Denise J. Hunnell, MD

Do no harm?: Medical journals show increasing support for euthanasia

Denise J. Hunnell, MD
By Denise Hunnell MD
Image

August 24, 2012 (Zenit.org) – Primum non nocere. First do no harm. This edict has been part of medical ethics since the time of the ancient Greek physician, Hippocrates, in the fifth century B.C. It is found in the Hippocratic Corpus, a collection of medical writing attributed to Hippocrates. The original Hippocratic oath includes:

I will apply dietetic measures for the benefit of the sick according to my ability and judgment; I will keep them from harm and injustice.

For millennia the physician has been charged with being an advocate for the patient. Part of the impetus for the original Hippocratic oath was to ensure that doctors would not be paid by an enemy to give poison instead of medicine. Patients should be able to come to their doctor when they are sick and weakened, and have no fear that their vulnerability will be exploited.

Unfortunately, the sacred trust of the doctor-patient relationship is being strained by a new ethical model. Physicians are being urged to place the “greater good” above the needs of their individual patients. A disregard for the sanctity of human life as well as a utilitarian philosophy that judges the value of a patient to society is becoming more mainstream in the medical profession. This is evidenced by the increasing number of articles in respected medical journals that call for approval of assisted suicide and euthanasia, euphemistically called “assisted dying.”

The British Medical Journal (BMJ), a publication distributed to the members of the British Medical Association, devoted much of its June 14, 2012, issue to endorsing voluntary euthanasia and physician assisted suicide. Raymond Tallis, emeritus professor of geriatric medicine at the University of Manchester, argues in this issue that respect for patient desires and autonomy renders irrelevant any opinion on the matter by the Royal College of Physicians or the British Medical Association. Therefore, all opposition to euthanasia is merely inappropriate paternalism and should be dropped.

In this same issue, Tess McPherson relates the difficult last days of her mother, Ann McPherson, and uses this painful experience as a call for legalized physician assisted suicide and euthanasia. Rather than seeking better pain control, she argues that death is the best option for those suffering at the end of their lives.

Finally, Fiona Goodlee, editor in chief of the BMJ, rounds out the arguments by declaring that legalization of assisted dying is not a medical decision, but rather a societal question. She argues that the role of the physician is compatible with providing euthanasia or assisted suicide and if society wants it, they should get it.

CLICK ‘LIKE’ IF YOU ARE PRO-LIFE!

Amid these scholarly endorsements of euthanasia come the claims of British physician Patrick Pullicino that the National Health Service (NHS) is effectively killing 130,000 patients every year when doctors place these patients on the Liverpool Care Protocol (LCP) and deny them nutrition and hydration. According to the Daily Mail:

Professor Pullicino claimed that far too often elderly patients who could live longer are placed on the LCP and it had now become an ‘assisted death pathway rather than a care pathway’.

He cited ‘pressure on beds and difficulty with nursing confused or difficult-to-manage elderly patients’ as factors.

Professor Pullicino revealed he had personally intervened to take a patient off the LCP who went on to be successfully treated.

The medical literature from the United States also shows an increasing acceptance of physician assisted suicide and euthanasia. The July 12, 2012, issue of the New England Journal of Medicine (NEJM) included an article by Dr. Lisa Soleymani Lehmann and Julian Prokopetz that suggested physician opposition to assisted dying was an unreasonable barrier to patients seeking lethal medications. They recommended that all patients who met the legal criteria for assisted suicide as outlined in the state laws of Oregon, Washington, and Montana should be able to obtain the drugs necessary for suicide without a physician’s prescription or approval.

Perhaps the most chilling example is the enthusiastic endorsement in the Journal of the American Medical Association (JAMA) for the book Death, Dying, and Organ Transplantation: Reconstructing Medical Ethics at the End of Life, by Drs. Franklin Miller and Robert Truog. This book seeks to do away with two core principles of medical care. The first is that a physician cannot intentionally cause the death of his patient. The second is that donors of vital organs for transplantation must be dead before the organs are harvested.

Catholic health care ethics, in accordance with natural law, holds that when the burden of life-sustaining extraordinary care such as a ventilator is greater than the benefit it provides, such care can be withdrawn. This is not seen as causing the death of the patient, but rather allowing the patient to die from his underlying illness. Miller and Truog disagree and assert that such an act directly causes the death of the patient. They then begin their descent down the slippery slope by claiming that if causing death by withdrawing life-sustaining care is acceptable, then active voluntary euthanasia by lethal injection should also be acceptable. Further, if voluntary euthanasia by injection is acceptable, then voluntary euthanasia by removal of vital organs to be used for transplantation should be equally acceptable. This radical argument could be disregarded as fringe thinking had it not been so prominently and positively recommended in JAMA.

It is reasonable to say that the notion that physicians should not kill their patients is still widespread among medical professionals. Indeed, several of the aforementioned authors take their colleagues to task for opposing euthanasia and physician assisted suicide. The growing numbers of prestigious medical journals that are routinely publishing support for all forms of “assisted dying” are, however, a clear indication that this approach to end of life “care” is making significant inroads in mainstream medical ethics. The foundational principles of health care that date back to Hippocrates are in jeopardy.

This has serious implications for patients. No longer can a patient assume that his physician has his best medical interests at heart. Now physicians are being urged to consider the cost to society of a patient’s care and judge whether a patient is worthy of such expense. Instead of seeking to provide comfort and authentic compassion at the end of life, there is increased support for hastening death as an expedient solution to suffering.

It is now incumbent upon every patient to explore the ethical principles of his doctor. Does he uphold the sanctity of life from conception to natural death? Does he understand that treatments can be deemed burdensome, but human life is never burdensome? Does he view nutrition and hydration as ordinary care as long as a patient can derive a benefit from it? Does he reject all justifications for intentionally causing the death of his patients?

If your physician does not answer unequivocally “yes” to each of these questions, can you really trust him with your life?

Denise Hunnell, MD, is a Fellow of HLI America, an initiative of Human Life International. She writes for HLI’s Truth and Charity Forum. This article appeared on Zenit.org and is reprinted with permission.

Support hard-hitting pro-life and pro-family journalism.

Donate to LifeSite's fall campaign today


Share this article

Advertisement
Featured Image
Shutterstock.com
John-Henry Westen John-Henry Westen Follow John-Henry

, ,

Are you praying for the upcoming Synod on the Family? You should be, and here’s why

John-Henry Westen John-Henry Westen Follow John-Henry
By John-Henry Westen

Catholics, and all Christians who value family values, should be praying earnestly for the Catholic Church as a struggle over critical family issues is coming to a head in the run-up to the Extraordinary Synod on the Family, which takes place October 5-19. 

Augmenting the concerns is the fact that some of the cardinals closest to Pope Francis himself are increasingly in public disagreement over crucial matters related to faith and family. For some, the concerns reach right to the pope himself.

While Synod preparations have been going on for a year, Sunday’s weddings of 20 couples in St. Peter’s Basilica by Pope Francis presented a figurative, and perhaps foreboding launch.

In a press release prior to the ceremony, the Rome diocese inexplicably went out of its way to highlight the fact that some of couples the pope was going to marry were cohabiting. "Those who will get married Sunday are couples like many others,” it said. “There are those who are already cohabitating; who already have children.”

Unsurprisingly, the mainstream press took the bait and seized upon this statement to run headline after headline pushing the confusing notion that the event was a prelude to, or evidence of, a change in Church teaching on marriage.

Headlines like: 

All I can do is pray that the public fallout from these wedding ceremonies does not foreshadow the public outcome of the Synod. If so, we could be headed for a tragedy akin to the tragedy of the late sixties when, despite the proclamation of the truth of Humanae Vitae against contraception, the effect among ordinary Catholics was a near universal rejection of the teaching in practice.

What to expect at the Synod

The official list of those taking part in the Synod includes 114 presidents of Bishops’ Conferences, 13 heads of Eastern Catholic Churches sui iuris, 25 heads of the dicasteries of the Roman Curia, nine members of the Ordinary Council for the Secretariat, the Secretary General, the Undersecretary, three religious elected by the Union of Superiors General, 26 members appointed by the Pontiff, eight fraternal delegates, and 38 auditors, among whom are 13 married couples and 16 experts.

You’ve undoubtedly heard of Cardinal Kasper’s intervention at the Consistory of Cardinals earlier this year, in which he laid out a contentious proposal to allow Catholics who have been divorced and then ‘remarried’ outside the Church to receive Communion. 

Since then a bevy of heavy-hitter cardinals have fought that proposal, including:

Today, however, Cardinal Kasper said the “attacks” from these cardinals were not so much directed at him but at Pope Francis, since, claims Kasper, he discussed his intervention with the pope and gained his approval.

The claim has some basis, since the day after Kasper made the proposal, before it was made public, Pope Francis praised it publicly.  According to Vatican Information Service, the Holy Father said:

I read and reread Cardinal Walter Kasper's document and I would like to thank him, as I found it to be a work of profound theology, and also a serene theological reflection. It is pleasant to read serene theology. And I also found what St. Ignacius described as the 'sensus Ecclesiae', love for the Mother Church. ... It did me good, and an idea came to mind – please excuse me, Eminence, if I embarrass you – but my idea was that this is what we call ‘doing theology on one's knees’. Thank you, thank you.

Of note, Vatican correspondent Sébastien Maillard, writing for France’s La Croix, reports today that Pope Francis is “irritated” by the release of a book containing criticisms of the Kasper proposal by five cardinals.

As LifeSiteNews.com reported yesterday, one of those authors, Cardinal Raymond Burke, is being demoted from his headship of the Apostolic Signatura. The only post planned for the 66-year-old cardinal thus far is patron of the Order of Malta. 

Cardinal Burke’s pre-Synod interventions go beyond the divorce and remarriage question and into the matter of homosexuality.  In a recent interview Cardinal Burke gave a clear refutation of the misuse of Pope Francis’ famed ‘Who am I to judge’ quote to justify homosexuality.

While the issue of the Church’s teachings on homosexuality is seldom raised in reference to the Synod, with most of the emphasis being placed on the question of divorce and remarriage, it is mentioned in the working document, or ‘Instrumentum Laboris’, of the Synod.

As with the matter of divorce, no doctrine regarding homosexuality can be changed, but much confusion can still be sown under the auspices of adjustments to “pastoral” practice. Without a clear teaching from the Synod, the effects could be similar to the shift in “pastoral” practice among dissenting clergy after the promulgation of Humanae Vitae, which led to the use of artificial contraception by most Catholics.

Already and for many years there has been de facto broad acceptance of homosexual sexual practices in many Catholic schools, universities and many other institutions, with many staff being active homosexuals in open defiance of Catholic moral teaching.

Regarding the Synod’s deliberations on homosexuality, it does not bode well that one of Pope Francis’ personal appointees to the Synod is retired Cardinal Godfried Danneels.  The selection is remarkable because of Danneels was caught on tape in 2010 urging a victim who had been sexually abused by a bishop-friend of Danneels, to be silent.  Then, only last year Danneels praised as a “positive development” that states were opening up civil marriage to homosexuals.

Then, just this week, as reported on the Rorate Caeli blog, one of the three Synod presidents gave an interview with the leading Brazilian newspaper in which he said that while stable unions between homosexual persons cannot be equated to marriage, the Church has always tried to show respect for such unions.

The statement matches that of another prominent Synod participant, Vienna’s Cardinal Christoph Schönborn, who in 2010 spoke of giving more consideration to ‘the quality’ of homosexual relationships. “We should give more consideration to the quality of homosexual relationships. A stable relationship is certainly better than if someone chooses to be promiscuous,” Schönborn said.

In the end, while there is currently a public battle in the Vatican that is unprecedented in modern history, the faith will not and cannot change.  As faithful Catholics, and Christians, we must cling to the Truths of Christ regarding the family and live them out in our own lives first and foremost.  That is difficult, to be sure, especially in our sex-saturated culture, but with Christ (and only with Him) all things are possible. 

Plead with heaven for the pope and the bishops in the Synod.  LifeSiteNews will be there reporting from Rome, and, with your prayers and support, be of service to those defending truth.

Share this article

Advertisement
Ben Johnson Ben Johnson Follow Ben

Poet: I ‘would’ve died’ for my aborted daughter’s ‘right to choose,’ just ‘like she died for mine’ (VIDEO)

Ben Johnson Ben Johnson Follow Ben
By Ben Johnson

What kind of mother asks her baby to die for her? And what kind of media outlet celebrates that?

To take the second question first, The Huffington Post is promoting a video featuring Scottish “poet” Leyla Josephine, celebrating her decision to abort her daughter. The video, “I Think She Was a She,” was uploaded to YouTube a month ago.

In the video Josephine, decked out in military camouflage, justifies herself in part by saying that she would have been willing to serve as a sacrifice to abortion just as she offered her daughter to the idol of “choice.”

“I would’ve supported her right to choose – to choose a life for herself, a path for herself. I would’ve died for that right like she died for mine,” she said.

In the next rhyming line, she addresses her unborn daughter: “I’m sorry, but you came at the wrong time.”

“I am not ashamed. I am not ashamed. I am not ashamed," she continues – a phrase she repeats a total of six times. She repeats the phrase "This is my body" three times. (She also takes the Lord's name in vain once.)

In the early part of the video, she describes her belief that her child was a girl and imagines a life where she had given birth to her daughter.

“I know she was a she,” she says. “I would have made sure that there was space on the walls to measure her height,” she adds. “I would have made sure I was a good mother.”

At one point she appears to describe the emotional aftermath of her choice as “a hollowness that feels full, a numbness that feels heavy.”

But she later calls the idea that her child was a girl or a boy “bull---t” and affirms, yet again, she is not ashamed.

This provokes a few observations:

1. If she knew her child's sex, she must have had a late-term abortion. Our gentle, healing restoration is needed in a world marred by so much aggression and anger in the name of political orthodoxy.

2. Fr. Frank Pavone has written, ”Did you ever realize that the same four words that were used by the Lord Jesus to save the world are also used by abortion advocates? 'This is My Body.'” To paraphrase him, he notes the difference. One, by surrendering His life on the Cross, gave life to the world. The abortion industry uses this phrase to impose its will on the bodies of separate, living human beings who have not harmed anyone.

3. The most chilling phrase in the video is her statement, “I would’ve supported her right to choose...I would’ve died for that right like she died for mine.”

First of all, her daughter did not die for the “right to choose.” Her daughter was not sacrificed for the inalienable “good” of keeping abortion-on-demand legal (and, in the UK, taxpayer-subsidized). Politicians are bribed to maintain it; no baby needs to die for it. Josephine's child died because HuffPo's hero of the moment chose not to carry the baby to term and place him/her in the hands of loving adoptive parents who would have cherished her baby – whether it was actually male, female, or intersex.

Josephine describes the emotions that actually led to the abortion only metaphorically – e.g., she compares the abortion to chopping down a cherry tree – but that angst is the root (so to speak) of the abortion, not the great and grand cause of assuring that other women have the right to go through the same soul-crushing grief.

That intimation that her daughter died for “choice” – that she offered her baby as a living sacrifice on the altar of abortion – confirms the darkest rhetoric of the pro-life movement: That for some in the movement, abortion is sometimes regarded as an idol.

And that raises one other, more universally held question: What kind of parent asks his son or daughter to die for the “right” to abortion? Parents are supposed to be the one who sacrificially care for their children, who forsake their own comfort, who do whatever is necessary – even die – to keep their children safe, healthy, and well. Josephine's blithe, “Sorry, but you came at the wrong time” sounds as hollow as a gangland assassin's apology to the family caught in the crossfire of a drive-by shooting. Abortion severs the love that God, or Mother Nature, or evolution, or whatever you choose to believe in placed within every pregnant woman to link the mother to her child.

The abortion lobby's rhetoric, which increasingly disregards the value of unborn life, is untethered by the bonds of human compassion, is fundamentally selfish and cold-blooded, and lacks a sense of humanity and brotherhood to the point of obliterating maternal love itself.

“Will a woman forget her child, so as not to have compassion upon the offspring of her womb?” God asks through the prophet Isaiah. “But if a woman should even forget these, yet I will not forget thee, saith the Lord.”

The pro-life movement exists precisely to set this upside-down order aright, to reinstate the natural love and compassion everyone should have for all of God's creation – most especially that between a mother and the innocent child she has helped create and fashion with her own DNA.

Cross-posted at TheRightsWriter.com.

Share this article

Advertisement
Featured Image
Cardinal Dolan greets worshipers and guests on the steps of Saint Patrick's Cathedral in Manhattan after Easter mass on April 8, 2012 in New York City. Lev Radin / Shutterstock.com
Lisa Bourne

,

Catholic leaders criticize Cardinal Dolan’s defense of gay group at St. Patrick’s Parade

Lisa Bourne
By Lisa Bourne
Image
New York Cardinal John O'Connor on the cover of the New York Post on January 11, 1993. http://rorate-caeli.blogspot.com/

New York Cardinal Timothy Dolan defended his decision to serve as grand marshal for the 2015 St. Patrick’s Day Parade on Wednesday, in the wake of widespread criticism from Catholics after he praised the organizing committee for allowing a homosexual activist group to march.

“If the Parade Committee allowed a group to publicize its advocacy of any actions contrary to Church teaching, I’d object,” Dolan stated in his weekly column. On the contrary, he argued, “The committee’s decision allows a group to publicize its identity, not promote actions contrary to the values of the Church that are such an essential part of Irish culture.”

Austin Ruse, president of the Catholic Family and Human Rights Institute, was not impressed with the cardinal’s argument. This is precisely about publicizing advocacy contrary to Catholic teaching,” he said.

“As a Catholic father I find there is rapidly contracting space where this shameful agenda is not stuck in the faces of my children,” Ruse told LifeSiteNews. “The Church should be protecting our children rather than abetting those who prowl about the world seeking the ruin of innocent souls."

Pat Archbold, a popular blogger at the National Catholic Register and who runs the Creative Minority Report blog, lambasted Dolan for suggesting the embrace and promotion of “gay identity” can be separated from the sin of homosexuality.

“This identity is not a morally-neutral God-given attribute such as male or female, black or white,” he said. “The identity is with the immoral choice to engage in immoral behavior.”

“The best that can be said in this situation is that these people choose to proudly identify themselves with an intrinsic disorder.  But in reality, it is worse than that,” he continued. “The people find their identity and pride in sin.  Either the Cardinal knows this or he doesn't, either way Cardinal Dolan reveals himself unequal to his responsibility as a successor of the Apostles.”

The parade committee changed its longstanding policy on September 3 after decades of pressure from homosexual groups. Upon being announced as the parade’s grand marshal later the same day, Cardinal Dolan said he had no trouble with the decision at all, calling it “wise.”

The organizers had never prohibited any marchers, but did not ban issue-focused banners and signs, whether promoting homosexuality or the pro-life cause.

Cardinal Dolan stated in his column Wednesday that he did not oppose the previous policy.

“This was simply a reasonable policy about banners and public identification, not about the sexual inclinations of participants,” he explained.

“I have been assured that the new group marching is not promoting an agenda contrary to Church teaching,” he said as well, “but simply identifying themselves as ‘Gay people of Irish ancestry.’”

The homosexual activist group that will march is called OUT@NBCUniversal, which describes itself as the employee resource group for LGBT & Straight Ally employees at the media giant.

Click "like" to support Catholics Restoring the Culture!

The network held the broadcast contract for parade coverage. Reports indicated the contract was about to expire, and that NBC joined in pressuring on parade officials.

Cardinal Dolan conceded in his column there were many thoughtful reasons for criticizing the parade policy change, and noted that he shared some of them.

“While a handful have been less than charitable in their reactions, I must admit that many of you have rather thoughtful reasons for criticizing the committee’s decision,” he said. “You observe that the former policy was fair; you worry that this is but another example of a capitulation to an ‘aggressive Gay agenda,’ which still will not appease their demands; and you wonder if this could make people think the Church no longer has a clear teaching on the nature of human sexuality.” 

However, he said, the most important question he had to ask himself was whether the new policy violated Catholic faith or morals.

In stressing that homosexual actions are sinful while identity is not, Cardinal Dolan said, “Catholic teaching is clear: ‘being Gay’ is not a sin, nor contrary to God’s revealed morals.”

Making opinion paramount, the cardinal offered that the parade committee “tried to be admirably sensitive to Church teaching,” and even though the original policy was not at all unfair, the committee was “realistic in worrying that the public perception was the opposite, no matter how often they tried to explain its coherence and fairness.”

“They worried that the former policy was being interpreted as bias, exclusion, and discrimination against a group in our city,” Cardinal Dolan wrote. “Which, if true, would also be contrary to Church teaching.”

When the decision was announced and Cardinal Dolan named the parade’s grand marshal, Philip Lawler, director of Catholic Culture and editor for Catholic World News, called it a significant advance for homosexual activists, and a significant retreat for the Catholic Church.

Pointing out in his column that the media will be correct to concentrate on that narrative at next March’s event, Lawler identified what he said is almost certain to be the result of the 2015 St. Patrick’s Day Parade.

“Next year there will be only one story-line of interest to the reporters who cover the annual parade in the world’s media capital: the triumph of the gay activists,” Lawler wrote.

“Photographers will be competing for the one ‘money’ shot: the picture of the contingent from OUT@NBCUniversal marching past the reviewing stand at St. Patrick’s Cathedral, under the benign smile of Cardinal Timothy Dolan.”

Advertisement

Customize your experience.

Login with Facebook