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PotOnWheel
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   Posted 11/17/2007 10:49 PM (GMT -6)    Quote This PostAlert An Admin About This Post.
Now days there are lots of views on ethics.
 
What determines a view is "what" is the "currency" involves is. Christ considered dying not to big a thing, so He would not consider materialism's currency to be the end-all, and neither would he recommend that to us.
 
What follows is a few quotes from webpages that I've been looking at in conjunction with after church evening discussions.
 
B.
 
 
INPUT ANY WAY YOU WANT. THANKS.
 
 


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Post Edited (PotOnWheel) : 11/17/2007 10:00:55 PM (GMT-6)

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PotOnWheel
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   Posted 11/17/2007 10:53 PM (GMT -6)    Quote This PostAlert An Admin About This Post.

Medical Ethics: A Theological Discipline

Article from OED Book / October 7, 1995


Christian ethics is an ambiguous category that sits uneasily in the spectrum of Orthodox theological concerns. No one knows quite how to define it or how to distinguish it from the more traditional discipline of "moral theology."

In very general terms, "ethics" studies human behavior. It is a descriptive science that attempts to discern and analyze the underlying principles and values that govern human conduct. "Moral theology," on the other hand, is typically prescriptive: it proposes the "oughts" that shape the moral life in response to God?s commandments and purposes as they are revealed in Scripture and other sources of Holy Tradition. To speak of specifically "Christian" ethics, however, complicates the matter, since it suggests that the purpose of the field is not only to analyze our behavior but to propose a cure for our moral illness, our sin. In common usage, then, Christian ethics and Christian moral theology are virtual equivalents, since the act of making ethical judgments involves by its very nature a striving toward sanctity or holiness.

This is true as well with regard to the relatively new discipline of "medical ethics." The expression could refer simply to the way doctors and other health-care specialists treat patients. As such it would either be purely descriptive (analyzing the values, motives and intentions of the medical team); or, if it ventures into the realm of prescription (how the team should behave and why), its moral directiveness would be governed by the ethicist?s own philosophical outlook. "Christian medical ethics," on the other hand, if it is in any sense "orthodox," presupposes a value system grounded in certain truths, or rather in "the Truth" that has revealed itself and continues to reveal itself within the Church, meaning the all-embracing reality of God?s presence and purpose within creation.

In the limited space available here, I would like to recall in the briefest terms a few of the foundational truths that guide Orthodox moral reflection and note their importance in the field of medical ethics. Each of these could be developed at book-length. What follows is merely an indication of the way Christian medical ethics must be informed and guided by the church?s theology.

Orthodox ethics, and particularly medical or bio-ethics that deals specifically with issues of life and death, is based on the following presuppositions:

  1. God is absolutely sovereign over every aspect of human existence, from conception to the grave and beyond. The divine imperative to "Choose life!" is fulfilled by loving the Lord, obeying His voice and cleaving to Him (Deut 30:19); that is, by offering ourselves in total surrender to His sovereign authority and purpose. It is precisely that authority that requires Orthodox Christians to reject "abortion on demand," active euthanasia, and any procedure that means "taking life (and death) into our own hands."

  2. The Holy Trinity?characterized by "community and otherness," by essential unity and personal distinctiveness?should serve as the model or icon, of every human relationship. Bound together by our shared humanity in the communion of the ecclesial Body, yet serving one another with differing spiritual gifts, we are called to "responsibility": to respond to one another with a self-giving love that both images and conveys the love of God in Jesus Christ.

  3. Growth in the moral life is only possible insofar as we experience the "eschatological tension" of eternal life present in our midst. "The hour is coming and now is," when the sole meaning and value of human existence is to "worship the Father in Spirit and truth" (Jn 4:23-24). Christian ethics is essentially "teleological," with its focus on realizing in the here and now the beauty, truth and perfection of life in the Kingdom of God.

What do these three principles or presuppositions imply with regard to medical ethics? Given the climate in which we live today, the following points stand out:

  1. Health and wholeness have ultimate meaning only within the perspective of God?s eternal purpose, the divine economy to be fulfilled at "the second and glorious coming" of Jesus Christ. Medical care, therefore, should serve not only the proximate goal of restoring or improving bodily health; it should strive to provide optimal conditions for the patient?s spiritual growth at every stage in the life cycle. This means curing disease; but it also means, particularly in terminal cases, easing pain and distress by any appropriate means in order to allow the patient, through prayer, confession and communion, to surrender him/herself into the hands of God. "Medical heroics" result all too often from the prideful attempt on the part of care-givers to avoid "failure," defined as "losing" the patient to death. Such hubris is responsible for a great deal of unnecessary suffering on the part of patients and their families, and it represents idolatry of the worst sort insofar as the medical team assumes the role of God.

  2. Matters of "informed consent" and "patient?s rights" need to be evaluated in the light of the Gospel?s teaching on freedom and responsibility. Some Christian ethicists today are suggesting that our unity in the Body of Christ implies a mutual commitment that in certain cases transcends the need for informed consent and transforms the self-centered notion of personal "rights" into the self-giving gesture of care offered to others in love. While this raises the specter of the "slippery slope" in a stark and perhaps dangerous way, the theological vision behind the suggestion is profoundly "evangelical." It recognizes that from the point of view of healthcare, ultimate meaning and value in life lie not in the mere preservation of biological existence, but in the total surrender of self to the loving sovereignty of God. And it grounds personal relationships, between doctor and patient as between the medical team and patient?s family, in the ultimate relationship of love, trust and mutual devotion shared by the three Persons of the Holy Trinity.

Modern medical technology has performed wonders for which many of us will be forever grateful. But like any human invention, that technology and its application must be subject to constant re-evaluation and judgment in the light of Holy Tradition. To paraphrase a well-worn maxim, "ethics is too important to be left to the ethicists." At its core, Christian ethics is a theological discipline. This means that the work of doing ethics is a communal, ecclesial work for which each of us is responsible. Just as each Christian is called to be a theologian by offering self and the world to God in prayer, each is called to be an ethicist, a "moral theologian" in the proper sense. Informing ourselves of the issues, discussing them in family, parish and on the job, and taking a stand, both public and personal, that reflects our understanding of the Gospel and of God?s imperative in our life, we can faithfully and usefully serve the many dedicated health-care givers who live to serve us, while providing them with the guidance and discernment they seek. And thereby, "medical ethics" can be restored to its proper place as a theological discipline that serves the glory of Christ and the spiritual health of the members of His Body.


Fr John Breck was the Professor of New Testament and Ethics at St Vladimir's Seminary at the time this article was written.


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PotOnWheel
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   Posted 11/17/2007 10:56 PM (GMT -6)    Quote This PostAlert An Admin About This Post.

Sanctity of Life

Featured commentary:

Human Enhancement and the Quest for Perfection

Rev. John Schroedel

I spoke recently with a Greek Orthodox innovator in the field of space travel. He expressed respect for his church, but also spoke of a deep disconnect he feels between church life and the technological realities he deals with every day. He wasn't sure how the two worlds fit together. His main impression of Orthodoxy was that it was against things such as stem cell research and in vitro fertilization. He felt that if the Church was interested in science at all, it was mostly concerned with obstructing progress.

We are living in a time of incredible possibility. Humans have always used technologies as an aid in achieving goals, but there is a characteristic difference between what was possible in the past and a breed of technologies that is now becoming available. We are no longer talking about standard engineering problems, business systems, or traditional forms of psychiatry and medicine. The power of our emerging technologies is such that they touch our lives is a much deeper, more inward way. They promise and deliver powerful new ways of enhancing and transforming human life.

Technologies for Improving Human Performance

In 2001, the National Science Foundation and the Department of Commerce sponsored a workshop entitled, “Converging Technologies for Improving Human Performance,” in order to focus on the ways in which advances in nanotechnology, biotechnology, information technology, and cognitive science (abbreviated NBIC) could be brought together to create powerful new civilian and military applications. (The report is available online at the Converging Technologies site.)

With a fervor akin to that of an arms race, workshop participants called for “a national research and development priority area on converging technologies focused on enhancing human performance.” The report’s overview gives an idea of some of the outcomes envisioned:

Examples of payoffs will include improving work efficiency and learning, enhancing individual sensory and cognitive capabilities, fundamentally new manufacturing processes and improved products, revolutionary changes in healthcare, improving both individual and group efficiency, highly effective communication techniques including brain-to-brain interaction, perfecting human-machine interfaces including neuromorphic engineering for industrial and personal use, enhancing human capabilities for defense purposes, reaching sustainable development using NBIC tools, and ameliorating the physical and cognitive decline that is common to the aging mind.

This may seem like an ambitious agenda, but it’s worth noting that the workshop specifically focused on results that seemed feasible within the next 10–20 years. Many of these technologies have been on the horizon for a long time. For example, more than thirty years ago, in his 1972 book Man into Superman, Robert Ettinger wrote, "It is clear that genetic engineering will produce radical alterations in a very few centuries at most. Change will not be gradual, but explosive; we are on the verge of a sharp discontinuity in history." We are much further along than we may think!

The desire to improve human nature has been around since ancient times, but now—with new and more effective means—we experience it as something almost within our grasp. With these means at our disposal, questions such as, “How do we choose which enhancement technologies to adopt?” or “Should we try to change human nature, and to what end?” become particularly urgent.

It is true that the Church often gives guidance by setting down “fences,” making contrary statements when clear lines have been crossed. But it is important that we not stop there. We need to offer a compelling and robust vision of human flourishing that can capture peoples’ hearts, minds, and imaginations.

My purpose here is not so much to address particular issues, but to begin to articulate a vision within which the evaluation of these technologies becomes possible. My approach is not philosophical so much as a meditation on the central revealed kernel of the Christian faith. A careful reading of the Bible and the Orthodox Tradition reveals that the answers are often there, lurking just beneath the surface.

Death and Transcendence

For many years I've been following a movement known as "transhumanism." It has matured from its more sci-fi beginnings, and now, through the World Transhumanist Association, brings together a wide variety of respected scientists, industry leaders, and academics. A central purpose of this movement is to work towards “redesigning the human condition, including such parameters as the inevitability of aging” (from the Transhumanist Declaration, 1998).

Transhumanists are enthusiastic about the potential for technology to overcome not only the difficulties of human life, but also and most especially the problem of human mortality. They talk about freezing our bodies now (cryogenics) in order to have them thawed out in the future, when medical science is able to cure whatever ails us; or replacing the body with a different “material substrate”—scanning brains and uploading human consciousness onto a chip—in order to extend mental “life” indefinitely.

Anyone who has experienced Pascha can certainly relate to this enthusiasm for the defeat of death, which we understand to be “the last enemy that will be destroyed” (1 Corinthians 15:26). We all want to live forever, but, if we listen closely to what transhumanists are saying, it soon becomes clear that traditional Christians and transhumanists have two very different perspectives.

Increasing our powers of performance, our mental and physical abilities, may be nice, but it still does not solve the most pressing of all issues: death lurks just around the corner for each one of us. St. Gregory of Nyssa expresses this well in On the Soul and the Resurrection:

We see before us the whole course of human life aiming at one thing—how we may continue in this life; indeed it is for this that houses have been invented by us to live in; in order that our bodies may not be weakened in their environment by cold or heat. . . . In fact all thought about how we are to go on living is occasioned by the fear of dying. Why is medicine so honored amongst men? Because it is thought to carry on the combat with death to a certain extent by its methods.

St. Augustine of Hippo also touches on this in his City of God:

But even the righteous man himself will not live the life he wishes unless he reaches that state where he is wholly exempt of death, deception, and distress, and has the assurance that he will forever be exempt. This is what our nature craves, and it will never be fully and finally happy unless it attains what it craves.

One of the most puzzling arguments for the transhumanists is the defense of mortality, or “finitude,” offered by many Christian and other conservative bioethicists. This defense was made famous by Leon Kass, the former chairman of the President’s Bioethics Council, who once wrote, “To argue that human life would be better without death is to argue that human life would be better without being human. . . . The finitude of human life is a blessing for every individual whether he knows it or not.”

From an Orthodox perspective, the issue is not so much that human nature is something static, needing to be defended or protected from any change—St. Gregory of Nyssa’s dictum, “Perfection for a creature is progress,” can be endorsed by both transhumanists and Christians. But for us, finitude is connected to a whole range of understandings about the human person and the character of God. Only in light of these understandings does a defense of finitude make sense.

From the earliest chapters of the Bible, humanity is faced with two fundamental options: Do we answer the serpent’s call to become god without God, or do we, through obedience, eat from the Tree of Life and live forever in the Garden? Leon Kass, in his commentary on the Book of Genesis, finds a similar distinction in the biblical encounter between Israel and Egypt. He writes:

Egypt, via divination, magic, technology, and sophisticated administration, does not so much defer to nature as it seeks to control her—seeks to master change and time. Whether one looks at the change-denying practice of shaving the face and head, or at the dust-to-dust-denying practice of embalming and mummification of the dead, or at the practices of divination and magic practiced by Pharaoh’s wise men, one finds abundant evidence of the Egyptian efforts to smoke out and outsmart the ways of nature.

The ancient historian Herodotus mentions the Egyptians’ legendary zeal for medicine (“The whole land is full of doctors . . . each doctor is a doctor for one disease and no more”), and many of the biblical authors are aware of this too. Jeremiah 46:11 turns this zeal on its head in a dire prophecy addressed to the “daughter of Egypt”: “In vain you will use many medicines; / You shall not be cured.”

The problem with the Egypt depicted here is not the use of medicine to heal and assist human life, but a culture  being so zealous for transformation by means of technology and medicine that it forgets the deeper, spiritual dimensions of health. Kass writes:

In its highly successful efforts to make the world safe and comfortable for human life, Egypt places its trust in technology and administration; it pays scant attention to ruling the unruly hearts and minds of men. Accordingly, it produces a fake Eden, a lush and prosperous garden with no knowledge of God and with human relations that conduce not to human self-rule under law but, rather, to despotism and slavery, with one man promoted as a god above all the others. In Egypt, man is not just an image of God; man—or at least one man—is capable of crossing the line and becoming altogether a god.

Israelite law, with its principles for communion with God, shows us another way. Moses pronounces, “See, I have set before you today life and good, death and evil” (Deuteronomy 30:15). For Israel, life and death are defined in spiritual terms. Communion with God, who is Himself the source of life, brings life and good things, while evil and death result from His absence.

For Christians, too, death is more of a spiritual problem than a physical one. It is only after Adam’s transgression that humanity falls into a spiritual death, where sickness and mortality are as inevitable as labor pains and vexing work. The depth of the Fall is manifest most fully in the light of redemption, after Christ has come to bring eternal life, ushering in a new age that will not be fully manifest until the Judgment.

Within this framework of salvation history, death becomes the privileged locus of our transfiguration. According to St. Maximus the Confessor:

Christ converted the meaning of death for us . . . the baptized acquires the use of death to condemn sin, which in turn mystically leads that person to divine and unending life. . . . For if sin maintains death as a weapon to destroy human nature in those who, with Adam, keep sin active, how much more will human nature boast death as a weapon to destroy sin in those who realize righteousness through faith in Christ!

For those who weep in this world over our personal and communal separation from God, an immortality in this life would be a kind of undead existence. As St. Augustine wrote in City of God: “If a man passes through a more extended period of time on this road to death, his progress is no slower; he merely has a longer journey.” For this reason, God summoned the angel to bar the way to the Tree of Life after Adam and Eve had eaten from the other tree—lest they eat of it and become immortal in the state of sin and death (Genesis 3:22–24).

We don’t deny the horror of death, but, for Christians, the sting of the first death is radically qualified by the real possibility of the second. Death is the horizon before which our lives in this world are played out. It is not the end, but a eginning. In light of eternity, physical mortality is a small issue in contrast to a life of separation from God. We ache for eternal life defined and shaped by our relationship to our Creator. John of the Cross expressed this beautifully in his “Stanzas of the soul that suffers with longing to see God”:


I no longer live within myself

and I cannot live without God,

for having neither him nor myself

what will life be?

It will be a thousand deaths,

longing for my true life

and dying because I do not die.


The Resurrection of the Body

The icons in our churches depicting transfigured saints give us a glimpse of the perfection we seek—a perfection that includes the body. Christians “look for the resurrection of the dead” (Nicene Creed). Traditional practices such as burial, the veneration of relics, and the involvement of the body in prayer bear witness to this. As creatures made in the image of God, we understand our bodies to be good, even if they have become corrupt after the Fall, disfigured by disordered passions. The physical frailty and deformity we now endure underscore our dependence on Christ, but they also point us forward to the time when everything lacking will be restored, and the original perfection destined for humanity will once again be ours.

Our body is a gift from God, something given and entrusted to us. It is not our own; we are not our own, but belong to God. When our flesh returns to the dust, we can say with Job, “Naked I came from my mother's womb, / And naked shall I return there. The LORD gave, and the LORD has taken away; / Blessed be the name of the LORD” (Job 1:21).

This attitude is at odds with a radical project of human re-engineering, in which the body tends to be viewed as a mere machine, composed of inanimate and unenchanted matter—something to be engineered and improved on in order to increase performance, reliability, and longevity. Some technology enthusiasts, many transhumanists among them, view the body with disdain and talk eagerly about the potential for a new, better “material substrate” to take its place.

Just as with our embrace of death, so also with the resurrection of the body, we risk appearing as crazy as our beloved “fools for Christ” to those who mistake our vision of transcendence for conservatism.

Looking Ahead

Technological progress is not spiritual progress. One answer to the space enthusiast I mentioned earlier is that the Church is happy to see advances in technology as long as the means and goal are moral and do not impair our communion with God. Even as Christians enjoy the fruits of new technologies, we understand that the real journey of transcendence is not outer, material, or technological but inner, spiritual, grounded in obedience and communion.

Whether a particular treatment or application is appropriate will depend a great deal on where it takes us—whether it helps draw us closer to God or drives us away from Him—and what means are used to get there. It is not always or often wrong to pursue the goals of health and wealth, longevity and well-being. The truth is much more subtle than that.

The vision of death and resurrection outlined here doesn’t so easily yield concrete principles for evaluating particular technologies, but it does give us an idea about the kinds of questions to ask:. Does a particular technology, and our use of it, aid us in our endeavor or create new obstacles to our salvation? Does it respect the integrity of the human person, made in the image of God, who has a unique vocation and a horizon of immortality? Does it treat the body as God’s temple or merely as something to be despised and left behind?

As we look ahead to a "brave new world," with all its promises and perils, we can expect the moral issues surrounding these emerging technologies to become more complex as we become increasingly immersed in them. Ready-made answers will almost certainly be insufficient for the majority of decisions we will face. And yet, with a solid theological understanding of who we are, where we come from, and where we are going, our questions will have the power to illuminate the path ahead.


Rev. John Schroedel is a Research Fellow at the American Orthodox Institute. He assists at Christ the Savior Church (OCA) in downtown Chicago. He also serves as the Orthodox campus chaplain at the University of Chicago, where he is working on his Ph.D. in Religious Ethics.

This article originally appeared in AGAIN Vol. 29 No. 3, Fall 2007. Visit AGAIN online at Conciliar Press.


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PotOnWheel
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   Posted 11/17/2007 10:58 PM (GMT -6)    Quote This PostAlert An Admin About This Post.

Experiencing the Mysteries

 
 
Even if persons with developmental disability lack the potential to ever reason abstractly, their experience of the Mysteries (the Sacraments) can be just as rich as those who can reach that stage. For the Mysteries have Divine depth, and always beckon one forward to greater participation and fuller comprehension of their import. For the experience ultimately transcends conceptualization.

Picture: a couple engaged to be married (She is clearly "downs" syndrome.)

Fr. John Breck, in “Down Syndrome at Pascha,” in his book God With Us: Critical Issues in Christian Life and Faith, describes Marie, a woman who had Down Syndrome, at the Holy Friday service: (pp. 66-67)

“She was entirely dressed in black. Her face was streaked with tears, her head was bowed, and her arms hung down at her sides. As she approached the shroud, she slowly made the sign of the cross three times, prostrated herself before it, and for a moment kept her head to the floor. Then she rose, kissed the face and then the feet of Christ, and finally venerated the Bible and the Cross. “


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Post Edited (PotOnWheel) : 11/17/2007 10:05:22 PM (GMT-6)

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One Love
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   Posted 11/18/2007 8:56 AM (GMT -6)    Quote This PostAlert An Admin About This Post.

While I'm thinking...here's another blatent ethical issue...

The growth in human population and rising consumption have exceeded the planet's ability to support us, argues John Feeney. In this week's Green Room, he says it is time to ring the alarm bells and take radical action in order to avert unspeakable consequences.


"Do you not know that your bodies are temples of the Holy Spirit of Christ, who is in you, whom you have received from God the Father? You are not your own; you were bought at a price. Therefore honor God with your bodies."

"And if the Spirit of him who raised Jesus from the dead is living in you, he who raised Christ from the dead will also give life to your mortal bodies because of his Spirit who lives in you."

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PotOnWheel
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   Posted 11/18/2007 2:56 PM (GMT -6)    Quote This PostAlert An Admin About This Post.
Epiklesis said...

While I'm thinking...here's another blatent ethical issue...

The growth in human population and rising consumption have exceeded the planet's ability to support us, argues John Feeney. In this week's Green Room, he says it is time to ring the alarm bells and take radical action in order to avert unspeakable consequences.

LISTEN...to the MIDDLE of the three presentations!

AAJ November 2007

Posted Friday, November 16, 2007

Play

Audio articles from the Fall 2007 edition with Douglas Cramer, Fr. Hans Jacobse and Fr. John Schroedel. The theme is Orthodox Christian Leadership in a Brave New World in the face of today's most radical new technological developments.

http://audio.ancientfaith.com/again/aajnov07.mp3

 

YOU WILL HEAR GOOD QUOTES FROM HUXLEY, ORWELL, AND SOLZENITZEN! 

 

ISSUES:  (1)  WHAT IS MAN.   (2)  THE RE-CHRISTIANIZATION OF CULTURE.


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Post Edited (PotOnWheel) : 11/18/2007 2:00:06 PM (GMT-6)

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