Natural Law, Living Wills, the Fifth Commandment

01-12-2025Weekly ReflectionFr. Leonard F. Villa

Q. The natural law, what is it?
A. The natural law is morality which reason can determine from the nature of man, without the assistance of God's revelation. An example is the right to life. Almost all human societies throughout history, both religious and non-religious, have recognized that it is wrong to kill an innocent person. This is a conclusion which reason can easily come to, since all human beings have an inborn desire to live. From this natural law principle we can easily see that any action that directly kills an innocent person is an unjust taking of a human life. Therefore, withdrawing food and water from anyone who is not about to die and who can still tolerate it, has no other reasonable name than murder. and intentionally

Q. What does the Church say about this?
A. The Pope addressed this issue in an address to a group of physicians who were in Rome in March 2004 precisely to discuss it. Note how he both uses the language of the natural law and the language of faith, which also tells us what we may do and not do. I should like particularly to underline how the administration of water and food, even when provided by artificial means, always represents a natural means of preserving life, not a medical act. Its use, furthermore, should be considered, in principle, ordinary and proportionate, and as such morally obligatory, insofar as and until it is seen to have attained its proper finality, which in the present case consists in providing nourishment to the patient and alleviation of his suffering.

The obligation to provide the "normal care due to the sick in such cases" (1) includes, in fact, the use of nutrition and hydration (2). The evaluation of probabilities, founded on waning hopes for recovery when the vegetative state is prolonged beyond a year, cannot ethically justify the cessation or interruption of minimal care for the patient, including nutrition and hydration. Death by starvation or dehydration is, in fact, the only possible outcome as a result of their withdrawal. In this sense it ends up becoming, if done knowingly and willingly, true and proper euthanasia by omission. In this regard, I recall what I wrote in the Encyclical Evangelium Vitae making it clear that "by euthanasia in the true and proper sense must be understood an action or omission which by its very nature and intention brings about death, with the purpose of eliminating all pain"; such an act is always "a serious violation of the law of God, since it is the deliberate and morally unacceptable killing of a human person" (n. 65). [Pope John Paul II, To the Congress on Life-Sustaining Treatments and Vegetative State , 20 March 2004)

Q. What can a person do to ensure that their wishes and their religious beliefs are respected by their family, medical personnel and the courts?
A. The best way is by means of an Advance Directive which states the patient’s wishes with respect to aggressive medical treatment. There are two basic kinds, a Living Will by itself or an Advance Directive with a Durable Power of Attorney (or Proxy) for Health Care Decisions. The merits of each are as follows:

1. Living Will. By this document a person decides completely in advance whether they want to be kept alive by technology. It is a "yes" or "no" statement, which then places the matter in the hands of the medical community.

Many Catholic bishops and moralists consider this an unsatisfactory approach, as it does not provide for unforeseen circumstances. Despite the enthusiasm of the media, many medical professionals, and sadly even some Catholic institutions, Living Wills are NOT the way to go!

2. Advance Directive with a Durable Power of Attorney or Health Care Proxy. These documents give to a friend or family member the authority to make health care decisions according to one's mind as expressed in an Advance Directive. By appointing an agent, or giving someone durable power of attorney, the patient allows for unforeseen circumstances. By stating in an Advance Directive that one wants Catholic teaching adhered to, one can ensure that neither the agent nor the medical institution will disregard that teaching. Together they ensure that a trusted person, rather than strangers, will make circumstantially appropriate decisions, in keeping with the Faith. (END)

Points for Prayer and Reflection
The faithful must believe the articles of the Creed “so that by believing they may obey God, by obeying may live well, by living well may purify their hearts, and with pure hearts may understand what they believe. St. Augustine On Faith and the Creed 10

The Fifth Commandment in Brief
2318 "In [God's] hand is the life of every living thing and the breath of all mankind" (Job 12:10).

2319 Every human life, from the moment of conception until death, is sacred because the human person has been willed for its own sake in the image and likeness of the living and holy God.

2320 The murder of a human being is gravely contrary to the dignity of the person and the holiness of the Creator.

2321 The prohibition of murder does not abrogate the right to render an unjust aggressor unable to inflict harm. Legitimate defense is a grave duty for whoever is responsible for the lives of others or the common good.

2322 From its conception, the child has the right to life. Direct abortion, that is, abortion willed as an end or as a means, is a "criminal" practice (GS 27 # 3), gravely contrary to the moral law. The Church imposes the canonical penalty of excommunication for this crime against human life.

2323 Because it should be treated as a person from conception, the embryo must be defended in its integrity, cared for, and healed like every other human being.

2324 Intentional euthanasia, whatever its forms or motives, is murder. It is gravely contrary to the dignity of the human person and to the respect due to the living God, his Creator.

2325 Suicide is seriously contrary to justice, hope, and charity. It is forbidden by the fifth commandment.

2326 Scandal is a grave offense when by deed or omission it deliberately leads others to sin.

2327 Because of the evils and injustices that all war brings with it, we must do everything reasonably possible to avoid it. The Church prays: "From famine, pestilence, and war, O Lord, deliver us."

2328 The Church and human reason assert the permanent validity of the moral law during armed conflicts. Practices deliberately contrary to the law of nations and to its universal principles are crimes.

2329 "The arms race is one of the greatest curses on the human race and the harm it inflicts on the poor is more than can be endured" (GS 81 # 3).

2330 "Blessed are the peacemakers, for they shall be called sons of God" (Mt 5:9).