The Transhumanist Temptation: Hacking Humanity or Destroying It? | Grayson Quay

Grayson Quay joins Samantha Stephenson to expose the seductive logic of transhumanism—and the moral and spiritual cost of buying in. From AI and brain chips to synthetic immortality and gene editing, the push to “upgrade” the human experience promises power but may unravel what makes us human.

This conversation cuts through the hype to reveal what’s really at stake. Is transhumanism a scientific breakthrough or a new form of worship? What happens when we lose our reverence for the body and our humility before its limits?

Topics we cover:
– Why transhumanism is less science, more spiritual counterfeit
– The link between tech worship and ancient heresies
– What the push to overcome nature reveals about modern despair
– Whether enhancement is actually a form of self-erasure

Mentioned in this episode:

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TRANSCRIPT

​[00:00:00]

Samantha: Welcome to Brave New Us, where we explore what it means to be human in the age of biotechnology. I'm here today with Grayson Quay, journalist and ghost writer to talk about his new book, the Transhumanist Temptation, from neural implants to artificial wombs, cryonics to the dream of digital immortality, transhumanism promises to liberate us from the limits of the body, but at what cost. In this conversation, we are going to dig into the spiritual and philosophical roots of the transhumanist vision and why grace and argues it's more gnostic than scientific. What does it mean to be human, and what do we risk in trying to move beyond it? Grayson, welcome to Brave New Us.

Grayson: Thank you for having me.

Samantha: Can you tell us a little bit about yourself and your work and how you came to be doing what you're doing?[00:01:00]

Grayson: Yeah. So I came to writing about transhumanism in kind of a roundabout way. I realized I was interested in all these things that I thought were separate, um, you know, biotech and, uh, reproductive issues and virtual reality and, uh, the sort of re-enchantment, uh, discussion, uh, in the religious space and, you know, political questions about what it would mean to have a, a society that aimed at, at the common good and focused less on maximizing individual autonomy and consumption and things like that.

Grayson: And I, you know, as I was trying to think of book pitches, I realized these are all kind of connected by this common thread of transhumanism.

Samantha: Yeah.

Grayson: which, you know, I would define as sort of a, a general rejection of, of an idea of natural law, of human nature.

Samantha: Yeah. So let's, um, let's back up a little bit because we're [00:02:00] talking about transhumanism and you gave it a loose definition there.

Samantha: And, uh, and you kind of in the introduction, I think you do a really great job of, um, kinda tracing the philosophical roots of this movement. And we'll get into that a little bit later in the conversation. But first, for somebody who's maybe, um, never heard the word transhumanist before or who has heard it, but just goes right past their head, like, what are we talking about here?

Grayson: Yeah. So usually you hear the term transhumanism in sort of a science fiction context, right? You know, some. Uh, or, or people who wanna make science fiction reality, you know, whether that's some kind of eccentric billionaire who's trying to biohack himself to, to live to a hundred, or someone who wants to upload his mind to, uh, the internet and live forever.

Grayson: Or, um, you know, someone who wants to use genetic engineering to create, uh, some kind of race of Superman or something like that. So these are, these are all elements [00:03:00] of transhumanism, but I try to, uh, in the book, I try to make this argument that I think that's just sort of the vanguard or the cutting edge of it.

Grayson: I think there's a transhumanist ideology or a transhumanist mindset that many people, probably most people in our society have bought into to one degree or another. Which rejects the old kind of classical and Christian idea that goes back to, to Plato and Aristotle and to the Hebrew Bible, that there's, um, you know, that there's a way to follow that.

Grayson: There's a, you know, the, the Bible says the fear of the Lord as the beginning of wisdom and the book of Proverbs and wisdom is, you know, personified as this, um, soften, you know, equated in commentaries to the logos, uh, to Christ. But it's this, um, it's this wisdom of this logic that's kind of woven through all of creation, that it's up to us to seek it out and conform ourselves to it.

Grayson: Uh, that there's this underlying order, this transcendent [00:04:00] order of things. And Plato and Aristotle will say much the same thing, right? That, uh, for Aristotle, man has a particular nature. Um, he's aimed toward EU amenia or happiness, flourishing, uh, and that's his proper end or telos, right? So we say that, um.

Grayson: His conception of humanity is teleological, right? There's a goal or an end that should be aimed at the same way that, you know, the telos of an acorn is to grow into a tree. This was all sort of common sense. It was just in the water for most of human history or for much of human history, uh, especially in the, the western tradition.

Grayson: Uh, and this really started to change. Uh, it's difficult to say exactly when a lot of people date it to kind of the split between realism and nominalism in the middle ages. Uh, you could also, you trace it to certain strains of renaissance humanism or enlightenment thinking. There's a whole debate you could have over that, that I don't really get into in the [00:05:00] book necessarily, because it would've, uh, taken up a,

Samantha: book,

Grayson: yeah.

Samantha: book, but a different book.

Grayson: Yeah. Um. But basically we somehow ended up at this place where we don't believe in such a thing as human nature or a human telos anymore. We don't believe that there's some kind of order that we're supposed to conform ourselves to. We believe that the meaning of your life is to give your life a meaning.

Grayson: Um, so Charles Taylor, who's the, a Catholic philosopher, has, uh, kind of a good shorthand to talk about this, uh, which is, uh, it's the difference between, he says esis. So, you know, ESIS is like a mimicry or conforming oneself to something. So that's that. You know, humans have a proper, have a nature, and have a type of flourishing that's proper to that nature, and that's what we should aim at.

Grayson: Um, and then the opposite of my meis for Taylor is poiesis. Uh, so making, uh, like a poem is a, a made thing. [00:06:00] Um, and POAs is, you know, pure creativity. Uh, you know, you create the meaning of your life. You define. What it means to be you. What it mean, what you define, what it means to be a human. Um,

Samantha: Mm-hmm.

Grayson: you know, you are, you just kind of are thrown into this world with no roadmap.

Grayson: Uh, and it's up to you to use this radical freedom however you want. And it's not freedom to, uh, pursue the flourishing property, human nature. It's the freedom to do whatever you want as long as you don't, uh, restrict someone else's freedom.

Samantha: Yeah, I think that's, that, those are two really important things. So one is this question of is there, uh, an ideal human telos that we are or created to be fulfilling and that flourishing is defined in respect to? Or is it something that we create ourselves? And then depending on your answer to that, right, you'll have a very different definition of what freedom is.

Grayson: [00:07:00] Yeah.

Samantha: you talk a little bit about how, what the word freedom means in each of those, um, understandings of the human person? Yeah.

Grayson: Yeah. So just to, to go back to my, uh, acorn analogy from earlier, right? Uh, an acorn, um, an acorn is meant to grow into a tree, right? An, let's say an oak tree, right? It can't say I'd rather be a blueberry bush. That's not the kind of thing that it is. Um, so that's not a type of freedom it has or, you know, think of that, uh, the, the Monty Python skit where the, the, in the, the life of Brian, where the guy goes, I want to have babies.

Samantha: Right,

Grayson: they say, you can't have babies. And he goes, yeah, we're infringing on my freedoms.

Samantha: right,

Grayson: The idea that you could be free to be something other than what you are is just, is just nonsense, uh, from any kind of, uh, perspective that believes in human nature and a human telos. [00:08:00] But if you don't believe in those things, then you can, you know, with a straight face make an argument that if as a man you can't have babies, you're being oppressed.

Grayson: And in fact, we've started to see society adopt that idea. There's a, um, you know, there have been op-eds in the New York Times arguing for, uh, I think they call it reproductive equity, uh, which basically means that, um. Because, you know, a couples that consist of a man and a woman can have babies on their own without, uh, spending any money.

Grayson: Uh, that same sex couples should have access to taxpayer funded, uh, surrogacy so that they can also have babies at no cost to themselves because, uh, in this case, uh, you know, biology is literally unjust.

Samantha: Right.

Grayson: Um, yeah.

Samantha: That's a whole other conversation too. I've also heard, uh, people talking about, um, uterine transplants in not to restore functioning to a woman, which is a whole [00:09:00] conversation and of itself. But she was arguing, well, no, I had the first baby, so my husband should have a uterine transplant so that it's just. Defined purely as equal, but, uh, also a conversation maybe for another time. Um, I think that a lot of people hear this word transhumanism and think of those kind of crazy science fiction examples. Um, but you are arguing that it's much more mainstream and embedded and has been kind of a part of our evolving cultural consciousness for a a while.

Samantha: Um, so where are we already seeing transhumanist ideas shaping real life and culture?

Grayson: So I think one of the first places that we really saw transhumanist technology break into our society was with the birth control pill.

Samantha: Hmm,

Grayson: Um, and this isn't an original thought to me. Uh, I got this idea from Mary Harrington who wrote a great book called Feminism Against Progress that, uh, you should buy after you buy my book.

Grayson: Uh, [00:10:00] um,

Samantha: to both in the show notes.

Grayson: yeah, there you go. Um, but she says, uh, that. The birth control pill is really the first transhumanist technology because it takes something that's working properly and breaks it, right, or to look at it another way. It tries to fix something that isn't broken. Uh, you know, if I go to the doctor and, uh, my arm is broken, they'll set it because there's an idea of human flourishing.

Grayson: There's an idea of what a healthy human being looks like, and the purpose of medicine was thought to be, uh, restoring people to that, uh, to that standard or that norm of health and of human flourishing. Now, uh, if the birth control pill come along and it essentially disrupts or interrupts a normal monthly cycle for women, uh, right, it kind of sends your body this, this hormonal signal that you're pregnant all the time so that you, um, don't ovulate.

Grayson: And [00:11:00] that's a huge paradigm shift in what medicine is for.

Samantha: Mm-hmm.

Grayson: It goes from this is what your body is, and we're going to try to restore it to its normal functioning, to a paradigm that says, this is what your will is, this is what your desire is, and we're going to bend your body to your will. Even if that means disrupting, its normal healthy,

Samantha: Mm-hmm. Yeah. Are are. Um, and I love the, um, the myth that you brought in where you were talking about, I think it was Greek mythology. Um, could you articulate that a little bit for, because I hadn't heard it before, reading

Grayson: oh yeah. This is a, this is great. Yeah. So the, I, one of my points that I make in this book is that transhumanism functions as a Sian bed. Um, so Cruses is this. A character from Greek mythology who has a kind of an in [00:12:00] or a hostile off the side of the road. And he invites travelers to come stay the night.

Grayson: And he only has one bed, and no one ever fits the bed quite perfectly, right? Everyone's either a little too taller or a little too short, and if they're too tall, he takes a saw and cuts off whatever, you know, hangs off the edge of the bed. And if they're too short, he kinda gets out a hammer and like hammers them out flat until they, uh, cover the whole bed and they, they all die, of course.

Grayson: And, uh, eventually, you know, a, uh, hero comes along and, and defeats him. But this idea of a crusty bed is basically the idea that you cut the wrong thing or you, or you fit the wrong thing to the wrong thing, right? So with regard to transhumanism, um. Instead of creating a society that's meant to fit human nature, uh, you can cut [00:13:00] human nature or reshape human nature in order to fit society.

Grayson: And what this does is it basically gives society permission to become more inhumane. Um, so if, you know, if the, you know, a society can only get so bad before people will, will revolt or will opt out, or things will just grind to a halt. But if you have technologies that can reshape someone's genetic code or their neurochemistry,

Samantha: Mm-hmm.

Grayson: uh, then you can keep making things worse and just sort of, uh, placate people with these things.

Samantha: Right. Yeah. I think, and, and to the point that you already brought up about contraceptives, um, a lot of, um, feminist thinkers are objecting to the idea that the way to, uh, address perceived inequalities, um, between men and women in our society today is to reshape women's bodies to mimic that of men by making

Grayson: Yeah.

Samantha: longer bear children.

Samantha: And

Grayson: Yeah.

Samantha: [00:14:00] transhumanist in that way.

Grayson: I think women are hit harder by transhumanism than men are because it's built around this ideal of like the radically autonomous individual, um, who isn't held back by anything and is able to kind of fulfill and pursue his own desires. And that definition fits men better than it fits women.

Grayson: Um, women's, you know, just by nature of their, their physical embodiment are much more. Embedded in kind of relationships of duty and dependence. Um, and so yeah, the, the conclusion, uh, which a lot of feminists reach, you know, famously, uh, uh, schul myth Firestone does, I think in the seventies, is that it's not actually society that's oppressive, it's biology that's oppressive, and we need to get around that.

Grayson: So her, you know, proposed solution is artificial wounds, uh, so that reproductive labor can be, uh, sort of just taken off the table or like uterine implants that [00:15:00] you mentioned.

Samantha: Mm-hmm.

Grayson: and then even you see it in people like Ruth Bader Ginsburg, where she made an argument in defending, you know, abortion and contraception, which was basically that if women don't have access to these things, they cannot participate, uh, as equal members of society.

Grayson: So yeah, you need to kind of do violence to your own body, to your own capacity to create life. To masculinize your body in these ways, or, uh, you are literally subhuman, you're a, you're a second class citizen. Um

Samantha: Well, to your point, like why? It's just, why don't we just build a better bed? Like

Grayson: mm-hmm.

Samantha: we, why are we asking women to reshape themselves to fit a society that doesn't seem to, um, adjust itself to women? Why can't we adjust society? If it doesn't fit, then let's, let's [00:16:00] reshape the system rather than reshaping ourselves.

Samantha: Uh, are there other ways besides contraception that you're seeing this play out?

Grayson: The Sian bed thing. Yeah.

Samantha: progress in bed or just transhumanism taking hold in ways that are maybe unexpected or that we wouldn't necessarily recognize as transhumanists Un unless we're following the thread that you're, um, recognizing and bringing to light in the book.

Grayson: Sure. Yeah. So I think another example of, uh, the crusty bed would be, you know, how it, uh, how transhumanism kind of reshapes, uh, dating life. Like, there's now an expectation, uh, that, that women are using contraception that really reshapes all our morays around dating. Uh, you could look at schools, uh, and how boys are treated in schools with being medicated for A DHD.

Grayson: Um, A DHD doesn't really have a diagnosable cause it seems [00:17:00] to just be, uh, a label. It gets applied to boys who are. Sort of toward one end of the bell curve and for, for hyperactivity. Um, and we could, you know, solve that problem at, to your point, by making schools different and making them more accommodating to little boys being restless.

Grayson: But instead we prefer to drug them, um, and, and alter their, their neurochemistry in this way. Uh, which I think is really, really dangerous and really frightening. Um.

Samantha: Yeah. So, um, are there any other technologies or, um, we can get more on, not on exactly what's embedded and being practiced, but where is this the trajectory going in terms of what are the developments and what's the push for the future of the transhumanist movement?

Grayson: So I think the immediate future, kind of on the big cutting edge is going to be embryo selection, [00:18:00] uh, embryo screening. There's a startup called Orchid that offers this, uh, service, and that's gotten a lot of media attention recently. It was kind of the last update I made in my book was to talk about this because it, uh, you know, just sort of burst onto the scene suddenly.

Grayson: But basically this, uh, it, it's really disturbing if you look at it because it, you know, you create a number of embryos through in future fertilization, and then it gives you a list of them and it'll like rank them in order of desirability and will flag for you if any of them have, you know, genetic disorders or, um, it'll flag which ones are boys and which ones are girls.

Grayson: It'll flag, um. You know, other, other traits that you might find desirable, uh, and you can just discard the ones you don't want. Uh, so this is how, you know, for example, this is how a lot of, uh, quote unquote developed countries have, uh, eliminated or almost eliminated down syndrome. [00:19:00] Um, they just do genetic screening and abort, uh, all of the babies that have down Syndrome, and it's one of the darker sides of that if it wasn't dark enough already, is that there's a failure rate, uh, for genetic screening for Down Syndrome.

Grayson: Like there's, uh, in about, uh, half a percent of cases, there's a false positive. I think it's about half a percent

Samantha: And

Grayson: false positive.

Samantha: for, uh, rare diseases. I think the New York Times, which, you know, not the source you'd be expecting, but the New York Times published one of the tests that they're giving, not, not embryos, um, and, but just prenatal babies. It's supposed to be a screening tool, but it's 93% false positives.

Samantha: So with those rare, rare disorders,

Grayson: Wow. So, yeah, you have to figure there's, at least, you know, there's at least several hundred, you know, babies being, being aborted every year based on healthy babies being aborted every year based on these false [00:20:00] positives for Down syndrome. Um, but the, the woman who started this, uh, this embryo screening startup really sees it as replacing kind of natural reproduction.

Grayson: Uh, one of her slogans is that Sex is for Fun and Embryo screening is for babies. So she wants, she's, you know, hoping for a future. She sees it as reckless to conceive a child in, in the normal way. Um,

Samantha: Yeah.

Grayson: this, you know, if this catches on, you reach a point where babies are just these kind of, uh, consumer products, uh, it really changes the nature of the relationship from kind of parent child to consumer and product.

Samantha: Hmm.

Grayson: Uh,

Samantha: For, for podcast listeners, we have an episode in depth, uh, earlier in this season with Emma Waters, where we talk about these, uh, sort of Silicon Valley elites and the eugenics startups like orchid nucleus genomics, that, that are really pushing this, um, new technology, but [00:21:00] same old philosophy of eugenics just being executed in a different way.

Grayson: yeah, that's why, that's what I talk, that's what I compare it to in my book is it's, um, you know, a lot of the, uh, Julian Huxley who, who coined the term transhumanism in its modern sense. Uh, was also president of the British Eugenics Society, um, thought that if you were unemployed for too long, you should be sterilized because clearly your genes were defective and you weren't, uh, contributing to the, the wellbeing of society or something like that.

Grayson: Um, you could take it even further back to ancient Rome where the, you know, the head of the family had this, this, um, power of the father, uh, pat Platas, where he was allowed to order the exposure of any child born into his household. So that could be his, his own children. It could, in some cases, I think, include even grandchildren, uh, who were living under his roof, and it could include any of the slaves that he owned, which could sometimes be hundreds.

Grayson: Uh, so any [00:22:00] child considered defective could be, could be left out to die. So it's really, you know, it's, it's off, it takes place off stage now, I guess it's not as gruesome as leaving a, a screaming newborn out with last night's trash. Um, but it's, it's ultimately the same thing.

Samantha: it's less brutal in practice, but in principle, you're right. It's the, it's the same philosophy and has the same end.

Grayson: Yeah. Little more gender equality too, I guess, this time around, but yeah, it's, it's the same principle of like, I get to have the children that I want to have and kill the ones I don't want.

Samantha: Uh, I'm forgetting what page this is on, but thinking about these, um, embryos, abandoned embryos, embryos as, uh, human property, and, um, have compared it to slavery. I, I don't have the page number in front of me, but you are discussing how, actually it's not, it's, it's not so [00:23:00] crazy to talk about them as, uh, these embryos as being a form of enslavement or human trafficking.

Samantha: It's actually a comparison that's being made and legal precedent being sent. Is that right?

Grayson: Yeah. Yeah. Like this isn't, you know, I bring that up in the, in the book, and then I say like, this isn't me just comparing my, uh, opponents in a debate to slave owners to score kind of a chief rhetorical point, like this is coming from, from their side. There was a, a ju there was a judge who, uh, there was a case that involved a custody dispute, uh, between a divorcing couple over their frozen embryos.

Grayson: And the legal question was sort of like, well, is this a child custody dispute or is this a question of, you know, dividing property and, you know, dividing goods and chattels? And, you know, one of the lawyers said, well, we should treat this like a child custody dispute. And the judge said, well, no, these are, these are.

Grayson: You know, these are goods and [00:24:00] chats. And they said, well, they're, they're human embryos. And he said, yeah, well, there is legal precedent for treating humans as goods and chats look, and he points to slavery. Uh, so these, you know, these embryos truly have like the legal status of slaves in some sense.

Samantha: That's just

Grayson: Uh,

Samantha: to me that you would look to that as an example of how

Grayson: yeah.

Samantha: ought to be governed.

Grayson: Yeah. Although, I mean, at least with, with slavery, there were at least some laws to protect them against just being, uh, killed, uh, on a whim, which embryos don't enjoy that protection. And in fact, uh, you know, there was the case in Alabama just, uh, about a year ago where a family sued a clinic for kind of negligently or accidentally destroying some of their embryos.

Grayson: They tried to sue them for wrongful death under Alabama's law, which, you know, basically states that. If, you know, if you're pregnant and are in a car accident and you miscarry, you can [00:25:00] file a wrongful death lawsuit, uh, for your unborn child against the person who hit you, for example. Uh, so this family tried to apply that to the, uh, fertility clinic and the Alabama Supreme Court ruled in their favor, uh, and said yes, like these are human beings.

Grayson: Uh, you know, if, if given the proper environment, uh, and not inhibited in any way, they'll continue developing into, uh, full term babies and grow to adult humans. Um, so yes, this qualifies as a, a wrongful death lawsuit. And the blowback was immediate and incredibly fierce, even from people who describe themselves as pro-life.

Grayson: Um. Alabama has a pretty strict abortion ban on the books. It has a Republican super majority in the legislature, uh, most of whom consider themselves pro-life. It has a, a pro-life Republican governor, but just within probably a week or two, they [00:26:00] had rushed through a bill saying, no, uh, fertility clinics cannot be sued for mishandling, uh, and accidentally destroying embryos.

Grayson: Um, it was, it was a truly kind of outsized reaction for what was actually a pretty modest ruling. Uh, like I don't think it was too much to ask to just like, don't, you know, stumble around the lab and smash all the test tubes by accident. Uh, but, you know, from the, the left's response was, you know, handmaid's tail dystopia, which you kind of expect.

Grayson: But what's depressing is the degree to which even self-described pro-life conservatives fall for it. Um.

Samantha: Yeah, no kidding. I think there's more, uh, more outcry to protect IVF than there is to

Grayson: Mm-hmm.

Samantha: the embryos.

Grayson: Yeah, you saw, I mean, you saw a lot of, uh, a lot of prominent, uh, Republicans again, who had campaigned his pro-lifers on the, on the national stage, uh, [00:27:00] talk, start talking suddenly about the miracle of IVF. Uh, and it was, yeah, there's, there's just no political will whatsoever to restrict this practice in any way at all.

Grayson: And I think that's a real indication of how far we've, uh, adopted a transhumanist mindset, uh, toward these things and rejected, um, an idea of human nature and human teleology.

Samantha: So some will describe transhumanism as a kind of religion unto itself. How do you see it challenging or replacing traditional belief systems? On that note?

Grayson: Yeah, so my, my original title for the book was actually The Serpent's Promise, because I think that, uh, in many ways Transhumanism was invented in the Garden of Eden, uh, when when the Serpent tells Eve You, you'll be as Gods. Um, the interesting thing about that is I think that the two are, uh, you know, transhumanism and Christianity are in many ways, uh, kind of indirect competition.

Grayson: They're making very [00:28:00] similar claims in a way because this, so this is interesting. Uh, Julian Huxley is the one who coins the term in English. Uh, you know, transhuman, but it's actually much older. In Italian. It shows up in Dante's, uh, divine comedy. It shows up in the paradise, uh, the line, something like Trus significant car.

Grayson: So I. I could not express trans humanize in words. Uh, I could not, I could not express the idea of being trans humanized in words. It's something like that, and it's something that, you know, the pilgrim narrator character says as he's being lifted up into heaven, you know, as he's experiencing. Theosis is the Greek word, right?

Grayson: Demonization coming to be a partaker of the divine nature, uh, Saint Peter said, or a son of God equal to the angels as, as Christ says in the Gospels. Um, so when Satan says you shall be as gods, it's not really a lie per se, that is humanity's destiny. Uh, [00:29:00] that's what we have to look forward to, uh, as Christians.

Grayson: But what Satan offers, the big difference here is that it's on humanities terms and on humanities timetable. It's that you can have this demonization, you can be a God without a relationship with your Lord and creator. Um. Even in defiance of him. And so I think that in many ways, yeah, you're, we're kind of facing the choice between two transhumanisms, uh, one that we try to achieve on our own, and one that requires us to live and suffer, as, you know, embodied human beings.

Grayson: Uh, and, uh, to show some humility, uh, in that way. And I think that there's also a strong overlap between transhumanism and uh, satanism. You know, most, most satanists in America don't say they don't believe in a [00:30:00] literal devil. Um, I don't think he necessarily cares if they literally believe in him or not, but they believe in him as this sort of avatar of rebellion against authority, especially divine authority.

Grayson: And as, uh. You know, an assertion of kind of radical individual autonomy and the the individual will, which is really the same attitude and perspective that underlies transhumanism and people have written about these, these overlaps between these two belief systems.

Samantha: Yeah, it seems like that the, some of the common threads in these different transhumanist thrusts is this rejection of the body in general, and then and rejection of our innate human limitations as, uh, something that there's somehow something morally wrong with having limitations as opposed to something morally informative about what those limitations mean for us. What do you think is at stake [00:31:00] spiritually, culturally, as these transhumanist technologies become more accepted? What are we losing, uh, what are we ostensibly gaining, and then what are we losing in the process?

Grayson: Well, the, what we're ostensibly gaining is just kind of convenience or power or the ability to make ourselves into what we want to be. Um, I think what we're losing, there's, gosh, there's a lot, uh, going on with this. So one thing I think right away is that there will be a, a lot of pressure to adopt these technologies and that those two kind of hang back or refuse to do so, will find themselves increasingly pushed out of society.

Grayson: Um, this isn't, you know, a fully kind of transhumanist thing, but, you know, bear with me on this. Think about QR codes on menus. Uh, you know, there's many restaurants now that,

Samantha: a menu.

Grayson: yeah, this, no, yeah. That became a thing during COVID. [00:32:00] Uh, and now a lot of places don't have menus, like it's just the QR code on the table, um, which essentially that functions as a kind of sign that can't be read by the human eye.

Grayson: You need to bring this sort of, you know, prosthetic eye with you, uh, or this, this, uh, kind of artificial organ that you carry around that, that, uh, interfaces with the, the sort of digital ecosystem. And if you don't have a smartphone, you just can't access that. Uh, so eating in restaurants is more, you know, if you are, if you are merely human, if you do not possess the technologically augmented capacity to, uh, read QR codes and to access the wider infor like digital information sphere, uh, you are in some sense excluded from, from that aspect of society.

Grayson: Uh. And, you know, your smartphone is a, a tool in the sense that it's not integrated into your biology yet. But, uh, that's coming. You [00:33:00] know, it's, uh, we already have smart glasses and pretty soon it'll probably be, uh, brain implants. Um, you could also see that happening with something like augmented reality where, uh, right now it's pretty rudimentary where you will, you know, an early example was the game Pokemon Go.

Grayson: If you or any of your listeners ever played that, but you would, you know, hold up your phone camera and it would kind of superimposed these little, little Pokemon creatures on the, the actual landscape that you were looking at through your camera. Uh, and it wasn't very good, but it's a harbinger of what's to come.

Grayson: If you think about how you could apply that technology with, uh, smart glasses, for example, you know, all signage, uh, could potentially be done through augmented reality. It would be much quicker and cheaper for people to kind of just. You know, edit a text box on an app and have that show up on all their signs, then it would be to physically alter the signage.

Grayson: But now, if you don't have those glasses on, you [00:34:00] can't read the signs. You can't participate in society. So now suddenly the, the literal physical world that you're perceiving with your, or the, or the world that you're perceiving with your senses, not the physical world, but the world that you're receiving with your senses is now, uh, mediated, uh, or determined, mediated through, or determined by, uh, this technology.

Samantha: Right.

Grayson: you don't actually get to see the world as it is. You see the world as they choose to show it to you.

Samantha: Mm-hmm.

Grayson: Um, and you can take glasses off, but I imagine it's probably, uh, not so easy to remove an implant from your brain and those of you able to turn it off. I mean, get ready to have, uh, get ready to have popup ads in your peripheral vision too.

Grayson: That'll be real fun.

Samantha: And you could take the glasses off as long as you're willing to be left out of whatever is happening, that the point that you're making about technology having as, as it gets adopted, it inevitably almost becomes coercive. Um, Barbara Kotz Rothman makes that point in a book and [00:35:00] she was talking about, um, amniocentesis and sort of this

Grayson: Mm-hmm.

Samantha: conditional aspect to pregnancy that maybe didn't exist before this technology and how once something adopted, it makes abstaining much more difficult. And she was just talking about technologies in general. She says, look at how, how can you think about right now the world that we have it? Can you think about going back to your horse and buggy unless you're Amish and you actually choose to live in this community of people who have opted out of the technology?

Samantha: No, you can't because you can't. You could choose to live in, um, you know, a where it's very walkable, but our, we have adopted the car. We have freeways. You can't take your horse on the freeway. That's not you. existence and widespread adoption of the technology has made it very

Grayson: Yeah.

Samantha: to opt out.

Samantha: And the same thing I think is true of the smartphone. If you wanna have a dumb phone, then there's like 15 apps that I have to have to do [00:36:00] things with my kids, you know, their teams and their, uh, co-ops and things. And people are like, well, we communicate with this group app. Well, we communicate with this group app. It's like, if you

Grayson: Right.

Samantha: you have to have the app or you're going to miss out on these conversations. And, you know, with some things like social media, it's pretty easy to opt out of that. I mean, it's pretty easy to, to delete and not miss out on things. It's not easy

Grayson: Yeah.

Samantha: because of this, the way that they hijack our attention.

Samantha: But you're right, that, uh, technology as it gets adopted, it will be a fight

Grayson: Yeah, and I'm not, I'm not, you know, I'm not necessarily just kind of anti-technology across the board. I think it becomes especially disturbing when those technologies are specifically coming for your, um, you know, your genetic code or your, um, kind of faculties of perception, right? Sort of these things that make you human and are like trying to reshape them.

Grayson: You know? I mean, just think about, uh, you know, maybe two generations down the line, if [00:37:00] embryo screening really picks up, you know, your, any child that isn't screened will be at a much greater disadvantage.

Samantha: Right.

Grayson: you know, your kids, uh, will become a, you know, could potentially become a huge liability. You know, if everyone's iq, you know, if everyone's IQ is 40 points higher in the future, um, now suddenly your child requires special educational resources or.

Grayson: Um, can't compete in the job market and is being left behind in all these ways. Uh, and I think there will be a great deal of resentment, uh, toward, uh, people who are late adopters. Uh,

Samantha: see that when, because when people are eliminating communities of people who have Down syndrome,

Grayson: yeah.

Samantha: society has even less incentive to adopt itself and to make a better bed

Grayson: Yes.

Samantha: uh, than

Grayson: Mm-hmm.

Samantha: more people. And so the, the more people who use the technologies, the fewer people there are, um, that there's an incentive or community push to adapt society to become [00:38:00] more humane

Grayson: We're also, we're also just not very good at, uh, drawing lines when it comes to the use of technology. So something like artificial wounds is actually potentially a very, uh, a very good piece of technology. Um, so if you are. You know, if you are 18 weeks pregnant and suddenly go into labor, uh, and your child is, has to be delivered, uh, right now, you know, that child has a no chance of surviving.

Grayson: Right? That's just a, a miscarriage. But if there were some kind of artificial wound, you could save that baby's life. Um, there's actually a kind of, when, when there's, when they first started testing artificial wounds on, on animals, there was some outcry from feminist groups because they were saying like, oh, this is gonna be used to justify banning abortion.

Grayson: Uh, you know, they'll say that like, oh, if you, um, you know, if you take a, an abortion drug, uh, or go get a procedure to, um, just sort of expel the, the [00:39:00] fetus, then you have to put it in an artificial womb to continue gestating. And, and this will infringe on women's bodily autonomy, which really shows you that it's not necessarily just

Samantha: that at that point, it's not about bodily autonomy that isn't just

Grayson: you.

Samantha: trying to avoid parenthood.

Grayson: Yes, exactly. Um, yeah, 'cause like, oh, there's your bodily autonomy. Good. Like, well, no, it's, yeah, exactly. Uh, so there's, yeah, there's a sense in which these technologies kind of will take us all the way that they can take us, uh, 'cause we're not very good at, at limiting them. Another, I think another example would be something like augmented reality, where there's a ton of really good potential applications for that.

Grayson: Uh, you know, it could be used in education for skilled trades, for example, uh, or, or arts. Like if you wanted to learn to sculpt, uh, it would be very expensive to pay for materials. But if you could have kind of a digital block of marble in front of you and wear glo wear kind of haptic sensor gloves that, [00:40:00] that,

Samantha: Hmm.

Grayson: you know, gave you feedback as if you were touching something physical.

Grayson: And you could use kind of a smart chisel on that, you know, it would, it would feel as though you were doing it. You could, you could get the tactile sensation, but you wouldn't be going through expensive materials. Um, so that would be one example, or, you know, in medicine, uh, a doctor could kind of see a patient's charts floating in, uh, floating above that patient, uh, and really save time and potentially avoid mix ups with charts that could lead to, um, the prescriptions of wrong medications and things like that.

Grayson: The problem is this, you know, we know this will, this will very quickly become, uh, it'll be marketed with those, right? Like, oh, look how great this technology is saving lives. But it'll immediately become just kind of the general purpose technology. So our doctor's not going to, you know, take off his smart glasses and go home.

Grayson: Uh, he's gonna go home and keep his smart glasses on and, you know, have his home decorated with, with digital art and, you know, be playing Tetris on his, [00:41:00] you know, invisible display in front of him while his kids are trying to get his attention and on and on.

Samantha: Yeah. We don't, we don't even need the smart glasses for that. That's already

Grayson: Exactly.

Samantha: to ourselves. Um, all already. So to your point earlier, uh, critics of transhumanism often are accused of being anti-science or anti-innovation. Um, how do you respond to the ideas that one, rejecting transhumanism is rejecting technological progress?

Samantha: And two, rejecting innovation is futile anyway, because technology's going to progress with whether you like it or not, with or without your permission, this is happening. So why are you, why fight?

Grayson: So, I mean, I think we can, uh, I think we can use the power of the, of the state to restrict, uh, certain technologies. You know, we already do it in some ways. Um, but in terms of the question of being against technology, I think there's, I, I, I really want more technological [00:42:00] innovation. I just want it to be channeled in ways that don't undermine our own humanity.

Grayson: CS Lewis talks about how, you know, this conquest of nature, right? The scientific project was inevitably going to turn around. The conquest of nature was inevitably, inevitably going to become the conquest of human nature by humanity.

Samantha: Right.

Grayson: At which point what is humanity like? The concept is no longer meaningful because we are determining what it is.

Grayson: So it's just a, an infinite kind of regress that, uh, leaves you in this transhumanist dystopia that Lewis describes very presciently in the, in the 1940s. Um, you know, that's, that's kind of a black pill. That's, that's not very encouraging. I'd like to think that there's a way in which we could continue, uh, creating technological innovations that respect an idea of, of a human telo sub, of an unchanging human nature.

Grayson: Um, you know, if, uh, humans have always used tools, right from the, [00:43:00] the first, uh, the first human who picked up a stick. Uh, and, and, you know, whack something with it, right? We've always used tools and I don't think that a spaceship is meaningfully different from, you know, a stick in that sense. Uh, we are, we're creatures that use tools.

Grayson: I just wanna make sure that we stay ourselves and use the, and use the tools ourselves. Not that we use our technologies, uh, to make ourselves into something we aren't. You know, there's, uh, I don't have a problem if, you know, on the construction site you wanna plug a set of robotic arm, a four robotic arms into your brain stem and use them to carry around big, uh, big heavy girders.

Grayson: I just want you to unplug those and go home. I don't want you to move through life as a six armed, uh, transhuman cyborg.

Samantha: Do you think that there so a lot of times people will say technology is neutral. It's all about how you use [00:44:00] technology. And I think by and large, most examples, that's true. But do you think there are some technologies that in and of themselves are not neutral, that their use is. Um, and, and maybe this is a defining factor of transhumanism, that the using them and of itself for whatever it does is not morally neutral, like this technology is, is something that has carries in itself a, a moral value.

Grayson: Yeah, that's hard to say. Um, you know, I think the example of artificial wounds is a good one. Where there is, is a way that you could use them that would be positive. Um, I'd struggle to think of a, a, you know, a good application of, of IVF, for example. I think that, you know, at least, uh, from a Catholic perspective, um, you can say pretty much across the board that, you know, fertilizing an embryo outside of, uh.

Grayson: You know, a marital, uh, [00:45:00] uh, love that, that, that's going to be out of bounds, for example. Um, I think that in general though, I'm not sure it's the case that technology, sort of capital t writ large is morally neutral. Uh, I think that's a, I think there's a pattern we see in, in scripture, and I talk about this in the last section of my book.

Grayson: Uh, if you go into the book of Enoch, which is kind of a, a sort of extended telling of the, the pre-flood narrative. Um, you get all this detail where the, in Genesis six it taught, there's this mysterious passage about the, the sons of God and the daughters of men interbreeding and creating this race of giants.

Grayson: Uh, and most early commentators kind of saw that as, as fallen angels and humans creating offspring. Together. These giants are called the Nephilim in the text, and they're associated with the line of cane, you know, the [00:46:00] line of eth and the line of cane. And in the book of Enoch, you get a lot more detail about what's going on there, where these fallen angels, you know, father, these, these hybrid children, uh, and then sort of serve as almost familiars or spiritual guides to them and give them technology, right?

Grayson: They, this is why in, you know, the book of Genesis, it talks about like tubal can is the first to smelt bronze or something like that. And another Kane's descendants is the first to create musical instruments and all these other things. Um, it's sort of not super clear in the original text of Genesis, but like the, the book of Enoch sort of clarifies this is, this is about.

Grayson: Them being given technologies that they can use to increase their power, enslave their fellow men, and eventually destroy creation. Um, they're being, they're being given technologies that they're not ready for and that they'll use to destroy themselves because that's what, uh, that's what the demons [00:47:00] want us to do, is to destroy ourselves.

Grayson: Um, and so the flood is God sort of setting back the clock on that. Um, and sort of rescuing his creation from, its from humans technological, uh, exploitation and domination of, of creation end of one another. And then I think you see something similar with the Tower of Babel, where there's sort of a, a human ach, an achievement of human technology, uh, in building this tower, uh, that God sort of looks down and feels the need to intervene and set the clock back once again in some way, uh, by confusing their languages there and, and scattering them.

Grayson: So I think there's, uh. This is sort of where the, the climate, the, the very end of the book. I, I kind of grapple with these ideas, but I think there's these processes that work in history where we are being given technologies that we can use to destroy ourselves. And I think that [00:48:00] transhumanist technologies might be the ultimate example of that because we can really use it to erase or destroy our own human nature, which it's, you know, it in, in most kind of definitions of what's going on with salvation.

Grayson: It's sharing, it, it's the, the, um, the coming together of divine and human nature in the person of Christ that that plays a major role in our, in our salvation. So if you place yourself outside of human nature in that sense, I don't, I don't know where that leaves you.

Samantha: Right. Um, okay. So a couple, a couple of questions. mentioned a and talked about a few specific technologies. Are there any that we haven't talked about that are sort of wants to keep an eye on as we go, go through the next few years and what's in development? I.

Grayson: I think AI is another big one. Um, because I think that, you know, there's, there's a lot of people who talk about wanting us to merge with ai, uh, for example, to kind of, um, you know, [00:49:00] not only integrate it into all our decision making processes, which, you know, takes a lot of things out of human hands, but also to.

Grayson: Kind of use it to literally upgrade ourselves in certain ways.

Samantha: Yeah.

Grayson: think just more generally, like you, you don't even need to look to the future. I think you're already seeing one transhumanist aspect of ai, which is that kind of by its very existence, it raises this question that you see in like the Turing test.

Grayson: Uh, for example, uh, you know, Ellen Turn came up with this idea that like if a computer, if you're talking to a computer, uh, just by like typing back and forth and you can't see it and it can convince you that it's a human, that it's actually thinking, uh, who are you to say that it's not? Um, right. Like aren't humans and computers sort of the same thing.

Grayson: It's just one of us has carbon hardware and one of us has silicon hardware. Uh, you know what really is, uh, consciousness anyway.

Samantha: Oh, well that's, that's just silly.[00:50:00]

Grayson: Yeah. Well I think that.

Samantha: if, if you, uh, if you're blind and, uh, let's go back to the Bible here. And you have two sons and one of 'em convinces you that he's the other son and he gets the birth right of the other son. 'cause he, he's, it's still a kid. Case of mistaken identity. Just 'cause you can trick somebody doesn't make it real.

Grayson: Sure. But the larger question is like, is it all just information processing and is consciousness just kind of an emergent property of information processing, uh, in some sense?

Samantha: a reduc, not a, not a glorification of what AI is doing, but just a reduction of what the human mind is doing.

Grayson: Yeah, exactly. It, it, it erases the idea that there's anything special about humanity. Um, and I think you're already seeing people forming these weird relationships with ai. You've already seen people, you know, commit murders or take their own lives,

Samantha: Yeah.

Grayson: you know, in, in a, uh, sort of less tra uh, less dramatic, but I think no less tragic sense.

Grayson: You've seen [00:51:00] people. You know, uh, there's AI kind of dating simulators where they'll, they'll genuinely feel that they're in love with this, this, this construct. Um, and I think that's something that's really sad where we now live in, in a world, uh, and, and I think increasingly will where you have to kind of perform this term test a million times a day where, you know, especially if you're online, you'll, you'll never be quite sure

Samantha: Right.

Grayson: what you're interacting with is a real human or not.

Grayson: And that in of that, in and of itself, puts us into a transhumanist uh, society, I think in a very real way.

Samantha: Yeah, no kidding. So if someone's listening and thinking, okay, this is wild, but what can I do about it? What do you say? How do everyday people respond to this cultural wave of transhumanist thinking, urging us to abandon what we are and become something better?

Grayson: Well, I think that [00:52:00] one thing you can do is just try to be intentional about your use of technology. Uh, there's a great book called The Tech Wise Family by Andy Crouch, uh, that has a lot of really good pointers for that. Uh, although I'll confess that I've read the book and have not been great about implementing all of them.

Samantha: Uh, it's one thing to know what you should do. It's another thing to actually

Grayson: Exactly. Uh,

Samantha: and getting it done.

Grayson: but on one hand I think it, it is, it, there's only so much you can do as an individual. Uh, we're really facing a. We're really facing, uh, um, asymmetric warfare here, right? Where, you know, think about apps, uh, you know, social media apps, for example, that, you know, these exist to disin incarnate, uh, their users really to kind of drag you away from your physical environment and from, you know, your family and your friends who are physically with you, and [00:53:00] to draw you into this digital world.

Grayson: And, uh, profit from your attention. Just really kind of strip mine your, your attention span and your dopamine receptors for ad revenue. Uh, and so it's, it's that, uh, versus just your average family. You know, parents are maybe tired from working all day. Uh, you might not have the energy necessarily to do some kind of activity with their kids.

Grayson: Um, and so the kids just end up scrolling, and I think it's unfair to pit those two against each other, uh, which is why in the book I advocate really strongly for bans, uh, on miners being on social media, for bans on miners own smartphones altogether. Uh, I think those are both really, uh, important things we could do because the, you know, there's, there's sort of a libertarian argument that like, oh, I don't want the state telling me how to parent, but I think that's the wrong way to frame it.

Grayson: I think in this case, [00:54:00] um, you know, the state has a, a valid role to step in and kind of shield the family from the market because I promise you these tech companies, uh, these, you know, programmers who are paid millions of dollars a year to know exactly how to hack your kids' dopamine receptors, they don't care about human nature or human telos or authentic human flourishing, or, uh, human embodiment or any of these things they care about.

Grayson: Next quarter's profits. Um,

Samantha: right,

Grayson: so,

Samantha: does tell you how to parent in that you can't give your kids heroin. They

Grayson: yeah.

Samantha: go out and buy alcohol. They are not gonna be smoking. Like they're,

Grayson: Mm-hmm.

Samantha: be in a casino. Uh, but then they get a digital casino that's It's crazy.

Grayson: Yeah. So I think we need to get over this phobia. We have of enshrining an idea of human flourishing in our, in our political system and in our economic policy. You know, we should say, we should be able to say, [00:55:00] you know, entrepreneurship freedom, uh, individual autonomy. These are all good things so far as they go, but that doesn't mean that all choices are equally valid and that all life paths are equally valid.

Grayson: We actually want people to fall in love, get married, have children, raise those children. We want those children to have normal, healthy childhoods where they go outside and play and their brains aren't turned into mashed potatoes by the time they're eight years old. Uh, and this isn't an issue of, of government restricting your freedom.

Grayson: This is an issue of giving you authentic freedom and protecting you against people and, and entities that want to take it away.

Samantha: Mm-hmm.

Grayson: Um, and I, I don't think, I think that that's what we think of today as, as liberalism or, uh, you know, as a democratic society, right? That what it's come to mean is this sort of radical indifference as to ultimate goods, right?

Grayson: That, that society has to be officially neutral on what the good life looks like. And that's not [00:56:00] how this country was founded. Even. Um, if you go back and you just read the Founding Fathers, they all believe in natural law. Um, they all believe that there's such a thing as human nature and the type of flourishing property of that nature, and we've really, really gotten away with that.

Grayson: And the same thing. In the economic sphere where there's this focus on just increasing consumption, uh, and on increasing personal autonomy. Um, whereas no, it's like maybe we can, uh, maybe we can sacrifice a little bit of GB GDP growth if it makes it easier for, uh, people to get married and buy homes and raise families on one income.

Grayson: Uh, have, you know, real good dignified work. Uh, these are all, you know, important questions of public policy. And I think that one thing we can do to fight transhumanism is kind of organize around those principles. Um, but in terms of an individual, um, you know, I think the best you can do is really try to be intentional about how you [00:57:00] use technology and really try to embed yourself in real life communities, you know, especially your church.

Samantha: Yeah, absolutely. Um, so one final question that I ask all our guests is, uh, who is one person alive or dead, real or fictional, who you believe exemplifies the very best of being human?

Grayson: The very best of being human. Goodness. Uh, well, by, by definition Jesus of of Nazareth, right? The very best.

Samantha: to that. So, uh, where can listeners connect with you? Find your work, follow your work by the book?

Grayson: yes. You can buy the book at Sophia Institute press's website. That's sophia institute.com/transhuman. Uh, the book's also available on Amazon. It's called the Transhumanist Temptation. In case you forgot. Uh, it's available is a Kindle and as an audiobook too. The narrator, I think, did a [00:58:00] very good job. So, uh, you can enjoy it as an audiobook.

Samantha: Awesome.

Grayson: then if you wanna follow me, I'm on X Twitter at, uh, hemming Q is my handle. H-E-M-I-N-G-Q-U-A-Y.

Samantha: I like that. That's a good, that's a good one. Thank you so much for your time. I.

Grayson: Thank you for having me.

 If this episode raised questions or sparked thoughts you'd like to explore further, I'd love to continue the conversation with you over on Substack at Brave new us.substack.com. Your comments and insights there helped to build the kind of thoughtful community the show was made for to support brave us.

Please take a moment to rate and review the podcast wherever you listen. Or become a paid subscriber on Substack. Your support makes it possible to keep bringing you these ad free episodes. Thank you for listening and being part of the journey into what it means to be human in the age of [00:59:00] biotechnology.

IVF Isn’t Your Only Option—Here’s the Fertility Fix No One Talks About | Grace Emily Stark

Is IVF the only answer for infertility—or is there a better way? In this episode, Samantha Stephenson welcomes back Grace Emily Stark, editor of Natural Womanhood and a leading voice in restorative reproductive medicine (RRM). Together, they unpack what RRM really is, how it differs from conventional gynecology and fertility treatments like IVF, and why so few women have ever heard of it.

We explore:

  • The science behind cycle charting and hormone diagnostics

  • Why the birth control pill often masks—not solves—reproductive issues

  • How RRM treats the root causes of infertility (like PCOS, endometriosis, and fibroids)

  • The cultural and political barriers to this life-giving approach

  • How anti-Catholic bias and insurance policy keep women from real options

  • Why restoration of fertility should be the gold standard—not bypassing it

If you're fed up with “lazy medicine,” frustrated by the one-size-fits-all approach of the pill, or wondering if IVF is really your only path forward, this conversation is a must-listen.

Mentioned in the Episode

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Grab a copy of Samantha’s book Reclaiming Motherhooda theology of the body for motherhood in the age of reproductive technologies.

TRANSCRIPT

​[00:00:00]

Today I'm welcoming back Grace Emily Stark, editor of Natural Womanhood and one of the leading voices advocating for restorative reproductive medicine. You may remember grace from our earlier conversation on the pitfalls of contraceptives.

If not, go and check out that episode from season two after this one. Today we are diving deeper into what's broken in the current model of fertility treatment and why restoring the body's natural function rather than overriding it may be the most promising path forward. We will talk about the science, the politics, and the cultural narratives that make it so hard for this approach to get a seat at the table.

Is IVF really the only option? Why aren't women being told about other methods? And what might a more humane vision of reproductive medicine actually look like? Let's find out Grace. Welcome back to Brave New Us. It's so good to be back [00:01:00] with you, Samantha. , So for those new to the concept, what is restorative reproductive medicine? How is it different from conventional gynecology or fertility treatments like IVF? , That's a really great question and a really good place to start, especially because we're seeing a lot of misinformation out there about what restorative reproductive medicine or RRM actually is.

So the, the conventional approach when it comes to gynecology, we'll start there, , is to suppress issues that women have with their reproductive health. So key among that is birth control. Birth control is, is probably the number one tool in conventional gynecology toolkit for addressing reproductive health issues. , And mainly what it does is it functions to shut down a woman's cycle. And so when you're having cycle issues, if you just shut down the cycle, the logic goes.

No more cycle issues, right? [00:02:00] So that's why women with painful periods, , teen girls with painful periods are often put on hormonal birth control because it completely just shuts down their cycle. , They still bleed because they're taking a sugar pill one week outta the month., But it's not a true period.

And so a lot of women find that that does sometimes do a decent job of suppressing symptoms. But what restorative reproductive medicine understands and what practitioners of RRM understand, , is that that's not getting to the root cause of why women are experiencing infertility. So we know in this country that endometriosis takes on average about eight to 10 years.

To get a proper diagnosis. And that's insane because it's actually as common as diabetes., And it's often one of the underlying issues causing, , or sorry, the underlying issue causing painful periods in a lot of women,, so are fibroids.

And so a [00:03:00] restorative reproductive medicine practitioner would see a woman coming in and would say, okay. Let's get to the root of this. Let's start doing some imaging studies. Let's start doing some hormonal, , draws, blood draws to test your hormones. , But first and foremost, they're gonna get you charting your cycle. They're gonna get you in touch with what your cycle currently looks like, teach you the biomarkers of your fertility so that you can read the signs of your cycle so that you can track it.

And then a restorative reproductive medicine trained practitioner can use your chart as a fifth vital sign and use that to help diagnose whatever underlying conditions are causing your painful periods, causing your infertility, , whatever issue that you're presenting your doctor with.

So rather than, than bypass issues or suppress issues with reproductive health, RRM gets to the root cause and actually addresses [00:04:00] those underlying issues that are pr, that are causing you to have the symptoms that are disrupting your life or causing you to deal with infertility.

Yeah. Why does it take so long for a diagnosis and why does it take a decade to get that answer? Medical school students are taught,, especially those going into obstetrics and gynecology are taught that the birth control pill is the best tool in their toolkit.

, And it's kind of that, perennial. Problem of when the only tool you have is a hammer. Every problem looks like a nail. , And so it's kind of just taking a hammer to women's health issues just to prescribe birth control for whatever issue your female, , patient presents with, in obstetrics.

The second issue is also that.

We don't have enough funding, we don't have enough research around it, which is crazy for how common it is. There's a, a real lack of [00:05:00] research into it. And so there's a lack of education about it in, in medical school and in residency training. And so there's this constellation of symptoms that. Uh, doctors just don't know about because they weren't taught about it. Mm-hmm. Um, because unless you really specialize, like by going into restorative reproductive medicine, you're probably just learning like, oh, endometriosis is this painful period.

Condition, and the best thing we have is birth control. Yeah. That, that was me. I started my cycle when I was 10. Mm-hmm. I got put on the pill when I was 13. Okay. Um, because it was so pee like I couldn't go to school. Um, and then I tried a bunch of different things, like I was on the patch and that gave me rashes.

And then I one, one type, I think they were giving me. Narcotics at one point. I'm so sorry. Yeah, yeah. It was rough. But, um, I got out off of it when I was in college and I would still have to miss a, you know, a day or two of [00:06:00] classes every month, which was fine.

'cause I was, I was like a fairly good student, but when I started working, that didn't work. So I went back on it and then I got a clot and Yeah. Anyway. Right, right. All the, all the fun things about contraceptives, it's like this is not the solution. That we, that women need.

Yeah. Um, so when we're talking about this approach, it seems like there's an underlying philosophy that's driving this approach that makes it just entirely different from the outset from mainstream medicine. Yeah. It's a scientific, ethical, holistic or some combination of all of that. How would you describe that?

Uh, absolutely some combination. Um, I think the central premise that undergirds all of restorative reproductive medicine is that, um, a woman's cycle is an essential [00:07:00] function of her body. I mean, when we say it's a fifth vital sign, we really mean it, um, because it. It's both impacted by every other aspect of her, her health, and impacts every other aspect of her health.

It is totally inseparable from your health as a woman. You know, you and I are of the age where I'm sure we can remember the commercials on TV that we're like, you don't need a period if you're on birth control. Did you know there's no medical reason to have a period, blah, blah, blah. Um, and so we're, we were raised on that, right?

That, oh, it's just this thing that we can shut off. It's this inconvenient thing that we can shut off and why wouldn't we if we have the option to? Um, and it's a lie. It's, it's all been just an, an incredible lie. Um, because it's part and parcel of our, our health as women to have a healthy functioning cycle.

Um, and. That's [00:08:00] probably why birth control has so many, like far ranging side effects and why women are so blindsided by it. Because they're like, well, I'm on birth control and my stomach hurts all the time, but what on earth could birth control be doing to my stomach and or, you know, I know that birth control, , might give me a clot, but I don't really understand why.

And I also know it's associated with depression and I don't really understand why. And it's like it, there's all these disparate side effects. Both because of what birth control is doing to our body and because of what it's stopping our body from doing, which is I think is the real key that a lot of women don't understand, , is that birth control is as dangerous for what it's stopping your body from doing, which is cycling and primarily ovulating.

Right? Ovulate. Ov ovulation is the, , main event we say of your cycle. We think of the period as like the main event because that's all we're taught about is just to look out for your period once a month. But really it's [00:09:00] ovulation. We need to be taught to, , track and, . Keep tabs on the biomarkers of, , because it's healthy, regular ovulation that, particularly in the teen years and early twenties, , that helps proper brain development happen in women, , proper bone density, , building and development happen in women.

, It has implications for our heart health, how our cardiac tissue develops and functions, , our immune system, , especially, and different tissues like, cervical tissue. Breast tissue, which again is why we see the correlation with breast cancer. . To be able to develop and function properly. As women, we need to have regular healthy cycles, and so if you're not having a regular healthy cycle, we need to get you cycling healthily and regularly, not just because it'll improve your quality of life and that your periods won't, you won't feel like your period's trying to kill you every month, [00:10:00] but also because we need to make sure that your hormones are doing what they're supposed to do.

All across your body, not just when it comes to your bleeding. So that's why we call it the fifth vital sign. That's why, um, restorative reproductive medicine is just so fundamentally, like foundationally different from the conventional approach. Restorative reproductive medicine that undergirds everything that a, um, professional healthcare, professional trained in RRM does is restoring the cycle so that you have good health, um, good overall health, and with it good fertility too.

, How do you know when you're walking into your, uh, doctor's office or, or making an appointment, I guess, how do you find one of these, uh, doctors who is practicing restorative reproductive medicine as opposed to the more conventional approach?

Um, now you know that you're gonna not gonna get in your doctor's office, sit down and [00:11:00] then have them look at you like you're a crazy person. Yeah, that's a good question. Sometimes you do just have to go to the appointment and see, I think unless they bill themselves as like a holistic practitioner or somebody who's specifically trained in NaPro technology, fem or now neo fertility is another, , growing, , contingent of kind of this, this flavor of medicine.

, Unless they specifically bill that they're trained in that you're probably going to be met with someone who is likely to offer you birth control, , or if you're trying to get pregnant and not, not, you know, getting pregnant successfully. IVF, especially if you've been trying for six months to a year.

But I also would encourage women if you have, , an O-B-G-Y-N that you have. Used and that you've liked, you, you might be able to educate them a little bit. We off offer a lot of resources at natural womanhood. I [00:12:00] know that there, , we have readers who have printed out articles and brought them to their doctors.

, We need more doctors to become aware that this is a legitimate, , and effective form of practicing medicine. , So I wouldn't necessarily like write your doctor off or write any doctor off, , if you don't see automatically that they, , practice this way. , If they don't build themselves as practicing that way.

Definitely if you know that you have issues and. You're not in the place of want, having, wanting to have to educate your doctor. You need, you need help. Um, yeah. You were a decade in Yes, by the time I got surgery for endometriosis, it, I was married, so I wa it was, it was 11 years for me.

Yeah. So go to somebody who, who says that they are a restorative, reproductive medicine, , trained, , healthcare practitioner. , Especially if you see that they're trained in nepro technology or fem, that's [00:13:00] FEMM, , or neo fertility, n EEO fertility. I will say I saw doctor after doctor, um, about my issues and then when I went and I finally saw the doctor, um, who was a NaPro mm-hmm.

Specialist. Mm-hmm. Mm-hmm. She diagnosed me on the first visit. Yeah. And then my next interaction with her was having surgery and the problem was fixed. So, yeah. Yeah. I mean, it's incredible that 11 years versus one visit is a little bit more efficient. Yeah. And that can give you whiplash. Right. And so many women get so fired up and so angry, um, that this was a solution that could have.

Uh, you know, save them years of pain, years of interventions that they didn't want. Um, and for a lot of women, like years of heartbreak from miscarriage and infertility. Um, and so I, I think it's great that we're, we're seeing, um, more people gain [00:14:00] awareness that restorative reproductive medicine exists and that they're demanding it, um, because the demand is going to cause.

Is, is ultimately, I believe what's gonna cause more, um, doctors and, and med school students and uh, uh, residents to want to learn more about it. And the thing is, is they might come into it with these preconceived notions. Like I, I can tell you so many stories of, uh, women who go to their doctor who are like, that's not medicine, that's not science.

Um, isn't that, aren't you just talking about the rhythm method? That's, that's not science. Or are you just gonna get pregnant or, you know, um, IVF is all that we can do for you for infertility. What are you talking about? You know, go see it. Some woowoo person if you want, like, they think it's, they think that, uh, this just is like this ideological, um, non-scientific unscientific, um, kind of like reiki and crystals and woo woo type of thing.

Mm-hmm. But the more that they [00:15:00] actually start to read about it and dive into it, like you can't. But not see that this is based in science and it's actually based in better science than most of what conventional, , gynecology does. Because it's based in a really profound understanding of the female menstrual cycle.

. That should be the basis for all of gynecology, right? Like, it would just seem like that, that would just make sense, but unfortunately it's not. , But what restorative reproductive medicine is ultimately based in is that, is this, this really, , really keen understanding of what a normal, healthy female menstrual cycle should look like.

And that's why it goes hand in hand with fertility awareness, , fertility awareness methods and, and good body literacy in in women and patients. Hmm. So we talked about like lack of awareness in, , in medical school, [00:16:00] lack of education, , lack of understanding, masking problems with the pill or just you have this, any one of these.

Female symptoms, the solution is the pill. Period. End of story. Because those are some of the problems to this being more widespread understood and implemented. , Are there other barriers or are there policy barriers to wider adoption of restorative reproductive medicine right now? Yeah, I think, , so on the cultural front there, there's definitely bias against it and I think a lot of it stems from, , frankly, I think there's a good, not all of it, but a good proportion of the bias stems from anti-Catholic bias.

Mm-hmm. Um, because Catholic physicians are the pioneers of restorative reproductive medicine. , And that's because when the Pope said, you know, birth control is off the table for Catholics. Mm-hmm. Um, [00:17:00] back when Humane vita in. Whatever year in 1960 was published, um, that kind of lit a fire under Catholic physicians, , to start looking deeper into the female menstrual cycle, , and into different issues, , around female fertility.

The, the rhythm method was actually already a thing by this point, I think that had been around since, , the fifties. , And so Catholics were already kind of starting to delve a little bit deeper into, , female fertility for the understanding that it could help, , couples with family planning in a way that was, that was illicit, , according to the tenets of the Catholic church.

, And so I think a lot of people see it as like, oh, fertility awareness is just Catholic birth control and. Restorative reproductive medicine is just Catholic, IVF. I've heard people refer to it that way. , And it stems [00:18:00] from the fact that Catholics really grew up and pioneered this form of medicine.

And it kind of, it's like that necessity is the mother of invention idea. Mm-hmm. You know, where, uh, Catholics were not allowed to use birth control, so, but they were allowed to use periodic abstinence. And so that's where the idea of natural family planning. So using fertility awareness to understand when you're fertile and when you're not, and having sex when you're not fertile.

. Avoiding sex when you are, if you're trying to avoid pregnancy, was, was illicit means of family planning. Mm-hmm. So that's where those methods grew up. , And along with it, a really good understanding of the female cycle and fertility. , And then from kind of the Catholic prohibition against in, in vitro fertilization, , and going hand in hand with this really good understanding of what female fertility looks like.

, Grew up, , these restorative reproductive medicine, , techniques that really looked at, okay, well [00:19:00] we're not gonna use IVF, but do we actually even need to, because I can see from your charts, I can see from your cycles that they, they don't look right. That tells me that there's something wrong with your, your, your fertility.

, And so Dr. Hilgers at, , Creighton University started. Doing deep dives into different hormonal balancing, different surgical techniques that could be done to restore fertility. , And so, because a lot of this was pioneered by Catholics, again, out of, out of necessity mm-hmm. Um, I think there's a lot of anti-Catholic bias that comes along with it.

, Even though now there are RRM, , professionals of all different religious stripes, all different backgrounds, , because it's pe as people understand like, oh no, this is, this is just good medicine. This isn't Catholic, this or Catholic, that. This is just, if you're a woman with, you know, a cycle. We can understand what your body's doing or what it's not [00:20:00] doing, um, and, and treat you, treat you better with that understanding.

Mm-hmm. Um, and so I think part of it is, is an anti-Catholic bias that still persists today. , And then on the, the policy side of things, , insurance will not reimburse for a lot of what RRM does. , IVF, , the IVF industry has made a lot of inroads in getting coverage mandated, , in certain states. .

And we haven't seen the same push, , previously with RRM, although that's now changing, , Arkansas signed the Restore Act, , several months ago. And now in addition to, , insurers in Arkansas having to cover IVF, they also have to cover RRM techniques to treat infertility. , And also under Title X, they have to, , implement in, in, in clinics that receive Title X funding, have to also offer fertility awareness based [00:21:00] methods alongside, alongside any other family planning information, , that they give out.

So that's, that's a huge step forward. And we, yeah, we would love to see, there's a push to implement, implement that on the federal level as well. Mm-hmm. , And so there, there's change happening even as we speak, and that's super exciting. , But we're really far behind. . IVF industry, which is a massive, it's a David and Goliath, you know, , IVF has, has all the money, , and they have all or most of the influence.

, And so they've been able to really wield that in terms of what gets coverage. And so, , I interviewed Dr. , Patrick Young. , He owns the Restore Center for Endometriosis in St. Louis, I believe it is. , Who's doing some absolutely incredible things. , With endometriosis surgery in particular. , He does surgeries that last 8, 9, 10 hours.

, He told me his longest [00:22:00] surgery, I think he just did, was 13 hours. , And he would get no reimbursement for that from insurance. , And so he's cash. And unfortunately a lot of these, these clinics and a lot of these RRM , professionals have gone to cash pay, which is unfortunate because it means that a lot of people can't afford their care.

Right. , But if we were able to see better coverage from insurance, , perhaps more of these professionals would start accepting insurance. , And women, more women would be eligible for this kind of care. Because, I mean, , Dr. Someone like Dr. Young and there are other, other doctors, but I'll use him as an example.

'cause I recently interviewed him on the Natural Womanhood Podcast. , He goes in to, . Women's bodies and will remove endometriosis from that's, that's covering their bowels, that's covering their ovaries, that's locking all of their [00:23:00] pelvic organs together. , And these pictures are wild. I mean, if you, if you have a strong stomach and you want to see what stage four my husband does, he would be really interested.

I mean, just if you can stomach it, if you google search like stage four endometriosis photos, it is crazy. I mean, it's just masses of scar tissue, literally locking all of your pelvic organs together. And so he will go in Dr. Young and other well-trained, , RRM practitioners will go in and cut all of that out.

, And then also they have techniques to prevent scar tissue from forming after. The, the, the cutting out the excising of, of the endometriosis lesions. , And so that's why the surgeries he's take, he's doing are, are lasting several hours. Mm-hmm. , And he, he gets patients like this, this one who, who was a 13 [00:24:00] hour surgery that no other physician will touch.

Mm-hmm. , He, he told me that this particular patient was a, was a peak and shriek where the prior endometriosis or prior, , ob, GYN who, who said they'd do surgery on her. . Literally poked a, the lap, laparoscopic camera in and just pulled it right back out and was like, we can't do anything for this. Mm.

And he recommended, I think, like a total hysterectomy. , And this was, I think a woman in her twenties, , and said, you know, you're just gonna have to have, we're just have to take all this out and you're gonna have to be on birth control for the rest of your life. Mm. To suppress it. And thankfully, she heard about Dr.

Young and got on his list and her whole life, she's, she's been given her life back, her life and her fertility back. Mm-hmm. So this is the kind of life changing, just cutting edge stuff that, , things like Dr. Young, Dr. Naomi Whitaker, , there's a, there's another, . Blaze Melbourne up in Pittsburgh, , Dr.

Kwassa in Atlanta. , These doctors that are really, really specializing in [00:25:00] really fine tuning their endometriosis surgery techniques, , are doing incredible stuff. But yeah, a lot of 'em are cash pay because insurance won't cover it, which is really sad and hopefully will change. Yeah. Yeah. So two things about that.

One, it just strikes me so much because follow the science should mean follow the science and whatever the best science techniques, medicines to solve the problem. You shouldn't depend on the character or creed of the scientist who's doing the work. Right? So the anti-Catholic bias, , but I understand how that plays into people's perceptions.

You can't really mm-hmm. Separate out your biases. , Yeah. Recognize them. Maybe you can choose to do better. But then the other thing that strikes me as I'm listening to you talk is I just had a conversation with Dr. Richard Burt about he, , has this technique using your own blood stem cells mm-hmm. To, , not [00:26:00] cure because your genetics are the same, but reverse autoimmune disease.

So you take the, the sample from the patient and, , you do this conditioning regimen, wipe the immune system clean, but basically because it's not a drug, it's the patient's own mm-hmm. Biological material. Mm-hmm. There's no, no FDA approval because it's. Blood, like you can't patent blood. So there's not, , interesting awareness.

And the first one that he was able to reverse was multiple sclerosis ms, which is, you know, steals people's lives from them. Oh, that runs in my family. Yeah. Yeah. I'm very familiar with it. And, and the, but the patients, like the, the pharma, the medication, it's $60,000 in infusion, $90,000. And it doesn't even improve quality of life.

So that's the kind of money that's up. And for the, the medications that do not solve the problem for these patients, they maybe keep the condition [00:27:00] from getting worse, like slow the progression. Meanwhile, there's this procedure, there's a doctor who has figured out how to reverse and give people their lives back, but there's no, there's no money.

There's not a, a company that's going to get rich off of it. They're gonna get rich off of people staying sick. It's just this problem with the symptom, which seems like it's the same thing here, or not the same thing, but just a similar aspect of the problems with the system that really disincentivize medicine from addressing patient problems in a way that restores them to full health.

'cause , healthy patients are not, um, profitable. Yeah. Well, the Dr. Young likes to say like, I'm, I'm a one and done surgeon. He's like, I wanna, I wanna do surgery on you. Exactly. One time and never again. That's exactly what Dr. Burr said in the interview and in his book, everyday Miracles about same thing. I wanna, I wanna make the [00:28:00] problem we deal with God.

God bless those doctors. Right? They still exist. And then for trying to practice medicine that way, they get laughed off as voodoo doctors. Like we couldn't possibly actually address these issues. We are just gonna give them a pill to make people go, you know, go away. Right? And you just keep coming back more.

Right? And that's, that's it with IVF too, is it's like, okay, we're gonna have you, we're gonna get you your first baby and maybe, and then if you want another one, then you're coming back and doing more cycles with us. And, um, you know, rather than let's get you healthy, let's balance your hormones, let's, , get whatever surgical interventions we need going for you, , in the hopes that.

You yourself will be able to get yourself pregnant. Well, with your spouse of course, but, you know, with, with no assistance. They're working, they're working on the science to make it, they're working on that. , That's a subject for another podcast. It's [00:29:00] actually Emma, Emma Waters. And I did talk about that briefly in the, uh, yeah, she's a good one to talk to about that.

, If you could wave a magic wand and pass three laws to Marlborough, what would be on your policy wishlist? , Well laws, I don't know. Okay. Changes to the system, but yeah, changes to the system. I would like to see. , I would like to see a complete and total overhaul, first and foremost of what we call sex education in this country.

'cause it's a joke. It's condoms on bananas. , And so. Young women and young men, , reach adulthood, learning absolutely nothing about their bodies. , And without actually even really learning about, you know, they're taught about all the different methods of contraception and, and sex ed, , but they don't, they're not actually really taught how they work.

, And so we just have this ridiculous lack of, of [00:30:00] education, , in our country for people. , We, we keep people illiterate of their bodies. And so I would like to see actual true body literacy happen. , And in addition to that, , and, , maybe I should explain a little bit more what I mean by that. I would like both young men, young women, and young men to understand the female menstrual cycle.

I would like actual legitimate puberty education for young men and young women. . Whether it's done on a public education level or private education level, , I would just like to see an expansion of, of body literacy program, , so that when pri ideally before, , girls and boys are going through puberty, they have the context for why it's happening, , and know when it's happening and, and what it's all geared towards, which is good and healthy, , fertility, , and therefore good and healthy, just overall [00:31:00] health.

, And I'd like to see, gosh, it's like I wish I, I don't wanna just pull a number out of my, out of my hat, but there's a really huge proportion of young girls who, , have no idea what's happening to them when they start first period. , A lot of them think they're dying or that they're going to die. , And as the mom of three daughters, like, I just, I hate the idea that, , any young girl would, would start bleeding and have absolutely no idea why we have.

We had someone on our team at natural womanhood, no natural womanhood who, , thought she had cancer when she was like 11 or 12. She Googled it, , when she first started bleeding, , and carried that around with her for several months, thought she was dying of cancer. , And that's like a heartbreaking reality that I want.

I, I, I would love no young woman to ever experience, ever. Yes, I would like her to know why she's bleeding, and I would like her to know that it's a, a [00:32:00] good and, and healthy and powerful sign of, of her body doing what it's supposed to. Yeah. Um, and I would like her mother to understand that if she's not bleeding, uh, properly, if she's bleeding too much, if she's having too much pain with her periods, um, or, you know, insane moods, mood swings with her periods outside the norm, or any of the constellation of, of issues that young women can have with their cycles, I want their moms to know.

That there are doctors that they can take their daughters to who will not just put them on birth control. Yeah. Who won't just tell them that, you know, if you, unless you want her to miss school all the time, this is what you need to do. , And so, yeah, just on a, on a very broad population level, I would like to see better education and better understanding, better body literacy.

Um, and particularly around the female menstrual cycle and the fact that it is this fifth vital sign. Um, I'd [00:33:00] also like to see, this is a really big ask, um, but I would like to see, uh, magic wand so magical. That's great. I would like to see people stop referring to, um, IVF as infertility treatment. Um, I, I would wipe that out of the lexicon because it does not treat infertility at all.

It, it works around whatever issue is causing your infertility. Um, even, even when it's biologically, uh, unnecessary. I'll put that in quotes because it's not necessary for anybody to ever have a baby. But there are some really unique conditions. Like, uh, there's a complication of being a male cystic fibrosis gene carrier.

So you don't actually have cystic fibrosis yourself, but you carry the gene. [00:34:00] Um, men who have that, one of the rare complications of that is they don't have vast deference. And so, yeah. So they're, they're shooting blanks. Yeah. As they say. Um, we can't grow trins yet, yet until we can. Yes. IVF is one of the only, the only way that you're going to have, um.

A biological child of your own. Right. Um, there's gonna be, has to be some kind of medical intervention to get the sperm out of the testes. Mm-hmm. Um, and I don't know, I guess you could do ar artificial insemination. Yeah. Um, it wouldn't necessarily have to be IVF, but um, uh, with women too, if you've had your fallopian tubes removed either, um, because of, uh, cancer concerns or because you thought you wanted to be done having babies and you had 'em taken out and [00:35:00] now it turns out you do want them, uh, same kind of thing.

Right. You're not gonna get pregnant, um, without. Uh, the intervention of IVF. Uh, so there are some, some kind of anatomical issues that as of right now, restorative reproductive medicine cannot address. Maybe someday we will, maybe we'll be able to regrow tubes. Maybe we'll be able to grow, um, VAs deens. Um, but until then, you know, we have to be honest about the limitations of restorative reproductive medicine.

But still, even in those really kind of niche cases, you're not treating infertility, right? Mm-hmm. By using IVF to address the reason you're not getting pregnant. Right? So it's, it's just a complete, it's, it's the same way, um, that birth control for so long, we've said it regulates the cycle, right? It doesn't, it shuts it down.

Um, I would [00:36:00] like to, if I could wave my magic wand again, this is magic wand. I would wipe the regulating cycle language around birth control out of the lexicon, and I would wipe out the infertility treatment, um, association with IVF. Can I, can I interrupt you for a second? Yeah. So you mentioned like the, those limitations, but I'd like to go a little bit more into the potential with actually, um, treating the, maybe we're already going to go into this, but I think there's more to be said.

Um, especially for listeners who are not familiar. What can restorative reproductive medicine do to actually heal underlying causes of infertility that, um, that IVF just hijacks the body in circumvent. Sure. Yeah. Thanks. That's a, that's a good thing to delve into more deeply. As for endometriosis, uh, the surgical techniques that r RM trained professionals have mm-hmm.

[00:37:00] Blow conventional gynecology outta the water. Never, ever, ever go to a run of the mill gynecologist and let them do endosurgery on you Don't do it. Most of them will perform ablation, which is just burning the lesions, which you don't want. Um, and even the ones who will excise some of it, uh, won't get all of it.

Um, 'cause they're not trained to see all of it. Some of it's hard to see, or they won't poke around in there and make sure they're getting it everywhere it is. They'll just, you know, maybe get it off of one ovary in the hopes that you can get that one ovulating again. Mm-hmm. Um, they won't get all of it.

Um, and they aren't trained to prevent adhe, uh, adhesions. Um, and so that's the scar tissue that will form after, um, endometriosis excision surgery if the surgeon isn't trained to prevent them. And that's really common and it can actually leave you almost worse off [00:38:00] than you were prior to having the surgery, if you can believe that.

So, um, uh, someone trained in, in, in neo fertility in, um, femme doesn't really do surgery so much, uh, but NaPro technology, um, somebody who, who is actually trained in, in those, um, forms of restorative reproductive medicine. Can go in and get all of the disease, prevent adhesions, and so they can restore normal anatomy to your, your organs and your pelvis.

They that can help your ovaries start ovulating again. Um, they can open up tubes, even tubes that have been blocked or damaged by endometriosis. Um, Dr. Naomi Whitaker is, is a big specialist in this. You can find her on Instagram. She's a huge following on Instagram. Um, she, um, and her RRM Academy, she has a lot of, of videos of, of her performing these procedures and, and giving information to doctors who wanna learn more, [00:39:00] um, and patients who wanna learn more.

Uh, so don't, don't listen to, um, a doctor who tells you, your tubes are blocked. We can't do anything for you. It's IVF or nothing. Uh, RM trained doctors can open your tubes a lot of the time, um, in addition to removing any, uh, endometriosis. Tissue that's, you know, inhibiting your ovaries from functioning properly, properly or, um, your, your uterus from functioning properly.

Mm-hmm. Um, uh, so those are kind of the, some of the big ones with, with endometriosis. Um, and then, uh, with PCOS, uh, they can do some hormone balancing. A lot of PCOS is, is, is lifestyle issues. Mm-hmm. Be addressed with lifestyle issues. Not all of it, but some of it. Um, and so they can help with the, with hormone balancing.

With PCOS, if your ovaries are so polycystic that they're huge, that there's like risk of, of torsion, which is when they get so heavy that they can fall and twist and you [00:40:00] can, they can actually die and you lose an ovary. Um, they can do, there's some surgical techniques, ovarian wedge resection where they actually go in and cut a whole wedge out of it and, uh, stitch it back together.

Um, and they have found that that can help restore ovarian functioning for some women. Um. And, uh, again, uh, hormonal balancing. So, uh, targeted progesterone supplementation. Um, and if a doctor ever tells you, oh yeah, we'll I'll do progesterone cut, we just do it on, uh, day 14 through 28 of your cycle every other day run.

Okay? Because they should never be giving you a, a day of your cycle at which they are telling you to do an intervention. They should know that your cycle is unique to you. They should be looking at your charts. They should be either, they should be teaching you or somebody who works adjacent to them should be teaching you a, a fertility awareness professional.

Um, should be teaching [00:41:00] you how to read and chart. Your own cycle. Um, and then they should be implementing hormonal blood draws and hormonal supplementation, um, according to your specific cycle. So none of this come in at day 14, 16, 18 nonsense. It's come in, uh, you know, two days post peak, then four days post peak.

'cause your peak is unique to you. Right. And you should be taught to identify your own peak. So, and not just you, it's, I I each cycle, right? Yes, exactly. And can, can change, especially if you're dealing with, with cycle issues, your peak might change, um, and be on different days across different cycles. So, have you heard any of this stuff?

I don't know that there's actual, actual research on it, but mm-hmm. Just anecdotes about using GLP ones to address PCOS. Yeah, we, we actually have an article about that at natural womanhood that I can, can link in the [00:42:00] show notes. Um, you know, there's, I think there's a lot that we don't know yet about GLP one inhibitors.

Um, there's issues with being on them long term. Um, certainly losing weight. If you have PCOS and you're overweight, losing weight can be a really, really great way to help. Um. Mitigate or even help start to reverse your PCOS. Yeah. Um, but you need to do it safely and you need to do it in a way that, um, you're, you're still nourishing your body properly.

Mm-hmm. Um, I would never tell somebody that like losing weight when you have PCOS is the end all, end all be all. You should be cleaning up your diet. Um, and then hopefully when you do that, weight loss will come. Mm-hmm. Um, but you just need to focus on nourishing your body properly, first and foremost.

And I fear with the, um, the GLP uh, one drugs, um, that are out there, that again, [00:43:00] we're not really giving people good, good body literacy, good understanding of how to take care of themselves. It's another kind of quick fix. Mm-hmm. Um, and unfortunately. That is where people are turned off by RRM and where they see IVF is more of like the quick fix, right?

Because a lot of RRM is we're doing, uh, these interventions and we kind of have to wait and see how the body responds. Yeah. Um, but ultimately you're going to end up healthier because of it. And I think we need to be better at expressing that to people. Um, I was at an event in Washington, DC a few weeks ago that was, uh, co-hosted by, uh, the Maha Institute and the Heritage Foundation.

Hmm. On women's health and infertility. And a point that I made that I think I just need to start beating the drum on even more is when I was undergoing my infertility workup. [00:44:00] With a restorative reproductive medicine trained doctor, um, I actually felt and saw myself getting healthier because of the interventions that he was encouraging me to do.

Mm-hmm. And because of the different targeted hormone balancing that we were doing, you could see it in my charts. I could feel it in my body. Mm-hmm. Um, I was actually getting healthier for my, for the infertility treatment that I was undergoing. Can you find me a single woman who has undergone IVF who says she's healthier for it?

I, you know, I, I won't hold my breath because in general I see women who health is absolutely destroyed because they've under, um, from undergoing IVF. Um, and so I think we need to hammer that home a lot more. Is that RRM? Sometimes it can be a quick fix. Sometimes all you need is endometriosis surgery by really good surgery and.

You might never need intervention again, except maybe some [00:45:00] hormonal supplementation here and there when you're pregnant. Mm-hmm. Um, but you know, IVF you're, you're not gonna get healthier. And so maybe that's why we see, um, worse maternal and infant health outcomes with IVF. Um, we don't really understand why the outcomes are worse, but my thinking is that because the moms are not healthy to begin with, and they're made even less healthy by the extreme interventions of IVF, the drugs that you're put on to pump out, you know, dozens of eggs at a time, which no female body was ever meant to do mm-hmm.

Naturally. Mm-hmm. Um, you know, having to get on the, just the drugs that shut down and then kind of give you a fake cycle so that they can target when they implant the embryos. And by the way, they do this to surrogates too. Mm-hmm. Um, it's the same thing. They have to get. The surrogates cycle on, on track, right.

As it were, [00:46:00] um, for the implantation of the embryo. And so, um, we just, we don't see women getting healthier as a result of IVF. And I think that's an incredible shame because we want healthy moms. Mm-hmm. And we want healthy babies. Um, and we want moms who are healthy enough postpartum to be able to take care of those babies and those children.

Mm-hmm. And so when we're so laser focused on, we just have to get a baby, we just have to get a baby, we just have to get a baby by any means. We're not thinking long term about the health implications of forcing pregnancies upon women who have all these underlying health issues that have been totally unaddressed with IBF.

Well, and then, and then the industry really preys on that beautiful desire for parenthood. Yeah. And the, the pain of not having been able to, um. To pursue that, um, to its fullest ends. And the fact that women [00:47:00] will then, in that instance feel a degree of desperation of like, I don't care if it doesn't, if it makes me less healthy, if it makes me less healthy, but I am able to be a mom.

Like that's Yep. What I wanna do. Yep. And there's a lot of money to be extracted from that and, and a lot of money to fund advertising and articles and celebrity. Um. Yeah, I guess PR type stories of isn't this so great? Um, and not a lot behind actually healing women. Um, we're running up on our time here and I do wanna respect your time, but I did wanna circle back to this question of education and talk a little bit about Natural Women hoods, period genius program.

I'm going through it with my daughter who's a little on the young side, but you know, she'll be, she's very precocious, so she'll be prepared, but it's absolutely fantastic. So I would love to hear, um, for listeners, you know, what is the program? What inspired it, what [00:48:00] kind of feedback you're getting from other moms and girls, not just our great experience.

Yeah, thanks. Can I, can I ask quickly how old your daughter is? Who you doing it? She's nine. She's nine. Nine. And I started, yeah. It's not too early actually. We, we created our period genius program, um, with eight to 12 year olds in mind. Um, and so your daughter's the perfect age because ideally. Like I said before, I want a world where no little girl or teen girl starts her period thinking she's dying and having no idea what's happening.

Right. And unfortunately, that's the world that we live in right now. And so, um, our period genius program is a puberty education program for girls eight to 12. Although we've had moms tell us that they have their older daughters who've sat in on it as they're doing it with their younger daughters. And the older daughters are getting a lot out of it too.

Um, because we don't, we didn't infantalize anything. We don't talk down to you in the program. It's, it's 10, 10 [00:49:00] minute videos, um, that go through the science of the cycle, um, that go through what to expect in puberty, what a normal healthy cycle looks like, what a, what an unhealthy cycle looks like, how to get help for cycle issues, um, and, and all of these different.

Different, um, aspects of, of preparing, uh, girls and, and young women for the life, the embodied reality of being a woman. Um, and we've had really awesome feedback from it. Some of my favorite feedback, I think my very favorite piece of feedback that I've seen was from a mom who said, um, I am loving and so appreciating the change that I've seen in myself talking about my fertility and my womanhood and, uh, and my, my femininity in a positive way for the first time in my life.

And so that, like, that to me just, that's incredible [00:50:00] because we need, we need moms to really, um, heal. Mm-hmm. That was one thing that we realized with the research that we did going into developing the period genius program, was that so many moms are approaching. Puberty and their daughters from this place of fear because of how they experienced puberty.

Um, they, or just the way that it, that you were socialized to think about it or Yes. Talk about it or not talk about it in your family growing up, that mm-hmm. It could be hard to even understand, well, how do I, how do I approach this? Or how do I, that's why I thought it was such a good, um, a good way to frame everything around the beauty of your body, preparing for this incredible natural capacity of marriage, um, of, of marriage.

Yes. Marriage, but of motherhood. Um, yeah. And, and to be able to talk about that in, and to start discussions to, [00:51:00] uh, to open up that line of communication. But to have that, you know, solid foundation to start from is really beautiful. Yeah, and it's, I think what's really unique about it is that it's, it's evidence-based, um, and it's really taught from the standpoint of, you know, this is what your body, this, this is what your body does.

And it's a, it's a good thing. This is a sign of health. This is why your developing breasts, this is why you're developing hips, this is why you're going to bleed and, and why ovulation is so important. We really get into all of that so that, you know, it can be such a, such a disorienting time, um, when you're a teenager to have all of these things happening, happening to you and having no context for it.

Mm-hmm. You know, you're, you are developing breasts, you are developing hips, so you're competing differently in sports, and that can feel unfair and you're attracting the male gaze in a way that you never have before, and that feels a little bit [00:52:00] scary. Um, and if you don't have the context for No, this is all geared towards.

You being able to, um, conceive and carry and. Nourish a new life someday it can feel like, oh my gosh, why is this happening? I hate it. I don't understand it. It's scary. I, why, why, why do I have to undergo this? And it, um, I think that's, I think it's a big reason why we're seeing women just run so far in the opposite direction of embracing femininity, right?

To the point where we have scores of, of girls saying like, no, I'm actually a boy. I don't wanna do this, this girl thing. Um, and so I think it's really powerful when we can contextualize, um, the changes of puberty as being all geared towards, um, eventual motherhood someday, and the gift that that is. And then also letting them know that if you are having problems, those are [00:53:00] real, those are legitimate, and they need to be taken care of in a way that protects and preserves your fertility.

Doesn't just. Deal with symptoms and shut everything down. Um, because that's the other aspect of it too, is right, that women just feel so lost. And I think moms feel so lost when it comes to getting their daughters the help that they need. Um, and so our period genius program gives moms the, the script is not just for moms.

We've had some dads do it, we've had grandparents do it. Um. With their kids and grandkids. Um, it's, it gives you the tools that you need. You don't have to be an expert. You don't have to teach a fertility awareness method yourself. You don't have to, you know, be a, a trained gynecologist. We actually have somebody who, who told us, like, I think she was a, an ob, GYN and an RRM trained OB GYN.

And she said, you know, I know all this stuff, but the way you guys condensed it down, um, for my [00:54:00] daughter and presented it in this just engaging and informative and and age appropriate level, she's like, I never could have done this. Yeah. Sometimes we know too much to articulate it Exactly. In a way that doesn't make your kid feel like they're drinking from a fire hose, you know?

Yeah, exactly. And so I think our program does that really well. Um, and especially if you do like one 10 minute episode with your daughter. A week for 10 weeks or maybe a couple at a time, you know, and then yeah, give your, give yourselves time for discussion after it. Um, and then we have some other supplemental materials to different suggested activities that you can do that go along with the different videos.

But, um, we're really, really proud of the program and we actually have a really good promotion going for July. I don't know if this episode will still air, um, but it will be in September. Okay. Well, we do occasionally run some promotions on it. Um, and, uh, it's not very expensive even at full price. Um, and yeah, we've had [00:55:00] such, such phenomenal feedback and I'm, I'm really, really proud of that program and, and the change that's, that's happening, um, in individual girls and moms lives because of it.

Yeah. I wish we had more time to keep talking. Me too. So much to say and so many more questions. But, uh, we are out of time. So one final question that we're asking all our guests that I am asking all of our guests is, who is one person, alive or dead real or fictional, who you believe exemplifies the very best of being human?

Um, I really, really love, um, Emily, uh, Chapman, uh, the, the writer. She's got a, a great substack called through a Glass darkly. Um, I subscribe to, I love it. Yeah. It's the, it's one of the only substack I pay for, um, which should say something, uh, because she's, she's just. [00:56:00] She's so good. Um, the way she, she delves into different, um, issues, uh, around faith and around family and, um, even food.

Like every, everything that she talks about, she does it from such a, a measured, um, perspective. Both understanding the, like the ideals that we're striving for and the human brokenness that we all carry that makes it difficult, yet encourages you to still pursue the good, um, every way that you can. I feel like every single article I've ever read by her and every book I've ever read by her, you can really sum, sum up in that way.

Um, for, for podcast listeners, I, uh, of this podcast, I really appreciated her comments on Brian Johnson, who is trying to live forever and sacrificing everything that makes life worth living in the process. That was a great post. I [00:57:00] don't. I dunno if that was a, um, public or paid one. But we also had, uh, Emily on the podcast in season two, uh, she talked about embryo adoption.

So, uh, what do we do with the leftovers? Um, from IVF Yeah. That are gonna be discarded, um, frozen indefinitely. So that, um, if you wanna hear about Emily's infertility journey process of discerning adoption and how she thought about the moral question of, and thinks about the moral question of embryo adoption.

Mm-hmm. There's that episode to listen to also. Yeah. So she's just great. I think she, she came to mind after thinking a little bit about that question because I do think she actually, she walks the walk too in, in her home life. Um, I've been fortunate to meet her just once or twice and can, you can just see that she is who she says she is.

Um, she's, she doesn't, and she's kind of something of a, of an [00:58:00] influencer, right. But, um, she's very unfiltered. Um, she's not trying to put on errors and, um, yeah. So I just, I, I really, I really love her and she's, who came to mind to answer that question about just being human. Excellent. Thank you. I'm sure she will be, uh, tickled and probably a little embarrassed too, probably.

Yeah, because she's very humble and I fan, I fan girl over her a lot. So how can listeners support this movement, um, either publicly or personally, and how can they find you, your work in natural womanhood? Yeah, so I am the editor in Chief of Natural Womanhood. You can find all of our resources, all of the content we put out@naturalwomanhood.org.

Um, and I also host the Natural Womanhood Podcast, which you canfin you can find across all of the different, uh, podcast platforms. Um, and yeah, that I, I write, uh, I do some freelance writing and, and different outlets as [00:59:00] well on occasion. But, um, for the most part, my main gig is being the editor in chief for natural womanhood.

That's where my, my passion lies is, um, in the work that we do there. Um, and from the educational content, like the period Genius program that I talked about to, um, the articles that we put out. We do three brand new articles around women's health every week. Um, and I, I edit all of those, um, to, yeah, the podcast and everything else in between.

Um. We're just, we're really, uh, committed to the ideal that every woman can, uh, learn to know and love her, her fertility, um, and to see it as, as beautiful, powerful, and healthy. Um, yeah. Excellent. Well, thank you so much for your time and the conversation. It's been, uh, fabulous. Thank you. Yeah. It's always so good to talk to you, Samantha.

Thanks for having me on. You too.

Reversing Chronic Autoimmune Disease with Stem Cells | Dr. Richard Burt

Is it possible to reverse autoimmune disease—permanently? In this episode of Brave New Us, Dr. Richard Burt, pioneering stem cell physician and author of Everyday Miracles, joins host Samantha Stephenson to unpack his revolutionary treatment for autoimmune disorders. Hailed by Scientific American as one of the top 10 medical advances of the decade, Dr. Burt’s non-myeloablative stem cell therapy has changed—and saved—lives.

Dr. Burt opens up about his early skepticism, the medical establishment's resistance, and the patients who inspired him to push forward. Together, we explore the promise and pitfalls of regenerative medicine and what it takes to bring groundbreaking science to the clinic without losing our humanity.

If you’ve ever wondered:

  • Can stem cells actually reverse disease, not just slow progression?

  • What does "immune system reset" mean—and is it safe?

  • Why is the medical establishment slow to adopt new therapies?

  • What ethical questions come with cutting-edge biotechnology?
    This episode will challenge what you thought was possible.

Topics Covered:

  • How Dr. Burt’s stem cell therapy reversed multiple sclerosis, scleroderma, Crohn’s, and more

  • The difference between myeloablative and non-myeloablative stem cell treatments

  • Why Big Pharma and some doctors resisted the treatment—even after success

  • What “immune system reboot” really means and how it works

  • The role of patient advocacy and storytelling in transforming medicine

  • Why humility, ethics, and hope must guide the future of biotech

  • How Everyday Miracles bridges hard science with human dignity

Mentioned in the Episode

Leave a Review + Share the Show
If this conversation opened your eyes to what stem cell therapy can do, please:

  • Rate and review Brave New Us on Apple Podcasts or Spotify

  • Share this episode with a friend, patient group, or doctor

  • Keep the conversation going at bravenewus.substack.com

TRANSCRIPT

[00:00:00]

Samantha: Welcome to Brave New Us, where we explore what it means to be human in the age of biotechnology. Today I'm here with Dr. Bert, a pioneer in stem cell medicine, on a mission to convert chronic autoimmune disease into one-time reversible illness. His book, everyday Miracles chronicles his journey from skepticism to breakthrough and how his discoveries now hailed among the top 10 medical advances of the decade earned him accolades from Scientific American, a place on Newsweek's list of the top 50 most influential people in healthcare, and even my favorite, the Keys to the Vatican.

Samantha: We discussed the science, the ethics, and paradigm shifting technology behind what may be one of the most revolutionary stories in modern medicine. Dr. Burt, welcome to Brave New Us.

Dr. Burt: Well, thank you for having me and [00:01:00] inviting me, Samantha.

Samantha: Absolutely. Uh, can you start by telling us what is HCST and how are you using it to reverse autoimmunity?

Dr. Burt: So HSCT stands for hematopoietic, which is a term for blood stem cell transplant. And basically we just use a person's own. They're not, uh, from another person. It's their own blood stem cell that we get out of their blood to reset their immune system. 'cause that blood stem cell will not only make all the components of blood, like red blood cells carry oxygen and things like that, it will also make your immune system. Now the stem cell itself doesn't carry oxygen and it an immune cell, but it makes those cells and it replenishes them. red blood cells that turn over every few months and have to be continually made, your immune cells once made pretty much stick with you the rest of your life. But if you. [00:02:00] Decrease that number, the stem cell compartment will remake those immune cells. one of the, the concepts of this that I had 35 years ago, 'cause I was doing transplants for using stem cells for leukemias, was, uh, you know, why not just do this autoimmune disease? Instead of trying to target a leukemia or cancer cell, try to just reset the immune compartment.

Dr. Burt: Use a more gentle regimen that knocks down your immune cells and let it without inflammation because the, when the conditioning regimen will knock down the inflammation too.

Samantha: So in this treatment, you wipe out and reboot the immune system, like rebooting a computer and then you, the patient becomes their own. With their own cells to restart and repopulate the immune system is.

Dr. Burt: Yeah. Basically when you knock [00:03:00] down the inflammation with the conditioning regimen and knock down the immune cells that are effector causing these bad autoimmune diseases, and then you give them back their own stem cells without inflammation, the stem cells regenerate new immune cells that default towards tolerance.

Dr. Burt: the idea first came to me when I was a fellow at Johns Hopkins in Baltimore. . And, um, I. They, they were bringing people in after transplant for leukemias and cancer. And they were reim immunizing them for childhood vaccines because they had lost their memory cells. So once immunized, you normally have memory cells that persist for your life, you know, or, or at least 20, 30 years or longer.

Dr. Burt: They, they may start to diminish, but they're there. So they had to reim immunize them. And I looked at my attending and said, you know, you're reim immunizing these people. 'cause they lost their immune response to these childhood antigens. They'd been immunized to measles, mumps, rubella, tetanus. [00:04:00] I didn't get a response.

Dr. Burt: It was kind of an obvious statement. It's a busy clinic. And so I said, uh, that means we could do this in an autoimmune disease and reset the immune system. And my attending was Professor William Burns, and he stopped, looked up over his glasses and said, you're right, we could do this for multiple sclerosis. I went back to my boss at the NIH who was. The head of the hematology branch and a big researcher in gene therapy and said, I want to do this. And, um, Dr. Neen kind of leaned back in his chair and he said, well, there's nobody working on your idea at the NIH.

Dr. Burt: And I said, I know, but I've discussed it with John Hopkins. They wanna do it.

Dr. Burt: And that's how it started. And we worked in animal models. So I was all charged and ready to go to start Human trials. Thought I'd have answers in five years. Long and short, it's like eight years working in animal models. It worked. So then I designed a protocol and, um. Took it, uh, through the FDA. Now we're not a [00:05:00] drug company. We don't make money. There's no patent on this. Normally people only go through the FDA, so they get a license and they can monopolize the profits and, you know, sell the drug everywhere.

Dr. Burt: That wasn't my goal. I didn't have to do that because it's Unmanipulated broad product. It was voluntary on my part, just, because I thought it was the right thing to do. And so then we eventually started treating, we developed a phase one, phase two, phase three trials. The final trial, you know, is very definitive, published in Jamma back 2019, and on the way, you know, got some grants to help support it, including a $10 million NIH grant and so forth. And there's ups and downs in doing all that, and a lot of hard work. But what it really eventually ended up showing is that this really worked, we could reset an autoimmune disease and put people in these su sustained long-term remissions without any other therapy.

Samantha: Wow, it's, that's incredible. And [00:06:00] just to clarify, when you talk about using stem cells in your conditioning regimens, you are using adult stem cells as you said, and that's none of these techniques rely on embryonic stem cell research or the destruction of human embryos. They're all derived from the patient's stem cells

Dr. Burt: we do not use embryonic stem cells for this or a product of embryonic stem cells, and we don't use allogeneic. That is from another person we use only autologous your own stem cells. And those are drawn usually out of your arm. If you don't have a good vein there. There'd be a catheter inserted here, uh, to, to uh, do the apheresis to collect the stem cells.

Dr. Burt: So they're autologous, they're your own that we take out. And then we use a regimen, knock down your immune system. Then we reinfuse those immune stem cells, which by terminology they're not called immune stem cells. They are, but they're called, uh, hematopoietic. That is blood stem cells that can be gotten from the blood or from the bone marrow.

Dr. Burt: In the old days you get 'em outta [00:07:00] bone marrow, but now people mostly get 'em out of the blood. So it's your own stem cell. And although I only work in adults, 'cause I was in an adult only university hospital, uh, it has expanded to be used in children. And some places do treat children with this technique, and in which case it's collected from the child's own, uh, blood.

Dr. Burt: So it could be, uh, an adolescent or child, but uh, it's mostly an adult and it's their own stem cells.

Samantha: you captured dozens of incredible real life stories in your book of Reading Miracles. I mean, I was literally in tears reading story after story of patients who were entirely debilitated and their lives were really stolen from them by these various autoimmune diseases.

Samantha: Um, Ms at the beginning, uh, scleroderma but they were restored after receiving these transplant transplants and it sounds too good to be true. [00:08:00] It, it really does. Um, I. But testimony after testimony of patients who gave you permission and were begging you, like, please share this, please.

Samantha: One of 'em, I think she even put it on her license plate because she really wanted to advertise this, um, this treatment. Is there one patient's story that stands out to you among these many lives that you have transformed with this treatment?

Dr. Burt: Well, one of the really enjoyable things for me is I do spend, uh, a period of time getting to know people in the process of screening 'em for the procedure and then doing the mobilization stem cells. Then in-house, they're in-house about 14 days and you see 'em every day and, and you really get to know people.

Dr. Burt: And that has made this, you know, really enjoyable when, but when you know people, everybody a story. Everybody has good and bad and everybody dealing with these diseases that are [00:09:00] traditionally not curable and you just stand drugs and solely get worse, have been so incredibly brave with such fortitude and also developed PTSD, kind of like they're always in the war zone.

Dr. Burt: They never get a break. The war's never over ed and it, it weighs on your psyche, uh, even at a subconscious level. But the incredible. You know, courage and strength of these people has is why I do it. And I bring that out in, in the book, of course. Um, but that's true for every patient. So I can't say there's any one patient.

Dr. Burt: For instance, the book I mentioned one patient who was virtually homeless, uh, and had no resources, Eritrea. I gave every patient the right. No last names were put in. And to use a fictitious first name, I encouraged all patients to use a fictitious first [00:10:00] name because I'm all about protecting patient privacy.

Dr. Burt: And of course, every patient read and okayed what I wrote.

Dr. Burt: But the point is, here was this one patient with nothing. living on the street and then, and, uh, I call it Eritrea versus Cruella. And then later in the book I talk about another gentleman who's a billionaire, private Lear Jets. And, uh, you know, what he was going through and what happened afterwards.

Dr. Burt: And an incredibly unique and outstanding individual. So I can't really say that there's, there's any one patient. Each patient's story is so worthy in and of itself.

Samantha: Right, right. Uh, they were really mind blowing to hear about these people who were suffering. And I think that, um, if I'm remembering correctly, that patient who was homeless was because of the MS That those treat, that her treatments were so expensive that and [00:11:00] her. Disease was so debilitating that she couldn't, um, she couldn't continue work.

Samantha: She went on disability, but on disability, she couldn't afford the treatment. So she would skip treatments, which made her worse, which led to the fact of her having to, um, go to the soup kitchens and eventually, um, grateful that she found you, but she was able to receive that treatment. Um, and then her life totally turned around and she's not only walking and able to work, but she's exercising.

Samantha: I think you said she's exercising multiple hours a day, uh, which is really impressive to go.

Dr. Burt: now. She can run. Uh, before, you know, had to like lift one leg to go up a step, had to use a cart in a store to keep her balance and hold herself up while she walked. Uh, she had said in the book, she would get pity looks, which always disturbed her. The remarkable thing is, but by the grace of God, that [00:12:00] could be you or me. She w she is an incredibly smart beautiful woman, it, her life and her ability to work, uh, was destroyed by MS and the system. Was contributing to that problem.

Samantha: Mm-hmm.

Dr. Burt: um, you know, the doctors would just do what they're told to do, try to give her another drug that's very expensive. The top prices in 2020 were 92, a hundred thousand dollars. That included Ocrevus, which was $40,000 in infusion. Now. Few, later, years later, it's $60,000 in infusion. So there you go. And what I showed in that book is these drugs like Copaxone that came out, started at eight to $12,000 in in infusion or the interferons, the same price range as new drugs came out that were more expensive, they just increased the price of the old one to match. They all increase to match each other's price. So they're way up there and it's like, how long can the system [00:13:00] continue this without being totally bankrupt? It's already destroying the lives of people who don't have the resources to cover it. And these are ridiculous amounts of money. That is ridiculous.

Samantha: I'm gonna back up a little bit because, um, when we were talking about the. Light bulb moment when you thought, oh, we're using this treatment in leukemia that wipes out the immune system. It has to be retrained with and revaccinated to get the, um, immune system back up to what it was in terms of immunity before.

Samantha: Um, you doctors at the time were using, uh, and correct me if the pronunciation is incorrect, but myeloablative regimen, which was really toxic or is really toxic, be rightly so, to get rid of the cancer cells. Um, but what you developed in for your patients for autoimmune disease is non myeloablative, so it's less toxic than the cancer regimen.

Samantha: Is that correct?

Dr. Burt: [00:14:00] Exactly correct because I came out of the field of oncology and was used treating leukemias, and I was using myeloablative regimens in animal models. Our first protocol was myelo ablative. It was a strong regimen and uh, it also included total body irradiation to make sure we got through the blood brainin barrier to affect any lymphocytes in the brain or spinal cord itself. And we had to start with late progressive ms, even though my animal model said it wouldn't work there, we, we were forced to start there because it's such a new therapy. You don't know. It might be a disaster. Let's start there. Well, long and short is it didn't work and I published in my paper in the title failure. But it took a long time. Other people, I put it there 'cause I wanted people to know that, but a lot of people kept using these people still do use these, my ablative regimens and they were using 'em late progressive. They finally recognize you don't wanna do late progressive, it's no longer immune mediated.

Dr. Burt: But there are people that still push these, my ablative regimen as oncologists and you don't need to do that. You can use the safer non mylo ablative. So once I realized it didn't [00:15:00] work in these light progressives, uh, with an aggressive mylo ablative regimen, I needed to do it in relapsing remitting where my animal model said it would work earlier in the disease.

Dr. Burt: But if I move earlier, I need a safer regimen. And that's why I flipped a non mylo ablative and designed SA regimens and it worked very well.

Samantha: So is that because this regimen is treating or fixing the autoimmune part of the disorder and then the later MS. Is, it's the tissue damage to the brain. Um, has already taken place so it's not able to regenerate the tissue, but it is able in earlier patients to modulate the, or fix the autoimmunity that's causing that damage.

Samantha: Um, like analogously. So I have autoimmune, I have Hashimoto's, so my immune system is attacking my thyroid, uh, to the point where my thyroid tissue can no longer produce enough thyroid hormone for my body. [00:16:00] So if I can slow the attack, I could stop the damage that's happening to the tissue, but I can't, um, by taking my replacement hormone, um, I can kind of make up for what it's not producing, but I'm not fixing the tissue.

Samantha: Is that kind of analogous to what's happening with those earlier stage MS patients versus the later stage?

Dr. Burt: Yes, it's a good analogy. Basically, your neurons are highly subspecialized cells. You know, we have about when we're born 80.

Samantha: I.

Dr. Burt: Uh, million neurons, well, each of which has about a thousand dendritic connections to other neurons. So that's about 80 billion connections that make our nervous system. So in ms, you've got all these cells that are necessary to keep your neurons functional and live and healthy. And once one of them is being destroyed, the neurons start to die back accelerated aging. [00:17:00] And that's the neurodegenerative permanent part. Now in ms, you get an attack, you get better. You may go for a long period of time, get another attack, get better. You know, I. Those are the acute immune attacks, and when you get better, you may go back to baseline or you may have a permanent deficit that doesn't get better, but it's kind of stable, those immune attacks. Your immune system is always trying to reset itself in ms. You have an attack, it tries to reset and stop itself.

Dr. Burt: It comes back out later, tries to reset, comes out later. Eventually the immune system does quiet down, but there's so much damage to the neurons that they just keep degenerating back and then you're in this irreversible decline. That's very gradual. But you know, you see a patient every month, you don't, they look the same, but a year later they're much worse.

Dr. Burt: You know, when did it happen? It's a gradual neuro. Degenerative process. You've moved into a disease that's a neurodegenerative, like a LS or Parkinson's or, uh, dementia. You know, it was just another type of degenerative disease for a specific set of neuro cells. So that's what [00:18:00] happens and that's why this treatment, all therapies for MS currently are immune-based.

Dr. Burt: And this is an immune-based therapy. It needs to be offered earlier in aggressive forms of ms. Now there are some forms of ms. You have one attack and not much happens for the rest of your life, or two, and not much. Of course, we're not gonna offer 'em a transplant, but anybody that's being offered a highly effective DMT upfront should be offered transplant upfront, and that's not being done. Transplant's really a highly effective DMT, it's the most effective. Now the next step though, is actually neuro regeneration. 'cause the hematopoietic stem cell is not a neuro cell.

Dr. Burt: It doesn't do neurogeneration. It resets your immune system, makes new immune cells tolerant to self. So you want to look at people who have progressive MS the, the neuron itself. And that's what my new technology, my IPS therapy induced pluripotent stem cells where we can take your cell and reprogram it back. an Embry state, which is called an [00:19:00] IPS cell, but it's your own adult cell reprogrammed. And then we can further modify that. I have SE seven patents. I was awarded in doing that. And we found that we can repair pretty much any organ system, whether it's from trauma or neurodegeneration.. Now we wanna get that therapy to patients with a LS because patients with a LS, it's a neurodegenerative disorder. It, it's, as I mentioned, affecting all the cells in the nervous system. And you know, once you're diagnosed, you have two to five years, usually three to four years of life before you're dead. There's really, there's some drugs out there. They don't work that well. They just don't, nothing reverses it. There's a few of 'em like antisense, RNA, that can slow it a little bit, but you still just get worse and, and dies.

Dr. Burt: So that's what I wanna do hopefully this year, get that to the FDA and move it forward. And so what I also wanna say, you know, I. Although I've never had money from a drug company, I have started a new biotech company based on our patents for the IPS cells [00:20:00] for regeneration and for aging and for traumatic diseases, uh, that I wanna bring forward.

Samantha: So a couple of follow up questions. Um, one, even though the. Conditioning regimen is non myeloablative. It still is risky. Um, so you, you necessarily wouldn't necessarily wanna run out and sign up for it as soon as you are diagnosed. So the question is, uh, who is the ideal patient and what does that patient profile look like?

Samantha: And then which autoimmune disorders has HSCT been successful in reversing?

Dr. Burt: So let me take the last one first. All your points are true and excellent points and good to bring out to the audience, but in everyday miracles, I talk about five diseases and you'll see the patients with phenomenal results. Multiple sclerosis, systemic sclerosis, which is colloquially called scleroderma, CIDP, chronic Inflammatory Deming polyneuropathy, neuromyelitis optica, NMO, or Dex Disease and [00:21:00] Crohn's Disease. And so, you know, those are diseases I brought out in there and with great results, I myself. have the time to continue that. I just spoke at the Mayo Clinic in Florida where they used my protocol for scleroderma with great results, and I'm glad to give 'em my protocol for MS as well. It's not about people having to come to me. I want it available locally for people.

Dr. Burt: Now is consent. Informed consent. People aren't getting that true informed consent. They need to be given the option of transplant, but in that true informed consent, they have to tell 'em there is a small risk. You can die during the procedure of transplant. It's about 0.5% or less with a non-myeloablative regimen. It'll vary by center experience and it'll vary by the regimen you use and it'll vary by patient selection. But now most centers using non myeloid ablative and everybody in Europe has switched virtually to my regimen, non myeloid ablative. It's less than 0.5%, 0.4, 0.2, and we can make it even less, but you can [00:22:00] never do this and make it a hundred percent zero.

Dr. Burt: And so people really have to be informed, but also as a physician because of that. You're not gonna offer it to someone that has a mild ms. who should get it are people who are having relapses despite, you know, mild to moderately effective DMTs, or people who at presentation, the neurologist wants to put on a highly effective DMT like Ocrevus. Those are the people that should be offered HSCT, but they're not given the information that they have that option. They need to get the caveat about the risk. The highest risk would be an infection while the immune system resets, which is a window of about seven days. Uh, that's really the highest risk of where you can get a problem from this. But, you know, if you. very, very good at preventing it. Uh, I did lose a patient from that. It was because it turned out that the water supply in the hospital was contaminated with legionella and it was discovered in the shower and in the sink water, [00:23:00] and that's what happened. So, you know, you, you can, hospitals are dangerous places. Uh, you don't wanna be in a unless you have to. And so, you know, bad things can happen, but you can keep that risk very, very low. But you can't make it zero. And the thing you wanna be is very honest with patients. I actually emphasize the risks of it very hard when I first meet the patient. , I want someone to be really informed and I'd rather inform them of a, of more toxicity and more risks than they could suffer. Uh, especially the risk of, of death, which can happen, but it's very limited, to my surprise, when I do this, the only people ever get mad at me is the people I don't offer transplant to. The reason they get mad is they think I have this special thing over here that I won't give them, but I won't give it to 'em because either they're late progressive and it won't help 'em, and I don't want 'em to take the risk. I don't want 'em to waste the money, the time or the risks of the complications. Uh, or they have another underlying disease that would, uh, contraindicate doing [00:24:00] it. So those are the reasons we, I, I won't do it. But, um, you know, that has been my surprise and pretty much everybody that gets this is so grateful

Samantha: From reading their stories in the book, it really sounded like these are patients, especially with Ms who are still alive, but their disease has stolen from them, everything that makes their life worth living. So that very small chance of death 0.05% to them is entirely worth the risk of potentially having their lives restored to them, their function restored to them, their ability to parent, their ability to go back to work, their ability to walk their without assistance, um, and exercise and do all of the things that they, that they wanna do and live life.

Samantha: So that chance that life is worth that very small risk of, of dying, considering the conditions that continued life would, uh, would [00:25:00] be for them.

Dr. Burt: And you're absolutely right, and that's called informed consent. And people aren't getting the options, which is part of informed consent. Once they have that option, then they need to be told all the bad things and emphasize hard to make sure they hear it and understand it. And that's still their wish. And uh, for the vast majority of people, this is what they want.

Dr. Burt: If we could get to 'em sooner, uh, we could have a much better efficacy and help a lot more people. And so you must wonder, well, why is that?

Dr. Burt: Why doesn't that happen? And it's because of that frustration that I actually wrote the book Everyday Miracles. To, to tell people from the bottom up so they can start being aware. And what, there are two reasons why this, despite its success, doesn't become mainstream. Although there's centers around the world doing it. I've talked around the world, they're using my protocols and we're helping people. Now it's becoming kind of [00:26:00] standard therapy, but it's still not offered to a lot of people when it could help 'em. And the reason for that is the people that had the basic knowledge to do this came out of the field of hematology or cancer, or both. Those people don't understand autoimmune diseases. They weren't trained in 'em. They don't understand ms. need a neurologist. And in fact, in in the field of neurologists, you have neurologists that specialize just on ms. So a regular neurologist would refer to that neurology specialist for this to really work.

Dr. Burt: And those neurologists don't know transplant. So it's kind of a voodoo thing out there. And they're not used to people being in the hospital for the, Two to three weeks needed for the transplant, where they're used to treating as an outpatient, their medications. So that's kind of how they do things.

Dr. Burt: Transplanters on the other hand. Don't know ms, they don't know the right selection of patients. They have a little trouble changing from the myeloablative regimens that destroy your bone marrow. If you don't get a stem cell, you're to replace a bone marrow, you're [00:27:00] gonna die. Uh, they to switching to a non myeloablative regimen where you don't even have to give the stem cells, you give it 'cause you recover faster. So that's one of the big problems and that's one of the problems of translationally. Based medicine that crosses divisions or departments. You're always encouraged to do that 'cause you can advance things. But once you do it, you run into the obstacle that you have. These experts in these different divisions or departments that have become so sub-specialized.

Dr. Burt: They have to, to possess that knowledge, you have to become a specialist, but then they don't bridge that gap. You, I myself have, but to get others to do it. So in the field of transplant, I've always argued you need a hematologist that gives up cancer and just focus on autoimmune disease or a particular autoimmune disease such as multiple sclerosis or systemic sclerosis to really make it work and work well.

Dr. Burt: And that just doesn't happen. Uh, people are, are kind of committed, so much energy and there's money and, and professional activity flowing in their area of cancer That [00:28:00] to. Make that flip is difficult for them. are some people who have done it, but it is difficult. Our system, you get blinders on, you get set in a certain track there.

Dr. Burt: For instance, there is no institute at the NIH, uh uh, national Institute of Autoimmune Disease, NA for instance. There should be, if there was, they could help fund people around the country on doing, focusing just on autoimmune diseases and focusing on cellular therapies for it, which would be a big advance.

Dr. Burt: The other thing that holds this back is there's no money in it. So there's no drug company. These are your own cells, and I never did it to patent it or to make money in it. nobody gets any money except just the patient care you're doing to take care of the patient. if in every field, this is in oncology too and in hematology, but especially, let's look at neurology for ms. The neurologists are always being told about this new drug. There's like [00:29:00] 17 drugs out there for MS and there's new ones turning out all the time they're run The drug companies run 'em, have neurologists at great centers, run 'em, and then their names are on it. They get their academic accolades for being on the drug company trial because the be sooner their name, especially if they're first author, and then the direct company pays for 'em to go around and talk about it, and they do. And then the drug companies pay for advertisements on every venue, television, including news programs. A large percentage of the money that goes into news programs, whether it's M-S-N-B-C or Fox News, is derived from drug advertising, which pays really big salaries. To their star broadcasters who make many tens of millions of dollars a year. of course, it's, it's greasing the system. But they do it in newspapers. They do it in print, they do it on YouTube. They, they advertise. So basically you got, and then you, you've got this law that came about in the [00:30:00] 1980s called the By Dole Act. It was by, was a by, was a Democratic Senator from Indiana Dole was a Republican senator from Kansas.

Dr. Burt: It was good intention. What they said is that when the NIH funds research at a university. That the university, if the research looks good, the university can claim intellectual property rights. Not the researcher but the university. So the university, what happens is your tax dollars fund research, but research is like gold mining.

Dr. Burt: I mean, most time you get nothing, you spend a lot of time, money, you get nothing. But if the researcher hits a gold mine, the university will then, license it to a drug company and return for five to 8% of the profits as well as benchmarks. So when they do phase one, they get a million. When they do phase two, they get a couple million on and on and on. So the universities are invested in this and what's [00:31:00] happened in our society is we have merged universities, the National Institutes of Health, that also gets money from it, and drug companies sharing profits. And so the universities as well as hospitals. 'cause if the hospital doesn't have a university, you do that. The hospital claims that intellectual property, right? So they get money. So you've got the system now entirely focused towards drug company development. these drugs are very expensive. They bring in a lot of money. And then. More and more doctors are becoming employees of organizations, whether it's an HMO or a hospital or whatever, and they, they pay you by RVs, which means you're paid by the amount of, by the amount of money you bill. So you have drugs out there like Ocrevus for ms. It's $60,000 in infusion, which is done as an outpatient over a few hours. They give it again two weeks later. So that's [00:32:00] $120,000 for a few hours outpatient, and then every six months for $60,000. That's an insane amount of money, but everybody wins within the collaborating group, the university, the hospital, the physicians who loses is the patient.

Dr. Burt: Now, if you have really good insurance, they pay for it, but the, the society loses as a whole for paying that kind of money. the problem, so what I've done, I. It's like in the old days there is no patent. I don't want any royalties, just do it to help people. But the money that lubricates the system is now absent in that approach.

Dr. Burt: And it's my voice against hundreds and hundreds and thousands of doctors that are sent out there and drug company money to talk about and teach people about these new drugs who they ran a study on. So it kind of gets drowned out. So it's up to the patients to understand that and to get that information out there. Now the frightening, frightening thing for me, 'cause I've seen it change in my own lifetime. [00:33:00] Before the 1980s, we would develop things and the universities didn't get any money out of it. And you know, it's, we would just do it for the good of humanity and society. And it was society's taxpayer dollars for the most part that went into the research we're doing. now I. The universities the money. So you have the universities and the drug company and the NIH. They get money out of it that are all on the same money train. And that is really hard to overcome when you have these phenomenal results. But they're not on the money train, for instance, Ocrevus. All it does is slow progression it and you stay on the drug until you have purely neurodegenerative disease. Whereas if you get the right subset of patients and you treat 'em with HSCT, you actually reverse the disease and they're free for very long periods of times. The majority for [00:34:00] decades without evidence of disease and marked improvement with no further treatments, you would think it would take off.

Dr. Burt: And if you look at quality of life on all these drugs, they do not improve quality of life. They're very expensive. They don't improve quality of life 'cause they only slow progression. You still have symptoms. You're paying a lot of money. You're inconvenienced, even if the drug, even if your insurance paying, you aren't getting these treatments, you have side effects from treatments. Their quality of life does not improve with transplant, it markedly improves 'cause you get a one-time treatment, you're free of doctors, you're free of the system, and symptoms are better. So your quality of life is markedly better. So you'd think everybody would be talking about this and my patients used to say to me, you know, uh, you know, why doesn't anybody talk about it?

Dr. Burt: And I would always say, well, you know, medicine's very conservative field. I've gotta prove it. Which I did years in animal work and then phase one, phase two, phase three, um, but it never took off. So the patients would say it's drug companies. And I was hesitant because, you know, I'm not thinking that way and I know no drug companies out there saying anything [00:35:00] bad about me or anything like that. But as I began to read and investigate, I realized it's the laws in our system that have changed, that have facilitated this to go forward, that everybody just clicks into. So. An important thing that's missing in our healthcare. And it's because of the OLE Act and because drug companies are allowed to advertise. What? And they, they, and pacs, that's the other thing. So drug companies can give money to a pac, political action committee and they can give as much money as they want. And the, the, the Supreme Court said that's legal 'cause you don't want to impinge on the freedom of speech of a company. In the old days though, that used to be called corruption because what a drug company does is they give money to a pack and then a PAC supports the campaign through advertising for a politician that supports the policy, the drug company. If they disagree and they [00:36:00] say like, we're gonna get rid of the by do act, the pack will support their opponent and viciously like a wolf pack, attack the politician and destroy him. So now the politicians are greased to keep the money flowing 'cause they need their job keep them in power through the current system.

Dr. Burt: What we need is to stop funding pacs, letting companies fund them. What you have is a few companies or a few very powerful people influencing, in fact indirectly, if you will, bribing people their profit instead of the good of society. Now they'll argue that's not the case, we're just giving information. But if you look at all these drug covering adver advertisements, you know, people using the drug are all smiley and happy, and the one's not using it, guilt's put on 'em. and like what? companies used to do. And finally we said cigarettes can't be advertised. Well, when I started in my career, drug [00:37:00] companies couldn't advertise.

Dr. Burt: It was much better. That should be made illegal. That was made legal in the 1980s too. And these pacs are influencing the outcome of election with unlimited money from companies or very wealthy individuals are going against the interests of people and healthcare. So that needs to change and the ole act needs to change, you know, uh, that's the system that transplant for MS is up against despite being so helpful and so effective and why nobody moves into it. so it was kind of a wake up for me. And in fact in my new book called Kill Switch, which by the way has a forward by the Vatican, really bring that out in the last chapter and bring it home. 'cause I don't really bring that home, the everyday miracles because I want people to, you know, in the last chapter, I, I barely mentioned it, but I want people to understand how this therapy can help. But those are the two major things that have limited it. So it's really weird. When I started this, [00:38:00] you know, I had all this worry, maybe it's not gonna work and so forth. You don't know until you do it. And I spent 30 years doing it and it's really worked wonderful. But. It doesn't take off. And the reason is the system has changed, so the money doesn't go with it.

Dr. Burt: Now, nobody gets up and says, I'm, I'm gonna do this for money. That doesn't happen. It's just such an overpowering, indirect influence from the top down that that's what's going on. So, you know, if you're charging $60,000 in infusion every six months for a drug, you know, it's, it's not in the administrators that are looking over you that get a lot of money or in your clinic's interest to send them early to a transplant.

Samantha: Right.

Dr. Burt: Now, does, does anybody wake up and say that's what they're doing? No, what they're constantly bombarded with is. You know, this is the way we have to do it through drug companies. And in fact, because I have no [00:39:00] patent or license, you know, you can say it's not FDA approved, which it isn't, but that's because, and so then you can say, oh, it's, uh, voodoo work.

Dr. Burt: But no, that's not true. It's not FDA approved because that process means you're gonna get a drug or license to sell it, and you have a monopoly.

Samantha: Mm-hmm.

Dr. Burt: That's the reason, that's the FDA approval process. I went ahead. I didn't need to, I sent it to the FDA. And, and did it with an F-D-A-I-N-D, even though I was never gonna get anything out of it.

Dr. Burt: No drug company would ever do that. Why would a drug company do a study that at the end of the day, anybody can do and sell and they can't get any money, they won't do it. Well, I did it, it worked. And we get nothing out of it. We've asked for no, IND never would. It's your own cells. Why would we want to a monopoly on that?

Dr. Burt: Or intellectual property rights. So, uh, but the problem is then compare. And that's the way it used to be before the OLE Act, but now because of the Act. The [00:40:00] money and the system has changed and it's not in the best interests of our society even. And people aren't recognizing that. So in Killswitch, I bring that out to make people recognize it, to start them to understand, because I didn't recognize it. were telling me it's a drug company fault. And I'm like, no, that's not true. Drug companies have their own problems and stuff. But as I read and studied, I realized there is, but it's not the drug company per se. It's our laws that were done with good intention. But this is the unin unintended consequence of money like water flowing around a, a rock for the benefit of the system.

Dr. Burt: That now is a merger of education. That is universities and hospitals with the NIH, with drug companies all on the same money train. So what I do isn't on that money train and that's the problem. That's why it's important that it come out and people understand. And it also means you'll see in Kill switch, I hope it'll galvanize [00:41:00] people to, to change the system actually in kill switch, besides the Vatican doing a forward, a forward's done by who I've come to know very well, former US congressman and senator from Illinois, Mark Kirk.

Dr. Burt: And they both do it great forward. And in there he talks about how we gotta bring this to the attention of the political system and bring about, uh, these changes. Because in the old days, if you invested in a company and the company succeeded, you got profit. If you invested in the company failed, you lost your money, you took the risk, you got the award.

Dr. Burt: Now the American taxpayer, without their knowledge, are investing in all this, that drug companies do, but all they, they don't get anything out of it except a very high bill at the end of the day. And if you don't have excellent insurance, you can't afford it.

Samantha: Right.

Dr. Burt: And so the system needs. To be recognized for where good intentions have gone wrong and changed.

Dr. Burt: So believe me, I never wanted to say what I've just said. I just wanted to do good work to help people. But when you do [00:42:00] that and then you realize, well, people aren't doing this, what is the issue? Well, the truth is, whenever there's a problem, follow the money. And the

Samantha: Yeah.

Dr. Burt: is due to these laws

Samantha: Right in, in the book, you say directly you list pharma drug companies under, um, these are, these entities are not the problem. But I was gonna push back on that because what you've just described is a system where they're the people who are in charge of making drugs and ostensibly finding cures.

Samantha: They're disincentivized from finding cures. Because once you cure a patient of, for example, you use these drugs that, uh, are very inexpensive, um, because their patent has run out. The, then you, you administer those to the patient stem cells, their own stem cells. You can't charge people for, you can charge 'em for the time, I guess, and the [00:43:00] care, but you're not going to make a profit as a pharmaceutical company off of people's own cells.

Samantha: And then there's a cure. So essentially what your procedure is doing is robbing all of those pharmaceutical companies of the potential profits that they would have from administering these. Sometimes I think one, one, the biggest figure in the book was $90,000 a year for these patients who, because if you, if patients are chronically ill, they are dependent on the.

Samantha: Drug care, uh, the care of the system and dependent on these drugs. And if they go to you for, uh, an actual cure that restores them well, then all of those profits are gone. So there's not a lot of incentive for companies to develop cures,

Dr. Burt: , Let me tell you again why this system's gone bad. I. The reason they developed Ocrevus, 'cause physicians, neurologists started using rituximab.

Dr. Burt: A drug developed for lymphomas like B-cell, [00:44:00] CL, L, and they started to use it in MS and found that they were getting, you know, results that seemed reasonable or good at first, and they started publishing little papers about that. So along comes drug company says, oh good, if rituximab works by bin, binding this receptor on B cells, we'll just come up with our own antibody that binds that receptor and we'll do the study and patent it and get a monopoly.

Dr. Burt: And that's how Ocrevus came about. basically you can pay $60,000 in infusion for Ocrevus, or you can pay a few thousand dollars for a drug that no longer has a patent, and therefore any generic company can make. And the price has really dropped to a few thousand dollars. But people in America won't do that.

Dr. Burt: They'll only give this $60,000 drug instead of like a $4,000 drug. one of the reasons is, you know, the lawyers protect them because this drug is FDA approved for ms. Rituximab is [00:45:00] not. Well, why wouldn't anybody approve Rituximab for MS? Is because of a drug company ran the expensive study to do it, which by the way is what I did for nothing. If the drug company did that, they couldn't monopolize it. 'cause there's no patent on it. It's expired. Anybody can then start making it and selling it so it's not in their interest. Why would they do that? So what happened? And it won't happen in America, neurologists in America will not take Ocrevus and do a randomized trial comparing it to rituximab. 4,000 infusion infused the same times, one's 60,000. Okay, they're not gonna do that. France did it and it found rituximab was equally effective. stop in reverse, but slowing progression of diseases. Ocrevus equally the same. So in America, in one year, you're talking $180,000 versus $12,000, and they're equally effective in the French study.

Dr. Burt: And it was because of Rituximab that [00:46:00] Ocrevus was developed. That's the corruption that has come into our system. It was never, nobody designed it for that to happen, but that's what's going on, that has to change eventually. It's already affecting many people, but eventually this system cannot afford this.

Dr. Burt: . I.

Samantha: Yeah.

Dr. Burt: And that's what I bring out in Kill Switch. And it's, it, it, our system some good intended laws that have become twisted and, and, uh, it's not in the benefit of society. Our impatience. On the other hand, you do want advances to go forward as rapidly as possible. And certainly financial reward for doing that helps it to go forward.

Dr. Burt: So those are the things. So everyday miracles really important to what you can, can be done for autoimmune disease and understanding the problems. Kill switch really takes it home to really understand those problems better in a, in a different approach, it's really gonna [00:47:00] open your mind in a whole different way.

Dr. Burt: I know my mind has opened, 'cause I always used to just tell patients for decades, oh, it's medicine's conservative. We have to prove our way. And I fundamentally believe that. But after we proved it and it doesn't change, I've realized. You know, when there's a problem, it's like it was reported, you know, uh, for, uh, Nixon's Watergate, uh, to Woodward.

Dr. Burt: You know, follow the money. You have to follow the money, and then you see where the problem is.

Samantha: And if a patient is interested or, or somebody's interested for friend, family member in receiving the treatment, um, do they go to their doctor? Do they need to find a second opinion? If their doctor says that's what you said, you called it voodoo medicine, is the accusation that you're hearing, where do they go?

Dr. Burt: Well, I use that term. I think now it's accepted more and more. 'cause so many people are doing it or if they can't get it in America, they'll go overseas to do it. And a lot of Europeans are doing it and there's more [00:48:00] and more, there are now thousands and thousands of publications on this, all supporting it as a treatment from multiple universities and hospitals around the world.

Dr. Burt: So times have changed. That's back when I first started that type of, uh, of comparison. So I think now it's accepted as you know, but. Still, a lot of people don't know and they're not informed about it. But if you're interested, just contact scripts in La Jolla, California, because I do have, uh, a nurse and a coordinator who will help screen, uh, because you're always screened first to see if it's worth your time, effort, and also expense to come out to be evaluated or it's not.

Dr. Burt: So that's how it works. Eventually a person emails you and the necessary information is requested and so forth the usual secured lines. 'cause, you know, patient information has to be on a secured system.

Samantha: Right. Well, thank you so much for your time today, um, for discussing your work, and I [00:49:00] really appreciate all of the light that you've been able to shed not only on these treatments, but also on the medical system and these flaws of these compartmentalized departments and the way that pharma and the whole system is set up and some of this policy.

Samantha: Hopefully we can see some change on these things in the next few years.

Samantha: One final question that I ask all our guests is, who is one person, a alive or dead real or fictional, who you believe exemplifies the very best of being human?

Dr. Burt: My wife. Yeah.

Samantha: What is your

Dr. Burt: I've devoted so much of my time to this, and so I've been absent so much. takes incredible understanding and, uh, a belief in humanity and in doing good overriding, [00:50:00] uh, you know, personal desires. So I'll just leave it at that.

Samantha: s Very self-sacrificing.

Dr. Burt: Yeah, she has been.

Samantha: Excellent. Well, where can people find your work and uh, by the books and access?

Dr. Burt: uh, Amazon has it, Barnes and Nobles has have it. There's probably other bookstores that do, but definitely you can go online and, and buy it. Uh, from, and, you know, I don't know all of them. Those are just two examples. There are probably several others, but you, you can get 'em online, whether it's Everyday miracles are kill switch.

Dr. Burt: I definitely recommend if you like everyday miracles, read, kill, switch, I think you're gonna like it even more. they're both. Give you the good, but they also point out the bad as we need to, uh, because life is both good and bad and you, you have to change as to go along to maximize the good and to help people, and they bring that out.

Dr. Burt: I, this may be a trilogy with [00:51:00] a third book. I already know the name of the title, but for now I've gotta focus on getting my IPS studies going for a LS. And hopefully if my animal models are right, I can, and if lightning will hit the same place twice, I can really make an impact in that disease. We will see, if not, at least I tried and followed my passion, which is what I told Dr.

Dr. Burt: Neh at the NIH long time ago when I was a fellow wanting to do this in autoimmune disease. Thank

Samantha: Well, thank you so much.

 If this episode raised questions or sparked thoughts you'd like to explore further, I'd love to continue the conversation with you over on Substack at Brave new us.substack.com. Your comments and insights there helped to build the kind of thoughtful community the show was made for to support brave us.

Please take a moment to rate and review the podcast wherever you listen. Or become a paid subscriber on Substack. Your support makes it possible to keep bringing you these ad free episodes. [00:52:00] Thank you for listening and being part of the journey into what it means to be human in the age of biotechnology.

Pronatalism, Silicon Valley, and the New Eugenics | Emma Waters

What happens when creating a child becomes a consumer choice? In this provocative episode of Brave New Us, bioethics commentator Emma Waters joins host Samantha Stephenson to break down the rising trend of embryo screening, designer genetics, and artificial wombs. From Elon Musk's child-maxxing to CRISPR enhancements and Build-a-Baby startups like Nucleus Genomics and Orchid, we explore how reproductive technologies are reshaping what it means to become a parent—and what’s at stake for the children created through these tools.

If you've ever asked yourself:
• Is embryo selection a form of modern eugenics?
• Can we separate desire from design in the future of family building?
• Are children becoming products instead of persons?
• What's the difference between healing and enhancement in genetic medicine?

Topics Covered:

  • Why "have healthy babies" is a deceptive marketing slogan

  • The ethics of picking embryos based on IQ, personality, or sex

  • The rise of child-maxxing among elites like Elon Musk

  • Why "designer babies" deepen inequality and threaten parent-child love

  • What three-parent embryos and artificial gametes mean for the future of family

  • The philosophy behind eugenics—and why it's rebranded, not gone

  • When CRISPR gene editing might cross the line from healing to hubris

  • Why strong families—not just birthrates—should be the goal of pronatalism

Mentioned in the Episode

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If this conversation made you think differently about the future of family, science, and ethics, please:

  • Rate and review Brave New Us on Apple Podcasts or Spotify

  • Share this episode with a friend or on social media

  • Keep the conversation going at bravenewus.substack.com

Transcript

[00:00:00]

Samantha: Welcome to Brave Us, where we explore what it means to be human in the age of biotechnology. I'm here today with Emma Waters, a research associate at the Heritage Foundation, and sharp cultural commentator on emerging biotech trends. In a recent article, Emma explores how Silicon Valley Elite, once known for pushing depopulation and reproductive control, are now leading a curious pronatalist movement.

Samantha: But behind the talk of baby bonuses and tech enhanced families lies a deeper question. What kind of people are we trying to create and who gets to decide? We discuss how this new wave of tism intersects with genetic screening, embryo selection, three parent children, and the quiet rebranding of eugenics for a 21st century audience.

Samantha: Is this really about saving humanity or [00:01:00] redesigning it? Emma, welcome to Brave New Us.

Emma: Hi. Thanks so much for having me today.

Samantha: Absolutely. So can you tell us about your work and how you came to be doing what you're doing?

Emma: Yeah, absolutely. So I started off in the family policy space in college studying everything related to marriage and family structure, studies and policies that could encourage or hinder the development of intact families. And from there I became increasingly interested in the role of technology as it was sort of re-imagining every aspect of our life, from digital technology to our understanding of sex with the gender ideology, movement. And then ultimately landing in this space of reproductive technology, uh, realizing that in many ways our technology is re-imagining how we think of conception and what it means to be human at that most fundamental level. Um, and so over the years I've. Worked for a number of scholars who have primarily been at the Heritage Foundation, building out our platform on reproductive [00:02:00] technology and emerging biotechnology. Always with the question of what does it mean to be human, and how do we promote family flourishing through the technologies we promote?

Samantha: Excellent. So in your recent article for public discourse, you distinguish between Tism and pro-family. What do you mean by that and why do you think this distinction is important?

Emma: This is a great question. So it's been a really exciting development in the last couple of years to see the topic of declining birth rates and tism really come into the mainstream discussion for many years. It was something that floated around academia and niche circles, but hadn't really entered into mainstream discourse.

Emma: And so in many ways we have Elon Musk and a few very prominent figures like that to thank for the awareness that's been, um, that that's been garnered over the last few years about declining birth rates. So a little bit on that. Birth rates in the United. States as of 2023. Um, so it's a bit dated now, but it takes a while to get the [00:03:00] information in, have declined to 1.62 births on average per woman. Um, and typically scholars say that in order for a nation to maintain its population levels, you need to have about an average of 2.1 children born per woman. Um, and even more than that if you want to grow your nation. And so, uh, uh, in some levels, um, it may just seem like a numbers game. What's the big deal?

Emma: We have fewer children now. We'll have more children later. Um, but a lot of folks in the prenatal. Space have recognized the continued downward trend and have been very alarmed by it. Because declining birth rates mean we have fewer people to support the nation, which means we have fewer people. Um, in our military, in our education, in research and development. it affects things like our social security, um, our, um, unemployment, our elder care, uh, and it really begins to impact multiple levels where you have countries like China or Japan, for example, whose birth [00:04:00] rates have declined to such a degree that they're concerned that the nation may not be able to sustain itself in coming years.

Emma: So not destroyed by the enemy outside, but destroyed by the enemy within. Um, and, and like to put this in perspective, South Korea, which has the lowest birth rates in the world, uh, I think their birth birth rates are at 0.7 for every 100 South Koreans that are alive today. They will only have on average, about seven grandchildren because of how low birth rates are. Um, so it's an incredibly, uh, I think, heartbreaking conversation when you start thinking about the real personal impact. But Tism, um, is a movement that's risen in response to that. Who's promoting, as the name implies, more babies being born. Um, and so at face value, right? Like we support more babies being born to families, um, who, who want to have them.

Emma: But it's that distinction, uh, right there that I think is so key. Tism is strictly concerned with more babies being born, but many [00:05:00] in the movement don't actually, uh, care whether those babies are being born to married, mothers and fathers. Whereas the distinction that I would make, which is the pro-family movement, where I really orient myself says that we're not simply concerned about having more babies, but we're concerned with more families being formed in the United States, and we want to see more healthy marriages as.

Emma: Established between men and women, and from those healthy marriages, couples having the children that they desire. Because ultimately, if we have a nation where artificial wombs are used just to create literally more babies, um, or in the case of Elon Musk, who has, uh, multiple women who have had multiple children either as surrogates or in these sort of like financial agreements.

Emma: While every child is a gift that's conceived and born, we have to be very honest about the quality of life that we're giving to those children. Um, and so if we're just having children who have no natural connection to their mother and father, we're actually setting those children up to have a much harder life, [00:06:00] um, based on a number of studies and research that's been done on child wellbeing and family formation. Um, and so that's why I make that distinction between, uh, TISM proper and then the pro-family movement, which I think is maybe, which I think is the better response to, um, our current cultural problems around birth and the decline in healthy marriages.

Samantha: So I obviously, I agree with you, but just to play this out, what, what is the problem with somebody like. Elon Musk, you know, reproducing with his harem or, uh, with an artificial womb. What, as long as the, uh, he might say, I have the means to take care of these children. I obviously have fam fabulous genetics.

Samantha: Look at what I have accomplished and look at my intellect. And why would I, if we need more babies, should, aren't I the best candidate? I can fund as many as we can put out there in the world? What would be the problem with that as, and why would we [00:07:00] necessarily want more families who are ill equipped or certainly less equipped financially speaking than somebody like Musk to reproduce their babies?

Emma: Yeah, and this is a fantastic question and pushback. So I think there are two, there are two things that come to mind. Two things we've already seen play out in response to this. Um, the first is materialism, and the second is the impact on the child. So taking the materialism angle. I think when it comes to this conversation, Elon Musk, literally, who is literally one of the richest men in the world, without a doubt, right, has the means to have many, many children and provide financially whatever they need. Um, the problem however, is that unfortunately, I don't have nearly as much money as Elon Musk. You probably don't, and the average American doesn't either, right? Our average median income is. I think somewhere between like 50, $60,000. Um, and so when we have these expectations, um, set by an elite class, and elite classes are very good for setting the [00:08:00] moral standards for a nation. Um, and if you have individuals like Elon Musk saying it's really not about the families, it's about the money, can you provide for them? Um, and why shouldn't I? Then I think we run into a problem where the cultural expectation that he sets is that you need to be able to provide your children the best life possible with as much money possible and everything they could want or need. Um, and he can do that, but the average American can't. And so they'll look at figures like Elon Musk, who certainly do have enough money to, um, procreate at that level and say, well, I can't do the same thing. Why should I even bother to have children if he's going to take care of it, if others with enough money are going to take care of it? Um, and whether. know, Elon Musk likes it or not, he won't literally be able to have enough children to address the declining birth rate problem. And this overemphasis on having certain kinds of children and giving them every possible material, um, thing that they need, I think could actually end up suppressing birth rates for everyone else, which is what we've actually [00:09:00] seen, um, with the rise of materialism in, in years past. And the second thing I would say is then you have to ask, what about the children who are being formed in this arrangement? So on average, non-resident fathers only spend about 30 minutes per week with their children. And even like the best fathers with the best of intentions. There's just natural barriers that come into play when you're not in the home.

Emma: And take someone like Elon Musk, who has many, many children living in many cities with different women, um, he's actually proposed the idea of a commune where they all have individual houses, um, to try to solve this problem. Right? But he, he travels a lot. And so there's this question of like, how much time does Elon even get with his children, especially if he was. A child maxing on a larger scale. Um, and so I think when we think about this issue of like, just have tons of kids, it doesn't matter or say artificial wombs, right? Say you say, well, what if we just create the babies through in future fertilization? We then implant those embryos in an artificial womb.

Emma: They raise the kids and then whomever wants the child, a single person, a couple, a throuple, [00:10:00] a same sex relationship or not can come pick them up. Well, we are actually conferring massive, um, harms and risks onto that child just to fulfill the desires of adults. And this is something Katie Falta said, um, very elegantly when she says that we can't let the, um, desires of adults come before the needs of children. Um, and I think Case in point is looking again at Elon Musk, his oldest son, um, in recent years has really rebelled against Elon Musk because of this technology and this, um, tism detached from the family that he's promoted. So Elon Musk oldest is. Son now goes by Vivian and is very openly talked about how incredibly angry he is and how frustrated he is with how his father chose to create him in a lab, select him for his sex, um, and really engineer every part of his life for the purpose of having more babies, but not really providing him with a home, with [00:11:00] unconditional love with a family to raise him. Um, and there are other articles that have, that have started coming out with children, um, sort of raised in this prenatal list mindset that have, I, I think really started to suffer the harms of that. And then just by and large, um, we know that children who are raised. An intact married mother, father, like biological mother, father, family, do the best when it comes to their psychological, their emotional, their, um, behavioral educational, and in some ways their financial outcomes.

Emma: And so if we're simply encouraging a more baby's movement detached from that married, mother and father, then we are placing children in situations where they are less likely to thrive. This doesn't mean that they will all do horribly or be unhappy, right? But we are setting them in a situation where we're, we're, we're intentionally putting them in a, a situation where it will be harder for them to do so. Um, and, and I think a lot of this really does come down to these sort of like. Big picture ideals versus like the lived experience of what is good for children. Um, and the last thing I'll say on this is there is [00:12:00] a, there was an article in the Washington Post written by a woman last year where she basically said, okay, fine, we have declining birth rates.

Emma: I'll grant you that it's a problem for our national health and security and unemployment and you know, elder care, et cetera, but what does this have to do with me? Why should I as a woman bear the responsibility of this broader issue? And so she basically, um, somewhat crassly says, um, sure if you think there's a problem with declining birth rates, then figure out a solution that doesn't involve women having babies. Um, she was like, 'cause I don't care. And I think the thing that her article most, uh, uh, really pointed out to me is that if we make this about increasing birth rates simply then it does become a bit of, um, I, I think we hit a situation where women start to opt out and they say, that's great. You want increased birth rates. Yeah, basically like, what, what's in it for me? And if I don't want kids, then why should I be engaged? And we've removed the human element, um, the family element from [00:13:00] it, that it really, I, I think, the appeal societally. Um, and this is something they've, we've actually seen in China where China's now throwing tons of money and, uh, messaging incentives, um, and cultural status to women who have babies. And women in China are literally saying, yeah, I think we're good. We're just gonna pursue our career. We really don't care about your national crisis. Figure it out yourself. Um, and, and so you detach children from the family, from married, mothers and fathers. I, I think you inevitably hit moments like that and long term that actually is going to decrease birth rates even further and sort of undermine the initial goal of tism to begin with.

Samantha: Yeah, absolutely. And something you said, and you were talking about defining the best life possible and how we are defining, uh oh, I can give the child the best life possible in purely materialistic terms, but the best life possible, I think for a child includes a mother and a father who loved them. [00:14:00] And, and I think most people who have had good parents, especially thinking about it, would say, yeah, I wouldn't trade my good parents for more stuff or more vacations.

Samantha: I that, that is completely beyond value. Um, and looking at the birth rate as just purely a number or a term to increase, totally ignores. The point of looking at what is the best life, what is the purpose of family, which are deeper cultural problems that we have to address when we think about these things?

Samantha: Um, which I think provides a good segue into the next question when we talk about what makes a good family and parenthood and child. So Nucleus genomics and IVF, genetic selection startup builds itself as a catalyst for a world without heritable diseases. Sounds great. You responded on X and in articles calling out the inherent eugenic drive in startups like [00:15:00] nucleus genomics, orchid, helio, spect.

Samantha: My own genomic prediction, I think it's very clear that these are eugenics companies. What's less clear is how to respond to someone who receives that accusation and says. So what, um, in other words, the eugenics movement spurred by Charles Darwin and promulgated with almost religious fervor in this country by Charles Davenport, Harry Loughlin Madison Grant was inhumane in its targeting of vulnerable communities and the four sterilization laws that became Hitler's inspiration.

Samantha: But that those are really problems of application and that ultimately the core of eugenic philosophy of purifying our genetic pool of humanity, that is an aspirational goal. And that now with the sequencing of the human genome and the ability to use genetic editing with crispr, we finally have the means to execute a eugenic program that is ethical and even praiseworthy.[00:16:00]

Samantha: Is there a flaw embedded in the philosophy of eugenics itself that exists apart from the practical implementation that led to past atrocities?

Emma: Yeah, it's a really good question. I think it, and correct me if I'm wrong, but I think that that final part of the question in particular is in like the 20th century of eugenics we were dealing with. People who were already born, right? People who were walking among us, they were disabled, they were maybe the wrong skin color.

Emma: They had the wrong intellectual capability. Um, but today with Nucleus genomics and Orchid and a number of these other companies, we're dealing with human beings at the embryonic stage, um, at a stage where it's, uh, one hotly contested if, if we should even attribute any personhood or value to that embryo. Um, and two, that even if we do contribute some value to the embryo, if it should really matter what happens to the embryo, right? Because that, that small, very tiny, uh, embryo right at the earliest stages of human development looks nothing like you and I do today, even though if allowed to develop normally it, it [00:17:00] would, he or she would eventually do so. Um, and so I think one of the things that. Has been so, uh, intentionally or unintentionally deceptive in that movement is the framing of, um, orchid, for example, whose, whose tagline is, have healthy babies. Um, nucleus genomics says we should remove all heritable diseases. They, they frame the conversation around health and they say, no, no, it's not eugenics, it's just science.

Emma: We're helping you have healthy babies. And that, um, right, like at, just like at face value seems great. We all want healthy babies. It's one of the most natural and in like intuitive desires every parent person has. But what I think they're very unclear about, uh, many cases just outright deceptive about, is that we're not talking about this abstract idea of wanting to heal a child. Bryo or improve their health. But what they're really saying is, is we should test each individual embryo. And then what these companies do is they [00:18:00] assign, um, a score for every disease or condition that they test for. And say, your embryo has, say, a 90% chance of getting Alzheimer's, a 50% chance of insulin resistance, um, a 25% chance of hearing loss and so on.

Emma: And then you can look at those scorings for each of the embryos and say, what are the embryos that I want to use and what embryos do I want to destroy? And so it's picking winners and losers at this, um, be like inherent level of human life. Um, that's just far beyond anything we've seen, um, in like the 20th century eugenics movement. Um, but I would say is no less eugenics because ultimately what you're doing is you're placing a conditional value on human life. Um, and, and apart from any like moral pro-life language. scientifically speaking, an embryo is a distinct and living organism with its own unique set of DNA that if placed in the right environment will grow, into like a, a human being as you and I [00:19:00] recognize one. Um, and so there doesn't necessarily need to be moral language to recognize that. And what these companies are doing is then taking those embryos and assigning winners and losers based on their, um. Best tech, best technological guess at the content of this embryo. Um, and I think what's important to note is the ability to test for certain diseases, what we would call monogenetic diseases or like single gene diseases. Um, and to test for the sex of the embryo has been around for a very long time. I like to joke that there's no gender confusion in a fertility clinic, um, because they can tell right away if they're looking at a boy embryo or a girl embryo. And so in the United States we have about 450 fertility clinics. 75% of those clinics allow for pre-implantation genetic testing to look at single gene diseases like Down Syndrome, Tay-Sachs disease, cystic Fibrosis, something like that. About 73% of those clinics allow you to test for things like the sex of the [00:20:00] embryo. Um, and it, and it's very notable because most states don't allow abortion based on sex.

Emma: Um, even our, our most blue states, right? You can't go in and say, I want abortion 'cause it's the wrong sex. But in fertility clinics, that is in many cases just an assumed state. can go in and say, I really want to have a girl and help me pick the girl embryo from the set that's most likely to succeed and then destroy all the other human embryos.

Emma: But these companies like Nucleus genomics take it to a whole new level where they're testing for 900 to 1200 polygenic conditions, which means conditions that develop based on the interplay between multiple genes, which means it's even more unreliable or more complicated to assess that. Um, but they're going even further.

Emma: And they're not simply looking at the health or the sex of the embryo, but they're assessing things like the potential IQ of the embryo or the potential personality of the embryo. So what genetic combinations tend to create, [00:21:00] um, a more docile child, what, uh, combination tends to create a more kind or a more, um, aggressive or a more ambitious child, and they're offering parents not just the opportunity to have a healthy baby. But to have the exact kind of baby they desire, but instead of being upfront and saying, you are picking and choosing winners and losers, right? You're not increasing the intelligence. You're just trying to choose the embryo with the highest IQ based on the number of embryos you have. Um, and so that's why I've really framed it as this consumerist eugenics.

Emma: If you have enough money you can create, uh, and select the kind of child you desire. Um, but yeah, and so in many ways it is just a modern version of 20th century eugenics, but because it's dealing with embryonic life, I, I think it's a lot harder for people to, um, grapple with in the same moral terms.

Samantha: Well, and, and also that it's just to play devil's advocate. Some of them are going to make it and some of them are gonna be discarded, so why not [00:22:00] choose the one that most closely matches? I am, I am a buyer of a product. Why not choose the best product has, however, I define that.

Emma: Right? Yeah. Uh, and this is what many of them frequently say, unfortunately. Um, and so in those cases, if, if you frame it in that language, right, of like, I am, yeah, I'm the buyer. I can get whatever I want, why shouldn't I pick the best possible child? Um, I think that's where, um, one, uh, I make the distinction between intentional and unintentional.

Emma: So, um, throughout conception there are unintentional, um, times where an embryo or a child doesn't make it right. An embryo, um, doesn't continue developing. Um, or even a, an. Plant a child doesn't continue developing and you have a miscarriage or you have other complications, those are unintentional and unnatural deaths to that child at each stage of development that are incredibly heartbreaking, right? Um, and are far outside the control of [00:23:00] parents. But what we're dealing with here is the intentional selection and destruction of human life. Um, and so one intention matters and then two, I would say that our society. I, I think by and large, like many people would agree that there, well, not everyone would agree though that there are some things that ought to be beyond the scope of the market and ultimately having enough money is not a good enough justification for what you can and shouldn't do.

Emma: And we have laws governing every aspect of society that says no. There's some things that are far too intimate, far too sacred to simply be subjected to a monetary, um, transaction. Um, so prostitution is largely banned, um, even if it happens outside of the law, right? As largely banks, we recognize that sex and that's sexual intimacy, ought not be governed by the market. When it comes to reproduction, this is, I think where we have one of the last holdouts, um, of this debate, right, where we have surrogacy, where we have, um, buying egg and [00:24:00] sperm, where we have the creation of human life. Where, where there has been this permissive view that if you can buy it, you should be able to.

Emma: And I think that's where you just see a, a moral disagreement, right? Like just radically different worldviews at play with each other. Um, that should have good policy governing them. They should have, um, very clear limitations placed on what can be done to human life. Um, and a lot of that comes down to, I think, uh, a longer and larger debate in the public square to really shift think the thinking on this topic.

Samantha: Why do you think a philosophy of eugenics seems to emerge from so-called elite classes intellectually and socioeconomically? And what do you think we lose by defining those markers as the pinnacle of human achievement?

Emma: Yeah, so the, so the eugenics movement with embryonic genetic screening really comes out of a larger, um, movement towards [00:25:00] longevity and transhumanism, um, that was largely birthed in Silicon Valley, and it is sort of making waves across the United States culturally speaking. So for many years you had individuals from Brian Johnson, Peter Thiel, um. To, you know, more normal researchers who were asking how can we optimize human health to the highest degree. Um, in some ways the Maha movement is a sort of like normal, healthy version of this, right? Where it's like, how can we just like provide people with the best water, the best food, the best lifestyle so that they can thrive? but out of that movement, you had a number of individuals who started asking, we are, started saying really like, we're spending so much time and money trying to optimize the health of an individual once they're born, once they're in their twenties, thirties, or older. What if we started at the most intimate state, um, of embryonic life and actually optimized, um, the longevity, the health of the embryo from the very beginning where we have maximal control over the outcomes of the embryo. and so largely [00:26:00] an elite, and, and this is sort of, I think this philosophy is like a. Is natural among like our elite class of like, you want the best and you want to be the healthiest and the best you can be. And on like, on face value. That's great, right? We should all pursue excellence. Um, this movement though, of course, has taken it to a far different level where it's not simply pursuing excellence, right?

Emma: But it's like picking and choosing which children are even born in the first place and then can pursue excellence from there. Um, and so I think that's, like if you. Saw online like Brian Johnson was at Nucleus Genomics opening. Um, there's a really close connection between the transhumanist longevity movement and this embryonic genetic screening movement. but what's so interesting to me is that embryonic genetic screening is only looking at the genetics of the embryo. Many of the conditions that they're testing for are not primarily genetic conditions, but environmental connections, conditions. So take for example, Alzheimer's. About [00:27:00] 96% of all Alzheimer's cases are traced back not to the genetics of the person, but to the environment and lifestyle that they lived. Only 4% of cases on average are due to a person's genetics. So you may use breon genetic screening and say, wow, this embryo only, you know, barely has a chance of Alzheimer's. This is amazing. We should choose this embryo that only accounts for 4% of the possibility. Right. The other 96% will be governed by how they live their lives.

Emma: So I think there's an expectation among certain elite circles who are using this technology that they will ensure that their kids then follow through with the lifestyle and have access to the things to ensure that they're the healthiest possible that they can be throughout every stage of their life. Um, such that that 96% is not as big of a deal. Um, but it's just no guarantee. Right? And this is the case for almost all of the polygenic conditions that they're, um, testing for, is that so much of it comes down to our environment and the life that we live. Um, and even things, right? Like we can be [00:28:00] exposed to something that we don't expect, that we don't intend to be exposed to that can cause any number of conditions. So it, it, it really in some ways, like, I think doesn't fully achieve what I think they're trying to do because there's so much that could go wrong, um, go wrong, quote unquote, right in their worldview after that. but I think it's very appealing nonetheless. Um, and, and it sort of follows like our. our marriage and dating trends too, right?

Emma: Our marriage rates have been declining long before birth rates were declining, um, with hookup culture. Um, the sexual revolution, no fault divorce. And in today we've sort of reverted to this maybe somewhat dystopian approach to marriage that's reduced to dating apps with profiles and constant swiping.

Emma: And we know that that's actually continued to suppress marriage rates. Not necessarily help them, even though I know and probably, you know, people who have met and gotten married on these apps. And very similarly, I, I think we're seeing as. We will see a similar outcome here where there are stories of individuals in [00:29:00] Silicon Valley who say, well, why should we have kids now? Why not wait five years, 10 years, 15 years, when the technology is even better, when we can just use an artificial womb when we have the ability to even edit the embryo to the exact kind of child that we want. Why would we have a kid now when we have even better technology to have a kid in the future? Um, and now of course, there's a couple of levels to this one. What happens if you do have a kid in the future, but five years after that the technology is even better. Are you, are you going to have buyer's remorse for the child that you have? Like it's sort of this infinite regression of there will always be better technology promised. Um, and then two, think that also just like tends to suppress birth rates in a very real sense where if you make it about having the best possible kid who has the best possible life, then that's really, again, only possible for a certain, very small percentage of society. With that, those level of means where then the average person won't be able to use IVF, they won't be able to pay for this advanced technological screening. Um, and, [00:30:00] and so I think it will cause like this further fracture in our society of who's having kids and why they're having kids. Um, yeah, but that's a long answer. I, I think like the

Samantha: Yeah.

Emma: is just like going a couple of different directions. Um, yeah.

Samantha: Yeah. Well, I, I think it's interesting too about this kind of, uh, way of obtaining and optimizing. Children really flies in the face of what I think should be the ideal of parenthood, which is to offer unconditional love and sort of be drawn beyond yourself and stretched and become a more virtuous person by the self gift of oneself to your children.

Samantha: That's very opposite of designing a child that fits your desires. Those are two very different paradigms, and I think one tends to lend itself better to the building of virtue and generosity [00:31:00] and love and acceptance that we, I think most people would agree is ideal in parenthood. Um, still, but yeah, it's, it's a little bit, uh, it's a little bit frightening to follow that line of thinking

Emma: Yeah.

Samantha: the way to its natural ends.

Emma: 'cause

Samantha: Um.

Emma: your children to sacrifice for you rather than you, the parent, learning to sacrifice for your children, even when that means having a child with additional complications, right? That's maybe not the child you had in mind. Um, but I think there's this, uh, just hubris in the industry that's just, that's incredibly foolish. Um, assuming that we somehow know what's best for future generations to, to the point of like what kind of children are best for future generations. Um, and not recognizing that to some degree providence in nature right. Do govern it, um, for our good right. And reshape who we are as people through this self-sacrificial gift of parenthood. Um, and also open the door for new kinds of people and new personalities, um, to be born in the world that we would [00:32:00] never have imagined our guests. Um, and so I think a little beyond even what you're asking, there are two just like. Broader concerns that I have of one, we see trends in buying, uh, markets all the time, right?

Emma: Like the new iPhone comes out, everyone wants the new iPhone. Uh, this new dress comes out. Everyone has a variation of this dress. And I think there's a very, there, there's a very real concern that there will also be trends in the kinds of, um, things that people select for. Um, so I, some people actually think that autism or autism is a strength.

Emma: So there's like a swath of parents actually choosing embryos based on autism or what happens when people think like, oh, like kindness is the highest personality. We should have all the kind people, which is great, but people who were overly dispositioned to kindness for a whole generation probably don't protect your borders in a time of war very well.

Emma: Um, or if you choose a very aggressive generation, right? Like it's probably not good for like the domestic health of your nation. And so there's a real concern that like these sorts of trends in children, um. Weaken society [00:33:00] overall. And then the second thing, um, and I mean this like somewhat humorously, but I think the point stands is imagine if the boomer generation or fill in the blank generation had access to this technology. What kind of children and personalities and IQ and health would they have chosen? Is that really what you or I wanted to be created and born and lived as? Um, and based on the like pretty strong like reaction to boomers and older generations, I think most people would say absolutely not. Like we actually really like the sort of cultural generational distinctions that we have, um, that have by and large developed sort of naturally in response to, um, our own context and previous people. But how much, yeah, but like how much of that do we actually lose with embryonic genetic screening because we take away that natural variation, um, at a very fundamental level if it's adopted wide scale.

Samantha: Yeah, taking that stereotype of the former quarterback of the high school football team who wants his son to continu his footsteps, [00:34:00] but his son just wants to pursue science or musical theater and. But at a very genetic level, trying to exert control over who your child becomes rather than allowing them to flourish and unfold as as a gift.

Emma: Yeah. Yeah.

Samantha: So the inventor of CRISPR technology for gene editing, Dr. Jennifer Duna, who in good faith has been very vocal about insisting on ethical uses of this technology, has commented that one day we might regard it as unethical not to use CRISPR to edit out genetic defects. One, do you think this is a likely prediction?

Samantha: And two, what do you see as the relevant differences between making these changes in people who are already born, say to ameliorate disease or designing embryos to exhibit particular characteristics?[00:35:00]

Emma: Yes. Very good question. Um, so the first part of like, how is this technology even possible is a, it's a really good question. So I think there's, yeah. So there are a number of scientists, um, just across the board, not, you know, coded as any one set of beliefs or another who have really called into question the viability of this technology.

Emma: Um, like how well are we actually able to select or even edit a given, uh, gene? Like how accurate is our, is our effort in this space? Um, so I think right now, um. It's still very uncertain from what I've seen, like how accurate our, our attempts actually are. I think in the next five to 10 years, we potentially could see a high level of, um, in the genetic editing space.

Emma: Um, and I hesitate to see ac say accuracy because I, I think like so much of it, while we've like made incredible advances, so much of it is still uncertain. Um, that, and there's so many complications that could arise, right? Because like [00:36:00] even on a basic level, you need the tools. That make it possible to do the editing.

Emma: So like, theoretically this is all possible, but even when it comes to like, do you have a tool that's small enough to, uh, literally change a given gene, which is right, like beyond like our ability to even see with our, with our eyes, have a tool that can actually go small enough, that can inject, that can change, that can, uh, make the, yeah, like, make the changes necessary. Um, they're still working on that aspect of it, such that genetic editing is incredibly expensive and time consuming and it, and for those reasons hasn't been the first stop for people, which is why you have seen the rise in genetic selection because it's far easier technologically speaking to analyze and select than it's to actually make changes to an embryo, even just with the tools we have necessary. and then the second part of your question of would it be, uh, do we hit a point where it actually becomes unethical not to use it? Um, and I think this line of thinking. Comes [00:37:00] from a place where if you assume that just because techno technology can do something, it therefore should do something. Um, and, and this is I think a broader problem in our technological discussions is that it's all about if we can, we should not, if we can, is this actually good for humans? Um, and so, uh, yeah, so I think on that one, I think it will be very realistic that will have people who encourage the use of genetic editing because it's somehow unloving to your children not to use it. yeah. And you had, sorry, you had another part of this question that I'm now forgetting. Um, maybe about the kinds of things Oh, the enhancement versus like diseases.

Emma: So I think when it comes to genetic editing, I am actually far more open. in having a discussion about the technology because the, the, the wide array of genetic therapies is incredibly broad. So you have the sort of designer baby, what if you had an embryo and you could just change whatever you wanted to have the child you like and we'll, we'll call that like the [00:38:00] enhancement side of things.

Emma: So it's not just that I have a healthy child, but I wanna child with blue eyes, who's really good at soccer. Um, I, I think when it hits the realm of enhancement, then that becomes incredibly problematic because you are conditionally choosing the child and you're taking away. like nature's ability to give you the child that you need, right?

Emma: Or that child to develop their own interests or desires outside of the selection. But I'm far more interested in what it looks like to use genetic therapy to heal actual diseases or, um, problems within a child. Um. And so once the child is born, that seems like a really obvious and positive example. So you have baby CJ that was recently born where they were able to use genetic editing to change the proteins within his DNA so that it actually healed him of this like incredibly rare disease that he had. Um, and it didn't change the genes that he would pass down. It was just focused on that child. Um, and so that's something that I was by and large praised throughout, [00:39:00] um, all communities, right? Is a very good use of genetic therapy to actually heal a child and also limit the negative impact that can have on future generations, right?

Emma: Because if you change DNA that will be changed in your offspring, then that's a really big question of like, okay, what if we do something wrong? And now you've not only harmed one person, you've harmed every child that comes from their line. Um, but then I'm also really interested in things like. I think at the embryonic level, like what would it look like if you could heal conditions like Down syndrome? Um, I think that it doesn't change the value of right, and like the goodness of the child either way, but I think that's where people become far more, um, on edge because it's just, it's such a big question, right? And it hits the disability community of like, how do we think, are these differences in the human person or these limitations?

Emma: Are they gifts in and of themselves? Should we try to heal them if we have the opportunity? But I think that's the space where at the, either the embryonic or the born level, I'm very interested in seeing the development of [00:40:00] these genetic therapies that could actually heal a given child. Um, but I'm far more wary of like, moving into the realm of enhancement, right?

Emma: Like it's not just to have a healthy kid, but you want a healthy kid who's like six three and greater football. Um, that seems like far more problematic, but I don't think that we have the moral imagination or the moral, um. Ability to really make that distinction in our society. So part of me thinks like we, we, we don't have the wisdom to govern this technology reliably. Um, because there isn't an agreed upon, um, view of the human person that would allow us, I think to reliably say, we can agree that this is healing versus this is what's enhancement and we should be able to get there. But I, I am just not confident that we're there right now.

Samantha: Yeah, something we'll have to unravel as we go.

Emma: Yeah.

Samantha: So you have written extensively about the problems that arise when we use technology as a substitute rather than a supplement to human flourishing. [00:41:00] Can you explain the difference and why this distinction is so critical?

Emma: Yes. So that distinction of substitution versus supplement comes from Joshua Mitchell, who is a professor at Georgetown University. and he's used this, um. Many different contexts. I've applied it specifically to the question of technology. So what I mean and what Joshua Mitchell means, um, or at least my interpretation of what Joshua Mitchell means when he uses this, is that for a technology to substitute the human person, it is, it means that in some way, our use of that technology is replacing a natural human function or natural human experience. So take, um, the, the topic of IVF, for example, right? IVF, um, results in the creation of a human embryo if everything goes correct. But in order to create that human embryo, you're actually substituting the human person or the human body and creating it not through the natural intercourse between a man and a woman, but in a laboratory setting, um, with [00:42:00] technicians who are like artificially, like placing your egg and sperm in a Petri dish and hoping that it turns into an embryo. And that scenario, I would say that we're actually subs, we're using IVF to sub. A natural human function in a way that I, that at, at base value, right? Like introduces a number of complications into our understanding of what it means to be human, um, the wellbeing of the child, and so on. When we say, when I talk about technology supplementing, at that point, we're talking about ways that technology, um, can actually help, encourage, or help achieve a natural human outcome.

Emma: So a very basic example of this is like the use of glasses or a prosthetic arm, right? It's not substituting your ability to see, but those glasses are helping supplement your natural eyes so that they can see in a way, uh. they ought to, right? Without any, um, issues or like natural weaknesses that come with time and age. And so I'm very interested in the development of technologies that will further supplement the human person and human [00:43:00] flourishing. So things like, um, the development of, uh, different approaches to treating infertility, for example, um, broadly fall under the category of like restorative reproductive medicine. But this can mean everything from, um, addressing tubal blockages, um, that may prohibit a woman from, uh, naturally conceiving a child or addressing conditions like endometriosis or any number of factors, right? And it actually involves a high level of technological sophistication, not only to identify and diagnose the cause of infertility, but then to actually address all the factors contributing to it. Um, but I think any, any use of technology in that sense, right? It's just supplementing what the body naturally does. It's not necessarily substituting the body with this like outside, um, meat. Creating a child. Um, so yeah, that's the distinction at a

Samantha: Yeah, no, absolutely. And, uh, this season we will be having on, uh, Dr. Stacey Tringo to talk about IVF in a little bit more detail and Grace [00:44:00] Emily Stark, the editor at Natural Womanhood, to talk about her policy wishlists and other things about, um, restorative reproductive medicine. So keep an eye out for those episodes.

Samantha: Um, speaking of technologies that either substitute or supplement, can you explain the process and purpose behind three parent children and what are the concerns around this technology?

Emma: So this is something that, um, has, has sort of had a few different moments in our cultural conversation. Um, and most recently in like the mid 20, like before and after 2020s. And so with three parent embryos, what we're talking about here is, um, typically there's a few variations, but like typically when we talk about three pair embryos, we're talking

Samantha: I.

Emma: the replacement of a, of embryo or a cells nucleus with another embryo or cells nucleus.

Emma: And so what that means is if you have, say, a. Um, one [00:45:00] embryo that is, or say like you have like sperm, egg, egg and like the sperm and the egg of like the intended parents who want to raise the child, uh, may have like the egg for example, may have a condition where it's less likely to, um, create a viable embryo or it could convey some heritable disease to the child.

Emma: What they would do is they would actually take that woman's egg with another woman's egg that didn't have those same conditions and they would replace key parts of her egg with, um, genetic material from the other egg. And so you would end up with a child who had genetic parents in three different places, one man, two women, in order to sort of offset and piece together the healthiest possible egg to create the healthiest possible embryo, in the United States.

Emma: That technol or that process is not it. not allowed. So if you were to apply to the FDA and say, I'd like to create a three point embryo, they wouldn't even respond. It's like, it's, it's illegal. We don't pursue that route. [00:46:00] Um, but it hasn't been tested or really like pushed back on in a number of years.

Emma: So the United Kingdom is one of the most prominent countries that has developed this technology primarily for the purpose of addressing or trying to like sidestep any potential health concerns that may be present in that woman. And so it, in many ways, it's sort of trying to walk this middle ground where if you are concerned about using your own egg, your own genetic material in creating a child, but you don't just want to buy another woman's egg to create a child, right?

Emma: Such that you as the intended mother would have no biological connection to the child. This sort of provides a way, um, where you quote unquote get the best of both worlds where you're still passing down genetic material to the child. But you're removing the parts that you find problematic and supplementing it with, or substituting it really with someone else's. Um, so that's like a very basic description of three parent embryos. Um, it hasn't gained as much, um, stamina in the United States, but it is [00:47:00] certainly something, like I said, that the United Kingdom is utilizing.

Samantha: Now, as I understand it, researchers have also been able in animal models to reprogram adult stem cells into gametes eggs and sperm, thus enabling genetic conception between same sex pairings or even uh, from a single person. How far are we from human use and what are the implications of this type of technology?

Emma: Yes. So what you're describing is, um, called in vitro gametogenesis or IVG. and as you said, there are two different variations depending on if you're working with egg or sperm. But at the most basic level, you are taking, um, a stem cell, some DNA. So, um, some of my skin cells, hair, um, or blood for example, or even like your saliva, right? And you are genetically transforming that, [00:48:00] um, into. Uh, a viable egg or sperm. So this is a very, like, complex process, obviously. Um, but as you noted, this has been achieved in mice in Japan in particular, where they were able to genetically modify, um, think DNA from a mouse's tail into viable egg, and then use that in reproduction to create multiple generations of mice from it. Um, so it requires the use of IVF, right? 'cause you're then extracting egg or sperm. But because you can genetically, uh, modify or transform that given DNA into egg or sperm, it means that your biological sex is actually secondary to the process. So women naturally create eggs. Men naturally create sperm in the process of procreation. Um, but using IVGA man could contribute his own sperm and then genetically modify one of his skin cells. Into being a viable egg. That's [00:49:00] totally from his DNA. So it'd be his DNA, right, like his person, but in a genetically modified egg. And then through IVF, he could actually have his sperm, um, fertilize his egg to create an embryo that was 100% related to him. The same could also work with same sex couples where a woman could contribute her egg and her partner could then genetically modify a skin cell into sperm and then fertilize that egg, such that two women would actually be the genetic parents of a given child. Um, if you look in Japan, for example, where they're most advanced in this technology, the primary motivation that they have noted is to help women who are born without eggs. Now, this is a very rare condition, um, but it's certainly a condition that, um, women throughout the world suffer from where they physically. have any eggs to have children. Um, which is, can be incredibly heartbreaking 'cause it, it means that there, there isn't anything you can really do right. To naturally restore that.

Emma: And so their hope is that [00:50:00] this technology could then use their own DNA to create eggs so that they can have the children they desire. the context of the United States, um, the primary company, um, working on this is Biocon concepts. Biocon Conception says that their primary motivation is to allow same-sex couples to have children.

Emma: Um, and there are a number of same-sex couples working at this company in the United States and really across the world. So we know that Japan has started testing with, um, human DNA to try to, uh. Create a mature egg. In particular, they've not achieved this goal yet. Um, I think they've gotten like very rudimentary versions, but it hasn't continued developing to the point of a mature and viable egg in the United States.

Emma: Biocon concepts has claimed that they are, biocon concepts is working with human DNA. They claim that they're making proce progress on it. But even folks in the industry have said, we haven't seen the paper, we haven't seen the research. We have no [00:51:00] idea really how far they've gotten. So I think the folks in this space have said that it's anywhere, maybe around like 10, five to 10 years before we expect to see a viable human br egg created through this process or sperm. Um, but who knows, right? Like maybe it works, maybe it doesn't. Um, but the concerns with this are, I, I think very clear. Which is one, um, it, it will radically change our understanding of human conception because it will no longer require a given man and a given woman to create a child. Um, any number of children, uh, really an infinite number of children could be created from any given individual, um, with or without the support of another man or woman. Um, and, and what's even more heartbreaking is you don't even have to have a fully developed person, right? Uh, or like human being, like grown human being. You can have an embryo and you can take the genetic material from that embryo and then [00:52:00] genetically modify that into ex sperm embryo, right? And continue the process of procreating multiple generations, um, just from the embryonic stage, not even from like the born adult human stage. Um, and so there's, I think, a number of. Concerns or like a number of problems this introduces. Um, but in many ways what it's doing is it's taking our legal redefinition. And where states like California say that any person or persons can be the parents of a child, right? They have parent number one, parent number two, it doesn't matter your sex use IVF, you can be a parent and it takes that legal definition and it turns it into a biological definition where quite literally should the technology succeed, any two men could actually be the biological parents of the child. But we know that, again, when it comes to childhood wellbeing and parenthood, it's not just about, um, do you have the parts available to have a child? Do you have the financial support? Do you have two people who love you? There's an incredibly [00:53:00] important relationship of a. father, a biological mother raising a child, and what they bring to the table when it comes to the child's identity, um, their sense of self, who they are and, and the nurture and care and protection they need.

Emma: That come uniquely in some ways from a given mother and a given father. Um, it totally, um, evaporates that and says, oh, any parent will do, any genetic material will do, as long as you can create a child. It doesn't really matter. Um, and so in many ways, like the concerns that people have with surrogacy or with donor egg and sperm donation, it just magnifies those on a whole new level, um, where it, it's biologically sort of erasing the necessity of a mother and a father to a child's life.

Samantha: Yeah, sure. Mind blowing societal questions and issues. Um, to take it back to the research a little bit though, if they're using the genetic material of a single person to create a new [00:54:00] human embryo, is this a new type of cloning and reproductive cloning has been unilaterally banned, but is this something that is a clone or is it resulting in a genetically different individual using the same pool of genetics just mixed up a little bit differently, um, to create progeny from the genetics of one person instead of two?

Emma: Yeah, very, very good question. Um, you know, it's a really good question. Um, I don't actually know the answer to that. It's really good. So it could result in, in a cloning situation, I don't know if it's possible to reconfigure the genetic such a way that like you could actually have a total, because Yeah, I mean, you're a hundred percent genetically related, so there's no. variation in the child that's created, but can you emphasize a certain genetic, uh, a certain gene over another in a way that's different from that individual? [00:55:00] Um, it seems like you could, but I'm not totally sure. Um, it's a really good question actually. I'll need to like Yeah. Bug some of our researchers about this and see.

Samantha: Yeah, good to follow up on, um, do you have like a litmus test or simple way to sort out the types of technologies and research that we should pursue and fund and those that are revolutionary or incredible? Um, scientifically though they may be, are fundamentally opposed to human flourishing.

Emma: This is a great question. Um, this is something that like, going forward, I, I want to develop out even further than what we have, but a few of the litmus tests that I like to apply, um, is one at a very basic level asking, does this technology restore human life or restore human function, or does it circumvent it?

Emma: Or the question of supplement versus substitute. Um, I think it's a really important first question to ask, um, when we're assessing the goodness or potential concerns of a technology. So if you can say, know this technology clearly is restoring the [00:56:00] health or the genetic health, the, the physical health of a person, um, and doing, then that, then that's a good thing, right? Um, whereas if we're actually removing a human element, that should be a concern, but it's not a total answer, right? 'cause like prosthetic arms or prosthetic arms are technically like replacing. A human arm, right? Um, but in a way that like, we'd actually say it's a good substitution 'cause it's sort of enabling, like what would've been a natural human function. Um, the next question, um, something for me that's a non-negotiable is the, are we destroying human life in pursuit of that given goal? So the moment that a human embryo is formed, um, and is that unique, uh. Complete embryo. Any technology that destroys or harms or, um, commodifies that embryo, I think should be an absolute no when it comes to our society.

Emma: If we cannot value and protect life at that most intimate and sacred stage of development, then we will have no moral authority or ability [00:57:00] to protect life at any other stage of development. Um, whatever the situation may be, right? And so any technology that is destroying or commodifying, um, human life at any stage, including the embryonic, um, I think is across the line to begin with.

Emma: Um, so the question of does it restore circumvent and does it destroy life, are sort of the first two litmus tests that I go to. Um, and so yeah, if you can find a technology that's not destroying human life that seems to be supplementing, it's good. I think the second level of questions then I would ask come from Marshall McCluen. Um, and he has. These sorts of four. He had, he, he puts forward four questions that you can ask about any technology and Marshall McCluen is, um, a 20th century philosopher just writing about the nature of technology itself

McCluen puts forward four questions that you can ask of a given technology to assess. Merit or its consequences in the world. So he asks first, what does it enhance or intensify? Um, so what does this technology encourage? Second, um, what does it render, obsolete or displace? So what does this technology intentionally or unintentionally actually deter in our society? Third, um, what does this technology retrieve that was previously obsolete? Um, so is it bringing back something, um, right, like nucleus genomics is actually retrieving 20th century eugenics.

Emma: Um, and [00:59:00] not in a way that I think any sane person should be in favor of. And then fourth, what does it, what does this technology produce or become when it's pressed to an extreme? Um, so this question, right, is meant to say like a given technology, like at its most basic level may be fine or like morally neutral or even potentially good for society. But what happens if we were to take this technology and press it to its most extreme expression? So for example, um. chat, GPT, Hey, I am looking to create a meal with these ingredients. Uh, what can I create with these ingredients I have? That's great. I love using chat GPT to like, like brainstorm solutions to everyday problems. Um, but what happens when chat GT's ability to communicate with you isn't just helping you like brainstorm, like problems like that, but actually becomes the sort of partner that you talk to where you then have your chatbot girlfriend or boyfriend, um, or your romantic partner where they aren't just like, you know, a tool you use to solve domestic problems, but it becomes [01:00:00] a replacement, a substitute for people in your life and you're actually in love with and proposing to your chatbot romantic partner, right?

Emma: Which is already happening in the world. Um, chat, GBT pressed to the extreme in that sense is actually really, really bad for human relationships and human wellbeing. and so those four questions aren't meant to say that something is inherently good or bad, depending on where it falls, but. prompt, they allow us to ask and understand the nature of a technology, I think a little bit better.

Emma: So we can actually say, okay, like what is a, what is a responsible use of this technology? 'cause in many cases, aside from things like genetic screening that we've talked about, things like genetic therapy, I think there, like you and I said, I think versions of it that are very good for society that I think would be very good to develop.

Emma: And there's versions of it that I think are very, very bad for society. And it's going to require asking those very particular questions about the given tech, the given, um, approach or like the given technique used, um, to [01:01:00] really understand what is good and what we should avoid, um, or prohibit in that space.

Samantha: Yeah, one. One of the ways that you have. Distinguish between and those things is, uh, hacking humans through like surrogacy, gender surgery, um, euthanasia versus healing them. And I love that distinction, not just because of the alliteration, but I think it's very useful way to think about.

Emma: Yeah. Also, yeah, that was, uh, that's a new Atlantis article. Um, the Hacking of the Human Person, which is I wrote with two of my colleagues. But yes, it goes into that distinction. Um, yeah.

Samantha: I can link that in the show notes also.

Emma: Awesome.

Samantha: thank you so much for your time. I have one last question to ask you that is a standard question to ask all our guests. So, who is one person, alive or dead, real or fictional, who you believe exemplifies the very best of [01:02:00] being human?

Emma: Oh, that's such a good question. Um, yes. It's such a fun question too. Um, I, the person that comes to mind, yeah. I dunno, I've gone back and forth on this question a few times. Um, yeah. The person that comes to mind. Right now, um, is my daughter. Um, she is two years old and while she's still very young in her, you know, development and growth as a human person, she's at this incredible stage where she's learning and discovering a million new things every day from her speech, from her experiences, um, and had this a really lovely. Speak perspective on the world from her little tiny stature in her mind. Um, and so what I've loved to see is the way that, like, I, I think she like exhibits the human condition in such a raw and honest way where one second she just covers you and hugs and has this like pure joy [01:03:00] and delight when she meets another human.

Emma: Um, to the point where we have to tell her, you shouldn't actually like give a stranger a hug from behind. They might think it's a little aggressive, and she's like, I'm so excited to see you, and you're like, please don't get upset. Um, to like having these horribly selfish and like terrible moments where she just like takes a toy from her sister just because she can and she wants to. Um, and it, yeah, it's just, yeah, I think she does where it's like this desire to like be hospitable, give whatever she has in one moment. Um, and then other moments where yeah, she's a sinful toddler and it's just like terrible and meme, but is learning to really interact with the world and realize her own limitations.

Emma: Right. Um, so she. Climbed out of her crib today, um, which was a terrifying development for me. Um, and so l but seeing her like grapple with her human limitations where sometimes she overestimates them and she gets hurt, and other times you see her like rightly navigate it. Um, and it's so exciting and encouraging.

Emma: And I think those very basic lessons that we're learning that age apply on all levels, [01:04:00] right? Because ultimately with technology and with the opportunities before us, we are asking that question of what is a good human limitation? What is, um, yeah, what is the fullness of the human person? What are limitations we should respect? Um, and what is this like joy filled, cheerful way that we should interact with the world that really views life itself as a gift?

Samantha: It's beautiful, beautiful way to reflect on parenthood and a, a lovely way to close. Um, where can listeners connect with you, follow your work and read more of your work?

Emma: Yes. So you can follow me on X or Twitter at e ml waters, or you can look up My Heritage Foundation profile. Um, just the Heritage Foundation, Emma Waters, um, where most of the articles that I publish are linked, um, for yeah, your enjoyment later on.

Samantha: Excellent. I'll put all of those things in the show notes. Thank you so much for your time today. Um, especially [01:05:00] generous. We've gone a little bit over and really appreciate your time and your reflection. Um, thank you. God bless.

Emma: Thank you.

From Contraceptives to Catholicism | My Conversion Story

In this episode, I open up about my personal journey from hormonal contraceptives to finding my faith within the Catholic Church. My relentless pursuit of truth led me to a profound understanding of Catholic doctrine, culminating in my conversion and a renewed commitment to my beliefs. Join me as I share how contraceptives became my ‘gateway drug’ to my home in Christ's one true Church.

The Toxic War on Masculinity | Nancy Pearcey

The Toxic War on Masculinity | Nancy Pearcey

In this episode of Brave New Us, we delve into the dual expectations society places on men and the concept of masculinity. We discuss the innate understanding of what it means to be a ‘good man’—characterized by duty, honor, integrity, and sacrifice—and contrast it with the societal pressure to ‘man up’ and embody toughness, competitiveness, and stoicism.

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What's Cheaper and More Effective Than IVF?

Think the Catholic Church supports IVF because it wants big families? Think again.

In this episode of Brave New Us, Samantha Stephenson tackles some of the most persistent myths about Catholic teaching on reproductive technologies. From the misconception that the Church is indifferent to women’s suffering, to the false idea that all conceptions are morally equal, this candid conversation unpacks what the Church actually teaches—and why.

We explore:

  • Why the Church opposes in vitro fertilization

  • How IVF violates the dignity of the child, the woman, and marriage

  • The Church’s advocacy for responsible parenthood and natural birth spacing

  • A lesser-known, ethical and effective alternative to IVF that aligns with Catholic bioethics

Whether you're Catholic, curious, or questioning, this episode offers clarity, compassion, and hope.

We delve into the Church’s actual stance, advocating for responsible parenthood and natural birth spacing. We discuss why the Church opposes IVF, not just for the sake of women but also for the potential children, emphasizing that while every child has inherent dignity, not all conception methods are morally equal.

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A Catholic Guide to Infertility | Dr. John DiCamillo

In this episode, we’re joined by John DiCamillo, Ethicist and Personal Consultations Director at the National Catholic Bioethics Center (NCBC). With the moral landscape of fertility interventions becoming increasingly intricate, many Catholics find themselves navigating a maze of questions. IVF is widely acknowledged as problematic, but what about other interventions like gamete intrafallopian transfer or intrauterine insemination? Especially when these methods involve the couple’s own gametes, the ethical considerations can be daunting.

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Is “affirming care” helping—or harming—the people it claims to serve?

Therapist and documentary producer Stephanie Winn joins Samantha Stephenson to expose the psychological and cultural fallout of gender ideology. Drawing on her clinical experience and work on the film No Way Back, Stephanie unpacks the troubling realities behind gender transitions, the pressure to conform, and what true mental health support looks like for gender-questioning youth and their families.

This episode cuts through the noise to ask the hard questions few are willing to raise.

Unmasking the Hidden Ideology of the Sexual Revolution | Dr. Jennifer Roback Morse

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Samantha Stephenson talks with Dr. Jennifer Roback Morse, economist, writer, and founder of the Ruth Institute, about the hidden costs of the Sexual Revolution. They explore her sharp critique of its three dominant ideologies:

  • The contraceptive ideology

  • The divorce ideology

  • The gender ideology

Discover how these ideas shape—and sometimes distort—our understanding of marriage, family, and the human body. Dive deep into the assumptions, contradictions, and societal consequences of the sexual revolution.

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In this episode of Brave New Us, Samantha interviews Dr. Christopher Kaczor, a professor of philosophy and the author of The Ethics of Abortion: Women’s Rights, Human Life, and the Question of Justice. They discuss some of the most challenging and controversial questions in the abortion debate, such as:

  • Can artificial wombs end the abortion debate?

  • Is your body really your choice when it comes to pregnancy and abortion?

  • How do we engage with feminists about abortion?

  • How do religion and natural law help us argue against abortion?

Listen to this episode to learn more about the ethics of abortion and the challenges and opportunities for finding common ground in this controversial issue!

How to Talk about Abortion | Bella O'Neill

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They say never discuss religion or politics—no wonder abortion is one of the most divisive issues today. Pope Francis calls it the preeminent moral crisis of our age, yet honest, civil conversation feels nearly impossible.

In this episode, Samantha Stephenson sits down with Bella O’Neill, former JFA intern and passionate pro-life advocate, to explore how to engage college campuses with courage, clarity, and compassion. Learn how to speak the truth about abortion without burning bridges—and why love must lead the conversation.

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Courageous Mother Chooses Life for Conjoined Twins | Nicole LeBlanc

When Nicole LeBlanc learned she was pregnant with conjoined twins, doctors urged her to end the pregnancy. But she chose a different path.

In this episode, Samantha Stephenson speaks with Nicole about her decision to choose life in the face of overwhelming pressure from medical professionals. They discuss the challenges of a high-risk diagnosis, the dignity of every human life, and what it means to stand firm in faith and love—even when the world says “terminate.”