Health and the Catholic Tradition:
some pointers in a Year of Faith
Jim McManus
Jim McManus
Talk to
The Newman Association...
• How can a church so battered by
the handling of the abuse crisis
be seen as credible in health and
health care?
Some people who lived it!
Some people who still do..
Starting Points from Science
• 20 years of research
– King, spirituality and religion (2013)
– Oxford Handbook (2012)
• Bi...
PONTIFICAL COUNCIL FOR HEALTH CARE WORKERS
http://www.vatican.va/roman_curia/pontifical_councils/hlthwork/index.htm
Statistics…
114,738 Catholic Health Centers in the World
5246 Catholic hospitals
Associations:
Chaplains
Religious Sisters...
Catholic Health Centres
Total: Catholic health Centres = 114,738
Hospitals: = 5,246
Clinics: = 17,530
Leprosaria: = 577
Ho...
CATHOLIC HEALTH CENTRES BY
CONTINENTS
15,619 IN AFRICA
40,583 IN AMERICA
20,322 IN ASIA
35,929 IN EUROPE
2,285 IN OCEANIA
...
England & Wales
Hospitals 2
Clinics 2
Homes for Older People 181
Children’s homes 39
Nurseries 40
Advice Centres 101
Centr...
Each of you has received a special grace. So,like
good stewards responsible for all the different
graces of God, put yours...
Papal teaching on the special place of ill and
disabled people at the heart of the Church
Key Points
• Finding your way – where to start?
• There is a mission, a ministry and a distinct
identity for Catholics to ...
Variety of Starting Points
• Scripture
• The Early Church
• Ecclesiastical History
• Moral Theology
• Doctrinal Theology
•...
Scripture
• Mission – Given by Christ, John 10.10; Christ’s
healing mission; cherishing life, embracing death;
personalism...
The Scriptures
The person and work of Christ
The mission of the Church – “Curate Informos”
The nature of Christian Life
He...
HEALING IN THE GOSPELS
 St. Mark
– Simon’s mother-in-
law, paralytic from the
roof, Jairus’
daughter, woman with
issue of...
PASTORAL ELEMENTS IN
GOSPEL PARADIGMS
Christ contact
Christ seeing
Christ hearing
Resurrection
Salvation
Life
Virtues: Fai...
The Good Samaritan
Lk 10,30-37:
The Good Samaritan
Responds to reality: looks at the wounded person
Engages with the wounded man
Heal: pouring oil and win...
Benedict XVI
The Good Samaritan
Our engagement in health continues the action of the Good
Samaritan
Human Rights
In the ce...
BENEDICT XVI:
Renewal and deepening of the pastoral proposal
in Health Care
that take into account the growing mass of kno...
John Paul II and Benedict XVI Teaching on
Health Pastoral Care
JOHN PAUL II:
“Dolentium Hominum”
“Pastor Bonus”
“Salvifici Doloris”
“2000 Message”
“Novo Millennio Ineunte”
BENEDICT XVI’S CHALLENGE
Updating the training
of pastors and educators to enable them to take on their own responsibiliti...
Consistency and Development in
Magisterium
Orientation on health:
Pain, Illness, Suffering, Death, Life.
Unite health prof...
The Magisterium
• The nature of the human being called to fullness
of life including health
– Implies relationship with Go...
Every person has the right to adequate
health care. This right flows from the
sanctity of human life and the dignity
that ...
Health Care Workers
• …the health care worker is “the minister of that God who in Scripture
is presented as ‘a lover of li...
And a few more...I could go on...
Dolentium Hominum
Charter for Health Care Workers
Evangelium Vitae, 39
Donum Vitae, 7
Ev...
What is our Charism?
• The Greek term charisma denotes any good gift
that flows from God's benevolent love (charis)
unto m...
Our Charism
• in the dignity of the human person and in the resulting holistic approach
to patient care which recognizes a...
Our Charism
• that Catholic health ministries must recognize their social accountability to
the communities they serve, de...
Benedict XVI
Westminster Hall
 Your common law tradition
serves as the basis of legal
systems in many parts of
the world,...
Engaging as Catholics
• Continued Iteration of the Teaching of the Church
• The Church’s Wealth of Experience in Healthcar...
Dialogue
Catholic Teaching
 Benedict XVI –reason
 Benedict XVI – conscience
 Benedict XVI – we have
experience to contr...
Principles by which to analyse the
latest healthcare reforms
Catholic Social Teaching
• Personalism, the Common
Good
• Sub...
Worries then...
Catholic Social Teaching
• Personalism, the Common
Good
• Subsidiarity
• Vocation, Personalism
• The Limit...
Vision into Action
Vision – We have this from Catholic Teaching
Vocation – our calling is from Christ, we add
and bring ...
Where to now?
A society which
welcomes and
understands our
faith….?
A church which deals
with the scandal of
abuse
John Henry Newman
• I want a laity, not arrogant, not rash in speech,
not disputatious, but men who know their
religion, w...
Bishops’ Conference Health Programme
An exercise in Advocacy
Affirm Chaplains’
Catholic
Identity and Mission
Present Situa...
Organization
• Healthcare Reference Group, started 2004
• Catholics in Healthcare the loose brand for this
• New Officer b...
Academic Work
• Heythrop College, University of London
• http://www.heythrop.ac.uk/research/heythrop-institute-religion-an...
Back to the Key Points
• There is a mission, a ministry and a distinct
identity for Catholics to discover in the vocation
...
I have come
that all might
have life, and
have it in its
fullness
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Health and the catholic tradition : some pointers for the year of faith

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Talk to the Newman Association September 2012 on Health and the Catholic Tradition. Full Version with hyperlinks to selected resources

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Health and the catholic tradition : some pointers for the year of faith

  1. 1. Health and the Catholic Tradition: some pointers in a Year of Faith Jim McManus Jim McManus Talk to The Newman Association 22nd September 2013
  2. 2. • How can a church so battered by the handling of the abuse crisis be seen as credible in health and health care?
  3. 3. Some people who lived it!
  4. 4. Some people who still do..
  5. 5. Starting Points from Science • 20 years of research – King, spirituality and religion (2013) – Oxford Handbook (2012) • Biopsychsocial model of health • Religion can be a protective or a vulnerability factor in health...so whether people like it or not, we have to engage with religious belief in healthcare science and settings
  6. 6. PONTIFICAL COUNCIL FOR HEALTH CARE WORKERS http://www.vatican.va/roman_curia/pontifical_councils/hlthwork/index.htm
  7. 7. Statistics… 114,738 Catholic Health Centers in the World 5246 Catholic hospitals Associations: Chaplains Religious Sisters Physicians Nurses Pharmacists Volunteers Hospitals Health authorities
  8. 8. Catholic Health Centres Total: Catholic health Centres = 114,738 Hospitals: = 5,246 Clinics: = 17,530 Leprosaria: = 577 Hospices: = 15,208 Children’s homes: = 9,616 Nurseries: = 10,939 Pregnancy Advice Centres: = 13,485 Social education: = 31,312 Others: = 10,825 25% of all HIV Care worldwide
  9. 9. CATHOLIC HEALTH CENTRES BY CONTINENTS 15,619 IN AFRICA 40,583 IN AMERICA 20,322 IN ASIA 35,929 IN EUROPE 2,285 IN OCEANIA (Annuarium Statisticum Ecclesiae, 2011, pp. 355-366.)
  10. 10. England & Wales Hospitals 2 Clinics 2 Homes for Older People 181 Children’s homes 39 Nurseries 40 Advice Centres 101 Centres social educ. 151 Other Care centres 123 TOTAL 639
  11. 11. Each of you has received a special grace. So,like good stewards responsible for all the different graces of God, put yourselves at the service of others. (1 Peter 4:10) The Consistent Witness...
  12. 12. Papal teaching on the special place of ill and disabled people at the heart of the Church
  13. 13. Key Points • Finding your way – where to start? • There is a mission, a ministry and a distinct identity for Catholics to discover in the vocation to healthcare • This comes from the Gospel directly • It is underpinned by Catholic Social Teaching • It can be an asset to health policy in the UK • We’re not claiming we’re better, we’re claiming we do have relevance • We have a contribution to make
  14. 14. Variety of Starting Points • Scripture • The Early Church • Ecclesiastical History • Moral Theology • Doctrinal Theology • Pastoral Theology • Catholic Social Teaching • Liturgical Theology
  15. 15. Scripture • Mission – Given by Christ, John 10.10; Christ’s healing mission; cherishing life, embracing death; personalism • Ministry – embodying these values in the way we work. Called • Identity – Formed by a gospel perspective, there is something different about us. Living the gospel. Part of the work of Sanctification
  16. 16. The Scriptures The person and work of Christ The mission of the Church – “Curate Informos” The nature of Christian Life Health and Healng as a sign of the Kingdom The Magisterium Places the work of health And healing directly in Pursuit of the mission Of Christ
  17. 17. HEALING IN THE GOSPELS  St. Mark – Simon’s mother-in- law, paralytic from the roof, Jairus’ daughter, woman with issue of blood, man with a withered hand, deaf & dumb, Bethsaida blind, leper.  St. Matthew – Centurion’s servant, two blind men, blind & dumb, two blind men of Jericho  St. Luke – Nain resurrection, the hunchback, the dropsy, ten lepers, Malchus  St. John – Centurion’s son, Bethsaida paralytic, one blind man, Lazarus  TOTAL: 22 miraclesMt 8, 5-13; 9, 27-31; 12 2-23, 20, 29-34; Mk 1, 29:32, 40-45; 2, 1-12; 5, 21-43; 7: 31-37; 8, 22-26; Lk 7, 11-17; 13, 10-13; 14, 1-6; 17, 11-19; 22, 50-51; Jn 4, 46-54; 5, 1-9; 9, 1-7; 11, 38-44.
  18. 18. PASTORAL ELEMENTS IN GOSPEL PARADIGMS Christ contact Christ seeing Christ hearing Resurrection Salvation Life Virtues: Faith, Hope, Charity Prayer Praise Gratefulness Friendship Compassion Forgiveness Assimilation Delicacy  TOTAL: 15 elements
  19. 19. The Good Samaritan Lk 10,30-37:
  20. 20. The Good Samaritan Responds to reality: looks at the wounded person Engages with the wounded man Heal: pouring oil and wine Good steward of resources in the service of others: puts the wounded on his horse, spends his money Goes to competent people : the innkeeper Without limits, generosity, if something lacks... Tests the results: when I come back... Lk 10,25-37
  21. 21. Benedict XVI The Good Samaritan Our engagement in health continues the action of the Good Samaritan Human Rights In the centre must be the inalienable right of each person to health care Motivation of Healthcare Worker Strengthen themselves with the commandment of Love as the driving force for their activity. The Encyclical “Deus Caritas est” and the Apostolic Exhortation “Sacramentum Caritaris” Find a special application in care for others.
  22. 22. BENEDICT XVI: Renewal and deepening of the pastoral proposal in Health Care that take into account the growing mass of knowledge spread by the media, and the higher standard of education of those they target. Formation of conscience deep and clear in genetic applications in order to ensure that every new scientific discovery will serve the integral good of the person, with constant respect for his or her dignity. To have consulters trained and competent.
  23. 23. John Paul II and Benedict XVI Teaching on Health Pastoral Care
  24. 24. JOHN PAUL II: “Dolentium Hominum” “Pastor Bonus” “Salvifici Doloris” “2000 Message” “Novo Millennio Ineunte”
  25. 25. BENEDICT XVI’S CHALLENGE Updating the training of pastors and educators to enable them to take on their own responsibilities in conformity with their faith, And at the same time in a respectful and loyal dialogue with non-believers, is the indispensable task of any up-to-date pastoral health care. To guarantee a prompt response to the expectations by each individual of effective help. To study proper methodology to bring help to persons, to the families and to the society. in order to ensure an incisive presence of the Church at the pastoral level To combine loyalty and dialogue. theological deepening and the capacity of mediation From the address of His Holiness Benedict XVI to the Participants at the 20 International Conference Organized by the Pontifical Council for Health Pastoral Care November 19, 2005.
  26. 26. Consistency and Development in Magisterium Orientation on health: Pain, Illness, Suffering, Death, Life. Unite health professionals: Sacraments, Eucharist, Good Samaritan Bishops, chaplains, physicians, nurses, pharmacists, administrators, volunteers. Training Actualization in the Health problematic Scientific, Technical, Political. (Updating)
  27. 27. The Magisterium • The nature of the human being called to fullness of life including health – Implies relationship with God • Right to health and healthcare • Suffering as both evil, duty to health and opportunity for good, uniting to the Cross – a role in our sanctification • Duty of solidarity with the sick and suffering • No ensuring health without sanctification and right relationships = self, others, God
  28. 28. Every person has the right to adequate health care. This right flows from the sanctity of human life and the dignity that belongs to all persons, who are made in the image of God... Our call for health care reform is rooted in the biblical call to heal the sick and to serve 'the least of these,' the priorities of justice and the principle of the common good. Resolution on Health Care Reform U.S. Catholic Bishops [1993]
  29. 29. Health Care Workers • …the health care worker is “the minister of that God who in Scripture is presented as ‘a lover of life’ (Wisdom 11:26). To serve life is to serve God in the person: it is to become “a collaborator with God in restoring health to the sick body” and to give praise and glory to God in the loving acceptance of life, especially if it is weak and ill. • The therapeutic ministry of health care workers is a sharing in the pastoral and evangelising work of the Church. Service to life becomes a ministry of salvation that is, a message that implements the redeeming love of Christ. Doctors, nurses, other health care workers, and voluntary assistants are called to be the living image of Christ and of his Church in loving the sick and the suffering”: witnesses to “the gospel of life”. • Charter for Health Care Workers • Pontifical Council for Health Pastoral Care
  30. 30. And a few more...I could go on... Dolentium Hominum Charter for Health Care Workers Evangelium Vitae, 39 Donum Vitae, 7 Evangelium Vitae, 53 • Mater et Magistra, 219 • Centesimus Annus, 34 • CCC, 2288ff • Pope John XXIII, Pacem in Terris, 11 • Pope John XXIII, Pacem in Terris, 9 • CCC, 2292 [obviously this is within certain moral limits and CCC 2293ff is important context here.] • CCC, 2288ff
  31. 31. What is our Charism? • The Greek term charisma denotes any good gift that flows from God's benevolent love (charis) unto man; any Divine grace or favour, • The term has a narrower meaning: the spiritual graces and qualifications granted to every Christian to perform their task in the Church: "Every one hath his proper gift [charisma] from God; one after this manner, and another after that" (1 Corinthians 7:7 etc.).
  32. 32. Our Charism • in the dignity of the human person and in the resulting holistic approach to patient care which recognizes and integrates the physical, spiritual, emotional and psychological care of both patient and their loved ones. • in those Catholic/Christian principles and standards, which create a total environment which assists administration and medical staffs in making difficult ethical decisions. • in justice and equity for associates in the workplace that fosters personal and professional development, accountability, innovation, teamwork and commitment to quality. • that advocating for social justice can enable the neglected in society to empower themselves and their communities. Adapted from Catholic Health Assocn of Texas
  33. 33. Our Charism • that Catholic health ministries must recognize their social accountability to the communities they serve, developing policies and procedures to ensure this accountability, and responding pro-actively to engage in community outreach • each Catholic in healthcare is directly participating in the healing ministry of Christ and the mission of the Holy Spirit • the Church should foster and maintain collaborative links with the broader community – Catholic, ecumenical and community-based to re- humanise healthcare • that to be effective stewards of our ministry, we must develop organizational structures that promote management effectiveness, continuous quality improvement, well-trained medical staffs, and comprehensive programs and services. Adapted from Catholic Health Assocn of Texas
  34. 34. Benedict XVI Westminster Hall  Your common law tradition serves as the basis of legal systems in many parts of the world, and your particular vision of the respective rights and duties of the state and the individual, and of the separation of powers, remains an inspiration to many across the globe Westminster Hall  These questions take us directly to the ethical foundations of civil discourse. If the moral principles underpinning the democratic process are themselves determined by nothing more solid than social consensus, then the fragility of the process becomes all too evident - herein lies the real challenge for democracy.
  35. 35. Engaging as Catholics • Continued Iteration of the Teaching of the Church • The Church’s Wealth of Experience in Healthcare – Dignity, Compassion, Solidarity, The Biopsychosocial and spiritual nature of suffering • Personalism of a Health Service • Our Charism and Vocation • Rights of Staff and Patients to Religious Expression • The Salience of the Religious Dimension in Healthcare
  36. 36. Dialogue Catholic Teaching  Benedict XVI –reason  Benedict XVI – conscience  Benedict XVI – we have experience to contribute  Catholic Social Teaching  Healthcare Workers Charter  Dolentium Hominum NHS Policy • Diversity Policy • Anxiety about religion • The NHS Constitution • The Equality Act 2010 – The right to conscience will be coming back more strongly? • Employment Equality Act 2003 • The NHS Act 1966
  37. 37. Principles by which to analyse the latest healthcare reforms Catholic Social Teaching • Personalism, the Common Good • Subsidiarity • Vocation, Personalism • The Limits of the State • Option for the Poor Reforms • No decision about me, without me, democratic legitimacy, Kennedy Report, Structure • Structural Change • Clinical Leadership • Choice, Funding • Need, Public Health
  38. 38. Worries then... Catholic Social Teaching • Personalism, the Common Good • Subsidiarity • Vocation, Personalism • The Limits of the State • Option for the Poor Worry  Too far, too fast?  Democratic legitimacy?  The role of vocation?  Some things devolve, some things centralise  Equity – the postcode lottery  Rationing/Allocation  Still haven’t identified the role of healthcare in 21st century Britain
  39. 39. Vision into Action Vision – We have this from Catholic Teaching Vocation – our calling is from Christ, we add and bring something with us Visibility – go about making our contribution Voice – positive and together, not individuals Vibrancy – show the NHS our diversity and worth
  40. 40. Where to now?
  41. 41. A society which welcomes and understands our faith….? A church which deals with the scandal of abuse
  42. 42. John Henry Newman • I want a laity, not arrogant, not rash in speech, not disputatious, but men who know their religion, who enter into it, who know just where they stand, who know what they hold and what they do not, who know their creed so well that they can give an account of it, who know so much of history that they can defend it" (The Present Position of Catholics in England, ix, 390).
  43. 43. Bishops’ Conference Health Programme An exercise in Advocacy Affirm Chaplains’ Catholic Identity and Mission Present Situation Marginalisation Exclusion Politics “Anti-Catholicism” Ideal Situation Recognition Access Mission Good Relations Engage the NHS Effectively Demonstrate our Worth, Accountability and “Professionalism” Equip the Church to engage the NHS Locally & nationally an exercise in Public Theology and
  44. 44. Organization • Healthcare Reference Group, started 2004 • Catholics in Healthcare the loose brand for this • New Officer being recruited • Three years of small grants • Guidance on chaplaincy and resources developed • http://www.cbcew.org.uk/CBCEW- Home/Subjects/Healthcare • www.mentalhealthproject.co.uk • Other resources • www.jimmcmanus.info • http://catholicsinhealthcare.wordpress.com/
  45. 45. Academic Work • Heythrop College, University of London • http://www.heythrop.ac.uk/research/heythrop-institute-religion-and- society/health-healing-and-human-flourishing.html • http://www.heythrop.ac.uk/research/religious-life- institute/events/view/growing-old-gracefully-spiritual-life-in-sickness-and- dementia.html October 2013 • Health, Spirituality and Ethics in Contemporary Healthcare http://www.heythrop.ac.uk/fileadmin/documents/official/Module_Outlin es/2012-13/Postgraduate/CET505_Module_Outline_12-13.pdf • St Mary’s College – Foundation Degree in Chaplaincy http://www.smuc.ac.uk/foundation/healthcare-chaplaincy/ – MA in Bioethics and Medical Law – http://www.smuc.ac.uk/postgraduate-courses-london/ma-bioethics-and- medical-law/
  46. 46. Back to the Key Points • There is a mission, a ministry and a distinct identity for Catholics to discover in the vocation to healthcare • This comes from the Gospel directly • It is underpinned by Catholic Social Teaching • It can be an asset to the NHS • We’re not claiming we’re better, we’re claiming we’re part of a diverse NHS • We have a contribution to make • The NHS needs us, as it needs others
  47. 47. I have come that all might have life, and have it in its fullness

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