Opinion | The Unsettled Debate at the Heart of the Henrietta Lacks Case


Will we personal our our bodies? To an peculiar individual, the reply is clearly sure. To a lawyer, it’s by no means clear. That discrepancy must be resolved.

The problem arose within the just lately settled lawsuit introduced by the household of Henrietta Lacks, the lady whose “immortal” cells had been used with out her information or consent in analysis that led to the event of therapies for illnesses together with most cancers, Parkinson’s and the flu.

Lacks, a Black mom of 5, was dying of cervical most cancers in 1951 when medical doctors at Johns Hopkins Hospital in Baltimore biopsied tissues from her cervix. The household’s lawsuit claimed the tissues “weren’t taken for functions of medical therapy.” A peer-reviewed article in 2019 mentioned a number of the tissues had been despatched to a pathology lab for diagnostic analysis, whereas others had been despatched out to a analysis lab. Regardless of the case, cells from the analysis pattern had been later discovered to be extremely beneficial as a result of they had been the primary that would divide indefinitely in a laboratory. The lawsuit accused Thermo Fisher Scientific of promoting the cells and making an attempt to safe mental property rights on the merchandise the cells had helped develop with out compensating the household or looking for their permission or approval.

The shortage of knowledgeable consent for analysis use that loomed massive within the Lacks case is much less of a stay problem right now as a result of requirements have modified: Consent varieties typically require that possession claims over excised tissues be waived, thus permitting for analysis use. And cells are “de-identified,” in contrast to Lacks’s cells, that are named HeLa to at the present time. What’s nonetheless debated is whether or not folks have a official possession declare within the first place.

The belief that Lacks owned her physique and the bits carved out of it was very a lot the premise of the household’s lawsuit. “There’s a widespread consensus right now that the theft of Ms. Lacks’s cells was profoundly unethical and fallacious,” it mentioned. Additionally: “Thermo Fisher Scientific has recognized that HeLa cells had been stolen from Ms. Lacks and selected to make use of her physique for revenue anyway.” (Emphases mine.)

Tellingly, although, the lawsuit didn’t allege theft or its civil-law cousin — “conversion,” in legal professionals’ language. It alleged solely unjust enrichment. That’s most likely as a result of underneath present legislation and precedent, proving that Thermo Fisher Scientific or Johns Hopkins took something from Lacks illegally would have been tough or unimaginable.

Property, I discovered once I spoke with authorized specialists this week, is a fuzzier idea than one would possibly assume. Legislation college students are taught that it may be likened to a bundle of sticks, with every stick representing a specific proper. Take a home on loads, for instance. You personal it, however not absolutely. The holder of the mortgage has a possible declare. Airplanes can fly overhead. There could also be an easement for a sewer or fuel line.

Property rights over a human physique are much more constrained. One can’t mortgage oneself or depart oneself to at least one’s heirs, as with a home. One additionally could not legally promote oneself as a slave. An individual can’t promote most of his physique elements, “not even when he had been to get 10,000 thalers for one finger,” because the thinker Immanuel Kant as soon as wrote. (Blood, sperm and eggs are among the many exceptions.) Courts have discovered that individuals retain no possession proper to bits they’ve expelled or sloughed off — urine, lifeless pores and skin, hair cuttings.

“Individuals assume that as a result of they’ve autonomy over their bodily physique, which means they’ve a, quote, property curiosity in it. That’s simply bluntly fallacious,” Jacob Sherkow, a professor at each the College of Illinois Faculty of Legislation and the Carle Illinois Faculty of Medication, instructed me. After I instructed Sherkow that his assertion didn’t accord with the favored understanding, he mentioned, “The person on the road didn’t go to legislation college.”

Even when folks did have a property proper to their our bodies, Sherkow mentioned, that wouldn’t give them a property proper to the genetic info of their cells. In financial reasonably than authorized phrases, he mentioned, genetic info is a public good, that means it may be used concurrently by a couple of individual with out battle, and nobody can block one other’s use.

One step past claiming possession of genetic info is claiming a stake within the worth of analysis accomplished utilizing that genetic info. There’s no authorized justification for that, Jorge Contreras, a professor on the College of Utah S.J. Quinney Faculty of Legislation, instructed me. That will be like claiming income from a discovery made utilizing your laptop computer laptop, he mentioned.

“It’s a really unhealthy concept to present folks a proprietary curiosity in this sort of materials due to the floodgates that it could open,” Contreras mentioned. “It will be devastating for scientific analysis that advantages us all.”

Courts have leaned in opposition to the property argument. In 1990, the California Supreme Court docket dominated that individuals don’t have a proper to a share of the income from analysis carried out on their bodily supplies, a blow to the idea of bodily property rights. In 2013, the U.S. Supreme Court docket dominated that genes aren’t patentable as a result of they’re merchandise of nature, however didn’t tackle the query of whether or not folks owned their very own genes.

Some legislatures have been extra open to the notion. 5 states — Alaska, Colorado, Florida, Georgia and Louisiana — have gone forward and explicitly outlined genetic info as private property, in accordance with the Nationwide Convention of State Legislatures. However Sherkow mentioned it’s not clear if these legal guidelines will arise if and when they’re examined in courtroom. (Oregon was the primary state to enact such a legislation, however repealed it in 2001.)

To make certain, property legislation isn’t the one strategy to shield genetic info. There’s additionally contract legislation and privateness legislation. The Nationwide Convention of State Legislatures says that 16 states have genetic privateness legal guidelines that require knowledgeable consent for a 3rd get together to carry out or require a genetic check or to acquire genetic info, and 26 states require written authorization or not less than knowledgeable consent to reveal genetic info.

Nonetheless, it doesn’t matter what judges and lawmakers say, the sense that individuals naturally personal their our bodies and bodily merchandise runs sturdy, because the criticism by the household of Henrietta Lacks makes clear.

Some authorized specialists say they sympathize with the lady and man on the road. “It’s a foul factor for the legislation to be out of contact with widespread beliefs in a dramatic state of affairs,” Hank Greely, the director of the Heart for Legislation and the Biosciences at Stanford Legislation College, instructed me. He added, “In the long term, it’s good for the legislation to largely correspond with the general public’s understandings of justice.”

Jessica Roberts, a professor at College of Houston Legislation Heart who makes a speciality of well being legislation and ethics, is in a minority of specialists in her discipline who say folks ought to have property rights over each their bodily tissues and the genetic info in them. She mentioned she doesn’t fear that these rights would inhibit official medical analysis as a result of they might be restricted. What it could do, she mentioned, is give folks a possibility to barter for a share of the income from work accomplished utilizing their genetic materials. Some won’t even demand cash, she mentioned. “Some specialists, as a result of they undertake a primarily financial lens, are likely to underestimate the human capability for altruism,” she mentioned.

Legislatures, significantly state legislatures, are one of the best discussion board for altering the established order, each Greely and Roberts instructed me. Courts are constrained to observe authorized precedent; legislatures aren’t.

The science of genetics is shifting sooner than the legislation. “We’ve already entered unknown territory,” Morten Ebbe Juul Nielsen, a philosophy professor on the College of Copenhagen, instructed me. “We don’t have any sturdy precedents that match these circumstances very properly.”


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Helen Sharpe
Halifax, Nova Scotia

I believe {that a} (unconscious?) cause many individuals object to excessive salaries for star athletes is {that a} important proportion of those athletes are folks of shade. Many others in our society earn what I might contemplate to be obscene salaries whereas contributing a lot much less worth, e.g., hedge fund managers, who’re nearly solely white.

Lizanne Reynolds
Aptos, Calif.

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Dave McNamara
Moorpark, Calif.

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Ted Baldwin
Jamestown, R.I.


“TARIFF, n. A scale of taxes on imports, designed to guard the home producer in opposition to the greed of his client.”

— Ambrose Bierce, “The Satan’s Dictionary” (1911)