Making Sense of Bioethics – Page 7 – Madison Catholic Herald

Physicians will sometimes prescribe a hormonal regimen (in the form of a hormonal contraceptive like the Pill) to treat certain gynecological problems like heavy menstrual bleeding, dysmenorrhea (painful periods), PMS (pre-menstrual syndrome), endometriosis, or other conditions like severe acne. In these cases, the Pill is used not as a contraceptive, but as a therapy for a medical condition.

This can be morally permissible under the principle of double effect, which allows for the treatment of a serious medical problem (the good effect), while tolerating its unintended consequences, when other less harmful treatments are not available. In this case, the unintended consequences would be the impeding of one’s fertility and the potential health risks and side effects of the Pill (the evil effect).

On December 12, 2012May 20, 2021

Fr. Tad Pacholczyk

Taboos and tattoos

On TV these days, we’re seeing more and more programs about “body art” and tattoo design. Despite the apparent widespread acceptance of the practice, there are several problems with tattooing that go beyond the sanitary issues, disease transmission, and unclean inking needles that can be found in second-rate tattoo parlors.

Tattoos, as some who have gotten them have recognized, have negative associations. An article in the Dallas Morning News a few years ago chronicled the story of a young man named Jesus Mendoza, who was “going to great lengths to remove the six tattoos that hint at his erstwhile gang involvement. . .. He feels branded. ‘It’s the stereotyping,’ he said. ‘The question is: What do you think when you see a young Hispanic male with tattoos? You’re going to think gangs. And I think that, too, now.’”

On November 28, 2012May 20, 2021

Fr. Tad Pacholczyk

Consciousness and abortion

Imagine a deadly scenario like this: a successful businessman is rendered unconscious by medical professionals to help him heal after a serious car accident, using powerful pharmaceutical agents to cause a medically-induced coma.

A few days later, a business competitor, wanting him dead, enters the hospital and kills the comatose patient. During his trial, when questioned about the murder, the competitor tries to argue, with an unnecessarily detailed explanation, that, “the medically-induced coma rendered him quite incapable of feeling any pain, because those parts of his brain involved in sensory processing and pain perception were clearly decoupled from consciousness. So killing those who are unconscious, at least on the grounds that they might feel pain, should not be seen as problematic nor should it be restricted as a personal choice.”

On September 13, 2012May 20, 2021

Fr. Tad Pacholczyk

Loving those with disabilities

Many of us have hidden fears and hesitations when it comes to dealing with persons with severe disabilities. Their unfamiliar gestures, behaviors, and limitations can challenge us and infringe on our comfort zones.

We may be tempted to apply a different standard when we deal with them. Even very young children with disabilities may suffer discrimination through denial of care as newborns, or through abortion in utero.

Santorums’ daughter Bella

During his presidential campaign, former Pennsylvania Senator Rick Santorum and his wife Karen were often asked by people on the campaign trail about their daughter Bella, who was born with Trisomy 18, a severe genetic defect caused by an extra chromosome.

Such children tend to have shorter lifespans, with 90 percent dying during the first year of life. Nevertheless, with proper care, some can live well into their teens, and even into their 20’s or 30’s.

Bella became known to the public during her father’s candidacy in part because of several memorable moments during the TV debates where Rick powerfully described how Bella’s birth and struggles had impacted their family.

On July 19, 2012May 20, 2021

Fr. Tad Pacholczyk

Ethical Use of Ventilators

The use of ventilators can pose particularly challenging problems during end of life situations for families.

When should we place a loved one on a ventilator? If somebody is on a ventilator, can we ever “pull the plug?”

Understanding our moral duty depends upon whether the use of a ventilator in a particular case can be considered “ordinary” or “extraordinary.”

Ordinary treatment

Ordinary interventions can be understood as those medicines, operations, and treatments that offer a reasonable hope of benefit for the patient and that can be obtained and used without excessive pain, expense, or other significant burden. Use of a ventilator will sometimes satisfy these criteria, and other times it will not, depending on the specifics of the patient’s situation.

On June 7, 2012May 20, 2021

Fr. Tad Pacholczyk

The hidden power in our suffering

In a 1999 study published in the Journal of the American Medical Association, patients with serious illness were asked to identify what was most important to them during the dying process.

Many indicated they wanted to achieve a “sense of control.” This is understandable. Most of us fear our powerlessness in the face of illness and death.

We would like to retain an element of control, even though we realize that dying often involves the very opposite: a total loss of control, over our muscles, our emotions, our minds, our bowels, and our very lives, as our human framework succumbs to powerful disintegrative forces.

On April 19, 2012May 20, 2021

Fr. Tad Pacholczyk

Black and white, or gray?

One widely-encountered idea today is that there is no black and white when it comes to morality, only a kind of “gray area.” This is often taken to mean that we really can’t know with certainty what is right and wrong, allowing us to “push into the gray” as we make certain moral decisions that at first glance appear to be immoral.

The behavior of the semi-legendary figure of Robin Hood is sometimes mentioned as an example of this “gray area” phenomenon, since he was a character who would steal money (morally bad) for the purposes of helping the poor (morally good).

‘Gray’ shrouds immoral actions

By focusing on the good intentions motivating our choices, and by arguing that morality is ambiguous and mostly “gray” anyway, a person can more easily justify and provide cover for morally problematic actions. When we begin to scrutinize the claim that morality is “gray,” however, we encounter significant problems and contradictions.

On March 8, 2012May 20, 2021

Fr. Tad Pacholczyk

Nickels, dimes, and family size

A few years ago, I spoke with a young man preparing to get married. His aunt told him that she thought he and his fiancée were too financially-strapped to have a child, and that it wouldn’t be fair to bring up a baby in poverty. Keenly aware of his joblessness and his minuscule bank account, he concluded she was probably right.

The young man and his fiancée were ready to tie the knot in a few months and they expected that she would be at the infertile phase of her cycle around the time of their honeymoon, so they would be able to consummate the marriage while avoiding bringing a child into the world.

They agreed they would use Natural Family Planning (NFP) after that to avoid a pregnancy. A few years later when they felt financially secure, he told me, they would have their first child.

On January 18, 2012May 20, 2021

Fr. Tad Pacholczyk

Unconditional parental love

Once I met a woman who had worked for years in fashion and modeling. Unsurprisingly, she was strikingly attractive.

She was accompanied by her teenage daughter who, by contrast, was rather unremarkable to look at, maybe even a plain-Jane.

After spending time with them, I began to sense that the mother, whose life had largely revolved around her appearance, seemed to look down on her daughter, perhaps unconsciously, because of her average appearance.

On December 18, 2011May 20, 2021

Fr. Tad Pacholczyk

To give or not to give: The marital question

In a recent column, David O’Brien, the associate director of religious education for lay ministry in the Archdiocese of Mobile, Ala., recounts the story of Agnes and Jake, devout Catholics who conceived and delivered four children during the first five years of their marriage.

Agnes described how Jake, “wanted to be a good father and husband, and he couldn’t see how that could happen if we continued to have more children. In short, he was getting a vasectomy.”

Spouse no longer open to life

Agnes had a strong Catholic formation, and understood that married couples should not engage in sexual acts that have been intentionally blocked or “rendered infecund.” She struggled with Jake’s new stance, and dug her heels in.

She wondered how she could possibly be an authentic witness to the Gospel “if within my marriage, I was no longer open to life? How could I minister to other women and encourage them to be bold in their faith if I wasn’t living it myself? And what do I teach my children about marriage and sex when their father and I weren’t aligned?”