Vatican issues major
new bioethics document
By NICOLE WINFIELD
Presenting tne CDF Instruction today: from left, Mons. Rino Fisichella, Mons. Luis Ladaria Ferrer, Fr. Federico Lombardi, Mons. Elio Sgreccia and Prof. Maria Luisa Di Pietro.
NB: Mons. Ladaria, CDF secretary, represented Cardinal William Levada, CDF prefect, who is recovering from back surgery in San Francisco.
The 56-page English synthesis of the document is on
212.77.1.245/news_services/bulletin/news/23039.php?index=23039&po_date=12.12.2008&lang=it#SINTESI%20IN%20LINGUA%2...
The USCCB has the full text on
www.usccb.org/comm/Dignitaspersonae/Dignitas_Personae.pdf
VATICAN CITY, Dec. 12 (AP) - The Vatican raised its opposition to embryonic stem cell research, the morning-after pill, in vitro fertilization and human cloning to a new level Friday in a major new document on bioethics.
But in the document, the Vatican also said it approved of some forms of gene therapy and encouraged stem cell research using adult cells. And it said parents could in good conscience inoculate their children with vaccines produced with cells derived from aborted fetuses.
The Vatican's Congregation for the Doctrine of the Faith issued
Dignitas Personae (The Dignity of a Person) to answer bioethical questions that have emerged in the two decades since its last such document was published.
With it, the Vatican has essentially confirmed in a single, authoritative instruction the opinions of the Pontifical Academy for Life, a Vatican advisory body that has debated these issues for years.
The Vatican's overall position is formed by its belief that human life begins at conception, and must be afforded all the consequent respect and dignity from that moment on.
The Vatican also holds that human life should be created through intercourse between husband and wife, not in a Petri dish.
As a result, the Vatican said it opposed the morning-after pill, even if it doesn't cause an abortion, because an abortion was "intended." In the use of drugs such as RU-486, which causes the elimination of the embryo once it is implanted, the "sin of abortion" is committed; their use is thus "gravely immoral."
The Vatican also said it opposed in vitro fertilization because it involves separating conception from the "conjugal act" and often results in the destruction of embryos. The Vatican supports, however, techniques that help couples overcome obstacles to getting pregnant.
In the document, the Vatican elaborated on a host of issues surrounding assisted fertility, saying it:
_Opposed the selective reduction of embryos often used in in vitro procedures since it essentially is abortion.
_Opposed pre-implantation diagnosis of embryos since it may be followed by the destruction of those embryos deemed defective or otherwise undesirable.
_Opposed freezing embryos, since it is "incompatible with the respect owed to human embryos" and also means they were created in vitro.
It said that, while freezing eggs is not in itself immoral, it becomes unacceptable when it occurs for the sake of artificial procreation.
The Vatican lauded as "praiseworthy" the suggestion by some to let infertile couples "adopt" the thousands of frozen embryos that have been produced in vitro over the years. But it said such adoptions present a host of medical, psychological and legal problems.
The instruction also weighed in on research involving stem cells, cloning and gene therapy.
The Vatican stressed that it fully supported research involving adult stem cells. But it said obtaining stem cells from a living embryo, even for the sake of effective therapies, was "gravely illicit."
It said gene therapy on regular cells in the body other than reproductive ones was in principle morally licit since it sought to "restore the normal genetic configuration of the patient or to counter damage caused by genetic anomalies."
But it said that cell therapy which seeks to correct genetic defects with the aim of transmitting the therapy onto offspring was more problematic.
"Because the risks connected to any genetic manipulation are considerable and as yet not fully controllable, in the present state of research, it is not morally permissible to act in a way that may cause harm to the resulting progeny," the document said.
In the document, the Vatican also:
_Repeated its opposition to human cloning for both medical therapies and reproduction. Such techniques could result in an individual being subjected to a form of "biological slavery from which it would be difficult to free himself."
_Said parents could in good conscience use a vaccine for their children that was developed using cell lines from an "illicit origin." Religious groups in the United States have pressed the Vatican to issue a statement concerning the morality of using vaccines developed using cell lines derived from aborted fetuses.
"Grave reasons may be morally proportionate to justify the use of such 'biological material,'" the instruction said, adding that the parents would have to make known their disagreement with the way the vaccines were developed and press for alternatives.
But the document was very strong in stressing that researchers using such material were in a different position and had a greater degree of responsibility.
It said they had a moral duty to remove themselves from the "evil aspects" of the original, illicit act — even if they and their institutions had nothing to do with it.
Vatican condemns
embryo stem cell research, cloning
By Philip Pullella
VATICAN CITY, Dec. 12 (Reuters) – A Vatican bioethics document Friday condemned artificial fertilization and other techniques used by many couples and also said human cloning, "designer babies" and embryonic stem-cell research were immoral.
The long awaited document from the Vatican's doctrinal body marked a big step by the Vatican into the brave new world of biotechnology, an area in which governments around the world are struggling to formulate legislation.
The document also condemned new drugs that block pregnancy from taking hold, such as the so-called "morning-after pill" and the drug RU-486, which blocks the action of hormones needed to keep a fertilized egg implanted in the uterus.
These drugs, as well as the IUD (intrauterine device), which has been in use for decades, were deemed to fall "within the sin of abortion" and are gravely immoral.
Dignitas Personae (Dignity of a person), an Instruction "on certain bioethical questions," is an attempt to bring Church doctrine up to date with recent advances in science and medicine.
The document, the most authoritative of its kind from the Vatican in 20 years, said human life deserved respect "from the very first stages of its existence (and) can never be reduced merely to a group of cells."
"The human embryo has, therefore, from the very beginning, the dignity proper to a person," said the Congregation of the Doctrine of the Faith's document, approved by Pope Benedict who headed the same office before his election in 2005.
It said most forms of artificial fertilization "are to be excluded" because "they substitute for the conjugal act ... which alone is truly worthy of responsible procreation."
Condemning in-vitro fertilization, it said the techniques "proceed as if the human embryo were simply a mass of cells to be used, selected and discarded."
The highly technical document said only adult stem cell research was moral because embryonic stem cell research involved the destruction of embryos. It also condemned freezing embryos.
Governments in countries including the United States are grappling with legislation on embryonic stem cell research.
The outgoing administration of U.S. President George W. Bush has placed restrictions on federal funds for embryonic stem cell research but President-elect Barack Obama has promised to lift them.
The 35-page document also attacked the concept of "designer babies," either by pre-implantation diagnosis during in vitro fertilization where embryos are selected before being transferred to a woman's womb, or in attempts at human cloning in the future.
It branded as "shameful and utterly reprehensible" diagnosis aimed at ensuring that only embryos free from defects or having the desired sex or other particular qualities are transferred into a woman's womb.
It condemned the concept of human cloning "to satisfy certain specific desires, for example, control over human evolution, selection of human beings with superior qualities, pre-selection of the sex of a child to be born, production of a child who is the "copy" of another, or production of a child for a couple whose infertility cannot be treated in another way."
Saying life was sacred from the moment of conception to the moment of natural death, the document also defended the Roman Catholic Church's right to intervene on such matters.
"There are those who say that the moral teaching of the Church contains too many prohibitions. In reality, however, her teaching is based on the recognition and promotion of all the gifts which the Creator has bestowed on man: such as life, knowledge, freedom and love," it said.
Vatican condemns cloning,
embryonic stem cell research
By Michelle Boorstein and Rob Stein
Dec. 12, 2008
The Vatican, in its first authoritative statement on reproductive science in more than 20 years, today condemned human cloning, designer babies, embryonic stem cell research that destroys human embryos and a host of techniques widely used to help infertile couples.
The sweeping 32-page document, which comes from the Catholic Church's highest rule-making authority and has the approval of Pope Benedict, warns about the moral dangers of a variety of procedures, including the freezing of unfertilized eggs and embryos, the injection of sperm directly into eggs, and the genetic testing of embryos to identify those with defects.
Although many of the arguments in
Dignitas Personae -- Latin for "the dignity of a person" -- have been made before by Benedict and his predecessor, Pope John Paul, in public comments or writings, a church "instruction" from the Congregation for the Doctrine of the Faith is far more authoritative.
It reflects the Vatican's desire to focus attention on ethical questions raised by technologies that are becoming increasingly commonplace in the United States and elsewhere.
In addition to influencing Catholic doctors, patients and researchers, the document could spur debate among non-Catholics and possibly play a role in current political debates.
Barack Obama, for example, has promised to end restrictions on federal funding for embryonic stem cell research, and the Bush administration is finalizing a broad new federal regulation designed to protect health-care workers who object to providing therapies or care they find morally objectionable. The document does not address either of those issues directly but provides ethical guidance on both.
"
It makes very clear that the Church is very closely watching scientific progress and favors that progress but wants ethics to be part of that," said Richard Doerflinger of the U.S. Conference of Catholic Bishops. "The whole subject of misuse of technology to demean human dignity is a major concern."
"I hope it will make Catholics more aware that they should not be cooperating with these technologies. None of this respects the dignity of the human person," said Kathleen Raviele, president of the Catholic Medical Association.
Catholic bioethicists and physicians were eager to read the Vatican's judgment on a variety of issues, including whether it is moral for people to "adopt" embryos that have gone unused by the parents who had them created -- a practice President Bush highlighted when he restricted federal funding of embryonic stem cell research.
The Vatican document warned that the practice could help perpetuate the creation of more embryos outside the human body and outside heterosexual marriage.
It did not explicitly forbid the practice, but it sees the embryos as "consigned to an absurd fate with no morally acceptable solution," Doerflinger said.
Only a handful of Catholic experts were allowed to preview the document, and it was difficult to immediately gauge what impact it will have. Many non-Catholic bioethicists are also focused on technologies mentioned in the document, but the Catholic Church is historically a leader in the field of bioethics and is the world's largest Christian denomination.
Dignitas Personae, which is being released at an afternoon news conference in Rome, seeks to update
Donum Vitae {The gift of life), which came out in 1987 and focused on in-vitro fertilization.
That was written by Pope Benedict -- then-Cardinal Joseph Ratzinger -- who was then head of the Congregation for the Doctrine of the Faith and has shaped its work and views.
Experts who had seen the document predicted it would trigger intense debate about embryo adoption as well as about alternative methods that have been proposed for obtaining embryonic stem cells. Those cells can be turned into any cell in the body and scientists hope to use them to treat a host of diseases.
Alternative methods, which involve, for example, cells that have been altered so they could never develop into a viable embryo, deserve further research in animals, the document said.
"
What you have here is a green light to do it in animals with a view of settling it scientifically whether you can do it without creating a human embryo," said Robert P. George, a Princeton University bioethicist who serves on the President's Council on Bioethics and reviewed the document. "I think that's exactly where the Church should be -- let the science go forward."
Experts also said many Catholic parents would be reassured by the document's suggestion that vaccines that might have originally been developed using cells from aborted fetuses are acceptable. The document said parents should, however, register their opposition and use such vaccines only if there are no other alternatives.
The Church objects to such technologies for many reasons. Perhaps most importantly, the Church argues that life begins at conception, and so anything that results in the destruction of an embryo is considered immoral.
The Church also objects to any technology that separates procreation from sex between a married heterosexual couple, which makes many modern infertility therapies, such as in-vitro fertilization, "illicit."
Cloning and genetic engineering, in the Church's view, in essence put humans perilously close to attempting to play the role of God.
Maureen L. Condic, an associate professor of neurobiology and anatomy at the University of Utah School of Medicine, welcomed the Church's cautions.
"I think we are entering very rapidly into an age of great scientific potential and an age of great scientific peril," Condic said. "Science is advancing to the point of refashioning human nature and utilizing human beings in a variety of different contexts. I think this should raise grave concerns for any person who believes that humans have intrinsic dignity."
Glenn McGee, editor-in-chief of the
American Journal of Bioethics, had not seen the document but said Pope Benedict in his career had commandeered a "broad attack on American technology" that had seriously diminished the freedom and prestige of Catholic bioethicists, causing fewer to speak out and write about such issues.
He said prenatal genetic testing is extremely common in Catholic hospitals and that Catholics make up a huge percentage of in-vitro fertilization patients.
"All bioethics journal editors are seeing a trend. We always talk about: Where did all the religious figures go who write about bioethics? Catholics in particular," he said.
Advocates for in-vitro fertilization and other infertility treatments had not seen the document but defended the technologies.
"It has contributed to the quality of life of patients and families through the improved ability to have children, which clearly is a worthwhile goal and a focus of many couples in their life goals," said Robert G. Brzyski, who chairs the ethics committee for the American Society for Reproductive Medicine. More than 50,000 babies are born using in-vitro fertilization each year in the United States, he said.
"The fact is that most naturally created embryos are lost along the way," Brzyski said. "It's a reality of human biology."
Stem cell researchers also defended their work.
"I continue to believe that stem cell research is a moral imperative because of the tremendous needs of our patients and our goal in medical research to cure disease and relieve suffering," said George Daley of the International Society for Stem Cell Research. "Cells are not people and embryos are not people, and my first responsibility as a physician is to patients -- not cells in a petri dish."
[Hey, Mr. Daley! The Church is OK, has always been, with adult stem-cell research where much of the progress in this field has been registered, just not with embryo research!]
Doerflinger noted that
the document prominently praised scientific research, calling science "an invaluable service to the integral good of the life and dignity of every human being."
The problem with single-minded critics of the Church is that they consider any criticism or disagreement with specific uses and applications of science to be a condemnation by the Church of science in general - and deliberately foster this obvious fallacy in the public mind.
Has anyone ever branded opponents of nuclear weapons 'enemies of science' because they oppose the use of science to make weapons of mass destruction? No! And yet, the opposition of the Church to the misuse of possible technologies to manipulate natural life processes beyond normal therapeutic measures is exactly on the same order.
It is also very annoying that the media invariably use the loaded word 'condemn' whenever they report - and make headlines - about Church opposition to anything, a catchword to say "Watch out! Here's the Pope again breathing fire and brimstone on those who disagree with the Church."
***
It is emblematic of the above problem that there is need for a story like the following:
Officials say Vatican document
not an attack on modern science
By John Thavis
VATICAN CITY, Dec. 12 (CNS) -- The Vatican's new instruction setting forth moral principles in biotechnology should not be seen as a negative attack on modern science but as a defense of the sacred nature of human life, Vatican officials said.
"This is in no way an attempt to say 'halt' to the commitment of science in favor of life," Jesuit Father Federico Lombardi, the Vatican spokesman, said in a statement.
"On the contrary, the document offers a series of guideposts so that science is truly at the service of life and not of death, or of the arbitrary and dangerous manipulation of the human person," he said.
The instruction,
Dignitas Personae, was issued Dec. 12 by the Congregation for the Doctrine of the Faith. It presents teachings -- and in many cases moral prohibitions -- in areas such as stem-cell research, human cloning, gene therapy and embryo experimentation.
In general, the document rejects any procedure that separates procreation from the conjugal act in marriage or presents risks to human life from the moment of conception.
"The Church believes it must be courageous and decisive in affirming these principles. The continuity of the development of the human being from the moment of conception does not allow for uncertainty in the defense of the embryo and his dignity," Father Lombardi said.
"This is a position in favor of small and weak human beings, who have no voice and who today, in fact, do not find many who speak in their favor," he said.
Dominican Father Augustine Di Noia, undersecretary of the doctrinal congregation, told Vatican Radio that it would be wrong to see the new document as a series of "No's" against prohibited services.
As Pope Benedict XVI has noted many times, these "No's" are derived from a much larger "Yes" to human life and human dignity, he said.
Father Di Noia said the document offers a number of other positive reflections, including appreciation of science and its recent developments, a "yes" to fertility treatments that overcome pathologies and re-establish the normal functioning of human procreation, a "yes" to the therapeutic use of stem cells when obtained licitly, and a "yes" to the value of every human being.
"Some of these affirmations and positive assertions have a negative side, but their principal direction is a positive account, a vision of what it means to be human, and why human life is sacred from conception to natural death," he said.
Archbishop Rino Fisichella, president of the Pontifical Academy for Life, predicted that the document would provoke various reactions. Some will ignore it, some will deride it, and others will label it another church effort to impede progress, he told a Vatican press conference.
But many, he said, will share the Vatican's concern and analysis, and others will be prompted by its teachings to formulate questions of their own regarding the morality of recent scientific developments.
Pope Benedict offers ethical
evaluation of biomedical advances
Vatican City, Dec 12, 2008 (CNA)- Today Pope Benedict XVI, through the work of several Vatican congregations, weighed-in on the ethical nature of various fertility treatments, experiments with stem cells, human cloning and the creation of hybrid embryos.
The new document issued by the Congregation for the Doctrine of the Faith (CDF) is the result of six years of study and deliberation on the most recent developments in the field of bio-technology.
Beginning with the words “the dignity of the person” (in Latin,
Dignitas Personae), the aim of the three-part instruction is to provide responses from the Church to new bioethical questions that didn’t exist when the Church released her last biomedical document in 1987.
According to the CDF, the document seeks “both to contribute ‘to the formation of conscience’ and to encourage biomedical research respectful of the dignity of every human being and of procreation.”
Archbishop Luis Francisco Ladaria Ferrer, S.J., Secretary of the Congregation for the Doctrine of the Faith, explained at a press conference at the Vatican today that
Dignitas Personae carries the weight of an official teaching of the Pope and "is of a doctrinal nature."
Archbishop Ladaria described the document as encouraging “biomedical investigation that respects the dignity of all human beings and of procreation.”
While it “does not exclude diverse biomedical technology as ethically illicit,” he said, "it will probably be accused of containing too many prohibitions.
“Nevertheless, faced with this possible accusation it is necessary to emphasize that the Church feels the duty of making those without voices heard."
Also speaking at the press conference was Professor Maria Luisa Di Pietro, associate professor of Bioethics at the Sacred Heart University, Rome, and President of the "Science and Life" Association.
Di Pietro noted that the new instruction from the CDF deals with techniques like assisted fertility, in vitro fertilization, the freezing of embryos and eggs, embryo reduction, and pre-implant diagnosis, among others.
As noted by Archbishop Ladaria, the Vatican finds many of the practices in use today immoral. In vitro fertilization, for example, is found to be immoral because of the “blithe acceptance of the enormous number of abortions involved.”
This fact alone “vividly illustrates how the replacement of the conjugal act by a technical procedure…leads to a weakening of the respect owed to every human being,” the document says.
Bishop Elio Sgreccia, the former president of the Pontifical Academy for Life, addressed the third part of the document that deals with newly proposed therapies that involve the manipulation of the embryo or the human gene pool.
"The text holds that it is necessary," he said, "to keep in mind one fundamental distinction: theoretically, genetic therapy can be applied to somatic cells with directly therapeutic ends or to germinal cells."
The current work on germinal cells is not moral because “there still does not exist a safe technique," he stressed, "because it could entail the risk of deformation in the hereditary genetic patrimony of future generations."
Bishop Sgreccia also affirmed that "the distinction between reproductive cloning and therapeutic cloning is untenable.”
John Allen has a fairly lengthy instant analysis of Dignitas Personae, which I have posted in FAITH AND SCIENCE.