Church Says Ethics Must Guide Biomedical Research

 

In order to assist our readers in evaluating the positions of the various candidates in this year’s general election, the Light is publishing a series of three articles. The first, which was published in the September 7 edition, offered a brief summary of Catholic teaching regarding the responsibility of Catholics in political life. The second article, published in the September 28 issue, outlined Church teaching on the life issues, including abortion, euthanasia, capital punishment, war and peace, and same-sex marriage. The third article appears below and addresses biomedical questions, including stem cell research, cloning, emergency contraception, and in vitro fertilization.

 

STEM CELL RESEARCH

A stem cell is a human cell that, when it divides, has the potential to produce either another cell, like itself, or other cells with more specialized functions depending on the needs of the body. For example, certain stem cells in human blood have the potential to produce red blood cells and white blood cells. A stem cell is like the stem of a plant that becomes differentiated as it grows.

Researchers using stem cells harvested from adults have had very promising results in the treatment of debilitating diseases, including Parkinson’s disease, spinal cord injuries, leukemia, heart damage, sickle-cell anemia and others. Experimentation on adult stem cells, and their use in the treatment of disease, pose no moral problems because the collection of such cells in no way endangers the life of the donor. The Church has consistently encouraged adult stem-cell research including the harvesting of stem cells from umbilical cord blood. Just recently, Pope Benedict XVI addressed a Pontifical Academy for Life Symposium on the subject. The Pope praised scientific knowledge and advanced technology when they combine with ethics that teach respect for the human being at every stage of existence. He commended the Pontifical Academy and all people of good will for their commitment to achieving “new therapeutic results from the use of cells of the adult body without recourse to the suppression of newly conceived human beings.” ( Vatican City , October 4, 2006 ).

            The process of harvesting stem cells from a living human embryo, on the other hand, results in the embryo’s death. This process, called embryonic stem-cell research, is immoral because it involves the destruction of the lives of newly conceived human beings. Commenting on this technology, the Pope said that the Church is, and always has been, opposed “to those forms of research that provide for the planned suppression of human beings who already exist, even if they have not yet been born.” He reiterated the “human value of the newly conceived child also when considered prior to implantation in the uterus.” The Pope described the essential problem with experimentation that involves destruction of newly conceived human beings: “No one can dispose of human life. An insurmountable limit to our possibilities of doing and of experimenting must be established. The human being is not a disposable object, but every single individual represents God’s presence in the world” (cf. J. Ratzinger, God and the World, Ignatius Press, 2002).

In the United States , the debate about stem-cell research began in the late nineties. In 1995, Congress banned federal funding of research harmful to the human embryo. In 1999, the Clinton administration reinterpreted the ban, claiming that the funding prohibition did not apply to research on cells derived from human embryos, even though the cells could be derived only by destroying the embryos. In August 2000, the National Institutes of Health published funding guidelines for research using embryonic stem cells. A year later, President Bush announced that federal funding would be available for research using only stem-cell lines already in existence. The White House reaffirmed this policy in June, 2004.

Extravagant claims by embryonic stem-cell research advocates only serve to confuse the debate. While the idea of a future without Parkinson’s or some other debilitating diseases is very appealing, the moral truth is that a good intention, such as developing the cure for a disease, does not make a morally evil action, the intentional killing of a human embryo, permissible. In Catholic theology “[o]ne may not do evil so that good may result from it.”(Catechism of the Catholic Church #1749-1761)

The Catechism of the Catholic Church states, “Human life must be respected and protected absolutely from the moment of conception. From the first moment of his existence, a human being must be recognized as having the rights of a person – among which is the inviolable right of every innocent being to life” (#2270). Embryonic stem-cell research violates this most basic of rights and is, therefore, forbidden by the Church.

Despite accusations that the Church is choosing embryos over suffering patients, the truth is that the Church has a 2,000-year-old record of supporting experimentation and technology that seek the well-being of human beings through ethical means. The United States Conference of Catholic Bishops has supported all efforts and advances in stem-cell technology that are scientifically and morally sound. Richard Doerflinger , deputy director of the Secretariat for Pro-Life Activities of the U.S. Conference of Catholic Bishops, commented on recent attempts in Congress to pass pro-embryonic stem-cell legislation. “A better path, already endorsed by President Bush and an impressive bipartisan majority of Congress,” said Mr. Doerflinger, “is to fund avenues for discovering or creating cells with the abilities of embryonic stem cells without exploiting human embryos at all.”

 

HUMAN CLONING

Cloning is a form of asexual reproduction. It is done by taking genetic material from a person's body cell, injecting it into an egg whose nucleus has been removed or inactivated, and then stimulating the egg to begin embryonic development. Genetically the cloned embryo is virtually identical to the person whose cell was used. Some people want to use cloning to produce infants as copies of living or deceased people. This is called “reproductive cloning” or “cloning-to-produce children.” Others want to use cloning to mass-produce human embryos to be destroyed as raw material for experimentation. This is called “experimental cloning” or “cloning-for-biomedical research.” The issue of experimental cloning overlaps with the problem of stem-cell research discussed above. A person might want, for example, to create a cloned embryo that would provide an endless supply of genetically matched stem cells for himself in order to avoid tissue rejection during the treatment of disease.

Sexual intercourse in marriage is the only morally acceptable means of procreation. Cloning is an asexual means of reproduction that is dehumanizing and that treats human beings as laboratory products. For these reasons, the human cloning ban supported by the Church has been approved by a bi-partisan majority in the U.S. House of Representatives. Many countries, including Canada , France , and Germany have similar bans on cloning. Furthermore, claims that a ban on cloning would impede the treatment of disease are misguided. Creating human clones to use their embryonic stem cells to treat disease, for example, is not only immoral but unnecessary. As shown above, adult stem cells are available for the treatment of disease and present no ethical problems. Donum Vitae issued by the Congregation for the Doctrine of the Faith in 1987 addresses the immorality of human cloning. “[A]ttempts or hypotheses for obtaining a human being without any connection with sexuality through ‘twin fission,’ cloning or parthenogenesis are to be considered contrary to the moral law, since they are in opposition to the dignity both of human procreation and of the conjugal union” (I, 1 and 6).  

EMERGENCY CONTRACEPTION: “PLAN B”

The Catechism of the Catholic Church teaches that all forms of contraception are immoral. “Artificial contraception is the use of mechanical, chemical, or medical procedures to prevent conception from taking place as a result of sexual intercourse; contraception offends against the openness to procreation required of marriage and also the inner truth of conjugal love” (2370).

Morning-after pills are often called “emergency contraceptives.” Despite the fact that they are called contraceptives, however, morning-after pills may, and often do, act as abortifacients. This is the case with a newly approved over-the-counter “emergency contraceptive” for women over 18 years of age called “Plan B.” According to the manufacturer’s instructions, “Plan B” may prevent ovulation, fertilization and implantation. Preventing implantation deprives an embryo, which may be as much as a week old, of needed nutrition causing it to be aborted.

Lacking physician supervision, many women who use “Plan B” will not be aware of the potential for abortifacient action. Catholics value all human life, even the newly conceived child prior to implantation. To do less is a serious violation of the dignity of the human person. A woman who uses “Plan B” needs to know that she runs a high risk of aborting the embryo in her womb.

Advocates of “Plan B” say little if nothing about the additional risks to women who use it. The amount of artificial hormone used in “Plan B” is 40 times that found in comparable prescription-only birth control pills and there is no way of knowing the frequency with which the drug will be used by any individual. The fact that “Plan B” is available over-the-counter to those 18 and older practically insures that it will eventually fall into the hands of minors just as alcohol and tobacco do. “Plan B’s” new packaging insert indicates a five times more likely risk of fatal ectopic pregnancy. Contraceptives like “Plan B” carry proven risks of depression, weight gain, vision impairment and other problems.

Little is said, as well, about the fact that “Plan B” has proven to be very profitable for Planned Parenthood. The Secretariat for Pro-Life Activities at the USCCB reports that, in 2003, Planned Parenthood saw an estimated profit of over $15 million from the sale of “Plan B.”

Pro-abortion advocates promote morning-after pills in various ways. They have succeeded in obtaining coverage in health plans of federal employees for contraceptives approved by the Food and Drug Administration. Abortion advocates are also lobbying to require all hospitals to provide morning-after pills for rape victims, with little or no regard for the consciences of health care personnel who must dispense them. They also seek to establish public education programs promoting morning-after pills.

 

RU-486

RU-486 is a drug specifically designed to end a pregnancy that is not more than 49 days old (dated from the beginning of woman’s last menstrual period). RU stands for Roussel Uclaf, the developer of the drug, while 486 is simply a shortened version of 38456, the number assigned to the drug in the company’s laboratory. The United States Food and Drug Administration (FDA) gave approval for use of this drug in the United States on September 28, 2000 .

RU-486, or mifepristone, works by causing the mother’s womb to slough off the implanted embryo. It blocks the effect of progesterone, a hormone necessary to maintain implantation. Two days after taking RU-486 a woman enters the abortion clinic and receives a prostaglandin which causes uterine contractions, expelling what’s left of the shriveled embryo. The abortion may take hours or a day or longer. The woman must return to the clinic 14 days after the administration of RU-486 to make sure that the abortion took place and that there are no complications. On rare occasions a surgical intervention may be necessary to remove the remains of the embryo. Occasionally, the drugs fail to cause the desired abortion. Because the child may be injured in various ways, abortion providers will then recommend a surgical abortion. In U.S. trials of the drug 92 % of chemical abortions were successful when performed in the fifth week of pregnancy, while only 77% were successful when the abortions were performed during the seventh week.

Health care professionals warn that people with various medical conditions may not safely use the drugs administered during an RU-486 chemical abortion. They also point out that side effects of the drugs may be minor or serious. In the spring of 2006, the deaths of several women were linked to the administration of RU-486. At that time, the FDA reminded abortion providers about the proper use and risks of RU-486.

From a moral point of view both chemical and surgical abortions are deplorable since they cause the death of the unborn child. In his encyclical, The Gospel of Life, Pope John Paul II affirmed Church teachings regarding the sanctity of human life and the evil of all forms of abortion: “Human life is sacred because from its beginning it involves ‘the creative action of God,’ and it remains forever in a special relationship with the Creator, who is its sole end. God alone is the Lord of life from its beginning until its end: no one can, in any circumstance, claim for himself the right to destroy directly an innocent human being.”

 

IN VITRO FERTILIZATION

The Catholic Church teaches that human embryos obtained through in vitro or artificial fertilization are human beings with rights whose dignity must be respected from the first moment of conception (Donum Vitae, I, 5). The Church also teaches that the process of conceiving a child through in vitro fertilization is against moral law.

In vitro fertilization is the name given to a procedure in which an egg, or eggs, taken from a woman’s body are fertilized in the laboratory with a man’s sperm. The sperm may be taken from her husband or from an unrelated donor. Ordinarily, several eggs are fertilized and two or three are implanted in order to increase likelihood of a successful pregnancy. Those that do not implant are sloughed off. It is more difficult to achieve implantation by an artificially created embryo than one created by natural means. Embryos that are not implanted may be discarded or frozen for future use.

The Church teaches that the process of conceiving a child through in vitro fertilization is against moral law. Where the child is conceived using sperm collected from a donor other than the husband, in vitro fertilization “violates the unity of marriage, the dignity of the spouses, the vocation proper to parents, and the child’s right to be conceived from marriage. It deprives the child of his filial relationship to parents, can hinder his personal maturation, damage family relationships, and be a source of disorder and injustice in the whole of social life” (John B. Shea, M.D., “The Immorality of In Vitro Fertilization,” Ethics and Medics, October 2006, Vol. 31, No. 10). Where conception is achieved using sperm collected from the husband, the Church still teaches that in vitro fertilization is illicit because procreation must be the result of the unity of spouses.

Certain practices necessitated by the procedures involved in artificial fertilization are also immoral. In vitro fertilization necessarily involves creation of more embryos than can be implanted. The “extras” are either discarded or frozen. In this process, the researcher “usurps the place of God” and “sets himself up as the master of the destiny of others inasmuch as he arbitrarily chooses whom he will allow to live and whom he will send to death, and kills defenseless human beings (Donum Vitae, I, 5). Where the embryos are frozen even in order to preserve their lives for future use, the process is an offense against the dignity of the unborn child. Freezing embryos exposes them to grave risks including death or physical harm, deprives them of maternal shelter and gestation, and exposes them to the possibility of further manipulation.

The Church has great compassion for married couples who know the sadness of infertility. The desire for a child is natural and is the expression of the proper vocation of spouses to fatherhood and motherhood. Nevertheless, the Church says that “marriage does not confer upon the spouses the right to have a child . . . [A] child is a gift, ‘the supreme gift’ and the most gratuitous gift of marriage, and is a living testimony of the mutual giving of his parents. For this reason, the child has the right . . .to be the fruit of the specific act of the conjugal love of his parents . . . (Donum Vitae, II, 8).

 

Surveys Provide Information on Candidates’ Positions

In an effort to educate people about candidates and their positions on issues important to Catholic voters, the Pennsylvania Catholic Conference (PCC) prepared questionnaires that were sent to the candidates for governor, U.S. senator, U.S. representative, state senator and state representative. The responses are published here. The PCC and the Diocese of Scranton neither support nor oppose any candidate for public office.  

 

 

 

2006 General Election – Pennsylvania Governor

Candidate Questionnaire Responses  

1. If Roe v. Wade is overturned, what is your position on providing legal protection for unborn children from the moment of conception?  

Rendell (D): Oppose

Swann (R): Support  

1a. If support, what exceptions, if any, would you require?

a) would not require exceptions

b) life of the mother

c) life of the mother, rape, and incest  

Rendell (D): Did not indicate

I believe abortion should be legal but as rare as possible. My efforts to improve our adoption services have been recognized with two national awards.  

Swann (R): C

 

2. What is your position on research that involves destroying live human embryos to obtain their cells for experimentation (embryonic stem cell research)?  

Rendell (D): Support

Swann (R): Oppose

 

3. What is your position on a provision in the state budget to fund contraceptive services?  

Rendell (D): Support

I have also increased funding for abstinence education.  

Swann (R): Oppose

 

4. What is your position on mandating employers and health insurance plans to cover contraceptives in their prescription drug plans?  

Rendell (D): Support

Swann (R): Did Not Indicate

The specific health services provided by a certain employer or health insurance plan should be left to the discretion of those providers and employees.

 

5. What is your position on a moratorium on the death penalty in Pennsylvania ?  

Rendell (D): Oppose

Capital defendants must have access to experienced and able counsel and to DNA testing, even if they cannot afford it.  

Swann (R): Oppose

 

6. What is your position on amending the Pennsylvania Constitution to define marriage as the union between one man and one woman and prevent civil unions or another functionally equivalent legal status?  

Rendell (D): Oppose

I agree with our existing legal definition of marriage as being between one man and one woman, and I therefore believe the amendment is unnecessary to protect marriage. I have always supported giving same-sex couples in a committed relationship functionally equivalent benefits.  

Swann (R): Did Not Indicate

I support a clear and unequivocal amendment to the state constitution that defines marriage between one man and one woman.  

 

7. What is your position on legislation that allows only single individuals or married couples to adopt children?  

Rendell (D): Oppose

Swann (R): Support

 

8. What is your position on school choice legislation in the form of direct grants, or vouchers, to students to attend the school of their choice?  

Rendell (D): Oppose

I have, nonetheless, doubled funding for the Educational Improvement Tax Credit.  

Swann (R): Support

We must allow children in perpetually underperforming schools to have other academic options.

 

9. What is your position on increasing funding for the Educational Improvement Tax Credit (EITC), which encourages businesses to donate to K-12 scholarship programs?  

Rendell (D): Support

EITC scholarships have doubled since I took office.  

Swann (R): Support

 

10. What is your position on giving more public dollars to state-funded preschool (ages 3-4) program available to all students regardless of family income and administered exclusively by public school districts?  

Rendell (D): Did not indicate

I strongly support pre-kindergarten funding for school districts AS WELL AS for high quality community providers.  

Swann (R): Oppose

All providers of preschool should be available for state funds.

 

11. What is your position on legislation to create a registration system for religious child care providers that includes health and safety requirements (but not licensure by the Department of Public Welfare) and preserves their religious freedom (i.e., in curricula and hiring practices, and discipline)?  

Rendell (D): Did not indicate

I believe that staff/child ratios, corporal punishment and staff qualifications ARE issues of health and safety.  

Swann (R): Support

 

12. What is your position on using more public money to make assisted living/personal care more affordable and provide more health care options for the elderly so that they may choose the setting best suited to their needs (i.e., home care, assisted living/personal care, nursing home)?  

Rendell (D): Support

I have nearly doubled the number of seniors able to live at home and in dignity while receiving needed services.  

Swann (R): Support

 

13. What is your position on legislation establishing a review board to impose standards that ensure scientific research in Pennsylvania adheres to ethical principles?  

Rendell (D): Did not indicate

I am willing to consider any evidence of the need for such a board.  

Swann (R): Support

We should build off the model in the tobacco settlement legislation.

 

14. What is your position on legislation that forces Catholic health care providers to provide, pay for or refer for services contrary to their conscience and moral teachings?  

Rendell (D): Did not indicate

My position would depend on the specific service.  

Swann (R): Oppose

Each provider’s policy should be made clearly known to the insured associated with the institution.

 

15. What is your position on the appointment of a task force to examine Pennsylvania’s long-term care policy and funding needs for senior care services so Medicaid-funded home and community based alternatives are carried out in partnership with all types of long-term care providers?  

Rendell (D): Support

My Long Term Living Council is soliciting input from stakeholders.  

Swann (R): Support  

 

2006 General Election – U.S. Senator

Candidate Questionnaire Responses  

1. If Roe v. Wade is overturned, what is your position on providing legal protection for unborn children from the moment of conception?  

Santorum (R): Support

Casey (D): Support  

1a.       If support, what exceptions, if any, would you require?

a)         would not require exceptions

b)         life of the mother

c)         life of the mother, rape, and incest

 

Santorum (R): B

I would not vote against otherwise pro-life legislation if it also included exceptions for rape and incest.  

Casey (D): B

If the U.S. Supreme Court were to overturn Roe v. Wade and the issue was returned to the states, and if the PA General Assembly passed an abortion bill, that bill would contain exceptions for rape, for incest, and for the life of the mother. I would strongly support that bill because it would have the effect of reducing the number of abortions in PA.

 

2. What is your position on research that involves destroying live human embryos to obtain their cells for experimentation (embryonic stem cell research)?  

Santorum (R): Oppose

I do support adult stem cell research and introduced the Alternative Pluripotent Stem Cell Research and Enhancement Act to find other alternatives.  

Casey (D): Oppose

I will strongly support increased funding for research on umbilical and placenta stem cells, adult stem cells, and other forms of stem cell research that do not harm the embryo.

 

3. What is your position on suspending all federal executions?  

Santorum (R): Oppose

I have supported the death penalty in very limited circumstances, with strict enforcement of due process rights, ensuring that innocent individuals are not subjected to this ultimate penalty.  

Casey (D): Oppose

I support the death penalty for heinous crimes. But I support federal legislation that provides access to relevant DNA evidence.  

4. What is your position on a constitutional amendment that defines marriage as a union between one man and one woman?  

Santorum (R): Support

Casey (D): Oppose

Marriage can only be between a man and a woman. I believe PA State law is clear on that. And I do not believe Washington should take this decision away from state legislatures. I understand that many good people support this amendment because of their legitimate concern about protecting the definition of marriage. Yet far too many in Washington are using this amendment to divide our nation for political gain. I will not be a part of such efforts.  

4a. If support, which constitution should be amended?

   a.)     U.S. Constitution

   b.)     PA Constitution

   c.)     Both  

Santorum (R): C

I strongly believe in defending traditional marriage and have spoken on the Senate floor in support of this measure.  

Casey (D): N/A

 

5. What is your position on expanding the federal school voucher program (e.g. the Washington , DC voucher program) to other jurisdictions to further study its effects on at-risk children?  

Santorum (R): Support

Casey (D): Oppose

I was educated in Catholic schools. I taught at a Catholic school. My girls attend Catholic schools, but I cannot support any program that drains money from public schools.

 

6. What is your position on providing a tax credit to businesses that donate to scholarship organizations that provide scholarships for low-income students at private schools in grades kindergarten through 12?  

Santorum (R): Support

I have introduced a bill that would turn the PA EITC program into a federal law.  

Casey (D): Oppose

Same as above. Tax credits would drain revenue for public education.

 

7. What is your position on legislation that forces Catholic health care providers to provide, pay for or refer for services contrary to their conscience and moral teachings?  

Santorum (R): Oppose

I introduced the Abortion Non-Discrimination Act to address this problem.  

Casey (D): Oppose

I am for exemptions that provide adequate provision for individuals to get care elsewhere.

 

8. What is your position on mandating employers and health insurance plans, regardless of their religious beliefs or moral convictions, to cover contraceptives in their prescription plans for employees?  

Santorum (R):Oppose

I also oppose the FDA’s recent decision to sell the “Morning-After Pill” over-the-counter, while my opponent favors it and calls for it to be “widely available.”  

Casey (D): Support

I do not believe that employers should be able to deny their employees coverage for legal contraceptive services, especially since those services are proven to significantly reduce abortion rates in this country.

 

9. What is your position on comprehensive immigration reform efforts (such as the McCain/Kennedy proposal) which outline steps for undocumented workers to earn US citizenship or legalization?  

Santorum (R): Oppose

Unlike my opponent, I oppose amnesty. I believe we must first secure our borders, so I introduced the Border Security First Act.  

Casey (D): Support

I would have voted for this bill over doing nothing at all. However, as I have said, the bill is not perfect. My top priority is to pass legislation that emphasizes border security and punishment for employers who hire illegal immigrants. And I will never support efforts to criminalize priests, nuns, and lay workers for trying to help immigrants.

 

10. What is your position on comprehensive health care reform efforts that include providing coverage for immigrants?  

Santorum (R): Support

I support patient-centered proposals to expand access to quality and affordable health care for all Americans, not increasing dependency on government programs. I do not support providing government benefits to illegal immigrants who do not pay taxes.  

Casey (D): Did not indicate

My priority is to expand health care coverage and reduce the cost of health care for children and working families. I oppose efforts by some to deny health care access for legal immigrants.

 

11. What is your position on cuts or program changes to Medicare and Medicaid that restrict access to health care for low income citizens?  

Santorum (R): Oppose

I strongly support efforts to reform Medicare and Medicaid to root out fraud, waste, and abuse so that our hard-earned tax dollars are spent on services for those that need them the most.  

Casey (D): Oppose

If elected to the U.S. Senate, I would be strongly supportive of a number of other initiatives of the U.S. Conference of Catholic Bishops, including: protecting Social Security, especially for individuals and families whose resources are already very limited; environmental protection, especially as it affects children’s health; increasing the minimum wage; expanding children’s health insurance; supporting child care initiatives, including the Family and Medical leave law; and supporting children’s health and nutrition programs including food stamps and WIC.  

 

U.S. Congress

Candidate Questionnaire Responses  

NOTE: This questionnaire was sent to Christopher Carney (D-10), Don Sherwood (R-10), Paul Kanjorski (D-11), Joseph Leonardi (R-11), John Peterson (R-5) and Donald Hilliard (D-5). Mr. Hilliard was the only candidate who responded. His responses follow. (DNR indicates did not respond to this question.)  

1.       If Roe v. Wade is overturned, what is your position on providing legal protection for unborn children from the moment of