1) The Immortal Life of Henrietta Lacks is the story of an African American woman and her family that touches on many big issues: bioethics, racism, poverty, science, faith, and more. What threads stand out to you and why?  

2) Race and racism are woven throughout the book, both in the story presented and in the process of the research for the book. Skloot was yet another white person asking the Lacks family about Henrietta. How do you feel about a white woman creating the narrative of this story? How did her race help or hinder Skloot in the writing and researching of the book?  

3) The author notes social inequities both explicitly and implicitly. What parts of Henrietta’s story might be different if she had been white? What might have been different if she had been middle or upper-middle class?  

4) What role did the deferential attitude toward doctors in the early 20th century play in the interaction between Henrietta and her family and Johns Hopkins? How has that attitude toward doctors changed over the decades? Do patients’ socioeconomic differences affect the relationship today?  

5) Henrietta Lacks died in 1951, but her cancer cells are still alive today. Do you think they carry some essence of Henrietta? How do you think you would perceive cells from someone close to you that grow in culture in a laboratory?  

6) A week after you finish reading the book, will you remember how cells divide? Do you now have a better understanding of cell biology? Either way, does it matter to you?  

7) What does this book tell us about the history of science and how science has progressed since the 1950s? After reading this book and considering the events it details, what do you think are key factors that influence scientific progress?  

8) The book is filled with stories of people used as research subjects, sometimes without their knowledge, sometimes with ill-informed consent, sometimes because of their inability to understand (patients with mental illness) or resist (prisoners). Were you aware of this history before reading the book? Do you think doctors and researchers of the past had a fundamentally different view of people than they do today?  

9) Today the definition of ‘informed consent’ remains murky. What did you learn about what it means or doesn’t mean? What does it mean to you?  

10) In the years since the uniqueness of Henrietta Lacks’s cells were discovered, others have been identified with cells that are valuable on the research market. In Chapter Five, Skloot details the history of John Moore, whose cells produced rare proteins, and Ted Slavin, whose cells produced valuable antibodies. All three cases are quite different in many ways, including how their doctors used the information. Should individuals be able to profit from their own cells? Should their doctors? With consent? Do you think Henrietta would have provided consent for her cells to be taken and used had she been asked?

 

adapted from: http://www.gobigread.wisc.edu/Discussion-Toolkit/Questions2011.pdf