A woman holds up a sign during a rally against assisted suicide in 2016 on Parliament Hill in Ottawa, Ontario. (CNS photo/Art Babych)
Those who persist in denying that the Church is engaged in a culture war, the combatants in which are aptly called the “culture of life” and the “culture of death,” might ponder this June blog post by my summer pastor in rural Québec, Father Tim Moyle:
Tonight I am preparing to celebrate a funeral for someone (let’s call him “H” to protect his privacy) who, while suffering from cancer, was admitted to hospital with an unrelated problem, a bladder infection. H’s family had him admitted to the hospital earlier in the week under the assumption that the doctors there would treat the infection and then he would be able to return home. To their shock and horror, they discovered that the attending physician had indeed made the decision NOT to treat the infection. When they demanded that he change his course of (in)action, he refused, stating that it would be better if H died of this infection now rather than let cancer take its course and kill him later. Despite their demands and pleadings, the doctor would not budge from his decision. In fact he deliberately hastened H’s end by ordering large amounts of morphine “to control pain” which resulted in him losing consciousness as his lungs filled up with fluid. In less than 24 hours, H was dead.
Let me tell you a bit about H. He was 63 years old. He leaves behind a wife and two daughters who are both currently working in universities toward their undergraduate degrees. We are not talking here about someone who was advanced in years and rapidly failing due to the exigencies of old age. We are talking about a man who was undergoing chemotherapy and radiation treatments. We are talking about a man who still held on to hope that perhaps he might defy the odds long enough to see his daughters graduate. Evidently and tragically, in the eyes of the physician tasked with providing the care needed to beat back the infection, that hope was not worth pursuing.
Again, let me make this point abundantly clear: It was the express desire of both the patient and his spouse that the doctor treat the infection. This wish was ignored….
Canada’s vulnerability to the culture of death is exacerbated by Canada’s single-payer, i.e., state-funded and state-run, health care system. And the brutal fact is that it‘s more “cost effective” to euthanize patients than to treat secondary conditions that could turn lethal (like H’s infection) or to provide palliative end-of-life care. Last year, when I asked a leading Canadian Catholic opponent of euthanasia why a rich country like the “True North strong and free” couldn’t provide palliative end-of-life care for all those with terminal illnesses, relieving the fear of agonized and protracted dying that’s one incentive for euthanasia, he told me that only 30% of Canadians had access to such care. When I asked why the heck that was the case, he replied that, despite assurances from governments both conservative and liberal that they’d address this shameful situation, the financial calculus always won out – from a utilitarian point of view, euthanizing H and others like him was the sounder public policy.
But in Canada, a mature democracy, that utilitarian calculus among government bean-counters wouldn’t survive for long if a similar, cold calculus was not at work in the souls of too many citizens. And that is one reason why the Church must engage the culture war, not only in Canada but in the United States and throughout the West: to warm chilled souls and rebuild a civil society committed to human dignity.
Then there is the civic reason. To reduce a human being to an object whose value is measured by “utility” is to destroy one of the building blocks of the democratic order – the moral truth that the American Declaration of Independence calls the “inalienable” right to “life.” That right is “inalienable” – which means built-in, which means not a gift of the state – because it reflects something even more fundamental: the dignity of the human person.
When we lose sight of that, we are lost as a human community, and democracy is lost. So the culture war must be fought. And a Church that takes social justice seriously must fight it.
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The former Kuper Island Indian Residential School, 1941 / Public domain
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Amanda Achtman’s last photo with her grandfather, Joseph Achtman. / Credit: Photo courtesy of Amanda Achtman
CNA Staff, Nov 5, 2023 / 06:00 am (CNA).
When the Canadian government began discussing the legalization of euthanasia for those whose deaths were “reasonably foreseeable,” 32-year-old Amanda Achtman said something in her began to stir. Her grandfather was in his mid-90s at the time and fit the description.
“There were a couple of times, toward the end of his life, that he faced some truly challenging weeks and said he wanted to die,” Achtman recalled. “But thank God no physician could legally concede to a person’s suicidal ideation in such vulnerable moments. To all of our surprise — including his — his condition and his outlook improved considerably before his death at age 96.”
Achtman said she and her grandfather were able to have a memorable final visit that “forged her character and became one of the greatest gifts he ever gave me.”
The experience of walking with her grandfather in his last days led Achtman to work that she believes is a calling. On Aug. 1, she launched a multifaceted cultural project called Dying to Meet You, which seeks to “humanize our conversations and experiences around suffering, death, meaning, and hope.” This mission is accomplished through a mix of interviews, short films, community events, and conversations.
Amanda Achtman speaks during the Evening Program at St. Mary’s Cathedral during “The Church as an Expert in Humanity” event in Calgary Sept. 23, 2023. Credit: Edward Chan/Community Productions
“This cultural project is my primary mission, and I am grateful to be able to dedicate the majority of my energy to it,” Achtman told CNA.
Early years
Achtman was born and raised in Calgary, Alberta, Canada. She grew up in a Jewish-Catholic family with, she said, “a strong attachment to these two traditions that constitute the tenor of my complete personality.”
Her Polish-Jewish grandfather, with whom she had a very close relationship as a young adult, had become an atheist because of the Holocaust and was always challenging her to face up to the big questions of mortality and morality.
“One of the ways I did this was by traveling on the March of Remembrance and Hope Holocaust study trip to Germany and Poland when I was 18,” Achtman said. “My experiences listening to the stories of Holocaust survivors and Righteous Among the Nations have undeniably forged my moral imagination and instilled in me a profound sense of personal responsibility.”
Shortly after her grandfather’s death, Achtman discovered a new English-language master’s program being offered in John Paul II philosophical studies at the Catholic University of Lublin in Poland.
“Immediately, I felt as though God were saying to me, ‘Leave your country and go to the land that I will show you — it’s Poland.’ At the time, the main things I knew about Poland were that the Holocaust had largely been perpetrated there and that Sts. John Paul II, Maximilian Kolbe, and Faustina were from there,” Achtman explained. “I wanted to be steeped in a country of saints, heroes, and martyrs in order to contemplate seriously what my life is actually about and how I could spend it generously in the service of preventing dehumanization and faithfully defending the sanctity of life in my own context.”
On Sept. 23, 2023, Amanda Achtman organized a daylong open-house-style event called “The Church as an Expert in Humanity” in Calgary, Alberta. Participants added ideas for how we, the Church, can prevent euthanasia and encourage hope. Credit: Edward Chan/Community Productions
The rise of euthanasia in Canada
In 2016, the Canadian government legalized euthanasia nationwide. The criterion to be killed in a hospital was informed consent on the part of an adult who was deemed to have a “grievous and irremediable condition.”
“The death request needed to be made in writing before two independent witnesses after a mandatory time of reflection. And, consent could be withdrawn any time before the lethal injection,” Achtman explained.
Then, in 2021, the Canadian government began to remove those safeguards. “The legislative change involved requiring only one witness, allowing the possible waiving of the need for final consent, and the removal, in many cases, of any reflection period,” Achtman told CNA.
“Furthermore, a new ‘track’ was invented for ‘persons whose natural death is not reasonably foreseeable.’ This meant that Canadians with disabilities became at greater risk of premature death through euthanasia. Once death-by-physician became seen as a human right, there was practically no limit as to who should ‘qualify.’ As long as killing is seen as a legitimate means to eliminate suffering, there is no limit to who could be at risk.”
Euthanasia — now called medical assistance in dying (MAiD) in Canada — is set to further expand on March 17, 2024, to those whose sole underlying condition is “mental illness.” Last year, Dr. Louis Roy of the Quebec College of Physicians and Surgeons testified before a special joint committee that his organization thinks euthanasia should be expanded to infants with “severe malformations” and “grave and severe syndromes.”
Renewing the culture
Achtman followed the debates around end-of-life issues in Canada and wanted to figure out a way to restore “a right response to the reality of suffering and death in our lives.”
“The fact is, our mortality is part of what makes life precious, our relationships worth cherishing, and our lives worth giving out of love. That’s why we need to bring cultural renewal to death and dying, restoring our understanding of its meaning to the human condition.”
At the Sept. 23, 2023, open-house event called “The Church as an Expert in Humanity,” there were table displays of ministries in the diocese who are doing the best work on suffering, death, grief, and caregiving. Credit: Edward Chan/Community Productions
On Jan. 1, 2021, Achtman made a new year’s resolution to blog about death every single day for an entire year in a way that was “hope-filled and edifying.”
It ended up being very fruitful to Achtman personally, but she said “it also touched a surprising number of people, inspiring them to take concrete actions in their own lives that I could not have anticipated.”
The experience, Achtman said, made her realize that it’s possible to contribute to cultural renewal through things like coffee shop visits, informal interviews, posting on social media, being a guest on podcasts and webinars, organizing community events, and making videos.
“Basically, there are countless practical and ordinary ways that we can humanize the culture — wherever we are and whatever we do the rest of the time.”
The Dying to Meet You project
When it comes to the mission of Dying to Meet You, Achtman told CNA that “God has put on my heart two key objectives: the prevention of euthanasia and the encouragement of hope” and added that “the aim of this cultural project is to improve our cultural conversation and engagement around suffering, death, meaning, and hope through a mix of interviews, writing, videos, and events.”
Achtman said the project is an experiment in the themes Pope Francis speaks about often — encounter, accompaniment, going to the peripheries, and contributing to a more fraternal spirit.
“There is a strong basis for opposition to euthanasia across almost all religions and cultures, traditionally speaking,” Achtman said. “Partly from my own upbringing in a Jewish-Catholic family, I am passionate about how the cultural richness of such a plurality of traditions in Canada can bolster and enrich our value of all human life.”
To that end, one of the projects Achtman has in the works is a short film on end of life from an Indigenous perspective to be released mid-November.
“It’s not so much that we have a culture of death as we now seem to have death without culture,” said Achtman, who hopes her efforts will help change that.
An inspiring hometown event
This past Sept. 23, Achtman organized a daylong open-house-style event called “The Church as an Expert in Humanity” in her home city of Calgary, which took place at Calgary’s Cathedral, the Cathedral Hall, and the Catholic Pastoral Centre. The morning featured a ministry hall of exhibits with 18 table displays of ministries throughout the diocese doing the best work on suffering, death, grief, and caregiving. In the afternoon, there were three-panel presentations.
The morning of “The Church as an Expert in Humanity” in St. Mary’s Cathedral Hall in Calgary, Alberta, featured a ministry hall of exhibits with table displays of ministries in the diocese doing the best work on suffering, death, grief, and caregiving. Credit: Edward Chan/Community Productions
The first involved Catholics of diverse cultural backgrounds speaking about hospitality and accompaniment in their respective traditions. It included a Filipino diaconal candidate, a Ukrainian laywoman working with refugees, an elderly Indigenous woman who is a community leader, and an Iraqi Catholic priest.
The second was called “Tell Me About the Hour of Death,” where participants heard from two doctors, a priest, and a longtime pastoral care worker.
The third panel focused on papal documents pertaining to death, hope, and eternal life. A Polish Dominican sister who has worked extensively with the elderly spoke about John Paul II’s “Letter to the Elderly.”
Later, an evening program was held in Calgary’s Catholic Cathedral and included seven short testimonies by different speakers that “were narratively framed as echoes of the Seven Last Words of Christ.” Among the speakers were a privately sponsored Middle Eastern Christian refugee, a L’Arche core member who has a disability, and a young father whose daughter only lived for 38 minutes. Afterward, Calgary’s Bishop William McGrattan gave some catechesis on the Anima Christi prayer, with a special emphasis on the line “In your wounds, hide me.”
“The day was extremely uplifting and instilled the local Church with confidence that the Church indeed is an expert in humanity, capable of meeting Christ in all who suffer with a gaze of love and the steadfast insistence, ‘I will not abandon you,’” Achtman told CNA.
Calgary’s Bishop William McGrattan listens to the seven testimonies echoing the seven last words of Christ during the evening program. Credit: Edward Chan/Community Productions
Our lives are not wholly our own
Many believe euthanasia is compassionate care for those who suffer. Shouldn’t we be able to do what we want with our own lives? And can suffering have any meaning for someone who doesn’t believe in God?
Achtman said these questions remind her of something Mother Teresa said: “If we have no peace, it is because we have forgotten that we belong to each other,” as well as the John Donne quote “Each man’s death diminishes me, for I am involved in mankind.”
“Our lives are not wholly our own and how we live and die affects the communities to which we belong,” Achtman said. “That is not a religious argument but an empirical observation about human life. If someone lacks ties and is without family and social support, then that is the crisis to which the adequate response is presence and assistance — not abandonment or hastened death. As one of my heroes, Father Alfred Delp, put it, a suffering person makes an ongoing appeal to your inner nobility, to your sacrificial strength and capacity to love. Don’t miss the opportunity.”
Amanda Achtman pictured with Christine, an 88-year-old woman who got a tattoo that says “Don’t euthanize me,” which is featured in a short four-minute documentary. Credit; Photo courtesy of Amanda Achtman
The mission continues
Achtman also organized a “Mass of a Lifetime,” a special Sunday Mass for residents of a local retirement home, on Oct. 15.
Attendees at the Mass of a Lifetime event, a special Sunday Mass for residents of a local retirement home held on Oct. 15, 2023, in Calgary, Alberta. Credit: Amanda Achtman
“I was inspired by a quotation of Dietrich von Hildebrand, who said: ‘Wherever anything makes Christ known, there nothing can be beautiful enough,’” Achtman said. “Applying that spirit to this Mass, we made it as elaborate as possible to show the seniors that they are worth the effort.”
Achtman also recently produced a four-minute short film about an 88-year-old woman named Christine who got a tattoo that says “Don’t euthanize me.” It can be viewed here:
Throughout 2023-2024, Achtman told CNA, she is basing herself in four different Canadian cities for three months each “in order to empower diverse faith and cultural communities in the task of preventing euthanasia and encouraging hope.” She started in her hometown of Calgary and is off to Vancouver this month.
In addition to her work with the Dying to Meet You project, Achtman does ethics education and cultural engagement with Canadian Physicians for Life and works to promote the personalist tradition with the Hildebrand Project.
It doesn’t appear to be a culture war limited to Canada. Neither is it specific to single payer med delivery systems. Though cutting costs as you note is a valid critique. But that is true in any med delivery system. Euthanasia occurs in Am frequently. It occurred in Nazi Germany 1940 with similar response by Catholic bishops who protested. “The Fulda Conference [Cath bishops] apparently attempted to negotiate with those responsible for the killings. Bishop Heinrich Wienken discussed [with the Reich Chancellery] ways to permit priests to administer the sacraments to the euthanasia victims. But these attempts at accommodation failed when the Vatican rejected the compromise” (The Origins of Nazi Genocide, Henry Friedlander, Chapel Hill, 1995, pp 114-5). Friedlander survived Auschwitz and praised the stance of Pope Pius XII in refusing to compromise, which the Pontiff deemed a form of complicity. Oregon, Washington State, New Mexico, Montana permit physician assisted suicide equivalent to euthanasia policy in E Canada. If the Dem Party won the election euthanasia policy would likely have received universal Fed sanction. It is simply not a cultural issue. The flaw in this article is omission of the primary catalyst for the Church either promoting or inhibiting euthanasia in Canada.
But, fighting the culture war would make you a “culture warrior” – that’s a bad thing according to the powers that be in the church… or is it maybe alright to be a culture warrior on euthanasia, as long as you don’t bother with abortion and have a “Who am I to judge” attitude about gay agenda?
But, as we know we don’t mold society, we adapt to it now. We don’t preach we evangelize – so only talk about things that don’t effect laws or culture…
The culture war was over when the church surrendered several years ago, now we have a leader who can’t apologize enough for ever having fought in the first place.
But, thanks to the leading lights of the culture in conjunction with the mercy as defined by the euthanasia crowd, this along with abortion has been successfully compartmentalized into simply a “culture war” issue that the general public often sees as something of a battle between “equivalents”….and not the monstrous, ultimate issue of life and death.
Also, while an undercurrent of euthanasia has always been in healthcare, there is a world of difference when it becomes naturalized via the law and a culture that has been conditioned to see its “utility.”
The people around Pope Francis attack us for fighting this “culture war,” for our “obsession” with issues like abortion, euthanasia, homosexuality, divorce, “transgenderism,” etc. The real enemy is not the pagan medical system. It is pagan Rome.
It doesn’t appear to be a culture war limited to Canada. Neither is it specific to single payer med delivery systems. Though cutting costs as you note is a valid critique. But that is true in any med delivery system. Euthanasia occurs in Am frequently. It occurred in Nazi Germany 1940 with similar response by Catholic bishops who protested. “The Fulda Conference [Cath bishops] apparently attempted to negotiate with those responsible for the killings. Bishop Heinrich Wienken discussed [with the Reich Chancellery] ways to permit priests to administer the sacraments to the euthanasia victims. But these attempts at accommodation failed when the Vatican rejected the compromise” (The Origins of Nazi Genocide, Henry Friedlander, Chapel Hill, 1995, pp 114-5). Friedlander survived Auschwitz and praised the stance of Pope Pius XII in refusing to compromise, which the Pontiff deemed a form of complicity. Oregon, Washington State, New Mexico, Montana permit physician assisted suicide equivalent to euthanasia policy in E Canada. If the Dem Party won the election euthanasia policy would likely have received universal Fed sanction. It is simply not a cultural issue. The flaw in this article is omission of the primary catalyst for the Church either promoting or inhibiting euthanasia in Canada.
But, fighting the culture war would make you a “culture warrior” – that’s a bad thing according to the powers that be in the church… or is it maybe alright to be a culture warrior on euthanasia, as long as you don’t bother with abortion and have a “Who am I to judge” attitude about gay agenda?
But, as we know we don’t mold society, we adapt to it now. We don’t preach we evangelize – so only talk about things that don’t effect laws or culture…
The culture war was over when the church surrendered several years ago, now we have a leader who can’t apologize enough for ever having fought in the first place.
But, thanks to the leading lights of the culture in conjunction with the mercy as defined by the euthanasia crowd, this along with abortion has been successfully compartmentalized into simply a “culture war” issue that the general public often sees as something of a battle between “equivalents”….and not the monstrous, ultimate issue of life and death.
Also, while an undercurrent of euthanasia has always been in healthcare, there is a world of difference when it becomes naturalized via the law and a culture that has been conditioned to see its “utility.”
Note to self: Don’t get sick in Canada or UK.
The people around Pope Francis attack us for fighting this “culture war,” for our “obsession” with issues like abortion, euthanasia, homosexuality, divorce, “transgenderism,” etc. The real enemy is not the pagan medical system. It is pagan Rome.