Bioethicist argues PVS diagnosed patients should not be kept alive
April 11, 2012 (LifeSiteNews.com) - If an American bioethicist gets her way, all patients evaluated as being in a “permanent vegetative state” (PVS) would by default have artificial nutrition and hydration (ANH) withdrawn unless they have made a prior wish to be kept alive.
In the March 2012 issue of Bioethics, Dr. Catherine Constable argues that “in the absence of clear evidence that the patient would opt for this existence over death, keeping him alive by any means of assistance is ethically more problematic than allowing him to die.”
Constable’s article however, does not appear to adequately confront recent research indicating that many patients have been misdiagnosed as PVS and have in fact had functioning, fully conscious brains. They have been unable to communicate their situation to caregivers and to those who in many cases made misguided decisions to end their lives. The highly respected Discover Magazine published a dramatic report on such research last year.
The term PVS itself is also being increasingly being challenged as inappropriate for human beings who it is argued can never be considered to be “vegetative”.
In her article titled Withdrawal of Artificial Nutrition and Hydration for Patients in a Permanent Vegetative State: Changing Tack, Constable suggests that the current medical presumption that favors providing nutrition and hydration to PVS patients is a “violation of autonomy” and that it “goes against the best interests of the patient”.
Constable, who teaches at New York University School of Medicine but who studied bioethics at the Ethox Centre at Oxford University, justifies her position using the philosophical premise of Peter Singer that “[whether or not] a being is human, and alive, does not in itself tell us whether it is wrong to take that being’s life.” She drew heavily on Singer’s method for valuing persons in terms of consciousness that allows him to argue that “the most significant ethically relevant characteristic of human beings whose brains have ceased to function is not that they are members of our species, but that they have no prospect of regaining consciousness.”
“Without consciousness, continued life cannot benefit them [PVS patients],” Singer argued.
Constable runs with Singer’s line of reasoning, concluding that “a decision to preserve the life of a patient in a state of permanent unconsciousness based on respect for life itself is morally no more sound than a decision to take that life.”
For Constable, an individual’s autonomy is the highest human good, overriding any other good, including what she calls the “sanctity of life”. Since a PVS patient presumably no longer has consciousness and therefore lacks autonomy, her argument runs, then there is no moral reason that such a patient should be kept alive.
“In view of this conclusion, other considerations, such as the cost to the healthcare system (public, or any other kind) would seem poised to be deciding factors,” she argues.
Constable goes as far as making the case that those who provide a PVS patient who may not have wanted to be kept alive with ANH “have arguably committed a worse violation of autonomy by treating the patient than if we had not treated him against his wishes.”
Bringing in surveys that indicate that a majority of people would not want to continue living in a permanent vegetative state, Constable argues that in continuing to provide ANH to PVS patients “we are employing a treatment that most do not consider beneficial without consent.” For Constable, ANH is simply a “form of treatment” that is concomitant with all the “ethical ramifications” that would normally accompany any other kind of treatment.
Constable even argues against keeping PVS patients alive through ANH under the pretext of a chance of recovery for the reason that the new life gained would be “far less likely to resemble [the life that was] lost” and would likely resemble “some state of middle consciousness”. She suggests that the life of a recovered PVS patient would be “quite possibly, worse than non-existence”.
Renowned bioethics critic Wesley J. Smith called Constable’s position paper a “radical proposal” that would set the stage for what he called a “‘default for death’ policy [that] would establish the foundation for a veritable duty to die”.
Smith warned that Constable’s arguments for killing PVS patients are not limited to the PVS.
“Some bioethicists already claim that those with minimal consciousness have an interest in being made to die. And don’t forget Futile Care Theory and health care rationing bearing down on us.”
The Vatican’s Congregation for the Doctrine of the Faith (CDF) stated in 2007 that the withdrawal of artificial nutrition and hydration from PVS patients is immoral. Their statements were approved by Pope Benedict XVI.
“The administration of food and water even by artificial means is, in principle, an ordinary and proportionate means of preserving life. It is therefore obligatory to the extent to which, and for as long as, it is shown to accomplish its proper finality, which is the hydration and nourishment of the patient. In this way suffering and death by starvation and dehydration are prevented.”
The CDF clarified that even if a competent physician judges with moral certainty that a PVS patient will never recover consciousness, nonetheless, a PVS patient is “a person with fundamental human dignity and must, therefore, receive ordinary and proportionate care which includes, in principle, the administration of water and food even by artificial means.”
The late John Paul II had also taught that “the administration of water and food [to a sick person], even when provided by artificial means, always represents a natural means of preserving life, not a medical act.”
“We had better push back on this agenda”, warned Smith on his blog.
“The lives of tens of thousands of people may be at stake.”
‘Little miracles’: Mom gives birth to naturally-conceived quintuplets after refusing ‘selective reduction’
AUSTRALIA, February 5, 2016 (LifeSiteNews) -- A 26-year-old Australian mom has given birth to five healthy babies, all conceived naturally, after refusing the doctor’s advice that she must abort three of them in order to give the remaining two a better chance at life.
“After my initial ultrasound I was told I could consider the selection method to give 2 babies the best chance in life,” wrote mom Kim Tucci in a Facebook post last September.
“I watched a YouTube video on the procedure and I cried. I could never do that! Was I selfish for not giving two the chance of 100% survival? All I knew is that I already love them and that every heart beat I heard I connect with them more. For me life starts when a heart starts beating and all I know for sure is that I will do whatever it takes to bring them into this world healthy,” she wrote.
Last Thursday Kim and her husband Vaughn welcomed the five new members into their family — one boy and four girls —increasing the number of their children from 3 to 8. The babies were born at 30 weeks, 10 weeks early, due to insufficient space in Kim’s womb. They weighed on average about 2.5 pounds.
The quintuplets’ story began last March, after Kim and Vaughn had been trying for six months to conceive just one more child for their family. Due to health complications, Kim wondered if she would ever become a mother again.
After what she thought was an extra long cycle, she decided to take a pregnancy test.
“I was feeling tired and a little nauseated and thought I would take a pregnancy test just to get the ‘what if’ out of my head. To my shock and utter excitement it was positive,” she wrote on a Facebook post.
The parents got the shock of their lives when doctors confirmed in an ultrasound examination that there was not one baby, but five.
“After a long wait for the ultrasound we finally went in. The sonographer told me there were multiple gestational sacks, but she could only see a heart beat in two. I was so excited! Twins!”
“I was moved to another machine for a clearer view and had the head doctor come in and double check the findings. She started to count, one, two, three, four, five. Did i hear that correctly? Five? My legs start to shake uncontrollably and all i can do is laugh. The sonographer then told me the term for five is ‘quintuplets,’” Kim wrote.
Even though Kim began to feel stretched to the limit with all those human lives growing inside her, she chose to focus on her babies, and not herself, referring to them as “my five little miracles.”
“It's getting harder as each day passes to push through the pain, every part of my body aches and sleeping is becoming very painful. No amount of pillows are helping support my back and belly. Sometimes I get so upset that I just want to throw my hands up and give in.”
“Sometimes my pelvis becomes so stiff I can barely walk and my hips feel like they are grinding away constantly. I'm finding it hard to eat as I basically have no room left in my stomach, and the way it is positioned it's pushed all the way back with the babies leaning against it.”
“My skin on my belly is so stretched its painful and hot to touch. It literally feels like I have hives! No amount of cream helps relieve the discomfort. I have a lot of stretch marks now. Dealing with such a huge change in my body is hard.”
“Is it all worth it? Yes!!!! I will keep pushing through,” she wrote in one Facebook post days before the babies were born.
The newborns' names are Keith, Ali, Penelope, Tiffany, and Beatrix. They were born at King Edward Memorial Hospital in Subiaco, Western Australia. Mother and babies are reported to be doing well.
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UN rights chief tells Catholic countries to legalize abortion over Zika virus: bishops and cardinal react
GENEVA, February 5, 2016 (LifeSiteNews) -- The United Nations, following the lead of international abortion activists, is now urging Latin American countries hit by the mosquito-borne Zika virus to lift restrictions on abortion for pregnant women who have contacted the virus and whose pre-born children may be at risk for birth defects, including having smaller than normal heads.
The UN human rights office said today that it is not enough for South American countries to urge women to postpone pregnancy without also offering them abortion as a final solution.
“How can they ask these women not to become pregnant, but not offer… the possibility to stop their pregnancies?” UN spokeswoman Cecile Pouilly told reporters.
UN human rights chief Zeid Ra’ad al-Hussein said that governments should make available contraception and abortion services.
“Laws and policies that restrict (women’s) access to these services must be urgently reviewed in line with human rights obligations in order to ensure the right to health for all in practice,” he said.
But Brazil’s bishops strongly asserted yesterday that efforts should be made to eradicate the virus, not the people who may be infected by it.
The disease is “no justification whatsoever to promote abortion,” they said in a statement, adding that it is not morally acceptable to promote abortion “in the cases of microcephaly, as, unfortunately, some groups are proposing to the Supreme Federal Court, in a total lack of respect for the gift of life.”
Honduras Cardinal Oscar Rodriguez Maradiaga has also come out strongly against the notion of “therapeutic abortions” as a response to the problem. Unlike Brazil where abortion is legal in the case of rape or health of the mother, abortion remains entirely illegal in Honduras.
“We should never talk about ‘therapeutic’ abortion,” the cardinal said in a homily at a February 3 Mass in Suyap. “Therapeutic abortion doesn’t exist. Therapeutic means curing, and abortion cures nothing. It takes innocent lives,” he said.
While the World Health Organization (WHO) declared an international public health emergency February 1 on account of concerns over the virus, critics have pointed out, however, that not one death as resulted from the virus. Even on WHO’s own website the virus is described in mild terms.
“It causes mild fever and rash. Other symptoms include muscle pain, joint pain, headache, pain behind the eyes and conjunctivitis. Zika virus disease is usually mild, with symptoms lasting only a few days,” the website states. “To date, there have been no reported deaths associated with Zika virus,” it added.
Critics suspect that the crisis is being manipulated to advance an anti-human agenda on the pre-born.
“Is Zika, actually, a hideous virus that threatens to spread uncontrollably across the world creating an army of disabled children with tiny heads and low IQ’s? Or might this be a willful misinterpretation of the scarce data to manipulate public opinion and legislatures?” wrote pro-life critic Mei-Li Garcia earlier this week.
“It becomes very clear that the publicity surrounding this story has a very little to do with medicine and a lot to do with a convenient crisis that is being used by those pushing for the legalization of abortion around the world,” she wrote.
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Hillary’s litmus test for Supreme Court picks: They must ‘preserve Roe v. Wade’
DERRY, NH, February 5, 2016 (LifeSiteNews) - Hillary Clinton has a litmus test for Supreme Court nominees - several, in fact. At a Democratic event on Wednesday, Clinton unveiled her criteria in selecting a judge for the nation's highest court.
“I do have a litmus test, I have a bunch of litmus tests," she said.
"We’ve got to make sure to preserve Roe v. Wade, not let it be nibbled away or repealed,” she said.
That echoes her recent call to arms speech before Planned Parenthood last month, when she stated that taxpayers must fund abortion-on-demand in order to uphold the "right" of choice.
“We have to preserve marriage equality,” Clinton said, referring to last summer's Obergefell v. Hodges case, a 5-4 ruling that redefined marriage nationwide. “We have to go further to end discrimination against the LGBT community."
Her views differentiate her from the Republican front runners. Ted Cruz has called the court's marriage ruling "fundamentally illegitimate," and Donald Trump told Fox News Sunday this week that he would "be very strong on putting certain judges on the bench that I think maybe could change things." Marco Rubio has said he won't "concede" the issue to the one-vote majority.
All Republican presidential hopefuls say they are pro-life and will defund Planned Parenthood.
Her husband, Bill Clinton, raised the makeup of the Supreme Court early last month in New Hampshire, saying it receives "almost no attention" as a campaign issue.
On Wednesday, Hillary said "the next president could get as many as three appointments. It’s one of the many reasons why we can’t turn the White House over to the Republicans again.”
Clinton said her judicial appointees must also reverse the Citizens United ruling on campaign finance and oppose a recent decision striking down a portion of the 1965 Voting Rights Act. In 2013's Shelby County v. Holder, justices struck down Section 4(b) of the act, which said that certain states and jurisdictions had to obtain permission from the federal government before changing their voting laws.
At one time, most politicians frowned upon any "litmus test" for judicial nominees, emphasizing the independence of the third branch of government. "I don't believe in litmus tests," Jeb Bush told Chuck Todd last November.
But with the rise of an activist judiciary in the middle of the 20th century, constitutionalists have sought to rein in the power of the bench.