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Aug. 25, 2019 - Rubin Report - Dave Rubin
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This Is How We Will Live Longer & Healthier | Jamie Metzl | TECH | Rubin Report
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jamie metzl
From each of our perspectives, we are the center of our own universe.
And there's this thing is if you just were totally just seeing yourself from this cosmic perspective you would lose
dave rubin
your your identity Welcome to the Rubin report
I'm Dave Rubin, and before I do anything else, make sure that you're still subscribed to our channel, and be sure to click the solid bell so that you actually get notified when we post new videos.
All right, now that that's out of the way, joining me on The Rubin Report today is a futurist, a geopolitical expert, and author of several books, including Hacking Darwin, Genetic Engineering, and The Future of Humanity, Jamie Metzl.
Welcome to The Rubin Report.
jamie metzl
Thrilled to be here, Dave.
dave rubin
I'm glad to have you here, sir, because I watched you on Joe Rogan and I was like, I've got to talk to this guy about all of this crazy futuristic stuff.
unidentified
It's crazy.
jamie metzl
Our world is changing and it's gonna change whether we like it or not and better for people to understand what's happening and be part of the process of change rather than just sit back and let it happen to us.
dave rubin
All right, so I'm pretty sure we're gonna have a dense hour of exactly that.
But before we get into the new book and really the meat of all of this, how does one become a futurist?
jamie metzl
You know, it's a funny question.
There's a funny answer.
So for my whole life, I've really been thinking about, well, what's coming next?
When I was in law school, there were a group of us who were thinking about what is the information technology revolution going to mean?
very early days of the internet, then the World Wide Web, and we were thinking, we were
writing about it.
And so I have a lot of articles from those early days that were imagining the world that
we exist in.
And then more than 20 years ago, I started thinking and writing a lot about the genetics
revolution.
I never called myself a futurist.
I was just a guy who was thinking about the future.
And I was going around, I do a lot of speaking at various events, and there were all these people who were calling themselves futurists.
And I thought, well, huh, that's kind of interesting.
How did they become futurists?
unidentified
I'm writing, I write about the future, I talk about the future.
dave rubin
Right, I assume they were wearing sort of silver, monochrome outfits.
unidentified
Exactly, yeah, like in the Devo hat.
jamie metzl
And so one day I thought, you know, maybe I'm a futurist.
And so I was being introduced and it was something when you're speaking this, hey, will you give us a short blurb about about yourself?
And I put Jamie Metzl is a leading futurist.
And then somebody gave this little card like that and said, Jamie Metzl is a leading futurist.
unidentified
And I became A leading futurist!
jamie metzl
I declared myself leading.
I hope I can live it.
It's like one of these things where I come from a family of doctors, like there's a day when you become a doctor.
You kind of walk there, they give you the thing, you shake your hand, you take a picture.
These are kind of self-declared titles.
And so for me, I hope that every day I am being judged by the things that I'm writing
and the things that I'm saying.
All right, this guy says he's a futurist.
Other people are saying that he's a futurist, even though they're reading words
that he himself has written.
Is he saying things that make sense?
Is he inspiring us to think differently about the future?
dave rubin
I guess we'll find out in about 55 minutes.
jamie metzl
Exactly.
dave rubin
So let's go back a little bit further, though, to sort of where that sparked within you, because my audience knows I'm a huge sci-fi guy.
There are so many of the things that I think about and I think believe to some extent that I've learned through stories of science fiction as a sci-fi writer and as someone that is a futurist, or at least on your business card.
What were some of the stories that excited you when you were a kid?
jamie metzl
So, it was just all of these stories.
I mean, these stories of exploring space, exploring humans.
I mean, we are, because of the way our brains function, we learn through stories.
I mean, that's been probably the greatest mechanism for the success of our species is our ability to
transfer information to each other and we do it through the this medium of
stories so just from when I was a little kid I was a voracious reader I read you know
all the things that that regular kids read
I loved Narnia.
I didn't realize it was a whole Christian thing until it was much later.
But I just read everything, and I've always gravitated to the world of stories.
I have a big part of my life that's nonfiction, even in the national security world.
Even then, it's about stories, because what is the Cold War?
What is anything?
It's a story that we tell ourselves, and then we organize around those stories.
dave rubin
Yeah, I'm always fascinated when people watch, see something, or listen to something that like just blows their mind and just puts them on a different track.
And one of the things for me, 1997, I ate some pop brownies and I was going to see Air Force One with a bunch of but it was sold out, so we ended up walking into a movie called Contact, which none of us had ever heard of.
We had no idea what we were walking into, and I'm sure you've seen the movie Contact, and it was written, of course, by Carl Sagan, and that opening scene, the panorama of the universe, and maybe it was the Pop Brownies, and I was just right time of life.
I was 21, but my mind was blown, and from there, I read almost all, I think, of Carl Sagan's books, and it just opened my mind to that sort of thing, and that's sort of what you need in the world.
jamie metzl
That's what you need.
From a cosmic perspective, we are so small.
I mean, there are so many solar systems, and so many stars, and so many galaxies.
Just if you try to think from the perspective of the whole, and then you think, we're just this one little tiny planet.
dave rubin
Pale blue dot.
jamie metzl
Exactly.
Revolving around one star, one sun.
But from each of our perspectives, we are the center of our own universe.
And there's this thing, if you were totally just seeing yourself from this cosmic perspective, you would lose your identity.
But if we get so caught up in our own little thing, and we're not able to see ourselves in this greater context, That also, I think, can be dangerous, or at least it can make us less than we otherwise could be.
And that's the role of stories.
Stories help situate ourselves within ourselves, within our communities, and within our world, and our world broadly defined.
dave rubin
Which part of what you do between talking about geopolitics and dealing with the future stuff and, you know, writing sci-fi and all these things, which one sort of excites you the most?
jamie metzl
It's all of a piece, you know, so definitely my big passion in life is is to translate big, scary, sometimes complex ideas
into language that can be shared.
And so when I write novels, I mean, that's the whole point of my novels
is to have people enter into a world, and that's what novelists do.
But in the world, what I'd like is people enter into a world
and maybe think a little bit differently about themselves, about what it means to be a human,
about how we're interacting with our technology.
Now with Hacking Darwin, I'm doing the same thing, is that there is all of this incredible complexity
of the genetics revolution, there's like really hard--
Science that not everybody is able to dig into but what I want to do is to take all of that and Present it to people in ways that they can see themselves in the story and once we see ourselves in a story Then we can be part of it.
We can feel empowered to have conversations to have opinions because I think that's this this crazy thing of this moment of that radical technology, but it's AI or genetics or nanotechnology,
quantum computing, I mean they're going to change our lives in deep
and fundamental ways.
But people are scared of the science and so there's this, in some ways it's like a
helplessness, that these trends are coming and they're bigger, people feel
that they're bigger than they are. And my message is not just that that's not
the case and that's a failure of the scientists. I mean the scientists need to
be translating the science so to bring other people along.
But science isn't its own thing.
It doesn't exist in some kind of imaginary, objective realm.
Science exists within the context of our societies.
And if we don't recognize that dynamic interaction, which means that everybody has a role to play, then we're going to have really warped outcomes that are going to be bad for society and they're also going to be bad for science.
dave rubin
All right, so then let's jump into some of those big scary ideas and let's just sort of do 101 on a couple things because I think that's really what you're trying to do here in a lot of ways is just take a wider group of people and get them to understand some of this stuff so it isn't so big and scary.
Let's just talk about the world of genetics in general right now.
So when someone says genetics, for the person that has no idea what we're talking about, what are you talking about?
jamie metzl
And that person is my ideal audience.
dave rubin
And I think that's most people, and they're sort of afraid to admit it.
They hear things.
jamie metzl
And frankly, that was why I loved my interview with Joe Rogan.
Actually, I think that's why Joe Rogan is so successful, in addition to being a great guy.
Because he's just very confident as a person, but he's just asking common sense questions that the average person probably would want to ask.
But when the average person, quote-unquote average person, whoever that is, is faced with someone who's a quote-unquote expert, even a self-declared futurist like me, they're kind of afraid of asking just some basic questions.
They say, well, what if it's a bad question?
We all have that kind of insecurity.
Genetics.
Everybody, I think, understands that genes are part of the blueprint for life.
To put it on a human level, your mother has an egg, your father has a sperm.
When that sperm fertilizes the egg, you have a fertilized egg.
It's the early stage embryo, it's one cell, an egg and a sperm that come together.
And in that cell, there is a blueprint for everything that you will become.
And so that blueprint is written in a code, and that code is your genome.
And your genome is made up of genes.
So it's a blueprint for life.
dave rubin
Let me pause you there for a second.
So would you say at that moment then, once that coding is there, is that the beginning of what you would say is life?
I mean, this is of course where ethicists and geneticists and scientists and religious people have to debate all these things.
jamie metzl
A political question, which makes it very difficult for us to, it's very difficult to think about that question and to say, well, there's a scientific question and there's a political question.
Because the whole thing is life.
Like, is an egg cell alive?
Yes.
Are our cells alive?
Yes.
Is sperm alive?
Yes.
But it's not on their own.
They're not able to replicate, which is one of the hallmarks of life.
And so you could say that that is the kernel of life because life exists on a continuum.
It's one microscopic cell, but that cell, if it grows in the quote unquote normal way,
it will become life.
So I think that, like, I would never say that the people who believe
that life begins at conception are wrong.
I think that because it's a judgment call, it's all on a continuum.
I think that we can't say that.
But what I would say is that there's a difference between a single fertilized egg, maybe it's a single fertilized egg in a woman, or maybe it's in a lab.
We'll get to that.
And there's a difference between that and a baby who's actually born and a 20-year-old person.
There's all the politics of that, but certainly there's no doubt that a single fertilized egg is the beginning of life.
dave rubin
Okay, so we now live in a time when we can start manipulating these genes.
Talk to me about that.
jamie metzl
That's the crazy moment that we are in now.
We have evolved for about 3.8 billion years.
Life, most scientists believe, began from these thermal vents in the bottom of the ocean, this first spark of life and so all of life on earth is related it
comes from that same spark of life and all of life Ourselves plants everything else had uses the same building
blocks because we have that same That same origin and for almost four billion years
We've evolved by the Darwinian principles of random mutation
Random mutation means just we're all different, and that's really important because if, from when we were single-celled organisms or anything, if everybody is the same, it may be good now, but if the environment changes and you're still the same, then you're going to die.
And so this kind of diversity is really is really important.
So it's random mutation and natural selection.
Natural selection just means we are in these competitive environments and some formulations
do better than others.
I mean, there are like a million podcasts.
Yours does a lot better than others.
And that is a form of natural selection.
There's a marketplace and a certain set of attributes.
And if the world changes, maybe we have no more electricity
and it's like, or maybe we get, there's no voice and the people doing pantomime,
those are the best podcasters.
dave rubin
So that's basically just the nature of reality.
Things change, we modify along the road to survive.
jamie metzl
So the core principle is 3.8 billion years driven by random mutation and natural selection.
And now we are recognizing for the first time, one, that all of biology, based on genetics, is a form of information technology.
And like our traditional IT, it is increasingly readable, and that's what genome sequencing is, and writable, and hackable.
And hackable meaning that we now have these tools to edit the genome, kind of like word processing.
We can eliminate genes, we can add genes, and so we are able to hack life.
And so we are beginning, after four billion years, this phase of our lives and our evolution, where we, this one little group of essentially monkeys that climb down from the trees in Africa, that we have the tools to recreate all of life on Earth.
And it's this awesome power, and to quote Spider-Man, it comes with a tremendous responsibility.
dave rubin
Technically, that was Uncle Ben.
Yeah, that's exactly right.
That's exactly right.
I do it myself all the time.
That is important.
Okay, so we have this idea now that we can edit the genome.
We can read it, we can edit it, and all those things.
So before I get to the sci-fi part of my brain, which is where all the scary stuff comes in, what are some of the good things that we can be doing?
jamie metzl
I'm so glad you asked that, because I speak about this stuff all the time, and I could speak for an hour, 58 minutes, and hear all these miraculous things, it's so exciting, and then for the last two minutes, there's just some potential downsides we need to be mindful of, and then it's like at the end, people say, oh my god, I'm so depressed, we're all going to die.
We should be incredibly excited about this revolution because it's going to help us a ton.
So the first, the most immediate impact is going to be how it changes our experience of health care.
Right now we live in a world of generalized health care based on population averages.
So you go to a doctor and you get treated based on being a human.
If you have a headache, maybe you get a Tylenol.
But you find out if you're one of the people who dies from Tylenol by taking a Tylenol
because everything is based on the odds of most people will respond to a certain treatment.
The same is true for about 88% of cancer treatments.
We're now moving to a world of precision medicine.
And so precision medicine means that you're treated not just based on your being a human, but based on your being you.
So any intervention is going to be based on your individual biology.
dave rubin
So they literally are going to be able to look at your genome, is that the right word?
jamie metzl
Well, there's the genome, so there'll be a set of information.
So it'll be your personal history, your family history, your biometric information, other measurements, and your genetic information, but your genetic information will be the most significant foundation of your electronic
health record, and that information will be provided mostly at birth.
So we're all going to be sequenced, just like when a kid is born, they do a blood test with
a heel prick.
Everybody in the not distant future will have their whole genome sequenced, and that will
just be part of their electronic health record.
And so the exciting thing is one, everyone's going to get this personalized medicine and it will be better medicine because it'll be tailored for all of our biology.
But even more significant, we're going to have billions of people whose genetic and life information are in these massive data sets.
And then we're going to be able to use big data analytics to increasingly unlock the secrets of genetic information and systems biology, meaning that we have systems of systems inside of our biology.
And what that is going to mean is we're going to have a lot of information, not just about why you may be sick now.
But about how your life is likely to play out from the moment of birth.
You're going to know that I have a greater than average risk of this genetic disease, for example.
And that's going to be very actionable because if you're a woman and you know that you have, let's say, a 70% greater than average chance of getting breast cancer, you're going to want to start your screenings much earlier than somebody who doesn't have that predisposition.
But we're also going to have a lot of information that is not deterministic, but is probabilistically predictable about certain things that have nothing to do with health, like the genetic component of IQ, personality style, maybe that we have a great potential to be a fantastic sprinter or mathematician.
We're going to have to think very, very differently about parenting and about life, and a lot of this stuff can be scary, but it's also exciting.
Imagine, right now we have these terrible refugee camps all over the world, but we have Einsteins in every one of those camps.
And we just don't know who they are.
In Los Angeles where we are now, I mean there are these inner cities and the crime of inner cities, I mean there's all kinds of problems.
But it's just like we're throwing human potential down the toilet.
So people are worried about genetic profiling and they should be worried.
But what about all these people who we're throwing away?
If we knew that some kid who's growing up in terrible conditions has this incredible potential, and who knows whether any potential will be realized, to be a genius musician or mathematician, we would at least think twice about not providing resources to help people realize their potential.
dave rubin
It's so interesting, because as you're saying all this, and I can think of all of the roads that we can do good things that you just laid out there, and then there's this other part of me, and maybe that just is the sci-fi dystopian part, where you think of all the ways that there could be evil manipulation, and population control, and eugenics, and all of these things that seem wrong, or just in the wrong hands, could go just completely haywire.
So do you view that sort of choice Yes, absolutely.
Do you view that as different than with any other technology now or is this sort of unique?
jamie metzl
It's not different in that every technology has their utopian and dystopian potential uses.
What's unique here is that this technology is so powerful and it's coming at us so quickly.
That we don't have the same time that we've had to figure it out, like with steam.
I mean, steam and electricity and even using gasoline.
I mean, all these things, they were revolutionary, but we had a little bit of time to transition.
And this is the problem, is that the science is moving so quickly that the transitions can't happen in the kind of methodical ways and as disruptive as they've been in the
past, but that will be much more methodical than what's coming.
That's why there's a race.
Every one of these technologies, every good outcome has a parallel story that's a bad
outcome.
For me, I tend to be all in all net optimistic, but the technology itself is agnostic.
What's at play now is the question of what are the values that we are going to use to
guide this technology.
And that's the game, and that's what I'm trying to bring people into the conversation, to say that if you are worried about a potential dystopian outcome, How can we fight together to make sure that that doesn't happen?
How can we bring people into the conversation to say, well, here's what I want to see.
I want to have these technologies used in ways that are making our communities stronger, that are enhancing human potential in positive ways.
But to do it, we all need to have a voice.
And to have a voice, we need to be educated.
dave rubin
Are there people that just focus on the speed portion of this?
Because for some reason that really fascinates me, like this whole thing does.
But something, this idea that people all over the globe now, because of the internet and all the other ways we're connected, can all be working on these things all at the same time, all be, you know, sort of jumping in front of each other in faster and faster ways, and for all we know there's all sorts of technologies happening in China now that we have no idea about, and I want to relate this also It's an essential piece of the story.
which is some countries are gonna have more restrictions on these technologies and some won't and all these things.
So the speed part to me is just really fascinating.
jamie metzl
It's an essential piece of the story.
Just think about this, that 100 years ago, 500 years ago, there were the same distribution of geniuses
that we have now.
But if you're a genius, 500 years ago, somewhere in Africa or somewhere in Asia, you're kind of on your own.
dave rubin
Right.
jamie metzl
You know, Ramanujan, this kind of genius mathematician in India, he had like one book.
I mean, from that one book, he kind of figured out this incredible system of math.
But now, if you're a genius, most anywhere in the world, you have access to the global library.
You don't have to live in the Bronze Age, the Copper Age.
We had all these people all around the world who were having the same discoveries, basically in the same pattern, without being connected to each other at all.
It was kind of a waste of energy.
If one said, hey, copper, got it.
unidentified
Right, right.
jamie metzl
I'm just sending out the email.
dave rubin
Right, right.
So Thomas Edison figures something out and some guy halfway across the world doesn't realize, oh, you know, three months ago that was done.
unidentified
Exactly.
jamie metzl
But what a waste of energy.
So now you don't, nobody, we're all interconnected.
So everybody, you don't start at the bottom of the mountain.
You start kind of two-thirds of the way up the mountain.
And you don't have to take a step that has been taken by somebody else.
You don't have to solve a problem.
that has been taken, that has been solved by somebody else.
And so with pretty much everybody in the world increasingly being brought into this process,
we are unleashing this imaginative, creative tidal wave that I just think that people don't appreciate
the significance of that.
And that's why, in this field of biotech and genetics, pretty much every day, there's another paper that comes out
that nobody notices.
But if this same paper had come out 10 years ago, everyone would have gotten the Nobel Prize.
There's a Nobel Prize-worthy discovery in the context of 10 years ago every single day.
unidentified
Right.
dave rubin
So I think most people understand the part that if we can map your genetics that then we can watch out and know that you shouldn't take this medicine or you should stay away from this food or that sort of thing.
So it's sort of a blueprint for sort of how you can live and how you can flourish most maximally.
jamie metzl
To identify, so right now when you have a disease, you have a symptom, and you go to the doctor, and then the doctor tries to treat that symptom.
But maybe this is a symptom, something that's been germinating in you for a decade.
Maybe it's something that results from a genetic abnormality that you had since the moment when you were that single cell, that fertilized egg.
And so it's going to change our model of healthcare from treatment of symptoms to prevention.
So doing all of those things but in a way that's personalized for you because I'm going to know I have a risk of this certain outcome.
I don't want that outcome to happen and so here are the things that I'm going to do from the beginning.
dave rubin
So that then gets us to the editing portion of this, right?
So okay, so now we know that you're predisposed to X, Y, and Z. Now we can start editing things, right?
To make sure that you are not going to get certain diseases.
jamie metzl
Yeah, so what you're talking about is editing that happens after you're born.
And so there's a big distinction between these two kinds of editing.
There's germline editing, which I know we'll talk about, which is editing to sex cells.
And so that's primarily embryos, but also it works on sperm and eggs.
And the reason why it's called germline is that's when you edit the sex cells, the sperm
cells, the sperm eggs or embryo, then that gets passed on to future generations.
But if I edit you or an adult not in the sex cells, then that's just for that person over
the course of their life.
And that's why it's less controversial.
It's controversial, but it's less controversial.
So there's a whole class of interventions called gene therapies that are used to do
exactly that.
And right now, for example, cancer is probably the best example.
So there are a lot of people who have cancer.
We have these natural antibodies that fight cancers.
But sometimes people, their antibodies aren't working well enough and sometimes they have a cancer that just is overpowering their antibodies.
So there's a treatment called CAR-T therapy where you take out somebody's blood cells and you genetically engineer them to give, to boost, their natural cancer-fighting superpowers.
Then you put those cells back into the person's body, and that person becomes a genetic superhero.
dave rubin
So this is sort of like platelet-rich therapy, right?
That people usually take their own blood out.
jamie metzl
Yes, I mean, PRP is a much narrower, much less systemic intervention.
So yes, but this is that kind of, quote unquote, - On steroids, yeah.
And so we are going to be, and so there's a delivery issue.
When the delivery is happening through blood, that makes it a little bit easier.
But then we have all kinds of what are called specialized cells.
So you stop, when you're that single cell organism, or single cell pre-implanted embryo,
you can have the potential to become everything.
But your cells differentiate over time, and that's why you can have skin cells,
liver cells and heart cells.
And so when we're doing these kinds of interventions for gene therapies, we're wanting to edit a specific kind of cell.
Let's call it a heart cell or something like that.
And so there need to be delivery mechanisms to do it.
And so when it's blood, you can easily take it out and put it back.
But now there's this whole other area of research Of using basically retrofitted viruses, because viruses for billions of years have developed a machinery to infiltrate our bodies and replicate.
So we take advantage of that to deliver certain kinds of gene edits to specific parts of the body to treat specific types of problems.
And that's not fully ready for prime time with humans.
There are some very early clinical trials.
A huge amount of work, though, is happening in this area.
dave rubin
I don't know if this is exactly the right point to mention this, but where does CRISPR fall into all of this?
jamie metzl
CRISPR is among the best forms of gene editing.
So if you have the genome and you're making the changes to the genome, there needs to be a mechanism for doing that.
There have been prior tools for gene editing that were much slower and more expensive than this tool of CRISPR, and it's called CRISPR-Cas9, is the most prominent, but there are many, so basically there are these repeating patterns in the genome, and with the CRISPR systems, they can identify, use a guide RNA to find a specific place on the genome, and then with the Cas9, it's a cutting enzyme, so you think it's the double helix, You go to a place and then you have this little knife, molecular scissors, and you cut out what you don't want.
And then the genome will either reconnect with that missing piece gone, or you can introduce an additional piece of DNA designed to fit in that little space, and it'll be like, oh, we're missing a piece of this bridge, oh, here it is, and the cell will just naturally put it there.
dave rubin
So I sense we're getting into one of those places where the average person is suddenly going, whoa, whoa, I'm losing it a little bit.
So to unwind this a little bit though, because I think we've got the right pieces here, doing all of that then would allow people to be Let me make it very real and concrete.
to be able to maximize health, and also for generations then after
to be able to not have to deal with these things.
jamie metzl
Let me make it very real and concrete.
So I'm a member of the World Health Organization has an international advisory committee
on human genome editing.
We were created at the end of last year, 2018, after a Chinese scientist announced in November
that the world's first gene edited babies had been secretly born in China in October.
So these tools of using these CRISPR systems to change, basically they edited these pre-implanted embryos
of these two little girls.
And what they did was went and they basically disrupted this one gene which is called CCR5.
No one needs to remember CCR5, but just the genes just all have different names.
And what the CCR5 gene, when it's disrupted, people have disrupted copies of CCR5,
mostly Northern Europeans have an increased resistance to HIV because the HIV virus can't penetrate into the cell.
And so this was way before people thought, and myself included, thought it was safe.
It felt like human experimentation.
But these kids were born.
And so the world's first gene-edited babies are born.
And people go straight from that.
And it's a huge deal.
I think it was highly unethical of this guy to do.
And then they say, all right, well then the next step in people's mind is, it's like the Build-A-Bear workshop.
It's like, oh, I'll take one of these, one of these, one of these.
And it's not going to be that.
Biology is too complex for that.
But we are increasingly going to have the capacity, and it's still, it's a very, very early days, but it's going to be more and more and more, to begin making a small number of gene edits to potential future humans, and that's a really big deal.
dave rubin
So what was the ethical conundrum there?
Just because this is still too untested?
jamie metzl
Yeah, so a few things.
One, it was just way premature.
I mean, a lot of people are doing experiments on animals like mice, but to do these experiments on real, live humans, I mean, we know what, I mean, to me, I feel like we have the Nuremberg Conventions about what is and is not okay, and this felt experimental.
dave rubin
And we know for a fact that this has been done.
This has been verified in other places, or could this possibly just be a situation where?
jamie metzl
If there's a 1% chance that this is a fraud.
In my view, there's a 99% chance that it is not a fraud, and I know a lot of people, and I work with people who know this guy, He Jiankui is his name.
So I think it's...
entirely convinced that it's real. But it was unethical because it was
premature, because it was totally untransparent, because the work was
sloppy, because the parents didn't give their proper consent, and because the
target was a wrong one in the sense that these kids, the father had HIV, the mother
But the kids would not have been born with HIV had this not happened.
So he wasn't treating something that they had, he was trying to give them an enhancement.
dave rubin
Wait, how do we know that they wouldn't have been born with HIV?
Is that just not how it transmits?
jamie metzl
Yeah, so we have all kinds of technologies like washing sperm that make it so that if you are a man with HIV in the United States and you want to have a baby with a woman who doesn't have HIV, there are lots and lots of ways.
You will have a baby, if you get proper care, that doesn't have HIV.
So it's not like these kids were going to have HIV.
They weren't.
And so one is, although there's not a clear line between therapy and enhancement, this was clearly an enhancement.
And my thought is, we will be enhancing ourselves in the future, and probably in the future we should be enhancing, because it's just like we're buggy.
We've evolved over billions of years.
Evolution has made all kinds of trade-offs, and sometimes those trade-offs are bad for us individually.
And so it's terrible when people die young of terrible genetic diseases.
It's terrible when old people get dementia and lose their minds.
I don't want that.
If we can make little tweaks that we've figured out, I'd say all power to us.
dave rubin
Why not?
jamie metzl
That's the history of our species.
We need to be careful.
But for here, for the first step on using this incredibly powerful technology on a human, it would have been more responsible if we had done it five years from now in a very responsible, very transparent way, addressing a target where a kid would have otherwise been born with a deadly genetic disease.
And then we would have had, like in the beginning, you said, let's talk about the good stuff and then let's talk about the scary stuff.
It's better to start with the good stuff because people are primed to be terrified.
And so, it just would have been so much better had we done it that way.
dave rubin
Well, that's why I'm so fascinated with the speed part of this, because it's sort of like, well, somewhere, maybe in China, but somewhere there's going to be an Island of Dr. Moreau sort of thing, where just some scientist who doesn't, you know, who just wants to do whatever he can and, you know, let the consequences be damned, will go ahead and do it.
And for years that could exist and no one will know, and then the more responsible scientists will constantly be playing catch-up.
And then that also sort of brings me to the law part of this, because we are starting sort of to discuss laws around this here a little bit.
Barely, barely.
I mean, I remember when George W. Bush was sort of talking about some of this, related to stem cells and that sort of thing.
But how much of this do you think will come down to Just what countries will sort of allow it more versus what scientists are just going to do what they want to do.
jamie metzl
It's a great question.
It's an essential question.
And that's the race because the science is moving forward exponentially.
You're exactly right.
It was not a surprise that the first, and I write about this in the book, that the first application of using CRISPR gene editing on humans happened in China.
I always said that's where it's going to happen.
It's not a surprise that now it's in Russia, that there's a biologist there.
Who's saying he has five people lined up to have more genetically engineered babies.
And this happens, all this technology exists within the context of our societies.
And so there are some societies that are better regulated in these areas.
I always hold up the United Kingdom as kind of the gold standard.
They have a national health care system, which makes it much easier to just spread rationality in the system.
dave rubin
Where we in the U.S., we have this kind of this chaotic system of I'm not a big regulation guy, so it's part of the problem, though, that even if you have regulation well done, well-intentioned, all that, that in a way that will slow down certain advancements where then the bad guys, let's say, or the kooky scientists who don't have those ethical dilemmas
We'll just keep making jumps in a faster and faster way.
jamie metzl
It's true, but it's not like regulation is good or bad.
We need the right amount of regulation to incentivize the outcomes that we want, and especially in an area like this where we're talking about the future of human life.
You talked about where does life begin at conception.
Which is a very legitimate issue.
A lot of people feel emotional about it.
And the people who are saying life begins at conception, they're not saying life begins at conception, but let's have no regulations and life begins at conception for me.
They're saying, well, we need to have a regulatory system by law so to determine what people can and can't do.
And I may disagree with some of the goals that they're But I think we're all agreeing that this needs to be, this is life, and it has to be regulated.
And we don't want scientists out there just experimenting on humans, which is what happened in China.
unidentified
Right.
dave rubin
Well, that's what I'm saying.
I'm with you on that, but that we can't regulate all countries is going to be sort of haywire.
jamie metzl
What we need to do, if any society decides we're just going to opt out of this technology, opting out of the genetics revolution is opting out of national competitiveness in the 21st century.
If you do it, you can do it, but you are just going to be, you're not going to have a competitive economy because this is the future.
dave rubin
You're going to be like when we find those random tribes somewhere.
unidentified
Yeah, which is great, and they're probably happier than we are.
jamie metzl
They're working out to get more steps a day.
dave rubin
That's a whole other topic.
jamie metzl
So what we need to do is we need to find that balance within our societies, and it's good to have that balance because, like with the United Kingdom, they're very well regulated.
They have cutting-edge science, but the public is on board with the science.
And so we in the United States, we have incredible science.
We have the best basic science in the world, but there's this total mismatch between the science
that's racing forward and the general public, which is kind of afraid and is cautious.
dave rubin
That's why we're doing this, man.
Exactly, no, I know.
jamie metzl
And so we need to find a way of bringing those people together.
Now I'm going to do an interview on Newt Gingrich's radio show,
and I'm so committed to engaging with religious communities, evangelical communities, conservative communities,
because it's like, wouldn't it be terrible to say, oh, like, oh no, this is my truth, that's your truth.
We can't even talk to each other.
That's the foundation of society.
But you're absolutely right.
There are some places that are going to be, that already are, less regulated or maybe well regulated based on a different set of values.
You can imagine a place like North Korea.
They said, "We want to, we the leaders, we want to stay in power forever, and so we'd
like to engineer certain outcomes that we'll have a Plato's Republic model or have the
leaders and then we'll have the followers and we'll select their embryos or maybe even
do some basic gene editing to determine certain outcomes."
And so there's a race, and there's a race between societies, but there's also a race
to see can we build some kind of normative global system that can at least bring us all
together with a process.
And there's a lot of examples of failure, but there's some examples, whether it's nuclear weapons, chemical weapons, biological weapons, even climate change, where we've not succeeded But we've done certainly better than worse.
And the entire, we talked about telling stories.
I mean, international law is a story.
The concept of human rights is a story.
And we've sold those stories pretty well.
And that's what we need to do.
And that's why we need to work on the individual level.
Everyone needs to be educated.
On the national level, we need smart laws and we need political leaders who are engaged on this issue, which is hardly the case now.
And on an international system where we need to move towards having processes that can bring us together and over time develop norms and regulations and laws.
dave rubin
Okay, so we sort of understand the inequity, let's say, between the way certain nations are going to deal with this and the way certain individual scientists are going to deal with this.
Let's jump into that religious portion of it for a moment.
So I'm glad you're going to go talk to Newt Gingrich.
I've got him coming on in the fall.
Oh, good!
Look, it's interesting to talk to a Republican who I think basically I think has a pretty decent understanding
of science, but comes from a religious perspective as well.
Okay, that's fine.
jamie metzl
It's a moral thing, it's essential.
Like what are we gonna do, not talk to each other?
dave rubin
So when you talk to nude, or even not to make it so specifically about nude,
but when you talk to people of faith, I think the first roadblock you're gonna come across.
I get that fear.
I share that fear.
just gonna say you're playing God.
I mean, I'm sure you hear this all the time.
So how do you counter that, or how do you assuage their fears?
jamie metzl
Yeah, yeah, so first, the first thing is acknowledging.
It's like, I get that fear.
I share that fear.
I mean, whether it's playing God, or messing with complex systems
that we don't fully understand.
I mean, this is a hubristic act.
We are just one little species in a world of many millions of species.
Like, who says that we are the ones who get to recreate life?
And so I get it.
If you believe that it is okay for humans to apply technology to change our environments, the question isn't should we or shouldn't we, because that's what we do.
That's why we're here.
That's what medicine is.
That's what agriculture is.
I mean, we live in a world that we have transformed through our technology.
The question is, what are the uses of that technology that we're comfortable with?
And I get That this issue of abortion is very difficult.
It's very painful for people.
And I'm not a proponent of abortion.
I just feel that a woman should have the right within limits to dictate what happens to her own body.
I don't think the state basically can enforce slavery on women to force them to carry children on behalf of the state, which is essentially what it would be.
But even with the people who are the quote-unquote pro-life people in the context of the debates that we just had in Alabama, There were people who were leading that, people in the state senate in Alabama.
They very consciously decided to leave IVF out of that legislation.
So if you believe that life begins at conception, when that sperm fertilizes the egg, that is life and that's inviolable.
You would say, well, we should include IVF in this band.
They're not doing it because in every community, when you see these parents, whether they're high-risk parents or older parents or soon just normal parents, who are having children through IVF, it's the miracle of life.
And so the quote from one of the Alabama senators, well, we're not applying, this doesn't apply to those fertilized eggs in a dish.
We're talking about embryos inside of a woman's body.
dave rubin
So that's a real disconnect there.
jamie metzl
You could call it a disconnect, but I'm not calling it a disconnect.
I'm saying it's a recognition that this stuff is really complicated.
And if we just say, I have this absolute position Um, and, and I'm just gonna stick to it.
I think that's going to, like, I want to look for, to say, well, you have recognized that because you are pro-life, you recognize that you want to protect embryos, and we may have political differences, but I respect yours.
And you want to protect the miracle of life of these people in your communities who are having kids through IVF that they otherwise wouldn't have.
And so I just think we have to work towards finding some kind of... Are we ever going to completely agree?
No, but no...
No, that's not a standard in a democracy.
It's not that you have to agree on everything.
It's that how do we rebuild a place where we can at least communicate with each other and try to find as much common ground as possible.
dave rubin
There's so many ways I could go with this and I have a zillion sci-fi movies rattling in my head.
Suddenly I had something about Star Wars in there related to basically a clone army.
We'd start having this genetically modified group of humans versus, we haven't even got into robotics at all here, but AI and droids and they're gonna sort of be rising.
But let me hold that one for just a sec.
What about the economic portion of this, which is that once these technologies become more ubiquitous
and more people can afford them, and then they're just sort of out there
and somewhat mainstream, that obviously, like every other technology,
like a flat screen television, you know, people that have the means will start using them,
and that basically we're gonna sort of have two paths for humans.
There'll be sort of these super humans who will be able to deal with all of these things
and take advantage of these technologies, and then you'll have the regular old suckers
like us right now that can't do it, and what we're gonna do with that,
how we're gonna sort of bridge that divide.
jamie metzl
It's a really essential question.
I have a few different ways of answering it.
One is that's one possibility, and if we let that happen, shame on us,
The technology isn't requiring that outcome, it's the way we have decided to organize ourselves.
So in a country like Israel, where IVF is included in the national health plan, you
don't have these equity issues because everybody has access.
And if you have a system where you're doing that, it actually would pay for itself because
we're going to be able to prevent huge numbers of genetic diseases that are costing us many
many hundreds of billions of dollars.
So that's an organizational issue.
I always say that if people are worried about genetic inequality in the future, as we should be, we can wait until the future comes to say like, aha, this is what I was preaching.
Or you can look at the world today and say, geez, there's so much inequality today.
Average person, kid born in the Central African Republic is born essentially brain damaged because of maternal malnutrition in the context of the Civil War.
And so there's no difference in terms of outcome between a genetically enhanced person and me, or my kids, and my kids and a kid born in the Central African Republic.
There's still that same differential.
But if we're okay with that today, if we're not living those values today, how can we say, oh, but in the future, we wanna live those values when we are the people in the Central African Republic?
And then the second point I'll quickly make is we all have these superpowers that once seemed like magic, so we're all most hopefully immunized, or most of us are immunized.
dave rubin
Not so much anymore.
jamie metzl
But it's like a superpower.
And it's a superpower that everybody has, so there's also a cost issue with this.
dave rubin
Okay, so let's, So basically, that's the political element to this.
So what do you do?
How do you get politicians to get on board things that are such big ideas that politicians, when they talk about anything now, we've been dumbed down to the point where it's like, yeah, you're gonna mention CRISPR and it's gonna make sense.
How do you actually get the political elite to be able to deal with this in an honest way?
jamie metzl
The honest answer is I don't know, but I'm trying.
Here are the things that at least I'm trying to do.
One is I'm trying to help people get educated.
With this book I've written, it's really at a level that anybody can understand.
I want to just bring people into the in like it once you have basic information
We're all equals because we're all humans and everyone has a say
to Where I'm doing a lot of outreach to political leaders
We've offered the copies of the e-book for free to any member of Parliament of any country in the whole world
Talking with actually Brad Sherman is a congressman from Los Angeles and and others about congressional hearings
I'm in the paperback version of hacking Darwin, which is coming out in April
We're going to have a short political guide in the end with some pointers about how to questions to ask for your political leaders.
And I'm doing this work in Geneva.
But all of that amounts to nothing, in the sense that what we need is we need an explosion.
Like, everybody-- we need--
on a popular level, people need to be seized with issues.
Kind of like it's happened with climate change.
I mean, climate change 10 years ago was a non-issue.
And now, people are-- whether it's not using plastic straws or marching or whatever, people get that this is an issue.
People get that they want to have their voices heard.
We need to have that happen with issues of genetics.
And that will at least begin to put this on the radar of political leaders.
But then we need to educate political leaders.
Like, we need to have outreach.
And this is-- I talk about this in the book.
Every movement has to start somewhere.
It has to start from this little hopeless place where there's this huge problem and there's just a few people.
But it's a political issue and the challenge is, ten years from now, this is going to be the biggest issue in the world.
Everyone's going to be talking about it.
They're going to be people marching.
I think there's a potential of violence because the people who are, if you're worried about genetically modified crops now, how are you going to feel about genetically modified humans?
So, but why wait 10 years until this is like an exploding crisis to have a conversation about what are the things that we should be doing now?
Because big decisions are being made every day.
dave rubin
Yeah, so when you talk about genetically modified humans, I'll go to one of the sci-fi movies.
Did you ever see The Island?
I can't believe I'm going to quote a Michael Bay movie.
unidentified
No!
dave rubin
But it's, I think it was, maybe it was a Philip K. Dick story, but basically the idea being that these sort of rich elite people could clone themselves, and so that if at any point they got into a car accident or had a disease, that they basically had all the parts available, and then of course what happens is the clones Believe that they're human and that's what the debate comes about.
But that's not that far from what could become reality, right?
jamie metzl
As a science fiction writer, and recognize that we live in this world of exponential change where our sense of the speed of change is too conservative because we understand it just because of the way our brains function by looking backwards, whereas change is happening going forwards is going to be a lot faster.
All kinds of crazy things, not everything, but all kinds of crazy things that we can imagine could or will become real.
And so there are a lot of different scenarios.
Certainly, human biology is extremely complex.
And so it's going to take us a long time to understand more of this incredible complexity.
But the complexity of our biology has been roughly consistent for millions of years.
But the sophistication of our tools is on a J-curve.
And so we are going to be using Big data analytics and all these other incredibly powerful tools to understand ourselves.
And we're going to be able to look under the hood of what it means to be human.
There will still be this wonderful mystery, but we're going to know a lot more.
We're going to have to figure out how to use that knowledge in ways that doesn't undermine our humanity, but makes us individually and collectively better.
dave rubin
That could be the ending, but I wanna go a little bit more here.
jamie metzl
Go, go, go, go.
dave rubin
So going back to what I mentioned before, this sort of somewhat silly Star Wars thing, but this idea of clones that we can genetically modify their conditions and all of these things, and now you have AI growing.
Is there sort of a split within the futurist community of what people think is maybe one is more the future than the other or something like that?
jamie metzl
Well, I mean, you know, there are some people who are the, That it's genetically engineered humans and there's some it's going to be AI and in my very very strong view It can't be one or the other it's it's humans plus AI Gary Kasparov writes about this and that's that is the thing because we are Humans are incredible.
Our brain is so unbelievably almost magically sophisticated all the things that they can do are just so Way beyond the possibility even of our most advanced AIs.
And so we need to find ways that we will work together.
The genetics revolution is the AI revolution.
There would be no way that without our AI and big data analytics that we could even begin to decode the incredible complexity of our biology.
So the two really need to work together.
And that will be the story of the 21st century is to figure out what a What do humans do that machines can't do?
And what do machines do that humans can't do or just are better at than humans?
And how do we pull those capabilities together?
And then, with these massively powerful capabilities, how do we try to build some guardrails to make sure that our technology is used to advance our best values rather than undermine them?
dave rubin
Okay, so we'll end on this.
I'll give you the scariest question I possibly could, which is, 20 years from now, if the 98% that you usually focus on, the good stuff at the talks, if that really works, paint me what that future looks like, and then we'll go to the other.
unidentified
Sure.
jamie metzl
So that one is we're going to be living longer, we're going to be living healthier, we're going to have all kinds of
information about future risks and potentials.
And we're going to use that in a positive way to inform our lives.
If we have risks, down the line we're going to be working to minimize those risks.
We're going to change the way that we make babies.
We're going to increasingly move from conception through sex to conception through IVF followed by embryo screening.
Right now in the US we have about 2% of kids are born through IVF.
In Japan it's 5%.
In Norway and Denmark it's 10%.
Those numbers are always going to go up until we see procreation by sex
as something that is not natural.
dave rubin
And then we're also gonna be, I can't believe I didn't even mention this this whole time,
we're also gonna be then growing humans in labs too.
jamie metzl
You know, that's a debate now.
So there's this whole movement for artificial wombs.
There's a lot that happens emotionally and biologically between a mother and a baby,
but certainly it's working for sheep.
Basically, the core point is that biology is at play.
We have this sense, I know what biology is because I'm a human and my parents were humans, but a lot of these things are just at play.
We were single cell organisms and now we're this and we're going to be something else and that something else will be impacted by our technology just like our digestive system has been guided by fire that allows us to digest things that otherwise we couldn't.
And so we are, like, that is where we're going.
And just this 20 year story, so we're gonna be better healthcare, moving away from sex, from conception through sex.
And we're going to begin selecting future children based on health outcomes and other information about traits.
dave rubin
Now give me the 2%.
We screw this thing up.
What are we looking at?
jamie metzl
We are...
attacking each other, that there's a level of social cohesion that is required for this technology to advance in ways
that benefit everybody.
One of the reasons why we're having so many problems here in the United States is that we had this economic change.
So we had this change in basically the role of capital in society.
So capital was overvalued and labor was undervalued.
We allowed this small group of people to amass just a disproportionate and inappropriate amount of power.
And then everybody else, maybe they couldn't articulate all the reasons, they just had this feeling, hey, I'm getting screwed over and I'm going to fight back.
And so if this powerful technology, if we don't handle it in a responsible way, we're going to be at each other's throats.
We're going to have elites who are saying, you know, screw this, like my mission in life is to create advantages and confer advantages to my children.
I have more in common with people who are wanting to do that in other countries all around the world than I do with these other people in my country who are just causing there's a pain in my ass and they're demanding things and they're fighting against things that I want.
So I'm just leaving.
dave rubin
So basically they're gonna have to build Elysium or something like that.
jamie metzl
Yeah, or something.
Or just have an island, do it in the Caribbean or whatever.
So if we're not careful, these technologies could destroy our societies.
And that's why, I mean this is a conversation, it's teed up by science.
But it's the core pillar is values.
I mean that's what this is all about.
dave rubin
I would love to continue this.
We've got to wrap, but as you may know, I go off the grid for August, so we're taping this right now at the end of July, and I'm disappearing.
No technology, no phone, nothing electronic.
So you've teed me up for so much good stuff to think about while I'm gone.
jamie metzl
And where are you going?
dave rubin
I'm not telling people, but I'm disappearing, and there will be nothing electronic.
jamie metzl
And it's so important, because we're talking about this technology, and technology, it does so many wonderful things.
But at the core, if we lose the essence of what it just means to be a human, just out in the mountains, it's like, that's everything.
dave rubin
Yeah, I have thoroughly enjoyed this.
I hope you'll come back to get you back in the prediction game.
jamie metzl
I would love it.
I'll come back.
The paperback version of Hacking Darwin is coming out in April of next year.
And so I'd love to come back when that happens.
dave rubin
Done and done.
All right.
Thank you very much.
And for more on Jamie, you can follow him on Twitter at JamieMetzl.
And if you enjoy conversations like these, don't forget to subscribe and click the bell so that you actually get notified of the videos.
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