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as being in a “permanent vegetative state” (PVS) would by default have artificial nutrition and hydration (ANH) withdrawn unless they have made a prior wish to be kept alive.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.”
Donald Trump says he will promote LGBT ‘equality’ as president
CONCORD, New Hampshire, February 8, 2016 (LifeSiteNews) – Does Donald Trump support the gay agenda or oppose it? On the eve of the New Hampshire primary, observers are still scratching their heads about where the GOP frontrunner actually stands.
Trump has repeatedly and consistently said he supports the natural definition of marriage, but can a President Trump be relied on to promote it resolutely and cogently? It is this question that has many marriage activists expressing concern about his increasingly likely hold on the GOP nomination.
In fact, the National Organization for Marriage has gone so far as to say that Trump has “abandoned” the pro-marriage cause.
Trump himself underscored the problem on the weekend when he told a New Hampshire television station that from the White House he would push “equality” for homosexuals even further forward.
A cable news reporter self-identifying as a lesbian asked him last Thursday after a rally in Exeter, "When President Trump is in office, can we look for more forward motion on equality for gays and lesbians?"
“Well, you can and look - again, we're going to bring people together. That's your thing, and other people have their thing,” Trump told Sue O’Connell of New England Cable News. “We have to bring all people together. And if we don't, we're not gonna have a country anymore. It's gonna be a total mess.”
Following the comments, Trump appeared Sunday on ABC’s This Week program with George Stephanopoulos and would not commit to appointing Supreme Court justices who’d overturn Obergefell, though that would be his “preference.”
“We’re going to look at judges. They’ve got to be great judges. They’ve got to be conservative judges. We’re going to see how they stand depending on what their views are. But that would be my preference,” he told Stephanopoulos. “I would prefer that they stand against, but we’ll see what happens. It depends on the judge.”
Trump’s comments follow his statements during a Fox News Sunday interview last week, when he said, “If I'm elected, I would be very strong on putting certain judges on the bench that I think maybe could change things, but they've got a long way to go.”
“[Marriage] should be a states rights issue,” Trump continued. “I can see changes coming down the line, frankly.”
When asked by Fox if he “might try to appoint justices to overrule the decision on same-sex marriage,” Trump replied, “I would strongly consider that, yes.”
The real estate mogul criticized the Supreme Court for the Obergefell decision imposing homosexual “marriage” on all 50 states last June, but then later in August, Trump voiced support to NBC News for banning companies from firing employees on the basis of sexual orientation. “I don't think it should be a reason” to fire workers, he said at the time on Meet the Press.
The National Organization for Marriage (NOM) and a number influential evangelicals have endorsed Senator Ted Cruz in the race for president. The Texas senator has not only committed to appointing pro-marriage justices, but says the president and the states can rightly defy the “fundamentally illegitimate” ruling just as President Lincoln defied the Dred Scott decision.
NOM has also been highly critical of Trump, saying he has “abandoned” their cause. The organization said in its January 27 blog post just prior to the Iowa Caucus that “Donald Trump does not support a constitutional amendment to restore marriage to our laws. Worse, he has publicly abandoned the fight for marriage. When the US Supreme Court issued their illegitimate ruling redefining marriage, Trump promptly threw in the towel with these comments on MSNBC: ‘You have to go with it. The decision's been made, and that is the law of the land.’”
NOM had said the week before that Trump “has made no commitments to fight for marriage, or the rights of supporters of marriage to not be discriminated against and punished for refusing to go along with the lie that is same-sex 'marriage.'”
New Hampshire voters have been tracked as showing support for homosexual “marriage,” as a poll last February showed 52 percent of Republican NH primary voters saying opposing gay “marriage” is unacceptable.
The latest CNN/WMUR tracking poll shows that overall 33 percent of likely Republican primary voters support Trump, giving him a growing 17-point lead over the nearest GOP contender. RealClearPolitics polling average in the state puts him at 31.0 percent support, with Marco Rubio second at 14.7, John Kasich third at 13.2, and Ted Cruz fourth at 12.7.
The unravelling of Chris Christie
February 8, 2016 (LifeSiteNews) -- I'm a member of the clergy and for the past eight years have lobbied the powerful in Trenton, covering the administrations of both Governors Jon Corzine and Chris Christie. I did much of my work on behalf of the New Jersey Family Policy Council, associated with Tony Perkins' Family Research Council. I am currently the President of the Center for Garden State Families.
Those of us who are engaged in the fight to secure the right to believe, speak, and practice the Christian faith in America were all heartened by the election of a Pro-Life Governor in 2009. Not only did Chris Christie run as an open Pro-Lifer, but he adopted a position in support of natural marriage in the course of the campaign. And when legislative Democrats attempted to pass same-sex marriage in the lame duck session, so they could have outgoing Governor Corzine sign it into law, Chris Christie rallied opposition and stopped it. Those were the early, hopeful days; but as Governor, Chris Christie has presented himself in an inconsistent, even scatterbrained way, often making decisions that go against earlier stated beliefs.
One of his first decisions was to make a liberal Democrat the state's Attorney General. Once approved by the Senate, and she was, the Attorney General could not be fired by the Governor, as was the case with other cabinet officers. This gave a liberal Democrat enormous power and she used it to join up with liberal Massachusetts Attorney General Martha Coakley in filing a brief against Christians in a case called Christian Legal Society v. Martinez. Just one day after being sworn in, the newly appointed state Attorney General took the most aggressive legal posture available to defend former Governor Corzine’s one-gun-a-month handgun rationing law, moving to dismiss an NRA lawsuit to overturn the law, and later vigorously opposing the NRA’s motion for a preliminary injunction in the case. Because of this appointment, New Jersey did not join in the lawsuits to overturn ObamaCare.
Governor Christie appointed a radical "sexologist" to run the NJ Department of Children & Families. This appointee would later resign when it emerged that she had held the top job in an organization that had supported a study advocating the normalization of some forms of adult-child sex.
His judicial appointments were also confusing. While claiming to oppose same-sex marriage, Governor Christie nominated an openly gay Republican to the state Supreme Court who supported it. Even Democrats wouldn't support this plainly unqualified appointment, and he never served. The Governor supported the advancement of a liberal Democrat to the job of Chief Justice, while refusing to support the re-appointment of a Republican and the Court's most conservative member. He also appointed a controversial defense attorney who had defended a number of Islamic extremists who had violated immigration law.
In 2013, many of those in the Christian community opposed legislation that banned young people from receiving counseling and therapy to lead them away from homosexuality. As an ex-gay myself, I could have personally attested to the benefits of such counseling, much of which is no different than what is found in contemporary twelve-step programs. However, the Christian community opposing the ban was not afforded the opportunity to meet with the Governor. Only the homosexual community with its pro-ban agenda was given that benefit.
Click "like" if you want to defend true marriage.
I don't blame the Governor for this, but I do blame his staff. As President Ronald Reagan said, "personnel is policy," and Governor Christie's choices in personnel have not advanced the policies he campaigned on, and often it was the direct opposite.
New Jersey ended up being just the second state in the country that only allows young people to receive counseling that advocates homosexuality, but bans by law counseling that advocates heterosexuality. When he signed it into law, Governor Christie embraced the made-up "science" of the propagandists, when he cited un-specified "research" that "sexual orientation is determined at birth." This is the so-called "gay-gene" trope that has baffled those engaged in the Science of Genetics because it has never been discovered.
As a candidate for Governor, Chris Christie talked the talk and raised the expectations of Christians in New Jersey. As Governor, and especially in his appointments, Christie undermined our confidence in his leadership. Christians should ask tough questions before extending our faith in him again.
Pro-life investigator hits back with new footage after judge blocks release of abortion sting videos
SAN FRANCISCO, February 8, 2016 (LifeSiteNews) -- A new video from the Center for Medical Progress (CMP) shows two National Abortion Federation (NAF) employees saying that abortion clinics would be interested in kickbacks from profits on fetal tissue and body part sales.
The video comes three days after a San Francisco imposed an injunction sought by NAF against CMP videos that one of the abortion group's attorneys said meant that "NAF's members can sleep a little easier tonight."
CMP accused the pro-abortion organization of hiding behind the court.
According to U.S. District Court Judge William H. Orrick, however, NAF "made...a showing" that release of CMP videos would harm rights to privacy, freedom of association, and liberty of NAF members.
"Critical to my decision are that the defendants agreed to injunctive relief if they breached the agreements and that, after the release of defendants’ first set of Human Capital Project videos and related information in July 2015, there has been a documented, dramatic increase in the volume and extent of threats to and harassment of NAF and its members," wrote Orrick.
Additionally, the judge found that CMP's videos “thus far have not been pieces of journalistic integrity, but misleadingly edited videos and unfounded assertions," and that nobody from the abortion industry “admitted to engaging in, agreed to engage in, or expressed interest in engaging in potentially illegal sale of fetal tissue for profit" in the CMP videos.
However, in a new video released today that is unrelated to the injunction, a NAF employee told undercover journalists that kickbacks "definitely [sound] like something some [of] our members would be really interested in," with another chiming in that money from private purchasers to abortion clinics were "a win-win" for clinics.
The undercover investigators, who had purported to be part of a biotechnology company with an interest in fetal parts, were offered the chance to be at a NAF conference. “We have an exhibit hall and then we also have the general conference. But I mean, this is a very great way to talk to our members. We have a group purchasing program through our membership,” the journalists were told. “So it seems like this would be a really great option to be able to offer our members, as well.”
This is the second ruling against CMP in recent weeks, and the second by Orrick since July. The San Francisco judge issued a restraining order against CMP related to NAF's 2014 and 2015 meetings in San Francisco and Baltimore that Friday's ruling extended.
The other recent ruling came in the form of an indictment of CMP's David Daleiden and Sandra Merritt. Merritt and Daleiden turned themselves into Houston authorities for booking and processing last week. After being released on bail, Daleiden spoke at a LifeSiteNews/Christian Defense Coalition press conference after which more than 100,000 petition signatures backing Daleiden were dropped off to the Harris County, Texas District Attorney's office.
According to Orrick, who says he reviewed the more than 500 hours of recordings from CMP, "It should be said that the majority of the recordings lack much public interest, and despite the misleading contentions of defendants, there is little that is new in the remainder of the recordings. Weighed against that public interest are NAF’s and its members’ legitimate interests in their rights to privacy, security, and association by maintaining the confidentiality of their presentations and conversations at NAF Annual Meetings. The balance is strongly in NAF’s favor.”
NAF did not respond to a request for comment about the allegations by Orrick and a NAF spokesperson that CMP's videos have caused threats and other security concerns against NAF members.