Kamani Hubbard was born this month in the bay area. This baby boy is described by his parents and doctors as “healthy but incredibly rare,” “an interesting and beautiful variation rather than a worrisome thing,” and “remarkable” because he was born with an extra digit on each hand and foot. This article highlights the notion that each of these extra fingers and toes are “fully formed and functional” and so they might be left alone so as to “help others grasp the importance of embracing difference.”
As these doctors are patting themselves on the back for being so damn open minded, this same article is built upon some deeply disturbing assumptions about normality. The doctors attempt to dress the issue up as a matter of function. For instance, Dr. Michael Treece, the family pediatrician righteously proclaims “It’s merely an interesting and beautiful variation rather than a worrisome thing … I would be tempted to leave those fingers in place. I realize children would tease each other over the slightest things, and having extra digits on each hand is more than slight. But imagine what sort of a pianist a 12-fingered person would be imagine what sort of a flamenco guitarist, if nothing else think of their typing skills.” The journalist covering the story also acts as if the issue at hand is mere function, when he matter of factly states “because the extra digits are functional, it’s not a deformity to be discarded.” Yet, even in that quote, just below the surface is a viewpoint about aesthetic normality.
The baby’s mother is more straightforward when she says “Nurses and doctors, looked so normal they couldn’t tell, they told me he was six pounds in good health, that was all they said.” Clearly, this is a case like many others where functionality is conflated with aesthetics in an attempt to obscure ableism of the deepest kind. Arguably, even though this case will likely NOT result in surgery because this baby was judged to be normal looking enough by the medical establishment, we can place him on a spectrum along side others who were not so lucky. For example, intersex folks have had unnecessary and painful reconstructive surgery on their sex organs as kids because of how they looked; or adolescent dwarfs sometimes “choose” to have outright torturous limb lengthening surgeries that entail breaking and then separating the long bones in the arms and legs so they are closer to normal looking; or even Ashley X who, at the age of 6 had her growth “attenuated” with high doses of estrogen and her breast buds and uterus surgically removed so she would be more “dignified” in a body that was “more appropriate for her mental age.”
Philosophers aren’t supposed to get this fired up from what I understand. We are supposed to be calm and balanced and rational in our deliberations, not write inflammatory blogs filled with scare quotes. But it’s so hard to be bombarded with these social attitudes that drive the use of biotechnology (sometimes in quite brutish forms) to squeeze children into a box of what normal looks like according to our culture. Congratulations doc, you are going to allow the 12 fingered wonder to escape your scalpel and grow into f#%*ing Beethoven because his extra fingers were almost unnoticeable. This kid can increase beautiful diversity, but if his extra fingers were a bit more gimpy looking, off they would come so the other 4th graders don’t make fun of him and he will have an easier time getting a prom date.

Kyle Maynard will kick your @$$ with his dysfunction!!!
That’s my point here, these doctors talk about function, but in the next breath talk about social beauty standards. Since when is a finger’s “function” to be pleasing to look at so it avoids mockery? I have a stumpy finger for you, right here doc.
As philosopher Ron Amundson has shown, even if we take this notion of function seriously, it falls apart fast. Function is ALWAYS a matter of context. Namely, the contexts of environment and goals. If someone’s environment fits their body, no matter how it’s put together, they often can function quite nicely. For example, my computer desk is about 10 inches off the ground and I have written literally thousands of pages from it while sitting on a rug over the past decade of college and grad school. Almost anyone else would come away with horrid cramps and aches, but I can sit here for hours on end, my body functioning with perfection. Goals are also a key for this notion of “function.” What ends are we judging when we look at a body and decide whether it will be functional? Kyle Maynard, the the recipient of a 2004 ESPN Espy Award for the Best Athlete With A Disability, was a wrestling champion without arms or legs. His low center of gravity and the fact that he was wrestling in a weight class against men who had much less muscle mass (you can beef up and stay at a low weight if you don’t have arms or legs) meant that he had some advantages on the mat. If his goal was to slam dunk a basketball, he would have a dysfunction, but for wrestling he was one of the best in his state.
Sometimes, there can be biological dysfunction. You can have a dangerous heart murmer or kidney failure or diabetes. But, doc, if you are going to tell me about extra fingers and toes, just be straight with me and say that you cut them off when they are ugly looking.







February 1st, 2009 at 1:38 am
Hey Joe, when the hell are we going to see a picture of your stumpy finger doing the bird? Don’t palm off the in-your-face crap on Kyle Maynard. In fact, I want to see this picture right up at the top of your blog embedded in the header for all to see and know that your stumpiness is the shiz. Live the disability pride/’tude, bro.
February 1st, 2009 at 1:41 am
HAHAHAHAHAHAHA… she shoots… she SCORES!
Amber: 66454 Joe: 0
February 1st, 2009 at 1:49 am
Where’s the picture?
February 10th, 2009 at 9:09 pm
I might have one - I can look.
February 26th, 2010 at 7:33 pm
Actually, being a pediatrician, I don’t cut on anyone–surgeons do that. More specifically, surgeons cut on children for aesthetic reasons when parents ask them to. They cut off non-functional extra digits and skin tags and other things that don’t meet their aesthetic standards. They cut off foreskins. They turn intersex genitals into parts that look more “normal”.
All of these things are outrageous. However, you’re trying to fob off the fault for all of the above onto the medical community, and you’re missing two points.
First point: we do nothing that the parents don’t request. I realize that this sounds like the Nuremburg Defense, but we’re not the ones who want kids with variations from an arbitrary norm surgerized: the parents are, because they don’t want their kids to be teased, to be isolated, to be marginalized, to be made to feel weird.
Second, you’re interested in this as an issue of ableism and bigotry, and it surely is; but you’re missing the part that motivates me, and that’s the issue of consent in children. Kids literally exist at their parents sufferance. If a parent wants some unnecessary medical procedure, there are legal means by which that parent can force the issue. We docs have to negotiate with parents over these sorts of issues all of the time. There is certainly a logical basis for the idea that parents might make children undergo treatment that the children might not want, like immunizations, with the idea that the parents know what is best for the children; however, there is no shortage of examples of parents pushing their kids into a wide variety of unhealthy situations, from dietary restriction to athletic hyperparticipation, which are clearly not beneficial to children but are tolerated and even encourage in our ageist society.
I make no apologies for my observations and comments regarding young Master Hubbard. I do, however, ask that you consider that age (youth?) is a basis for discrimination, even as is body type/ability. We all have much to overcome in our thinking.