Category : Health & Medicine

(NYT Op-ed) Clay Routledge–Suicides Have Increased. Is This an Existential Crisis?

As a behavioral scientist who studies basic psychological needs, including the need for meaning, I am convinced that our nation’s suicide crisis is in part a crisis of meaninglessness. Fully addressing it will require an understanding of how recent changes in American society — changes in the direction of greater detachment and a weaker sense of belonging — are increasing the risk of existential despair….

Critically, studies indicate that it isn’t enough to simply be around or even liked by other people. We need to feel valued by them, to feel we are making important contributions to a world that matters. This helps explain why people can feel lonely and meaningless even if they are regularly surrounded by others who treat them well: Merely pleasant or enjoyable social encounters aren’t enough to stave off despair.

All of which brings us to the changing social landscape of America. To bemoan the decline of neighborliness, the shrinking of the family and the diminishing role of religion may sound like the complaining of a crotchety old man. Yet from the standpoint of psychological science, these changes, regardless of what you otherwise think about them, pose serious threats to a life of meaning.

Consider that Americans today, compared with those of past generations, are less likely to know and interact with their neighbors, to believe that people are generally trustworthy and to feel that they have individuals they can confide in. This is a worrisome development from an existential perspective: Studies have shown that the more people feel a strong sense of belongingness, the more they perceive life as meaningful. Other studies have shown that lonely people view life as less meaningful than those who feel strongly connected to others.

Read it all.

Posted in * Culture-Watch, America/U.S.A., Health & Medicine, Psychology, Religion & Culture, Suicide

(Wash Post) American Medical Association rejects maintaining its opposition to medically assisted death, deciding instead to keep reviewing the matter

A recommendation that the American Medical Association maintain its opposition to medically assisted death was rejected Monday, with delegates at the AMA’s annual meeting in Chicago instead voting for the organization to continue reviewing its guidance on the issue.

Following a debate on whether the nation’s most prominent doctors’ group should revise its Code of Medical Ethics, the House of Delegates voted by a margin of 56 to 44 percent to have the AMA’s Council on Ethical and Judicial Affairs keep studying the current guidance. That position, adopted a quarter-century ago, labels the practice “physician-assisted suicide” and calls it “fundamentally incompatible with the physician’s role as healer.”

The council spent two years reviewing resolutions, not so much on whether to support the practice but on whether to take a neutral stance on what has become a divisive issue among health-care providers. The group’s report sought to find common ground, noting, “Where one physician understands providing the means to hasten death to be an abrogation of the physician’s fundamental role as healer that forecloses any possibility of offering care that respects dignity, another in equally good faith understands supporting a patient’s request for aid in hastening a foreseen death to be an expression of care and compassion.”

Read it all.

Posted in Aging / the Elderly, Anthropology, Children, Death / Burial / Funerals, Ethics / Moral Theology, Health & Medicine, Law & Legal Issues, Life Ethics, Marriage & Family, Pastoral Theology

(LA Times) Church attendance linked with reduced suicide risk, especially for R Catholics, study says

Against a grim backdrop of rising suicide rates among American women, new research has revealed a blinding shaft of light: One group of women — practicing Catholics — appears to have bucked the national trend toward despair and self-harm.

Compared with women who never participated in religious services, women who attended any religious service once a week or more were five times less likely to commit suicide between 1996 and 2010, says a study published Wednesday by JAMA Psychiatry.

It’s not clear how widely the findings can be applied to a diverse population of American women. In a study population made up of nurses and dominated by women who identified themselves as either Catholic or Protestant, the suicide rate observed was about half that for U.S. women as a whole. Of 89,708 participants aged 30 to 55, 36 committed suicide at some point over 15 years.

Read it all from 2016.

Posted in Anthropology, Health & Medicine, Psychology, Religion & Culture, Suicide

(NY Post) Salina Zito–How suicide became my ‘family secret’ — and shaped who I am

Three generations later, my great-grandfather’s suicide is still impacting my life.

I distinctly remember the moment my mother told me about the family secret. I was a teenager, and she let me know with the firmness and compassion only a mother possesses that the choice her grandfather made was one nobody should ever face.

Not only did it rob him of his life, it delivered countless blows to his immediate family. His children lost their father, they lost their home, my great-grandmother was forced to become a boarder who worked three backbreaking jobs to make ends meet, but it wasn’t enough.

Eventually, my 12-year-old grandfather was forced to quit school to help support the family.

Despite never meeting him and despite my grandfather never speaking of it, three generations later Clifford’s decision shaped who I became. Not because it was something I ever considered doing, but because I felt the importance of looking for signs of hopelessness and despair in the people I knew.

Read it all.

Posted in * Culture-Watch, America/U.S.A., Children, Health & Medicine, Marriage & Family, Psychology, Suicide

(USA Today) Kirsten Powers–Americans are depressed and suicidal because something is wrong with our culture

In September of 2004, I received the call that every person dreads: My father had dropped dead of a heart attack at the age of 61. It came at a time when I was already grappling with other issues, including watching my mother fight breast cancer for the preceding six months, a breakup with a boyfriend and a lack of structure in my life as I was freelancing as a consultant while I tried to determine what I wanted to do next with my career.

I was in an emotional free fall, so I visited a psychiatrist. He said the antidepressant my general practitioner prescribed to help with my life-long struggle with anxiety wasn’t what I needed, so he prescribed a new one. This seemed to only make things worse. Within a few days, I found myself thinking the unthinkable: I want to die.

I couldn’t imagine a life without my father and our hours-long conversations about, well, everything. The pain was debilitating, getting out of bed was an Olympian event, and life was utterly devoid of meaning. I stopped eating and shed 15 pounds in a month. I couldn’t see any reason to be alive.

Read it all.

Posted in * Culture-Watch, America/U.S.A., Health & Medicine, Psychology, Suicide

A NY Times Article on this week’s CDC Report–Defying Prevention Efforts, Suicide Rates Are Climbing Across the Nation

The analysis found that slightly more than half of people who had committed suicide did not have any known mental health condition. But other problems — such as the loss of a relationship, financial setbacks, substance abuse and eviction — were common precursors, both among those who had a mental health diagnosis and those who did not.

Other studies have found much higher rates of mental health disorders among people at high risk of suicide, experts noted.

The reason most suicide decedents don’t have a known mental disorder is that they were never diagnosed, not that they didn’t have one,” said Dr. David Brent, a professor of psychiatry at the University of Pittsburgh.

Access to guns can make it more likely that an impulsive or intoxicated person will attempt suicide even if he or she has no clear mental health problem, Dr. Brent added.

“We have worked really hard to explain to the public that suicide is not simply a matter of too much stress, but that it involves the identification and treatment of mental disorders as one important component,” he said.

Read it all (emphasis mine).

Posted in America/U.S.A., Health & Medicine, Psychology, Suicide

(NPR Shots blog) CDC: U.S. Suicide Rates Have Climbed Dramatically

Suicide rates have increased in nearly every state over the last two decades, and half of the states have seen suicide rates go up more than 30 percent.

Suicide is a major public health issue, accounting for nearly 45,000 deaths in 2016 alone. That’s why the Centers for Disease Control and Prevention in Atlanta decided to take a comprehensive look at suicides from 1999 to 2016.

“Suicide in this country really is a problem that is impacted by so many factors. It’s not just a mental health concern,” says Deborah Stone, a behavioral scientist at the CDC and the lead author of the new study. “There are many different circumstances and factors that contribute to suicide. And so that’s one of the things that this study really shows us. It points to the need for a comprehensive approach to prevention.”

She and her colleagues collected data on suicide deaths from all states. In addition, to better understand the circumstances surrounding suicide, they turned to more detailed information collected by 27 states on suicides that occurred in 2015.

Read it all.

Posted in * Culture-Watch, America/U.S.A., Health & Medicine, Psychology, Suicide

Must not Miss Video of U.S. Army Major Christina Truesdale’s Story

Posted in Health & Medicine, Military / Armed Forces, Sports

(Usa Today Op-ed) Daniel Payne–Assisted suicide is not about autonomy. It’s a tragedy that we shouldn’t allow

The skeptic might ask: Why object to legalized suicide, particularly where terminally ill patients are concerned? If people want to take their own lives, why should anyone feel entitled to stand in the way?

The answer is twofold. For one, we should not as a rule grant doctors the prerogative to help kill their patients. The whole history of medicine has been one of improved healing or, in terminal cases, reduced suffering; euthanasia, which devalues life to the point of liquidation, is the precise opposite of good and responsible medical care. To legalize suicide in this way is to weaponize the medical system against the very people to which it should be most attentive.

On a deeper, more substantive level, legalized suicide strikes at the heart of one of the most indispensible ideas in human history: That every human life is precious beyond reckoning and worthy of both honor and protection. Killing someone, even someone who is already dying, directly controverts this principle; you cannot inject people with fatal doses of barbiturates without declaring, however implicitly, that their lives are worth less than an artificial minimum standard.

Those who advocate for legalized suicide see it as a matter of radical autonomy: We should leave it up to each individual to determine the worth of his own life, up to and including an act of suicide. But this is simply an evasive, almost cowardly instance of passing the buck. If you are actively or even passively complicit in an act of euthanasia, you cannot say you do not, in some way, agree with the suicidal person’s assertion that his life is a waste and that he is better off dead.

It is philosophically unavoidable.

Read it all.

Posted in * Culture-Watch, Aging / the Elderly, Anthropology, Death / Burial / Funerals, Ethics / Moral Theology, Health & Medicine, Law & Legal Issues, Life Ethics, Pastoral Theology, Politics in General, Psychology, Suicide, Theology

(Recode) Designer babies are just one example of the ethical dilemmas faced by the genomics industry

We could live in a future world where people pick and choose the traits their babies have, but it may not be the right thing to do.

It’s just one of the many ethical dilemmas that Francis deSouza, CEO of genomics testing company Illumina, who was interviewed by CNBC’s Christina Farr Wednesday at the Code Conference in Rancho Palos Verdes, Calif. llumina sells DNA sequencing technology to companies such as 23andMe and Ancestry.com.

“There was a wealthy industrialist mogul from Silicon Valley who was curious about designer babies for him and his partner,” said deSouza. “With that much power, there are lots of questions that we will have to address about what it means to be human.”

Read it all.

Posted in Anthropology, Children, Corporations/Corporate Life, Ethics / Moral Theology, Health & Medicine, Law & Legal Issues, Life Ethics, Marriage & Family, Science & Technology, Theology

(AP) Portugal considers allowing euthanasia, assisted suicide

After legalizing abortion and same-sex marriage in recent times, Portuguese lawmakers will decide Tuesday on another issue that has brought a confrontation between faith and politics in this predominantly Catholic country: whether to allow euthanasia and doctor-assisted suicide.

The outcome of the vote is uncertain and is likely to be close, but Portugal could become one of just a handful of countries in the world to permit euthanasia under certain circumstances.

Euthanasia — when a doctor kills patients at their request — is legal in Belgium, Canada, Colombia, Luxembourg and the Netherlands. In Switzerland, and some U.S. states, assisted suicide — where patients administer the lethal drug themselves, under medical supervision — is permitted.

Read it all.

Posted in Aging / the Elderly, Children, Death / Burial / Funerals, Ethics / Moral Theology, Health & Medicine, Law & Legal Issues, Life Ethics, Portugal, Religion & Culture

Irish Times exit poll projects Ireland has voted by landslide to repeal Eighth Amendment

Ireland has voted by a landslide margin to change the constitution so that abortion can be legalised, according to an exit poll conducted for The Irish Times by Ipsos/MRBI.

The poll suggests that the margin of victory for the Yes side in the referendum will be 68 per cent to 32 per cent – a stunning victory for the Yes side after a long and often divisive campaign.

More than 4,500 voters were interviewed by Ipsos/MRBI as they left polling stations on Friday. Sampling began at 7am and was conducted at 160 locations across every constituency throughout the day. The margin of error is estimated at +/- 1.5 per cent.

Counting of votes begins on Saturday morning at 9am with an official result expected to be declared in the afternoon.

However, the size of the victory predicted by the exit poll leaves little doubt that, whatever the final count figures, the constitutional ban on abortion, inserted in a referendum in 1983, is set to be repealed.

Read it all.

Posted in --Ireland, Anthropology, Children, Ethics / Moral Theology, Health & Medicine, Law & Legal Issues, Life Ethics, Marriage & Family, Pastoral Theology, Religion & Culture, Theology

(NBC) Former medical debt collectors using expertise to help the neediest patients

Craig Antico co-founded RIP Medical Debt, a non-profit that buys up batches of overdue medical bills, erasing $120 million in debt for 60,000 patients so far.

Posted in Charities/Non-Profit Organizations, Health & Medicine, Personal Finance & Investing, Stewardship

(LA Times) California attorney general appeals judge’s decision to overturn physician-assisted suicide law

California Atty. Gen. Xavier Becerra on Monday filed an appeal against a judge’s recent ruling overturning the state’s physician-assisted suicide law.

The controversial law, which allows terminally ill patients to request lethal medications from their doctors, has been the subject of litigation since it was enacted two years ago.

Last week, Riverside County Superior Court Judge Daniel A. Ottolia ruled that the law’s passage was unconstitutional and the law should be overturned.

Becerra’s action Monday moves the case to an appeals court, which will decide the future of the law. He also asked that the law stay in place while the matter is further litigated, a request that will most likely be granted, said Kathryn Tucker, an attorney who heads the End of Life Liberty Project at UCSF/UC Hastings Consortium on Law, Science & Health Policy.

Read it all.

Posted in Aging / the Elderly, America/U.S.A., Anthropology, Death / Burial / Funerals, Ethics / Moral Theology, Health & Medicine, Law & Legal Issues, Life Ethics, State Government, Theology

(NPR) Hospitals See Growing Numbers Of Kids And Teens At Risk For Suicide

The number of kids who struggle with thoughts of suicide or who attempt to kill themselves is rising. New research, published Wednesday in Pediatrics, finds children ages 5 to 17 visited children’s hospitals for suicidal thoughts or attempts about twice as often in 2015 as in 2008.

The study found kids of all ages are affected though increases were greatest for older adolescents.

Lead author Gregory Plemmons, a pediatrician and researcher at Vanderbilt University in Nashville, Tenn., says the study results confirmed what he had been seeing at the hospital.

He says he hopes clinicians and families take note. “The No. 1 thing to take home is that it’s important to talk about this and important to ask about it,” he says.

Read it all.

Posted in Health & Medicine, Psychology, Suicide, Teens / Youth

(ABC Nightline) Dying to deliver: The race to prevent sudden death of new mothers

“If I wanted to describe her to someone, I’d describe her as all woman,” Shabazz said. “She was very generous, motivated, dedicated to her family, her work ethic was amazing… she was just a caring loving person.”

Her pregnancy had been going well, Shabazz said. She was not high risk and had been regularly going to her prenatal visits.

“I was excited… because this is what I always wanted, I always wanted a family,” he said.

But during labor, Dickey began having trouble breathing. Within minutes, she went into cardiac arrest and doctors performed an emergency c-section to try to save her and the baby.

“[I thought] this can’t be happening, it seemed like a dream,” Shabazz said. “They asked me to step out. I stepped outside of the room and I could just hear him saying … we’re trying to bring her back, trying to grab a pulse.”

Doctors delivered the baby, but for Dickey, it was too late.

Read it all (the video is highly recommended if you have time).

Posted in America/U.S.A., Children, Death / Burial / Funerals, Health & Medicine, Marriage & Family, Science & Technology, Women

(Guardian) ‘Our most profound moral issue’: Guernsey’s vote on assisted suicide

Opposition to the proposal has been led by churches, the British Medical Association (BMA) and the Guernsey Disabilities Alliance. A key government committee has refused to back the proposal, saying it is not a priority and investigations would be a drain on resources.

In March, the Catholic bishop of Portsmouth, Philip Egan, sent an emotive letter to be read out in the island’s RC churches. “Let there be no death clinics in Guernsey,” it said. “I appeal to Catholics to mobilise. Speak out against this proposal. It is never permissible to do good by an evil means.”

An open letter from 53 Christian ministers and officials in Guernsey also opposed the proposal, saying it was “seen as a threat by people living with various disabilities, vulnerable people and ultimately, perhaps, by all of us, as we approach the end of our lives. Every life is a gift that is precious and worthy of defence. Living life in all its fullness will include darker times, pain and sorrow. This is part of the rich diversity and tapestry of life that also provides opportunities for care, generosity, kindness and selfless love.”

Read it all.

Posted in Anthropology, Death / Burial / Funerals, England / UK, Ethics / Moral Theology, Health & Medicine, Law & Legal Issues, Life Ethics, Religion & Culture, Theology

(Psephizo) Ian Paul: How should we respond to this transgender moment?

Chapter Seven steps back from the specific issue of transgender, and looks at questions of gender and culture. Anderson does an excellent job of looking at the wider debates about gender, and against them develops a case for seeing (socially constructed) gender as connected with (though not always determined in form by) biological sex.

Gender is socially shaped, but it is not a mere social construct. It originates in biology, but in turn it directs our bodily nature to higher human goods. A sound understanding of gender clarifies the important differences between the sexes, and guides our distinctly male or female qualities toward our well-being (p 149).

This seems to me to be a much more robust and persuasive position, with much wider appeal, than the idea that we are male and female for the theological reasons that the Bible tells us this is the way God made us. We actually know we are male and female because that is what science tells us—and Scripture gives a theological significance to this physical reality.

The final main chapter looks at policy question in the United States, and his conclusion notes that the public are not all persuaded by the claims of transgender activists, so this ‘transgender moment’ might pass—though it will need courage for all sorts of people in public life to make a stand for the truth and the evidence that we have.

If you want a comprehensive, readable, evidence-based case for questioning the assumptions of this transgender moment, then Anderson’s book is for you. I think it must be essential reading for anyone engaging in the sexuality debate, in the Church of England and elsewhere.

Read it all.

Posted in Anthropology, Ethics / Moral Theology, Health & Medicine, Pastoral Theology, Psychology, Sexuality, Theology, Theology: Scripture

FT: Executives who ignore their own health are in no position to lead

I recently asked a trio of entrepreneurs what they wished they had known before they set out on the path to leadership.

Arianna Huffington, founder of The Huffington Post, who now heads Thrive Global, which aims to end the “stress and burnout epidemic”, told me: “I wish I knew what I discovered the hard way in 2007 when I collapsed from exhaustion . . . That [it is a] delusion that in order to succeed we have to be always on.”

“I wish somebody would have told me how hard it is,” said Anna Skaya, chief executive of Basepaws, which is building a database of feline DNA.

“There are obstacles all the time. All the time,” added designer Diane von Furstenberg, who heads the eponymous fashion group. “Listen, I have a lot of energy . . . That doesn’t mean that I don’t wake up thinking like I’m a total loser, [even] now.”

It probably takes a successful entrepreneur-founder to admit such truths. Even in a world where there is increasing acknowledgment of the dangers of workplace stress, this kind of leadership lesson is only rarely taught in business schools, still less by leadership manuals of the “five ways to be awesome” variety.

Yet this understanding of the many hurdles facing any leader is embedded in the 3,000-year-old Judeo-Christian culture of teaching about how to lead, according to Steven Croft, the Anglican Bishop of Oxford….

Read it all.

Posted in Anthropology, Church of England (CoE), CoE Bishops, Corporations/Corporate Life, Ethics / Moral Theology, Health & Medicine, Psychology

(Guardian) Ontario issues first non-binary birth certificate after human rights claim

Canada’s largest province has issued its first non-binary birth certificate, marking the culmination of a successful human rights claim against Ontario.

Joshua Ferguson had waited nearly a year after petitioning the provincial government for a new birth certificate in order change the document from male to non-binary, as Ferguson identifies as neither male nor female. Instead, the film-maker uses the pronoun “they”.

“It’s a victory for me. It’s a victory for the trans community,” Ferguson told reporters on Monday.

Born in Ontario but now residing in Vancouver, Ferguson had travelled to Toronto to apply for the new birth certificate, which they said would better reflect their identity. Ferguson’s successful application follows a push by the transgender activist Gemma Hickey, whose non-binary birth certificate in Newfoundland and Labrador last year marked a first for Canada.

Read it all.

Posted in Anthropology, Canada, Children, Ethics / Moral Theology, Health & Medicine, Marriage & Family, Politics in General

A [London] times article on the forthcoming vote in Guernsey’s parliament on whether to legalise assisted suicide

Quirks such as the £1 note are a reminder that life on the quaint British dependency of Guernsey is like it is on the mainland — but not in every way. The law governing how islanders die could soon make the difference starker.

In 10 days’ time, Guernsey will vote on whether to become the first place in the British Isles to legalise assisted dying, reigniting a national debate and raising fears of Swiss-style “death clinics” in the Channel.

The bill needs the support of 21 local politicians to pass: a simple majority of the 40 who sit in the island’s parliament. None belongs to any party or bloc, so the outcome is hard to predict.

Those who have drafted the law say it is strictly designed for terminally ill residents — but opponents believe the island, used by global elites as a tax haven, could become a magnet for death tourism.

Read it all.

Posted in Aging / the Elderly, Anthropology, Death / Burial / Funerals, England / UK, Ethics / Moral Theology, Health & Medicine, Law & Legal Issues, Life Ethics, Pastoral Theology, Theology

(NYT Op-ed) Heather Heying–Nature Is Risky. That’s Why Students Need It.

One brave student from the 2016 trip was injured in the boat accident in the Galápagos. The boat was destroyed, but she soldiered on. Then, three weeks later, she was nearly crushed when the five-story unreinforced masonry hotel she was staying in collapsed during a major earthquake. She was lucky: Almost everyone in the building died. She and another student dug themselves out of the rubble.

Her recovery was long and painful. She — a serious ballet dancer — was wheelchair-bound for months. After a year of surgeries, crutches and other frustrations, she caught me off guard. Despite everything, she said, she would do it all again. The trip had been that important to her.

In advance of these study-abroad trips, I led long conversations about risk, how to assess it, what we perceive our own relationship with it to be. We discussed how risk is different in landscapes that haven’t been rendered safe by liability lawsuits and in which medical help is a very long way away. We talked about the hidden hazards of the jungle — rising water, tree falls — compared with the familiar ones, like snakes and big cats, that people are primed to be scared of. In the tropical lowland rain forest — the jungle — you might get stuck in deep mud and perhaps need help to get out. Look before you reach for a tree for leverage. Some trees defend themselves with nasty spikes, and a branch might be crawling with bullet ants, so named for the intense experience of being stung by one.

But it turns out that risk and potential go hand in hand. We need to let children, including college students, risk getting hurt. Protection from pain guarantees weakness, fragility and greater suffering in the future…

Read it all.

Posted in Children, Education, Energy, Natural Resources, Health & Medicine, Marriage & Family, Psychology, Teens / Youth, Young Adults

The Alfie Evans Case (III)–Dominic Lawson: Parents can love, but not protect: ask Alfie Evans’s mum

This is emphatically not an argument for parents to impose quacks on seriously ill children. But the NHS has an institutional antipathy to experimental forms of cancer treatment, even in cases where it knows its own methods hold no prospect of a lasting cure. I can’t help thinking a system in which patients and their parents are not themselves paying (except compulsorily as taxpayers) encourages the attitude that they should keep quiet and be grateful for what they get.

Still, the vituperation directed at the staff of Alder Hey is unconscionable. They looked after Alfie to the very best of their ability, and must also have felt distress as his condition — the result of an inexplicable degenerative disorder that attacked the brain of an apparently healthy newborn — worsened. But for him to have ended up as, in effect, a prisoner until death of the state that had earlier removed his ventilation against his parents’ wishes is no advertisement for the English medico-legal system. It’s one thing to give up the medical fight for the child’s life; quite another to say to the parents, “But, all the same, you can’t take him away from us, either back home to die or to a foreign hospital prepared to treat him at its own expense.”

Even if such treatments are pointless — our courts had decided there was no further point in the existence of Alfie Evans — it offends against our entire idea of family to treat the feelings and wishes of loving parents as irrelevant. This love is not just the indispensable basis of a good society. Maternal love is the most powerful force in the known universe. It demands more respect than this.

That truth is about to be put before the courts in another case, in which my wife is involved. With two other mothers whose adult children, like our younger daughter, have what nowadays is called “learning difficulties”, she is bringing a test case before the Court of Protection. As the law stands, the parents of such adults, whether in residential care or not, have no right to a decisive role in how their children are treated. The carers would be obliged to give the parents such a right if the mother or father were appointed by the courts to be their adult child’s welfare deputy. But the current code stipulates that this can be agreed by courts only “in the most difficult cases”.

Read it all (requires subscription).

Posted in * Economics, Politics, Anthropology, Children, Death / Burial / Funerals, England / UK, Ethics / Moral Theology, Health & Medicine, Law & Legal Issues, Life Ethics, Marriage & Family, Psychology, Religion & Culture, Theology

The Alfie Evans Case (II)-Ross Douthat: Alfie Evans and the Experts

[The New Yorker’s Rachel] Aviv focuses on the Kafkaesque odyssey of Julie Belshe, a mother of three who spent years extracting her parents from the talons of a woman, April Parks, who was later indicted on charges of perjury and theft. But Parks flourished in a larger system designed around the assumption that old people are basically better off without their kids, because offspring are probably motivated either by raw emotionalism or by gimme-gimme avarice, as opposed to the cool wisdom of expert doctors, professional guardians, and wise judges.

Such a system is custom-built for the coming world of post-familialism, the world bequeathed to us by sexual individualism and thinning family trees. Just as more and more children are growing up without the active fathers who fought for Charlie Gard and Alfie Evans or the extended kinship network that saved Jahi McMath, more and more people will face old age without sons and daughters to care for them or to challenge the medical-judicial complex’s will.

It is the tragedy of our future that for many people there will be no exit from that complex, no alternative means of receiving care. But it is the task of our present to ensure that where the family still has the capacity to choose for an aging parent or a dying child, the family rather than the system gets to make the choice.

Yes, that choice may be wrong; it may have its own dark or foolish motivations. But those are risks a humane society has to take, so that in our weakest moments we can hope to be surrounded not just by knowledge or power, but by love.

Read it all.

Posted in Anthropology, Children, Death / Burial / Funerals, Ethics / Moral Theology, Health & Medicine, Law & Legal Issues, Life Ethics, Marriage & Family

The Alfie Evans Case (I)–Albert Mohler: Life in the Balance in Liverpool — Alfie Evans Is Not Alone

One of the most important rights throughout human history is the right of parents to make decisions concerning their children’s welfare. Almost every culture and civilization has honored this principle—formally or informally–as a basic human right and a necessary foundation for family flourishing. Western countries often recognized parental rights as natural rights—rights that cannot be compromised by government interference. But in the case of Alfie, the state is redefining parental rights so that they extend only as far as the government or other elites, such as the medical elites, determine.

Furthermore, unlike the Charlie Gard case, Alfie Evans has only been examined by one medical team or acute care team. As Charles Camosy has pointed out, those acute care teams of medical experts often make the wrong decisions regarding the inevitability of death. To put the matter bluntly, there are numerous cases in which medical authorities said an individual would surely die, but those people are still alive.

Sohrab Amari, writing for Commentary Magazine, is on point: “The medical complexities of the case, played up by the court and its defenders, serve to obscure a basic moral principle. No one is asking the UK National Health Service to expend extraordinary measures to keep Alfie alive. All Alfie’s parents ask is to be allowed to seek treatment elsewhere, again at Italian expense, even if such treatment proves to be futile in the end.” The same principle, says Amari, was at stake in last year’s Charlie Gard case. Once more, British courts have distorted the relevant legal standard, the best interest of the child, to usurp natural rights. This disturbing point is a political issue, to be sure. But natural rights are pre-political. Governments do not invent or grant natural rights. The rightful role of government is to respect and protect the rights that exist prior to the state and its laws.

If the state does not recognize parental rights as natural rights and government authorities and elites can subvert the will of parents, then we’re going to witness a long succession of cases just like Charlie Gard and Alfie Evans—and not just in Great Britain.

Read it all.

Posted in Children, Death / Burial / Funerals, England / UK, Ethics / Moral Theology, Health & Medicine, Law & Legal Issues, Life Ethics, Marriage & Family

(Economist) is the Assisted Suicide Advocacy Movement gaining Momentum in the USA?

Three years ago John Radcliffe, a jovial retired lobbyist in Hawaii, was diagnosed with terminal stage four colon and liver cancer. He has since undergone 60 rounds of chemotherapy but doctors suspect he has just six more months to live. His illness often leaves him feeling exhausted but, undeterred, he has spent the past few years pushing to pass one last bill: Hawaii’s “Our Care, Our Choice Act”, which allows doctors to assist terminally ill patients who wish to die. Earlier this month, as Mr Radcliffe beamed behind him in a colourful lei, Hawaii’s governor signed the bill into law making Hawaii the seventh American jurisdiction to approve an assisted-dying law.

Like the laws in California, Washington, Vermont, Colorado and Washington, DC, Hawaii’s law is modelled on legislation in Oregon, which was the first state to allow assisted dying, in 1997. It permits an adult, who two doctors agree has less than six months to live and is mentally sound, to request lethal medication. The most commonly used drug is secobarbital, a barbiturate that induces sleep and eventually death by slowing the brain and nervous system. It is usually prescribed in the form of about 100 capsules that must be individually opened and mixed into liquid—a process advocates say averts accidental overdoses. The patient must take the medication themselves, without aid, but they can choose when and where to do so. Death with Dignity, an Oregon-based pressure group, estimates that 90% of the recipients of this service end their lives at home.

Legislatures in 24 other states are considering similar bills this year. Most will flounder. In 2017, 27 states debated assisted dying. None approved it. Still, the right-to-die movement seems likely to gather momentum. Between 1997 and 2008, Oregon was the only state that allowed doctors to let some patients hasten their deaths. In the decade since, six other jurisdictions have legalised assisted dying, either through legislation or ballot initiatives. Advocates are hopeful that Nevada, New Jersey and Massachusetts might soon follow….

Read it all.

Posted in America/U.S.A., Anthropology, Death / Burial / Funerals, Ethics / Moral Theology, Health & Medicine, Law & Legal Issues, Life Ethics, Pastoral Theology, Theology

(NBC) A Great story about one Utah Bus Driver, my favorite from last week

Watch it all.

Posted in Anthropology, Children, Death / Burial / Funerals, Education, Health & Medicine, Marriage & Family, Pastoral Theology, Theology

(CT) Ed Stetzer–The Church and Mental Health: What Do the Numbers Tell Us?

Most of us know someone who is in counseling, on medication, or has even taken his or her own life as a result of a mental illness. There are many difficult issues for Christians to talk about, and mental health would certainly be near the top of that list.

Yet, this is a conversation the Church needs to have. Suicide may be one of the most complex and demanding topics of all. Over the past few years, the discussion has felt forced, especially when the event is connected to high-profile suicides of prominent Christian leaders or their family members and close associates.

While the circumstances in these situations are varied, the question of mental health always comes up; and when we talk about mental illness and suicide, it immediately creates a unique challenge for believers. The question is “Why?” Why is it uniquely challenging for us to address issues often associated with mental illness?

Read it all.

Posted in Anthropology, Ethics / Moral Theology, Health & Medicine, Mental Illness, Parish Ministry, Pastoral Theology, Psychology, Religion & Culture, Theology, Uncategorized

([London) Times) Patients ‘expect GPs to heal their souls’ as the church’s role declines

Family doctors say that they are the “new clergy” and need to know what to do when patients come to them lacking meaning and purpose in life.

GPs are increasingly seeing patients with complex problems driven by social and emotional difficulties and are growing frustrated by having little to offer other than pills, a study has indicated. They are embarrassed to talk about “spiritual” questions and researchers argue that they need to be comfortable telling people about the importance of community.

Alistair Appleby, a GP who carried out the study of his colleagues’ attitude to spirituality, said: “There is an urgent need to recognise the value of community, connection and self-esteem and look at meaning and purpose in life.”

Dr Appleby said that Britain’s reluctance to talk about religion publicly had hampered discussion of deeper questions. He began the study because “I felt I was particularly bad at it. There were several occasions when I was with patients when it was fairly clear that I had not made the human connection that they hoped for.”

Read it all (requires subscription).

Posted in England / UK, Health & Medicine, Religion & Culture, Secularism

(AP) Medical marijuana push spreads to Utah, Oklahoma

Nathan Frodsham, a 45-year-old married Mormon father of three, is hoping the measure passes so he can get off opioids and back to using the vaporized form of marijuana that he used when he lived in Seattle after his doctor recommended trying for his painful osteoarthritis in his neck.

Frodsham wasn’t discouraged by the Mormon church statement, which he notes doesn’t go as far in opposition as when the church explicitly asked members to vote against full marijuana legalization in Arizona and Nevada. He said marijuana is a natural plant and that the religion’s health code doesn’t single out cannabis as being prohibited.

“I think there’s some room for interpretation on this,” said Frodsham.

The 4,500-member Utah Medical Association isn’t against the idea of legalized medical marijuana but has numerous concerns with an initiative it thinks is too broad and doesn’t include necessary regulatory measures, said Michelle McOmber, the group’s CEO.

“We want to be very careful about what we bring into our state,” McOmber said. “This is an addictive drug.”

Read it all.

Posted in America/U.S.A., Anthropology, Drugs/Drug Addiction, Ethics / Moral Theology, Health & Medicine, Mormons, Religion & Culture, State Government, Theology