The moral permissibility of certain acts traditionally considered abortion has become a subject of much debate in recent years. One of the main points in this debate is the question of whether there exists a difference between “abortion as removal” and “abortion as killing.” This essay strives to present readers with an orthodox interpretation of Church documents regarding abortion, giving clear and well-supported evidence that this distinction is not found in Catholic teaching.

Plastination is a relatively novel technique wherein human tissue is dehydrated and the water is replaced with a plastic-like substance. The process is valuable to educational institutions, because it preserves the body for a long period of time, allowing for prolonged anatomical study. However, a number of ethical issues have been raised regarding the process, particularly related to the procurement of human specimens and the act of displaying these bodies, even for educational purposes. This article explores both the process itself (...) and the associated ethical pitfalls, particularly from a Catholic perspective. (shrink)

Ethical medical decision-making for a child is generally navigated with various standards and models that have been developed to address its complexities. A case is presented of the parents’ refusal of a surgical procedure for their child considered by medical providers as essential and potentially lifesaving, along with the ethical debate of whether the parents’ decision was in the child’s best interest and whether their refusal reached a threshold to report and seek state intervention. Utilizing the best interest standard and (...) additional ethical decision-making tools, the ethicists helped the medical team accept the parents’ decision as reasonable, thus avoiding involvement with Child Protective Services. It is my goal to clarify the parents’ decision as reasonable and as honoring their child’s best interests and inherent dignity through the lens of Catholic anthropological and moral principles. These strengthen the ethical and moral arguments for the parents’ decision and the opposition to state intervention. (shrink)

Catholic physicians who believe that the Church offers a positive, intellectually compelling, and beautiful religion have a unique experience in their work and life. These physicians often encounter a particular difficulty related to mischaracterization of Catholic doctrines as restrictive, impersonal, or even disrespectful of human freedom. Multiple physician stories are briefly recounted as examples of these experiences. This difficulty is most painfully encountered when professional colleagues absorb scandal, factual errors about the teachings, negative stereotypes, or incompatible ideologies. The Catholic physician (...) can address this difficulty with tact, witness, and gentle discussion of Catholic doctrine and the natural consequences of ethical and ideological missteps in mainstream medicine. (shrink)

In a 2019 article and a 2022 article published in this journal, Melissa Moschella argues that new natural law (NNL) sexual ethics is sound and that old natural law sexual ethics fails. In her view, all non-reproductive type sexual acts are morally wrong because they are both contrary to the basic good of marriage and involve degrading the body as a mere instrument for pleasure. She also critiques the perverted faculty argument (PFA) as found within the work of Edward Feser (...) as unsound. Here I argue that a proper understanding of the PFA as found within the writings of Thomas Aquinas easily avoids her objections and that the argument of Thomas has a distinct advantage over the pleasure argument insofar as it can ground the badness of such actions universally. (shrink)

An ongoing debate in Catholic bioethical circles today centers around the liceity of inducing labor in a woman with a healthy previable fetus in order to save her life. Many Catholic bioethicists have defended the view that such inductions are morally licit even though the fetus itself has no medical issues and it is the combination of the pregnancy along with a weakened heart of the mother that is causing problems. Typically the basis for this view is the procedure’s satisfaction (...) of the four criteria of the principle of double effect, namely: the act itself is not evil, the evil effect is not intended, the evil effect is not produced by means of the good effect, and there is proportionate reason for the procedure. A few Catholic bioethicists have worried that the procedure does not satisfy the fourth criterion, the principle of proportionate reason. Here I present arguments showing that it is also unlikely to satisfy the first criterion, that the act itself is not evil. This hinges on the principle that it is only permissible to perform acts from which evil effects follow necessarily when such acts only directly target a pathology. Fortunately such vital conflict cases are rare and hopefully medical advances will eliminate them. (shrink)

I argue that proponents of heterologous embryo transfer are faced with the practical decision of whether would-be parents should adopt a prenatal child or a postnatal child (e.g., a child from the foster system). I argue that, all things considered, there is a good reason to favor postnatal adoption in every case in which a postnatal child is available for adoption. Since, unfortunately, there will always be postnatal children to adopt, there is little practical impetus for prenatal adoption.

Conscience is widely misunderstood. For many, conscientious objection, both religious and nonreligious, is regarded as nothing more than a convenient excuse to get around the rules. This essay provides an argument for respecting conscience. It shows how the conscience is an integral part of responsible decision-making and must be recognized and protected and ends with an application of the right of conscience to recent debates over mandatory COVID-19 vaccination. The goal of this essay is to show why there is a (...) strong case for taking conscience seriously in ethics and public policy. (shrink)

I reply to Steven Jensen’s article, “Phoenix Rising from the Ashes: Recent Attempts to Revive New Natural Law Action Theory,” which appeared in this journal in 2020. His arguments helpfully clarify where the disagreements between the strict and broad views of intention lie but, I argue, fail to refute the arguments and explanations he criticizes. I argue he misinterprets the strict view’s reference to necessity in its criterion for what is intended. I also argue against what he labels as the (...) “identity thesis,” and against his attempt to show that the strict view (or New Natural Law theory of action) leads to the absurdity that most acts of adultery are not actually adultery. (shrink)

Thomas Aquinas expounded a theory of delayed hominization that has greatly influenced debates about abortion. Although many have robustly criticized this theory, its continuing appeal to supporters of abortion necessitates a reexamination. This essay will revisit Aquinas’s problematic view about the place of the rational soul in embryological development and show that he confuses the ability to reason with the capacity for reason. In a time when abortion rights debates are common and vitriolic, this essay attempts to provide clear reasons (...) for reaffirming the moral status of the embryo from conception. (shrink)

In a recent issue of this journal, Steven Dezort criticizes two versions of the contralife argument, including my version and a version defended by some prominent new natural law theorists. In this essay, I argue that people should accept the contralife argument even if they disagree with other principles of new natural law theory. To defend this thesis, I correct some misstatements about the contralife argument and identify basic disagreements about defining actions and respecting human life.

Triage situations and other occurrences in which rationing of medical care is necessary require careful distribution of medical equipment, services, or resources. However, the evolution of triage has failed to eliminate certain biases in the standards of care, particularly for groups already facing societal disenfranchisement and discrimination. This article explores the use of triage calculators and other systems of rationing care, their implicit biases, and how to avoid allowing those biases to influence care.

Embryo adoption is a topic of considerable debate in the Church. Well over a million human embryos are currently being kept in cryogenic containers with little prospect of survival. The desire to rescue these vulnerable human beings is natural. However, the processes required to do so raise serious questions regarding the ethics of embryo adoptions. The violation of the unitive and procreative aspects of human intercourse and its ramifications on the moral status of heterologous embryo transfer are key to understanding (...) the reasoning behind some objections to human embryo adoption. (shrink)

The Catholic moral tradition has a rich foundation that applies broadly to encompass all areas of human experience. Yet, there is comparatively little in Catholic thought on the ethics of the collection and use of data, especially in healthcare. We provide here a brief overview of terminology, concepts, and applications of data in the context of healthcare, summarize relevant theological principles and themes (including the Vatican’s Rome Call for AI Ethics), and offer key questions for ethicists and data managers to (...) consider as they analyze ethical implications pertinent to data governance and data management. (shrink)

Reducing disparities in health for racial and ethnic minorities has been a focus for US public health since the Heckler Report. Yet, a majority of racial and ethnic minorities in the US continue to have lower life expectancies and are more susceptible to poorer health outcomes compared to their white counterparts. Improvements in public health have been thwarted by ideological differences and structural restraints that necessitate an alternative method aimed at reorienting ethical discourse and guiding the public health as an (...) institution. Informed by a neo-Aristotelian concept of justice and the good life explicated through the Catholic social tradition, a new framework will enable public health to more wholly achieve its aim in the service of the populations that continue to be marginalized. (shrink)

Throughout history Christians have responded to the need for direct care for the sick in imitation of the healing ministry of Jesus and in the creation of hospitals as signs of God’s love. The COVID-19 pandemic has created a global, unprecedented modern experience of vulnerability. It has resulted in moral distress for doctors and health care workers in overwhelmed facilities. It has also revealed profound inequity in access to health care, the tragic consequences of the neglect of public health and (...) its focus on communities, and the effects of poverty and marginalization on the risk of illness and death. This paper proposes insights from Catholic social teaching that can guide a renewal of public health by rebalancing duties to individuals and communities, and renewing medicine as a public trust. These insights can assist in reducing moral distress in scarcity. (shrink)

This essay examines the development of a liberation bioethics in Latin America with its focus on public health equity from the experience and knowledge of those who are at the margins, the poor and historically oppressed groups. An encounter between bioethics and liberation theology contributed to form a Latin American bioethics marked by a double aspect: bioethical scholarly focus on public health equity and social activism for universal healthcare coverage. Liberation theology has a role in this bioethics oriented to public (...) health, and Pope Francis offers a new contribution for this perspective at the same time that he brings it to a global discussion. Considering the exchange between liberation theology and bioethics and Francis’s insights, this essay offers a new perspective grounded in the Brazilian experiment and the Catholic social tradition to dialogue with US bioethical accounts by challenging the Western epistemological framework of bioethical studies in the Global North. (shrink)

Many Catholics have expressed hesitancy or resistance to being vaccinated for COVID-19, with magisterial authorities and influential Catholic organizations advocating divergent views regarding the moral liceity of the vaccines, the justification of vaccination mandates, and whether such mandates should include religious exemptions. We address each of these disputed points and argue that vaccination for COVID-19 falls within the definition of being an ordinary—and thereby morally obligatory—treatment. To that end, we offer a brief overview of the Catholic moral tradition regarding the (...) development of the distinction between ordinary and extraordinary treatment, show how the Church morally evaluates vaccination as a good act, and underline the importance of positive witnessing in supporting vaccination. (shrink)

Mercy is a central idea of the Christian moral tradition, and Pope Francis’s papacy has only raised its profile in our collective moral consciousness. However, the concept of mercy is traditionally located at the individual level. This creates a challenge when studying moral questions related to public policy because one must either develop policy without its being informed by mercy or inelegantly apply what is primarily an individual-level concept to organizations and policies. To begin remedying this challenge, this article considers (...) the question of mercy’s role in public policy by exploring public health policy as a starting point. (shrink)

This essay will reflect on the importance of Catholic social teaching in public health ethics, especially in the context of the global COVID-19 pandemic. Catholic social teaching will be presented as being continuous with Catholic moral teaching—while the latter sets out norms and prohibitions often in relation to individual agents and their actions, the Church’s social doctrine invites us to think of the community and social dimension of the moral good. To illustrate this continuity of doctrine, I will argue that (...) the COVID-19 pandemic has shown a need for a serious evaluation of the relationship between public health and the common good, in light of the far-reaching and long-lasting public health measures that have been used around the world, such that the good of health has dominated considerations of almost all other aspects of life. (shrink)

The aim of this essay is to demonstrate three main points: that many of the widespread appeals made to conscience in the time of COVID display little understanding of conscience’s fundamental nature; that they assume for conscience a sacrosanct status it does not possess; and that because of the first two points, conversation regarding conscience and COVID has generated considerable confusion. In support of these points, this paper shows what conscience is, employs St. John of the Cross’s examination of attachments (...) to suggest that possession of a well-formed conscience is frequently a most difficult achievement, and examines various expressions associated with the COVID debate to illustrate how much of the conversation has stemmed from or resulted in little real understanding. (shrink)

This essay seeks to establish that Catholic community pharmacists should refuse to verify, dispense, and counsel on hormonal medications used for contraception on the grounds of professional and personal beliefs as these services constitute immoral immediate material cooperation. In this controversial area of patient care, pharmacists are more frequently being called upon to facilitate medication use for contraceptive purposes. Contraceptive acts are believed by some healthcare providers to be morally harmful to a patient’s well-being. Pharmacists who hold beliefs that contraception (...) does not promote positive patient outcomes are professionally bound to refuse immediate cooperation through providing pharmaceutical services related to contraception. (shrink)

According to the contralife argument, because both contraception and natural family planning entail at least a contralife motivation to have marital intercourse but avoid pregnancy, both should be forbidden—a conclusion rejected by the natural law tradition and Church teaching, which forbid contraception but permit NFP. This paper argues that the principle of double effect can be applied to explain why contraception is forbidden but NFP is permissible. This double-effect analysis evaluates the good effect of procreation and unity against the bad (...) effect of lustful sexual pleasure. This paper argues that contraception fails to meet the conditions of the PDE, because it intends sexual pleasure in isolation from procreation and unity and is therefore forbidden. Conversely, NFP meets the conditions of the PDE because, as with all permissible sexual intercourse, it intends sexual pleasure in conjunction with procreation and unity and is therefore itself permissible. (shrink)

On its release, the Instruction on Respect for Human Life was accused of obstructing the technological enhancement of human life by using slippery slope arguments to impose the Magisterium’s opinion that accepting certain new technologies, like homologous artificial fertilization, would weaken resistance to practices the Church traditionally has opposed. To the contrary, the instruction calls attention to the fact that by using these technologies, we have in principle accepted all sorts of thigs, with or without technology, which are destructive of (...) human life. (shrink)

Irene Alexander’s article in last spring’s issue of this journal criticizes the new natural law account of sexual ethics, including Melissa Moschella’s defense of that view in a previous article also in this journal. Alexander claims that the NNL account adopts an empiricist view of nature and that NNL’s rejection of the perverted faculty argument is contrary to the Magisterium. Here Moschella responds to Alexander’s criticisms by clarifying NNL theorists’ understanding of the distinction between speculative and practical reason through an (...) explanation of Aquinas’s account of the four orders, correcting Alexander’s erroneous portrayal of NNL arguments against contraception, and arguing that the NNL account of sexual ethics is not only in line with magisterial teaching, but offers a better philosophical defense of that teaching than the view Alexander proposes. (shrink)

In vitro gametogenesis is the process of deriving gametes from embryonic stem cells or induced pluripotent stem cells. While not as well-known as in vitro fertilization, IVG could lead to more moral issues that would require corresponding responses from the Magisterium. Because IVG remains at the experimental stage, mainly using mice, the Magisterium has not issued any such responses in a document along the lines of Donum vitae and Dignitas personae. This essay situates IVG within Catholic moral teachings for those (...) who are unfamiliar with the teachings of the Church but who are interested in forming their consciences and those of others on what is undoubtedly a peculiar medical technique with many moral ramifications. (shrink)

Although conflated in the public mind, science and technology are separate though overlapping enterprises. While technological progress is advancing rapidly, the more philosophically oriented scientific fields are experiencing an epistemological crisis. In the following text, we examine the origins of this epistemological crisis. Although the crisis is multifactorial in origin, with the factors interacting in a nonlinear fashion, several distinct contributors can be identified. These include a decline in confidence in Western culture and a concomitant rise in exaggerated self-criticism, diminution (...) of cause-and-effect relationships, the rise of relative truth, and a transition from an agnostic to an atheistic stance among scientists. (shrink)