The author of the present article cannot claim a particular
competence in, or an inclination towards, the technical
intricacies of modern medical research —nor can he present himself
as a professional in the highly specialized field of "Bioethics."
Yet, as a priest, by office called to offer guidance to those who
approach him with crucial moral questions, he can attempt to
situate the debate where it really belongs —into the absolute
basics on the nature and purpose of man. Because, in
fact, the solution to the ethical dilemma that seems to keep our
lawmakers awake at night (or so they say) lies in the answers
given to two fundamental questions.
First, an epistemological question —how do we know, in
any given situation, the good to be pursued and the evil to be
avoided? In other words, is there any immutable norm to which one
can refer in cases of moral perplexity, a scale of values that is
independent of the contradictory interests and desires of the
people involved?
Second, the concrete question that holds the key to the
present dilemma —is the embryo a human person? If the embryo is
simply an agglomeration of human tissues, "it" is not a person; it
has no rights and can be disposed of accordingly, especially if it
is at the service of the needs of others. But if he is a human
person, then he has in him the image of God, he is called to a
supernatural destiny, and his life is sacred. In a legal context,
he is also a subject of rights who has to be protected,
particularly against any aggressor that threatens his life. What
constitutes, then, a human being? All the ethical questions that
determine how we should treat one another and ourselves flow
ineradicably from these assumptions about who we are.
Moral Absolutes
Regarding the first question, Catholic doctrine, contained in
Scripture and constantly re-proposed by the Magisterium, teaches
that moral absolutes do exist: they are norms, valid always and
everywhere, universally applicable in every conceivable situation,
that proscribe some actions and command others.
Such moral absolutes imply the existence of an objective moral
order, in which some actions are objectively good, and others
objectively evil —"objectively" here means that the actions are in
and by themselves either good or evil, independently of their
surrounding circumstances or of our own intentions, of their
usefulness, or of the pleasure that they give us. It is an order,
in consequence, which is not fleeting or whimsical, which cannot
be made up at will, which exists apart from our will and to which
our actions have to conform to be called "good." The knowledge of
that objective moral order is inborn in the hearts and minds of
men, at least in its general principles (what philosophers call
"natural law"), and for more sure guidance, it has been revealed
to us by God, Truth Himself, who cannot err and who cannot lead us
into error. Without such an immutable, universal standard of moral
goodness and moral malice, it is impossible to judge with any kind
of certitude what is ethical and what is not, what is permissible
and what is forbidden.
However, today the very existence of moral absolutes is
questioned or vociferously denied. The notion of a "pluralistic"
society, as it is understood in our days and hailed by our
politicians,2 bars the possibility of the existence of
any absolutes, and forbids us even to think that there is an
objectively right order in anything. For if there is such an
order, it will impose itself upon us, sharply reducing the number
of choices and lifestyles open to us. It will force us either to
do what we do not want to do, or to live with the certitude that
we are doing wrong —either way, it will take away our "freedom" to
do as we please.
Contemporary Disorder
In consequence, in the fiercely post-Christian society in which
we live, a new system, or chaos, of moral values has been raised
in place of the objective moral order. This system has as its sole
foundation, not truth or reality, but the decisions of the courts
and the sentimental reactions of a public aroused and pampered by
the media.
For our contemporaries, the only truly absolute values seem to
be freedom and autonomy, efficiency and gratification.3
Absolute freedom means that, insofar as one desires
something, it should be permissible to attain it, and everything
—social conventions, political structures, religious convictions
—must bend backwards to make such attainment possible. Absolute
autonomy means the loss of the sense of solidarity, of service
to others —one lives almost exclusively for oneself, interrelating
with others only insofar as one’s self-interest requires such
interrelation. Absolute efficiency means that only what is
useful is to be considered good. In the bioethical context of this
article, this means that whatever a technology can do, simply
because it is technically feasible, is good and should be put at
our disposal. Absolute gratification means that one’s
pleasure is the good to be sought at any cost, and that
contradiction, suffering and pain are the evils to be avoided,
also at any cost.
Brought together, all these aspects of American life favor
certain positions that have appeared in the last years in medical
ethics: the tendency to withdraw food and drink, to consider as
dead those who are partially "brain-dead," to use the tissues of
aborted fetuses for experimentation, to attempt to establish a
price for the organs destined for transplants, to favor a position
"pro-choice," even if one is opposed to abortion in itself, to
have no consideration for those who argue from a theological point
of view, and to favor the legalization of euthanasia and
"assisted" suicide.4
The perplexity and ethical wrestling of our lawmakers arise
from the sad fact that, today, as for the last 200 years (that is,
since the French Revolution put an end to Christendom), they are
expected to decide on their own, without reference to a stable and
universally applicable standard, what is good and what is evil.5
They must then translate this decision into laws, attempting at
the same time the impossible task of pleasing their constituents
(who have their own contrary ideas of what is right and wrong)6
and of appeasing their own consciences (assuming that they have
any).
Finally, the high-minded discourse on the part of politicians
and the back-and-forth argumentation on the ethics of embryonic
stem cell research mask one little detail which nobody seems to
remember, to wit, that the origin and main point of this
discussion is about the federal funding of this research,
that is, whether or not the taxpayers’ money is going to be given
to the laboratories which pursue this line of research. In the
early 1980s, the Reagan administration banned federal support for
any research involving human embryos. However, if the research is
privately funded, as it has been until now, it is legal —no
moral fuss, no questions asked! It is only government funding that
is not allowed. It seems, therefore, that the ethical question
regards only whether tax money can be appropriated for a research
to which a part of the lawmakers’ constituencies is opposed. It
has nothing to do, really, with the human and moral status of the
embryo.
In light of these facts, then, the ethical commotion of
Congress and the media seems to come a bit late —hypocritically
so, to say the least…
Let us proceed now to the much longer answer to the second
question, which will also allow us to attach a moral qualification
to the proposed medical procedures.
STEM CELL RESEARCH
But before going further —you may say —what are "embryonic stem
cells" and what is the "research" all about? Glad you asked.
After fertilization, the zygote7 divides and
develops. When it is about to implant itself in the uterus, the
cells have differentiated into two masses. The "outer cell mass,"
or trophoblast, will form the placenta and the other support
organs necessary for the development of the child in the mother’s
womb. The "inner cell mass," also called embryoblast or
embryonic stem cells, will form the body. At this stage, the
stem cells are "totipotent," that is, they are identical to each
other, and each one of them is individually capable of developing
a whole organism. In the next stage, they become "pluripotent,"
that is, they are no longer capable of producing a complete
organism, but retain the ability to develop into any of the more
than 200 different kinds of cells that make up the adult human
body. After this stage, they mature into the specialized cells
that constitute the different tissues and organs (neurons, muscle,
bone, blood, skin, etc.). Some of them remain in the adult
as stem cells capable of reproducing themselves, repairing and
regenerating tissues throughout life.
As the Pontifical Academy for Life has pointed out in its
recent document,8 embryonic stem cells have been used
in research for more than 30 years, but today public attention has
been drawn to the question because of the new-found technological
capability to produce them. The ability to isolate stem
cells is a giant step towards understanding what makes them
differentiate into one type of cells instead of another, with the
consequent therapeutic potential implied in the control of such
process.
Until now, tissues harvested from aborted fetuses have been
widely used in research, and for transplantation into patients
suffering from grave disabling diseases. The aim has been to make
the fetal tissues carry on their proper function, taking over and
restoring to some degree the diseased host organs. In spite of
controversies about their effectiveness, such procedures have
nevertheless continued, and today the research on embryonic stem
cells offers renewed hopes of success. In theory, the stem cells
extracted during the early stages of development (note well that
the extraction implies destroying the embryo) can be
preserved, cultured and manipulated to become any of those
different kinds of cells. With the advances of modern technology,
there is founded expectation that —in the years to come —they
could be directed to replace cells and repair organs which are
injured or dying because of some disease. They will be important
also in the research and development of life-saving drugs and
cell-replacement therapies used to treat disorders caused by early
cell death or impairment.9
Of course, the mere continuation of such research requires an
abundance of stem cells. There are four principal methods
currently used for retrieving embryonic stem cells.10
The first is to use the tissues of aborted fetuses. This
is the method of preference to harvest embryonic germ cells,
which originate from the primordial reproductive cells of the
developing fetus, and which have properties very similar to the
embryonic stem cells.
The second is to use human eggs and sperm from a variety of
donors to produce embryos by fertilization in
vitro solely for retrieving the stem cells.
For some foreseeable therapeutic uses of stem cells, such as
growing organs for transplant or creating cells to treat spinal
cord injury —still very much in an uncertain future —the cells
would need to match the immune system of the eventual patient. The
production of embryonic stem cells by cloning is aimed,
then, to obtain embryos that are the genetic twins of those
patients. In this third method, the nucleus of a human —or even
animal —egg is replaced with the nucleus of an adult cell of a
given human subject. It is then directed to develop into the
blastocyst11 stage, whereupon the inner cell
mass is retrieved to continue the culture and manipulation
necessary in order to obtain from it the desired differentiated
cells.
The fourth method (simpler, cost-effective, and therefore more
favored) is to use the "spare" embryos produced for
fertility treatments, which include the technologies known as GIFT
(gamete intrafallopian transfer), ZIFT (zygote intrafallopian
transfer), and IVF (in vitro fertilization). About 100,000
of those embryos, according to Sen. Tom Harkin (D-Iowa),12
are currently preserved frozen by fertility clinics nationwide. In
this method, such frozen embryos are thawed and allowed to develop
into the blastocyst stage, when the stem cells are
extracted.
Alternative sources for stem cells with similar
capabilities of embryonic stem cells have also been identified. It
was already known that many adult tissues contain stem cells, but
these are capable only of producing the cells proper to a certain
tissue. More recently, pluripotent stem cells have been
discovered in bone marrow, in the brain, in various organs and in
the umbilical cord, capable of producing blood cells, muscle cells
and neural cells. These "adult stem cells" have shown promise in
clinical experiments for the treatment of many diseases.13
Stem cells from bone marrow, placenta or umbilical cord of live
births are already in use for treating leukemia, and research has
indicated that such cells can be altered to develop into cartilage
and bone. Neural stem cells have been isolated from living nerve
tissue and shown promise for treating Parkinson’s disease and
brain injuries. Researchers at the Karolinska Institute (Sweden)
have isolated adult brain cells that divided, and they are
convinced that it would be possible to retrieve adult brain stem
cells to treat Parkinson’s patients with their own stem cells,
avoiding immunological problems.14
THE EMBRYO IS A HUMAN PERSON
In the last decades, the notions of human being and person seem
to have been separated in academic, scientific and legal
discourse. "Human being" appears as restricted to the living
organism that possesses the genetic make-up of the human animal,
while "person" seems to be reserved to the human individual
actually, here and now, capable of consciousness. A normative list
of the activities that constitute the person is far from being
agreed on by all: some require the actual capacity to reason and a
concept of self, others the capacity to relate consciously to the
world and to communicate with other men, while still other
ethicists require a sense of the future and of the past, a sense
of humor, and even curiosity15….In any case, the
restriction of the definition of "person" to these functional and
relational terms leads to the obvious conclusion that not all
"human beings" necessarily qualify as "persons."16
In our particular case, this conclusion means that the embryo,
even admittedly being of human nature, has not yet arrived at the
stage in which he will become capable of reflection,
consciousness, and, therefore, he is not a person now. The same
general conclusion, when applied to those who are permanently
deprived of actual consciousness of self, or of relational
capacity (such as the comatose, the permanently demented, etc.),
generates new ethical problems and opens up horrible alternatives.
Furthermore, matters have been supremely muddled by the Supreme
Court’s decision (Roe vs. Wade) to legalize abortion on the
basis of its acceptance of the notion —without any reference to
reality or nature —that a "human embryo" is not a "human person,"
and therefore, not a subject of rights.17
Let us therefore explain the notions of "human nature" and
"person." The explanation is not easy, but it is necessary to
correct modern errors and misunderstandings.
Man Is a Composite of Soul and Body
"Essence" is that by which a thing is what it is. Man’s essence
is to be a composite of body and soul, material body and spiritual
soul —he is an "embodied spirit," in whom both biological
corporeality and spiritual soul are essentially present in a
substantial unity. The body is a human body by reason of
its union with the soul. The soul is the distinctively human
element, the "form" of the body. This soul does not exist before
the body, but it is created directly by God at the same instant in
time as the body is formed by the fusion of the human egg and
sperm. The soul starts its existence only in conjunction with the
living human body, but since it is spiritual, and not subject to
decay as is the body, it survives death (the separation of body
and soul) into eternity.
Man’s Nature Is Rational
"Nature" is the essence of something, insofar as it is the
principle of the thing’s operation. Every being has a nature which
determines its typical mode of acting —that is, every creature
acts in a certain manner because it is in a particular
manner, which is determined by its essence. To human nature
correspond two specific, proper operations: rational thought and
free will.
The Image of God in Man
These specific operations distinguish the rational animal that
is man from all other animals, and constitute in man the "image of
God" spoken of in the Book of Genesis.18 The Fathers of
the Church, and St. Thomas Aquinas following in their steps,19
have distinguished between the "image" and the "likeness." The
"image" is our rational nature. By having reason and free
will we are a reflection of the divine nature, and by using
them we imitate His action upon the world and co-create with Him
our own actions. The "likeness" is the supernatural life of grace,
by which we not only reflect, but participate in an intimate way
in the very life of God, in His divine nature.20
Because of the image of God that he carries in himself, man’s life
is sacred, and the fifth commandment forbids the taking of an
innocent human life.
For this reason also, man is far above the rest of the visible
creation (although some modern ethicists21 contest this
as "human chauvinism," a "speciesist" mentality which is at the
root of our lack of "ecological sensitivity," etc.).
The Human Embryo Is a Person
Today, though accepting that the embryo is "human," that it has
the potential to arrive one day at the exercise of those specific
operations of rational thought and free will, many deny
nevertheless that he is —here and now —a human person. Yet true
science confirms what philosophy proves: the human embryo is a
human person, from the very moment of conception in his mother’s
womb.
What is a "person"? St. Thomas Aquinas defined it in the
strictest philosophical terms: the person is the "distinct
being, subsisting in an intellectual nature." 22
As the whole weight of our argumentation on the morality of
embryonic stem cell research rests on the personhood of the human
embryo, we will have to keep "philosophizing"…
Everybody acknowledges that, among all beings on earth, the
human person ranks highest. This is because he combines two great
dignities —the dignity of independence in being and the
dignity of reason, or rationality.
Man has independence in being because he exists in himself.
Surely, at certain stages of his life, he may need somebody to
feed him, but as far as being is concerned, he stands on
his own. The technical term for this independence in being is
"subsistence," and what has "subsistence" is called a "substance."
Most of the substances, mineral, vegetable or merely animal, do
not have the dignity of having reason, intelligence.
The two dignities of reason and subsistence are combined in the
rational being that stands on its own, that has independence in
existence —which is the philosophical definition of "person" as
given by St. Thomas.
As such, this definition can be equally applied to God, angels
and men. Here we are not concerned with the divine or angelic
persons. What concerns us here is the precise question, when
exactly does the human person begin to be a person, or, when does
the human embryo first have rationality and when does it first
have subsistence?
Let us begin with the rationality. By rationality, or reason,
we might mean either rational nature, that is, that nature
which includes the faculty of reason, or the use of that
faculty or nature. Obviously, a human child only begins to use his
reason when he reaches the age of, say, five or six. But does that
mean he does not have the faculty or nature of reason until then?
If he did not already have the faculty, how could he begin
to use it? Do I say that because I am not using my car,
therefore I do not have a car? Of course not! In truth, the child
has reason dormant in him, and it normally takes a few years to
awaken, but that does not mean that it is not there. The faculty
was born in him; it did not arrive at a later moment, when
the mother was not looking. Did he acquire it at birth? Again, no.
The embryo and the fetus only differ developmentally from the
infant: in the process of growth, he does not become something
fundamentally different. The development of the individual is a
smooth biological process, without radical discontinuity and with
clear continuity of identity; in consequence, there is no
persuasive biological reason that would deny the possession of the
basic nature to the developing individual at any stage of the
process.23
In the past, there were some doubts about the exact moment of
the beginning of human life. Such doubts were mainly due to
the continuing influence of the Greek philosophical tradition,24
itself determined by the inability to observe directly the process
of conception and early development of the new human being. Today,
while modern embryology and genetics cannot either prove or
disprove that the embryo is a person ("person" being a
philosophical concept, it is not empirically demonstrable), they
have shown that as it begins its development in the mother’s womb,
the new organism is already an individual of human nature. That
is, that in the zygote resulting from fertilization the
biological identity of a new human individual is already
constituted.
Man’s rational nature, including the faculty of reason,
backs up then to the very first moment of his conception, or
existence. It is only the use of that faculty or nature
which must wait for a few years.
But then —second question —when did any human being begin to
subsist, or to stand on his own in existence? At first sight, it
looks as though the embryo is totally dependent on its mother to
exist, so it cannot have the dignity of subsistence, or be a
person, until it is at least clearly separated from his mother at
birth. But these appearances, as judged by both philosophy and
science, are deceptive. We are confusing two kinds of dependence,
biological and ontological.
Let us consider some examples. To survive, my pet parakeet
depends on me to feed it. That is biological dependence.
But while the parakeet depends on me to continue in
existence, it does not depend on me to stand in existence.
It stands on its own. On the contrary, the white color in a wall
depends on the wall not only to continue, but also to stand in
existence. The whiteness has no existence on its own: if the wall
is destroyed, the whiteness is destroyed. That dependence in very
being is called ontological dependence.
Now let us come back to the human embryo. Obviously, it is in
total biological dependence on its mother from the very
moment it is conceived until at least birth, from which point the
biological dependence begins to fall off, taking years to cease
altogether. But the embryo’s ontological dependence is a
different matter: from the very instant of conception, the fetus
is already living by its own life. In relationship to his mother,
the embryo is not like a member or an organ, which is an integral
part of the maternal body. He "implants" himself in her uterus,
and she "has" or "carries" him with her; she nourishes him and
protects him while he develops, but the embryo is not an integral
part of her.
He is a unique, complete unit, constitutionally distinct from
the mother, and constitutionally autonomous in his own order.25
He is a subsistent of rational nature, hence, a person.
The conclusions of science regarding the human embryo provide a
valuable indication for discerning…a personal presence at the
moment of this first appearance of a human life: how could a
human individual not be a person (emphasis added)?26
GENERAL MORAL PRINCIPLES
Against the distorted contemporary values, the Magisterium of
the Church has not ceased to remind us of the right hierarchical
order of values. As is frequently the case on these bioethical
questions, we will simply turn to the luminous teaching of Pope
Pius XII — "the last great Doctor of the Church," in the
words of Archbishop Lefebvre —who witnessed the emergence of our
present ethical dilemmas, set down the general principles to solve
them, and forestalled possible objections.
The Unity of Man and the Primacy of Spirit over Body
Made up of matter and spirit, an element in the universal
order of beings, man is in fact directed in his life here
below towards a goal which is beyond time and above nature27
—The Vision and Love of God in Heaven.
Because matter and spirit compenetrate in the perfect unity of
the human composite, decisions which affect the care of the body,
of its members and organs, will also have to include the
consideration of the soul and man’s supernatural destiny. The good
of man is the good of the whole person. This good is defined not
only by the preservation of man’s bodily integrity, but also by
the subordination of his biological life to higher goods. These
goods are the common good of civil and ecclesiastical society and
the good of man’s own spiritual welfare.
What purpose would be served by the use and development of the
body, of its energies, of its beauty, if it were not at the
service of something more noble and lasting, namely, the soul?…It
is sound to teach man to respect his body, but not to esteem the
body more than is right.…Care of the body is not man’s first
anxiety, neither the earthly and mortal body as it is now, nor the
glorified body made spiritual as it will be one day. The first
place in man’s composite being does not belong to the body taken
from the earth’s slime, but to the spirit, to the spiritual soul.28
Forgetfulness of this particular make-up of man, the
hierarchical relationship of body and soul, and of the objective
goal of his life allows the destructive tendencies of
utilitarianism and hedonism to take over, and leads to
an absolute autonomy from the moral law.29
The Magisterium has not ceased to remind scientists of the same
truth:
One of the gravest risks, to which our age is exposed, is
this divorce between science and morals, between the
possibilities offered by a technology projected always towards
more astonishing goals, and the ethical norms arising from a
nature more and more neglected. It is necessary…to reaffirm
the priority of ethics over technology, the primacy
of the person over material things, the superiority of
the spirit over matter. Only on this condition will
scientific progress…not become a modern Moloch who devours his
imprudent worshippers (emphasis added).30
As a corollary, one must admit that not all research nor every
therapeutic method is equally moral. The fact that a method is
feasible or that it deepens our knowledge does not mean that it
is morally licit.
Sometimes it happens that one method cannot be put into
operation without infringing on the rights of another, or
violating some absolute moral value. In this case, advancement of
knowledge is the goal seen and aimed at —all well and good; but
this method is not morally admissible.31
Dominion of God and Stewardship of Man
Dominion is the legitimate power to dispose of something as
one’s own.32 It belongs in its most perfect sense to
God, because He is the Creator, Conservator and Ultimate End of
all that exists. "The earth is the Lord’s and the fullness
thereof: the world and all they that dwell therein." 33
By creating man in His "image and likeness," God has
given him a participation in His dominion. "Let Us make man at
Our image and likeness; and let him have dominion over the fishes
of the sea and the fowls of the air, and the beasts, and the whole
earth…." 34 Regarding external things man can truly
call himself "owner," "proprietor," but before God he remains a
mere administrator. Consequently, no man can use this dominion
according to his own good pleasure, but only according to the will
of God who has delegated to him such power. Man is the steward of
God. Moreover, as dominion is a legitimate faculty, that is, a
faculty granted by law —divine, natural or positive —man can only
exercise it within the limits established by the law.
Two principal conclusions follow:
First: man only has the use —not the absolute
property —of the goods of his body and soul. Man is the
steward of God, from Whom he has received his body and soul, to
administer them in a manner convenient to the attainment of the
end for which he has been created, the vision and love of God. A
steward does not have absolute dominion over the goods so
entrusted to him, but is bound to administer them according to the
will of the owner.
In forming man, God regulated each of his functions, assigning
them to the various organs.…At the same time, God fixed,
prescribed and limited the use of each organ. He cannot therefore
allow man now to arrange his life and the functions of his organs
according to his own taste, and in a manner contrary to the
intrinsic and immanent function assigned them. Man, in truth, is
not the owner of his body, nor its absolute lord, but only its
user. A whole series of principles and norms derives from this
fact, governing the use of the body with its members and organs,
and the right to dispose of them: principles and norms to which
are equally subject the individual concerned and the doctor called
in for consultation.35
Second: no man has absolute dominion over the body
and soul of any other man. Each man has received from God the
same inalienable rights. Therefore, nobody can dispose at will of
the physical and spiritual life of another. In this, all men are
absolutely equal.
Every human being, even a child in the mother’s womb, has a
right to life directly from God and not from the parents or from
any human society or authority. Hence there is no man, no human
authority, no science, no medical, eugenic, social, economic of
moral "indication" that can offer or produce a valid juridical
title to a direct deliberate disposal of an innocent human life;
that is to say, a disposal that aims at its destruction whether as
an end or as a means to another end, which is, perhaps, in no way
unlawful in itself.36
Objection Based on the Primacy of the Common Good
But couldn’t the "principle of totality" —spoken of many times
by Pope Pius XII —be put forward in favor of the use of embryos
for the advance of medical research, which results will benefit
the whole of mankind?
The "principle of totality" establishes that where there exists
a true relationship of part to whole, the part is subordinated to
the whole, and consequently, the part can be sacrificed for the
good of the whole —the whole determines the part and can
dispose of it in its own interest.37 The
principle’s necessary corollary states, then, the primacy of
the common good.
Pope Pius XII applied this principle in a bioethical context,
to establish the moral permissibility of certain acts that affect
the bodily integrity of man. He also applied it in the context of
political doctrine, to affirm the subordination of the private
good to the common good of society, and the right of the public
authority to overrule the interests of the individual in the
service of the community as a whole.
So, coming back to our subject, embryonic stem cell research,
could it not be argued that the life of the embryos (although a
good to be respected in itself) must yield to the immeasurable
good to be achieved for the community? Think only of the multitude
of men and women suffering now from terrible diseases, who will be
cured, and of the almost infinite numbers of our posterity who
will be freed from those diseases!
Distinctions
Pope Pius XII, foreseeing this objection, warned against the
possibility of a fallacious interpretation of the principle of
totality —an interpretation that, by invoking the common good,
would attempt to overcome the most essential rights of the
individual and remove any moral limits on government intervention
in general, and on scientific research in particular.
He corrected this fallacy by making a distinction:
between individuals and their society there is not the same
relationship of parts to whole as there is between the organs and
the body.38 Let us summarize.
The principle of totality attains all its consequences in the
relationship between the organs and the body to which they belong
—in this case, the part exists solely for the good of the
whole.
Why? Because the physical organism of man possesses as a whole
a unity which subsists in itself. Each of his members (hand, foot,
heart, eye…) is an integral part, destined by its whole being to
be a part of the one complete organism. Outside that organism it
has not, of its own nature, any meaning, any purpose: its being is
wholly absorbed in that of the complete organism with which it is
linked.39
The good of these organs and parts —that is, their very
existence and activity —is then completely subordinated to the
good of the whole, that is, of the man to which they belong. They
do not have as parts a good that has necessarily to be preserved
at the expense of the good of the whole.
But if the relationship of part to whole is applied to
individual men living in society, further distinctions must be
made. Usually, most individual goods will be subordinated to the
common good, but there are essential goods of the individual which
always will take precedence over the common good of society.
Why? —The reasons are multiple:
First: society is not a "whole" as the body is.
"The community, considered as a whole, is not a physical unity
which subsists in itself. Its individual members are not integral
parts of it," 40 as the diverse organs are in
relation to a man’s body. Society is a community of purpose and
action,41 and the individuals are collaborators and
instruments for the realization of the ends of the community.
Man is, undoubtedly, a member of the community because he is
always related to and incorporated into the community. But since
the community is made up of persons, it must include its members
precisely as persons, that is, independent, spiritual and moral
beings, and not as mere parts whose entire purpose and right of
existence consists in their being the parts from which the
community is formed. In other words, man is a member of society
while retaining at the same time his own intrinsic worth and his
own personal responsibility.42
Second: no community is an end unto itself, none
is the highest end of its members, but both community and men have
their end in God.43
Man is obliged, in virtue of his nature, to do always what is
good, that is, what is in agreement with the moral law, what
directs him unerringly to his ultimate end. No man is ever
released from this obligation, neither the individual in the
community, nor the community as an order of persons. The community
is absolutely bound to recognize these obligations, and no appeal
to the common good, no decision of a human authority can alter
this.44
Third: in consequence, the good of the community is
not the sole, ultimate and highest end and good of the individual,
in the sense that he would fulfill the purpose of his existence by
serving in the community.45
In Conclusion
Man has been created by God for an ultimate end: to see and
love Him in Heaven. Man has, in consequence, the God-given rights
to his own life and to his bodily integrity, and to the
performance of the acts that will lead him to that ultimate end.
Society can demand from the individuals subordination and service,
and even the surrender of some of their particular goods for the
greater good of the social body. But public authority can neither
impose on individuals the renouncement of their ultimate end, nor
can it deprive innocent men of the essential goods (life,
integrity) that make possible the attainment of that end.
The public authority retains without doubt a direct authority
and the right to impose its demands on the activity of the parts,
but in no case can it dispose directly of their physical being.
Every direct injury attempted against [man’s] essential being by
public authority is a departure from that sphere of activity which
rightly belongs to it (emphasis added).46
In our case —the destruction of human embryos for the advance
of a medical research that will benefit the community —such
command or permission by the public authority will not be the
application of the principle of totality, but simply political (or
medical) totalitarianism.47
PARTICULAR MORAL EVALUATION
Embryonic Stem Cell Research Is Immoral
Once we have accepted the notion that the human embryo is a
human person, all ethical puzzlement should vanish like an
unhealthy fog under the sun.
Concrete, negative precepts —as the Fifth Commandment’s
prohibition to kill an innocent —oblige and are to be observed
semper et pro semper, that is, always and without exceptions.
The voluntary destruction of an innocent human being is murder,
equally forbidden by divine and natural law, and usually by the
civil laws in agreement with those fundamental laws. The
"harvesting" of embryonic stem cells requires the destruction of
the embryo —then, it is murder.
No objective, even though noble in itself, such as the
foreseeable advantage to science, to other human beings or to
society, can in any way justify experimentation on living human
embryos or fetuses, whether viable or not, either inside or
outside the mother’s womb.48
A good end does not make right an action which in itself is
wrong.49
The debate is over.
The Methods Used for Obtaining the Embryos Are in Themselves
Gravely Immoral
Nevertheless, to prove more abundantly the immorality of the
whole process, we affirm that even in the entirely hypothetical
case that the retrieving of embryonic stem cells were not immoral
(although it is!), the very methods used to produce the embryos
for this purpose are in themselves immoral.
As an introduction, let Pius XII remind us of the general
principles to be applied to any method (other than the one
established by nature) of production of human embryos:
The mere fact that the means reaches the goal intended does
not justify the use of such a means. Nor does the desire for a
child —a completely legitimate desire of the married couple
—suffice to prove that recourse to [these methods] is
legitimate because it would satisfy such a desire.…Let it not
be forgotten that only procreation of a new life according
to the will and the plan of the Creator carries with it,
to an amazing degree of perfection, the realization of
intended aims. It is at the same time in conformity with the
corporal and spiritual nature and the dignity of the marriage
partners, and with the normal and happy development of the
child (emphasis added). 50
In Vitro Fertilization Is Immoral
In this procedure, a human egg is surgically removed from the
mother’s ovary, transferred to a special solution and mixed with
the sperm (usually obtained through a sinful act). Once
fertilization has occurred, the embryo is implanted in the uterine
wall. Although the procedure has become more or less common, it
still is painful, expensive and not always successful. To reduce
the pain, expense and risk of failure, women are usually given
drugs to stimulate ovulation, allowing the retrieval of multiple
eggs at one time, which once fertilized will produce many embryos
ready for implantation. Usually, the extra embryos are frozen and
kept in liquid nitrogen to be used later, if need be, although
freezing reduces their capacity to be implanted.
Why is this procedure immoral?
By comparison with the transmission of other forms of life in
the universe, the transmission of human life has a special
character of its own, which derives from the special nature of the
human person. The transmission of human life is entrusted by
nature to a personal and conscious act, and as such is subject to
the all-holy laws of God: immutable and inviolable laws that must
be recognized and observed. For this reason, one cannot use means
and follow methods which could be licit in the transmission of the
life of plants and animals.51
The Church has always rejected the attitude which would pretend
to separate, in generation, the biological activity from the
personal relation of the married couple. The child is the fruit of
the conjugal union, when that union finds full expression by
bringing into play the organic functions, the associated sensible
emotions, and the spiritual and disinterested love which animates
the union. It is in the unity of this human act that we should
consider the biological considerations of generation. Never is it
permitted to separate these various aspects to the positive
exclusion either of the procreative intention or of the conjugal
union.52
Thus, the fundamental immorality of in vitro
fertilization lies in the fact that it constitutes a perversion
of the order of nature —willed by God —in the use of marriage.
In effect, the act of procreation is replaced by a technical
intervention, which takes place apart from the physical union of
the spouses. As procreation is separated from the conjugal act, so
in consequence the procreative end of marriage is utterly
separated from its unitive end, the mutual love and gift of the
spouses. Moreover, in the usual practice of in vitro
fertilization, not all of the embryos are transferred into the
woman’s body; some are destroyed. Just as the Church condemns
induced abortion, so she also forbids acts against the life of
these human beings.…By acting in this way the researcher usurps
the place of God; and, even though he may be unaware of this,
he sets himself up as the master of the destiny of others inasmuch
as he arbitrarily chooses whom he will allow to live and whom he
will send to death, and kills defenseless human beings
(emphasis added).53
Cryopreservation Is Immoral
The freezing of embryos…—cryopreservation —constitutes an
offense against the respect due to human beings by exposing them
to grave risks of death or harm to their physical
integrity, and depriving them, at least temporarily, of maternal
shelter and gestation, thus placing them in a situation in
which further offenses and manipulation are possible.54
Once the embryo has been formed, we are in the presence of a
human person, who has the strict right to be placed in the natural
conditions necessary for his survival and perfect development.
"Upon whoever gives life to the tiny creature, nature imposes,
in virtue of that very bond, the duty of protecting and educating
the child." 55
Cryopreservation is undeniably a violation of such duty.56
Cooperation in Any of These Actions Is Immoral
It has been suggested that the researchers may be allowed to
use embryonic stem cells obtained by independent laboratories. In
this manner, it is argued, the researcher would avoid any moral
responsibility in the murder of the embryos, and simply use the
tissues that are now available and which otherwise would go to
waste. To answer this objection, we will have to delve again into
principles of moral theology.
Cooperation, in moral terminology, is the assistance given by
one person (the assistant, or cooperator) to another (the
principal agent) in the performance of a certain action, or the
concurrence of one with another in the production of a certain
effect. To discern where moral responsibilities belong in the
cases when the other person commits an action that is in itself
sinful, moral theologians have distinguished different kinds and
degrees of cooperation in that action.
"Formal cooperation" means that the assistant intends
the same sinful end as the principal agent. In "material
cooperation," on the contrary, the assistant does not intend that
sinful end, but lets it happen. In this kind of cooperation, two
different kinds are distinguished: "immediate material
cooperation," which is participation in the sinful act itself, and
"mediate material cooperation," which is participation in
some of the circumstances that lead to the act, but not in the
sinful act itself. "Mediate material cooperation" is further
distinguished into "proximate" and "remote"
depending on how close to the attainment of the sinful end is the
action in which one participates. A second general distinction is
between "necessary cooperation," meaning that the
assistant’s action is strictly necessary for the attainment of the
sinful end, and "contingent cooperation," in which the
assistant’s action helps, but it is not necessary for the sinful
act to happen.
These distinctions are necessary to understand Catholic
doctrine on the levels of moral responsibility of the assistant or
cooperator. Formal cooperation is always forbidden —to assist
another in the performance of a sinful act, intending it, is a sin
identical to that of the principal agent. Is then material
cooperation permissible? Not always! Immediate material
cooperation is equally forbidden, because to participate directly
in a sinful act, even if having a different intention, is
nevertheless the commission of that particular sin. Mediate
material cooperation is permissible if certain conditions are
present, namely, that the action of the cooperator is a good
action in itself, and that there are grave reasons to give this
assistance. The gravity of the reasons increases in proportion to
the gravity of the sinful action in which one cooperates, and also
in proportion to the closeness of one’s action to that sinful act.
All this complication of distinctions brings us to the
resolution of the question whether it is morally permissible to
use embryonic stem cells produced and prepared by laboratories
independent of the researcher. The answer is no, it is equally
immoral and forbidden. Why?
The researcher may usually intend primarily his research, and
not necessarily the killing of human beings, in which he does not
participate directly. Therefore, his cooperation is usually
material, not formal, and mediate, not immediate. It is proximate,
though, because the researcher has to work very closely with the
provider to establish the adequate protocols for the retrieval of
stem cells suitable for the research purposes. Above all, this
cooperation is necessary, because the embryos are produced and
killed for the research. The demand for embryonic stem cells
creates a market, and the laboratories are simply the providers
for such market. The researcher is the material, mediate,
proximate and necessary cooperator, usually in the
immoral manner of production and always in the murder of human
beings. Therefore, he is also morally co-responsible for the sins
committed.
Only Adult Stem Cell Research Is Licit
The possibility, now confirmed, of using adult stem cells to
attain the same goals as would be sought with embryonic stem
cells…indicates that adult stem cells represent a more reasonable
and human method for making correct and sound progress in this new
field of research and in the therapeutic applications which it
promises.57
In more forceful terms, the only morally licit path still open
is to continue research on adult stem cells —of course, always
provided that such research neither compromises the life of the
subjects, nor impairs the use of their organs and members, or of
their intelligence and free will.
CHRISTIAN SUFFERING
The conclusions to which we have arrived may seem cruel to
those who are in pain, or whose hopes for their loved ones are
postponed or even shattered, but in spite of our compassion, we
cannot conclude otherwise. A non-Catholic ethicist, Gilbert
Meilaender, has pointedly explained:
If we respect the moral limits that ought to bind us, we
will not always be able to give people what they desire. We
may not be able to give the infertile couple a child, the
elderly man an old age free of dependence, the young woman
freedom from the child she has conceived, parents the healthy
and "normal" child they had wanted, the terminally ill patient
a painless death….Part of the pain of human life is that we
sometimes cannot, and at other times ought not, do for others
what they fervently desire.58
This text leads us to a final consideration.
Life and health are certainly great gifts from God. Therefore,
there is a duty to preserve life and health, and also to avoid and
to fight illness, pain, and suffering. To will one’s own health is
a serious act of obedience to a grave command of God. But health
itself is a temporal, limited good. It is to be affirmed and
willed as a gift from God, yet not in itself and absolutely, but
in the manner in which, and for the end for which, He gives it.
Life and health are relative goods, and the spiritual goods are
higher in the scale of values.
Simone Weil59 has said that one of the great
achievements of Christianity has been, not to eradicate suffering
—which is beyond our human powers —but to give it meaning.
In fact, the Catholic faith looks upon suffering in a two-fold
way, and these two views are not contradictory, but complementary.
Firstly, suffering is an evil, the result of
sin. In this sense, suffering, like sickness and death, is
unnatural and disorderly, a consequence of the rebellion of sin
against God’s will. But the command of God —that man must will to
live and not die, to be healthy and not sick —is not withdrawn,
nor revoked, nor is it even for sinful man forfeited to the
judgment of God. We should care for those who suffer, but we
should not imagine that suffering can be eliminated from human
life or that it can have no point or purpose in our lives. Nor
should we suppose that suffering must be eliminated by any means
available to us, for a good end does not justify any and every
means. 60
Secondly, suffering is an occasion for spiritual
growth, bringing us into greater conformity with the example
of Our Lord and in submission to the will of God. Our Lord did not
claim any right to a happy human life, He accepted the mission
entrusted to Him by His Father and followed it to its completion
through suffering and death. "A disciple is not above his
teacher." We must therefore acknowledge that suffering is both
an unavoidable reality in the human condition, and an integral
element in our imitation of Christ.
THE DAYS AHEAD
The Final Report of the NBAC61 acknowledged that no
agreement could be reached among the differing positions on the
personhood of the embryo, but, in the same breath, it asserted
that research must continue nonetheless. The Report concluded with
the proposal of a "working agreement" —a series of conditions,
agreeable to the majority, on which research is allowed to proceed
forward —that bypassed and postponed for now the ethical answer
and, in doing so, eased some consciences. Most of these
recommendations have been accepted, and the NIH [National
Institute of Health —Ed.] has just approved the guidelines
for the federal funding of a research that will, of course,
continue.
Our way of life is about to be changed, utterly changed. A
"brave new world" is being ushered into existence by the denial of
objective reality and of universal moral rules, and by unfettered
scientific "progress." This "new world" is demonic, essentially
godless —or more accurately, essentially blasphemous because it
attempts to make gods out of men. Modern man is abandoning the
idea that the universe operates by ironclad truths because he no
longer feels the need to be constrained by such fetters. Nature is
being made anew, this time by human beings. Man no longer feels
himself to be a guest in someone else’s home and therefore obliged
to make his behavior conform with a set of pre-existing cosmic
rules. It is his creation now. He makes the rules. He establishes
the parameters of reality. He creates the world, and because he
does, he no longer feels beholden to outside forces. He no longer
has to justify his behavior, for he is now the architect of the
universe. He is responsible to nothing outside himself, for his
are the kingdom, the power and the glory —and he mistakenly thinks
that this hubris will last for ever and ever.62