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N°64 - April 2005

The Newsletter index
Adoption of an ambiguous law about ill patient’s rights and end of life
Did Terri Schiavo die of lack of food or dehydration?
John Paul II: the theology of the body
Right to life: conscientious objection of politicians
 

Adoption of an ambiguous law about ill patient’s rights and end of life

French Parliament adopted on 12th April 2005 the law proposal relative to ill patient’s rights and end of life which establishes a right “to let die”. Finally, French Senate supported the text voted at the National Assembly on 30th November 2004 (see Gènéthique n°60).

No irrational persistence
The text foresees that medical acts must not be carried on with “irrational persistence”, which is the expression preferred to “the use of intensive medication”. The works of the Leonetti mission, by which the law was inspired, informs us of some principles of medical deontology known by practitioners, but ignored by the public, particularly the one according which it is possible to avoid the use of intensive medication. The law now states that a terminally ill person can decide "to limit or to end any treatment" and authorizes administration of pain-killers, even if they may hasten death.

Interruption of feeding and hydration?
According to its promoters, this text seems to allow the interruption of feeding and hydration, which represents a kind of euthanasia, when requested by families or a person of confidence, in the name of ill patients who cannot express themselves. As stressed by Anne-Marie Payet, during the debate in the Senate, although artificial, hygiene, feeding and hydration have to be considered as the basic minimum, ordinary, personal and not as medical acts.
An amendment, lodged in this purpose and voted, was not finally introduced, since Philippe Douste-Blazy asked for a new deliberation that this amendment be struck from the law and that the text be adopted without modification. The law remains unclear on this point.

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Did Terri Schiavo die of lack of food or dehydration?

Terri Schiavo died Thursday 31st March. This 41 year-old woman was described as being in a vegetative state since 1990, after a stroke. On 18th March, her husband who emphasized before the court that she would not want such a life asked that her feeding tubes be disconnected.

Vegetative state?
Terri Schiavo’s husband, appointed as her tutor, “started a new life” with another woman. For years, Terri Schiavo’s parents opposed her husband, assuring that their daughter “responded” and was waiting for a remission. Twice in 2001 and 2003, Terri’s feeding tubes were disconnected. Her parents and husband engaged in a veritable legal battle, which started again on 18th March and reached its peak during the last weeks before her death. The private affair became a State affair with the American Congress voting a special law for Terri’s case to be reconsidered by Federal Court and the intervention of George Bush “in favor of life”. Even so, the judges refused to let Terri be fed again.
When her death was announced, President George Bush stated: " I urge all those who honor Terri Schiavo to continue to work to build a culture of life. The essence of civilization is that the strong have a duty to protect the weak. In cases where there are serious doubts and questions, the presumption should be in the favor of life."

The International Federation of Catholic Medical Associations (FIAMC) asked American authorities to intervene to save the life of Terri Schindler-Schiavo, condemned to death by lack of food and dehydration if justice should decide so.
The Federation condemned the fact that the decision of a person’s life or death be made from a subjective assessment of their sole quality of life.
The FIAMC pointed out that Mrs. Schiavo, who reacted to external stimulations, was not in a vegetative state.

Due cares
From the Federation’s point of view, to let this woman die by lack of food and dehydration was a perversion of medicine, a source of discrimination between men and a violation of human dignity.
Pr Gian Luigi Gigli, president of the FIAMC, reminds us that a "patient in a vegetative state is a human person". He denounced considering feeding and hydration as aggressive therapies.
He recalled that in a vegetative state (he questions the term estimating that it does not take into account the human dimension of the patient), an ill patient carries on weakly detecting pain since it was shown that they reacted to stimuli.
Indirect proof comes from the fact that when feeding and hydration are stopped, ill patients receive a sedative until death occurs.
Terri Schindler-Schiavo’s death results from an unprecedented decision in the United States, which opens the door to euthanasia.
In France it rekindled the debate on euthanasia and the stoppage of care and treatment (see above).

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John Paul II: the theology of the body

John Paul II developed forcefully his thoughts about the « theology of the body » (1).

Communion of persons
John Paul II relied on the story of the Creation in the Genesis, to base his thought on the human body. Physical signs of sexuality are understood in their finality, an expression of person communion.
Hence, neither hedonism, nor procreation can be the only objective of carnal union.
John Paul II protested against utilitarianism which would lead to the use of the other as an instrument.

Contraception and AIDS prevention
John Paul II often mentioned the Church’s point of view on contraception and AIDS prevention. In 1993, in Uganda in front of young people, he explained about AIDS that “honest sexual language requires a commitment to faithfulness which lasts throughout life. The faithful sexual link of chastity is the only sure and righteous way to put an end to this tragic plague”.
John Paul II said concerning contraception that "the conjugal act signifies not only love, but also potential fecundity... the conjugal act, deprived of its truth because it is artificially deprived of its procreative capacity, ceases also to be an act of love”…

Abortion
For John Paul II, “legalizing the termination of pregnancy is only an authorization, given to adults, with the support of the law, to deprive a helpless human being of life before it could see the light of day".
The Pope saw in it the fruits of a "culture of death", while he was defending despite all opposition a "culture of life ".


1. La sexualité selon Jean-Paul II, Yves Semen, Presses de la Renaissance, 2004

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Right to life: conscientious objection of politicians

Conscientious objection, attested since Ancient Greece and Rome, is seen from a different point of view now abortion and euthanasia have been legalized. Although these laws often foresee a conscience clause, Michel Schooyans reminds us, in the Revue de la recherche juridique (Journal of Legal Research) of January 2005, the urgency of politician’s conscientious objection "facing the conspiracy against life". (1)

A shared responsibility
After having enlightened the moral conscience of the physician, today the Church notes how it is also urgent to enlighten the conscience of politicians.
Today abortion and often euthanasia are performed within a narrow network of close complicities. All the actors show solidarity with each other for the organization of these scheduled deaths: from the legislator to the practitioner, possibly also going through the judge; it is at all these levels that we have to show solidarity with each other for the denunciation of this death culture.

The role of politicians
When the law endangers the right to life, the conscientious objection appears, not as a heroic option but as a duty for any Christian politician and any citizen. In the encyclical Evangelium Vitae, John Paul II speaks of the duties of politicians: “Called to serve the people and the common good, they have a duty to make courageous choices in support of life, especially through legislative measures …
For this reason I urgently appeal once more to all political leaders not to pass laws which, by disregarding the dignity of the person, undermine the very fabric of society
”.

Conscientious objection
The duty of Christian politicians, and Christians in general, as regards to life respect is clearly pointed out in a doctrinal note regarding questions about participation of Catholics in political life (2): John Paul II has reiterated many times « those who are directly involved in lawmaking bodies have a «grave and clear obligation to oppose» any law that attacks human life. For them, as for every Catholic, it is impossible to promote such laws or to vote for them».
When political activity comes up against moral principles that do not admit of exception, compromise or derogation, the Catholic commitment becomes more evident and laden with responsibility”… until “the abolition of abortion and euthanasia … is obtained … using conscientious objection”.

1. Conscientious objection regarding health issues: the case of politicians, Michel Schooyans, Revue de la recherche juridique, 2005-1
2. Doctrinal note of the Congregation for the Doctrine of the Faith, signed by Cardinal. Ratzinger, 24th November 2002

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