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Priest killed in the Democratic Republic of the Congo, another freed

April 9, 2018 CNA Daily News 1

Goma, Democratic Republic of the Congo, Apr 9, 2018 / 07:00 pm (CNA/EWTN News).- Armed men burst into a church meeting room in the North Kivu region April 8 in the Democratic Republic of the Congo and killed 38-year-old Fr. Étienne Sengiyumva, the parish pastor.

Bishop Théophile Kaboy Ruboneka of Goma, in North Kivu Province announced the news to the Vatican’s Fides News Agency

“After celebrating the Mass at Kyahemba, a district in his parish, around 3pm, Fr. Étienne was meeting with his parish staff, when an armed man, accompanied by others, entered the meeting room and shot the priest point blank in the head, killing him instantly, ” the bishop recounted.

“The murder happened so quickly that those present couldn’t take note of how many people had entered the room to kill Fr. Étienne,” he lamented.

The bishop also told Fides that ”it’s hard to know who is responsible. Our region is infested with armed groups, at least 15, that fail to be dismantled despite the constant presence of the army and the blue-helmeted UN soldiers.”

Bishop Ruboneka explained that “Fr. Étienne  is the third priest killed in the region” and that “the investigations to find those responsible for these deaths go nowhere. On our part, we are doing everything we can to identify Fr.  Étienne’s killers, even though we have no illusions.”

“In these cases the witnesses fear for their own lives and the lives of their loved ones and it would be hard for them to offer any information useful for the investigation,” he pointed out.

The bishop also stated that Fr. Célestin Ngango was kidnapped from the diocese after celebrating Easter Mass. He was later released, blindfolded, at around 3 am following heavy pressure from the local inhabitants. The Congolese bishops’ conference told Fides “the freed priest was not mistreated and he appears to be in good health. However, he will undergo a medical examination.”

Bishop Ruboneka does not think there is any connection between the two incidents.

“I repeat, in our region there are so many armed groups that it is hard to know who committed this act or another. Here in North Kivu we are living in total chaos,” Bishop Ruboneka said.

In conclusion the prelate stressed that “the situation of the Diocese of Goma, as well as Butembo-Beni, is unbelievable. We are completely abandoned by everyone and we live thanks to the grace of Providence. I ask the faithful of the Universal Church to pray for our region so we can again find peace.”

This article was originally published by our sister agency, ACI Prensa. It has been translated and adapted by CNA.

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Africans stand for life in UN battles over reproductive health

April 9, 2018 CNA Daily News 1

Washington D.C., Apr 9, 2018 / 04:27 pm (CNA/EWTN News).- African Catholics remained concerned about a push from Western leaders to promote abortion and contraception in Africa in the name of economic development, especially as the United Nations Commission on Population and Development began its annual meeting Monday.

Pope Francis has repeatedly warned against Western “ideological colonization” of developing countries in which aid money comes tied to contraceptives, abortion, sterilization, and gender ideologies.

“‘Reproductive health’ is the phrase that is the battleground of every UN Commission meeting we attend,” said law professor Teresa Collett, who will be attending the 51st session of the UN Commission on Population and Development, from April 9 to 13.

“Now ‘reproductive health’ as a phrase doesn’t sound that bad,” continued Collett, “The problem is that is diplomat speak for abortion on demand. It’s diplomat speak for contraception” Collett explained last week at a conference at the Catholic University of America marking the 50th anniversary of Humanae vitae.

At last year’s UN population and development meeting in New York,  the debate over reproductive health was “so heated that we had no outcome document,” Collett explained. She partly accredits this to the fact that “African nations stood strong.”

The UN preparatory document implicitly recommends policies to reduce the birth rates in Africa:

“In much of Africa and parts of Asia, numbers of children and youth are rising rapidly. Policies … to ensure universal access to sexual and reproductive health-care services are critical to achieve further reductions in maternal and child mortality. Typically, such policies lead also to a reduction in the birth rate.”

The document continued: “In countries where growth in the number of children and youth has slowed recently, there is an historic opportunity for more rapid economic growth. With a sustained reduction in the birth rate, the working-age population (ages 25-64) may continue to grow for a few more decades, temporarily raising the ratio of workers to dependents.”

Underlying  these UN debates are ‘neocolonialist’ Western assumptions about what African women want, according to Nigerian Catholic Obianuju Ekeocha, the author of a new book, “Target Africa.”

“For world leaders, the plan of action is very clear — a dedicated effort in population control in developing countries. But in their single-minded obsession to reduce the fertility rate of women in sub-Saharan Africa, the one important consideration the experts have omitted is the desired fertility rate of the women in question,” Ekeocha wrote.

Ekeocha cites a 2010 USAID report on the number of children desired by people in various parts of the world, which showed that “the desired number of children is highest among people in western and middle Africa, ranging from 4.8 in Ghana to 9.1 in Niger and 9.2 in Chad, with an average of 6.1 children for the region.”

“Unlike what we see in the developed Western world, there is actually very high compliance with Pope Paul VI’s Humanae vitae. For these African women, in all humility have heard, understood, and accepted the precious words of the prophetic pope,” Ekeocha wrote in a 2012 open letter to Melinda Gates.

Despite widespread moral opposition to birth control in many African countries, 77,225,741 units of unspecified birth control pills were donated to African countries in 2014 by Western governments and organizations, according to Ekeocha’s research.

“Populations-program donations to Africa used to be the lowest portion of social-sector foreign aid, much lower than aid for education, health, water, sanitation, and so on. But since 2009, population control funding has surged ahead of funding for everything else. In 2014, the United States and the United Kingdom targeted 31 percent and 43 percent respectively of their African aid to population control,” Ekeocha wrote.

Mary Eberstadt, senior research fellow at the Faith and Reason Institute, affirmed those findings at last week’s Humanae vitae conference.  

“In Africa, both Protestants and Catholics lean toward traditionalism in moral teaching … .It is in tradition-minded Africa that Christianity has grown explosively in the years since Humanae vitae,” Eberstadt said.

“As the Pew Research Center put it a few years ago, Africans are among the most morally opposed to contraception. Substantial numbers of people in Kenya, Uganda, and other Sub-Saharan countries, Catholic and otherwise agree with the proposition that contraception is unacceptable. In Ghana and Nigeria, it is more than half of the population,” continued Eberstadt.

In a paper presented at the same conference, Collet wrote that “during much of the past sixty years, Western intellectuals and philanthropists have aggressively promoted birth control as a moral response to a variety of real or perceived global problems. The West, and more particularly the United States, United Kingdom, and Scandinavian countries, have actively engaged in what might fairly be called “ideological colonization” through their worldwide promotion of a contraceptive mentality.”

In 1968, the same year that Humanae vitae was promulugated, “USAID began purchasing contraceptives to distribute in developing countries” and “Robert McNamara, as president of World Bank, announces that population control will be an element of review of loans,” Collett reported.

In the years that followed, governments began implementing mandatory population control policies, just as Pope Paul VI had predicted in his encyclical.

In India, 10 million sterilizations were performed within 20 months of a National Population Policy that went into effect in 1976. “All public employees were told that there jobs would be cut or their salaries eliminated if they would not be sterilized,” said Collett.

Two years later, China implemented its “Family Planning Policy,” better known as the “One Child Policy.”  

“This policy allowed (and incentivized) local government officials to monitor women’s menstrual periods and forcibly abort and sterilize women who were not compliant.  In 1983 the Chinese Ministry of Health reported 21 million births, 14.4 million abortions, 20.7 million (predominantly female) sterilizations, and 17.8 million IUD insertions were performed,” Collett explained.

“Not withstanding these horrific practices permitted under the Indian and Chinese Policies, in 1984 the first UN Population Award was given to Indira Gandhi, Prime Minister of India, and Qian Xinzhong, Minister-in-Charge of the State Family Planning Commission of the People’s Republic of China.”

At the next Population World Conference, President Ronald Reagan announced the Mexico City Policy, which states that the U.S. would not fund any international program involving coerced abortion, or abortion in general.

“Under every Republican President we have made the determination, consistent with federal law that the United Nations FPA is involved in programs that involve coercive abortion and therefore we will not fund UNFPA. Every Democrat president has restored that funding. This is the topic in part of the UN Population Commission annual meeting …next week,” Collett said at CUA on April 5.

In 2017, President Donald Trump expanded the Mexico City Policy and directed money that would go to the United Nations Population Fund (UNFPA) to the Department of State Global Health Initiative to “assist in helping African nations … training helping birth attendants … to ensure healthy pregnancy deliveries, to ensure the availability of clean blood supplies and clean water supplies are available to women in labor,” she added.

In “Target Africa,” Ekeocha wrote that “when President Trump reinstated the Mexico City Policy in 2017, a number of Western leaders scrambled to make up for the $600 million that America was going to withhold from pro-abortion organizations. They raised about $190 million through the She Decides campaign launched in Brussels, where Sweden, Finland, and Canada each pledged $20 million for abortion provider.”

“An anonymous donor in the United States committed $50 million, the Bill and Melinda Gates Foundation promised $20 million, and hedge-fund manager and philanthropist Chris Hohn promised $10 million. On top of Canada’s commitment to She Decides, a few days after the Brussels fundraiser Canadian Prime Minister Justin Trudeau pledged $650 million toward worldwide women’s reproductive health programs, including abortion services,” Ekeocha continued.

Ekeocha’s research indicates that the countries most aggressively promoting worldwide abortion are the same countries facing low fertility rates. Canada, Finland, and Belgium all have fertility rates below the replacement rate.

“Without exceptions, these nations are facing the real and imminent threat of a demographic winter, yet they join forces to ensure that the unborn babies of Africa can be aborted without any impediments,” she wrote.

“In their attempts to legalize abortion across Africa, abortion advocates say that legalized abortion is a way to reduce high maternal mortality rates.”

“There is no telling how many lives could be saved if even a fraction of the billions of dollars being spent by Western donors on contraception and abortion in Africa were directed toward improving the quality of obstetric care.”

 

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Legalizing assisted suicide harms those with depression, Hawaii bishop says

April 9, 2018 CNA Daily News 1

Honolulu, Hawaii, Apr 9, 2018 / 04:24 pm (CNA/EWTN News).- Hawaii became last week the most recent US state to legalize assisted suicide, and the islands’ bishop has written about the shortsightedness of permitting some residents to end their lives.

“I find it ironic that the act of taking one’s life, which people have been doing quite autonomously for thousands of years, is now only to be sanctioned if one has the permission of one’s ‘health’ care provider, the State legislature and the governor,” Bishop Larry Silva of Honolulu wrote in a March 28 editorial as the bill was being considered.

“My wonder at this apparent contradiction is compounded when I think of how, until now, we have prided ourselves on helping people not take their own lives. We have suicide prevention programs and hotlines, and have always considered suicide a tragedy that wreaks havoc on so many survivors who feel grief and frustration that they were not able to prevent this ‘autonomous’ decision from being made.”

The “Our Care, Our Choice Act” was signed into law by Governor David Ige April 5. Hawaii’s Senate passed the bill 23-3 March 29, and the House of Representatives had approved the bill earlier this year by 39-12.

A similar bill has passed the Hawaii state Senate in 2017, but failed in the House.

The law allows a terminally ill person to receive a prescription for a lethal medication if two doctors find that the person has fewer than six months to live and is mentally competent. The patient must undergo a mental health evaluation to determine that they are not “suffering from conditions that may interfere with decision-making, such as a lack of treatment of depression,” according to the AP.

The patient must make two requests for the life-ending medication, with a 20-day waiting period between requests, and sign a written request witnessed by two people, one of whom cannot be related to the patient.

A doctor may dispense the medication, but it may only be self-administered.

The law includes criminal penalties for tampering with a request for lethal medication or coercing such a prescription.

Ige emphasized the freedom of choice the law will provide for terminally ill patients.

“It is time for terminally ill, mentally competent Hawaii residents who are suffering to make their own end-of-life choices with dignity, grace and peace,” he said. “It does make sense to give the patient a choice to request the medication, obtain it and take it, or ultimately change their mind.”

Bishop Silva pointed out that under the law, the death certificate of one who commits assisted suicide will list as the immediate cause of death their terminal disease.

“In other words, it will lie about the real immediate cause of death, which is freely and deliberately ingesting a poison into one’s system,” he wrote. “If we call it another name besides suicide, then it may become respectable. Under no circumstances should we call it what it is, since certain insurance benefits may not be available to one’s estate if one commits suicide. So let’s also lie to the insurance company by calling it ‘death with dignity’ or some other title that will make it sound more respectable.”

The bishop also wrote that “As a spiritual leader, I also must raise the question of whether someone who deliberately, with documentable soundness of mind and determination of will, violates God’s basic commandment ‘Thou shalt not kill’ may be flirting with a fate worse than a debilitating terminal illness … God does allow us the autonomy to make such decisions, but he warns us of the dire consequences – and relentlessly attempts to turn us away from such self-destructive decisions.”

Bishop Silva said, “While our State Legislature may not base its decisions on eternal consequences, it should still think beyond the individual terminally ill person. What of family members who will have to live with the weight of their own consciences regarding this very unnatural process?”

He also questioned the law’s effects on those suffering depression: “Won’t this suggest to them that if life becomes too burdensome, checking oneself out of it sooner than later is a legitimate option?”

“If this door to choosing death is opened, will insurance companies and health care facilities continue to provide very expensive but ingenious treatments, developed over generations by scientists, technicians, and medical personnel? Or will the ‘bottom line’ lead them to refuse these expensive treatments because the patient has the choice of a much quicker and less expensive death?”

The bishop also raised the question of conscience protections for medical personnel and pharmacists who consider suicide to be gravely immoral.

Bishop Silva’s editorial echoed concerns about assisted suicide which have been raised by Pope Francis.

In June 2016, the Pope called assisted suicide a feature of the “throwaway culture” which offers a “false compassion” and treats a human person as a problem.

“True compassion does not marginalize anyone, nor does it humiliate and exclude – much less considers the disappearance of a person as a good thing,” the Pope told the directors of the orders of physicians of Spain and Latin America. He criticized “those who hide behind an alleged compassion to justify and approve the death of a patient.”

In addition to Hawaii, physician-assisted suicide is legal by law in the District of Columbia, Washington, Oregon, California, Vermont, and Colorado; and in Montana through a state supreme court ruling.  A bill to legalize assisted suicide is under consideration in Indiana.

In September the New York State Court of Appeals upheld the state’s ban on assisted suicide.

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Commentary: Reading Pope Francis in love

April 9, 2018 CNA Daily News 13

Denver, Colo., Apr 9, 2018 / 11:43 am (CNA).- In his first homily as pope, Francis quoted Leon Bloy, the French convert, author, and mystic who has influenced some of modernity’s most significant literary voices. Gaudete et exsultate, the pope’s newly released apostolic exhortation, again turns to Bloy, invoking the writer’s famous observation that “the only great tragedy in life is not to become a saint.”

Bloy was right, of course, and most of the pope’s readers are likely disposed to agree with him. But there is another Bloy quote that readers of Gaudete et exsultate would do well to keep in mind: “Love does not make you weak, because it is the source of all strength.”

Gaudete et exsultate was certainly written with love: whatever one thinks of Pope Francis, there is ample evidence that he loves the Church, and he loves her members. It ought to be read in love as well. But before the document was even released, a predictable fractioning of the Lord’s body foretold the way the exhortation would likely be read: through the lenses of suspicion and criticism that have characterized much of the debate about Pope Francis.

Unsurprisingly, early responses to the exhortation have followed a familiar pattern.

Those who are sometimes critical of the pope have noted that the text lacks any mention of chastity, and complained that it seems to have an antinomian or anti-intellectual bent: criticizing those with “a punctilious concern for the Church’s liturgy, doctrine and prestige,” and taking special pains to condemn intellectual arrogance. Their response, in a few lamentable cases, has been the established refrain of Francis-bashing, which colors and discredits the legitimate questions being asked about many of the pope’s initiatives.   

Some of the pope’s progressive defenders have snapped up those same passages, seeming to revel in certitude that the pope must be talking about their “conservative” counterparts, and brandishing his words like weapons. They’ve also found consolation, and claimed bragging rights, in the passages of the pope’s exhortation that call for solidarity with migrants, claiming penumbras of endorsement for the “seamless garment” approach to the Catholic social teaching.

Doubtless, on Twitter, Facebook, and in some blogs and journals, these two camps will volley fire with newfound ammunition in their battle over Francis, and their war for the Church.

But all of that misses the point. In fact, all of that defies the point. Francis’ exhortation proposes that charity is the heart of holiness- a proposal that echoes his recent predecessors, and more important, echoes the words of Jesus. If Catholic leaders and pundits can’t receive an exhortation in charity, and discuss it in charity, then the need for the document is more profound than most of us care to admit.

As with all of Francis’ documents, Gaudete et exsultate contains ambiguous passages, which lend themselves to misinterpretation and misappropriation. It paints with a broad brush, and it is not systematic. This is frustrating. And sometimes, it stings.

But the document is an exhortation. It is written to exhort us.

“What follows is not meant to be a treatise on holiness, containing definitions and distinctions helpful for understanding this important subject, or a discussion of the various means of sanctification,” Francis wrote. “My modest goal is to repropose the call to holiness in a practical way for our own time, with all its risks, challenges and opportunities. For the Lord has chosen each one of us ‘to be holy and blameless before him in love.’”

The document is meant to call us sinners to repentance and conversion. To call the lukewarm- most of us- to holiness. Not all parts are relevant to all Catholics; it fails to mention some patterns of sinfulness altogether. It is written by a fellow sinner, and the author’s humanity, foibles and all, show through the text. But it’s written in love. Which means that we should receive it by examining our own hearts, to find the places where the exhortation exhorts us.

An exhortation like this should be received in quiet and penitential humility. If we’re second-guessing it, armchair-quarterbacking the things it should have said, we’ve missed the point. If we’re using it to smite our enemies, we’ve missed the point. If it leads us away from love, the biggest problem is with us, and not with the text.

“Let us ask the Holy Spirit to pour out upon us a fervent longing to be saints for God’s greater glory, and let us encourage one another in this effort,” Francis writes.

Let’s receive Gaudete et exsultate as it’s written. Let’s be strengthened by love- from the pontiff, from one another, and from the Lord. Let’s put aside the arguments for the moment, and ask the Lord to help us be the saints he calls us to become.  

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Pope Francis issues exhortation praising the “middle class” of holiness

April 9, 2018 CNA Daily News 2

Vatican City, Apr 9, 2018 / 09:56 am (CNA/EWTN News).- Pope Francis released an apostolic exhortation in which he aims to “repropose” the universal call to holiness – which he says is the mission of life for every person.

Published April 9, Gaudete et exsultate, or “Rejoice and be glad,” is Francis’ third apostolic exhortation. It is subtitled “On the call to holiness in the contemporary world.”

The 44-page exhortation explains that holiness is the mission of every Christian, and gives practical advice for living out the call to holiness in ordinary, daily life, encouraging the practice of the Beatitudes and performing works of mercy.

Francis mentioned the holiness “in those parents who raise their children with immense love, in those men and women who work hard to support their families, in the sick, in elderly religious who never lose their smile. In their daily perseverance I see the holiness of the Church militant. Very often it is a holiness found in our next-door neighbours, those who, living in our midst, reflect God’s presence. We might call them ‘the middle class of holiness.’”

Francis said that all Catholics that, like the saints, “need to see the entirety of your life as a mission,” and explained that this is accomplished by listening to God in prayer and asking the Holy Spirit for guidance in each moment and decision.

“A Christian cannot think of his or her mission on earth without seeing it as a path of holiness,” he stated, explaining that this path has its “fullest meaning in Christ, and can only be understood through him.”

Using the words of Pope Emeritus Benedict XVI, Francis wrote that “holiness is nothing other than charity lived to the full.” As a result, the measure of our holiness stems not from our own achievement, but “from the stature that Christ achieves in us.”

Therefore, Pope Francis said, to walk the path of holiness requires prayer and contemplation alongside action; the two cannot be separated.

The pope also touched on what he calls the “two enemies of holiness” – modern versions of the heresies of Pelagianism and Gnosticism, saying that these lead to “false forms of holiness.”

In the modern form of Gnosticism, Francis said, one believes that faith is purely subjective, and that the intellect is the supreme form of perfection, not charity.

This can lead Catholics to think that “because we know something, or are able to explain it in certain terms, we are already saints,” he said, when really, “what we think we know should always motivate us to respond more fully to God’s love.”

In contemporary Pelagianism, he said the common error is to believe that it is by our own effort that we achieve sanctity, forgetting that everything in fact “depends not on human will or exertion, but on God who shows mercy (Rom. 9:16).”

The pope explained that “the Church has repeatedly taught that we are justified not by our own works or efforts, but by the grace of the Lord, who always takes the initiative,” and that even our cooperation with the gift of divine grace is itself “a prior gift of that same grace.”

Some may be asked, through God’s grace, for grand gestures of holiness – as can be seen in the lives of many of the saints, Francis said – but many people are called to live the mission of holiness in a more ordinary way, and in the context of their vocation.

However large or small one’s call seems, Francis said that acts of charity are always undertaken “by God’s grace,” not as people “sufficient unto ourselves, but rather ‘as good stewards of the manifold grace of God’ (1 Peter 4:10),” he said.

The pope offered several practical recommendations for living out these “small gestures.” In addition to the frequent reception of the sacraments and attendance at Mass, he said that in the Beatitudes Jesus explains “with great simplicity what it means to be holy.”

He also said that a way to practice holiness is through the works of mercy, though he warned that to think good works can be separated from a personal relationship with God and openness to grace is to make Christianity into “a sort of NGO.”

The saints, on the other hand, show us that “mental prayer, the love of God and the reading of the Gospel” in no way detract from “passionate and effective commitment to their neighbors.”

The pope highlighted several qualities he finds especially important for living holiness in today’s culture, including: perseverance, patience, humility, joy, a sense of humor, boldness, and passion.

Boldness and passion, he said, are important in order to avoid despondency or mediocrity, which he said can weaken us in the ongoing spiritual battle against evil.  

In the journey toward holiness, “the cultivation of all that is good, progress in the spiritual life and growth in love are the best counterbalance to evil,” he said, emphasizing that the existence of the devil is not a myth or an abstract idea, but a “personal being that assails us.”

“Those who choose to remain neutral, who are satisfied with little, who renounce the ideal of giving themselves generously to the Lord, will never hold out” against temptation, he stated.

“For this spiritual combat, we can count on the powerful weapons that the Lord has given us: faith-filled prayer, meditation on the word of God, the celebration of Mass, Eucharistic adoration, sacramental Reconciliation, works of charity, community life, missionary outreach,” he listed.

About the importance of prayer on the path to holiness, the pope said that though “the Lord speaks to us in a variety of ways, at work, through others and at every moment… we simply cannot do without the silence of prolonged prayer.”

“Naturally, this attitude of listening entails obedience to the Gospel as the ultimate standard, but also to the Magisterium that guards it,” he stated, “as we seek to find in the treasury of the Church whatever is most fruitful for the ‘today’ of salvation.”

Cardinal Daniel DiNardo, president of the United States bishops’ conference, praised the exhortation in a statement released Monday, saying: “In this exhortation, Pope Francis is very clear – he is doing his duty as the Vicar of Christ, by strongly urging each and every Christian to freely, and without any qualifications, acknowledge and be open to what God wants them to be – that is ‘to be holy, as He is holy’ (1 Pet 1:15). The mission entrusted to each of us in the waters of baptism was simple – by God’s grace and power, we are called to become saints.”

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Condom giveaways, needle exchanges: Are Catholic hospitals called to more?

April 8, 2018 CNA Daily News 3

Cincinnati, Ohio, Apr 8, 2018 / 06:00 am (CNA).- A clean needle exchange program that distributes condoms is hosted in the parking lot of an Ohio Catholic hospital, and one Catholic bioethicist thinks the system can do better.
 
“I would say Catholics are called to more. At a minimum, Christ articulated a higher standard for moral life than what other people are doing,” Catholic bioethicist John Brehany told CNA April 4, addressing the needle exchange aspect in particular.
 
The hospital statement justifying the practice stressed harm reduction.
 
“It seems to me that they have a good motive,” Brehany said. “They want to help people, they want to help people avoid harm. That’s understandable, is that good enough? Is that what Christians are called to do?”
 
Brehany is director of institutional relations at the National Catholic Bioethics Center, which handles inquiries on Catholic bioethics issues. He has a doctorate in healthcare ethics, a licentiate in sacred theology and is past executive director of the Catholic Medical Association.
 
The Mercy Health Clermont Hospital in Batavia, Ohio is hosting in its parking lot an Exchange Project program that offers condoms as well as injection equipment and other health services, the Cincinnati Enquirer reports.
 
“First and foremost, the needle exchange services program is a harm reduction program aimed at reducing the spread of sexually transmitted diseases, including HIV and Hepatitis C,” Mercy Health spokesperson Nanette Bentley told CNA April 3. “The program includes needle exchange, access to testing and condoms as a holistic approach to harm reduction.”
 
“When clients enter the van, they enter the property of Hamilton County Public Health,” Bentley said. “The van is staffed solely by employees of Hamilton County Public Health and all services are provided by those employees.”
 
“Mercy Health – Clermont Hospital provides a central location for the van to offer its harm reduction program but does not provide any services on the van,” she added, saying that Mercy Health provides “many other medical and preventive services for patients with substance abuse issues.”
 
In Kentucky, the St. Elizabeth Healthcare system hosts the needle exchange program in parking lots at its Covington hospital and at St. Elizabeth Urgent Care in Newport. However, these programs will not distribute condoms.
 
“St. Elizabeth Healthcare is dedicated to caring for our patients’ medical needs without compromise of the Catholic Church’s teachings concerning birth control,” Guy Karrick, a spokesman for St. Elizabeth, told The Cincinnati Enquirer. “We are going above and beyond for our community to get a program in place as quickly as possible.”
 
St. Elizabeth considers hospital property to be bound by Catholic teaching, such as the U.S. bishops’ Ethical and Religious Directives for Catholic Health Care Services.
 
“Catholic health institutions may not promote or condone contraceptive practices,” one directive reads.
 
Karrick did suggest the program might be best off on health department grounds.
 
Brehany said he couldn’t adequately assess the entire program since he did not have all the details. He also stressed that issues of cooperation in evil are among the most complex in moral theology. While some Church teachings are clear and settled, others are not. For instance, the use of contraception in marriage is clearly forbidden, but Church teaching on the ethics of using condoms to reduce the transmission of disease outside of marriage is less developed.

In 2010, Pope Benedict XVI told journalist Peter Seewald that while condoms could not be considered “a real or moral solution,” their use by homosexual prostitutes might be considered “a first step in the direction of a moralization, a first assumption of responsibility.”

Benedict later clarified that “naturally the church does not consider condoms as the authentic and moral solution” to the spread of AIDs or other other sexually-transmitted diseases.
 
“At the National Catholic Bioethics Center, when it comes to the question of justifying the use of condoms to prevent disease transmission, we’ve always argued against that,” Brehany told CNA. “One reason is that Pope Paul VI’s 1968 encyclical Humanae Vitae teaches that every sexual act must retain its essential openness to procreation.”
 
In addition, he said, “If someone has a dangerous disease, really, the better ethical action is not to expose someone else to it at all.”
 
Dr. Lynne Saddler, district director of the Northern Kentucky Health Department, voiced gratitude for the partnership with St. Elizabeth’s, the Catholic system that barred condom distribution.
 
Although the National Harm Reduction Coalition of New York City praised St. Elizabeth’s participation in the program, it advocated that the system add condom distribution “as part of a comprehensive HIV prevention strategy for a particularly vulnerable population.”
 
Dr. Judith Feinberg, who ran the first needle exchange program in the Greater Cincinnati area in 2014, said the program was about doing anything possible to keep people safe.
 
“The whole point is to prevent disease, and the condoms are part of preventing disease,” she said.
 
According to Brehany, the issue of cooperation in evil is “complex” and must be evaluated on several factors including intent and the nature of one’s involvement with another person’s unethical action. Catholic teaching, especially as taught in St. John Paul II’s 1993 encyclical “Veritatis Splendor,” rejects both a utilitarian mode of thinking and an ethical approach based only on good intentions or good consequences.
 
Further, those cooperating in moral evil must always be aware of whether their cooperation might cause others to believe that a practice is morally allowed.
 
“Adequately discerning the effect of our actions on other people’s faith is always a consideration in issues of cooperation,” said Brehany.
 
As for needle distribution, while Church teaching is less developed, he suggested that a clean needle distribution would be more justifiable if the goal included weaning someone off drugs, rather than intending to help them maintain their drug use in a manner that merely reduced the risk of spreading disease.
 
CNA sought comment from the Cincinnati archdiocese, but was referred to Mercy Health.

The Mercy Health system has hospitals in Ohio and Kentucky. Its sponsors include the Sisters of Mercy, the Sisters of the Humility of Mary, and the Franciscan Sisters of the Poor.
 
The St. Elizabeth Healthcare system is sponsored by the Diocese of Covington. It operates six facilities in northern Kentucky.

 

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