Abortion: Absolutely NO Exceptions?

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What is pathological is the place where it has happend, not the child’s life.

The infected tube, or other structure, is the pathology. The baby is not pathology.
The pathological condition of the tube is in addition to, a symptom of and a direct result only of the growth of the child. Then embryo in and of itself becomes the pathology as a direct result of the nature of it to grow. If it did not grow, then it would not affect the tube and cause the issues with the tube. The continued life and growth of the child *under this circumstance *constitutes a pathological condition.
 
Yet again, KarenNC, you do play with semantics, and you ignore the finer point of my post. Whether you do or do not (and let me emphasize, you do) has no bearance on my actual argument, which you conveniently ignore:

You still are a moral relativist, you still have not justified your position using Catholic theology, and yes, you continually play with semantics to marginalize Catholics and to distract from your actual positions which are indefensible.
 
Yet again, KarenNC, you do play with semantics, and you ignore the finer point of my post. Whether you do or do not (and let me emphasize, you do) has no bearance on my actual argument, which you conveniently ignore:

You still are a moral relativist, you still have not justified your position using Catholic theology, and yes, you continually play with semantics to marginalize Catholics and to distract from your actual positions which are indefensible.
What are my “actual positions” in your opinion?
 
The pathological condition of the tube is in addition to, a symptom of and a direct result only of the growth of the child
The infected tube is not a symptom. The infected portion of the tube is the pathology. The etiology of that infection or rupture, or whatever is the probelm is not the fault of the innocent child.
Then embryo in and of itself becomes the pathology as a direct result of the nature of it to grow.
How does the embryo transform into a pathology? What is wrong with the embryo?
If it did not grow, then it would not affect the tube and cause the issues with the tube. The continued life and growth of the child *under this circumstance *constitutes a pathological condition.
Mostly there is usually a preexisting problem with the tube or some related tissue, the baby is innocent and not pathologic.
 
The infected tube is not a symptom. The infected portion of the tube is the pathology. The etiology of that infection or rupture, or whatever is the probelm is not the fault of the innocent child.

Perhaps you are correct. The infected portion of the tube (if it gets to that point) is a separate pathological condition. It may have occurred prior to the implantation or could have occurred afterwards. Now, the rupture of the tube is a direct result of the growth of the child, so I do not see how it can not be a symptom.

The discussion has nothing to do with “fault.” It is not the “fault” of the mother that the situation occurred, either.

**How does the embryo transform into a pathology? What is wrong with the embryo?

Mostly there is usually a preexisting problem with the tube or some related tissue, the baby is innocent and not pathologic.**

Pathological is a medical term not a moral judgement. No one is suggesting that the baby has somehow “sinned” by becoming implanted in a place that is simply not viable.

m-w.com/dictionary/pathology
pathology: 1 : the study of the essential nature of diseases and especially of the structural and functional changes produced by them
2 : something abnormal: a : the structural and functional deviations from the normal that constitute disease or characterize a particular disease
 
Perhaps you are correct. The infected portion of the tube (if it gets to that point) is a separate pathological condition. It may have occurred prior to the implantation or could have occurred afterwards. Now, the rupture of the tube is a direct result of the growth of the child, so I do not see how it can not be a symptom.
A symptom is subjective evidence like pain. A rupture is not a symptom it may happen as the result of the ectopic pregnancy but the baby is not pathological. The fact he/she is growing in the wrong place is pathological.
The discussion has nothing to do with “fault.” It is not the “fault” of the mother that the situation occurred, either.
Pathological is a medical term not a moral judgement. No one is suggesting that the baby has somehow “sinned” by becoming implanted in a place that is simply not viable.
m-w.com/dictionary/pathology
pathology: 1 : the study of the essential nature of diseases and especially of the structural and functional changes produced by them
2 : something abnormal: a : the structural and functional deviations from the normal that constitute disease or characterize a particular disease
I was not referring to morality, but medical evidence. The baby is not pathologic. The place where he/she is growing is pathologic. Do we want to help improve the condition of mother and child in this case or intentionally kill one of them?
 
A symptom is subjective evidence like pain. A rupture is not a symptom it may happen as the result of the ectopic pregnancy but the baby is not pathological. The fact he/she is growing in the wrong place is pathological.

Mea culpa. It is technically a sign, not a symptom.

medterms.com/script/main/art.asp?articlekey=5610
Symptom: Any subjective evidence of disease. Anxiety, lower back pain, and fatigue are all symptoms. They are sensations only the patient can perceive. In contrast, a sign is objective evidence of disease. A bloody nose is a sign. It is evident to the patient, doctor, nurse and other observers.

I was not referring to morality, but medical evidence. The baby is not pathologic. The place where he/she is growing is pathologic. Do we want to help improve the condition of mother and child in this case or intentionally kill one of them?

Sorry, “the baby is innocent and not pathologic” certainly strongly implied a moral judgement on the child.

The entire point of my argument is that, in this sort of situation, there is no possible “help improve the condition of the child.” There is no option, either through medication or surgical intervention or flat ignoring it until the mother dies, that is going to “improve the condition of the child” or do anything other than kill it and to pretend otherwise is, as I have been accused, “playing with semantics.”
 
I guess I’ll copy and paste in hopes that my post gets read this time:
Yet again, KarenNC, you do play with semantics, and you ignore the finer point of my post. Whether you do or do not (and let me emphasize, you do) has no bearance on my actual argument, which you conveniently ignore:
You still are a moral relativist, you still have not justified your position using Catholic theology, and yes, you continually play with semantics to marginalize Catholics and to distract from your actual positions which are indefensible.
You yourself have explained your positions (duh) and know them more clearly than anyone, so I don’t know why I have to repeat them for you. You seem to either ignore every other post of mine or only read selective portions that have little to do with the actual substance of what I write, so I’m probably wasting my time with this one as well. I’ll give it one more stab, though.

Your position that abortion is permitable according to Catholic theology is wrong. The Catechism states that very clearly.

I misunderstood the issue and asked for clarification since I thought that position was inconsistent with other points of Catholic moral teachings. Several posters at the beginning already explained why there can never be an exception to the no-abortion-rule.
 
A discussion on ectopic pregnancy does not even belong in a thread on abortion.
 
A discussion on ectopic pregnancy does not even belong in a thread on abortion.
It does if the Church teaches that certain methods of treatment for it are considered immoral and not to be used by Catholics even when medically indicated because they are viewing it as identical to a willful abortion of a viable fetus.

The topic of the thread is “absolutely NO exceptions.” My argument is that to hold that there is no moral difference in the use of medication to end a tubal pregnancy when that option is deemed medically desirable to surgically ending it and the willful abortion of a potentially viable child is ludicrous, legalistic and not in keeping with the fact that the Catholic Church appears willing to make exceptions to the idea that ending life is in all cases and circumstances immoral in the case of a “just war.”
 
Karen, if I read your response correctly, I believe I am in complete agreement with you. That is why I do not consider treatment of an ectopic pregnancy in any way equivalent to abortion. I do not believe the Catholic Church teaches this either.

Also, as a nurse for 20 years, I can tell you that there is no “use of medication to end a tubal pregnancy” Treatment is always surgical in nature. Regardless, I do not consider this under the heading of abortion and therefore not applicable to the “NO Exceptions” in the thread title.
 
There is a significant moral difference between direct and indirect abortion.
Abortion (that is, the directly intended termination of pregnancy before viability or the directly intended destruction of a viable fetus) is never permitted. Every procedure whose sole immediate effect is the termination of pregnancy before viability is an abortion, which, in its moral context, includes the interval between conception and implantation of the embryo. Catholic health care institutions are not to provide abortion services, even based upon the principle of material cooperation. In this context, Catholic health care institutions need to be concerned about the danger of scandal in any association with abortion providers.
Operations, treatments, and medications that have as their direct purpose the cure of a proportionately serious pathological condition of a pregnant woman are permitted when they cannot be safely postponed until the unborn child is viable, even if they will result in the death of the unborn child.
In case of extrauterine pregnancy, no intervention is morally licit which constitutes a direct abortion.31
Management of ectopic pregnancy

usccb.org/bishops/images/dottedline.gif
 
You yourself have explained your positions (duh) and know them more clearly than anyone, so I don’t know why I have to repeat them for you.

It’s called clarification and is a communication strategy used to be sure that both sides of the discussion have the same understanding of the issue at hand. I am not convinced that you and I have the same understanding of what you describe as “my positions,” so I asked for clarification. If you feel unable to articulate my positions adequately, so be it.

**Your position that abortion is permitable according to Catholic theology is wrong. The Catechism states that very clearly. **

Case in point. This is not my position. I did not say that “abortion is permittable by the Catholic Church.” I said that claiming that using medication to end a tubal pregnancy rather than using surgical methods to end that tubal pregnancy is the same as the willful abortion of a potentially viable child, therefore causing the woman to go through potentially unnecessary surgery rather than take an available, more conservative medical approach when possible is not logical and is not consistent with the teachings I have read about the importance of doing everything possible to preserve one’s fertility and openness to life if such medical options are available.

If it is not permissible for a woman to have a total hysterectomy if there are other, more conservative and effective means of treatment for a condition that will preserve her fertility, why would the more conservative medical approach not apply in this situation where the purpose is not contraception?
ethics.iit.edu/codes/coe/us.catholic.conference.1.html
"Procedures that induce sterility, whether permanent or temporary, are permitted when: a. They are immediately directed to the cure, diminution, or prevention of a serious pathological condition and are not directly contraceptive (that is, contraception is not the purpose); and b. a simpler treatment is not reasonably available."

My actual position on this matter is that to end such a pregnancy is not and should not be considered an abortion in the same terms as those considered impermissible by the Catholic Church, any more than the Church teaches that for a soldier to kill an enemy combatant in the course of a “just war” is the same as going up to someone on the street and murdering them in cold blood. If you are willing to recognize that circumstances do indeed influence the morality of an action and make one exception to “killing is always immoral” then it seems illogical not to recognize that there are others.

As for semantics, I usually am pretty straight forward and say what I mean. Let me try in as bald a language as I can.

There is not a moral difference between using medication to kill a child in a tubal pregnancy and using surgery to remove the tube along with the child and also kill the child as it is not a question of morals in this circumstance, but a question of medical necessity and doing the least harm possible. The child ends up just as dead in either circumstance. Only if there were some even slightly reasonable option that might possibly perserve the life of the child until it could come to live birth, even if that was on the barest edge of viability, can I see that the issue of whether it is moral or immoral to kill the child comes into play. Otherwise, I consider it false morality even within the teachings of the Church to forbid a woman and her physician from using a method to end the pregnancy (kill the child) in the way that they deem most medically sound and therefore subjecting her to risk of more harm than is absolutely necessary.

If at some point in the future it does become possible to take some action that will not automatically end the life of the child does morality of the action come into play. I do not deny that the child is a human life and that the necessity of ending it is not a tragic one and one that should be mourned. I am neither advocating nor suggesting that doctors and women gleefully sit around rubbing their hands in anticipation of the joy of getting to use medicine because that’s the more fun way to kill a baby rather than surgery or that women are doing this to simply avoid being pregnant. An ectopic pregnancy is not a choice, it is an occurrence, a tragic, unfortunate one.

In what way am I marginalizing Catholics by expecting them to act with logic and internal consistency based on their stated positions and the state of human scientific and medical knowledge?
 
It does if the Church teaches that certain methods of treatment for it are considered immoral and not to be used by Catholics even when medically indicated because they are viewing it as identical to a willful abortion of a viable fetus.

The topic of the thread is “absolutely NO exceptions.” My argument is that to hold that there is no moral difference in the use of medication to end a tubal pregnancy when that option is deemed medically desirable to surgically ending it and the willful abortion of a potentially viable child is ludicrous, legalistic and not in keeping with the fact that the Catholic Church appears willing to make exceptions to the idea that ending life is in all cases and circumstances immoral in the case of a “just war.”
I fail to understand why you cannot accept the moral reasoning?
Direct abortion is intrinsically evil. There is no circumsctance when such an act is ever morally licit, none.

Medical practice allows for many options, but not every option is morally good even if the end achieved is good.

In the example of a tubal pregnancy one desires for the mother and child to be saved. That is not possible at this time. That does not mean one is free to intentionally kill one of them.
 
Karen, if I read your response correctly, I believe I am in complete agreement with you. That is why I do not consider treatment of an ectopic pregnancy in any way equivalent to abortion. I do not believe the Catholic Church teaches this either.

Also, as a nurse for 20 years, I can tell you that there is no “use of medication to end a tubal pregnancy” Treatment is always surgical in nature. Regardless, I do not consider this under the heading of abortion and therefore not applicable to the “NO Exceptions” in the thread title.
Would that the Catholic Church agreed with you. Read the links in the post just after yours.
" It seems to me that salpingostomy and this administration of MTX are direct abortions"
or
sspx.org/Catholic_FAQs/catholic_faqs__morality.htm#ectopicpregnancy
“it is permissible to have surgery, provided that it is not a direct abortion, but the removal of invasive tissue, but it is never permissible to take medications to kill the live fetus.”

If there were no nonsurgical methods of ending an ectopic pregnancy, I would not expect to find an article in the New England Journal of Medicine on that very topic. I appreciate that you are in the health field and I am not, but if the number of physicians writing about it and using the precise term “non-surgical treatment,” I have to believe that there is indeed such a treatment available in at least some cases and some places.

content.nejm.org/cgi/content/short/343/18/1325
“Nonsurgical Treatment of Ectopic Pregnancy”

or in other journals:

humrep.oxfordjournals.org/cgi/content/abstract/10/7/1866
"Non-surgical treatment of ectopic pregnancy in the sole remaining tube " in Human Reproduction, the journal of the European Society of Human Reproduction and Embryology

pubmedcentral.nih.gov/articlerender.fcgi?artid=1022704
“Methotrexate therapy. Nonsurgical management of ectopic pregnancy.”
Western Journal of Medicine

As methotrexate is a relatively new tool used in such treatment, it is my hope that one will eventually see that the Church will come to a different understanding of the situation than is reflected in the links that have been given. There is one reference at least that gives that hope. I have not come across this position before, nor had anyone direct me to it, so I do not believe it is a majority one.

chausa.org/Pub/MainNav/News/HP/Archive/1995/09SeptOct/Articles/Features/hp9509e.htm
From the Catholic Health Association of the USA

"Directive 48 succinctly defines the limits within which the moral assessment of treating extrauterine pregnancy must take place. The sole criterion proposed is that treatment must not constitute a direct abortion. Thus it is left up to the clinician—who understands both the pathophysiology involved in extrauterine (ectopic) pregnancy and the mechanisms of the interventions used to address it—to assess the propriety of a proposed intervention. For example, in the case of ectopic pregnancy, the threat to the mother is posed by the trophoblastic tissue as it invades the wall of the fallopian tube.5 Left untreated, the tube may rupture with resultant hemorrhage and, in some cases, the mother’s death. Until fairly recently, the moral assessment was made in such cases by defining the tube itself as “pathological” and thus accepting its surgical excision as a morally acceptable intervention consistent with the principle of double effect.

The problem, of course, was that although such an intervention cured the pathological condition, it also seriously limited the woman’s ability to conceive and bear other children. Recent advances in both diagnostic capabilities and treatment modalities allow for detection of an ectopic pregnancy well before significant symptoms develop. Newer interventions directly address the pathological condition (understood now as the point of attachment of the embryo to the wall of the fallopian tube), cure the condition, and preserve fertility. As in the past, the resulting death of the embryo is deemed an indirect consequence."
 
"Directive 48 succinctly defines the limits within which the moral assessment of treating extrauterine pregnancy must take place. The sole criterion proposed is that treatment must not constitute a direct abortion. Thus it is left up to the clinician—who understands both the pathophysiology involved in extrauterine (ectopic) pregnancy and the mechanisms of the interventions used to address it—to assess the propriety of a proposed intervention. For example, in the case of ectopic pregnancy, the threat to the mother is posed by the trophoblastic tissue as it invades the wall of the fallopian tube.5 Left untreated, the tube may rupture with resultant hemorrhage and, in some cases, the mother’s death. Until fairly recently, the moral assessment was made in such cases by defining the tube itself as “pathological” and thus accepting its surgical excision as a morally acceptable intervention consistent with the principle of double effect.

The problem, of course, was that although such an intervention cured the pathological condition, it also seriously limited the woman’s ability to conceive and bear other children. Recent advances in both diagnostic capabilities and treatment modalities allow for detection of an ectopic pregnancy well before significant symptoms develop. Newer interventions directly address the pathological condition (understood now as the point of attachment of the embryo to the wall of the fallopian tube), cure the condition, and preserve fertility. As in the past, the resulting death of the embryo is deemed an indirect consequence."
I offer this link again:
Management of ectopic pregnancy
 
I must admit that I had not heard of systemic mtx as treatment for an ectopic pregnancy. My apologies.
Considering that this topic has been debated among theologians for many years (as pointed out in your link, fix) without a satisfactory answer, suffice to say we will not likely come to an agreement either.
I remain firmly in the camp that treatment for an ectopic pregnancy does not constitute a direct abortion. It is not the intended will to cause the death of the baby. I do not see how this is any different from the Church’s stance on a hysterectomy as treatment for uterine cancer. Quite honestly, it is too bad that these two topics (abortion and ectopic pregnancy) are being linked together. It can only give credence to the qualifier of abortion “for the mother’s health” which should never be an option.
Given the heartbreaking number of true abortions performed each year, in addition to the threat of expanding stem cell research, I pray our efforts will be directed where they are truly needed.

I
 
I must admit that I had not heard of systemic mtx as treatment for an ectopic pregnancy. My apologies.
Considering that this topic has been debated among theologians for many years (as pointed out in your link, fix) without a satisfactory answer, suffice to say we will not likely come to an agreement either.
I remain firmly in the camp that treatment for an ectopic pregnancy does not constitute a direct abortion. It is not the intended will to cause the death of the baby. I do not see how this is any different from the Church’s stance on a hysterectomy as treatment for uterine cancer. Quite honestly, it is too bad that these two topics (abortion and ectopic pregnancy) are being linked together. It can only give credence to the qualifier of abortion “for the mother’s health” which should never be an option.
Given the heartbreaking number of true abortions performed each year, in addition to the threat of expanding stem cell research, I pray our efforts will be directed where they are truly needed.

I
I think the Church clearly states there are moral principles involved here that must not be violated. The relatively recent use of chemicals does not mean anything goes.

As the USCCB link shows extrauterine pregnancy may not be “treated” by direct abortion. Simply because treatments exist does not make them moral. I do not know why you would think direct abortion is not involved in this discussion?

That some therapies are debated by moralists does not mean there are no clear answers or that anything goes.

I would also say to read critically what some experts write about. There are folks who often seem to be on the side that supports creative obedience to Church authority. Their arguments can be very nuanced.

I offer this link as well:
INDIRECT ABORTION
 
I think the Church clearly states there are moral principles involved here that must not be violated. The relatively recent use of chemicals does not mean anything goes.

As the USCCB link shows extrauterine pregnancy may not be “treated” by direct abortion. Simply because treatments exist does not make them moral. I do not know why you would think direct abortion is not involved in this discussion?

That some therapies are debated by moralists does not mean there are no clear answers or that anything goes.
Who has said that “anything goes?”

BTW, the article you referenced on indirect abortion was written in 1956. Even if the Catholic Authors site describes the book from which the article was excerpted as " “The most complete and useful book on the subject” Covers every ethical problem that arises in any branch of medicine," I believe that there might have been a few ethical issues that have been raised by medical advances in the last 50 years which the author may not have foreseen.
 
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