Where's the Dignity in Euthanasia?

A couple of days ago I posted about the California legislature seeking to legalize physician-assisted suicide in the state. While many of the pro-euthanasia crowd relies on the catch phrase "death with dignity," actively ending a person's life doesn't dignify either one's respect for life or the personhood of the patient.

Kenneth Samples explains that there are two categories of euthanasia and the distinction between them is key:

In active euthanasia, an agent intentionally and actively takes the life of a terminally ill patient. This might be done either by the patient himself or herself (suicide) or with the assistance of someone else (possibly a physician, family member, or friend). Active euthanasia produces or causes death. This means that the patient's death results not from the terminal illness itself but from the specific act of euthanasia (such as a lethal dose of medication or gunshot).

In passive euthanasia, an agent allows a terminally ill patient to die naturally without intervening, usually by withholding or withdrawing life-sustaining (artificial or extraordinary) treatment. Passive euthanasia permits death to take its natural course but does not actually cause death itself.1

Samples then notes that since active euthanasia is the intentional taking of a life, it is something that falls into the exclusive domain of God and is rejected by Christianity as immoral:

What is the traditional Christian view of euthanasia? Most theologians and ethicists affirm the active-passive distinction from both a logical and a moral standpoint. Active euthanasia, however, is viewed as morally offensive and unacceptable (virtual homicide). It is condemned because it violates the scriptural principle that prohibits the intentional taking of innocent human life (Exod. 20:13; Deut. 5:17). Many Christian ethicists believe that given the state of human sinfulness (original sin, total depravity; see Pss. 51 :5; 58:3; Prov 20:9), active euthanasia weakens respect for human life and sets a dangerous precedent for humanity.2

I agree with this assessment We are woefully flawed beings and are far too capable of misusing such power, even if the original intentions are to alleviate suffering. The problem with the active form of euthanasia /physician-assisted suicide patients can be manipulated into either thinking that they are a burden to their families or that they would be "better off" dead.

Safeguards Don't Protect Patients

In a 2011 article in the medical journal Current Oncology, Dr. Jose Pereira notes that while both the Netherlands and Belgium has euthanasia laws that require the request to be "voluntary, well-considered, informed, and persistent over time. The requesting person must provide explicit written consent and must be competent at the time the request is made."3 Yet, Pereira reports these haven't been effective in guarding against abuse:

Despite those safeguards, more than 500 people in the Netherlands are euthanized involuntarily every year. In 2005, a total of 2410 deaths by euthanasia or psa [Physician Assisted Suicide] were reported, representing 1.7% of all deaths in the Netherlands. More than 560 people (0.4% of all deaths) were administered lethal substances without having given explicit consent 7. For every 5 people euthanized, 1 is euthanized without having given explicit consent. Attempts at bringing those cases to trial have failed, providing evidence that the judicial system has become more tolerant over time of such transgressions.4

Pereira goes on to report that in Belgium, the situation is worse, with voluntary and involuntary euthanasia rates three times higher than the Netherlands!

Passive Euthanasia

What about passive euthanasia, though? Is it too always wrong? Not necessarily, but caution must still be maintained. Again,  Samples explains:

Passive euthanasia, on the other hand, has been generally accepted by traditional Christian theologians and ethicists, but with some careful qualifications. Passive euthanasia can be considered if a patient has not been denied natural life-sustaining means such as air, water, and food (though artificial measures may not be necessary), and also if the physical condition of the patient has been diagnosed as irreversible, death is imminent, and further treatment would lead only to a burdensome prolongation of death.5

In the famous case of Terry Schiavo, her husband had fought a legal battle to remove her feeding tube and withhold hydration, a move her parents fought vigorously. Schiavo was significantly brain damaged after she collapsed at her home, but she was in no way terminal. In such an instance, I believe removing her feeding tube is immoral. It certainly doesn't give Terri any more dignity to be dead and food and water are basic essentials one must not withhold from any person who may find him or herself incapable of providing independently. We do so for those who may be paralyzed, infants and young children, those with severe mental disabilities, and many others.

Samples ends his comment by quoting from John Jefferson Davis, who sums it up well:

Human life is sacred because God made man in his own image and likeness.... This canopy of sacredness extends throughout man's life, and is not simply limited to those times and circumstances when man happens to be strong, independent, healthy, and fully conscious of his relationships to others.6

The reason we don't simply end the life of the mentally or physically disabled is because these people bear the image of God, the imago Dei, and physical limitations do not diminish it. The imago Dei is what makes all people equal, even those who are severely handicapped or have Parkinson's disease. Schiavo's brain injury was severe, but she was still a human being, and therefore held a dignity intrinsic to all humanity. How can a physician or even the patient himself claim that this intrinsic dignity is now missing and they need to die in order to regain it? It makes no sense.

References

1. Samples, Kenneth R. 7 Truths That Changed the World: Discovering Christianity's Most Dangerous Ideas. Grand Rapids, MI: Baker, 2012. Print. 176.
2. Samples, 2012.
3. Pereira, J. "Legalizing Euthanasia or Assisted Suicide: The Illusion of Safeguards and Controls." Current Oncology Curr. Oncol. 18.2 (2011): n. pag. Web. 27 Aug. 2015.
4. Pereira, 2011.
5. Samples, 2012.
6. Samples, 2012.

What Friends' Phoebe Can Teach Us About the Empty Tomb

The linchpin of Christianity is the resurrection of Jesus. Simply put, the entire belief system hangs on this fact of history; destroy the resurrection and you've destroyed Christianity as Paul said in 1 Corinthians 15:17.

However, there is really good evidence for the resurrection of Jesus. As William Lane Craig has noted for years, New Testament scholars across the spectrum agree that Jesus of Nazareth died by crucifixion, was buried in a tomb and that tomb was later found empty. That means New Testament scholars who are liberal and even those do not themselves identify as Christian themselves will agree that these points are valid history.

Of course the percentage of scholars accepting of each of these points differs a bit. While Jesus's death by crucifixion is nearly unanimous, the number holding to the empty tomb are about 75%.1 This is partially because a reference to the empty tomb doesn't appear in the creedal tradition of 1 Corinthians 15:3-8. 1 Corinthians is the earliest of the New Testament books, being written sometime around spring of AD 54.2 But in the 1 Corinthians 15 passage, Paul uses language that denotes it is a creed, saying "For I delivered to you as of first importance what I also received..." As Paul was converted sometime between 1-5 years after Jesus's crucifixion, and he received this creed early in his instruction, we can know the creed had been in use within a few years after Jesus's death.3

Given all this, scholars place great weight on the creedal passage as being very early and yet the creedal passage doesn't talk about the empty tomb. It mentions the burial of Jesus but not the women finding the tomb empty on Sunday morning. That has led to some skeptics to doubt the empty tomb story entirely. Here's the thing, though. The story of Jesus's death, burial in a tomb and the later discovery of that tomb being empty is a single narrative. It is one story where the goal of telling about Jesus's death is to establish his resurrection.

Rewriting Old Yeller

Stories are a continuum; if the empty tomb isn't part of the story, the whole meaning of the story changes. It reminds me of a popular episode of Friends, entitled "The One Where Old Yeller Died." You can watch a YouTube clip here, but basically in the episode Phoebe comes upon her friends watching the Disney movie Old Yeller and she can't understand why they're crying. She believes it's a happy movie, where Old Yeller saves the family from a rabid wolf and all live safely forever. She believes this because her mother would shut off the television before the film's end, where it's revealed that in the act of saving the family, Old Yeller sacrificed himself and contracted rabies. Yeller's owner Travis is forced to shoot the now mad dog.

The point of Old Yeller turns on its sad ending. As film critic Scott Wienberg notes, "by upping the ante and allowing this beloved beast to meet an unpleasant demise, the message is softly-delivered but crystal clear. Death, like love, is an integral and inescapable part of life, so the earlier you learn to accept and embrace both, the quicker you'll be able to appreciate one and deal with the other."4 That message is never communicated to Phoebe who believes its only about "family fun!" The story relies on the ending to make its point. Without the ending, it simply isn't the classic film it has come to be.

Similarly, the empty tomb of Jesus is just as critical to the point the early church was trying to tell. While the creedal passage of 1 Corinthians doesn't specifically mention the empty tomb, it is certainly inferred as the passage contains both Jesus being buried and the resurrection account along with the testimony of Jesus being seen alive by many witnesses. Add to this that all four gospels, including the early Gospel of Mark leverage the empty tomb as part of their narrative and its validity as part of history is not a stretch, especially when the tomb is first discovered empty by women, whose testimony was discounted in that culture.

The empty tomb is part of a larger narrative of Jesus dying, being buried, and being seen alive after his resurrection. To eliminate the empty tomb from the story is akin to jumping up and stopping a movie because you are uncomfortable with the next scene. But that doesn't mean the story isn't reliable. It means that you want to close your eyes to the implications.

References

1. See Gary R. Habermas and Mike Licona. The Case for the Resurrection of Jesus. Grand Rapids, MI: Kregel Publications, 2004. Print. 70.
2. Wallace, Daniel B. "7. 1 Corinthians: Introduction, Argument, and Outline." Bible.org. Bible.org, 26 June 2004. Web. 25 Aug. 2015. https://bible.org/seriespage/7-1-corinthians-introduction-argument-and-outline#P95_28390.
3. See Gary R. Habermas, "Evidence for the Historical Jesus: Is the Jesus of History the Christ of Faith?" - available free of charge from www.garyhabermas.com/evidence
4. Weinberg, Scott. "Old Yeller 2-Movie Collection." DVD Talk. DVDTalk.com, 13 Nov. 2005. Web. 25 Aug. 2015. http://www.dvdtalk.com/reviews/18680/old-yeller-2-movie-collection.

Conscience, Death, and Marriage

Earlier this year, a bill that would make certain instances of assisted suicide legal in the state of California was passed by the state Senate and is now trying to slip through the assembly via a special session, according to Los Angeles Times reporter George Skelton.1 Modeled after a similar law that has been active in Oregon, the California bill would allow patients who supposedly have less than six months to live to end their lives by taking lethal drugs prescribed by a physician.

These kinds of laws are problematic for a number of reasons, which I will go into in a later article. However, Skelton made one comment in his opinion piece as he tried to sell the legislation that caught my eye. He wrote, "To protect hospitals and physicians from acting against their beliefs, none would be required to participate."2When I reviewed the actual legislation, it did indeed contain a clause for conscience. SB-128, Sect 443.14 (e)(1) reads:

Participation in activities authorized pursuant to this part shall be voluntary. Notwithstanding Sections 442 to 442.7, inclusive, a person or entity that elects, for reasons of conscience, morality, or ethics, not to engage in activities authorized pursuant to this part is not required to take any action in support of an individual's decision under this part.

Isn't that interesting? A physician, a hospital, or any other appropriately licensed individual or organization may refuse the wishes of the patient "for reasons of conscience, morality, or ethics.” This runs contrary to what normally happens when patients walk into care facility and are suffering. Doctors are supposed to alleviate suffering. Emergency rooms are required by law to take in and examine all patients who complain of significant pain, whether they can pay or not. It would seem the responsibility of hospitals would be the same in this instance as the patient is still suffering, but it's due in this instance to a terminal illness.

The Double Standard

Don't get me wrong. I'm no supporter of this legislation, and I'm glad that doctors will have the opportunity to opt out if it violates their beliefs. But here's the thing; a suffering person is a far more urgent situation than say a wedding and a physician carries a far greater responsibility to the public good than a cake baker or photographer does. It is a more urgent situation than having one's employer pay for whatever kind of birth control will help you fulfill your carnal desires. Why then would democratic legislatures in the state of California include such an extremely wide and open conscience clause in this piece of legislation when we are told over and over that belief isn't something that should affect one's profession? Why aren't the pro-assisted suicide groups rallying to throw out this exception, complaining that it's inherently discriminatory, that one's beliefs shouldn't impose on the suffering patient, or that any person who chose to go into health care should have known that they may need to provide life-ending drugs?

One can quickly see the disconnect in the two positions. If belief, moral conviction, or ethical understanding is enough reason for any doctor or an entire institution like a hospital to refuse to alleviate the suffering of a patient, then it is clearly more than enough reason to refuse to bake a wedding cake or take pictures at someone's wedding. Skelton trumpets the exemption in the bill as a good thing. Would he be willing to support such legislation if that clause stood alone, such as a Religious Freedom bill? Or is this clause to get the camel's nose under the tent until a judge decides to wipe out the exception through judicial fiat? I can only surmise, but one thing is clear. It is wholly inconsistent to uphold an exemption for belief when suffering is involved but to say one's convictions don't count in lesser circumstances.

References

1. Skelton, George. "Legislature's Action on 'right to Die' Bill Is Fair and Square." Los Angeles Times. Los Angeles Times, 24 Aug. 2015. Web. 24 Aug. 2015. http://www.latimes.com/local/politics/la-me-cap-special-session-20150824-column.html.
2. Skelton, 2015.

What Archaeology Can and Can't Do (video)

Archaeology has helped the biblical scholar put together a lot of pieces from the stories of the Bible. It has shown many places and events to be true. Yet, archaeology cannot be the silver bullet that proves God's existence or that the Bible is his inspired word.

In this short clip, Lenny outlines just how archaeology can illuminate the biblical accounts and why it isn't the last word on faith.

Naturalism and the Problem of Living a Good Life

Scott Rae, in the introduction to his book Moral Choices: An Introduction to Ethics, lays out some of the reasons the study of ethics is important and why the modern assumption of naturalism endangers the concept of even a good life:

Most people, when they are genuinely being honest with themselves, associate doing well in life with being a good person. Having moral character is still essential to most people's conceptions of what makes a person flourish in his or her life. For example, it is difficult to imagine a person being considered a success in life if he has gained his wealth dishonestly. It is equally difficult to call a person a success who is at the top of his profession but cheats on his wife, abuses his children, and drinks too much. On the other hand, we rightly hold up a person like Mother Teresa as a model of living a good life, even though she lacked most material goods that society values. One of the principal reasons for being moral is that it is central to most concepts of human fulfillment. For the Christian, being moral is critical to a life that seeks to honor God. We could say that being moral is inherently good because it is foundational to a person's flourishing in life, since doing well in life and being a good person still go together for most people.

…

These reasons for the importance of studying ethics all presume that there is as genuine moral knowledge. But that notion is being increasingly called into question in philosophy today as a result of the cultural dominance of the worldview of naturalism. Among other things, the naturalist holds that all reality is reducible to that which can be perceived with one's senses—that is, there is nothing that is real or counts for knowledge that is not verifiable by the senses. As a result, moral knowledge has been reduced to the realm of belief and is considered parallel to religious beliefs, which the culture widely holds are not verifiable. The theist maintains that moral knowledge is genuine knowledge in the same way that scientific knowledge is real—that the notion that "murder is wrong" can be known .as true and cannot be reduced to subjective opinion or belief without the risk of all morality being subjective. The theist argues that no one lives consistently, as though morality were entirely subjective, and that moral truths do exist and can be known as such.1

References

1. Rae, Scott B. Moral Choices: An Introduction to Ethics. Grand Rapids, MI: Zondervan Pub. House, 2000. Print. 11,13