Mahboobin 10:00 L14 ETHICS OF BIONICS AND THE MIND Robyn Moyer (rim38@pitt.edu) THE PREDICAMENT Some of the most difficult ethical dilemmas involve jobs where engineers must design products that are in direct contact with other humans. One such design project is the bionic limb, a specific type of prosthetic in which the user is able to move the limb through the use of motors and electrical signals from the muscles or the brain. Prosthetics in general are greatly involved in helping people with disabilities or missing limbs return to a normal life. There are companies such as Touch Bionics and Personal Bionics that are working on improving bionic limbs for disabled people in order to improve their quality of life. With so many improvements being made in the field of bionics and prosthetics, researchers question whether or not the bionic limbs will be stronger than the natural human body. What will happen when technology becomes so advanced that people begin to want bionic limbs to replace their already existing, fully functioning limbs? There may be people who want these bionic limbs just to be stronger, but what about firefighters, soldiers, and policemen? People with these jobs could use the newfound strength in bionic limbs to perform their jobs at a higher caliber. When will bionic technology go too far? I am presently in a predicament where these questions must be asked. The company I work for, Bionics Incorporated, has just finished creating a new bionic arm and hand that is stronger than a normal human limb. I was a part of the team who created this limb. The limb is capable of doing much more than a natural human limb can: it can lift more weight and hold more at one time. Basically, our company has created super-human limbs that we plan to sell to the general public, not just to the disabled for which the limb is a necessary technology. People without disabilities will be able to receive these limbs, but should they be able to replace their functioning, natural limbs for a bionic limb, essentially becoming a cyborg? Because our company is planning to sell this new technology to the general public, they want to increase the price of the limb. With a price increase, people who need this limb to live a normal life may not be able to afford it. Is it ethical for Bionics Incorporated to allow everyone to receive these super-human limbs, even if it will increase the cost for those who actually need it? My boss wants me to sign off on this project so that he can begin the process of selling the limb, despite the ethical dilemmas involved in the situation. receiving the limbs. In the International Journal of Advanced Manufacturing Technology, S. Verma, A. Chatterjee, H.P. Singh, A. Kumar, K. Garg, and K. Chattopadhyay state that bionic arms (and hands) should “compensate for the loss of finely coordinated movements of the hand” [1]. This compensation is the intended use of a bionic limb, but there can also be other uses for the technology. Another use could be to make oneself stronger, similar to the situation I am faced with at Bionics Incorporated. Because the technology has now been made widely available, people can use the bionic limbs for a purpose other than its intended one. The actual mechanics of the general bionic arm system include the use of electromyogram (EMG) signals [2]. This concept means that the signals are produced by contraction of the flexor and extensor muscles in the forearm; when the patient thinks of contracting these muscles in a specific way, the muscle contraction in the remainder of the limb will send signals to the device. These signals go to a processing unit, which will convert the signal into movement, using limit switches to prevent certain movements and promote other movements [1]. Because there are two electrodes attached to the extensor and flexor forearm muscles, each one is going to perform a different function. One electrode will open the hand while the other closes it. The same electrodes are also used to rotate the wrist, which can rotate a full three hundred and sixty degrees [3]. Because the limb can rotate a full three hundred and sixty degrees while a natural human wrist cannot, the bionic limb is an improvement to the human system and is a main contribution to the super-human bionic system Bionics Incorporated has created. Within the hand system, the fingers also move with the use of EMG signals. Each finger has its own motor, 0.4 inches in size, which “shuts down when sensors indicate sufficient pressure is applied to whatever is being held” and usually does not crush the object [3]. The thumb can be moved manually for more exact positioning, or it can be moved into any preset position that can be chosen through the use of a smart phone; the user can go onto an app on their phone and choose a present position [4]. These preset positions will stay set until the user changes the position. The natural human body is unable to keep one position without any movement for a long period of time, once again showing that the bionic limb is an improvement to the human arm and hand. ETHICAL DILEMMA THE TECHNOLOGY Bionic hand devices are complex and require careful research to ensure the safety and happiness of the people University of Pittsburgh, Swanson School of Engineering 1 2014-10-28 Engineers tend to be faced with ethical dilemmas in their work. These engineers are often put in a position where they must make a tough decision over which side to take in these Robyn Moyer situations. To help engineers make the difficult decisions they encounter, a code of ethics was written by organizations within each fiend of engineering, as well as by the National Society of Professional Engineers (NSPE). All engineers must make their decisions based off of this code of ethics when they are faced with various ethical issues. In addition to this code of ethics that engineers must follow, there are codes of ethics for each discipline of engineering. In connection with bionics and my situation with Bionics Incorporated, I have looked into the codes of ethics for electrical engineers and biomedical engineers, as bionics deal with electrical systems and biomedical situations while working with humans. Who determines who receives an advanced bionic prosthetic? “Soldiers who lose limbs while serving get the latest technology, but civilians who lose an arm in a car accident” receive older, cheaper versions [7]. Many of the civilians cannot afford the newer versions, so they must settle for the older versions. If Bionics Incorporated were to allow anyone to pay for a super-human limb, people with more money would receive this new technology before those who require the technology out of necessity. The code of engineering ethics states that engineers should serve the public interest [8]. In order to follow this code, the people working at Bionics Incorporated should work to benefit the public, not just work for personal gain (money). Engineers are meant to help others, not just themselves. The code also states that engineers should not condone the unlawful practice of engineering by a firm [8]. Changing the price of the limb is unlawful; the people working at Bionics Incorporated want to lie about the true price of the super-human limb in order to boost revenue. According to the code of ethics for engineers, engineers are not supposed to “promote their own interest at the expense of the dignity and integrity of the profession” [8]. By allowing my boss to change the price of the limb to bring more money into the company, I would be receiving more money as well, whether it is in my paycheck or it is in the form of money for research. It would not be ethical of me to allow the limb to be sold at a higher price if I am receiving any sort of personal gain. ETHICS WITHIN DISCIPLINES OF ENGINEERING Following the code of ethics for electrical engineers, the fifth rule states that engineers must strive to “improve the understanding of technology, its appropriate application, and potential consequences” [5]. Bionics Incorporated has improved the understanding of bionic technology and is applying this technology to actual bionic limbs. The other two parts of this code of ethics are what Bionics Incorporated may be choosing o ignore within the current situation. Though the appropriate applications are not listed nor are they mentioned in the code of ethics, one can infer what this means. The proper use of the bionic limb we created is for people with disabilities who need the limb to live an easier, normal life. Allowing people who want these limbs for reasons other than necessity go against this code of ethics. Looking at the potential consequences of allowing all people to have this super-human limb, there are both positives and negatives. The strength and versatility of the limb can help our firemen, policemen, and soldiers complete their jobs more effectively, while others may use this strength for negative or harmful reasons. Electrical engineers are also required to help all people, regardless of race, disability, age, gender, etc. [5]. This statement means that we must allow anyone to possess this bionic limb. The code of ethics for biomedical engineers states that engineers are to “consider the larger consequence of their work in regard to cost, availability, and delivery of health care” [6]. Bionics Incorporated wants to raise the price of the super-human limb because many people want it and many people are willing to pay excessive amounts of money for the technology, boosting the revenue of the company. By increasing the price, the workers within my company are not considering those who want the limb because of necessity. Not everyone who needs a limb is able to afford a more expensive one; bionic limbs are already expensive as it is. We are not thinking of people with disabilities if we raise the price of the limb. CONCERNS WITH THE CODES OF ETHICS Many sections of the code of ethics for engineers are quite vague, which can prevent easy decision making over what to do in an ethical dilemma. For example, the paragraph above includes the words “dignity” and “integrity”, but the code of ethics does not define these terms in regard to engineering. This rule is to be interpreted, which means that there are multiple subjective definitions, none of which can be considered wrong. People are becoming more aware of what engineers and technology are capable of: “concerns about safety keep growing everywhere due to the fact that now we have a sensitive awareness of the huge amount of power we are both consuming and deploying” [9]. This statement means that engineers must be more careful in how they follow the codes of ethics than they ever were before. It is important to note that engineering ethics and engineer’s ethics are two separate things, though the codes at present treat them as the same entity. What I mean by this is that the codes of ethics treat ethics for an engineer as a person the same as they treat ethics for engineering as a whole. The ethics of an engineer are just a part of the entirety of engineering ethics and “engineering is more than what engineers do in their work” [10]. There is always an organization or company, whether it is public or private, that the engineer is working under. What engineers do and how they do it depends on the company or ENGINEERING ETHICS 2 Robyn Moyer organization they work for as well as the stakeholders and owners involved in these places [10]. What the engineer does depends on what all of the other people involved want. Engineers do not just work alone: they work in groups and have relationships that involve many other people (within the companies and organizations). The codes of ethics do not completely represent what engineers need to do because of engineers’ complex relationships with other people and the other rules from the companies and organizations the engineer must follow. Once the codes of ethics are understood, making an educated decision on how to go about answering ethical questions will be much easier. Future engineers must remember that there are multiple ways to interpret the ethical codes, and they should try to understand the different viewpoints before they make their decision on what actions they should take. REFERENCES [1] S. Verma, A. Chatterjee, H.P. Singh, A. Kumar, K. Garg, & K. Chattopadhyay. (2012). “A Design Approach for Myoelectric Arm With Hand and Wrist Motions Using Single Actuator.” The International Journal of Advanced Manufacturing Technology. (Online Article). http://download.springer.com/static/pdf/166/art%253A10.10 07%252Fs00170-012-4617y.pdf?auth66=1412093314_e505593493844ab7397d73b8d7 cc0b8b&ext=.pdf. p.1899-1907 [2] C. Behrend, W. Reizner, J.A. Marchessault, & W.C. Hammert. (2011). “Updates on Advancements in Upper Extremity Prosthetics.” The Journal of Hand Surgery. (Online Article). http://www.sciencedirect.com/science/article/pii/S03635023 11009890. p. 1711-1717 [3] G. Brumfiel. (2013). “The Insane and Exciting Future of the Bionic Body.” Smithsonian Magazine. (Online Article). http://www.smithsonianmag.com/innovation/the-insane-andexciting-future-of-the-bionic-body-918868/?all [4] “Touch Bionics Unveils Next Generation Prosthetic Hand with Powered Thumb Rotation.” Business Wire. (Online Article). http://go.galegroup.com/ps/i.do?id=GALE%7CA325835180 &v=2.1&u=upitt_main&it=r&p=ITOF&sw=w&asid=7fdd0e d9a9e6531ccca05dcc642237fa. [5] (2014). “7.8 IEEE Code of Ethics.” IEEE. (Online) http://www.ieee.org/about/corporate/governance/p7-8.html. p. 7-8 [6] (2004). “Biomedical Engineering Society Code of Ethics.” BMES. (Online). http://bmes.org/files/2004%20Approved%20%20Code%20o f%20Ethics(2).pdf. [7] B. Meyer. (2013). “Ethical Questions are Looming for Prosthetics.” Wired. (Online Article) http://www.wired.co.uk/magazine/archive/2013/09/ideasbank/now-we-need-to-talk-about-our-bionic-future. [8] (2014). “NSPE Code of Ethics for Engineers.” NSPE. (Online). http://www.nspe.org/resources/ethics/code-ethics. [9] (2013). “Ethics: The Question Posed by Our Bionic Future.” The Observer. (Online Newspaper) http://www.lexisnexis.com/lnacui2api/api/version1/getDocC ui?lni=58NN-C311-DYWJP0N9&csi=143296&hl=t&hv=t&hnsd=f&hns=t&hgn=t&oc =00240&perma=true. p. 38 [10] J. Basart, M. Serra. (2011). “Engineering Ethics Beyond Engineers’ Ethics.” Science & Engineering Ethics. (Online CONCLUSION There is one question that continues to arise: what if technology becomes so advanced that people will be willing to harm their natural bodies in order to have one of these advanced pieces of machinery? With the situation I am in right now, I need to make a decision and answer this question. Is it ethical for me to allow Bionics Incorporated to sell these super-human limbs at a higher cost to anyone who is willing to pay, even if they do not necessarily need the limb? Ethics are low on large companies’ agendas, and businesses alone should not get to dictate who receives a bionic limb [11]. Also, they should not be able to raise the price of a limb just because they believe it will be in high demand. It is human nature to want to be the best we can be. For this reason, I believe that many people will want to buy this bionic limb just to improve what they can do as a human being. There are very few people in the world who are completely happy with who they are and what they can accomplish; most people want to improve on themselves. Because these super-human limbs will be widely available if Bionics Incorporated sells them to the general public, there would be many bionic people in the world who could essentially do what they want to because they have superhuman capabilities. For this reason, I do not believe that this limb should be widely available. There is the case of whether this limb should be available for firefighters, soldiers, and policemen. Yes, having superhuman capability could help a firefighter save lives in a burning building by being able to lift heavy materials out of the way to save a victim, but is super-human strength necessary? I do not believe it is, regardless of the situation. People in each of these three jobs are trained extensively before they are allowed in the field; this training helps them be the best at their jobs. Bionics may improve their work, but not at the cost of a natural limb that is still capable of performing the tasks at hand. This bionic limb my team and I have created should only be available to those who need it, and the price should not be inflated just because it will boost the company’s profit. Allowing for people who do not need a limb to have these super-human arms and hands goes against the general engineering code of ethics and my own personal code of ethics. My advice for future engineers is to really get to know the codes of ethics that pertain to the job you must do. 3 Robyn Moyer Article). http://web.a.ebscohost.com/ehost/pdfviewer/pdfviewer?sid= 31a96d92-5654-4e5e-a44ddf9fc9bd8e8d%40sessionmgr4001&vid=16&hid=4201. p. 179-187 [11] V. Thorpe. (2013). “Bionic Man Warns of Ethical Minefield.” The Observer. (Online Article). http://www.psfk.com/2013/10/prosthetics-ethics.html ADDITIONAL SOURCES (2014) “Cases and Scenarios.” Online Ethics Center. (Online). http://www.onlineethics.org/Default.aspx?id=19049 (2014) “Ethics Cases.” Texas Tech University. (Online) http://www.depts.ttu.edu/murdoughcenter/products/cases.ph p. “Ethics Case Studies.” webGURU. (Online) http://www.webguru.neu.edu/professionalism/researchintegrity/ethics-case-studies. ACKNOWLEDGMENTS I would like to thank Larissa Allen and my mother, Patricia Sandor, for reading and editing my paper. 4