{"title":"Caveats on human cognitive enhancement technologies based on the sociocultural context of Singapore.","authors":"Alexis Heng Boon Chin, Sayyed Mohamed Muhsin","doi":"10.1136/jme-2025-110883","DOIUrl":null,"url":null,"abstract":"<p><p>A survey study by Haining <i>et al</i> reported significantly higher percentages of Singaporeans approving of human cognitive enhancement via reprogenetic technologies, as compared with American respondents in a similar previous survey study conducted in the USA. Some caveats on human cognitive enhancement with reprogenetic technologies, such as polygenic embryo screening and germline gene editing, are thus discussed based on the local sociocultural context of Singapore. First, within a hypercompetitive shame-based Confucian society such as Singapore, the autonomy of the cognitively enhanced offspring would likely be curtailed by the heavy-handed 'tiger-parenting' approach of their parents, who, after investing so much money in enhancing their cognitive ability, would have 'heightened' expectations of their academic performance. Second, cognitive enhancement may not improve the personal happiness, sense of fulfilment and overall well-being of the offspring, particularly if their unique motivations and aspirations do not align with the idealised visions and expectations of their parents, and if they are unable to fulfil the unrealistic and unreasonable expectations imposed by their parents and broader society. Third, cognitive enhancement may not necessarily improve the future prospects and life success of the offspring if this further exacerbates an unbalanced job market with an oversupply of university graduates. Fourth, cognitive enhancement is anticipated to be very expensive and hence be afforded only by the affluent, thereby further aggravating existing socioeconomic disparities. Last, the high costs of such technologies could further accelerate demographic decline due to the heavy financial burden on prospective parents. Hence, Singapore must carefully consider these caveats before permitting such cognitive-enhancing technologies.</p>","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":" ","pages":""},"PeriodicalIF":3.3000,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Medical Ethics","FirstCategoryId":"98","ListUrlMain":"https://doi.org/10.1136/jme-2025-110883","RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ETHICS","Score":null,"Total":0}
引用次数: 0
Abstract
A survey study by Haining et al reported significantly higher percentages of Singaporeans approving of human cognitive enhancement via reprogenetic technologies, as compared with American respondents in a similar previous survey study conducted in the USA. Some caveats on human cognitive enhancement with reprogenetic technologies, such as polygenic embryo screening and germline gene editing, are thus discussed based on the local sociocultural context of Singapore. First, within a hypercompetitive shame-based Confucian society such as Singapore, the autonomy of the cognitively enhanced offspring would likely be curtailed by the heavy-handed 'tiger-parenting' approach of their parents, who, after investing so much money in enhancing their cognitive ability, would have 'heightened' expectations of their academic performance. Second, cognitive enhancement may not improve the personal happiness, sense of fulfilment and overall well-being of the offspring, particularly if their unique motivations and aspirations do not align with the idealised visions and expectations of their parents, and if they are unable to fulfil the unrealistic and unreasonable expectations imposed by their parents and broader society. Third, cognitive enhancement may not necessarily improve the future prospects and life success of the offspring if this further exacerbates an unbalanced job market with an oversupply of university graduates. Fourth, cognitive enhancement is anticipated to be very expensive and hence be afforded only by the affluent, thereby further aggravating existing socioeconomic disparities. Last, the high costs of such technologies could further accelerate demographic decline due to the heavy financial burden on prospective parents. Hence, Singapore must carefully consider these caveats before permitting such cognitive-enhancing technologies.
期刊介绍:
Journal of Medical Ethics is a leading international journal that reflects the whole field of medical ethics. The journal seeks to promote ethical reflection and conduct in scientific research and medical practice. It features articles on various ethical aspects of health care relevant to health care professionals, members of clinical ethics committees, medical ethics professionals, researchers and bioscientists, policy makers and patients.
Subscribers to the Journal of Medical Ethics also receive Medical Humanities journal at no extra cost.
JME is the official journal of the Institute of Medical Ethics.