Bioethics

"In approaching new technological developments, the present is set within the now of the past. In addressing issues such as cloning, the use of embryonic stem cells, and germ-line genetic engineering, Orthodox Christians will not seek new moral insights. There will not be a search for new medical-ethical or bio-ethical principles, but the recall of a permanent possibility for epistemic insight grounded in the consequences of the Incarnation. The goal will be to provide an expression of an abiding truth in part guided by the writings of the Fathers but always crucially sustained by the presence of the Holy Spirit, so as to express in a new context the enduring moral consciousness of the Church."

"The use of fetuses as organ and tissue donors is a ticking time bomb of bioethics."

"The aim of bioethics is to identify ethical problems raised by critical decision making in healthcare, and by genetic engineering and biotechnology research into microorganisms. Most of the key bioethical issues, especially the ones related to human life sprung from a debate between principles of morality, the development of science, and its potential contribution to ‘better living standards’, all framed within different cultural backgrounds. Bioethical research will thus take place interactively with other related disciplinary ethics. In the bioethical debate it is important not only to take on board the general perception of norms, but also to question until what extent bioethics will reshape those norm."

"Christian bioethics is a puzzle. The very name suggests an ethics other than one for humans generally. Can there be an ethics just for certain humans? Has a special ethics been given to Christians as the Torah was given to Israel? Can there be an ethics for all people, but which only some people can know or know fully?"

"In many ways it is anachronistic to use this term prior to the 1970s, for the phenomenon of bioethics was in many ways associated with the deprofessionalization of medical ethics and its reconceptualization as a secular, philosophically oriented discipline independent of the health care profession."

"An exploration of Christian bioethics at the beginning of the 21st century might with relief be regarded as anachronistic, as a matter of the past. This side of the Renaissance and the French Revolution, the once-Christian West is increasingly post-Christian. Though in some countries a particular Christianity is still established – in Germany, two – their role and force for public policy are progressively marginalized in the framing of law and public policy. There is no society that is unabashedly Christian, as Spain under Franco or Portugal under Salazar had been Christian."

"A common sense of doing Christian medical ethics or bioethics was available for Roman Catholics until the mid-1960s. As John Berkman observes, “The conceptual continuity in moral theology is clearly visible from the manuals themselves, which in 1950 maintained the same basic structure and categories of the manuals which begin in 1605.” There was a confidence in the ability of moral theological reflection to answer the questions posed by new technological and scientific developments."

"Christian bioethics as a family of bioethics had a brief and significant flowering. For some two decades it commanded a centrality in the public debate regarding the new medicine. It then receded from public policy discussions. This is not to deny that a rich and often thoughtful literature continued to grow, nurtured by authors from evangelical as well as other perspectives. Christian bioethics simply no longer commands the public notice it once enjoyed. During its flourishing, Protestant bioethicists such as Paul Ramsey and Stanley Haurwas claimed a prominent place for Christian bioethics. Their reflections garnered enough broad attention. Initially, the novelty of the debates was itself engaging, even as an old paradigm of Christian bio ethic collapsed, and many scholars energetically struggled to erect diverse new ones. During the 1960s and early 1970s the various Christian bioethics flourished at the vanguard of bioethical scholarship, so that in this period one could not have given an adequate account of medical ethics of bioethics without taking into account of the work of Christian thinkers such as Ramsey and Hauerwas. Yet, just as secular bioethics assumed an important role for public policy Christian bioethics receded in cultural significance and force. Christian bioethics served as an intermediate step in the emergence of secular bioethics. In part, this was due to Christian bioethics attempting to speak to the world in secular rather than in Christian terms. By discounting its particularity, Christian bioethics marginalized the importance of what it could offer. As Stanley Hauerwas had argued, this has been one of the major forces in the recent decline of Christian bioethics."

"Because Orthodox morality is primarily therapeutic, it is not juridical. The goal is not to do justice but to bring God’s mercy to the repentant. Although any falling short of the mark of saintly perfection is sinful, the response to sin is not punitive (e.g., penance is not punishment but treatment). Bioethics should be healing, aimed at restoring through repentance and purification the individual’s focus on God."

"Orthodox bioethics is not natural-law oriented. Unlike Western Christianity, which came to look for traces of God in nature, Orthodox Christianity approaches nature as an icon, as a window through which to see God, with the result that Orthodox Christianity is innocent of the natural-law theory of the West (Foltz, 2001)."

"In an age that endorses diversity, while considering real disparities of belief as threatening, Christian bioethics, or at least traditional Christian bioethics, presented differences that matter, and that are therefore threatening. The Western history of religious wars and inquisitorial coercion encumbered Christian bioethics with a past that made its contemporary undertaking suspect. In a world bloodied by its response to difference, Christian bioethics offered to divide Christian from non-Christian, and Christian from Christian, seeming to endanger the fabric of a peaceable society. The particular content of Christian bioethics was a possible enemy off tolerance an a friend of conflict. Having engendered the religious wars of the past, Christianity of the mid 20th century was engendering the culture wars of the future. From the perspective of post-traditional Christians, and indeed in terms of many of the rights movements of the 1960s and 1970s, traditional Christianity was reactionary at best. It resisted progressive liberalism’s commitment to freeing persons and social structures from the constraining hands of the past. It saw in abortion and the emerging contraceptive ethos not avenues of liberation but roads to damnation. Rather than celebrating this ethos of choice as a liberation from the tyrant of biological forces, which has subjected women to men, traditional Christianity recognized in the secular revolutions affirmation of extramarital sex, the contraceptive ethos, and abortion, as only a further enslavement to the passions and chaos they bring. Disagreements about these matters within Christianity itself heightened the moral confusion of the time. Christian bioethics, rather than providing a means to resolve bioethical controversies and to achieve a general consensus concerning health care policy, fueled further controversy."

"Other factors were also influential in making a secular bioethics appear more attractive than a Christian bioethics. The secularization of the culture made the consideration of a Christian bioethics as a source of moral guidance unappealing. Reliance on traditional authority figures came to be regarded as pejoratively paternalistic, if not as an expression of a false consciousness. Traditional Christian morality interpreted by an authoritative hierarchy was at loggerheads with the view that society should be open, liberal, and pluralist. The very notion of a religious tradition as a source of moral judgment collided with an emerging sense of autonomy and individual rights. Indeed, traditional Christianity is not only hierarchical but robustly patriarchal. It takes seriously the declaration of St. Paul that “the head of the woman is the man” (1 Cor 11:3) and that “man was not created on account of woman, but woman on account of the man” (I Cor 11:9). Although accepting men and women as equally called to salvation, traditional Christianity recognized them in a hierarchy of honor and authority. Against the backdrop of the rights movements of the 1960s and their rejection of traditional claims of social authority, traditional Christian understandings were not only unacceptable and embarrassing, but to be positively rejected. Traditional Christian commitments came to be regarded as exploitative, thus driving a deep cultural wedge between traditional and post-Christianities."