Here is an excellent article on the subject
Written by a very experienced priest.
Actually, I could hardly disagree more with the theses of the author…as one who taught this sacrament, as one who worked with our seminarians and our young priests on the practicalities of when to administer or refrain from administering this sacrament and finally as one who was entrusted with the mandate of pastoral care in health care settings by my bishop
This author’s thoughts clearly derive from an adhesion to a mindset that antedates where we are in the 21st century regarding this sacrament. His appeal to re-visit this sacrament is out of step with the consensus in the theological community, which continues to reflect on this sacrament but, happily, in a very different direction from that of the author
His criticism of his national conference of bishops decision is also disturbing
I frankly find his conclusions, for the most part, as false as many of his premises
How much preferable is the mind of Archbishop DiNoia, the Adjunct Secretary of the Congregation for the Doctrine of the Faith, and his co-author, Father Joseph Fox who was professor at a Pontifical University, in an article that I cited in my own lectures
2. The revised rite of the Sacrament of Anointing clearly intends to encompass a range of ‘‘moments’’ between serious illness and preparation for death, and thus to recover the elements of prayer for healing present in the most ancient traditions of the celebration of the Anointing of the Sick. The liturgical renewal of this sacrament has involved a deliberate attempt to distinguish and highlight its healing effect, after centuries of emphasis (in the view of some theologians and liturgists, an overemphasis) on its role precisely as ‘‘Extreme Unction’’ and therefore as preparation for death. While in the past, the Sacrament of Anointing tended to be conferred only once (like other sacraments involving anointing, viz., Baptism, Confirmation, and Orders) when death was thought to be imminent, it can now be repeated several times during a particular illness which, although serious, does not result in death, or during the period of old age which, because of medical advances, increasingly extends over many years.
This, from the archbishop, situates us where the theological community, particularly with thanks to pastoral theology, finds itself today in terms of reflection about and usage of this sacrament. In contrast to the author who calls for a movement that would be toward a return to an era that we have moved away from for very good reason
Personally, I’m very grateful, both as theologian and priest, to have seen what has beautifully happened with this sacrament since its renewal and reform at the behest of the Second Vatican Council with, as the archbishop says, an emphasis on its healing effects. After all, James asked “Are there people sick among you?”…not “Are there people among you facing imminent death?”
As one who worked in this field across decades, I have to add how bizarre I find the author’s focuses…for example regarding anesthesia. A patient receiving anesthesia is receiving anesthesia to undergo a medical procedure. It’s the medical procedure, not the administration of anesthesia, that would prompt – correctly – the administration of the sacrament
Or his thesis that the use of this sacrament can increase a fear of death in the patient. Not if the sacrament is being properly presented using contemporary theology and not an outdated thought! If one’s approach to this sacrament is, in reality, that of trying to turn back the clock, on the other hand…
This “fear of death argument” is truly astonishing since, of course, the emphasis after the Council is that this is a sacrament of
healing. Such a mindset as the author evinces about the anointing of the sick is analogous to seeing a hospital as though it is a place one primarily goes to die. Thankfully, in the 21st century, that is no longer the case
It is quite proper that the sacrament be seen firstly – and precisely – as a sacrament for physical as well as spiritual healing. The prayers of the revised and reformed rite are oriented to that end…with, from the variety of options prayers to be chosen, selections that are most suitable when death appears imminent or inevitable. Those compositions are very different from, for example, the prayer to be used when the patient is undergoing an operation or invasive medical procedure
I would conclude with a personal note…I’m myself the recipient of this sacrament. Repeatedly. No one should dare have the temerity to suggest that, as a theologian and priest, I do not have an understanding of the theology of this sacrament or am unable to judge the appropriateness of my requesting and receiving it
On the occasions when I have been rushed to hospital, I am quickly asking upon arrival to be anointed. I am very grateful – not only for the medical care but also for the pastoral care – that has seen me pass through serious medical situations, aided in the hospitalisation and in my daily life
by the graces of this sacrament including living the trials and vicissitudes of advanced age. Thus, when there is a period of months when I have not been hospitalised, I seek out the sacrament – as I will on World Day of the Sick this coming February 11th
It requires a very great thoughtfulness, attentiveness, reflection and, actually, I would say pastoral sensitivity that appreciates that how people age and come to be elderly and how people subjectively experience the burden of their physical body’s failing requires a different pastoral approach from one person to another