Christian Bioethics - current issue

Is Europe, Along with its Bioethics, Still Christian? Or Already Post-Christian? Reflections on Traditional and Post-Enlightenment Christianities and Their Bioethics

Delkeskamp-Hayes, C. — 2008-04-01

This introduction explores the relationship between Europe and its Christianities. It analyses different diagnostic and evaluative approaches to Europe's Christian or post-Christian identity. These are grouped around the concepts of diverse traditional, and, on the other hand, post-Enlightenment Christianities. While the first revolves around a liturgical and mystical account of the church, a Christ-centred humanism, an emphasis on man's future life, noetic theology and a foundationalist claim to universal truth, the second endorses a moralization of the "Christian message," political implementation of "Christian goals," rationalism, a this-worldly humanism, and tolerance for religious diversity. Since even the concepts of "traditional" and "post-Enlightenment" Christianity turn out to be deeply ambiguous, the essay concludes with exploring the different ways in which the Christianity of the Apostolic Church, the Enlightenment (along with the "Western" Christianities it shaped), and contemporary liberalism each conceive of their respective endorsements of human freedom as either normative, that is obligatory, value-laden, or contingent, and arbitrary. In each case, a different notion of "tradition" (as well as familial and church authority) is placed either in harmony or in opposition to such freedom. As a result of this conceptual analysis, the deeply fractured identity of Europe, as exemplified by the diverse bioethical positions adopted by the authors in this issue, becomes visible.

Christian Bioethics: Challenges in a Secularized Europe

Metropolitan Hierotheos of Nafpaktos — 2008-04-01

This article summarizes in three specific sections the key challenges faced by Christian and, particularly Orthodox, ethics in a secularized society. The first section, focusing on the task and aim of ethics, defines Orthodox ethics, which is linked with asceticism (man's attempt to keep the commandments of Christ) and aims at overcoming death and encountering the personal God. Put differently, the purpose of Orthodox ethics is the deification of human beings. The second section defines secularization and explores its consequences for the theology and pastoral work of the Church. Europe is dominated by scholasticism and moralism, whereas Orthodox theology, without rejecting it, transcends such a narrow preoccupation with our own world. Orthodoxy does not regard human beings solely from the perspective of their biological existence but assists them in going beyond mechanistic theories and the pursuit of happiness. The third section briefly describes how what can be termed "bio-theology" surpasses anthropocentric ethics with regard to the relationship between creation and grace, birth and rebirth, cloning and incarnation, transplantation and deification, and death and resurrection. The article concludes that Orthodox theology (a) does not reject the achievements of biotechnology or biomedicine; (b) assists humans in overcoming mortality by finding meaning for their existence and fullness of life, and (c) does not simply postpone death, but overcomes the fear of death and leads people to deification by grace.

Catholic Reflections for an Updated Donum Vitae Instruction: A New Catholic Challenge in a Post-Christian Europe

Bauzon, S. — 2008-04-01

On February 22, 1987, the Congregation for the Doctrine of the Faith published the Donum Vitae Instruction. Twenty years later, on February 22, 2007, Pope Benedict XVI asked for an update of this Instruction. According to the Donum Vitae Instruction of 1987, the principle of the holiness of life imposes respect for human persons from the very beginning of human life. In these past 20 years, new medical techniques have raised fresh ethical issues that are to be addressed by the Roman Catholic Church Magisterium. The Roman Catholic Church, in its update of the Instruction planned for 2007, will have to explain how civil law is to be regulated according to the fundamental norms of the moral law. The moral message of the new Donum Vitae (just as in the 1987 version) will be to affirm the substance of human justice: respect for human life, as expressed in the resolve not to infringe on, or to protect such life. Even in a post-Christian Europe, this theological message can be understood if it is true that Europe is marked by the principle of the absolute protection of human life.

Protection of Life and Human Dignity: The German Debate between Christian Norms and Secular Expectations

Eibach, U. — 2008-04-01

The German debate on bioethics and medical ethics turns on a change in the meaning of human dignity. Such dignity is increasingly rendered contingent upon a person's empirically assessable quality of life. In contrast to such dignity-endowed human life, a merely biological human life is taken to disqualify its bearer from such dignity, depriving his life of the protection "respect for human dignity" would otherwise guarantee. The idea of a "life not worth living" or "undignified life" evokes categories, which were developed at the beginning of the 20th century, and later informed the crimes of National Socialist medicine in Germany. Against this secular development, this article analyses the theological and church-based discussion of basic bioethical questions in Germany, especially the controversy among Protestants: once Protestant ethicists abandon an explicitly theological basis for their arguments, their conclusions come to closely resemble those of the secular participants in the debate. As a result, such Protestants relativize fundamental ethical norms. They subordinate, along with their secular environment, the protection of life to respect for autonomy. They thus prepare the ground for a revival of the risky concepts of the past.

The Lost Voice: How Libertarianism and Consumerism Obliterate the Need for a Relational Ethics in the National Health Care Service

ter Meulen, R. H. J. — 2008-04-01

This article analyzes the contribution Christian ethics might be able to make to the ethical debate on policy and caregiving in health and social care in the United Kingdom. The article deals particularly with the concepts of solidarity and subsidiarity which are essential in Christian social ethics and health care ethics, and which may be relevant for the ethical debate on health and social caregiving in the United Kingdom. An important argument in the article is that utilitarian and market-driven policies in the National Health Service (NHS) and the social care system have marginalized the position of the elderly and have seriously impoverished the quality of care for the elderly. The neglect of the elderly and other vulnerable groups is also the result of widespread consumerist attitudes among patients and of libertarian models of noninterference which are affirmed by a public ethos of self-sufficiency and counter-dependency. Those who need care dare not make their need known to others and ask for help, while simultaneously those who could help are so intimidated by the public affirmation of privacy and negative rights that they do not dare to offer help except if this is explicitly demanded. This distant and standoffish attitude is in an important way responsible for the fact that the voice of those in need is altogether lost to the public forum. Christian ethics puts much emphasis on responsibility and solidarity with the needy other but is not able to have much impact on the delivery of care in a secularized society and health care system like the NHS. Nonetheless, Christianity still has a powerful and respected voice, by speaking up for those who cannot speak for themselves, such as the elderly and the handicapped. Christians can find allies in the ethics of care and other relational approaches in health care ethics in order to combat libertarianism, consumerism, and utilitarianism.

The Contribution of the Protestant Church in Germany to the Pluralist Discourse in Bioethics: The Case of Stem Cell Research

Charbonnier, R. — 2008-04-01

Christian contributions to the public discourse on bioethics come from individual Christians, from Christian churches, and from academic theology. All contributors must frame their arguments in such a way as to account for the pluralism of worldviews in contemporary Germany. For this purpose, they must take issue with certain hermeneutical and discourse theoretical considerations. That is to say, in order for their contributions to remain normatively authentic in a Christian and Protestant sense, these must relate to Scripture and to Protestantism's confessional documents, and in order for these contributions to remain pertinent and relevant to the facts, they must relate to biomedical, philosophical, and legal contexts. Given these hermeneutical and discourse theoretical requirements, two church statements addressing the ethical discussion concerning the use of embryonic stem cells for medical research are analyzed.