Ariz. hospital loses Catholic status over surgery

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Wait - that’s not what I said!! I did not say that killing the baby is morally licit. In fact, I know it is not. In another post I added a clarification to the discussion of D&Cs by saying that normal procedure after a spontaneous abortion or a miscarriage is to perform a D&C. In those cases the baby is already dead. I’m not referring to the killing of live babies.

Please don’t twist my words to fit your agenda. I’m very willing to participate in this discussion but it’s very difficult for me to use language because of brain damage and I’m doing my best to be clear. You didn’t understand my post. Please tell me what I stated that made you come to the conclusion you did about it.
I am not trying to put words in your mouth, I was simply agreeing with you that it depends on how you are cutting off the blood supply to the baby. Sorry if I didn’t make that clear enough.

Referring to killing of live babies just adds to the confusion because not every action that results in the death of a live baby is illicit.
 
I am not trying to put words in your mouth, I was simply agreeing with you that it depends on how you are cutting off the blood supply to the baby. Sorry if I didn’t make that clear enough.

Referring to killing of live babies just adds to the confusion because not every action that results in the death of a live baby is illicit.
My apologies - it took me by surprise and seemed unlike something you would post (in the short time I have known you).

But referring to the killing of live babies shouldn’t add to the confusion. What I’m trying to say is that killing a baby, born or unborn, is wrong. Killing an unborn baby means that a direct abortion has been performed. It’s never OK to kill a baby. Never.
 
I asked a similar question over in the moral apologetics board. In this case would live delivery have been licit, regardless of the fact that the baby is not viable. This is part of the answer quoted from that post:

This is what it says:

So I’m thinking this constitutes both an induction or a “c-section” which would be the live surgical removal of baby and placenta, the operation you were referring to.

The poster that answered me over on the other board seemed pretty sure that in the case of Arizona hospital, the only licit action would’ve been to treat the preeclampsia as much as they could have without either, 1) an abortion as defined by “direct killing” and 2) live delivery of the baby whether by indunction or c-section. So if you want to call that “doing nothing” and it results in the deaths of both mother and child, then that’s what you’d call it.

So it looks like, as hard as it may be to accept, the Ethical and Religious Directives for Catholic Health Care Services is pretty clear about the rules.
I’m a trifle confused by some parts of your post so let me take it point by point.

Number one, what do you mean by “an abortion as defined by direct killing”?

Number two, I did not tell you in case b, how I was going to remove the placenta and baby. A c/section cannot be performed on a uterus the size of a grapefruit for example. Would the procedure used make a difference to your opinion?

Finally you seem to be saying that live delivery might be licit even before viability but at the same time saying that this was not an option for the patient in Arizona.

Hard as it to accept, the application of the rules are simply not as straightforward as we might like.
 
usccb.org/bishops/directives.shtml

If you start reading at 45 you’ll see the “definition” of abortion. No. 48 address extrauterine pregnancies.
How does that sanction only surgical removal or bar the use of methotrexate? The drug acts both on the placenta (whose point of attachment to the tube is now considered the pathology as I understand it) and on the baby. If the intent is to remove the placental attachment and the effects on the baby are viewed as forseeable but unfortunate side effects, does it not meet the definition of indirect abortion?

I think what urgently needs clarification is what methods are considered direct or indirect. After all it’s not like we’re talking about hundreds of different types of treatment here, just a handful really.
 
My apologies - it took me by surprise and seemed unlike something you would post (in the short time I have known you).

But referring to the killing of live babies shouldn’t add to the confusion. What I’m trying to say is that killing a baby, born or unborn, is wrong. Killing an unborn baby means that a direct abortion has been performed. It’s never OK to kill a baby. Never.
It is confusing because unless you specify what procedure or procedures you are talking about, direct or indirect have no clear meaning. Are you visualizing someone targeting and physically crushing a baby to death? Are you aware that a totally illicit abortion can be performed without even touching the baby and with delivery of a living baby?
 
How does that sanction only surgical removal or bar the use of methotrexate? The drug acts both on the placenta (whose point of attachment to the tube is now considered the pathology as I understand it) and on the baby. If the intent is to remove the placental attachment and the effects on the baby are viewed as forseeable but unfortunate side effects, does it not meet the definition of indirect abortion?

I think what urgently needs clarification is what methods are considered direct or indirect. After all it’s not like we’re talking about hundreds of different types of treatment here, just a handful really.
I guess the question that would need to be answered in this case is that of the “ownership” of the placenta. Is it an organ belonging to the baby or the mother? Whose body is responsible for “forming” the placenta? Whose body did it come from? If belonging only to the baby then removal and/or harm to the placenta would be considered direct harm to the baby. If the attachment to the tube or the placenta itself is considered the pathology but it is the baby’s pathology and not the mother’s, it would be an incurable pathology to the baby considering it cannot live without the placenta nor can it live outside of the mother’s body. So the removal of the placenta under the guise of being a treatment of a pathology would amount to that of euthanasia, “the baby will die anyway we’ll just speed it along.” That it is of physical advantage to the mother is a secondary, not direct, result of the operation, thereby making it the opposite of “double effect”. When you’re “treating” a placenta are you treating the mother’s body or the baby’s?
 
I agree with you. But I think even the problem you are speaking of lies in the realm of a problem with the Bishops. Of course the hospital carries responsibility but I have a feeling this happens in many more hospitals than this one and the bishops possibly just dont’ have the same reaction as Bishop Olmsted. It’s frustrating.
Of course it happens in other hospitals, nationwide. There are legal ramifications to holding another person hostage to another’s religious beliefs in a true life-and-death emergency and watching them die, rather than administering physician prescribed (and very much legal) treatments as ordered. An elective procedure can be denied, and a patient can be transferred to another facility. This violates no one’s rights. However, in a true emergency which results in death if the prescribed treatment is not given, it is called negligence and malpractice and this will cost the hospital and all staff involved dearly. Imagine going into an emergency room bleeding out and being denied a blood transfusion because the staff caring for you are jehovah’s witnesses. Not going to happen. Just like blood transfusions, this treatment was legal. Imagine if the same patient in question is Jewish, in the same senario. Although the Jewish are opposed to abortion, they allow it in cirumstances where the woman’s life being in danger. It’s not against their religion. If one thinks the family will just lie down and take it and watch their wife/sister/mother/aunt/friend die because of someone else’s religious beliefs while the treatment is prescribed by the doctor, and is a legal treatment, they’re mistaken. Being a level one trauma center requires caring for patients as they come in to be treated for their condition. If one cannot handle that kind of situation, just like any other instution that doesn’t fit the profile of a “level” one, then their status has to be lowered and the patients simply diverted. A few of the articles written on the St. Joe’s case said that the patient was too sick to transfer out. They had a choice: treat the patient or send her out. They made their choice. No one wants to end up in a hospital that does not want to treat them. Being in a crisis in a hospital is a scary place to be. You have to trust those caring for you. When one goes to a hosptial, one expects to be treated with the standards of care for their situation. You can bet this happens in other hospitals, Catholic or secular. The problem with St. Joe’s is that they were doing other things too, such as providing sterilizations and contraceptives, which don’t usually happen in other Catholic facilities. Those are not life-and-death situations, but elective, and can be diverted to other facilities without ramifications, unlike the life-and-death situations.
 
Of course it happens in other hospitals, nationwide. There are legal ramifications to holding another person hostage to another’s religious beliefs in a true life-and-death emergency and watching them die, rather than administering physician prescribed (and very much legal) treatments as ordered. An elective procedure can be denied, and a patient can be transferred to another facility. This violates no one’s rights. However, in a true emergency which results in death if the prescribed treatment is not given, it is called negligence and malpractice and this will cost the hospital and all staff involved dearly. Imagine going into an emergency room bleeding out and being denied a blood transfusion because the staff caring for you are jehovah’s witnesses. Not going to happen. Just like blood transfusions, this treatment was legal. Imagine if the same patient in question is Jewish, in the same senario. Although the Jewish are opposed to abortion, they allow it in cirumstances where the woman’s life being in danger. It’s not against their religion. If one thinks the family will just lie down and take it and watch their wife/sister/mother/aunt/friend die because of someone else’s religious beliefs while the treatment is prescribed by the doctor, and is a legal treatment, they’re mistaken. Being a level one trauma center requires caring for patients as they come in to be treated for their condition. If one cannot handle that kind of situation, just like any other instution that doesn’t fit the profile of a “level” one, then their status has to be lowered and the patients simply diverted. A few of the articles written on the St. Joe’s case said that the patient was too sick to transfer out. They had a choice: treat the patient or send her out. They made their choice. No one wants to end up in a hospital that does not want to treat them. Being in a crisis in a hospital is a scary place to be. You have to trust those caring for you. When one goes to a hosptial, one expects to be treated with the standards of care for their situation. You can bet this happens in other hospitals, Catholic or secular. The problem with St. Joe’s is that they were doing other things too, such as providing sterilizations and contraceptives, which don’t usually happen in other Catholic facilities. Those are not life-and-death situations, but elective, and can be diverted to other facilities without ramifications, unlike the life-and-death situations.
Please provide documentation that a privately owned institution with no federal or state funding can be “forced” to do anything. There are regulations on what they can’t do, as in refuse treatment to someone coming into an ER, but they are still under control of what that treatment is. I’ll even remind you of President Bush’s provider “conscience” rule that is still in effect (though Obama would love to rescind it) that protects the right of individual providers to refuse to perform an act when employed by an institution that does receive federal funding. Yes the Catholic hospital is within their rights to refuse to perform an abortion, even one that may “save a mother’s lfie”.
 
I guess the question that would need to be answered in this case is that of the “ownership” of the placenta. Is it an organ belonging to the baby or the mother? Whose body is responsible for “forming” the placenta? Whose body did it come from? If belonging only to the baby then removal and/or harm to the placenta would be considered direct harm to the baby. If the attachment to the tube or the placenta itself is considered the pathology but it is the baby’s pathology and not the mother’s, it would be an incurable pathology to the baby considering it cannot live without the placenta nor can it live outside of the mother’s body. So the removal of the placenta under the guise of being a treatment of a pathology would amount to that of euthanasia, “the baby will die anyway we’ll just speed it along.” That it is of physical advantage to the mother is a secondary, not direct, result of the operation, thereby making it the opposite of “double effect”. When you’re “treating” a placenta are you treating the mother’s body or the baby’s?
This is where it gets really interesting…both the baby and the mother contribute to formation and functioning of the placenta. Pathology in the placenta can make them both sick and sickness in either of them can be made worse by normal or abnormal functioning of the placenta. I say all of this just to make the point that these are difficult decisions and medical personnel who wish to abide by Catholic principles may truly have difficulty with deciding what the right thing to do is.
 
It’s not the following, it’s the interpretation. For example, I have seen the principle of double effect used to both condemn and justify the use of methotrexate in treating ectopic pregnancies. Ultimately, it all seems to hinge on what constitutes a “direct act” and whether the placenta is or is not considered a diseased organ separate from the baby.
That’s why I brought up “intent” before. If the intent is to kill the baby it is a direct abortion. It appears that in the Arizona case there was intent to kill the baby. This is not acceptable.

If the intent was to save the mother’s life and in doing so the baby died, the death of the baby is a horrible, tragic side-effect of the effort to save the mother’s life. In this case there is no direct abortion.

Intent is very important; not just in medical cases but all through our lives. I don’t think many people understand this. If a Catholic does not intend to commit a mortal sin, then a mortal sin is not committed. But if a Catholic knows that an act is a grave act and intends to commit the act anyway and does so, he/she has committed a mortal sin and had better atone and go to Confession or else will end up in a place which is not very nice.

If a person commits a mortal sin but intends to go to Confession but is killed before he/she is able to, he/she isn’t damned to hell.

Intent is very important. The Church teaches that direct abortion (the deliberate killing of an unborn baby) is a grave act. Maybe the physicians involved didn’t know this but relied on the conclusion reached by the Sister on the Ethics Committee. I know that many non-Catholic physicians work at Catholic hospitals. They can be misled.

As far as I know, no physician or staff member other than the Sister on the Ethics Committee was excommunicated. I don’t really blame the physicians.

But I stand by my statement that the USCCB needs to take some action to ensure that the staff at Catholic hospitals adhere to Church teaching. The USCCB is the organization which should be making the decision about whether the death of a baby is due to a direct abortion - not the physicians at the hospital and not a Sister on an Ethics Committee who doesn’t give the correct advice to the physicians.

Evidently Church teaching is being mis-translated in some hospitals (I wonder how many?) and steps must be taken to stop this sort of thing from happening, perhaps a more clearly-written protocol and some sort of teaching to make sure that protocol is understood.
 
This is where it gets really interesting…both the baby and the mother contribute to formation and functioning of the placenta. Pathology in the placenta can make them both sick and sickness in either of them can be made worse by normal or abnormal functioning of the placenta. I say all of this just to make the point that these are difficult decisions and medical personnel who wish to abide by Catholic principles may truly have difficulty with deciding what the right thing to do is.
How could normally functioning, non-diseased placenta be considered a pathology? Of course the mother contributes to the formation of the placenta, the mother contributes to the formation of the whole baby, this doesn’t cause the baby to be a parasite dependent upon the mother and void of rights attributable to an independent human being. That’s the whole abortion issue at it’s core.

Of course they’re difficult decisions, I dont’ have any doubt that the doctor’s in this case were trying to save the mother, and not sitting there saying, “hey, let’s do an abortion and see if we can get away with it.” But the Church still stands as the ultimate moral authority to a Catholic hospital and the Bishop holds that authority through the Magesterium. The Bishop does have the right to say, “This is the right thing to do.” He gave them the chance to agree with him, state that their actions were not in accordance with Church teaching and go on as a Catholic hospital. They refused to do this.
 
This is where it gets really interesting…both the baby and the mother contribute to formation and functioning of the placenta. Pathology in the placenta can make them both sick and sickness in either of them can be made worse by normal or abnormal functioning of the placenta. I say all of this just to make the point that these are difficult decisions and medical personnel who wish to abide by Catholic principles may truly have difficulty with deciding what the right thing to do is.
I’m sure the decision is very difficult, especially if the physicians involved are not Catholic but are practicing at a Catholic hospital.
 
This is where it gets really interesting…both the baby and the mother contribute to formation and functioning of the placenta. Pathology in the placenta can make them both sick and sickness in either of them can be made worse by normal or abnormal functioning of the placenta. I say all of this just to make the point that these are difficult decisions and medical personnel who wish to abide by Catholic principles may truly have difficulty with deciding what the right thing to do is.
Does a mother grow a placenta when there is no pregnancy? It was my understanding that the mother contributes to conception by providing an egg from her body but that the placenta actually grows from the fertilized egg / yolk sack. Is the genetic material consistent with the genetic code of the baby or the mother?
 
The National Catholic Bioethics Center has released a statement which should clarify some things. They state that they gave counsel to both CHW and the bishop regarding the abortion crisis. They very clearly explain the principle of double effect and how its criteria were not met for the procedure in question.

This case is especially dismaying to me, as I am a member of the Mercy Care Plan under AHCCCS. I have known for quite a while that they acted in conflict with Catholic ethics, as several times I received a notice that I was eligible to receive contraceptive products and counseling from them. I had assumed that this was something foisted upon them by the government in exchange for providing Medicaid health care.
 
Of course it happens in other hospitals, nationwide. There are legal ramifications to holding another person hostage to another’s religious beliefs in a true life-and-death emergency and watching them die, rather than administering physician prescribed (and very much legal) treatments as ordered. An elective procedure can be denied, and a patient can be transferred to another facility. This violates no one’s rights. However, in a true emergency which results in death if the prescribed treatment is not given, it is called negligence and malpractice and this will cost the hospital and all staff involved dearly. Imagine going into an emergency room bleeding out and being denied a blood transfusion because the staff caring for you are jehovah’s witnesses. Not going to happen. Just like blood transfusions, this treatment was legal. Imagine if the same patient in question is Jewish, in the same senario. Although the Jewish are opposed to abortion, they allow it in cirumstances where the woman’s life being in danger. It’s not against their religion. If one thinks the family will just lie down and take it and watch their wife/sister/mother/aunt/friend die because of someone else’s religious beliefs while the treatment is prescribed by the doctor, and is a legal treatment, they’re mistaken. Being a level one trauma center requires caring for patients as they come in to be treated for their condition. If one cannot handle that kind of situation, just like any other instution that doesn’t fit the profile of a “level” one, then their status has to be lowered and the patients simply diverted. A few of the articles written on the St. Joe’s case said that the patient was too sick to transfer out. They had a choice: treat the patient or send her out. They made their choice. No one wants to end up in a hospital that does not want to treat them. Being in a crisis in a hospital is a scary place to be. You have to trust those caring for you. When one goes to a hosptial, one expects to be treated with the standards of care for their situation. You can bet this happens in other hospitals, Catholic or secular. The problem with St. Joe’s is that they were doing other things too, such as providing sterilizations and contraceptives, which don’t usually happen in other Catholic facilities. Those are not life-and-death situations, but elective, and can be diverted to other facilities without ramifications, unlike the life-and-death situations.
With all due respect, your posts would be much easier to read and understand if you used paragraphs.

Just sayin’. 😊
 
Please provide documentation that a privately owned institution with no federal or state funding can be “forced” to do anything. There are regulations on what they can’t do, as in refuse treatment to someone coming into an ER, but they are still under control of what that treatment is. I’ll even remind you of President Bush’s provider “conscience” rule that is still in effect (though Obama would love to rescind it) that protects the right of individual providers to refuse to perform an act when employed by an institution that does receive federal funding. Yes the Catholic hospital is within their rights to refuse to perform an abortion, even one that may “save a mother’s lfie”.
If this hospital was a recipient of medicare and medicaid, which they are, they are government funded. I don’t know of any Catholic hospital that does not take medicare and/or medicaid.

As a nurse, I am not allowed to deny prescribed and legal care to a patient if they are in an emergency situation. I can try to get a replacement, but I cannot find a replacement, I cannot abandon my patient in their crisis or I will be fired and lose my license. If that patient is mine, I am responsible for carrying out the orders as prescribed in a true emergency.

One cannot refuse a life-saving procedure because it’s “against their religion” if it is a life-and-death emergency, and there is no one else to perform the procedure.

A JW cannot refuse a patient in crisis a blood transfusion. If there is no one else to help, and they are responsible for the patient, they have to do it or they are abandoning their patient and will lose their license. In this St. Joe’s case, the doctor was willing and the staff was willing, to do the procedure. The ethics committee was called, and the panel agreed that the procedure was necessary to save the woman’s life. If there was an unwilling party, they could have gotten a replacement if available. If there was no one available, they MUST stablize the patient and then they may transfer the patient to a facility — or perform the procedure, which they did. The conscience clause does not apply in a true emergency, only to elective procedures. No one has the right to deny legal and prescirbed treatment to someone in a medical crisis. They will get sued, and they will lose their case. Medical staff cannot sit and watch someone bleed out or die because the treatment goes against one’s grain. That’s why I think losing Catholic status was a good thing all the way around for this hospital, for its patients and its staff. Being a nurse who doesn’t want to be in that situation, I steer clear of OB so I don’t have to deal with those conflicts.
 
The National Catholic Bioethics Center has released a statement which should clarify some things. They state that they gave counsel to both CHW and the bishop regarding the abortion crisis. They very clearly explain the principle of double effect and how its criteria were not met for the procedure in question.

This case is especially dismaying to me, as I am a member of the Mercy Care Plan under AHCCCS. I have known for quite a while that they acted in conflict with Catholic ethics, as several times I received a notice that I was eligible to receive contraceptive products and counseling from them. I had assumed that this was something foisted upon them by the government in exchange for providing Medicaid health care.
I’m sorry. That’s just awful. 😦
 
If this hospital was a recipient of medicare and medicaid, which they are, they are government funded. I don’t know of any Catholic hospital that does not take medicare and/or medicaid.

As a nurse, I am not allowed to deny prescribed and legal care to a patient if they are in an emergency situation. I can try to get a replacement, but I cannot find a replacement, I cannot abandon my patient in their crisis or I will be fired and lose my license. If that patient is mine, I am responsible for carrying out the orders as prescribed in a true emergency.
You are responsible for carrying out the orders, not for issuing the orders. And if you are aware that a direct abortion is being performed it is your duty as a Catholic to refuse to participate, even in a secular hospital. Maybe you would be fired. Maybe you would lose your license (although I doubt it). That’s called persecution and as Catholics we should rejoice in such.
One cannot refuse a life-saving procedure because it’s “against their religion” if it is a life-and-death emergency, and there is no one else to perform the procedure.
A Catholic doesn’t take off her “Catholic” uniform when she leaves Mass. She stands up for her faith even if it’s under great pressure. There was more than one life involved here: there was the life of the mother, the baby, and the eternal life of those and everyone who participated.
A JW cannot refuse a patient in crisis a blood transfusion. If there is no one else to help, and they are responsible for the patient, they have to do it or they are abandoning their patient and will lose their license. In this St. Joe’s case, the doctor was willing and the staff was willing, to do the procedure. The ethics committee was called, and the panel agreed that the procedure was necessary to save the woman’s life. If there was an unwilling party, they could have gotten a replacement if available. If there was no one available, they MUST stablize the patient and then they may transfer the patient to a facility — or perform the procedure, which they did. The conscience clause does not apply in a true emergency, only to elective procedures. No one has the right to deny legal and prescirbed treatment to someone in a medical crisis. They will get sued, and they will lose their case. Medical staff cannot sit and watch someone bleed out or die because the treatment goes against one’s grain. That’s why I think losing Catholic status was a good thing all the way around for this hospital, for its patients and its staff. Being a nurse who doesn’t want to be in that situation, I steer clear of OB so I don’t have to deal with those conflicts.
Do you have any documentation which shows that a Catholic hospital can be forced to perform procedures which are violations of Church teaching? Steering clear of OB may be a good idea, but what if you work in the state of Oregon? Would you participate in euthanasia? That doesn’t just happen in OB.
 
If this hospital was a recipient of medicare and medicaid, which they are, they are government funded. I don’t know of any Catholic hospital that does not take medicare and/or medicaid.

As a nurse, I am not allowed to deny prescribed and legal care to a patient if they are in an emergency situation. I can try to get a replacement, but I cannot find a replacement, I cannot abandon my patient in their crisis or I will be fired and lose my license. If that patient is mine, I am responsible for carrying out the orders as prescribed in a true emergency.

One cannot refuse a life-saving procedure because it’s “against their religion” if it is a life-and-death emergency, and there is no one else to perform the procedure.

A JW cannot refuse a patient in crisis a blood transfusion. If there is no one else to help, and they are responsible for the patient, they have to do it or they are abandoning their patient and will lose their license. In this St. Joe’s case, the doctor was willing and the staff was willing, to do the procedure. The ethics committee was called, and the panel agreed that the procedure was necessary to save the woman’s life. If there was an unwilling party, they could have gotten a replacement if available. If there was no one available, they MUST stablize the patient and then they may transfer the patient to a facility — or perform the procedure, which they did. The conscience clause does not apply in a true emergency, only to elective procedures. No one has the right to deny legal and prescirbed treatment to someone in a medical crisis. They will get sued, and they will lose their case. Medical staff cannot sit and watch someone bleed out or die because the treatment goes against one’s grain. That’s why I think losing Catholic status was a good thing all the way around for this hospital, for its patients and its staff. Being a nurse who doesn’t want to be in that situation, I steer clear of OB so I don’t have to deal with those conflicts.
When you say “prescribed” are you referring to the direct order of a particular physician or the existence of a “code” within medical ethics that would automatically render a procedure, first of all life-saving, and then the only life-saving procedure? I’m asking because one, I don’t know, and two, if it is the first, it would seem to rest in the hands of the doctor and his/her opinion.
 
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