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About The Battalion. (College Station, Tex.) 1893-current | View Entire Issue (April 16, 2004)
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LOUIS — Roman Catholic hospitals are reassuring patients they’ll honor living wills in the wake of a papal pro nouncement that hospitals should never remove feeding tubes from patients in persistent vegetative states. In a talk March 20, Pope John Paul II said that feeding and hydrating such patients is “morally obligatory” — and that withdrawing feeding tubes con stitutes “euthanasia by omis sion." Since then. American bish ops, theologians and ethicists have been studying the issue closely to see what the pope's words will mean for hospital operations in the United States. For now, many hospitals are deferring to the “Ethical and Religious Directives for Catholic Health Care Services” — commonly called ERDs — outlined by the U.S. Conference on Catholic Bishops. According to those guide lines, feeding tubes for people in chronically vegetative states are “medical treatment” that can be continued or halted based on the benefits and burdens for patient and family. Such guidelines call for following directives set out in advance by people who do not want life-prolonging medical treatments — as long as the person's wishes don’t conflict with Catholic moral teachings, including the church's ban on euthanasia. The pope’s remarks came during a Vatican symposium on caring for people who are inca pacitated. They are significant but do not carry the weight of an Many clinical and ethical policy decisions at Catholic hospitals made in accordance with the religion’s moral teachings, There^ nearly 6.000 such hospitals worldwide. Catholic hospitals around the world Europe 1,330? North America 1,049 South America 897 Africa 819 Worldwide total 5.853 SOURCES 2003 l ac; U.S Conference of Catholc Bishops encyclical — the Vatican’s most authoritative level of teaching, reserved for matters of extreme importance to the church. “We have to figure out more specifically what he meant and the implications. I think it’s too soon to tell; there are a lot of fil ters to ge hospitals have honored living wills since the U.S. Supreme Court ailed in 1990 that vegetative patients could be allowed to die if there was “clear and convincing” evi dence that was their wish. In recent years, the issue had been stoked by the Florida right- to-die legal battle over Terri Schiavo. the severely brain damaged woman whose hus band wants to have her feeding tube removed against her par ents’ wishes. In a so-called vegetative state, patients are awake but not aware of themselves or their environment. The condi tion is different from a coma, in which the patient is neither awake nor aware. But both are states in which the pat devoid of consciousness. A vegetative state is era ered persistent if it lasts a than a month. After a year called permanent. Providing food and such patients should be c® ered natural, ordinary andptos tional care — not artificial a ical intervention, the popek “As such, it is raor: obligatory” to continue care, he said. The pope said famifc such ill people needed emotional and economic port, so that they can bettei for their loved ones. Gerard Magill, exectr director of Saint h University’s Center for k Care Ethics and Ha Sciences, cast the popes? nouncement as “a clarifkar a helpful nuance, that is w threat to Catholic health at. “There are people ri into the doomsdayscena/jo, I think they're »ijwg,>s THE SE( South n tigh tary reshap United North future Roh M Rof seat ir Assem seen a on the Roh h the pr< fares p The introdi ing pa tions ; tions v United Dor lives, checke goverr shape indepe States, al ally, with h 1- to