Should the Government or the Patient Decide What is Medically Necessary

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I seem to recall that Pope John Paul II declined artificial nutrition/ hydration even the he himself declared it “ordinary”. Does that make him immoral? Certainly not. It was his choice to consider the benefits and the burdens. Generally speaking, the patient should decide. But if it is unreasonable, that is another question.
 
I seem to recall that Pope John Paul II declined artificial nutrition/ hydration even the he himself declared it “ordinary”. Does that make him immoral? Certainly not. It was his choice to consider the benefits and the burdens. Generally speaking, the patient should decide. But if it is unreasonable, that is another question.
But it was John Paul II’s choice. The Church teaches the patient has the choice (as long as it’s not passive euthanasia).

Because the boy was unable to make the decision, it should have been the parent’s decision.

No one will change my mind on that one.
 
http://www.vatican.va/roman_curia/c..._con_cfaith_doc_20070801_risposte-usa_en.html
CONGREGATION FOR THE DOCTRINE OF THE FAITH

RESPONSES TO CERTAIN QUESTIONS
OF THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS
CONCERNING ARTIFICIAL NUTRITION AND HYDRATION

First question: Is the administration of food and water (whether by natural or artificial means) to a patient in a “vegetative state” morally obligatory except when they cannot be assimilated by the patient’s body or cannot be administered to the patient without causing significant physical discomfort?

Response: Yes. The administration of food and water even by artificial means is, in principle, an ordinary and proportionate means of preserving life. It is therefore obligatory to the extent to which, and for as long as, it is shown to accomplish its proper finality, which is the hydration and nourishment of the patient. In this way suffering and death by starvation and dehydration are prevented.

Second question: When nutrition and hydration are being supplied by artificial means to a patient in a “permanent vegetative state”, may they be discontinued when competent physicians judge with moral certainty that the patient will never recover consciousness?

Response: No. A patient in a “permanent vegetative state” is a person with fundamental human dignity and must, therefore, receive ordinary and proportionate care which includes, in principle, the administration of water and food even by artificial means.

The Supreme Pontiff Benedict XVI
 
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This isn’t necessarily applicable to a person who was just plugged out of life support and is dying, as has been established.

This is for people who would in fact starve to death without food because they don’t need a life support machine to keep their body alive.
 
Alfie was not in a “permanent vegetative state”.

Terri Schiavo was.

Alfie’s brain was degenerating. CT and MRI scans showed severe neurological breakdown.

As an example, Terri Schiavo - while she had brain damage - did not have degenerative, irreparable…I’ll say it…what amounted to decay of brain tissue.

You are comparing apples to oranges in a clinical sense, because their conditions are not even remotely related.
This isn’t necessarily applicable to a person who was just plugged out of life support and is dying, as has been established.

This is for people who would in fact starve to death without food because they don’t need a life support machine to keep their body alive.
This. Terri Schiavo was not on mechanical ventilator support. She could breathe very easily on her own.

Alfie died because his heart stopped beating because he had severe loss of brain function, and could not breathe on his own, along with I’m sure other medical problems. HIs brain was degenerating to the point loss of brain tissue was visible on CT scan. Terri Schiavo - as far as I know - died because she starved/dehydrated to death.

I’m going to say this one more time:

Alfie did not starve to death. He did not die of dehydration. He wasn’t even close to having either thing happen to him. Not even remotely.
 
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I never mentioned Terri Schiavo.
I merely posted Catholic teaching.
 
Nope - didn’t say you did.

But she is the best example of what that teaching ACTUALLY addresses. She is known and her condition is known.

SHE is what fits that teaching.

Not this child.
 
Terri Schiavo - while she had brain damage - did not have degenerative, irreparable…I’ll say it…what amounted to decay of brain tissue.

You are comparing apples to oranges in a clinical sense, because their conditions are not even remotely related.
???
 
No, not “???”.

I totally used her as an example. Just like I said above.

She fits that teaching. Not the Alfie case. That teaching does not address his situation. It addresses hers and those like her. She happens to be the best known example, so I mentioned her. Easy stuff.

I’ll go stick a “for example” in there, because for some reason the parallel is not being drawn.
I_trust said:
You said I was comparing apples to oranges.
Oh good heavens.

YES, because that teaching does not fit the Alfie case. It fits a different type of case - of which Schiavo is the best known example.

The teaching does not apply to Alfie. That does not fit his history.

Easy parallel - or so I thought.
 
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I’m sure there’s some middle-ground. The patient’s autonomy should always come first. But sometimes the finances come first. Sometimes politics come first. Sometimes none of that comes first.

With a small little infant it’s tricky. They aren’t agents, and can’t make decisions. But a family has no right to make decisions that hurts an infant either - I can’t make the decision to inflict pain on my baby because I think it’s funny.

I don’t know enough about the case, but if the parents are willing to pay the costs, and it doesn’t cause the baby to suffer, I don’t see why they couldn’t keep at it. But if the parents want to foot the bill an it causes the child to suffer without reasonable hope of recovery, I’m not so sure.

I know my Grandmother’s advanced directive says no more ventilation tubes if she needs it. Even IF she has a hope of recovery. Now I would say the discomfort of the ventilator is worth saving her life, if it’s needed. But she disagrees. And she gets to choose.
 
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I would appreciate it if you did not add a quote from me to an earlier post.
If you wish to respond to my comment then please add a new post.
It confuses the conversation and make it look as though I posted the comment after your response.
 
It was an accident. It wasn’t deliberate. The post popped and I wasn’t thinking when I snipped it.

It’s 2330 where I am…I’m going to bed. Good night.
 
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I don’t know enough about the case, but if the parents are willing to pay the costs, and it doesn’t cause the baby to suffer, I don’t see why they couldn’t keep at it. But if the parents want to foot the bill an it causes the child to suffer without reasonable hope of recovery, I’m not so sure.
The parents would’ve had no way to pay the bill.

The bill wasn’t the issue. It didn’t have anything to do with the expense. The fact that the care was no longer helping was the issue. He also wasn’t stable enough to fly, which would be another problem.
 
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I don’t know why you are getting so defensive.
I have always tried to respond in a respectful manner.

I do not agree that the teaching does not apply in Alfie’s case.
I respect that you have medical expertise, but that does not necessarily equate to being an expert on Church teaching or on bioethics.
 
I do not agree that the teaching does not apply in Alfie’s case.

I respect that you have medical expertise, but that does not necessarily equate to being an expert on Church teaching or on bioethics.
But this doesn’t have a thing to do with the teaching or bioethics. Not being funny, but I can read what was written and easily apply it to medicine - and it’s not a valid application here. It’s just not - because as I said, it’s not his medical condition. That is a Terri Schiavo-type situation. Not an Alfie situation.

The principles in that teaching don’t apply medically to this child. In any way, shape, or form.
 
Was the treatment considered painful? Or would horrible pain be caused in continuing? Again I don’t know what the legal reasoning was for withdrawing care.

“We can save your baby, but he’ll always be in a coma feeling like he’s on fire” isn’t an acceptable solution to me, even if the parents wanted it. (not saying that was the situation, that was just an example for the point)
 
I’m not trying to be difficult here, but all of that is all over the news, it’s in the official documents released by the hospital, it’s been discussed from all corners.

The reasons for withdrawing care are out there in the public domain. I can’t keep rehashing them - they’re out there, they’re even in multiple threads. Those you will have to read for yourself.
“We can save your baby, but he’ll always be in a coma feeling like he’s on fire”
They could not save him. There was no reversing his condition. His brain - essentially was rotting away. There was no further care to be done. There was no changing the outcome.

Was he in pain? I don’t have his chart, I can’t see test results, I can’t see neurological reports. I don’t know.

The team did, and they acted on whatever the information at hand was.
 
Well Catholic bioethicists have weighed in on this case, including a spokesman for the National Catholic Bioethics Center and have concluded that the hospital had overstepped it’s authority by ordering Alfie’s nutrition and hydration removed.

So I guess others who are authorities on Catholic bioethics disagree that this is not a case involving bioethical issues.
 
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