Recently, in the Diocese of Lake Charles, we celebrated the White Mass for Medical Professionals. It is called the White Mass because of a physician’s white coat. In the diocese we have formed a Catholic Medical Guild and are applying for guild membership with the Catholic Medical Association. I have been asked to serve as the charter chaplain of the guild. My work in the field of bioethics is one of the reasons, I suppose. Another is the fact that I am already a member of the Catholic Medical Association. I was asked to preach at the White Mass and in my preparation I had the opportunity to reflect on some of the basic principles of Catholic medical morality.
The homily was based primarily on the Gospel for that week, the 30th Week in Ordinary Time. The Gospel came from Luke 18:9-14, describing the contrast between the Pharisee who speaks of his own righteousness and the tax collector who is humble and asks for God’s mercy. This gave me the opportunity to speak about the great blessing of Catholic health care.
Tax collectors, as portrayed in the Gospel, were regarded as sinners. But the Gospels do something interesting here. The Lord grants saving grace to tax collectors. Those tax collectors rise up to become harbingers of the mercy of God. Those mentioned in the Gospel were disposed to repentance when confronted with the truth. The Apostle Matthew, Zaccheus, and the unnamed figure in our Gospel today are the clearest examples. It is on account of Matthew’s invitation to dinner that we hear the Lord’s insight into the human need physical and spiritual healing. “While Jesus was having dinner at Matthew’s house, many tax collectors and sinners came and ate with him and his disciples. When the Pharisees saw this, they asked his disciples, ‘Why does your teacher eat with tax collectors and sinners?’ On hearing this, Jesus said, “’It is not the healthy who need a doctor, but the sick. But go and learn what this means: ‘I desire mercy, not sacrifice.’” (See Matt. 9:9-13)
The key to preservation of mercy in the new dispensation is the priority of the dignity of the human person, male and female, made in the image and likeness of God. Showing mercy and the respect for individual human dignity are inseparable. These concepts were elegantly restated numerous times by the Supreme Pontiffs beginning in the late 19th century, particularly in the pontificates of Popes Pius XI, Pius XII, and Pope St. John Paul II. The Progressivism of the late 19th and early 20th Centuries, which led to the eugenics movement with very harmful results, here and abroad, were rebutted by the Popes appealing to the sacred truths of creation and redemption demonstrating the dignity of the human person. The essential characteristic of this teaching was that the community was made for man, not man for the community!
For Centuries, Catholic health care has succeeded in maintaining the proper balance in justice which holds to the priority of persons over things. A priority of the dignity of the individual person over any artifice which would turn human persons into subjects subordinate to the social whole. The pressure is particularly acute in these days to disregard the just aspirations of Catholic administrators, physicians and other professionals, and their patients, summed up in the all-important physician-patient relationship. While it is possible by an abuse of the capacity for freedom to succeed in moving persons to second place behind oxen in pits, or temple treasuries, or corporate profits, or government interests, in Christ’s new creation the common good cannot exist without the priority of persons over things.
In a famous 1952 address to the Medical Community, Pope Pius XII clarified the order of interests among the field of scientific research, the good of the community, and the rights of patients. He stated
“Science is a great good, an excellent value that cannot be despised and whose promotion is a morally noble act. Yet it does not represent the highest value to which all other values must be subject.”
“The patient’s personal right to physical and spiritual life in keeping with his human integrity, as well as retaining confidence in his own doctor, are values that exceed the interests of science. These values might appear banal in relation to scientific breakthroughs, yet medicine cannot exist without them.” Gonzalo Herranz Rodriguez, (1952 Address by Pope Pius XII to the Medical Community https://www.ewtn.com/catholicism/library/1952-adress-by-pope-pius-xii-to-the-medical-community-2631, October 22, 2022.)
He states, “the community is the great means intended by nature and God to regulate the exchange of mutual needs and to aid each man to develop his personality fully according to his individual and social abilities”, and that the common good, public health and social well-being are most important values.
However, the good of human persons cannot be sacrificed for these goods. There is an intangible individual sacredness of far greater value than the medical interests of the community. (See, Rodriguez) “It must be noted that, in his personal being, man is not finally ordered to the usefulness of society. On the contrary, the community exists for man.” (Pius XII, Address)
This is the revelatory logic of the lesson spoken in Mercy to the Pharisees: “The Sabbath was made for man, not man for the Sabbath.” (Mark 2:27)
This priority of persons over the goods that Pius XII referred to as the common good, public health and social well-being is important and when this order is violated, grotesque injustices are produced.
It seems as though we have begun to witness this with the mRNA vaccines. We are still trying to catch up to the reality of injuries and deaths from the vaccines. I have seen quite a bit of evidence from various scientific and governmental sources indicating that the vaccines can cause injury (and that is not to say that they cannot ever be used morally). In Catholic bioethics, this is why we require informed consent and hold that one cannot be required to take a vaccine, or any prophylactic or curative treatment for that matter, as a general rule. The primary reason that many prominent people in the Church exhorted and even required submission to the vaccine was the claim that it would protect others. Now we know that the vaccines never did afford protection from transmission of the virus. To the extent that the claim for the protection of others was employed to mitigate against a person’s prudential judgment in refusing the vaccine, the official argument for the vaccine was empty and baseless. Sadly, this lapse in moral judgment also caused injuries. In itself it was always contrary to the good of the person and therefore against Catholic moral principles.