[1] As a Christian and as a Moral Theologian, I have been
appalled by the Theresa Schiavo case for a number of reasons. There
is no doubt that many people used this case as an opportunity to
promote a particular point of view or agenda. To these ends they
twisted the legal, medical, political, moral, and religious facts
of the case. Important legal and political doctrines including the
separation of powers, state rights, the rights of patients, the
respect for the rule of law, and the autonomy of the judiciary were
all challenged or jettisoned in the heat of the moment.
Religiously, basic Christian ideas such as the respect for persons,
compassion, temperance, and justice appeared to be distorted in
defense of an irrational dogmatism. For example, I was disturbed by
a million dollar offer to Michael Schiavo for divorcing his wife.
Many commentators rushed to demonize this man using baseless
conspiracy theories, in the process encouraging fringe characters
to threaten judges, lawyers and Schiavo's family members. I was
also perturbed by proponents of passive euthanasia who arrogantly
proclaimed that this woman was no longer alive, and could be
allowed to die. Medically, it was curious to observe physician
experts formulate opinions based on viewed video clips. Some of
these people were not even neurologists; they lacked the medical
credentials necessary for making commentaries of this nature. (This
point appears to be moot considering the debate that is raging
concerning the diagnosis of chronic vegetative states.) Likewise,
much of the religious response was delegated to the usual suspects
or to newcomers with little or no formal training in biomedical
ethics.
[2] We cannot ignore the fact that as the case worked itself
through the news cycle, it was exploited by the insatiable media
conglomerates in their drive toward securing higher ratings.
Objectivity and partiality were also the victims of this case. At
times it was difficult to gauge media opinion since it was
constantly in flux, shifting back and forth from dispassionate
reporting to embarrassing pandering.
[3] The Schiavo case indeed was a tragedy. It was a sad
illustration of the delicate nature of human life. In a blink of an
eye a healthy woman was transformed into a medical casualty. The
reality of many Americans was presented in all of its horrific
possibilities; we are not prepared for death. Certainly the lack of
education concerning end of life decision making protocol was
uncovered and found wanting.
[4] It is at this tragic moment, that the sage witness of
Christian ethics needs to be heard. Stanley Hauerwas, in his moving
monograph A Community of Character, points out that
stories are important for a number of reasons. Stories remind us of
our traditions. Stories sustain our communities. Stories assist us
in surviving tragedy and pain. Stories create a sense of belonging
and a sense of dignity. In portions of this book, Hauerwas applies
a communitarian virtue approach to Christian ethics based on an
examination of the classic novel Watership Down. Watership
Down is the wonderful story of a group of rabbits who flee
their home after one of them has a vision of impending doom and
destruction. Through their travels they discover the value of
friendship, uncover specific leadership gifts, and develop a tight
knit just community. Hauerwas tells us that the rabbit warren is
transformed by their suffering, to the point of developing a
distinctive ethic of life. The rabbits discover that friendship
extends to other animals, peace is built on justice and truth, and
compassion is the foundation of community. The author of
Watership Down informs us that rabbits are not born
unwanted; unwanted litters are re-absorbed into the mother's body.
Hauerwas tells us that Pippin, the smallest and weakest member of
the group, is the "most crucial rabbit for the determination of
character?" Hauerwas' prophetic words are clear: A society is only
as strong as its weakest members. Justice is determined by how it
treats its weakest members. It is disingenuous to speak of a
"culture of life" and a "presumption for life" when one does not
have a consistent, seamless view of life. This means that to
support life is to support social and economic justice, to promote
the values of responsibility towards the less fortunate, to abandon
a destructive foreign policy based on the use of force, to promote
life by providing for the medical needs of millions of Americans,
and to abandon a retributive practice that sacrifices the lives of
countless criminals to a machinery of revenge and death.
[5] The case of Terri Schiavo is a tragedy because as a society
we have grown callous to the value of life. There is no reason why
her family could not care for her. There is no reason why we should
not care for the least fortunate, medically speaking, by providing
the means for publicly funded rehabilitative measures. This is an
expensive proposition, but is it not an attempt to improve the
quality of life in cases such as Terri Schiavo? There is no reason
why we cannot abandon the dehumanizing medical metaphors that view
lives such as Terri Schiavo's, in terms of defective persons or
vegetative entities devoid of value. To continue this path is an
affront to our God given dignity as persons. We must also have a
conversation among the interested ethical and religious
perspectives on when it is appropriate to terminate medical care. I
believe that many of the opponents of discontinuing food and
hydration, in cases such as these, have not come to terms with
death. As Christians we must take our teaching about death and the
afterlife seriously. Death does not have the final word, and
in many cases futile medical treatments are unnecessarily delaying
our soul's reunion with our Creator. Finally, as a church we must
struggle with these cases and prepare our parishioners for the
tough decisions that could possibly confront them in this
pilgrimage we call life.