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« St. Thomas Aquinas and the Thirteenth Century | Main | St. Thomas Aquinas: Priest and Doctor of the Church »

Thursday, January 27, 2011

Comments

Robert Lennon

I was really disappointed reading this in the NYT. But honest commentators on the Church (who are also outside of it) are hard to come by.

craig

"The other exalts compassion for the needy and mercy for sinners — and, perhaps, above all, inclusiveness."

I wonder where performing abortions fits into the above description of idealized liberal religion? BTW: remind me how often Christ spoke about inclusiveness?

Joe

"If you look at Bishop Olmsted and Sister Margaret as the protagonists in this battle, one of them truly seems to me to have emulated the life of Jesus. And it’s not the bishop, who has spent much of his adult life as a Vatican bureaucrat climbing the career ladder. It’s Sister Margaret, who like so many nuns has toiled for decades on behalf of the neediest and sickest among us."

So much for not judging. Also, has Kristof met either one? Does he really know anything about the Bishop's life? Does he really have any idea of what it means to emulate Jesus? Talk about an insulting summation by a guy who is so removed from the situation and wants to force the NYT ethical grid on a clergyman. He, Dowd and the others are far more sanctimonious than any religious.

Dan Deeny

Carl,
Excellent article. Clear explanation of Church teaching. Kristof is confused and has problems. Is he a Catholic?
But what are the specifics in the case? Why was the mother's life in danger? Why did the doctors advocate an abortion? Would the child have died in any case? What has Sister Margaret said to justify her decision? Have Catholic doctors commented on and explained this specific medical problem and linked it with Church doctrine?
Thanks.

Jeff Grace

Well... I have a few things to say about this, if you're interested... I think Abp. Olmsted is dead wrong on this and Kristof got it right.

Jean

I had the same questions as Dan Deeny. I followed the links above and found that the mother had pulmonary hypertension, which is indeed a life-threatening condition for both mother and baby. From my superficial web search, it seems that women who are at risk are urged to avoid pregnancy through contraception and to abort if that fails. Not everyone will know they are at risk until they are pregnant, however. It seems abortion in all cases is considered evidence-based best medical practice. On the other hand, I also read that the condition can be managed by close observation during the pregnancy and early induction of labor. Of course this is very risky and also expensive if by close observation one means hospitalization for several months and then high-risk caesarean. So, we come up against insurance and hospital cost decisions. Do we abort because it's cheaper than hospitalization and less risky from a litigation standpoint?

The explanation about the distinction between direct and indirect abortion is helpful, but the organs involved are the lungs and heart. Sometimes a heart-lung transplant is necessary. I can't imagine this can be done successfully on a pregnant woman and would like to hear more from Catholic physicians faithful to the Magisterium about these medical issues.

Regarding the controversy itself, the reports of the incident state that the doctors and hospital administrator had no other choice. Yet given the sorry state of journalism today, I remain skeptical about that claim, especially since it is necessary to bolster the template of the bishop as heartless male religious bureaucrat. I do not understand why the mother was not transferred to another hospital. Am I mistaken that the Bishop was not consulted until after the fact? Did the hospital not think it important to get his input? More links to get the detailed story would be much appreciated by those of us who haven't been following it.

Thomas S

Jeff,

Instead of piggy-backing on Insight Scoop to try to get more hits to your site, why don't you just say what you have to say and defend your claims?

LJ

But what are the specifics in the case? -Dan Deeny

An interesting question. It seems there are different sets of facts in circulation. Jeff Grace has come the absolute conclusion that Bishop Olmstead was totally wrong based on the "facts" of the case.

But Jeff, like many others you conflate two issues. Perhaps that is because (from your website) it is clear you have an issue with Bishops exercising their authority at all.

"The Bishop Who Would Be An Autocrat" (http://www.rjgrace.com/?p=1391) Here's (literally) the bottom line "this action by Olmsted is a prime example of clericalism gone wild…"

You also have concluded that Bishop Olmstead acted against the analysis that he received. That sounds a little like Humanae Vitae, does it not? Of course there is one significant difference. This decision by Bishop Olmstead does not fall under the narrow confines of infallibility.

Which brings us back to the conflation of issues. The first issue concerns the actual facts of the case and whether or not it falls within the definitions of Catholic moral doctrine as Carl has defended above.

The second is the issue of Bishop Olmstead's authority to do what he did. I would submit that it is independent of the merits of the case. In fact, if his authority is dependent upon whether he is right about the facts or the conclusions from those facts, it is no authority at all.

This principle was established and confirmed many centuries ago in the Catholic Church, and if you want to understand the principle just look at the words of Jesus in Matthew's Gospel chapter 23;

[2] “The scribes and the Pharisees sit on Moses’ seat;
[3] so practice and observe whatever they tell you, but not what they do; for they preach, but do not practice.
-RSV

Call it "clericalism" if you wish, and/or a reduction of the "priesthood of believers" but authority remains even if the Bishop is in error or a hypocrite. Canon Law tells us exactly what authority the Bishop has.

By the way, someone who considers Barack Obama a prophet (http://www.rjgrace.com/?p=1440) whether in the "wooden, literalist understanding" or not, should perhaps become reconciled at some point with the authoritarian (perhaps even totalitarian) exercise of authority, particularly in the field of health care.

It has its roots in the idea of "universality" which these days carries the cache of presumptive truth without any critique. It is a derivative of egalitarianism, and we need only examine the parables of Jesus to see what he thinks of that ideology.

I prefer to see the President as an articulate teleprompter front man for an ideology that has no misgivings at all in the brutal, vicious and single-minded application of authority where it deems necessary. Recent history has taught us that, and anyone who advances that ideology needs to prepare themselves for an exercise of authority to which Catholic Bishops could never compare.

Jeff Grace

LJ said:


    But Jeff, like many others you conflate two issues. Perhaps that is because (from your website) it is clear you have an issue with Bishops exercising their authority at all.

Not at all, LJ. I am Catholic... I do recognize the authority of bishops. I also have, like many Catholics, the ability to discern when a bishop is abusing his authority. Bishops are human, LJ... and some of them are infected with the notion that they have a license to operate as if they were the only ones who are called to exercise the responsibility that we all, as Christians, are called to: the priesthood of all believers. They can err... they can even be corrupt... and they need to be held accountable, not worshipped. This clericalism that Olmsted subscribes to is NOT held by all bishops... and to the extent that a bishop is infected with clericalism, that bishops fails his office. THAT is the deeper problem revealed in all of this because THAT attitude ends up running roughshod over the people of God, whether it be in the case of hiding sexual abuse or in the case of excommunicating by fiat.

...and you need to read that post on Obama a bit more carefully. I said that in that particular speech he was acting prophetically. I hardly think he is a prophet nor do I think he holds the answer to reforming health care access in the US...

Jeff Grace

Jean, I know you don't intend to appear heartless... so maybe it's just that you haven't read the analysis to know that the mother wanted her baby... I have no doubt that she would have done anything to save it. I hope you understand that...

whatever

As presented here, theology seems to have no place in Jeff's argument. It's basically 'I don't like it, so it's clericalism, elitism, cruelty, intransigence, etc.'

Lauri Friesen

Nicolas Kristof and Jeff Grace both appear to believe that the killing of the fetus is, at least, less immoral than allowing the mother to die. Jesus Christ said "Whoever would save his life will lose it, and whoever would lose his life for my sake will find it." If you are a Christian, the actions and decisions of Abp. Olmsted are well in keeping with the words of Christ. That doesn't make them easy or palatable for the worldly mind or heart.

Ed Peters

Carl wrote: "The matter involving St. Joseph’s Hospital and Medical Center requires a sound grounding in both theology and canon law. It may be that Kristof also has those degrees; I don't know." Hmmm. I have not heard of him, and I tend to recognize the more important names in canon law.

Carl also wrote: "It may be that newspaper pundits sometimes know more than theologians/canon lawyers/bishops when it comes to theology, canon law, and governing." That has not been my experience, to date, anyway.

Jeff Grace

This might be too much for you to trouble with, but I suggest you read the theological analysis provided to Olmsted. It's very odd that an "orthodox" bishop could reject the sound theology therein. You can download it here...

craig

Well...the NYT has, of course, turned this into an "bad authority vs. good dissent" issue, which Carl did a great job in refuting, but Jeff is doing something different than what the NYT did. Jeff is asking if the bishop made a good call or not based on this exact medical situation. I don't think Jeff is questioning the Bishop's right to make these kinds of rulings, but whether or not he was correct in doing so in this exact case. I will admit that this medical situation is more complex than I had realized. When I first heard of this story on the blogosphere back in December--I was under the impression that a woman just wanted the abortion to be a post-conception contraceptive, which explained the Bishop's reaction.

LJ

"Fiat" from Merriam-Webster

1: a command or act of will that creates something without or as if without further effort
2: an authoritative determination : dictate
3: an authoritative or arbitrary order : decree


Without belaboring the point Jeff, it seems to me that “fiat” as above-defined describes the action of any Bishop, and is in no way the negative that you seem to want to attribute by regular use of the word. “Determination” as in the second definition is quite applicable here, as is the word “arbitrary” in the third definition. A Bishop is the arbiter in matters moral and spiritual in his diocese.

It seems to me that your accusations against Olmstead are based solely on your disagreement with the decision. If that is the criterion by which we determine the authority of the Bishop there can be no decisions at all, for every such decision to excommunicate an individual or withdraw the name Catholic from any institution will always be met with those who vehemently disagree with the decision, such as yourself in this case.

It is also ironic that you mention the sex-abuse scandal in the context of a decision wherein you believe that the Bishop ignored the analysis of experts. It was precisely the adherence to psychological analysis and advice that led Bishops in the past to see sex abusers as “curable” and because of that misinformation they moved them around while ordering therapy and ignoring Canon Law. It is a more recent conclusion within the field of psychology that child sex abusers are “incurable.”

So in that case the Bishops are now excoriated for listening to the “experts.” This became very clear in the report by Judge Murphy in Ireland;

“The commission is satisfied that Church law demanded serious penalties for clerics who abused children. In Dublin, from the 1970s onwards, this was ignored.”

(http://catholicworldreport.com/index.php?option=com_content&view=article&id=154:the-wolves-roamed-freely&catid=53:cwr2010&Itemid=70)

If, on the other hand, you wish to establish the authority of the Bishop through consensus of the faithful, you might want to take note of the cheers throughout the Catholic community when Bishop Olmstead finally acted in the case of just one of the “Catholic nudge-nudge wink-wink” medical facilities and organizations throughout the nation.

Jeff Grace

Thanks, Craig... that's exactly what I'm trying to do. Quite frankly I'm befuddled by Abp. Olmsted's dismissal of the moral analysis that he asked for and received. Given the facts, the care and attention that the mother and the ethics committee took in being alert to and respectful of the morality of the situation within the context of Catholic moral teaching is exemplary. Prof. Lysaught's analysis shows how keen they were in following Church teaching. For the life of me, I don't know why Olmsted rejected that analysis. This really does damage, in a very big way, to the pro-life cause and the image of the Catholic Church in general. It doesn't get much worse...

Jeff Grace

A question to Ed Peters, the resident canon law expert: Do you also maintain, along with Abp. Olmsted, that Catholic moral teaching leads us to conclude that we should do nothing to intervene when a pregnancy has become non-viable... the child is sure to die... and the mother will also die if nothing is done to end the pregnancy? In other words, when the choice is not either the child's life or the mother's life, we should nevertheless let them both die?

Brad

As usual, "inclusiveness" rears its demonic, age of aquarius head.

We know our Lord came for sinners. However, we sinners must co-operate (imperfect word here, but let's go with it for now) with our Lord's grace by acknowledging his grace and turning away from sin and living the life of the gospels (active effort on our part)...every day...denying our crappy, tired natures, picking up our crosses and carrying them according to God's LAW (OT and NT). With fear and trembling and many bruises along the way.

So those people who reject God and his dictates, with no fear, exclude themselves, reject inclusion. How does Kristof et al deal with the very words of our Lord in John 6:53? Especially in light of the fact that our Lord let many (disciples, to say nothing of outright unbelievers!) walk away from him who could not, would not, accede to that hard truth. That is hell on earth, the same as hell after earth: a denial of God's help.

"Inclusiveness" is non servium, lucifer's own words, have it your goaty way and still expect to be a sheep and be called a sheep.

Pablum!

Jean

Jeff said, "Jean, I know you don't intend to appear heartless... so maybe it's just that you haven't read the analysis to know that the mother wanted her baby... I have no doubt that she would have done anything to save it. I hope you understand that..."

I'm confused by your comment, Jeff. I thought I made it clear that I was indeed looking for more information and analysis, which the NYT story was lacking. My comments were regarding the medical treatment of this condition in general, the medical facts of this specific case, and the actions of the hospital staff. I made no mention of the mother or her motivations, which are missing from the NYT story. In a medical emergency, the mother's wishes could have been overridden by the experts. I've re-read my post and still do not understand the point you were making about it. Please explain, thanks.

Jeff Grace

Jean, I took your comments to mean you had read the analysis (click here for the PDF) provided by St. Mary's to Olmsted, which contains what you say you seek. Your questions seem to imply the mother wasn't attentive to those same concerns. Don't you think the mother had those same questions and answered them for herself? That's what seems heartless to me.

Jeff Grace

LJ, if you want to "affirm the authority of a bishop" who tells you to let your wife die because it's wrong... it's equivalent to a direct abortion... to remove a dying fetus who cannot be saved, then that's your choice. I'm sure what I have to say in response to your points is of no consequence to you.

Dr John James

As a doctor, I should like to hear whether any medications, recognised as specific for relieving pulmonary artery hypertension were used, and if so, which medications?
I'd also like to know if the technique of extra corporeal oxygenation for mum , a technique I have seen used in many paediatric settings here in Australia, was able to be accessed.
It is an extraordinary measure but very effective in situations, sometimes quite extended , where there is respiratory failure, which is seen as transient, in the long term.

mel

Jeff,

Here is a quote from the National Catholic Bioethics Center statement on the CHW scandal: "One of the most dismaying facts to come to light as a result of the Bishop withdrawing the Catholic status
of the hospital is the hospital’s involvement in and profit from the Mercy Health Plan which provides contraceptive drugs and devices (some of which have abortifacient properties) and also provides for
abortion under certain circumstances. Also, by its own admission, the hospital has performed other abortions in the past and will not promise to refrain from performing abortions in the future."

This report also document other irregularities of the CHW.

Isn't this particular case (the 2009 case), in light of the other offenses of the hospital, really non-material to Bp. Olmsted's action? Isn't Bp. Olmsted justified in his actions in light of all of the other offenses and lack of repentance of the hospital? Even if I gave you you're due on the 2009 case, with all of the other offenses, you still have a Catholic Hospital and its CEO fudging with Church Teaching.

I would request you link this document to your analysis of the situation, in order to bring the holistic story to the table. http://www.ncbcenter.org/NetCommunity/Document.Doc?id=171


Jeff Grace

Mel: The 2009 case is material, not the least of which is due to the effect this whole action has had on the mother. Injustice and abuse of power is never justified by appealing to some nefarious accusations of wrong-doing in other cases. If the Abp wants to call them to task for for those othr allegations, then let it roll... but not on the back of that mother.

Dr. James: Fair enough, but I think you might be well advised to conclude such investigation before handing out condemnations.

Lauri Friesen

I took a look at the moral analysis provided by the hospital. Two things struck me: 1) the confidence with which the medical professionals predicted death of both mother and child, when my own experience and knowledge of medicine is that they pretty much always get these predictions wrong; and 2) the analysis appears to have been done after the fetus was killed, making it impossible to know what the real basis was for their decision.

Furthermore, nothing in this analysis supports a conclusion that a D&C intervention is not a direct abortion. The fetus was alive. The D&C was performed. The fetus was dead. It would only have been by carefully monitoring the fetus in utero, waiting for it to die in this unhealthy maternal environment, and then ending the pregnancy (i.e. continued growth of the placenta) that would have made intervention to end the pregnancy indirect.

mel

Jeff,

"but I think you might be well advised to conclude such investigation before handing out condemnations"

Look in the mirror.

jack

I'll like to know more about the cost and availability of the alternate treatment for this condition. I heard on catholic bioethicist state that the results were positive. Years ago I sold and serviced many large group health plans and I remember a case that I belive matches this. The costs were in the area of $400,000 back in the 80's. This does not affect the correct moral response but it would bring out the tiger in a health care company or tight hospital administrator.

Brad

May St. Gianna pray for the abortion-excusers from her lofty perch. Surely such a holy mother's prayers will assuage the righteous rage of the Father by reminding Him of the infinite merit of Calvary. Christ, save us from ourselves. We do evil and we excuse evil.

Jeff Grace

Carl, I mistakenly followed your lead and started calling Olmsted "Abp"... I have it on good authority that he is "Bp"...our bad!

Dr John James

Hey Jeff, take it easy!
I think if you check my post, you'll see I haven't condemned anyone.

Dan Deeny

Dr. John James,
Since you are a doctor (MD, I presume), can you check into the details and let us know what the story is?
Thanks.

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