The estimable Matus-1976 posted an interesting article on the use of temperature-cooling in current medical treatments, and the implications for the development of viable cryogenic technologies for human use. Here are my comments on that.
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I must say I disagree that the move from cooling bodies and parts for short periods for medical treatment, to cryogenic suspension, is a ‘tiny conceptual leap’ - at least, in terms of having justification in reality. Conceptually it’s easy to imagine, but I don’t think evidence to date supports a near-nth degree extrapolation. What is true at one timescale, one level of biological organization, does not necessarily carry forth to all degrees. Looking at evidence to date, from temperature-related physiology in humans to the evolution of freeze-tolerance in other animals, there is reason to think that the story is multi-faceted and complexly hierarchical.
Specifically, I’m thinking of specific properties of the cells of other organisms that DO let them effectively cryo-suspend longer and more easily than humans - and those are very different cell properties than those that make cooling hearts and brains a good idea for treating injuries in humans. It’s a different beast, in my judgment, even though both cryopreservation and cold-treatments involve and rely on the slowing of molecular motion. Given how little we understand of aging - not just human aging, but things like why you don’t find 43-year-old mice, or rhinos breeding before the age of 25 or so - the existence of what amount to biological clocks should be a real concern. Some cells and organisms track time more or less faithfully, and in ways we don’t currently understand, and I’m sure it involves much more than molecular motion, but also crucially molecular *action* of specific kinds, at specific rates.
Trying to think mechanistically, some clocks may be counting-up clocks, where activities that effectively track time can be suspended, and I suspect this is what people are thinking of - exclusively. But other clocks can be the counting-down kinds, where a crucial structure, process or relationship needs maintenance or other activity in order to be viable. And while I think knowledge of such things is more than possible, I’m telling you we know something like 1% of how a generic cell works, and humans have something like 200+ cell types in their bodies. The human body has circa 25,000 genes, which crank out hundreds of thousands of RNA products (which are far more active and important than previously thought, and constitute something of a RNA-revolution in molecular biology right now), which in turn lead to well over a million protein products. And untold numbers of RNA and protein products have more than one action, which can be simultaneous or context-dependent.
Even an inkling of combinatorics, combined with the surprising specificity yet flexibility of some cells - much less tissues, organs and organisms - gives some indication of the task ahead, the machinery that must be manipulated with the precision, sensitivity and knowledge of … I can’t even think of an example that begins to capture this. I was going to say a Formula One driver, but the engines and computers and dynamics involved are simple compared to cells. Perhaps the guy who wrote and maintains Linux. Times like a million.
All this to say: we might have a good grasp of the nature of human beings at the conceptual level, at the organismal level, and others - but I don’t think we have sufficient grasp of the functional essence human cellular anatomy and physiology to say what is and is not possible to do to cryogenically. There may be real, and major, obstacles of an entirely different kind that are not detectable at our current state of knowledge. And even if we grant the assumption that where there’s a will, technology will find a way, I don’t think it follows that human cryogenics will and must and should happen. The nature of the biological obstacles may be such that it costs so much (in money, resources, time or effort) that, when put in the context of other goals and concerns, there is insufficient demand to sustain the technology and industry necessary to make cryogenics implementable beyond textbooks. Biology aside, the physical world of the earth and solar system will continue presenting steep challenges to humanity’s survival and flourishing for a very, very long time to come.
And cryogenics isn’t likely to be a tinkering-in-your-garage kind of enterprise. Until it is a streamlined EZ-Bake kind of technology, it will require massive investment of time, money, personnel and high-quality thought in many fields of research leading up to cryogenics. As free-markets and industrialization struggle under sustained moral attack, as economies struggle and the quality of education in general - not just science - continues to erode, the cost- and time-to-production for cryogenics spiral into oblivion, and bring to mind priorities closer at hand.
As it is, in this biologist’s judgment, we will see "intelligent" cures to both cancer in total and AIDS (i.e. cures based on knowledge of the nature of each individual’s disease, rather than the present birdshot-at-a-barnwall approach to treatment, especially cancer treatment) long before we achieve successful human cryopreservation. Or, should I say, cryo-revival, since that’s the verification test for it, and the only aspect that truly matters to someone considering The Big Freeze. And, in my slightly-better-than-amateur knowledge of cancer biology, we will be lucky to see a cure for one common cancer in our present lifetimes.
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Round Two:
I’m not philosophically opposed to cryogenics; for the record, I think that people who say one must die in order for anything to have value are mistaken; one must simply be able to die, no matter how long he or she lives. And that’s not at issue here. I sincerely doubt one could ever be reconstituted after being vaporized or pulverized or countless other horrific demises. Nor do I think the inherent difficulty in vitrifying humans is necessarily a show-stopper for arguments for cryopreservation ever.
I do think vitrification is problematic and a reasonable show-stopper now because we don’t know what we’re aiming for. Prior to a knowledge of what cells, tissues, organs and organisms *need* in order to be successfully thawed, present methods are little better than a stab in the dark to try and successfully vitrify people now. Yes, there’s loads of good science that can be done this way, but presumably people who are preserved in liquid nitrogen now are not contributing substantially or purposefully for that research (else they would risk, if not ensure, their own permanent demise). I think it’s a waste of energy, money, space and hope to be freezing vats of people with no idea how or when to unthaw them. Issues of storage, ethics, experimentation, "re-patriation", and legal continuity are separate, less-essential issues to this discussion, but all bear on the reasonableness of choosing to cryopreserve oneself.
It’s like stocking your house with a year’s worth of canned food "just in case." Unless you can rationally (not rationalistically) and realistically answer "in case of what?" there is no reason *not* to stock your house with a hundred years’ worth of food, or live in a titanium bunker a mile underground. On the premise that one’s life is so important that one doesn’t want to be caught unawares and unprepared, having a worry in place of a constructive purpose drains one of the value one seeks to protect: a productive, constructive, positive life of achievement (however one concretizes that).
The purpose of life for humans, broadly speaking, is *not* to survive; the purpose of life is to *live*, and surviving is a necessary but *not* sufficient condition for that. Absent real, inductive evidence that cryopreservation holds real promise for actually furthering - and not hindering - one’s life here and now, it’s has the very real potential to be as draining of life as a neurotic obsession. And I mean that literally, not condescendingly. To surrender countless opportunities for *actually* living your life healthfully and happily here and now, for or because of a gargantuan What If, is degrading to what it means to be human. Absent real promise, based in observation at every turn, it represents an existential sacrifice motivated and justified by a string of deductions from seeming-proof, with a failure to ground in reality at each cognitive step.
I see this as a weaker variant of the cognitive mis-steps that characterize well-meaning, hard-thinking theists. They have epistemologically undercut themselves at one or more key points (explicitly and purposefully, or implicitly and accidentally), and so find themselves inevitably opposed to reality, to life on earth here and now. Yet they are happy because they think they are right, that they are pursuing real values and efficaciously using their minds (on the most generous interpretation). But they have sacrificed reality broadly, and their Life specifically, and don’t know it or won’t believe it, even as they find themselves arguing against this-worldly here-and-now success in favor of a trusted abstraction with delayed, unspecified pay-offs that must occur - to their trusted knowledge and faith - "somehow", "somewhere", "at some time". It’s existentially vacuous no matter how cognitively compelling.
So too, I see, with with the hype surrounding cryopreservation; the red-flag waving in my mind is the inefficient, pointless, "idealistic" socking away of resources and energies, and inversion of priorities - privately or corporately or societally - that are in defiance of existing knowledge and real challenges and known fact. In my view, the present state of knowledge doesn’t justify such action as cryopreserving bodies, and holds out a false hope of future value at the expense of present value, and in a dangerously unspecified manner.
There is no evidence that it *does* work; there is only trust and hope and expectation that it *will* work. Just a little better than heaven, I say, and that’s not good enough. I have a life to live. And it is only in people doing *that* that the idea of cryo-preservation has any hope of being a science and not science fiction. That is, I think it is irrational to even try to vitrify bodies (since we don’t know how to do it properly) prior to knowing how to unvitrify them. And by the time we know that, we’ll probably have obviated much of the motivation to vitrify our bodies in the first place. So: fans of cryopreservation should throw their hopes, interests and money into cell biology research, which *will* have pay-offs in one’s own lifetime. I can think of other perks, but I’ll leave them aside now.
And there’s one other thing motivating my nay-saying. I take issue with the Law of Accelerating Returns and with overly optimistic extrapolations in scientific progress because these types of generalizations obscure, by their presentation and thrust and application, a key ingredient that is NOT given in any human endeavor: the vagarities of human choice. The LAR treats history as if humanity were some sort bank account of knowledge that had a low but reliable compound interest rate. It appears not to acknowledge - as possibility or historical fact - the very real crash in knowledge, life-expectancy, and quality of life that accompanied the collapse of the Roman Empire and the rise of the Christian Dark Ages. Life tanked, and humans are wholly responsible for it. The facts of human nature that permitted that as an existential possibility can never, ever be glossed over.
While progress is probable, it is *not* a given. A very sober assessment of present culture is extremely necessary when considering an issue that depends *crucially* on the free choice and action of (literally) uncountable people over a truly unspecifiable period of time. Why invest now in preserving your unknown peri-death potential when you can’t say how long you’ll be frozen, how much it will cost, and whether the social and economic laws and conventions - not to mention sufficiently shared values - are likely to exist at the time when knowledge and technology reach the level of advancement desired by (an indisposed) you? What rational formula for investment is possible apart from "More, more, more?" There is no way to gauge it.
And all at what cost to you *now*, in a life and youth and health you *already* have?