When is breaking the law moral?

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Tonight’s hypothetical situation is brought to you by classic E.R. I just finished watching an episode and would like to pose a question to you all.

Background: Set in Chicago, the young lady was 8 months pregnant and was submitted to the E.R. with a single stab wound to the womb. The knife damaged the placenta and would cause the baby to sufficate if not delivered. While initially shocked to discover she was pregnant and later passed the psych exam, this woman refused to allow a c-section to save the child. In the last second, the doctor Luca Kovach, came very close to delivering the child anyways without the consent of the mother. He then stopped after another doctor aggressively reminded him that he would lose his license if he continued. The child died.

Question: Is this moral? Would he have been justified to violate hospital policy and state laws if it ment he saved the child’s life? Or should one always obey the laws of man first and foremost?
 
First of all, there are a lot of problems when people stick these extraordinary and sensational medical senarios from ER and TV programs like it into an ethical analysis. All it does it gets people upset and milling over things that they don’t need to worry about.

That said, in order for someone to undergo a medical procedure, they have to give their consent. Unless a patient is not competent, they have the right to refuse, or consent to, any medical treatment without coersion. The physician and the hospital cannot force a procedure on a compentent adult who refuses the treatment. The woman in the ER episode, as you said above, was evaluated by psych and was found to be competent. Therefore, she had the right to refuse treatment. And the physician has no right to force her to undergo a treatment for which she has not given her consent freely, and in fact, outright refused.

In order for the physician to carry out a procedure against the will of the patient, he would haveto physically and chemically restrain them, violate them, and force them to undergo the treatment. In the CCC, it says you can’t commit evil in order to do good. So in your senario, breaking the law would not be moral. People are not animals, and they can’t be treated as such. They have the right to refuse or consent to medical treatment without being physically and chemically restrained, or coerced.

But I don’t really understand your senario. A woman who is 8-months pregnant gets stabbed in the uterus and a damaged placenta…Why did she refuse a C-section when they were going to be in there anyway repairing the wound? If she was compenent, then what was the purpose of refusing? I mean, the only result is to give birth to a stillborn baby. What treatment did she actually consent to receiving? How did they repair her stab wound to the uterus and damaged placenta? You said the baby died…how was it removed afterwards? I don’t get why it all wasn’t done together at the same time? Was she just waiting for the baby to die? I don’t get it… 🤷
 
Oh. See I was reading the other day about the rules of the Sabbath and how the Jews could break any of the laws if it ment a life would be saved. In fact, the law compels them to save a life.

Sure the CCC does say one can’t commit a great evil to do good, but it also says there can be exceptions like self-defense. So you can see I wasn’t so sure about the how one would approach the situation I said above.

As for the situation, apparently she only needed stiching and not major surgery. She was apparently terrified that her parents would find out and that she couldn’t possibly be pregnant. Apparently 18 if I recall correctly. Anyways, that’s why she refused. Personally, I don’t think she was ever convinced that it was indeed a child even though Kovach tried to guilt her by saying it was a boy and such.
 
Tonight’s hypothetical situation is brought to you by classic E.R. I just finished watching an episode and would like to pose a question to you all…

The child died.

Question: Is this moral? Would he have been justified to violate hospital policy and state laws if it ment he saved the child’s life? Or should one always obey the laws of man first and foremost?
In the Catholic Catechism, at 1776, we are told * “Deep within his conscience man discovers a law which he has not laid upon himself but which he must obey. Its voice, ever calling him to love and to do what is good and to avoid evil, sounds in his heart at the right moment.**…”* The “Law” to which this passage is referring is the Natural Law, written onto the hearts of men by God. Then at 1777 we are told* " Moral conscience, present at the heart of the person, enjoins him at the appropriate moment to do good and to avoid evil…"

*So, in other words, it is expected that we will know when man made laws, regulations, directions and edicts are morally wrong. Most of us would intuitively know that allowing the baby to die in the ER scene as given to us by the OP, is “not fair”, or “horrible”, or just plain “wrong”. We could argue for hours and hours over what constitutes “wrong” in this scenario and in any other. However, the main point is, what should we do if and when we are confronted by a law, an edict, a proclamation, or a rule, that almost forces us to do something which we intuitively know is wrong? Do we measure up the harm that will be done if we acquiesce with a ‘bad’ law? For instance we might be required to do X and we know that if we do X someone will losen their job. However, we can tell ourselves, well, that isn’t so bad, because I get to keep mine by not rocking the baot and the other person will find another job sooner or later, so I may as well do X, even though X is wrong. Or, what if I do X and the result is permanent and irreversable, such as the death of the baby in the scenario given us by the OP? The principle in question is the same, which is, should an unjust law be obeyed? If we analyse the consequences, it all seems a bit utilitarian, haphazard and reeks of moral expediency.

Or, if we see a law, an edict, a promulgation, a rule, that we intuitively know is ‘bad’ , should we ignore it and disobey it if necessary? If we go on to the Catechism at** 1780, we are told that ** "The dignity of the human person implies and requires uprightness of moral conscience. Conscience includes the perception of the principles of morality (synderesis); their application in the given circumstances by practical discernment of reasons and goods; and finally judgment about concrete acts yet to be performed or already performed. The truth about the moral good, stated in the law of reason, is recognized practically and concretely by the* prudent judgment of conscience. We call that man prudent who chooses in conformity with this judgment."

*That passage tells us we must exercise prudent use of our reason. In the scenario given us by the Op, the baby was going to die because of the actions of a third person, not because of the actions of the doctor. The baby would live because of the intervention of the doctor, but not die because of the actions of the doctor. So, was the doctor prudent in acquiescing with the rule of the hospital? After all, he kept his license. Or did he violate a basic moral edict that says he should act to save a life?

The question is, when push comes to shove, should we obey the law of the land, regardless of its moral content, or should we make a stand aginst those man made laws which we discern to be immoral?

Personally, I’d have told the hospital to go shove their stupid rule, but afterwards, when my license has been revoked and my name trashed and I can’t pay the mortgage, nor feed the wife and kids, I might see my action as imprudent. 🤷
 
We are required to disregard an unjust and/or immoral law. In this case, allowing a child to die demonstrates that the law is unjust in that regard.
 
There was an immoral act committed in this scenario, but it was the not the doctor who committed it. The 18 yo mother who committed the immoral act.
 
The absurdity here is that so many see this as an immoral act but see it as completely acceptable for the mother to ask the doctor to kill her child for her. In both cases the doctor helped with her abortion. Both are immoral.
 
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