Purity and the dangers of regenerative medicine: Regulatory innovation of human tissue-engineered technology

Abstract This paper examines the development of innovation in human tissue technologies as a form of regenerative medicine, firstly by applying ‘pollution ideas’ to contemporary trends in its risk regulation and to the processes of regulatory policy formation, and secondly by analysing the classificatory processes deployed in regulatory policy. The analysis draws upon data from fieldwork and documentary materials with a focus on the UK and EU (2002–05) and explores four arenas: governance and regulatory policy; commercialisation and the market; ‘evidentiality’ manifest in evidence-based policy; and publics’ and technology users’ values and ethics. The analysis suggests that there is a trend toward ‘purification’ across these arenas, both material and socio-political. A common process of partitioning is found in stakeholders’ attempts to define a clear terrain, which the field of tissue-engineered technology might occupy. We conclude that pollution ideas and partitioning processes are useful in understanding regulatory ordering and innovation in the emerging technological zone of human tissue engineering.

[1]  A. Buckley Walls within Walls Religion and Rough Behaviour in an Ulster Community , 1984 .

[2]  W. Godwin Article in Press , 2000 .

[3]  A. Faulkner,et al.  Innovation and regulation in human implant technologies: developing comparative approaches. , 2001, Social science & medicine.

[4]  M. Sefton,et al.  Tissue engineering. , 1998, Journal of cutaneous medicine and surgery.

[5]  Martin Bauer Resistance to New Technology: Nuclear Power, Information Technology, Biotechnology , 1995 .

[6]  A. Barry Political Machines: Governing a Technological Society , 2001 .

[7]  A. Rosoff THE GOLD STANDARD: THE CHALLENGE OF EVIDENCE-BASED MEDICINE AND STANDARDIZATION IN HEALTH CARE , 2004 .

[8]  Tiago Moreira,et al.  Diversity in clinical guidelines: the role of repertoires of evaluation. , 2005, Social science & medicine.

[9]  A. Faulkner,et al.  Towards governance of human tissue engineered technologies in Europe: Framing the case for a new regulatory regime , 2006 .

[10]  A. Appadurai Disjuncture and Difference in the Global Cultural Economy , 1990 .

[11]  Mike Michael,et al.  Regulating Hybrids: ‘Making a Mess’ and ‘Cleaning Up’ in Tissue Engineering and Transpecies Transplantation , 2006, Social theory & health : STH.

[12]  Stuart S. Blume,et al.  Technology Assessment and the Sociopolitics of Health Technologies , 2000, Journal of health politics, policy and law.

[13]  Dott.ssa Margherita Daverio European Group on Ethics in Science and New Technologies. , 1998, Human reproduction and genetic ethics.

[14]  Andrew Webster,et al.  New Medical Technologies and Society: Reordering Life , 2004 .

[15]  R. Evans,et al.  Xenotransplantation, risk, regulation and surveillance: social and technological dimensions of change , 1999 .

[16]  M. Strathern Property, Substance and Effect: Anthropological Essays on Persons and Things , 1999 .

[17]  M. Traynor The oil crisis, risk and evidence-based practice. , 2002, Nursing inquiry.

[18]  Julie Kent,et al.  Culturing Cells, Reproducing and Regulating the Self , 2006 .

[19]  Carl May,et al.  Factors affecting the adoption of telehealthcare in the United Kingdom: the policy context and the problem of evidence , 2001 .

[20]  M. Lock,et al.  Remaking life and death: Toward an Anthropology of the Biosciences , 2003 .

[21]  Mike Michael,et al.  Risky creatures: Institutional species boundary change in biotechnology regulation , 2004 .

[22]  M. Douglas,et al.  Purity and Danger: An Analysis of Concepts of Pollution and Taboo. , 1967 .

[23]  Harold G. Wolff,et al.  Social Science in Medicine , 1955, The Yale Journal of Biology and Medicine.

[24]  Julie Kent,et al.  Human tissue engineered products—drugs or devices? , 2003, BMJ : British Medical Journal.

[25]  J. Overhage,et al.  Sorting Things Out: Classification and Its Consequences , 2001, Annals of Internal Medicine.

[26]  Giandomenico Majone,et al.  The new European agencies: regulation by information , 1997 .

[27]  D. Vogel The new politics of risk regulation in Europe , 2001 .