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(cont.)

 

I. The Consistent Ethic of Life

     Although the consistent ethic of life needs to be finely tuned and carefully structured on the basis of values, principles, rules and applications to specific cases, this is not my task this afternoon. I will simply highlight some of its basic components so that I can devote adequate attention to its application to health care systems and the issues they face today.
     Catholic social teaching is based on two truths about the human person: human life is both sacred and social. Because we esteem human life as sacred, we have a duty to protect and foster it at all stages of development, from conception to death, and in all circumstances. Because we acknowledge that human life is also social, we must develop the kind of societal environment that protects and fosters its development.
     Precisely because life is sacred, the taking of even one human life is a momentous event. While the presumption of traditional Catholic teaching has always been against taking human life, it has allowed the taking of human life in particular situations by way of exception—for example, in self-defense and capital punishment. In recent decades, however, the presumptions against taking human life have been strengthened and the exceptions made ever more restrictive.
     Fundamental to this shift in emphasis is a more acute perception of the multiple ways in which life is threatened today. Obviously such questions as war, aggression and capital punishment have been with us for centuries; they are not new. What is new is the context in which these ancient questions arise, and the way in which a new context shapes the content of our ethic of life.
     One of the major cultural factors affecting human life today is technology. Because of nuclear weapons we now threaten life on a scale previously unimaginable—even after the horrible experience of World War II. Likewise, modern medical technology opens new opportunities for care, but it also poses potential new threats to the sanctity of life. Living, as we do, in an age of careening technological development means we face a qualitatively new range of moral problems.
     The protection, defense and nurture of human life involve the whole spectrum of life from conception to death, cutting across such issues as genetics, abortion, capital punishment, modern warfare and the care of the terminally ill. Admittedly these are all distinct problems, enormously complex, and deserving individual treatment. No single answer and no simple response will solve them all. They cannot be collapsed into one problem, but they must be confronted as pieces of a larger pattern. The fact that we face new challenges in each of these areas reveals the need for a consistent ethic of life.
     The pre-condition for sustaining a consistent ethic is a "respect life" attitude or atmosphere in society. Where human life is considered "cheap" and easily "wasted," eventually nothing is held as sacred and all lives are in jeopardy. The purpose of proposing a consistent ethic of life is to argue that success on any one of the issues threatening life requires a concern for the broader attitude in society about respect for life. Attitude is the place to root an ethic of life. Change of attitude, in turn, can lead to change of policies and practices in our society.
     Besides rooting this ethic in societal attitude, I have demonstrated, in a number of recent addresses, that there is an inner relationship—a linkage— among the several issues at the more specific level of moral principle. It is not my intention to repeat these arguments today.
     Nevertheless, I would like to examine briefly the relationship between "right to life" and "quality of life" issues. If one contends, as we do, that the right of every unborn child should be protected by civil law and supported by civil consensus, then our moral, political and economic responsibilities do not stop at the moment of birth! We must defend the right to life of the weakest among us; we must also be supportive of the quality of life of the powerless among us: the old and the young, the hungry and the homeless, the undocumented immigrant and the unemployed worker, the sick, the disabled and the dying. I contend that the viability and credibility of the "seamless garment" principle depends upon the consistency of its application.
     Such a quality-of-life posture translates into specific political and economic positions—for example, on tax policy, generation of employment, welfare policy, nutrition and feeding programs and health care. Consistency means we cannot have it both ways: we cannot urge a compassionate society and vigorous public and private policy to protect the rights of the unborn and then argue that compassion and significant public and private programs on behalf of the needy undermine the moral fiber of society or that they are beyond the proper scope of governmental responsibility or that of the private sector. Neither can we do the opposite!
     The inner relationship among the various life issues is far more intricate than I can sketch here this afternoon. I fully acknowledge this. My intention is merely to bring that basic linkage into focus so I can apply it to the issues facing health care systems today.

 

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