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In grim accounting, Canadian report says assisted suicide saves health care money

October 21, 2020 CNA Daily News 0

CNA Staff, Oct 22, 2020 / 12:18 am (CNA).- A Canadian report has put a dollar figure on legal assisted suicide, claiming that legalization has saved millions of dollars in health care costs—and that a looming expansion of legal assisted suicide, known by backers as “aid in dying,” would save millions more.

A new Parliamentary Budget Officer report, released Oct. 20, is intended to provide economic and financial analysis of legislation to improve parliamentary debate and promote “greater budget transparency and accountability.”

While the report acknowledged cost savings of assisted suicide, it said “this report should in no way be interpreted as suggesting that (medical aid-in-dying) be used to reduce health care costs.”

At the same time, the report acknowledged the “disproportionately high” health care costs to care for people in their last year of life, especially in their last month. Such patients represent 1% of the population and 10% to 20% of total health care costs.

Access to medically assisted suicide, the report said, reduces health care costs for Canada’s provincial governments, the primary health care providers. Since the legalization of assisted suicide in June 2016, the report estimated some $66 million in U.S. dollars have been saved because individuals are helped to die rather than receive health care or palliative care.

A Quebec superior court last year ruled that it was unconstitutional to limit medically assisted suicide only to those whose natural death is “reasonably foreseeable,” according to the Canadian news site Global News. Canada’s Minister of Justice and Attorney General of Canada chose not to appeal the decision, a decision lamented by Canada’s Catholic bishops.

This court ruling required the government to introduce legislation to comply. That legislation would no longer require natural death to be “reasonably foreseeable” for a patient to be eligible for assisted suicide.

Rather, the bill provides easier eligibility rules for people near death and stricter eligibility rules for people who are not near death. It removes a 10-day waiting period for those whose natural death is “reasonably foreseeable.”

For persons whose natural death is not reasonably foreseeable, eligibility assessments must take at least 90 days unless loss of capacity to consent is imminent. According to a summary of the bill at the website of Canada’s Department of Justice, two independent doctors or nurse practitioners must provide an assessment and confirm the requester is eligible. At least one doctor or practitioner assessing the person’s eligibility must have expertise in the medical condition causing his or her suffering.

The bill allows the possibility to waive final consent for assisted suicide for patients whose death is reasonably foreseeable and who are at risk of losing the ability to consent. It would also reduce the number of required witnesses for patient consent from two to one.
 
Under the legislation, the patient must be informed of options to relieve suffering, including counseling, mental health and disability support, community services, and palliative care. Mental illness as a sole underlying condition would not be sufficient to access legal assisted suicide.

The report’s financial analysis predicted an estimated 6,465 assisted suicide deaths in 2021 under the current law, with over $66.14 million in U.S. dollars saved in provincial health budgets due to these deaths. The number of dollars saved is reached by subtracting the costs of palliative care, about $55.4 million, from mean end-of-life costs of about $138.6 million, and then subtracting $17 million in costs to administer that number of assisted suicides.

The new legislation to expand access to assisted suicide will result in another 1,164 assisted suicide deaths in Canada in 2021, the report predicted, with an estimated $46.8 million in health care costs saved. This would increase total estimated savings to some $113.4 million, compared to a situation in which assisted suicide was illegal, the Parliamentary Budget Officer report said.

“While this amount may appear significant, it only represents 0.08% of total provincial health care,” said the report. The cost reduction “represents a negligible portion of the health care budgets of provinces.”

Justice Minister David Lametti introduced the latest assisted suicide bill in February but its progress was halted when the House of Commons adjourned in mid-March because of the coronavirus epidemic.

The bill, numbered C-7, is characterized as a “medical assistance in dying” bill. It would modify Bill C-14, passed by Canada’s Parliament in 2016 to legalize and regulate doctor-assisted suicide.

In February the Catholic Bishops of Canada voiced “the greatest concern and dismay” about efforts to expand assisted suicide. They condemned “the lamentable legislative aim” of broadening access to assisted dying, and insisted “that every opportunity for due diligence be taken during the parliamentary process.” They have said better palliative care is needed.

“We unequivocally affirm and maintain the fundamental belief in the sacredness of all human life, a value that we share with many others in our country, including persons of different faiths and no faith at all,” Archbishop of Winnipeg Richard Gagnon, president of the Canadian Conference of Catholic Bishops, said in an October letter to Prime Minister Justin Trudeau.

“Despite the misleading euphemism, ‘Medical Assistance in Dying’ remains simply euthanasia and assisted suicide – that is, the direct taking of human life or the participation in his/her suicide, which can never be justified,” Gagnon added, according to Grandin Media.

A report released by the Canadian government said that more than a third of those who opted for “medical assistance in dying” cited concerns of being a burden to family or carers.

Assisted suicide opponents have warned that legalizing such killings helps increase social or financial pressure on a person to kill him or herself, whether this pressure comes from insurance companies, private or government health care administrations, or relatives. They question how society can campaign against suicide for the healthy or in favor of better palliative care for the ill while justifying assisted suicide at the same time.

They say there is a danger that assisted suicide further marginalizes the disabled, the elderly and the terminally ill and undermines the duty to respect and care for them. People facing treatable conditions could be presented assisted suicide as a better option, they warn.

 


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Polish bishop dies from the coronavirus

October 21, 2020 CNA Daily News 4

Vatican City, Oct 21, 2020 / 10:00 am (CNA).- A Polish bishop died from COVID-19 Tuesday at the age of 83.

Bishop Bogdan Wojtuś died at noon local time Oct. 20, according to a statement from the Archdiocese of Gniezno.

Wojtuś, a retired auxiliary bis… […]

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Her abuse story was posted to her parish Facebook – and then taken down. Why it’s back, and why that matters

October 21, 2020 CNA Daily News 1

Denver Newsroom, Oct 21, 2020 / 04:00 am (CNA).- Gina Barthel, a survivor of clergy sexual abuse, has found that telling her story is an important part of her healing journey.

When she first shared her story with CNA last year, Barthel said it made her feel “light and free and so full of hope.” 

“When the original story…went live, I was filled with joy. I mean, such joy that morning. I woke up, I high-fived Jesus in my bedroom, and I was like, ‘Jesus, we did it. We did it. We took this brave, courageous step.’”

In that story, Barthel shared that her home archdiocese of St. Paul and Minneapolis had supported her after she was abused, and that the auxiliary, Bishop Andrew Cozzens, had been meeting with her personally on a monthly basis to make sure she was receiving the help she needed.

What Barthel did not anticipate was “the very unsettling response” of some fellow parishioners, and even relatives, who did not respond positively when she shared her story. She said some responses have been “distressing.”

In January, Barthel shared her story of abuse survival again, that time with her diocesan newspaper, The Catholic Spirit. Her pastor at the time, Fr. Peter Richards, posted the newspaper’s story to the parish Facebook page, St. Michael’s Catholic Church in St. Michael, Minnesota, in February.

But to Barthel’s dismay, the parish took the story down just hours after it had been posted, reportedly after the parish received a complaint about it.

When Barthel saw the story go up on her parish Facebook page, and then come down again, she was hurt.

“What I find very heartbreaking is the original story…and the story that appeared in The Catholic Spirit, the entire goal and focus was my overwhelming, overarching theme that I wanted people to know was that of hope. That you can be wounded in the heart of the Church and find healing in the heart of the Church,” she said.

“And here I come forward, that message somehow got totally messed up into, ‘We don’t want this known in our community. We don’t want this known.’”

Barthel said she was not concerned so much with whether her story was shared specifically to her parish’s website or Facebook page. But once it had been shared and quickly removed, she was hurt, and she worried about the message that decision sent to abuse survivors.

“When that Facebook post was taken down, and then all the controversy that erupted about putting it back up, it made me very sad because that’s not the Church that I know and love,” Barthel said.

“The Church that I know and love teaches that one, we don’t shame the victims, and two, we don’t keep their stories secret and we certainly don’t try to silence victims, and that’s what was happening, which was very distressing for me.”

Furthermore, she added, “there are people who are watching in the shadows who haven’t come forward,” whether they’re clergy abuse victims or abuse victims in general.

“They’re watching. How does our faith community treat somebody who was a survivor of a heinous crime? How does our faith community treat that person? How does our faith community reverence that person? How does our faith community treat that person who was wounded and may not always act perfectly? How do we treat that person and hold that person and love that person and walk with them in the midst of pain as they’re continuing their healing journey?” she said. “People are watching that from the sidelines.”

Barthel said she heard from Fr. Richards that he regretted taking the post down, and that he had plans to repost her story. But he did not get the chance to do that before he was transferred to a new parish and moved in June.

In July, Fr. Brian Park took over as pastor of the parish, and still Barthel waited months before her story was reposted.

Eventually, on October 13, her story was reposted to the parish Facebook and website, accompanied by a statement dated October 9 from Archbishop Bernard Hebda.

“Your new pastor, Father Brian Park, inherited this situation. I have asked Father Park to help fulfill Father Richard’s promise to this survivor by reposting The Catholic Spirit article on the Saint Michael Catholic Church Facebook page and website. I would like to explain to you why I believe this is important,” Hebda said.

“When a priest makes a promise to a survivor of clergy abuse, I am of the opinion that we—as clergy—should do all in our power to make sure that the promise is kept, absent a particularly compelling reason to the contrary,” he said.

“The issues presented in this situation go well beyond the immediate question of reposting and well beyond your community. The real issues are about justice, accountability, compassion and healing. This is especially true for survivors of clergy sexual abuse, but can also affect those who have experienced abuse in other contexts,” he added.

 

 

Hebda added that in recent years the Archdiocese of St. Paul and Minneapolis has made “significant, meaningful and potentially long-lasting progress” in its response of compassion and support to survivors of clerical abuse.

“We must not regress. It is important for all of us in any survivor’s life, especially within the Church, to hold steadfast to the principled approaches now in place,” he said.

In his statement, Hebda noted that he had spoken to Fr. Richards, who had communicated that he had been planning on reposting the article and hosting some subsequent educational events about abuse before he was transferred from the parish.

“He has indicated to me that he regrets that he did not complete the educational plan and repost the article prior to his assignment to another parish this past summer,” Hebda said.

The archbishop added that the Church has an “affirmative duty….(to) support victim/survivors on their journeys to justice and healing. The opportunity for abuse survivors to tell their stories is universally acknowledged as an essential moment in the healing process. Going public often means for them that they are no longer subject to the manipulation of the abuser. This can also be an important moment of justice.”

Stories of abuse are shared “not out of vengeance, but truthfulness,” the archbishop noted, which can be a positive healing step for a whole community and can hold past abusers accountable for their actions.

Addressing the resistance met by some within the parish to posting Barthel’s story, Hebda asked parishioners to join him in “praying for a healing of any such division. Join me also in praying for all survivors of abuse, as well as for their family members and for those who support them in their healing and pursuit of justice. May Mary, Undoer of Knots, bring her Son’s love into the difficulties of our lives.”

Jim Thorp, communications manager for St. Michael’s Catholic Church, told CNA in an email that “we pray that Gina’s story brings hope and healing to many. We continue to pray for healing for Gina and all victims and survivors of abuse, as well as their families, communities and the Church as a whole.”

Fr. Park, through Thorp, declined to comment on why he waited for Archbishop Hebda’s letter before reposting Barthel’s story.

Of the nine comments on the parish Facebook post sharing Hebda’s letter and Barthel’s story, all were positive or supportive, as of October 20.

“Bishop Hebda and the pastor have done a right and courageous act. God bless them, Gina Barthel and all the victims of clergy abuse. They must be very beloved to Jesus,” Patricia Tinajero commented.

“So grateful for the Archbishop’s words and for Gina’s brave witness, both bringing light to this darkness. I am hopeful that our beautiful church family and leaders continue to recognize the importance of supporting and praying for all victims of abuse,” commented Katrina A. Witschen.

Bishop Andrew Cozzens told CNA that he was glad Barthel’s story was shared with her parish community, because in every parish community are survivors of abuse, whether that is abuse from clergy or other people.

“There are victims of abuse in every parish and so we always need to be attentive to that. And it’s difficult at times to raise up that reality because nobody likes to talk about it,” Cozzens said.

“But it can be really helpful to the victims of abuse if we’re willing to, when it’s appropriate, raise up the reality of abuse so that people who have experienced it can come to healing. So when you have a story like Gina’s, where there has been some healing, that can be helpful.”

Cozzens added that he hoped any abuse victims who have been following Barthel’s story see that “the Church is committed to standing by them, even if it takes a long time to do so, even if we still have a culture change that we have to go through. We are committed to standing by survivors and we hope they understand that.”

Dr. Jim Richter is an abuse survivor and survivor advocate who became friends with Barthel last year, after reading her story.

Richter told CNA that for abuse survivors, it is often, though not always, important for them to share their stories, and their local communities often seem like the safest and most comfortable place to do that.

“If you have a community, a family community, a civic community, or a parish community, I think that’s a great place to explore doing that sharing because it’s oftentimes been identified or it’s associated with something that is comfortable, familiar, safe and often supportive.”

He added that while he understands stories of abuse can be difficult to hear, they can also help communities remember that they have survivors in their midst and that they need to remain vigilant against potential future abuse.

“Although this is 2020, and although it is difficult for folks to sometimes recognize that a crisis isn’t over as quickly as they would like it to be, the better equipped we are to hear, and in some cases to be unpleasantly reminded of what has happened. That can really inform the work that as an individual and as a parish we’re going to do moving forward,” he said.

“So I don’t understand…the need to bury or ignore or kind of sidestep somebody’s abuse experience.”

Barthel said that while she is grateful for all the support she has received thus far on the archdiocesan level, it was also meaningful to share her story with her local community.

“My everyday life happens in the local church. And I need to have the support of the local church. All victim/survivors need the support of their local community. To feel that I was being stripped of that by some (parish) members….who have not been supportive, made that very painful.”

Ultimately, Barthel said she is grateful for the support of her archdiocese, and now her parish, in sharing her story.

“To have Archbishop Hebda’s voice is so important because I think it sends the right message, the healthy and hopeful message to the Church,” she said. She said she hopes other victim/survivors continue to find hope and encouragement in her story.

“I can only speak for my archdiocese, but at least in our archdiocese, if they do come forward, they can find the support that they need in the leadership of the church. And I think that’s really important.”


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‘Festival of Friendship’ seeks authentic encounter in a digital venue 

October 20, 2020 CNA Daily News 0

Denver Newsroom, Oct 21, 2020 / 12:16 am (CNA).- An annual cultural festival hosted by a Catholic group of artists and intellectuals is being held virtually this month, offering opportunities for encounter and discussion through art and creativity.

The Revolution of Tenderness – which draws its name from an exhortation of Pope Francis – is in the middle of hosting its eighth Festival of Friendship. The project brings together a myriad of people from different cultures and belief systems.

“The Festival of Friendship is an annual free cultural event that is open to the public; it features speakers and topics to do with every aspect of human ingenuity and creativity: from the arts and humanities, to sports, to science, to politics and economics, to education, to research, to any and all expressions of human culture,” said Suzanne Lewis, coordinator for Revolution of Tenderness.

“We place a special emphasis on dialogue; thus we invite speakers who belong to many different religions (or none), and we explore subjects of interest to Catholics and non-Catholics alike,” she told CNA.

The festival is modeled after the Meeting for Friendship Among Peoples, an annual cultural festival held in Italy’s coastal town of Rimini. This event, which is also free, attracts over 800,000 visitors each year. Lewis was so moved by attending the Rimini meeting that she decided to replicate the experience in Pittsburgh, Pennsylvania, and Steubenville, Ohio.

“My collaborators and I have not made any attempts to innovate on the model I first witnessed in Rimini. In fact, all our efforts to do with the festival have been motivated by a desire to imitate the meeting as faithfully as possible while providing the fewest possible ‘translations’ for an American audience,” she said.

The first festival was established in 2012 and called The Pittsburgh Encounter. The nonprofit, Revolution of Tenderness, was then established in 2017. As the nonprofit developed, the organization has been able to further other initiatives, including literary workshops, conferences, and classes.

Normally, the Festival of Friendship is carried out one autumn week in Pittsburgh. In addition to Catholics from a variety of professions, it has also hosted jazz musicians, Buddhist monks, Islamic scholars, and medical professionals. About 500 people attended last year’s event.

This year, the event is being held in online sessions every Thursday through Sunday in October. It showcases music, poetry, cinematography, lectures, panel discussions, and keynote talks.

While the online format has drawn a smaller-than-typical audience, Lewis said it has been a very positive experience.

“We decided to spread our offerings over the course of a month, and to give our audience days off to rejuvenate before tuning in for the next event of the festival,” she said, adding that they have seen “several unexpected positive side effects from moving online.”

One benefit has been the “extraordinary opportunity to engage with artists, speakers, musicians, academics, and audience members from across the country and around the world.”

“While we long for the warm, human embrace and conviviality that our past, in-person festivals have become famous for, we’ve seen signs, already, that the online, multi-week format has been able to open the door for an even larger community of friends to discover together what it means to be ‘found’ and truly embraced, despite the limits of physical separation,” she said.

This Friday, the festival will host “To Live In A Sea Of Happiness” – a samba concert that seeks to convey discovery and hope. The music, born in the poverty of Brazil, is an expression of joy and hope performed through music and dance, according to organizers. It will be performed by Ney Vasconcelos, Antonio Gomes, and Marcelo Rocha.

That same day, the festival will also host “Every Separation is a Link: Being Found Behind Bars,” a discussion on how inmates are “found” in prison. It will include discussions with professionals such as Dr. Louis Mendoza, director of the Pen Project, a program that connects maximum-security inmates to Arizona State University students; and Ron Zeilinger, the founder of Dismas Ministry, a Catholic prison ministry based in Milwaukee, Wisconsin.

Elisabeth Kramp is the editor-in-chief of Revolution of Tenderness’ biannual journal Convivium and was one of the performers at last week’s event, “From Whence Springs a Boundless Fruitfulness.” Kramp recited poems, along with several other authors including Ewa Chrusciel and Suzanne M. Wolfe.

“This year I made a recording of myself reading in my study,” she told CNA. “In giving a reading, I hope the language I use incites listeners’ imaginations. Poetry is a way of knowing, and I’m all the richer when, through poetry, I see or sense the world in new ways. That’s why I write it, and that’s what I hope is transferred in a reading.”

She said the author and poets were able to place their own spin on interpreting the theme, “boundless fruitfulness.” For herself, she said fruitfulness inspired questions about the fruits of labor, fruits of the Holy Spirit, and the impact of language, especially as a literary artist.

“Language conveys so much of that fruit, the way that we strive to make beauty, the way that we patiently toil for words, not necessarily for books and publication, but for the sharing of ideas,” she said.

Kramp described her experience as an artist during the pandemic. Putting together an issue of Convivium, she was able to read a variety of submissions from artists across the world, including poems submitted from Nigeria, Wales, France, and Siberia.

“How strange that a small journal could connect me to so many in a time when I very occasionally left my home,” she reflected. “And the work on the journal knits my collaborators and I together in friendship – in spite of our being far flung across the U.S. This work has been a reminder that artistic collaboration fosters friendship, even though the overt goal is to produce the work of art.”

Lewis said efforts such as the Festival of Friendship are particularly important today, given the tension and division in society.

“In a time of increasing division and polarization, when dialogue often seems impossible among opposing camps (both inside and outside the Church), we bring diverse people together to look for what is true and useful and enduring in every discipline and topic imaginable,” she said. “We want to recover the art of authentic and convivial debate, and we want to share this gift with others.”

“Many in the Church spend enormous resources and time answering questions that no one is asking,” she continued.

“We need first to develop a capacity for listening, so that we might hear the questions, articulated and unspoken, that our fellow human beings, Catholics and non-Catholics alike, wrestle with, and then we need to do the work of discovering, within the daily realities and the fabric of ordinary life, how our own priceless inheritance answers those questions in very particular and unique ways.”

 


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