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The limits of health care: the Schiavo
case
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Three more readers comment
on the death of Terri Schiavo
[4-4-05]Paul R. White, of Bakerstown, PA, agrees with Paster Jim
Tweedie’s view that a feeding tube is not a life-support device, and express
skepticism about Michael Schiavo’s statement about his wife’s not wanting
life-support care.
Penny Osby, of Council Bluffs, IA, speaks out of her experience as a
nursing assistance in an extended care facility. Her experience leads her to
say of Terri, "she was not living, she was only existing, and that is no
life."
And Earl H. Tilford, Jr., PhD, Professor of History at Grove City College
, suggests that "if being verbally incoherent and dependent on others for
nourishment are reasons for starving people to death, we might easily rid
ourselves of a significant portion of the population who cannot be easily
understood either because they don't speak English or they speak a form of
it incomprehensible to the majority of Americans."
From Paul R. White
Congratulations to Pastor Jim Tweedie for positing logical, rational
words (3/29/05) with which the overwhelming majority of church-going folks
concur. Sometimes, to further our agendas, we don't like to deal in the
minutia. I suspect that many don't want to admit that a feeding tube is NOT
a life support device. Thanks, Pastor Tweedie, for pointing this out. His
compelling, faith-based piece is a must read for those who somehow justified
Terri's murder. Best of all, for those of you who are progressive, secular,
left-leaning or liberal, Pastor Tweedie doesn't even go to conservative
arguments such as Michael S. had plenty of reasons not to tell the truth
about what Terri told him (we all know that most kids in their early 20s
talk about their end-of-life desires regarding feeding tubes as opposed to
life support devices). Right, and the Pittsburgh Purates are going to win
the World Series this year.
Thank you Pastor Tweedie for the sanity you offered to the Witherspooners!!
Paul R. White
First Presbyterian Church of Bakerstown
Bakerstown, PA
From Penny Osby
I work in a extended care facility and we have many of our residents who
are on a internal feeding tube, and many of them have no idea what is going
on around them. They are no longer the persons they were. They basically are
just existing because of the feeding tube and feeding system, as Terri was,
and I believe Michael did the most humane thing he could do for his wife and
love of his life.
This case has made me make a effort to ask my family what their wishes
are if this situation would ever come up. Personally I hope my fiancé and
family have the confidence to do what Michael did for Terri; she was not
living, she was only existing, and that is no life. If you do not know who
you are, who your family and friends are, where you are, what is going on
around you, do you really feel that is a quality life? Think about it.
I want to take this opportunity to extend my condolences to Michael and
Terri's family. I know this is a very hard time for you, and I know this
does not help much, but it will get easier. Five years ago I had to shut the
machines off on my mom and it was hard, and sometimes I wonder if it is what
she would have wanted. She mentioned that she did not want to be kept alive
artificially but it was hard and I have to believe she is in a better place
now.
Don't give up and it will get easier.
Penny Osby
Council Bluffs, Ia
She adds: "I am a certified nursing assistant as well as a certified
medication aide in a extended care facility in Omaha, NE."
From Earl H. Tilford
In 1561, Ivan the IV, (the Terrible), Tsar and Autocrat of all the
Russias, locked Philip, the Metropolitan of Moscow, in a dungeon where he
was starved to death for advising the tsar to mend his murderous ways. One
might argue this was a comparatively humane punishment for the time, since
Ivan regularly had innocent people impaled, burned, roasted, drowned,
chopped up, beheaded or disemboweled…or various combinations thereof. One
could make the case that this was not murder, but punishment for political
insubordination. In any event, starving a difficult subordinate who insults
the Autocrat is a far cry from starving an innocent woman who could not
communicate and depended on others for food and drink. If being verbally
incoherent and dependent on others for nourishment are reasons for starving
people to death, we might easily rid ourselves of a significant portion of
the population who cannot be easily understood either because they don't
speak English or they speak a form of it incomprehensible to the majority of
Americans. Mexicans, inner-city Blacks and most Alabamians leap immediately
to mind! Hey! We can make the law to facilitate this! Slavery, the
Holocaust, segregation were all legitimized in law.
Earl H. Tilford, Jr., PhD
Professor of History
Grove City College
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| We recently received a note urging us to
provide some serious moral and theological reflection on the tragic case of
Terri Schiavo.
Read the note >>
Here are more reflections, first from Witherspoon
Issues Analyst Gene TeSelle, then a press release from Americans United, and
finally an analysis of media coverage, by the Columbia Journalism Review.
[3-23-05]
And of course,
We welcome your comments!
Just send a note to
be shared here. |
| Resources for end-of-life issues
As the impending end of Terri Schiavo's life moves many
people to think about similar situations that might one day face them, we
offer some listings of helpful resources for
dealing with end-of-life issues, living wills, and more.
[3-25-05] |
| Ten Native
Americans die, and there is silence [a little
comment from your WebWeaver, posted 3-25-05]
As residents of Minnesota, we may feel a little closer to
the killings and suicide in Red Lake, just a couple hundred miles north of
the Twin Cities. And we do wonder about a sense of proportion.
Ten people -- men, women, and teen-agers -- are dead, and a tightly
connected Native American community is deeply affected. And from the
White House, not a word. For one white woman, slowly dying in Florida
after years of unconsciousness, the White House and Congress have tried to
move heaven and earth -- or at least the state and federal courts, including
even the Supremes -- to extend the life of Terri Schiavo's body a bit
longer. Why?
Clyde Bellecourt, a Chippewa Indian who is the founder and
national director of the American Indian Movement here in the Twin Cities,
is quoted in a
Washington Post article as commenting: "From all over the world we
are getting letters of condolence, the Red Cross has come, but the so-called
Great White Father in Washington hasn't said or done a thing.
When people's children are murdered and others are in the hospital hanging
on to life, he should be the first one to offer his condolences. . . . If
this was a white community, I don't think he'd have any problem doing that."
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Reflections on the Terry Schiavo Controversy
by Gene TeSelle, Witherspoon
Issues Analyst
One has
many thoughts in the midst of a difficult decision like this. Please excuse
me for being attracted to the political overtones. I am certainly not alone
in this.
Commentators have been noting the curious contradictions between the
statements made by conservatives in the Terri Schiavo case and their general
attitude toward persons in a crisis situation.
The disconnect
is seen most clearly in President George W. Bush, who urged in this case
that we "err on the side of life" but was unwilling to do that in cases
ranging from Iraq to appeals from prisoners on death row. And it was he who,
as Governor of Texas in 1999, signed the Futile Care Law that gives health
care providers the right to end life, even against the will of family
members, if it is hopeless. They are more likely to take this course after
financial resources have run out. His administration has been accustomed to
placing monetary value on the human lives that might be affected by
polluting power plants and usually deciding that the sacrifice is worth it.
Terry Schiavo,
furthermore, has been kept alive with the help of Medicaid, funding for
which the President and the Republicans in Congress want to cut, and a
million-dollar award from a medical malpractice suit, exactly the kind of
thing they would like to do away with. They have just changed federal
bankruptcy law, furthermore, to make it more difficult for families hit by
medical costs such as this to get out from under the debt.
The public
debate swings, or perhaps lurches, around two different centers of gravity,
"sanctity of life" and "quality of life." The so-called right-to-life
movement has focused its attention on the beginning and the end of life.
This is an admirable thing to do. But it has given little consideration to
what lies in between. The alternative movement also speaks the language of
rights, but with a concern for what lies between birth and death, and
usually with a sense that both birth and death are complex and filled with
mystery. Health care providers often comment on the difficulty of knowing
when life begins and ends.
Progressive
Catholic bishops have advocated holding these together; Cardinal Joseph
Bernardin of Chicago spoke of them as a "seamless robe." But in the zero-sum
game of partisan politics and the shaping of budgets, one side or the other
gets shorted.
The psychology
and ethics of the conservative position is curious. It uses the language of
absolute rights in speaking about birth and death. But it typically speaks
of "personal responsibility" for everything in between. A girl who is raped
is often expected to live with the consequences, or at most is required to
get parental consent and listen to a lecture about fetal pain; the family of
severely ill children or adults is expected to provide both personal care
and financial support even as public resources are being cut.
Nurses who
have seen these cases at first hand point out the exercise of raw power. The
state, or a physician, or a hospital often says, in effect, "Your life AND
your money." The family is denied the right to make decisions; the body of
the loved one is held hostage and subjected to heroic medical efforts; and
in the end they are responsible for paying the bill. It seems to become one
more way to exert power and increase dependency on those who rule.
There must be
better ways to proceed in such cases. Even when there is a desire to impose
absolute restrictions there ought to be a willingness to bear the emotional
and financial costs. Otherwise the right-to-life program becomes not only an
unfunded but a de-funding mandate, driving families into debt, bankruptcy,
and despair. A better ethics and politics is one that takes a positive
interest in nurturing human life and its fulfillment (often called
"flourishing" in recent literature). It seems far less hypocritical to place
the emphasis on the latter, and to be cautious about imposing one's will on
other people who face decisions that have already been imposed upon them
against their will.
The Good Samaritan, after all, not only saved a life but offered to pay
whatever it took. Our attitude toward money tells a lot about our values.
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Americans
United blasts congressional leaders' promise to push religious right agenda
In closed-door briefings, Frist and DeLay cement ties with religious right
on Schiavo case, judges, abortion, marriage, church politicking, ethics
complaints
[A press
release from Americans United, dated March 23, 2005.]
Top
congressional leaders have promised to push the Religious Right agenda on
judicial nominations, church politicking, abortion, marriage and the Terri
Schiavo case, according to Americans United for Separation of Church and
State.
Americans United today released audiotapes of closed-door addresses by
Senate Majority Leader Bill Frist and House Majority Leader Tom DeLay to a
Family Research Council (FRC) gathering March 17-18 at Washington, D.C.'s
Willard Hotel. The pair talked about a range of political issues, using the
Schiavo case as a springboard.
"Religious Right leaders are determined to run all of our lives, from the
moment of conception through the end of life," said the Rev. Barry W. Lynn,
Americans United executive director. "And top congressional leaders are
conspiring behind closed doors in Washington to help them do it. It's
appalling.
"Frist and DeLay have wrapped sanctimonious language around political
posturing," said Lynn. "They are using Mrs. Schiavo's personal tragedy in
Florida to burnish their credentials with an increasingly powerful component
of the Republican Party. It's a sad, cynical political ploy."
Mrs. Schiavo, a Florida woman, has been in a persistent vegetative state for
15 years. Her husband, Michael Schiavo, has fought a long legal battle to
remove her feeding tube. Religious Right forces and their allies in Congress
and Florida government have repeatedly tried to intervene in the situation,
despite medical advice and court decisions that support Mr. Schiavo.
During the FRC meeting, Senate Majority Leader Bill Frist (R-Tenn.) and
House Majority Leader Tom DeLay (R-Texas) assured attendees that they would
do what it takes to keep Schiavo connected to a feeding tube and also would
exert great power to push a whole host of issues central to the Religious
Right's agenda.
DeLay urged the gathering to contact lawmakers in both chambers to support
legislation that would allow churches to become much more involved in
partisan politicking. The Texas Republican blasted current federal tax law,
which bars both secular and religious nonprofit groups from endorsing
political candidates.
"It forces Christians back into the church and that's what is going on,"
DeLay claimed. "That's not what Christ asked us to do. We have to fight
back."
Beyond swearing allegiance to the Religious Right's agenda, DeLay, who has
faced increased attention for alleged ethics violations, also bemoaned
"personal attacks" against him and other conservative leaders and said the
Schiavo case would highlight those attacks.
"One thing that God has brought to us is Terri Schiavo, to help elevate the
visibility of what is going on in America," DeLay told the crowd.
"This is exactly the issue that is going on in America, of attacks against
the conservative movement, against me and against many others," DeLay said.
He
complained that "the other side" was leading the attack, with a goal "to
defeat the conservative movement."
According to DeLay, a "whole syndicate" of "do-gooder" forces are arrayed
against him in "a huge nationwide concerted effort to destroy everything we
believe in."
FRC President Tony Perkins assured DeLay of the group's support and asked
audience members to contact Republican lawmakers and demand that they back
the House majority leader.
Americans United's Lynn said, "It is dishonorable for Rep. DeLay to use the
Schiavo case and cloak himself in Christian piety in order to evade
accountability on ethics complaints."
Frist also told the FRC attendees that he was dedicated to issues dear to
their hearts.
"You stand up for our families, our children, you never back down," Frist
told the gathering via speakerphone. "That's why we are winning these larger
battles today. Together we are leading our nation forward. We have a
president, a House of Representatives, a Senate that shares our values and
the American people are on our side.
"In this Congress we are going to continue to work on the issues that are
important to you, to me and above all, America's future," Frist continued.
Those issues include, Frist maintained, the confirmation of "good judges,"
protecting the "sanctity of marriage" and protecting "the unborn." He said,
"I'm also committed to ending the [Senate Democratic] minority's filibuster
[on judges] and restoring this 220 years or more of Senate tradition and
history."
Frist was particularly adamant about fighting for a Federal Marriage
Amendment, saying that, "We will take action to preserve and protect and
defend the sanctity of marriage between a man and a woman."
Americans United's Lynn said the comments by DeLay and Frist prove that
Congress is beholden to the Religious Right's narrow vision for America.
"I find it appalling that top leaders of Congress are using the Schiavo
tragedy to nurture their Religious Right base," Lynn said. "I am confident
that the American people do not want their personal lives subjected to
interference from Congress and their Religious Right allies."
Americans United is a religious liberty
watchdog group based in Washington, D.C. Founded in 1947, the organization
educates Americans about the importance of church-state separation in
safeguarding religious freedom.
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| No life support for
you Posted on March 23, 2005,
Printed on March 23, 2005
The Columbia Journalism Review daily
on-line version takes a critical look at media coverage of the Terri Schiavo
case.
They note that "most everyone in Washington ... believes that
grandstanding politicians are using the issue for political gain. But should
that information be included in every story, or should news consumers be
allowed to come to their own conclusions?"
The article also takes note of the case of Sun Hudson, a six-month old
boy who died last Thursday after a Texas hospital removed his feeding tube,
despite his mother's pleas. His mother could not pay for continued life
support treatment, and so, because further treatment was futile, it was
stopped, under the Texas Futile Care Law, which was signed into law by
then-governor George W. Bush.
Read the full article on the
Columbia Journalism
Review web site, or on
AlterNet
A pastor writes to say that Schiavo’s situation
is not like those on true life support
Responding to our note about an article in the
Columbia Journalism Review, the Rev. Jim Tweedie that the two
patients mentioned in the article clearly could not have survived
without life support, while Terri Schiavo has needed only food and
fluid. He says this makes a difference that should be respected.
[3-29-05]
Greetings from a PCUSA pastor. I enjoyed finding some links to
articles on matters that I otherwise might not have read or even known
about. I would like to comment on the
Columbia Journalism Review article
which compared a Texas law that allowed the discontinuance of life
support (against family wishes) for Sun Hudson and Spiro Nikolouzos (a
statute signed into law by then-Governor Bush) with the now President
Bush’s outspoken support of Terri Schiavo and his statement that,
“When in doubt…err on the side of life.” The article, and the
Witherspoon website in general, supported by your comments, appear to
posit a contradiction if not a hypocracy in this comparison. Frankly,
I don’t see it. Hudson and Nikolouzos (also spelled Nikolous in the
article) were both on life support ventilators which were doing all of
their breathing for them. Their bodies, due to injury and birth
defects, were unable to breathe on their own and their was a clear
medical consensus that neither would ever be able to do so. When the
decision to discontinue this life support was made, their respective
families were
given 10 days to locate another facility
that would concur with their wishes and continue them on life support
(a fact omitted in the CJR article, by the way). No facility could be
found that would provide this care for them in their condition. So,
even against the families’ wishes, their life support was removed.
Both died very quickly.
Although there are many ethical and moral issues involved in these
cases they are light years removed from Terri Schiavo’s situation.
She is not on any form of life
support (a feeding tube is not ordinarily considered to be
life support…only at the end stages of a terminal illness is it
considered to be life support and hence, appropriate to be
discontinued). Her body is
physically functioning normally (she even has her monthly
“period” which requires pain medication…although it has been said that
she is not able to experience pain? Hmmmm….).
There is no medical consensus on
her mental status (ie. whether she is in a permanent
vegetative condition, a persistent vegetative condition or something
even less than that. Note that the fact that her mental status has
been legally determined by a court ruling does not necessarily prove
the existence of a definitive medical diagnosis).
Lastly, there are dozens if not
hundreds of medical facilities which would be willing to continue to
provide care for Terri. Not only that, but her parents and family have
offered to provide care for her in their own home…something routinely
done in thousands of homes across our country every day.
With the two people in Texas, when their ventilators were disconnected
they died, because they were not able to live without it.
With Terri, her life relies only on the same food and water that you
and I require to sustain our own lives. If food and water were to be
withheld from you and me, we would die. The same is true for Terri.
She is not terminally ill. She is not dying. The only way to get her
to die is to kill her in some way or other. The method of choice
requested by her husband and approved by Judge Greer is starvation.
Without intervention, Terri would live. With the Texas pair, without
intervention they died.
To compare these cases as being comparable is to stretch logic well
past the breaking point. Certainly there is grief and death and
controversy in each of these situations. But that does not make them
morally, ethically, medically or legally comparable.
I conclude by quoting the Columbia Journalism Review where it admits,
‘The cases are different…” For you to suggest or imply that they are
not different is both misleading and dishonest.
Sincerely Yours In Christ,
Jim Tweedie
jtweedie@hawaii.rr.com |
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PVJ's
Facebook page
Mitch Trigger, PVJ's
Secretary/Communicator, has created a Facebook page where
Witherspoon members and others can gather to exchange news and
views. Mitch and a few others have posted bits of news, both
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Voices of Sophia blog
Heather Reichgott, who has created
this new blog for Voices of Sophia, introduces it:
After fifteen years of scholarship
and activism, Voices of Sophia presents a blog. Here, we present the
voices of feminist theologians of all stripes: scholars, clergy,
students, exiles, missionaries, workers, thinkers, artists, lovers
and devotees, from many parts of the world, all children of the God
in whose image women are made. .... This blog seeks to glorify God
through prayer, work, art, and intellectual reflection. Through
articles and ensuing discussion we hope to become an active and
thoughtful community. |
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John Harris’ Summit to
Shore blogspot
Theological and philosophical
reflections on everything between summit to shore, including
kayaking, climbing, religion, spirituality, philosophy, theology,
politics, culture, travel, The Presbyterian Church (U.S.A.), New
York City and the Queens neighborhood of Ridgewood by a progressive
New York City Presbyterian Pastor. John is a former member of the
Witherspoon board, and is designated pastor of North Presbyterian
Church in Flushing, NY. |
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John Shuck’s Shuck and Jive
A Presbyterian minister, currently
serving as pastor of First Presbyterian Church of Elizabethton,
Tenn., blogs about spirituality, culture, religion (both organized
and disorganized), life, evolution, literature, Jesus, and
lightening up. |
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