A reader writes:
In our current archdiocesan paper is an article from Rome about the Terry Schiavo case. They talk about how a court decision to remove the feeding tube would lead us down the slippery slope to euthanasia.
Later in the article, it quotes the Florida Catholic Conference (representing the state’s Catholic bishops, saying: "The said Catholic teaching has a `presumption in favor` of providing nutrition and hydration, but `when the burdens exceed he benefits of providing them, they may be withdrawn or withheld. …`". A bit late the article quotes the bishops again, "`While withdrawal of Terri Schiavo’s nutrition and hydration will lead to her death, if this is being done because its provision would be too burdensome for her, it could be acceptable". This sounds to me like nothing more than a quality of life argument that leads directly to euthanasia and doesn’t seem to square with the Church’s teaching.
Can you clarify this?
I’ll try.
First, I should note that I am not up on all the recent episcopal pronouncements regarding Terry Schiavo. MORE INFO HERE.
Second, what you quote above is not out of line with Catholic moral teaching. There are conditions in which it is morally licit to remove nutrition and hydration because continuing to provide them itself may be doing damage to the patient.
For example: When my wife was dying, at some point her body stopped manufacturing albumin, which is essential for regulating the distribution of fluids in the body’s tissues. (INFO HERE.) At this point she had completely lost her appetite and was being fed intravenously. The fluid from the IVs were going out into her tissues and collecting there. Without albumin production, her body couldn’t process the fluids out of her system and so she got severe edema all over her body. Not to be too graphic, her arm swelled to elephantine proportions and her hand looked like a balloon with short little fingers sticking out of it.
At this point, the doctors told me that they were going to have to discontinue feeding because the feeding itself was harming her. The doctors explained that if feeding were not stopped, at some point (soon) her skin would rupture and she would have weeping sores, which would be bad for all manner of reasons (infection potential among them). Fortunately, Renee passed before it became necessary to discontinue feeding, but she was rapidly approaching the point where the feeding itself was more destructive than the benefit she was deriving from it. It was getting to the point that it would only be making her suffering worse and hastening her death through other means.
Thus there are situations in which it is morally licit to stop nutrition and hydration, but only when the nutrition and hydration are themselves more destructive to the patient than otherwise.
None of this applies to Terri Schiavo, of course. She is not dying, is not being harmed by her feeding (indeed, she Can Take Food Orally Her Husband Just Doesn’t Want It Given To Her That Way), and it would be murder to starve her to death.


