Denise J. Hunnell, MD

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

Denise J. Hunnell, MD
By Denise Hunnell MD
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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.

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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.

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Julie Ralph

My 7-year-old son found porn on his iPod, even with a filter

Julie Ralph
By Julie Ralph

A few weeks ago an article went viral on my Facebook feed entitled “The Day My 10-Year-Old Discovered Hardcore Porn on his iPhone.”  As one Mom after another shared and commented about how frightening and horrible it was and wondered what do we do to prevent it, I commented on several of those shares (perhaps a little smugly and proudly) that WE had installed an excellent filtering program on all of our devices that even filters YouTube.  I most likely left the impression that WE have no worries in this house, that our kids can watch their iPods and kindles, even those annoying Minecraft how to videos on YouTube, and WE don’t have to worry about them seeing filth. 

Wrong, wrong, wrong, wrong, WRONG.

I could have entitled this blog post “The Day My 7-Year-Old Discovered Porn on His iPod” but it might look like I’m trying to one-up that other Mom.  Which I’m not.  Because, trust me, this is one Mom competition I’d rather lose. 

This is no longer a battle friends, it’s an all-out war.  It’s a war we’re fighting for the minds and futures of our children.

So YES we have this supposedly great and awesome filter on all of our devices and we pay about $70 a year for it.   Look, I’ve been on my computer trying to shop for a swimsuit at Lands End and the filter blocked me.  Annoying, yes.  But assuring.  I remember thinking wow….if I can’t even get on here and see the tummy-sucking-miracle-fat-hiding-mawmaw-swimsuits, my boys will NEVER be able to discover Victoria or her Secret.   And I’ve been on YouTube trying to see how to quickly defrost CHICKEN breasts, and it blocked several videos AND ads that probably had nothing to do with fowl or a thawing method.  Again I remember thinking, good.  This is really good.  Nothing to worry about.

Then last night happened.

My youngest son was visibly shaken as he was getting ready for bed.  I knew something was wrong when I saw he was wearing his flannel pajamas with the mountain bears printed all over them on one of the hottest August nights this month.   He seemed almost disoriented and I asked him if he was sick as he was trying to quickly crawl into bed and pull the covers over his head.   He then reached over to the bedside table, grabbed his little iPod, and tossed it to me saying he doesn’t deserve it anymore because he is bad.  “I’m bad, so bad….I saw bad things.”  My heart started racing and I felt like I had been punched in the gut.  Because I knew where this was going.  Very calmly and quietly I assured him he was not bad and there was nothing in the world he could ever tell me that would make me think he was bad.  “What did you see, sweetheart?” I asked.  After about ten minutes of me coaxing it out of him, with a wobbly still-tiny-smidge-of-baby-left voice he told me he was searching for a word he had heard and he spelled it for me.  T-t-i-s.  (I quickly unscrambled and knew what he meant).  He went on to tell me he searched for this on YouTube (the app is not even on his iPod….he must go through the “filter” app to access it!).   He told me he saw pictures and videos.

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My stomach turned.  I ran through all the “How To” files I’d stored away in my mind.  You know those files….situations you’ve thought about as a Mom and how you’d handle…you file them away for another day.  Usually one you hope will never come.   Turns out I didn’t have a file for this.  Because I honestly thought we had done everything on the front end to keep it from happening. 

I ran my fingers through his hair and pulled him close and started talking to him from my broken heart.  I asked him if he knew what that word meant before he searched for it.  He said no.  I told him it is a very crude and ugly word for something that is not crude and ugly.  I told him what the proper word is and I asked him if he knew why God made them like that on women?  He said no.  I told him it was the miraculous and wonderful way that God made women able to feed their babies.  I told him how every woman who has those is made to feed a baby, and those women in those pictures and videos are either already someone’s Mommy or they will be one day.  And what God meant for a beautiful purpose is twisted and made into something very wrong and ugly by those pictures and videos.

Don’t trust some computer geek working for a software company to care a flip for or protect your kids.

We continued to talk and then we prayed together and I left him to sleep as I walked back to my room for a sleepless night.  I cried for the ugly, messed up, twisted, and sick world out there that I can’t protect my children from.  I cried for what he had seen that I couldn’t un-see for him.  I cried because I had abdicated MY parenting duties to some stupid computer software that I thought would protect my children.  I cried because I can never get back that bit of innocence he lost way, way too early.  I cried as I went onto YouTube, put in that same search and saw just the thumbnails of what he had to have seen.  I just can’t bring myself to actually click on the videos.  I cried because, when I went in to check on him later, he was curled up with Big Bear in one arm and his little blue and white checked blanket in the other.  He’s still a baby. 

I’m mad now.  And I really hope my anger continues to burn because I need it to fuel my diligence.   I need my guard to be up and to stay up.  This is no longer a battle friends, it’s an all-out war.  It’s a war we’re fighting for the minds and futures of our children.  I know there are those who would say I’m being overly dramatic, that I can’t put my children in a bubble, blah blah blah.  I don’t care.  I will do whatever it takes to protect my children until their minds, bodies and emotions are better prepared to grasp, filter, and sort through the warped and ugly parts of our world that are pulling on them.  I will continue to pull back and hold on for dear life.   Don’t do as I did, friends.  Don’t trust some computer geek working for a software company to care a flip for or protect your kids.  Do as I am doing now.  Uninstall any and all browsers or video apps on your kids’ personal devices and set the restrictions where they can’t install apps anymore without asking you first.   Have one central computer in a public area of your home that they may use, with permission, and still with filter software installed.  But remember that’s not the first line of defense in this war.

You are.

Julie Ralph blogs at Mommy, Esquire, where this piece was originally published.

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Sen. Ted Cruz's wife douses him with water as part of the Ice Bucket challenge for ALS research. Youtube
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Sen. Ted Cruz: Do the ALS challenge, donate to pro-life institute

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By Dustin Siggins

One of the nation's most prominent senators is doing the ALS Ice Bucket Challenge -- but encouraging donations to a pro-life ALS research institute.

In the last month, the ALS Ice Bucket challenge, sponsored by the ALS Association, has raised tens of millions of dollars for research for the disease, commonly known as Lou Gehrig's Disease. However, in mid-August pro-life leaders raised awareness that the Association supports embryonic stem-cell research.

Embryonic stem-cell research includes the destruction of a human embryo, and is thus condemned by pro-life advocates as an abortion. The Association has said it currently has one project that uses embryonic stem cells, funded by an outside donor.

In a Facebook post on Tuesday, Cruz -- who took the challenge last week -- said that he and his wife "are proud to personally support the John Paul II Medical Research Institute the Home of Give Cures (http://jp2mri.org), which conducts groundbreaking research into curing this terrible disease, without using embryonic stem cells."

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"The JPII Institute respects human life, and is working to improve the lives of all of us," said Cruz. 

The ALS Association has said donors may specify their dollars not be used to fund embryonic stem-cell research. However, critics note that donated funds are fungible, meaning they potentially free up funds the Association can then direct to illicit research.

At least two Catholic dioceses have encouraged Ice Bucket Challenge participants to donate to the JPII Medical Institute.

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7989 West Virginia Drive, Dallas, where Planned Parenthood is working on secretly opening up a new abortion facility. Google Streetview
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Pro-abortion study: Texas will be down to eight abortion clinics by fall

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By Dustin Siggins

A study by a pro-abortion research group shows that Texas will be down from 41 abortion clinics in July 2013 to eight by this fall.

In July, the Texas Policy Evaluation Project found that six abortion clinics matched the standards required in HB2, which was signed into law 13 months ago. Those standards include requiring abortion doctors to have admitting privileges at hospitals within 30 miles of clinics at which they work, a standard already in place, and a requirement that all abortion clinics must upgrade their facilities to the same standards as ambulatory surgery centers.

The study estimates that a total of eight clinics will be able to meet the ambulatory standards, including one that will open in the fall. The standards take effect on September 1. According to the study, this means there will be one abortion clinic for every one million Texans who could become pregnant. An infographic from the study shows that the existing clinics will be located on the eastern half of the state, largely near metropolitan areas.

The study's results, published in the peer-reviewed journal Contraception, have abortion supporters outraged. Andrea Grimes of RH Reality Check writes, "No legal abortion facilities will operate south or west of San Antonio," and that five of the clinics will be operated by Planned Parenthood.

However, the closure of so many clinics is good news to pro-life activists like Karen Garnett, who heads the Catholic Pro-Life Committee in the Diocese of Dallas.

"The closing of abortion facilities in Texas the last few years has been the result of the owners of the facilities themselves not being willing or able to comply with the higher standards of medical safety" required by the Texas legislature, Garnett told LifeSiteNews. "Pro-life activists and leaders in Dallas (and Texas) have been working vigilantly with the members of the Texas legislature the last few years to pass these sensible laws.  There is much to be said for the power of prayer, particularly through the powerful 40 Days for Life campaign and prayer vigils."

While abortion supporters claim Texas is abandoning pregnant women, Garnett said the Catholic Pro-Life Committee in Dallas has "helped more than 7,500 mothers choose life outside the abortion facilities," but "we don't stop there."

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"Our Project Gabriel Ministry takes the next step. For those mothers needing and desiring spiritual, emotional and material help, we offer Gabriel Angels, who are paired with them in a one-on-one mentoring and support relationship. We also have a Gabriel Resource Coordinator on staff to help them with practical needs as their situations stabilize." Life skills classes, adoption counseling, and partnerships with pregnancy centers are also part of the Diocese's work to help pregnant mothers.

Jor-El Godsey of Heartbeat International said that there are 326 pregnancy help organizations across the state, which outnumber abortion clinics by approximately 40 to 1. He estimated that approximately 120,000 pregnant women have come to care centers in 2014.

The Texas Policy Evaluation Project, which is funded by an anonymous donor, is a five-year effort to "analyze the impact of the measures affecting reproductive health passed by the 82nd and 83rd Texas Legislatures." The project's partners include the University of Texas at Austin’s Population Research Center, the pro-abortion Ibis Reproductive Health, and the University of Alabama-Birmingham. One of the project's investigators is Daniel Grossman, whose biography says that "his current research at Ibis includes both clinical and social science studies aimed at improving access to contraception and safe abortion."

The project has also published reports titled "The Public Health Threat of Anti-Abortion Legislation," and "Finding the Twitter Users that Stood With Wendy." The latter examined social media support for gubernatorial candidate Wendy Davis, who briefly became a national figure for her support of late-term abortions in 2013.

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