Hilary White, Rome Correspondent

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Dehydrate dementia patients to death to save money: British Medical Journal editorial

Hilary White, Rome Correspondent
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July 16, 2012 (LifeSiteNews.com) – The courts should not interfere with doctors who want to dehydrate to death incapacitated patients who are a drain on scarce financial resources, according to an editorial in this week’s edition of the prestigious British Medical Journal.

Raanan Gillon, emeritus professor of medical ethics and former chairman of the Institute of Medical Ethics governing body, wrote that a ruling last year by the High Court against dehydrating an incapacitated patient to death was “profoundly disturbing” because it took the life and death decision-making power out of the hands of doctors and required that the principle of the “sanctity of life” take precedence over other considerations.

The judgment, he said, “threaten[s] to skew the delivery of severely resource-limited healthcare services towards providing non-beneficial or minimally beneficial life prolonging treatments including artificial nutrition and hydration to thousands of severely demented patients whose families and friends believe they would not have wanted such treatment”.

He complained that the ruling required that, under the “stringent” Mental Capacity Act, in order to remove “life prolonging treatment” like a feeding and hydration tube, the patient himself must have left a legally binding “advance decision” in writing, and that previous casual or unrecorded statements to relatives were not sufficient grounds. 

The editorial, titled, “Sanctity of life law has gone too far,” said that unless it is overturned, the court ruling “will gradually and detrimentally distort healthcare provision, healthcare values, and common sense.”

Its logical implication, Gillon wrote, is that “doctors should no longer decide, in consultation with those who know their incapacitated patients, whether life prolonging treatment including artificial nutrition and hydration will be in their patients’ best interests.”

Furthermore, he said, the ruling logically means that those patients in “a higher than minimal state of consciousness must be similarly protected”.

The court ruling in question was that in the M Case, in which the family of a 52-year-old woman who was found to be in a “minimally conscious state” and who was “otherwise clinically stable,” were petitioning the court to have her feeding and hydration tube removed. The Court of Protection ruled that all patients in such a state must be referred individually to the Court of Protection if “life prolonging treatment” by artificial nutrition and hydration is to be withheld or withdrawn.

Mr. Justice Baker said in the September 2011 decision, “The factor which does carry substantial weight, in my judgment, is the preservation of life. Although not an absolute rule, the law regards the preservation of life as a fundamental principle.”

Justice Baker wrote that the courts should not “attach significant weight” to the patient’s previous statements unless they had been expressed in a way that could stand up to legal scrutiny. As in the case of Terri Schiavo in the U.S., M’s family had argued that her alleged previous statements indicated that she would not want to be dependent on such care.

Baker responded to this by ruling, “[Given] the importance of the sanctity of life, and the fatal consequences of withdrawing treatment, and the absence of an advance decision that complied with the requirements previously specified by the common law and now under statute, it would in my judgment be wrong to attach significant weight to those statements made prior to her collapse.”

Anthony Ozimic, communications manager for the Society for the Protection of Unborn Children, said that the ideology being espoused by Gillon and the British Medical Journal is indistinguishable from the materialist utilitarian ethic that led to the elimination of the “unfit” by eugenicists in the early 20th century, including in pre-World War II Germany. 

“What is particularly disturbing about Professor Gillon’s opinions is that he is judging certain disabled people as having lives unworthy of life, balancing those lives against the needs of other patients and seeking to justify killing the disabled on the grounds of rationing,” Ozimic told LifeSiteNews.com.

“Such a utilitarian calculus is in substance no difference to the calculus made during World War II by the German authorities: that the disabled should die so that wounded soldiers could live. In any case, assisted food and fluids are basic nursing care, not futile medical treatments.”

As shocking as such pronouncements are to the general public, the idea that disabled patients should be euthanized, either directly or by the removal of food and hydration, is actually a mainstream of thought among many of the western world’s medical ethicists. Gillon himself is a major voice in the field as a former editor of the Journal of Medical Ethics and the author of the 1985 book “Philosophical Medical Ethics”.

Classical medical ethics, that held as paramount the principle “Do no harm,” has in large part been set aside in favor of the new utilitarian-based Bioethics, a formal or “normative” branch of ethical philosophy that seeks “the greatest good for the greatest number” according to the “principles” of “justice, beneficence and autonomy”.

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What is the difference between classical Medical Ethics and modern utilitarian Bioethics?



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Planned Parenthood closes Iowa abortion facility because of low business

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DUBUQUE, Iowa, May 3, 2016 (LifeSiteNews) – Planned Parenthood closed an Iowa abortion facility on Friday, noting low business that left the facility unsustainable from a financial standpoint.

Although Planned Parenthood of the Heartland announced in January that it planned to close the Dubuque, Iowa, office, pro-life sidewalk counselors were overjoyed on Friday to read the sign in the window that read: “Our office is closed, effective April 28, 2016.”

The office did not perform surgical abortions but did provide medication abortions to the community of about 58,000.

“Rejoice with us for the lives of unborn children saved!” Iowa Right to Life said in a statement after the closure.

As with numerous other closures, Planned Parenthood, which styles itself a provider of “care no matter what,” emphasized it was closing its doors to preserve its bottom line.

“After assessing the shifting health care landscape, changing demographics, and the challenges of operating in areas with low patient volumes, we made the tough decision to close the Dubuque Health Center,” the group said in an announcement. “This change allows us to expand hours and see more patients in Cedar Rapids, where there is unmet demand due to lack of clinician hours.”
“While we regret making this change, we know it is a necessary step in order to continue our mission to provide, promote and protect reproductive and sexual health through health services, education and advocacy. Patients have been notified, and if they wish, they can receive a broader array of services at our health center in Cedar Rapids, where we have expanded hours to accommodate more patient,” Planned Parenthood said.

American Life League’s vice president, Jim Sedlak, remembers speaking to the county right to life group nine years ago.

“I told them at the time that they needed to protest outside Planned Parenthood at least once a week,” he said. “They told me they would do better than that. Over the last eight years, these dedicated pro-lifers were outside Planned Parenthood every hour it was open. And now...it’s closed for good.”

That aligns with advice that David Bereit, the founder of 40 Days for Life, once told young people who wanted to know how to end abortion.

Be loving and compassionate, he said.

Your peaceful, loving presence out there flies in the face of all the stereotypes they want to throw onto us,” he added. “When you show them love instead of condemnation, when you show them peace and joy instead of anger and judgment, that will begin to break down the walls.”

Iowa Right to Life credited just such tactics with closing an office in Red Oak that performed webcam abortions. “Planned Parenthood shut down in Red Oak in large part because of the constant, prayerful presence outside their clinic,” the group said.

Upon hearing of the latest abortion facility shuttering, the Dubuque County Right to Life said that Planned Parenthood isn't the only group that will move its base of operations. “We will probably put our efforts in Cedar Rapids and will continue to spread the pro-life message,” said Executive Director Marian Bourek.



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Ted Cruz confronted by mom who supports aborting disabled babies…just like hers

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MARION, Indiana, May 3, 2016 (LifeSiteNews) – Senator Ted Cruz was met on the campaign trail by a mother who strongly opposed a state pro-life law that would have protected children with birth conditions – like her own.

Andrea DeBruler, a 41-year-old nurse, confronted the presidential hopeful in the city of Marion as Cruz campaigned with Gov. Mike Pence.

DeBruler first asked Cruz, then Pence, about House Bill 1337, which bans abortions performed due to the child's race, sex, or disability, such as Down syndome.

DeBruler held up a picture of her daughter, Jania, who was born with cerebral palsy. “This was a choice,” she said.

She asked Sen. Cruz if he supported the bill, which made Indiana the second state in the nation to ban abortion for Down syndrome, after North Dakota.

“I'm not Governor Pence,” he replied. “But I'll tell you this: I believe in protecting human life.”

Pence, who endorsed Cruz in today's make-or-break Indiana primary, listened to her objections.

“I'm not here as a Republican, I'm not here as a Democrat. I'm here as a woman, a woman with choices, choices that you guys should not make,” DeBruler said.

After hearing that she felt many families lacked sufficient resources to care for children, especially in an area like Marion, Gov. Pence offered to connect her with social services.

“God bless her,” he said, looking at Jania's picture, “and God bless you.”

Though it may be unusual to encounter a woman arguing for the right to abort her own child, the governor handled it calmly. Pence had specifically reflected on “precious moments” he spent with “families of children with disabilities, especially those raising children with Down syndrome” when he signed the bill into law in March.

"We are truly thankful for the passage of this historic legislation by the Indiana House and applaud the new civil rights protections this bill creates for unborn children, as well as the new provisions this bill establishes for the humane final disposition of aborted babies," Indiana Right to Life President Mike Fichter said at the time.

DeBruler told the UK media outlet The Independent that H.B. 1337 “means you can no longer have an abortion based on deformity. I’m against this law, because I think it should be a woman’s choice” to abort for any reason.

Congressional Democrats made similar statements during hearings last month for Rep. Trent Franks' federal Prenatal Nondiscrimination Act (PRENDA), with Congressman John Conyers saying the bill is “patently unconstitutional,” because a woman has the right to abort a child before viability for any reason.

Both leading contenders for the Democratic nomination expressed their displeasure with the law, which protects unborn children from racial or sexual discrimination, as well as discrimination on the basis of an inborn trait like mental capacity.

When Gov. Pence signed the law, Sen. Bernie Sanders tweeted:

Hillary Clinton later said, “I commend the women of this state, young and old, for standing up against this governor and this legislature.”

DeBruler told The Independent, despite her comment about not being a Democrat or a Republican, she is in fact a Democrat and will vote for Hillary Clinton in today's primary. 



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This year, as Notre Dame prepares to confer an honor on Vice President Joe Biden, the silence from the Catholic hierarchy is deafening. Drop of Light / Shutterstock.com
Phil Lawler

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The moral challenge to Cardinal Wuerl in pending Notre Dame outrage

Phil Lawler

Ask Notre Dame not to honor pro-abortion Vice President Joe Biden. Sign the petition!

May 3, 2016 (CatholicCulture) -- In 2009, when the University of Notre Dame invited President Barack Obama to deliver a commencement address, dozens of American bishops lodged loud public protests. Yet this year, as Notre Dame prepares to confer an even greater honor on Vice President Joe Biden (together with former House Speaker John Boehner), the silence from the hierarchy is deafening.

Back in 2009, Cardinal Daniel DiNardo of Houston said that Notre Dame’s invitation to President Obama was “very disappointing,”, while then-Archbishop Timothy Dolan termed it a “big mistake.” The late Bishop John D’Arcy, then leader of the Indiana diocese in which the university is located, spoke of “the terrible breach which has taken place between Notre Dame and the Church.” For the first time in his 25 years of service to the Fort Wayne-South Bend diocese, Bishop D’Arcy declined to attend the Notre Dame commencement exercises; instead he addressed a protest rally organized by pro-life students, faculty, alumni, and staff.

These prelates and others explained their dismay by referring to the statement “Catholics in Political Life,” released in 2004 by the US Conference of Catholic Bishops. In that document, the bishops reflected on the need to maintain a consistent public witness in defense of human life, and therefore to distance themselves from public officials who support legal abortion. The statement set forth a clear policy that Catholic institutions should not give public honors to “pro-choice” politicians:

The Catholic community and Catholic institutions should not honor those who act in defiance of our fundamental moral principles. They should not be given awards, honors or platforms which would suggest support for their actions.

By giving President Obama an honorary degree and offering him an opportunity to speak at graduation, Notre Dame clearly violated that policy. University officials could offer only garbled partial defenses, claiming that they were honoring Obama not because he supports unrestricted abortion, but because he is President of the United States.

This year the university cannot offer even that lame defense of the decision to award the Laetare Medal to Vice President Biden. Unlike Obama, Biden is a Catholic, and by granting him this award the university is explicitly saying that the Vice President has “illustrated the ideals of the Church and enriched the heritage of humanity.” In other words, Notre Dame is honoring Vice President Biden as a Catholic political leader despite his unwavering support for abortion and same-sex marriage.

Give credit to Bishop Kevin Rhoades, the current leader of the Fort Wayne-South Bend diocese, for raising a lonely voice of protest. “I believe it is wrong for Notre Dame to honor any ‘pro-choice’ public official with the Laetare Medal, even if he/she has other positive accomplishments in public service,” Bishop Rhoades said. But if any other bishops have joined him in that rebuke to Notre Dame, I must have missed their public announcements.

Some observers, of liberal political sympathies, have argued that it is wrong to honor John Boehner, too, because the former Speaker disagreed with the US bishops’ stand on immigration. This is a tired old argument, conflating disagreement with the bishops on a prudential political decision with defiance of Church teaching on a fundamental moral principle. But it is noteworthy that Notre Dame officials saw fit to make a joint award, no doubt in a cynical effort to dodge political criticism by choosing one honoree from each side of the political spectrum.

“We live in a toxic political environment where poisonous invective and partisan gamesmanship pass for political leadership,” said Father John Jenkins, the president of Notre Dame, in announcing the Laetare Award recipients. (Notice the pre-emptive suggestion that those who criticize the school’s choices may be engaged in “poisonous invective.”) He went on to make a tortured argument that although Notre Dame is honoring two politicians, it is not honoring them for what they have done in their political careers:

In recognizing both men, Notre Dame is not endorsing the policy positions of either, but celebrating two lives dedicated to keeping our democratic institutions working for the common good through dialogue focused on the issues and responsible compromise.

By now we all know the familiar dodges. The politician claims to oppose abortion personally, but to feel a delicate reticence about imposing his views on others. He says that we must be willing to compromise (even on life-and-death decisions). He insists that he is not “pro-abortion” but “pro-choice.”

That last bubble of rhetoric was unceremoniously burst by Cardinal Donald Wuerl of Washington, DC, when he celebrated Mass at Georgetown after Planned Parenthood president Cecile Richard had delivered a lecture there. “The word ‘choice’ is a smokescreen,” he said, “behind which those killing unborn children take refuge. Every chance you get, blow that smoke away!”

Now Cardinal Wuerl himself has a chance to “blow that smoke away.” As things stand, he is scheduled to celebrate Mass at the Notre Dame commencement, and to receive an honorary degree. He could pull out; he could absent himself from the ceremonies, to ensure that he does not become part of an event that pays homage to a “pro-choice” Catholic politician.

And there is a precedent. Back in 2009, the Harvard legal scholar (and former US ambassador to the Holy See) Mary Ann Glendon was chosen to receive the Laetare Award. But when she learned that President Obama would be speaking, she announced her decision to decline the award. Clearly annoyed that her presence might be used to quiet the critics of the honor for Obama, Ambassador Glendon wrote that she did not want to be used as a counterweight, nor did she see the Notre Dame commencement as an appropriate venue for a genteel debate about legal abortion:

A commencement, however, is supposed to be a joyous day for the graduates and their families. It is not the right place, nor is a brief acceptance speech the right vehicle, for engagement with the very serious problems raised by Notre Dame’s decision—in disregard of the settled position of the U.S. bishops—to honor a prominent and uncompromising opponent of the Church’s position on issues involving fundamental principles of justice.

Could Cardinal Wuerl do this year what Ambassador Glendon did in 2009? Even at this late date, his withdrawal would send a powerful message of support for the right to life: an unmistakable rebuke to politicians who hide behind the smokescreen that the cardinal himself identified. To be sure, if he did withdraw, the cardinal would be caught in an avalanche of public criticism; he would suffer for his public witness. But there is a reason why cardinals wear red.

Phil Lawler has been a Catholic journalist for more than 30 years. He has edited several Catholic magazines and written eight books. Founder of Catholic World News, he is the news director and lead analyst at CatholicCulture.org. Reprinted with permission from Catholic Culture.



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