F.R. 46.204(b) and [42 U.S.C. § 289g(b)]. https://www.cadc.uscourts.gov/internet/opinions.nsf/6c690438a9b43dd685257a64004ebf99/$file/11-5241-1391178.pdf

[9] Stem Cell Research Enhancement Act of 2005, H. R. 810, 109 th Cong. (2001). https://www.govtrack.us/congress/bills/109/hr810/text ; Bush, G. W. (2006, July 19). Message to the House of Representatives . National Archives and Records Administration. https://georgewbush-whitehouse.archives.gov/news/releases/2006/07/20060719-5.html

[10] National Archives and Records Administration. (2009, March 9). Executive order 13505 -- removing barriers to responsible scientific research involving human stem cells . National Archives and Records Administration. https://obamawhitehouse.archives.gov/the-press-office/removing-barriers-responsible-scientific-research-involving-human-stem-cells

[11] Hurlbut, W. B. (2006). Science, Religion, and the Politics of Stem Cells.  Social Research ,  73 (3), 819–834. http://www.jstor.org/stable/40971854

[12] Akpa-Inyang, Francis & Chima, Sylvester. (2021). South African traditional values and beliefs regarding informed consent and limitations of the principle of respect for autonomy in African communities: a cross-cultural qualitative study. BMC Medical Ethics . 22. 10.1186/s12910-021-00678-4.

[13] Source for further reading: Tangwa G. B. (2007). Moral status of embryonic stem cells: perspective of an African villager. Bioethics , 21(8), 449–457. https://doi.org/10.1111/j.1467-8519.2007.00582.x , see also Mnisi, F. M. (2020). An African analysis based on ethics of Ubuntu - are human embryonic stem cell patents morally justifiable? African Insight , 49 (4).

[14] Jecker, N. S., & Atuire, C. (2021). Bioethics in Africa: A contextually enlightened analysis of three cases. Developing World Bioethics , 22 (2), 112–122. https://doi.org/10.1111/dewb.12324

[15] Jecker, N. S., & Atuire, C. (2021). Bioethics in Africa: A contextually enlightened analysis of three cases. Developing World Bioethics, 22(2), 112–122. https://doi.org/10.1111/dewb.12324

[16] Jackson, C.S., Pepper, M.S. Opportunities and barriers to establishing a cell therapy programme in South Africa.  Stem Cell Res Ther   4 , 54 (2013). https://doi.org/10.1186/scrt204 ; Pew Research Center. (2014, May 1). Public health a major priority in African nations . Pew Research Center’s Global Attitudes Project. https://www.pewresearch.org/global/2014/05/01/public-health-a-major-priority-in-african-nations/

[17] Department of Health Republic of South Africa. (2021). Health Research Priorities (revised) for South Africa 2021-2024 . National Health Research Strategy. https://www.health.gov.za/wp-content/uploads/2022/05/National-Health-Research-Priorities-2021-2024.pdf

[18] Oosthuizen, H. (2013). Legal and Ethical Issues in Stem Cell Research in South Africa. In: Beran, R. (eds) Legal and Forensic Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-32338-6_80 , see also: Gaobotse G (2018) Stem Cell Research in Africa: Legislation and Challenges. J Regen Med 7:1. doi: 10.4172/2325-9620.1000142

[19] United States Bureau of Citizenship and Immigration Services. (1998). Tunisia: Information on the status of Christian conversions in Tunisia . UNHCR Web Archive. https://webarchive.archive.unhcr.org/20230522142618/https://www.refworld.org/docid/3df0be9a2.html

[20] Gaobotse, G. (2018) Stem Cell Research in Africa: Legislation and Challenges. J Regen Med 7:1. doi: 10.4172/2325-9620.1000142

[21] Kooli, C. Review of assisted reproduction techniques, laws, and regulations in Muslim countries.  Middle East Fertil Soc J   24 , 8 (2020). https://doi.org/10.1186/s43043-019-0011-0 ; Gaobotse, G. (2018) Stem Cell Research in Africa: Legislation and Challenges. J Regen Med 7:1. doi: 10.4172/2325-9620.1000142

[22] Pang M. C. (1999). Protective truthfulness: the Chinese way of safeguarding patients in informed treatment decisions. Journal of medical ethics , 25(3), 247–253. https://doi.org/10.1136/jme.25.3.247

[23] Wang, L., Wang, F., & Zhang, W. (2021). Bioethics in China’s biosecurity law: Forms, effects, and unsettled issues. Journal of law and the biosciences , 8(1).  https://doi.org/10.1093/jlb/lsab019 https://academic.oup.com/jlb/article/8/1/lsab019/6299199

[24] Wang, Y., Xue, Y., & Guo, H. D. (2022). Intervention effects of traditional Chinese medicine on stem cell therapy of myocardial infarction.  Frontiers in pharmacology ,  13 , 1013740. https://doi.org/10.3389/fphar.2022.1013740

[25] Li, X.-T., & Zhao, J. (2012). Chapter 4: An Approach to the Nature of Qi in TCM- Qi and Bioenergy. In Recent Advances in Theories and Practice of Chinese Medicine (p. 79). InTech.

[26] Luo, D., Xu, Z., Wang, Z., & Ran, W. (2021). China's Stem Cell Research and Knowledge Levels of Medical Practitioners and Students.  Stem cells international ,  2021 , 6667743. https://doi.org/10.1155/2021/6667743

[27] Luo, D., Xu, Z., Wang, Z., & Ran, W. (2021). China's Stem Cell Research and Knowledge Levels of Medical Practitioners and Students.  Stem cells international ,  2021 , 6667743. https://doi.org/10.1155/2021/6667743

[28] Zhang, J. Y. (2017). Lost in translation? accountability and governance of Clinical Stem Cell Research in China. Regenerative Medicine , 12 (6), 647–656. https://doi.org/10.2217/rme-2017-0035

[29] Wang, L., Wang, F., & Zhang, W. (2021). Bioethics in China’s biosecurity law: Forms, effects, and unsettled issues. Journal of law and the biosciences , 8(1).  https://doi.org/10.1093/jlb/lsab019 https://academic.oup.com/jlb/article/8/1/lsab019/6299199

[30] Chen, H., Wei, T., Wang, H.  et al.  Association of China’s two-child policy with changes in number of births and birth defects rate, 2008–2017.  BMC Public Health   22 , 434 (2022). https://doi.org/10.1186/s12889-022-12839-0

[31] Azuma, K. Regulatory Landscape of Regenerative Medicine in Japan.  Curr Stem Cell Rep   1 , 118–128 (2015). https://doi.org/10.1007/s40778-015-0012-6

[32] Harris, R. (2005, May 19). Researchers Report Advance in Stem Cell Production . NPR. https://www.npr.org/2005/05/19/4658967/researchers-report-advance-in-stem-cell-production

[33] Park, S. (2012). South Korea steps up stem-cell work.  Nature . https://doi.org/10.1038/nature.2012.10565

[34] Resnik, D. B., Shamoo, A. E., & Krimsky, S. (2006). Fraudulent human embryonic stem cell research in South Korea: lessons learned.  Accountability in research ,  13 (1), 101–109. https://doi.org/10.1080/08989620600634193 .

[35] Alahmad, G., Aljohani, S., & Najjar, M. F. (2020). Ethical challenges regarding the use of stem cells: interviews with researchers from Saudi Arabia. BMC medical ethics, 21(1), 35. https://doi.org/10.1186/s12910-020-00482-6

[36] Association for the Advancement of Blood and Biotherapies.  https://www.aabb.org/regulatory-and-advocacy/regulatory-affairs/regulatory-for-cellular-therapies/international-competent-authorities/saudi-arabia

[37] Alahmad, G., Aljohani, S., & Najjar, M. F. (2020). Ethical challenges regarding the use of stem cells: Interviews with researchers from Saudi Arabia.  BMC medical ethics ,  21 (1), 35. https://doi.org/10.1186/s12910-020-00482-6

[38] Alahmad, G., Aljohani, S., & Najjar, M. F. (2020). Ethical challenges regarding the use of stem cells: Interviews with researchers from Saudi Arabia. BMC medical ethics , 21(1), 35. https://doi.org/10.1186/s12910-020-00482-6

Culturally, autonomy practices follow a relational autonomy approach based on a paternalistic deontological health care model. The adherence to strict international research policies and religious pillars within the regulatory environment is a great foundation for research ethics. However, there is a need to develop locally targeted ethics approaches for research (as called for in Alahmad, G., Aljohani, S., & Najjar, M. F. (2020). Ethical challenges regarding the use of stem cells: interviews with researchers from Saudi Arabia. BMC medical ethics, 21(1), 35. https://doi.org/10.1186/s12910-020-00482-6), this decision-making approach may help advise a research decision model. For more on the clinical cultural autonomy approaches, see: Alabdullah, Y. Y., Alzaid, E., Alsaad, S., Alamri, T., Alolayan, S. W., Bah, S., & Aljoudi, A. S. (2022). Autonomy and paternalism in Shared decision‐making in a Saudi Arabian tertiary hospital: A cross‐sectional study. Developing World Bioethics , 23 (3), 260–268. https://doi.org/10.1111/dewb.12355 ; Bukhari, A. A. (2017). Universal Principles of Bioethics and Patient Rights in Saudi Arabia (Doctoral dissertation, Duquesne University). https://dsc.duq.edu/etd/124; Ladha, S., Nakshawani, S. A., Alzaidy, A., & Tarab, B. (2023, October 26). Islam and Bioethics: What We All Need to Know . Columbia University School of Professional Studies. https://sps.columbia.edu/events/islam-and-bioethics-what-we-all-need-know

[39] Ababneh, M. A., Al-Azzam, S. I., Alzoubi, K., Rababa’h, A., & Al Demour, S. (2021). Understanding and attitudes of the Jordanian public about clinical research ethics.  Research Ethics ,  17 (2), 228-241.  https://doi.org/10.1177/1747016120966779

[40] Ababneh, M. A., Al-Azzam, S. I., Alzoubi, K., Rababa’h, A., & Al Demour, S. (2021). Understanding and attitudes of the Jordanian public about clinical research ethics.  Research Ethics ,  17 (2), 228-241.  https://doi.org/10.1177/1747016120966779

[41] Dajani, R. (2014). Jordan’s stem-cell law can guide the Middle East.  Nature  510, 189. https://doi.org/10.1038/510189a

[42] Dajani, R. (2014). Jordan’s stem-cell law can guide the Middle East.  Nature  510, 189. https://doi.org/10.1038/510189a

[43] The EU’s definition of autonomy relates to the capacity for creating ideas, moral insight, decisions, and actions without constraint, personal responsibility, and informed consent. However, the EU views autonomy as not completely able to protect individuals and depends on other principles, such as dignity, which “expresses the intrinsic worth and fundamental equality of all human beings.” Rendtorff, J.D., Kemp, P. (2019). Four Ethical Principles in European Bioethics and Biolaw: Autonomy, Dignity, Integrity and Vulnerability. In: Valdés, E., Lecaros, J. (eds) Biolaw and Policy in the Twenty-First Century. International Library of Ethics, Law, and the New Medicine, vol 78. Springer, Cham. https://doi.org/10.1007/978-3-030-05903-3_3

[44] Council of Europe. Convention for the protection of Human Rights and Dignity of the Human Being with regard to the Application of Biology and Medicine: Convention on Human Rights and Biomedicine (ETS No. 164) https://www.coe.int/en/web/conventions/full-list?module=treaty-detail&treatynum=164 (forbidding the creation of embryos for research purposes only, and suggests embryos in vitro have protections.); Also see Drabiak-Syed B. K. (2013). New President, New Human Embryonic Stem Cell Research Policy: Comparative International Perspectives and Embryonic Stem Cell Research Laws in France.  Biotechnology Law Report ,  32 (6), 349–356. https://doi.org/10.1089/blr.2013.9865

[45] Rendtorff, J.D., Kemp, P. (2019). Four Ethical Principles in European Bioethics and Biolaw: Autonomy, Dignity, Integrity and Vulnerability. In: Valdés, E., Lecaros, J. (eds) Biolaw and Policy in the Twenty-First Century. International Library of Ethics, Law, and the New Medicine, vol 78. Springer, Cham. https://doi.org/10.1007/978-3-030-05903-3_3

[46] Tomuschat, C., Currie, D. P., Kommers, D. P., & Kerr, R. (Trans.). (1949, May 23). Basic law for the Federal Republic of Germany. https://www.btg-bestellservice.de/pdf/80201000.pdf

[47] Regulation of Stem Cell Research in Germany . Eurostemcell. (2017, April 26). https://www.eurostemcell.org/regulation-stem-cell-research-germany

[48] Regulation of Stem Cell Research in Finland . Eurostemcell. (2017, April 26). https://www.eurostemcell.org/regulation-stem-cell-research-finland

[49] Regulation of Stem Cell Research in Spain . Eurostemcell. (2017, April 26). https://www.eurostemcell.org/regulation-stem-cell-research-spain

[50] Some sources to consider regarding ethics models or regulatory oversights of other cultures not covered:

Kara MA. Applicability of the principle of respect for autonomy: the perspective of Turkey. J Med Ethics. 2007 Nov;33(11):627-30. doi: 10.1136/jme.2006.017400. PMID: 17971462; PMCID: PMC2598110.

Ugarte, O. N., & Acioly, M. A. (2014). The principle of autonomy in Brazil: one needs to discuss it ...  Revista do Colegio Brasileiro de Cirurgioes ,  41 (5), 374–377. https://doi.org/10.1590/0100-69912014005013

Bharadwaj, A., & Glasner, P. E. (2012). Local cells, global science: The rise of embryonic stem cell research in India . Routledge.

For further research on specific European countries regarding ethical and regulatory framework, we recommend this database: Regulation of Stem Cell Research in Europe . Eurostemcell. (2017, April 26). https://www.eurostemcell.org/regulation-stem-cell-research-europe   

[51] Klitzman, R. (2006). Complications of culture in obtaining informed consent. The American Journal of Bioethics, 6(1), 20–21. https://doi.org/10.1080/15265160500394671 see also: Ekmekci, P. E., & Arda, B. (2017). Interculturalism and Informed Consent: Respecting Cultural Differences without Breaching Human Rights.  Cultura (Iasi, Romania) ,  14 (2), 159–172.; For why trust is important in research, see also: Gray, B., Hilder, J., Macdonald, L., Tester, R., Dowell, A., & Stubbe, M. (2017). Are research ethics guidelines culturally competent?  Research Ethics ,  13 (1), 23-41.  https://doi.org/10.1177/1747016116650235

[52] The Qur'an  (M. Khattab, Trans.). (1965). Al-Mu’minun, 23: 12-14. https://quran.com/23

[53] Lenfest, Y. (2017, December 8). Islam and the beginning of human life . Bill of Health. https://blog.petrieflom.law.harvard.edu/2017/12/08/islam-and-the-beginning-of-human-life/

[54] Aksoy, S. (2005). Making regulations and drawing up legislation in Islamic countries under conditions of uncertainty, with special reference to embryonic stem cell research. Journal of Medical Ethics , 31: 399-403.; see also: Mahmoud, Azza. "Islamic Bioethics: National Regulations and Guidelines of Human Stem Cell Research in the Muslim World." Master's thesis, Chapman University, 2022. https://doi.org/10.36837/ chapman.000386

[55] Rashid, R. (2022). When does Ensoulment occur in the Human Foetus. Journal of the British Islamic Medical Association , 12 (4). ISSN 2634 8071. https://www.jbima.com/wp-content/uploads/2023/01/2-Ethics-3_-Ensoulment_Rafaqat.pdf.

[56] Sivaraman, M. & Noor, S. (2017). Ethics of embryonic stem cell research according to Buddhist, Hindu, Catholic, and Islamic religions: perspective from Malaysia. Asian Biomedicine,8(1) 43-52.  https://doi.org/10.5372/1905-7415.0801.260

[57] Jafari, M., Elahi, F., Ozyurt, S. & Wrigley, T. (2007). 4. Religious Perspectives on Embryonic Stem Cell Research. In K. Monroe, R. Miller & J. Tobis (Ed.),  Fundamentals of the Stem Cell Debate: The Scientific, Religious, Ethical, and Political Issues  (pp. 79-94). Berkeley: University of California Press.  https://escholarship.org/content/qt9rj0k7s3/qt9rj0k7s3_noSplash_f9aca2e02c3777c7fb76ea768ba458f0.pdf https://doi.org/10.1525/9780520940994-005

[58] Lecso, P. A. (1991). The Bodhisattva Ideal and Organ Transplantation.  Journal of Religion and Health ,  30 (1), 35–41. http://www.jstor.org/stable/27510629 ; Bodhisattva, S. (n.d.). The Key of Becoming a Bodhisattva . A Guide to the Bodhisattva Way of Life. http://www.buddhism.org/Sutras/2/BodhisattvaWay.htm

[59] There is no explicit religious reference to when life begins or how to conduct research that interacts with the concept of life. However, these are relevant verses pertaining to how the fetus is viewed. (( King James Bible . (1999). Oxford University Press. (original work published 1769))

Jerimiah 1: 5 “Before I formed thee in the belly I knew thee; and before thou camest forth out of the womb I sanctified thee…”

In prophet Jerimiah’s insight, God set him apart as a person known before childbirth, a theme carried within the Psalm of David.

Psalm 139: 13-14 “…Thou hast covered me in my mother's womb. I will praise thee; for I am fearfully and wonderfully made…”

These verses demonstrate David’s respect for God as an entity that would know of all man’s thoughts and doings even before birth.

[60] It should be noted that abortion is not supported as well.

[61] The Vatican. (1987, February 22). Instruction on Respect for Human Life in Its Origin and on the Dignity of Procreation Replies to Certain Questions of the Day . Congregation For the Doctrine of the Faith. https://www.vatican.va/roman_curia/congregations/cfaith/documents/rc_con_cfaith_doc_19870222_respect-for-human-life_en.html

[62] The Vatican. (2000, August 25). Declaration On the Production and the Scientific and Therapeutic Use of Human Embryonic Stem Cells . Pontifical Academy for Life. https://www.vatican.va/roman_curia/pontifical_academies/acdlife/documents/rc_pa_acdlife_doc_20000824_cellule-staminali_en.html ; Ohara, N. (2003). Ethical Consideration of Experimentation Using Living Human Embryos: The Catholic Church’s Position on Human Embryonic Stem Cell Research and Human Cloning. Department of Obstetrics and Gynecology . Retrieved from https://article.imrpress.com/journal/CEOG/30/2-3/pii/2003018/77-81.pdf.

[63] Smith, G. A. (2022, May 23). Like Americans overall, Catholics vary in their abortion views, with regular mass attenders most opposed . Pew Research Center. https://www.pewresearch.org/short-reads/2022/05/23/like-americans-overall-catholics-vary-in-their-abortion-views-with-regular-mass-attenders-most-opposed/

[64] Rosner, F., & Reichman, E. (2002). Embryonic stem cell research in Jewish law. Journal of halacha and contemporary society , (43), 49–68.; Jafari, M., Elahi, F., Ozyurt, S. & Wrigley, T. (2007). 4. Religious Perspectives on Embryonic Stem Cell Research. In K. Monroe, R. Miller & J. Tobis (Ed.),  Fundamentals of the Stem Cell Debate: The Scientific, Religious, Ethical, and Political Issues  (pp. 79-94). Berkeley: University of California Press.  https://escholarship.org/content/qt9rj0k7s3/qt9rj0k7s3_noSplash_f9aca2e02c3777c7fb76ea768ba458f0.pdf https://doi.org/10.1525/9780520940994-005

[65] Schenker J. G. (2008). The beginning of human life: status of embryo. Perspectives in Halakha (Jewish Religious Law).  Journal of assisted reproduction and genetics ,  25 (6), 271–276. https://doi.org/10.1007/s10815-008-9221-6

[66] Ruttenberg, D. (2020, May 5). The Torah of Abortion Justice (annotated source sheet) . Sefaria. https://www.sefaria.org/sheets/234926.7?lang=bi&with=all&lang2=en

[67] Jafari, M., Elahi, F., Ozyurt, S. & Wrigley, T. (2007). 4. Religious Perspectives on Embryonic Stem Cell Research. In K. Monroe, R. Miller & J. Tobis (Ed.),  Fundamentals of the Stem Cell Debate: The Scientific, Religious, Ethical, and Political Issues  (pp. 79-94). Berkeley: University of California Press.  https://escholarship.org/content/qt9rj0k7s3/qt9rj0k7s3_noSplash_f9aca2e02c3777c7fb76ea768ba458f0.pdf https://doi.org/10.1525/9780520940994-005

[68] Gert, B. (2007). Common morality: Deciding what to do . Oxford Univ. Press.

[69] World Medical Association (2013). World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA , 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053 Declaration of Helsinki – WMA – The World Medical Association .; see also: National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. (1979).  The Belmont report: Ethical principles and guidelines for the protection of human subjects of research . U.S. Department of Health and Human Services.  https://www.hhs.gov/ohrp/regulations-and-policy/belmont-report/read-the-belmont-report/index.html

[70] Zakarin Safier, L., Gumer, A., Kline, M., Egli, D., & Sauer, M. V. (2018). Compensating human subjects providing oocytes for stem cell research: 9-year experience and outcomes.  Journal of assisted reproduction and genetics ,  35 (7), 1219–1225. https://doi.org/10.1007/s10815-018-1171-z https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6063839/ see also: Riordan, N. H., & Paz Rodríguez, J. (2021). Addressing concerns regarding associated costs, transparency, and integrity of research in recent stem cell trial. Stem Cells Translational Medicine , 10 (12), 1715–1716. https://doi.org/10.1002/sctm.21-0234

[71] Klitzman, R., & Sauer, M. V. (2009). Payment of egg donors in stem cell research in the USA.  Reproductive biomedicine online ,  18 (5), 603–608. https://doi.org/10.1016/s1472-6483(10)60002-8

[72] Krosin, M. T., Klitzman, R., Levin, B., Cheng, J., & Ranney, M. L. (2006). Problems in comprehension of informed consent in rural and peri-urban Mali, West Africa.  Clinical trials (London, England) ,  3 (3), 306–313. https://doi.org/10.1191/1740774506cn150oa

[73] Veatch, Robert M.  Hippocratic, Religious, and Secular Medical Ethics: The Points of Conflict . Georgetown University Press, 2012.

[74] Msoroka, M. S., & Amundsen, D. (2018). One size fits not quite all: Universal research ethics with diversity.  Research Ethics ,  14 (3), 1-17.  https://doi.org/10.1177/1747016117739939

[75] Pirzada, N. (2022). The Expansion of Turkey’s Medical Tourism Industry.  Voices in Bioethics ,  8 . https://doi.org/10.52214/vib.v8i.9894

[76] Stem Cell Tourism: False Hope for Real Money . Harvard Stem Cell Institute (HSCI). (2023). https://hsci.harvard.edu/stem-cell-tourism , See also: Bissassar, M. (2017). Transnational Stem Cell Tourism: An ethical analysis.  Voices in Bioethics ,  3 . https://doi.org/10.7916/vib.v3i.6027

[77] Song, P. (2011) The proliferation of stem cell therapies in post-Mao China: problematizing ethical regulation,  New Genetics and Society , 30:2, 141-153, DOI:  10.1080/14636778.2011.574375

[78] Dajani, R. (2014). Jordan’s stem-cell law can guide the Middle East.  Nature  510, 189. https://doi.org/10.1038/510189a

[79] International Society for Stem Cell Research. (2024). Standards in stem cell research . International Society for Stem Cell Research. https://www.isscr.org/guidelines/5-standards-in-stem-cell-research

[80] Benjamin, R. (2013). People’s science bodies and rights on the Stem Cell Frontier . Stanford University Press.

Mifrah Hayath

SM Candidate Harvard Medical School, MS Biotechnology Johns Hopkins University

Olivia Bowers

MS Bioethics Columbia University (Disclosure: affiliated with Voices in Bioethics)

Article Details

This work is licensed under a Creative Commons Attribution 4.0 International License .

UWPHI Immersions Presents: The Role of Community Health Workers (CHWs) in Public Health Transformation and the 10 Narrative Principles of Difficult Conversations in Public Health on June 11 from 1:30-4pm CT

Please  register and save the date  for our next virtual Public Health Infrastructure Grant (PHIG) Immersion on Tuesday, June 11th 1:30pm – 4 pm CT.

The first part of the Immersion will introduce community health workers (CHWs) and offer perspectives of what it is like to be a community health worker from two guests. CHWs are a fundamental part of Wisconsin’s public health and health care workforces and systems. Join us as we learn more about CHWs, the roles CHWs play in Wisconsin, and how CHWs have worked with partners across the state.  In this Immersion, we will listen and learn from CHWs as they reflect on their experiences and why CHWs are important to advancing health equity.

The second part of the Immersion will continue to build participants’ narrative skills. At some point in their professional journey, every public health professional and CHW will be tasked with having a conversation that feels fraught and even distressing. In the June Immersion skill-builder, attendees will be provided with a systematic method for navigating those conversations to be a more effective messenger without sacrificing self-care.

All governmental public health staff and allied partners are invited to join the Immersion. The June Immersion content may be of particular interest to individuals who want to learn more about CHWs, how they might be able to partner or work with CHWs, and how CHWs and community partnerships are integral to advancing health equity.

Please register and save the date today:

June 11 th  UWPHI Public Health Infrastructure Grant Virtual Immersion

We are excited to continue to offer learning opportunities through our Immersions and working toward building a strong and resilient public health infrastructure in Wisconsin! Please let us know if you have any questions.

Please reach out to our UWPHI Immersions Team at  [email protected]  with any questions.

• Share full article

Advertisement

Supported by

Guest Essay

China’s Dead-End Economy Is Bad News for Everyone

By Anne Stevenson-Yang

Ms. Stevenson-Yang is a co-founder of J Capital Research and the author of “Wild Ride: A Short History of the Opening and Closing of the Chinese Economy.”

On separate visits to Beijing last month, Secretary of State Antony Blinken and Treasury Secretary Janet Yellen bore a common message : Chinese manufacturing overcapacity is flooding global markets with cheap Chinese exports, distorting world trade and leaving American businesses and workers struggling to compete.

Not surprisingly, China’s leaders did not like what they heard, and they didn’t budge. They can’t. Years of erratic and irresponsible policies, excessive Communist Party control and undelivered promises of reform have created a dead-end Chinese economy of weak domestic consumer demand and slowing growth. The only way that China’s leaders can see to pull themselves out of this hole is to fall back on pumping out exports.

That means a number of things are likely to happen, none of them good. The tide of Chinese exports will continue, tensions with the United States and other trading partners will grow, China’s people will become increasingly unhappy with their gloomy economic prospects and anxious Communist Party leaders will respond with more repression.

The root of the problem is the Communist Party’s excessive control of the economy, but that’s not going to change. It is baked into China’s political system and has only worsened during President Xi Jinping’s decade in power. New strategies for fixing the economy always rely on counterproductive mandates set by the government: Create new companies, build more industrial capacity. The strategy that most economists actually recommend to drive growth — freeing up the private sector and empowering Chinese consumers to spend more — would mean overhauling the way the government works, and that is unacceptable.

The party had a golden opportunity to change in 1989, when the Tiananmen Square protests revealed that the economic reforms that had begun a decade earlier had given rise to a growing private sector and a desire for new freedoms. But to liberalize government institutions in response would have undermined the party’s power. Instead, China’s leaders chose to shoot the protesters, further tighten party control and get hooked on government investment to fuel the economy.

For a long time, no one minded. When economic or social threats reared their heads, like global financial crises in 1997 and 2007, Chinese authorities poured money into industry and the real estate sector to pacify the people. The investment-driven growth felt good, but it was much more than the country could digest and left China’s landscape scarred with empty cities and industrial parks, unfinished bridges to nowhere, abandoned highways and amusement parks, and airports with few flights.

The investment in industrial capacity also generated an explosion in exports as China captured industries previously dominated by foreign manufacturers — mobile phones, television sets, solar panels, lithium-ion batteries and electric vehicles. Much of the Chinese economic “miracle” was powered by American, European and Japanese companies that willingly transferred their technical know-how to their Chinese partners in exchange for what they thought would be access to a permanently growing China market. This decimated manufacturing in the West, even as China protected its own markets. But the West let it slide: The cheap products emanating from China kept U.S. inflation at bay for a generation, and the West clung to the hope that China’s economic expansion would eventually lead to a political liberalization that never came.

To raise money for the government investment binge, Beijing allowed local authorities to collateralize land — all of which is ultimately owned or controlled by the state — and borrow money against it. This was like a drug: Local governments borrowed like crazy, but with no real plan for paying the money back. Now many are so deep in debt that they have been forced to cut basic services like heating, health care for senior citizens and bus routes . Teachers aren’t being paid on time, and salaries for civil servants have been lowered in recent years. Millions of people all over China are paying mortgages on apartments that may never be finished . Start-ups are folding , and few people, it seems, can find jobs.

To boost employment, the party over the past couple of years has been telling local governments to push the establishment of new private businesses, with predictable consequences: In one county in northern China, a village secretary eager to comply with Beijing’s wishes reportedly asked relatives and friends to open fake companies. One villager opened three tofu shops in a week; another person applied for 20 new business licenses.

When mandates like that fail to create jobs, the party monkeys with the employment numbers. When monthly government data revealed last year that 21 percent of Chinese youth in urban areas were unemployed, authorities stopped publishing the figures. It resumed early this year, but with a new methodology for defining unemployment . Presto! The number dropped to 15 percent.

But Mr. Xi’s policy options are dwindling.

With the real estate market imploding, the government can no longer risk goosing the property sector. It has begun touting a revival in domestic consumption , but many Chinese are merely hunkering down and hoarding assets such as gold against an uncertain future. So the government is again falling back on manufacturing, pouring money into industrial capacity in hopes of pushing out more products to keep the economy going. With domestic demand anemic, many of those products have to be exported.

But the era when China was able to take over whole industries without foreign pushback is over. Many countries are now taking steps to protect their markets from Chinese-made goods. Under U.S. pressure, Mexico’s government last month reportedly decided it would not award subsidies to Chinese electric vehicle makers seeking to manufacture in Mexico for export to the U.S. market; the European Union is considering action to prevent Chinese electric vehicles from swamping its market; and the Biden administration has moved to encourage semiconductor manufacturing in the United States and limit Chinese access to chip technologies, and has promised more actions to thwart China.

China won’t be able to innovate its way out of this. Its economic model still largely focuses on cheaply replicating existing technologies, not on the long-term research that results in industry-leading commercial breakthroughs. All that leaves is manufacturing in volume.

China’s leaders will face rising economic pressure to lower the value of the renminbi, which will make Chinese-made goods even cheaper in U.S. dollar terms, further boosting export volume and upsetting trading partners even more. But a devaluation will also make imports of foreign products and raw materials more expensive, squeezing Chinese consumers and businesses while encouraging wealthier people to get their money out of China. The government can’t turn to economic stimulus measures to revive growth — pouring more renminbi into the economy would risk crushing the currency’s value.

All of this means that the “reform and opening” era, which has transformed China and captivated the world since it began in the late 1970s, has ended with a whimper.

Mao Zedong once said that in an uncertain world, the Chinese must “Dig tunnels deep, store grain everywhere and never seek hegemony.” That sort of siege mentality is coming back.

Anne Stevenson-Yang ( @doumenzi ) is a co-founder and the research director of J Capital Research, a stock analysis firm. She spent 25 years in China as an entrepreneur, analyst and trade advocate.

The Times is committed to publishing a diversity of letters to the editor. We’d like to hear what you think about this or any of our articles. Here are some tips . And here’s our email: [email protected] .

Follow The New York Times Opinion section on Facebook , Instagram , TikTok , WhatsApp , X and Threads .