25 March 2005

End-of-Life Ethics, Sojourners Magazine/August 2004

This is an interesting article; here is an excerpt: THIS CONTROVERSY provides an opportunity for reflection for all Christians, Catholic and otherwise. The decisions to be made in the case of apparent PVS are rarely simple. The determination of whether someone is in a persistent vegetative state is not an exact science - a British study in the mid 1990s found that 43 percent of a group of patients diagnosed as PVS (17 out of 40 studied) were misdiagnosed (later found to be alert and able to communicate). And given the flawed nature of human beings, family members charged with making care decisions for an incapacitated patient may not always have the patient's best interests at heart. Christian tradition calls us to give special care and attention to the weakest in our community, and to view life as sacred in a way that is not diminished by illness or disability. On the other hand, most Christians believe that the everyday miracle that is our body is not the sum total of our existence. Death, the inevitable surrender of the physical being, is in another way just a step in the life of faith. All of this is a reminder that, as difficult as the topic may be, we owe it to ourselves and the people who we love to discuss end-of-life issues in our families and with our pastors. Living wills and other forms of advanced directives are not perfect (and are useless if your healthcare provider doesn't know that you have one - a common occurrence). But they are the best vehicle for making your wishes known at a time when you are unable to communicate them, and may make a difficult time somewhat easier for those you love.