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Dressed in Black: African Americans and End of Life Care

With the advent of certain pain medicines like morphine, or medical equipment like respirators or ventilators, or procedures like kidney dialysis, medical physicians and other health care professionals have the ability to prolong life or prolong death. Persons with certain debilitating and/or terminal diseases or injuries, especially, to the central nervous system, may be able to live longer today. Read Full Story | Print Version

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Fourth, in U.S. political discourse, we often hear debates about government versus individual freedom; federal versus local control; and public versus private sectors. Americans' fear of a powerful central state goes back to colonial days. The Catholic tradition, however, makes no broad presumptions about the kinds of decisions government should make. Our tradition starts, again, with concern for individual dignity and the common good, which we see as intertwined. In determining how to promote human dignity and the common good, the Catholic tradition uses a principle called subsidiarity. This means that decisions should be made and implemented at the lowest feasible level; but where problems cannot be solved by individuals, civil society, or local governments, it is right and appropriate that larger entities tackle them, for the dignity and good of all.

Fifth, Catholic social teaching calls us to charity and justice. Both are important, neither is sufficient without the other. (Cf. Catechism of the Catholic Church, no. 2446.) Charity involves giving individuals what they need to meet their immediate concerns. To love our neighbor as ourselves we must give charity with a spirit of solidarity, rather than pity.

Charity is one important way to respect the dignity of others, but charity doesn't change the conditions that created that individual's need in the first place. Justice demands that we change the social conditions that hurt human dignity. In other words, justice means changing our world so that fewer people need charity.

Charity is typically easier than justice. Charity may require a significant sacrifice out of our pocketbook or our time, but it may not require that we change. Justice, on the other hand, may require us to give up our smugness and self-righteousness; our values, choices, or lifestyles that contribute to the injustices of the world; and our comfort. Justice calls us to spend time reflecting on problems in the world-even if doing so makes us uncomfortable. Our Catechism teaches that injustice-in laws, institutions, social structures, or ways of doing things-is sinful. When we participate in and contribute to these injustices we commit "social sins." (See sections 408 and 1868-69.)

Finally, Catholic social teaching tells us, in the oft-quoted words of the U.S. Catholic Bishops, that our dignity "comes from God, not from any human quality or accomplishment, not from race or gender, age or economic status." As individuals and as a community that has struggled for equality in American society, African Americans well understand this teaching and should teach it to others. In our highly materialistic and individualistic society, we are bombarded with messages that human worth and dignity are rooted in personal "success," as measured in wealth. Catholics eschew this prideful materialism, which, on the one hand, denies the hand of God in our accomplishments, and on the other hand, denies the ways racism and other social sins obstruct God's will that every human being have a full and dignified life.

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