This essay argues that Catholic bioethicists and moral theologians need an expanded theology of technological or technical domination. It describes five variants of the concept: (1) domination of persons over others, (2) prideful assertion of mastery over nature, (3) ambition to usurp the will of God, (4) over-emphasis on technical solutions to human problems, and (5) an ideology of utility, efficiency, and effectiveness. It is argued, however, that a sixth variant is needed in regard to twenty-first century technologies. Dietrich von Hildebrand’s observations of “the useful” can be employed to show how the instrumental rationality of technologies often gains a false motivational force. This preference for utility is encouraged by the complex, opaque, and autonomous structures of contemporary technologies.

Cervical insufficiency is present in up to 1 percent of pregnancies and is involved in a significant portion of pregnancy losses in the second trimester. The first line of treatment for most women with this condition is transvaginal cerclage. However, for some this is not sufficient, and a transabdominal cerclage must be performed. In a subset of women who receive transabdominal cerclage, there has been documented concern about subfertility. To the lay person, this may raise concerns that this approaches a contraceptive effect which would have implications on the liceity of the treatment; however, consideration of the current research on the procedure indicates that the subfertility is not a result of cerclage on its own, and ethical analysis through the principle of double effect further affirms the morality of this treatment.

In After Virtue, Alasdair MacIntyre argues that in modern ethical discourse, moral principles have been replaced by “fragments” that only partially represent their original meaning as derived from theological contexts. Today’s debates surrounding physician assisted suicide (PAS) and abortion highlight that the “fragment” of autonomy has been championed over principles such as justice, beneficence, and nonmaleficence with little justification. This acceptance of patient autonomy as the ultimate good distracts from societal ills that drive contentious medical decisions, further muddles society’s image of the human person, and subliminally redefines the medical profession. Medical professionals who oppose these practices must commit themselves to forming physician-patient covenants of trust, rather than accepting consumeristic models of patient care that foster an inappropriate focus on self-determination.

Catholic health care has long been focused on the needs of the poor, yet its primary interaction with the poor is in the delivery of health care and not within leadership. The preferential option for the poor is one tool that leads to greater participation. Especially important is the hermeneutic element that Pope Francis emphasizes. While some government programs already include those who are poor in leadership, Catholic health care is only starting to grapple with the Pope’s challenge. This essay explores inclusion of the poor in governance and strategic planning, revealing a better way to engage with those who are poor and give a better witness to the Gospel mandate for Catholic health care.

The use of growth attenuation therapy (GAT) is becoming more common in order to enable a family to care for a child with profound cognitive and physical disabilities (PCPD) as they age into adulthood. The first published study on the use of GAT was done with the family of a six-year-old girl with PCPD by Daniel Gunther and Douglas Diekema in Pediatrics in 2006. The ethical application of GAT generated considerable discussion on the use among children with PCPD in the medical and ethics communities. This paper discusses the use of GAT for children with profound cognitive and physical disabilities from a Catholic bioethics perspective.

In this paper I argue that teleology and a proper teleological analysis of the uterus is important for a comprehensive understanding of the rights of the unborn. I argue that a right to life entails the right to use those organs that naturally function for an individual’s survival. Consequently, an unborn child has a right to his mother’s uterus. If this is accepted, bodily-rights arguments for abortion such as those proposed by Judith Jarvis Thomson and David Boonin are completely undermined. While Thomson and Boonin may be justified in arguing the right to life does not always entail the right to use another person’s body, I argue that the right to life of the unborn does entail the right to use their mother’s body.

Alan Donagan, in The Theory of Morality, famously claims that the principles of “common morality” (i.e., the morality of the Judeo-Christian tradition) form a consistent system that can be derived from a single fundamental principle: It is impermissible not to respect every human being, oneself or any other, as a rational creature. In particular, I want to show that the prohibition contained in the fundamental principle is interpreted by appeal to prior convictions about particular sorts of cases, whether they involve the violation of “respect” or not, and that this has unfavorable consequences for Donagan’s claim that the principles of common morality form a truly deductive system of morality.

Catholic physicians who believe that the Church offers a positive, intellectually compelling, and beautiful religion have a unique experience in their work and life. These physicians often encounter a particular difficulty related to mischaracterization of Catholic doctrines as restrictive, impersonal, or even disrespectful of human freedom. Multiple physician stories are briefly recounted as examples of these experiences. This difficulty is most painfully encountered when professional colleagues absorb scandal, factual errors about the teachings, negative stereotypes, or incompatible ideologies. The Catholic physician can address this difficulty with tact, witness, and gentle discussion of Catholic doctrine and the natural consequences of ethical and ideological missteps in mainstream medicine.

Plastination is a relatively novel technique wherein human tissue is dehydrated and the water is replaced with a plastic-like substance. The process is valuable to educational institutions, because it preserves the body for a long period of time, allowing for prolonged anatomical study. However, a number of ethical issues have been raised regarding the process, particularly related to the procurement of human specimens and the act of displaying these bodies, even for educational purposes. This article explores both the process itself and the associated ethical pitfalls, particularly from a Catholic perspective.

Ethical medical decision-making for a child is generally navigated with various standards and models that have been developed to address its complexities. A case is presented of the parents’ refusal of a surgical procedure for their child considered by medical providers as essential and potentially lifesaving, along with the ethical debate of whether the parents’ decision was in the child’s best interest and whether their refusal reached a threshold to report and seek state intervention. Utilizing the best interest standard and additional ethical decision-making tools, the ethicists helped the medical team accept the parents’ decision as reasonable, thus avoiding involvement with Child Protective Services. It is my goal to clarify the parents’ decision as reasonable and as honoring their child’s best interests and inherent dignity through the lens of Catholic anthropological and moral principles. These strengthen the ethical and moral arguments for the parents’ decision and the opposition to state intervention.