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John Skalko
If Food and Water Are Proportionate Means, Why Not Oxygen?:
Comparing Food and Water by Tube to the Use of Ventilator Support
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Providing food and water, even by tube, is in principle an ordinary and proportionate means of preserving life. The Congregation for the Doctrine of the Faith made that clear in its August 1, 2007, statement on the matter. However, a pressing question remains: What about oxygen? Food and water are necessary for life. Is not oxygen equally necessary? So why did the CDF not also declare the use of a mechanical ventilator to be in principle an ordinary and proportionate means of preserving life? Conversely, if the use of a ventilator is extraordinary means, then why is the artificial provision of food and water proportionate means? Is there an inconsistency here? The author argues that there is not. National Catholic Bioethics Quarterly 13.3 (Autumn 2013): 453–467.
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Robert L. Kinney III, PharmD
The Duty of the Homosexually Inclined Physician:
Disclosure before Care
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The last several years have been marked by a seemingly increasing numbers of individuals with homosexual inclinations. There are consequences to society-wide increases in disordered dispositions, and this paper presents one such consequence. Patients often enter the physician–patient relationship basedon the physician’s “sexual preference.” In order to avoid sexual misconduct from a physician, patients often choose physicians that are not inclined to be sexually attracted to the patient. It is often assumed that a patient can infer a physician’s sexual inclinations by his or her gender, but this is not the case. Due to the inability to determine a health care professional’s “sexual preference” by their gender, a physician has a duty to disclose this information prior to care. National Catholic Bioethics Quarterly 13.3 (Autumn 2013): 445–450.
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Edward J. Furton, MA., PhD.
In This Issue
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Colloquy
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Christopher Kaczor
Philosophy and Theology
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Edmund F. Haislmaier
The Complexities of Providing Health Insurance
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Societies have an obligation to ensure that their citizens have access to health care, but there are disagreements over how this system should be structured. The most contentious issue centers on the morality of specific therapies or actions. In this essay, the author examines the influence of the Patient Protection and Affordable Care Act on private employer health plans. He concludes that the Church’s teaching on the inherent dignity and worth of every human life should be the guiding principle for assessing the relative merits of differing approaches to constructing a comprehensive and equitable system for financing and delivering medical care. The patient’s conscience should be primary. National Catholic Bioethics Quarterly 13.3 (Autumn 2013): 419–426.
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Matthew Levering
One Body: An Essay in Christian Sexual Ethics by Alexander Pruss
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Jason T. Eberl
Enhancing Human Capacities edited by Julian Savulescu, Ruud ter Meulen, and Guy Kahane
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Nicholas Tonti-Filippini
Chimera’s Children: Ethical, Philosophical and Religious Perspectives on Human Experimentation edited by Calum MacKellar and David Albert Jones
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Katarina Lee
Consistently Opposing Killing: From Abortion to Assisted Suicide, the Death Penalty, and War edited by Rachel M. MacNair and Stephen Zunes
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Greg F. Burke, MD
Medicine
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Pope Francis
Address to a Meeting Organized by the International Federation of Catholic Medical Associations:
September 20, 2013
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Medicine Abstracts
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Rev. Robert E. Hurd, SJ, MD
A Century of Eugenics in America: From the Indiana Experiment to the Human Genome Era edited by Paul A. Lombardo
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William L. Saunders
Washington Insider
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Francis Beckwith
On Making the Case for Life:
St. Peter’s Counsel to Always Be Ready
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In Evangelium vitae, Pope John Paul II writes that the culture of death is the consequence of society embracing a “positivist mentality.” Given both where the Church is culturally situated as well as her call for a New Evangelization, this article offers a critique of positivist mentality that attempts to draw out of its advocates the natural law that is “written in the heart.” This critique includes an analysis of the article “After-Birth Abortion: Why Should the Baby Live?” authored by Alberto Giubilini and Francesca Minerva and published in 2013 in the Journal of Medical Ethics. National Catholic Bioethics Quarterly 13.4 (Winter 2013): 601–609.
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Mathew Lu
Contraception, Abortion, and the Corruption of Medicine
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The Obama administration’s HHS mandate to force Catholic and other religious organizations to provide insurance coverage for morally objectionable practices has been the source of a great deal of controversy. While the religious liberty question has received the most attention, the mandate reveals a yet deeper problem in the mainstream acceptance of contraception and even abortion as normal parts of medical practice. The author argues that these practices constitute a deep corruption of medicine itself, away from its original meaning as a kind of restorative justice grounded in a substantive understanding of the human good and toward a formalist emphasis on preference satisfaction and patient autonomy. National Catholic Bioethics Quarterly 13.4 (Winter 2013): 625–633.
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Luke Murray
Craniotomy versus Lethal Self-Defense
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It can be confusing to define the object of an action because it may be unclear if there is a per se or a per accidens order to the end. Three common difficulties in distinguishing between these are that the per se ordering must be either in the nature of the end or in the act, that this ordering to an end is a real and not merely a logical one, and that technology has a tendency to ignore the teleology of natures by breaking things down to their parts for manipulation. Having drawn these distinctions, craniotomy is then compared to lethal self-defense. National Catholic Bioethics Quarterly 13.4 (Winter 2013): 611–616.
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Edward J. Furton, MA., PhD.
In This Issue
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The National Catholic Bioethics Quarterly:
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Rev. Nicanor Pier Giorgio Austriaco
Science
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