Bioethics

Regnum Christi Spirituality Center Ask a Priest

“Ask a Priest: Is the ‘Five Wishes’ OK for End-of-Life Decisions?”

Q: I will soon be 70 and in bad health. I need to know if I do the Five Wishes, by giving my daughter the power to allow me to die, like a living will? Is it considered a mortal sin? I don’t want her to have to pay for care, while watching me slowly die. I appreciate an honest answer and not just one to put me at ease. My soul is important — it is the only one I have. – J.R.

Answered by Fr. Edward McIlmail, LC

A: It is certainly good that you are focused on guarding your soul. Though the end of life can be difficult, it can also be a grace in that it gives us time to prepare to meet Our Lord.

However, living wills, especially the Five Wishes type, can be morally problematic.

The Five Wishes, in broad outline, are: 1) the person I want to make health-care decisions for me when I can’t; 2) the kind of medical treatment I want or don’t want; 3) how comfortable I want to be; 4) how I want people to treat me; and 5) what I want my loved ones to know.

The Five Wishes might have a certain appeal on first glance. But they can oversimplify things, and they imply that certain kinds of suffering render a life not worth living. This is not a Christian attitude.

The better route is that a patient and the person who might make decisions about the patient understand Catholic teaching on end-of-life issues. They might need to consult a Catholic bioethics expert in certain cases.

Certain principles need to be followed. For instance, there are times when treatment can be licitly withheld, but things such as hydration and basic nutrition must be given as long as a person can accept them.

The Catechism in No. 2278 says, “Discontinuing medical procedures that are burdensome, dangerous, extraordinary, or disproportionate to the expected outcome can be legitimate; it is the refusal of ‘over-zealous’ treatment. Here one does not will to cause death; one’s inability to impede it is merely accepted. The decisions should be made by the patient if he is competent and able or, if not, by those legally entitled to act for the patient, whose reasonable will and legitimate interests must always be respected.”

For more reading about living wills, see the posting on “Should I Have a Living Will?”

Other helpful reading in line with Catholic principles can be this guide on end-of-life decisions and an article on a revision of a health-care directive. I hope some of this helps.

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Regnum Christi Spirituality Center Ask a Priest

“Ask a Priest: How Do We Stay Sane Amid All the Conflicts Going On?”

Q: Do you have any advice in how to stay sane these days? I’m not trying to be funny, but am asking most sincerely. It seems there is not one, I truly mean no one, with whom I agree about anything! Masks, the virus vaccines, politicians, where to go to Mass … it’s horrible! I cannot stand wearing a mask to Mass and seeing roped-off pews and giant bottles of hand sanitizer in place of holy water. There are healthier churches where such insanity doesn’t exist, but if you go to one of those, other folks see you as a nut and a traitor. And then there was a priest who turned away a beloved family of 11 children from Christmas Eve Mass because they wouldn’t mask up! The same priest yelled at me when I asked him about the vaccines, telling me that they were fine. Then there is and was the idolatrous worship of certain political leaders. You see, Father, it’s beyond tough for me these days and it permeates everything! How do I strike a balance and stay sane? – T.

Answered by Fr. Edward McIlmail, LC

A: The short answer for staying sane is to keep your focus on Jesus.

The value of receiving the Eucharist is worth any inconvenience. So, you might want to consider wearing a mask if it helps to keep the peace and serves the common good. A big part of life is choosing our battles well — and the wearing or not wearing of masks is probably not one of those battles.

As for the vaccines: Catholics aren’t obliged to get them, though it would be prudent to consider the common good.

You can read up on the vaccines at the National Catholic Bioethics Center. Two suggestions are an interview and this article. More broadly, the Making Sense of Bioethics columns are worth keeping an eye on.

Beyond that, it might help to focus on your prayer life as well as acts of charity for others. Try to spend your energy on things you can do, not on debates with others.

Media and the Internet are full of distortions, and they can leave us feeling overwhelmed. It might not be worth it to try to argue various points with people. That can burn you out.

Rather, look for things that can unite people — volunteer projects; programs to help the poor and elderly; things to support pro-life causes and family life.

By focusing on these kinds of things, you can make a difference in people’s lives. And you can avoid the pitfall of feeling overwhelmed.

Recall Jesus’ invitation in Matthew 11:28 — “Come to me, all you who labor and are burdened, and I will give you rest.”

Keep learning more with Ask a Priest

Got a question? Need an answer?

Today’s secular world throws curve balls at us all the time. AskACatholicPriest is a Q&A feature that anyone can use. Just type in your question or send an email to [email protected] and you will get a personal response back from one of our priests at RCSpirituality. You can ask about anything – liturgy, prayer, moral questions, current events… Our goal is simply to provide a trustworthy forum for dependable Catholic guidance and information. So go ahead and ask your question…

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Regnum Christi Spirituality Center Ask a Priest

“Ask a Priest: How Much More Do I Need to Do for My Ailing Husband?”

Q: How does one know to say, “It’s enough”? My husband got sick in Europe and received a kidney transplant and now is having a liver transplant. I’ve sent the money to Europe — his brother is looking after everything as I can’t fly. My husband is a truly a good man but he’s suffering. Am I doing wrong in our heavenly Father eyes if I say no more surgery after this one and no more money? I can’t take anymore of him suffering. This is so hard. Please, what does our heavenly Father tell us what to do in situations like this? – A.

Answered by Fr. Edward McIlmail, LC

A: I am sorry to hear about your husband’s health. It must be painful to know that the man you love is suffering so intensely. This must be a very heavy burden for you, indeed.

The short answer is that the Church does not require us to pursue disproportionate medical care just to keep a person alive. Patients do, however, have a right to basic, proportionate care, such as hydration and feeding.

The Catechism in No. 2278 says:

Discontinuing medical procedures that are burdensome, dangerous, extraordinary, or disproportionate to the expected outcome can be legitimate; it is the refusal of “over-zealous” treatment. Here one does not will to cause death; one’s inability to impede it is merely accepted. The decisions should be made by the patient if he is competent and able or, if not, by those legally entitled to act for the patient, whose reasonable will and legitimate interests must always be respected. [end quoted material]

The longer answer is: The question of whether more surgeries should be pursued is something that you and the family and your husband (if possible) need to decide, perhaps in consultation with doctors and a priest or reputable medical ethicist on the scene. This would allow the decision to be based on more than just a feeling of not being able to “take anymore of him suffering.”

What is extraordinary care in any given case depends on a lot of factors, such as a patient’s age, prospect of recovery and the costs? For more reading, see the National Catholic Bioethics Center posting at https://www.ncbcenter.org/publications/end-life-guide/.

Above all, this is a moment to intensify your prayers for your husband. Even if you can’t travel to accompany him, you can be close to him spiritually. You can ask the Holy Spirit to strengthen your husband. You certainly could ask that he receive the anointing of the sick if he hasn’t received it yet.

I hope some of this helps. Count on my prayers.

Keep learning more with Ask a Priest

Got a question? Need an answer?

Today’s secular world throws curve balls at us all the time. AskACatholicPriest is a Q&A feature that anyone can use. Just type in your question or send an email to [email protected] and you will get a personal response back from one of our priests at RCSpirituality. You can ask about anything – liturgy, prayer, moral questions, current events… Our goal is simply to provide a trustworthy forum for dependable Catholic guidance and information. So go ahead and ask your question…

“Ask a Priest: How Much More Do I Need to Do for My Ailing Husband?” Read More »

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Alex Kucera

Atlanta

Alex Kucera has lived in Atlanta, GA, for the last 46 years. He is one of 9 children, married to his wife Karmen, and has 3 girls, one grandson, and a granddaughter on the way. Alex joined Regnum Christi in 2007. Out of the gate, he joined the Helping Hands Medical Missions apostolate and is still participating today with the Ghana Friendship Mission.

In 2009, Alex was asked to be the Atlanta RC Renewal Coordinator for the Atlanta Locality to help the RC members with the RC renewal process. Alex became a Group Leader in 2012 for four of the Atlanta Men’s Section Teams and continues today. Running in parallel, in 2013, Alex became a Team Leader and shepherded a large team of good men.

Alex was honored to be the Atlanta Mission Coordinator between 2010 to 2022 (12 years), coordinating 5-8 Holy Week Mission teams across Georgia. He also created and coordinated missions at a parish in Athens, GA, for 9 years. Alex continues to coordinate Holy Week Missions, Advent Missions, and Monthly missions at Good Shepherd Catholic Church in Cumming, GA.

From 2016 to 2022, Alex also served as the Men’s Section Assistant in Atlanta. He loved working with the Men’s Section Director, the Legionaries, Consecrated, and Women’s Section leadership teams.

Alex is exceptionally grateful to the Legionaries, Consecrated, and many RC members who he’s journeyed shoulder to shoulder, growing his relationship with Christ and others along the way. He knows that there is only one way, that’s Christ’s Way, with others!