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Health Care Reform and theVocation of Medicine The Foundation and Fundamental Principles Steven White, M.D.
Health Care Reform The Foundation and Fundamental Principles
Instaurare Omnia In Christo Renew all things in Christ Pope St. Pius X 1904 Ephesians 1:10
Quadragesimo Anno On the Reconstruction of the Social Order Pope Pius XI 1931
Social Reform “ Men, working in harmony, should renew the temporal order and make it increasingly more perfect. Such is God’s design for the world.”VC II, AA #7
Social Reform “The social order requires constant improvement : it must be founded on truth, built on justice, and enlivened by love: it should grow in freedom towards a more humane equilibrium.” VC II, GS #26
Social ReformCatholic Social Teaching “The Church’s social teaching proposes principles for reflection, criteria for judgment and guidelines for action.” CCC 2423
Vocation of Medicine The Foundation Of Health Care Reform
Vocation • Baptismal Vocation – Universal Call to holiness. “All in the Church are called to holiness.”LG#39 • Vocation as State in Life • Clerical, Religious, Married, Single. • Personal Vocation in the Apostolate.
The Vocation of Medicine “As I have said many times in my meetings with health care workers, your vocation is one to the noble mission of service to people in the vast, complex and mysterious field of suffering.”Pope John Paul II 3/89 CHCW Ref 8
The Vocation of Medicine Charter for Health Care Workers 1994 “ Health care is a continuation of the healing love of Christ…here profession, vocation and mission meet and in the Christian vision of life and health they are mutually integrated.” CHCW #4
Doctor Patient Relationship Charter for Health Care Workers 1994 “Health care is based on an interpersonal relationship of a special kind. It is a meeting between trust and conscience. The trust of one who is ill who entrusts himself to the conscience of one who can help him in his need.”CHCW #2
The Vocation of Medicine Health care is a vocation, a call from God, to minister to the sick, the suffering and the dying, to continue the healing love of Christ in the world, in a covenant relationship between the health care worker and the patient.
Health Care Reform • Ethical Considerations • Socio - Economic Considerations
Health Care Reform • Ethics – 3 Essential Values • Truth • Sanctity of Life • Freedom
Truth “Living in the truth has special significance in social relationships. When coexistence of human beings is founded on truth it is ordered to their dignity as persons. CSD #198
Cultural Crisis “We are facing an enormous and dramatic clash between good and evil, death and life, the culture of death and the culture of life.”Evangelium Vitae 28
Cultural Crisis “In today’s cultural and social context…health care professionals can be strongly tempted to become manipulators of life, or even agents of death.Evangelium Vitae 89
“When a society moves towards the denial or suppression of life, it ends up no longer finding the necessary energy to strive for man’s true good.” Pope Benedict XVI, Caritas in Veritate
We are contending against the principalities, the powers, and the world rulers of present darkness. Ephesians 6:12
I am the Truth. John 14:6 The Truth will set you free. John 8:32
Sanctity of Life • 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. CCC 2258
Freedom “God created man a rational being with the dignity of a person…and a free will. CCC 1730 “Freedom is the power rooted in reason and will to act or not to act and so to perform deliberate actions on one’s own responsibility. CCC 1731
Freedom “ No one has the right to choose to do what is wrong.” Abraham Lincoln
Freedom “Man has the right to act in conscience and freedom…He must not be forced to act contrary to his conscience.” CCC 1782
Health Care Reform • Ethical Considerations • Defend Truth • Defend Life • Defend Freedom • Socio-Economic Considerations
Health Care Reform • Socio - Economics • Justice • Individual • Social
Individual & Social Dimensionsof Health Care Doctor Patient Relationship Health Care Delivery System
Justice • Individual justice – the particular virtues that apply to and guide interactions between individuals. • Social Justice - the particular virtue whose object is the common good of all human society, rather than, as with individual justice, the individual good of any person. Center Economic and Social Justice
Justice “Society will be well ordered and beneficial to human dignity…when citizens, guided by justice, apply themselves to respecting the rights of others and their own duties.” John XXIII Pacem in Terris #35
Social Justice Social justice guides humans as social beings in creating and perfecting organized human institutions. CESJ Health Care Delivery System
Social Justice Social Justice demands organization for the common good. Pius XI, QA 1931 Health Care Delivery System
Social Justice • Four Fundamental Principles - guidelines for action • Dignity of the Human Person • Common Good • Subsidiarity • Solidarity
Dignity of the Human Person • The dignity of the human person is rooted in his creation in the image and likeness of God…The divine image is present in every man. CCC 1700-02 • The dignity of the human person is the foundation of law in civil society and the basis of the inalienable rights to life, liberty and the pursuit of happiness.
Common Good “Man is by nature a social being and therefore the good of each individual is necessarily related to the common good.” “Do not live isolated, but gather to seek the common good together.” CCC 1905
Common Good “The common good is the sum total of social conditions which allow people, either as groups or as individuals, to reach their fulfillment more fully and more easily. The common good concerns the life of all.” CCC 1906
Common Good “The common good involves all members of society and no one is exempt from cooperating, according to one’s possibilities in attaining and developing it.” CSD #167
Subsidiarity Quadragesimo Anno The Encyclical on Social Justice Pope Pius XI 1931