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questions answered by wm. b. smith Claims and Principles Question: On the “fetal tissue” issue, is there any way to argue for correct principles without sounding like you favor continued suffering? Answer: There may be no happy answer to this question, and surely there is no easy one. First, some initial caution, even scientific skepticism, is called for. This is especially true of “claims” made for the use of fetal brain tissue and all embryonic tissue. Thus far, all the “claims” are, at best, “promises”—hoped-for results that have not been achieved. Yet, the journalistic promises continue to overestimate and overpublicize “claims” and “promises” that fetal brain tissue can alleviate Parkinson’s Disease, Alzheimer’s or Diabetes. A single chapter (#10, pp. 163-181) in Dr. Bernard Nathanson’s book, The Hand of God (1996) is a welcome dose of reality: the “claims” are many; the scientific results are none! More recently, a reasoned exchange of letters-to-the-editor in Commonweal magazine (v. 126 [4/13/99] pp. 4; 29) highlights the question you pose. Robert J. White, M.D., is a professor of neurological surgery at the Medical School of Case Western in Cleveland who writes to critique a point in a prior article of Daniel Callahan. I will let Dr. White speak for himself but recall the caution above on getting the scientific facts straight. Dr. White writes: “I have significant disagreement with him (Callahan) having to do with fetal brain cellular implantation when he says a particular treatment for Parkinson’s disease shows a ‘fair promise of working.’ Nothing could be further from the truth. He is referring to a formal brain operation requiring the stereotaxic introduction and depositing of a small fetal brain graft in a precise location in the depths of the patient’s brain. As a neurosurgeon, I am totally unimpressed by the clinical results from this invasive surgical methodology. What little symptomatic improvement has been reported in a very small group of patients is simply the result of an injury artifact caused by the instrument, a thin cannula used for placing the transplant, causing damage to the brain tissue. (This is the exact region where a destructive legion is created to reduce symptoms of this tragic neuro-degenerative disease.)” “This operative procedure is immoral for two reasons. First, it utilizes living fetal brain tissue (requiring six to eight fetuses to gain sufficient cerebral material for grafting), and second, the operation itself is without scientific justification—it is simply a bad operation.” “If all that were not bad enough, there is now a NRH protocol requiring that a control group be created within the framework of this type of surgery in which the patients have burr holes (small openings) placed into their skulls, even though they will not undergo the complete operation (the intracerebral placement of the brain transplant) until some future time. These of course are not totally safe undertakings. This has been referred to as a sham or placebo surgery; one more serious moral dilemma.” “Callahan’s overall critique of contemporary medical research in this country can be amplified. He is perfectly right that we overestimate and overpublicize this work and often promise miracles that will never come to pass. More importantly, biotechnology has lost its moral compass in its attempt to redesign the human existence” (Commonweal, p. 4). D. Callahan replies that Dr. White is correct about this particular procedure. But, he also notes that if any significant results did turn up further research would escalate to improve outcomes. Callahan is correct that the public, science and the media would be thrilled—a way to deal with terrible disease. Callahan then asks and answers your question: is Dr. White prepared to say that even if it works it would be wrong—to allow continued suffering rather than an immoral use of fetal tissue? “I think I might now and then be prepared to say that, but I doubt most people in our society would, and surely not most of those with the disease. I am troubled to be saying that, but it seems to me reasonably accurate. The trouble with the research imperative is that it makes skeptics like myself look cold and indifferent; we uphold high principle while our fellow creatures suffer. I can’t feel too good about that, even if that is the way I think I must go” (D. Callahan, p. 29). The “high principle” to be defended of course is no direct lethal assault on any moral innocent! Pope John Paul II has already focused on this problem in Evangelium Vitae (3/25/95): “Furthermore, the number of embryos produced is often greater than that needed for implantation in the woman’s womb, and these so-called ‘spare embryos’ are then destroyed or used for research which, under the pretext of scientific or medical progress, in fact reduces human life to the level of simple ‘biological material’ to be freely disposed of” (EV, n. 14). Already the British have approved of some forms and uses of what they call “therapeutic cloning.” The National Institutes of Health have announced (August 2000) new “Guidelines” for the Clinton Administration to use human embryos in cell research. The editors of The New York Times have already dismissed “Congressional opponents who consider the clumps of embryonic cells a form of life that must be protected” (NYTimes [8/25/00] p. A-24). The Church is not the enemy of medicine or true science. But, science must be at the service of the human person not vice versa. Even little human beings, indeed the tiniest human beings, must not be converted into mere means or “stuff” even for the benefit of other human beings, even suffering human beings. Again, there may be no easy way to state that, and I suspect others can state it better, and I suspect we will see more challenges here rather than less. Nonetheless, it’s still important to get the facts straight first, then do the best we can to respond in a principled way. It’s not just the nature of science at issue here but another difference between a culture of life and the culture of death. What is a Basilica? Question: What is a basilica and what qualifies as one? Answer: “Basilica” is a title assigned to certain churches because of their antiquity, dignity, historical importance or significance as centers of worship. Major basilicas have a papal altar and a Holy Door that is opened at the beginning of a Jubilee Year; minor basilicas enjoy certain ceremonial privileges. According to the New Catholic Encyclopedia, the term “basilica” today is applied not only to large ecclesiastical structures in Rome or other places important to the history of Christianity; it is also given to structures of lesser importance. For a long time, the term remained poorly defined, but in the 16th century the popes bestowed the title on churches that did not have the earlier qualifications of “antiquity, dimensions or fame” (cf. NCE v. 5, pp. 154-160). There was a precise canon in the former (1917) Code of Canon Law: “No church can be honored with the title of basilica except by apostolic permission or immemorial custom; the privileges attached arise from one or the other reason” (cn. 1180). There is no similar canon in the new (1983) Code of Canon Law but the practice is the same. Four of the major basilicas of Rome receive much attention and many pilgrims in the Jubilee Year 2000, i.e., St. Peters; St. John Lateran; St. Mary Major; and St. Paul-outside-the-Walls. A convenient list of Minor Basilicas in the United States, Puerto Rico and Guam can be found in the Catholic Almanac (1999) p. 431. Of particular note, the Catholic Almanac singles out: “The Basilica of the National Shrine of the Immaculate Conception is dedicated to the honor of the Blessed Virgin Mary, declared patroness of the United States under this title in 1846, eight years before the proclamation of the dogma of the Immaculate Conception. The church was designated a minor basilica by Pope John Paul II on October 12, 1990. The church is the eighth largest religious building in the world and the largest Catholic church in the Western Hemisphere, with numerous special chapels and with normal seating and standing for 6,000 people.” The Basilica is adjacent to The Catholic University in Washington, D.C. Msgr. Wm. B. Smith St. Josephs Seminary Dunwoodie, Yonkers, N.Y. 10704 Back to Homiletic & Pastoral Review Table of Contents November 2000 |
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