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Friday, April 16, 2004
NAH
THE bat^
Catholic hospitals reassui.
patients after pope’s recej
feeding tube announcemei
By Jim Suhr
THE ASSOCIATED PRESS
Healing the body and heeding the
ST. 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
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