2011
Saturday, October 1, 2011 at 9:25AM THE PRESBYTERIAN CHURCH OF QUEENSLAND
OFFICE OF CLERK OF ASSEMBLY
COMMITTEE ON PUBLIC QUESTIONS AND COMMUNICATIONS
EXTRACT MINUTE
At Brisbane, and within the Assembly Hall, Clayfield College, Brisbane, at 7.30 pm on the 22June 2011 on which the General Assembly being duly constituted.
INTER ALIA:
MINUTE 106
106. Deliverance as a Whole
The deliverance as a whole was approved as follows:
That the Assembly:
1. Commend Membership of the Public Questions and Communications Committee to Assembly Commissioners when nominating members to Assembly Committees.
2. Encourage Sessions to appoint a Community Interest Contact Person, (with email access) within the Congregation, to be a link with the Public Questions and Communications Committee, and to promote activity within the community by the Congregation.
3. Commend the Public Questions and Communications Committee web site http://www.answerstolive.com/ to the Church.
4. Commend the period of prayer and fasting in October, with Prayer Notes supplied by the GAA Church and Nation Committee, to Sessions for use in the life of Congregations.
5. Affirm the statement of The General Assembly of the Presbyterian Church of Australia adopted in September 2010, on the Responsible Use of Alcohol (GAA BB Min 96.4) as follows:
The Assembly:
(a) Despite its abuse by many, affirms alcohol as God’s Gift when used in moderation (1 Tim. 4:4, 5:23, John 2:1-11).
(b) Respects the position of total abstinence, taken by many Christians, on theological, ethical, practical and health grounds and does not wish to offend their consciences by this declaration in accordance with the principles of Romans 14.
(c) Warns, with all seriousness, of the perils of drunkenness for both the body (Prov. 23:20-35) and the soul (1 Tim. 6:10).
(d) Urges those addicted to alcohol to seek the help of organizations that specialize in the treatment of such addictions, recognizing that Christ’s power is able to break any sinful pattern through His Spirit.
(e) Urges Sessions, Deacons Courts, Committees and Boards of Management to make their facilities available to such organizations that specialize in the treatment of such addictions.
(f) Urges Christians to develop a definite attitude to alcohol by:
- educating themselves and their families on the effects of alcohol and the consequences of alcohol abuse.
- noting that self-control is one of the fruits of the Holy Spirit (Galatians 5.22-23).
- adopting either temperance or total abstinence in their personal and family intake of alcohol.
- being constantly aware of how their attitude to alcohol affects their witness to others.
(g) Urges Christians, privately and in public, to be models of responsibility and sobriety where they choose to be consumers of alcoholic beverages (Titus 2.11-14).
(h) Deplores the fact that alcohol is being consistently abused within the community with devastating results such as death and injury on the roads and in the workplace, addiction, violence, domestic disruption and misery, poverty, problems in pregnancy and damage to personal health.
(i) Urges concerted action by state and federal governments, in consultative partnership with insurance companies, aimed at curbing the abuse of alcohol in the community by:
- restricting advertising of alcoholic beverages in the media:
- facilitating sources of sports sponsorship and associated advertising funding, alternative to marketers of alcoholic beverages at sporting events.
- placing clear health warnings on alcoholic beverages.
- imposing equitable taxes on the sale of alcoholic beverages that adequately cover the financial cost to the community of alcohol abuse.
- applying taxation proportionately higher according to the percentage of alcohol content of the beverage.
- regulating tightly the institutions that sell alcoholic beverages, including the hours in which they operate.
- encouraging or offering insurance policies with conditions that promote abstention or temperance in the consumption of alcoholic beverages.
6. Affirm the statement of The General Assembly of the Presbyterian Church of Australia adopted in September 2010, on Marriage (GAA BB Min 96.6) as follows:
That the Assembly:
(a) Declares that marriage is a divine creation ordinance relevant for all mankind (Gen. 2:23-24).
(b) Declares that marriage, rightly defined, is a public commitment between one man and one woman, to the exclusion of all others, voluntarily entered into for life.
(c) Affirms its understanding that the purposes of marriage are to promote lifelong love and companionship between the spouses, to provide the most favourable and stable environment in which to conceive, give birth to and nurture children and to promote the health and stability of society.
(d) Reaffirms its long-held opposition to the redefining of marriage so as to include partners of the same sex.
(e) Encourages teaching and ruling elders and other pastoral leaders to teach the distinctive, Christian, covenantal view in preparing couples for marriage.
(f) Calls on all involved in de facto heterosexual, domestic relationships to solemnise those commitments by means of marriage (Hebrews 13:4) and appeals to all pastoral leaders to persist in calling on them to do so.
(g) Recognises the value to both the church and the world of the celibate, single adult life (1 Corinthians 7).
(h) Commends Chapter 5 of General Assembly of Australia’s Constitution, Procedure and Practice 2006 Edition, “Determinations on Marriage and Divorce”, to the consideration and study of all ministers, elders, pastoral leaders and members of the church.
(http://www.presbyterian.org.au/PDF/GAACode%20Book2006.pdf)
(i) Urges church members to show understanding and compassion for people whose lives have been affected by marriage and/or relationship breakdown, including divorce.
(j) Commends the Federal Parliament on its continued affirmation of the legal definition of marriage as being between one man and one woman, to the exclusion of all others, voluntarily entered into for life.
7. Note that the General Assembly of Australia, Church and Nation Committee, submission to the Joint Parliamentary Standing Committee on Migration, enquiry into Multiculturalism, concluded with the following statement:
- Therefore, whilst we have read the Terms of Reference of this enquiry and welcome its thrust such as the desire to see all newcomers successfully integrated into Australia and their productive contribution to our society socially, economically and culturally recognized and celebrated, we raise caveat over Islamic migration to this country.
- We do not want the acceptance of any parallel legal system, especially Sharia in Australia, and this includes the Islamic financial system, or Sharia courts to settle family disputes. We have written to the Trade Minister, the Hon Simon Crean with our concerns about this matter.
- Positively, we support every encouragement given by Government that all Australians, including those of the Islamic faith, embrace, support and uphold the Australian legal system.
8. Write to the Prime Minister and the Premier, with copies to the Leaders of the Other Parliamentary Parties, and the Independent Members of Parliament and the Senate at the Federal and State level, and to the media: calling on both Governments not to accept any parallel legal system, including Indigenous, but especially Sharia, in Australia or Queensland, (including the Islamic financial system, or Sharia courts to settle family disputes); while stating positively that the Assembly supports every encouragement given by Governments, that all Australians, including those of the Islamic faith, embrace, support and uphold the Australian legal system.
9. Appoint Mrs Mendy Campbell, Mr Don Lewis and the Rev. David Niven to represent the Presbyterian Church of Queensland at the Annual General Meeting of DrugARM.
10. Request the Representatives of the Presbyterian Church of Queensland, as an ordinary member of the Drug Awareness and Relief Foundation (Australia) (DrugARM), to take all appropriate action to change the policy of DrugARM in relation to accepting support from funds generated by gambling, and to bring a report to the 2012 Assembly.
11. Commend DrugARM to the prayerful support of the Church.
12. Request Presbyteries and Sessions to be aware that there are ongoing moves to decriminalise abortion in Queensland and to establish a good working relationship with their local Member of the Legislative Assembly.
13. Note that the Moderator-General issued a media release, on the matter of the banning of giving Bibles as gifts at Citizenship Ceremonies, and that this decision of the Minister for Immigration has since been revised; and incorporate a copy of the media release in the record of Assembly:
Australia needs the Bible, top Churchman warns
Australia was slowly and, it seemed, inexorably turning its back on God, according to the Moderator-General of the Presbyterian Church of Australia, the Right Reverend David Jones.
“The decision of the Department of Immigration and Citizenship to ban Bibles from Citizenship Ceremonies, is just one more symptom of that turning away ” Rev. Jones said.
Recently Senator Guy Barnett told the Senate that Immigration and Citizen Minister, Chris Bowen, had ignored his two letters asking for confirmation that Bibles had not been banned from Citizenship Ceremonies.
So, he raised the matter in Senate Estimates, and the Department confirmed that community groups, including the Bible Society, were not allowed to offer Bibles as gifts, even though that has been a longstanding practice.
The Department’s reasoning was that Citizenship Ceremonies were secular in nature and that the distribution of holy books by organisations conducting Citizenship Ceremonies was not appropriate.
“One wonders what the government is afraid of,” said Rev. Jones, “This year marks the 400th anniversary of the King James Bible which has been a powerful influence for good all around the world. What better gift can you give a new Australian? It is certainly more useful than a potted plant!”
14. (a) Note that the Report on the Inquiry into Gambling, by the Productivity Commission, was released in February 2011, http://www.pc.gov.au/projects/inquiry/gambling-2009/report, and that the Report identifies the following in its key points:
- Total recorded expenditure (losses) in Australia reached just over $19 billion in 2008-09, or an average of $1,500 per adult who gambled.
- While precision is impossible, various state surveys suggest that the number of Australians categorised as ‘problem gamblers’ ranges around 115,000, with people categorised as at ‘moderate risk’ ranging around 280,000.
- The risks of problem gambling are low for people who only play lotteries and scratchies, but rise steeply with the frequency of gambling on table games, wagering and, especially, gaming machines.
- Most policy interest centres on people playing regularly on the ‘pokies’. Around 600,000 Australians (4 per cent of the adult population) play at least weekly.
- While survey results vary, around 15 per cent of these regular players (95,000) are ‘problem gamblers’. And their share of total spending on machines is estimated to range around 40 per cent.
- The significant social cost of problem gambling - estimated to be at least $4.7 billion a year - means that even policy measures with modest efficacy in reducing harm will often be worthwhile.
(b) Write to the Prime Minister and the Premier, with a copy to the Minor Parties and the Independents in the Federal and State Parliaments, and to the Media: expressing concern about the level of social harm caused by gambling, as identified in the Report on the Inquiry into Gambling, by the Productivity Commission, in the key points listed above; requesting both the Federal and the State Government to take all appropriate action to reduce the damage caused by gambling in the community.
15. Note that leading up to Christmas 2010, Family Radio 96.5 ran a series of spots highlighting the Presbyterian Church of Queensland in Brisbane with the theme, Jesus is the Reason for the Season, and that in the two weeks leading up to Easter Family Radio 96.5 and regional stations ran as series of spots with the theme, The Christ of the Cradle is the Christ of the Cross.
16. Note that leading up to Christmas 2010, The Courier Mail ran a series of spots highlighting the Presbyterian Church of Queensland in Queensland with the theme, Jesus is the Reason for the Season, and that in the week leading up to Easter The Courier Mail and The Sunday Mail ran a series of spots with the theme, The Christ of the Cradle is the Christ of the Cross.
17. Note that the Media Releases by the Moderator-General of the Presbyterian Church of Australia and the Moderator of the Presbyterian Church of Queensland have been released through Media Monitors.
18. Request the Public Questions and Communications Committee to continue to highlight the Presbyterian Church of Queensland by the effective use of the Media in pre-evangelism.
19. Note the letter in support of School Chaplaincy written by the Moderator and the Clerk of Assembly, with the Concurrence of the Convener of the Public Questions and Communications Committee, to Federal and State Government Leaders expressing support for School Chaplaincy, and incorporate a copy into the Record of Assembly:
The Presbyterian Church of Queensland is encouraged by the increased support for Chaplaincy in Queensland Schools as announced in the Media Release of 11 February by the Minister for School Education, Early Childhood and Youth, Peter Garrett, with the support of the Queensland Education and Training Minister, Geoff Wilson.
The provision of an additional fifteen School Chaplains to work across a number of Queensland schools affected by the recent floods is a valuable support service.
The Church is very supportive of the work of Scripture Union in its role of co-ordinating Chaplains.
Yours faithfully
(Rt Rev) John Langbridge - Moderator
(Rev) Ron Clark- Clerk of Assembly
20. Write to the Prime Minister and the Leader of the Opposition, with a copy to the media: expressing concern as to the state of affairs of human rights abuse in relation to freedom of religion and freedom of assembly, (in particular such abuses against Christians) in China, Cuba, Egypt, India, Indonesia (including West Papua), Iran, Iraq, Nigeria, North Korea, Pakistan, Somalia, The Sudan and Zimbabwe; requesting the Australian Government take all appropriate action in addressing the situation in these countries, so that the citizens may live in peace with freedom of worship and of association.
21. Note that the Human Rights and Commission’s Report on Freedom of Religion and Belief in 21st Century Australia, http://www.humanrights.gov.au/frb/index.html, was released on the 21st March 2011, after receiving over 2,000 submissions, and that the Report makes no definite legislative requests such as for a Bill of Rights.
22. Request the Public Questions and Communications Committee, to monitor the situation in relation to moves to alter the exemptions given under anti-discrimination legislation, to Churches and Religious Institutions, not to employ persons, who do not hold to the beliefs and practices of these Bodies.
23. Commend the Seminar, run by the Public Questions and Communications Committee, on the topic, Effecting Your Community, held in conjunction with the Australian Federation for the Family, with Mr Jack Sonnermann as the main presenter, on Saturday 25th June 2011, at the Annerley Presbyterian Church, from 2.00pm to 4.30pm, to Congregations; noting that the Seminar will cover the following practical steps on how to:
- Remove pornography from a newsagent
- Cancel offensive TV commercials
- Cancel advertising contracts from pornographic TV shows
- Remove advertisements (money) from porn magazines
- Contact the Australian Broadcasting Authority (and others)
- Write effective letters to the editor, politicians and advertisers
- Lobby legislators.
24. Endorse the Statement of 6 November 2010 and Press Release of 1 October 2010 on Euthanasia, of the Christian Medical and Dental Association of Australia, and incorporate copies into the record of the Assembly as follows:
CMDFA - Christian Medical and Dental Association of Australia
Response to Euthanasia
Approved by CMDFA board, November 6, 2010.
According to the Australian Medical Association, “Euthanasia is the act of deliberately ending the life of a patient for the purpose of ending intolerable pain or suffering”. Physician-assisted suicide (PAS) occurs “where the assistance of the medical practitioner is intentionally directed at enabling an individual to end his or her own life” and usually this involves the provision of a prescription.
Moral opposition to both euthanasia and physician-assisted suicide has been a feature of both the Hippocratic and the Judeo-Christian tradition from earliest times. This is particularly striking in view of the commitment of both traditions to the relief of suffering and care of the dying. We acknowledge the power of the arguments for both practices based on compassion, but believe that even more powerful counter-arguments lead us as Christians and doctors to continue to oppose their legalization.
The first of these counter-arguments is based on the creation of humankind in God’s own image (Genesis 1: 26-27). Every human, no matter how physically or mentally impaired, bears the divine image and as such their life is not their own or anyone else’s to take. Life giving and life taking are divine prerogatives. To take human life is both to attack God through his image bearer and to usurp God’s authority. This is the underlying principle behind the sixth commandment: “You shall not murder”. Although God delegates life taking to his covenant people under particular circumstances during the Old Testament period (capital punishment and holy war), there is no suggestion of a divine mandate for suicide or euthanasia.
The second counter-argument is based on justice. Within a biblical worldview, justice is understood not primarily in terms of individual rights but in terms of restoration of right relationships and the common good. It is particularly concerned with protecting those who are disadvantaged - the poor, the disabled, the sick, the very young and the very old. The legalization of euthanasia would grant to some people a claimed right, but at the cost of putting at risk the lives of many other, vulnerable people. Evidence from the Netherlands where euthanasia has been legalised is that many people are killed without a specific request. And, the criteria for euthanasia have expanded from severe physical suffering, terminal illness and competent adult patients to include psychological distress and children, even infants. The very existence of the possibility of legal euthanasia or physician-assisted suicide increases pressure on the sick and elderly, who already feel that they are a burden on their family or society, to request it. This pressure would be further exacerbated by inequities in the availability of palliative care.
But what about the obligation to relieve suffering?
As Christians and doctors we acknowledge our obligation to show compassion and use all legitimate means to relieve pain and suffering. This includes the administration of appropriate analgesia and/or sedation at the end of life, as long as the intention is to relieve suffering and not to terminate life. There have been concerns in the past that such treatments may shorten the life of the patient, however, we note the opinion of palliative care specialists that there is no evidence that the skilled and appropriate delivery of palliative care measures shorten life . Pain and other symptoms may (but not always) be associated with terminal illness, and palliative care aims to control distressing symptoms so patients can do the important things they want to do before they die. The most common reason why palliative care services cannot help dying patients is because they are referred too late or not at all. The development of palliative care services has reduced calls for legalization of euthanasia on the grounds of compassion.
However, even with good palliative care, some patients will continue to suffer. We need to recognise that, essentially, suffering is not a medical problem. It is an existential problem that extends beyond physical pain. It is influenced by psychological, cultural and spiritual factors, and made worse by the fact that we, as a society, have lost touch with the spiritual concerns surrounding death. Many people are unprepared for death and fearful as it approaches, and this fear is promoted by media accounts of the suffering experienced by the dying. Often the physical symptoms can be dealt with but the suffering may well remain. It may be that the call for legalised euthanasia is motivated by a desire to avoid the dying process itself. In a world of instant gratification, there is a reluctance to endure any hardship, even when we are dying. If the suffering patients wish to avoid is related to metaphysical or spiritual concerns, then not only physical but also the social, psychological, relational, existential, cultural and spiritual concerns need to be addressed.
While Christians do not fully understand problems of evil and suffering (2 Thessalonians 2:7), we know that suffering is inevitable in this life because we live in a fallen world. But we also know that life is not meaningless, death is not meaningless, and that we can have hope amidst the suffering, because death is the gateway to resurrection (1 Corinthians 15).The euthanasia debate is an expression of a community which is struggling to find meaning in life, and so finds no meaning in death (Romans 1:21). But the answer to suffering is not euthanasia. It lies in the good news that Jesus came to give us new life, and to finally eliminate suffering in the world to come (Revelation 21:4).
In the meantime, for those who do not share this hope, we support ongoing efforts to find ways to minimise pain and other symptoms for those at the end of life and to always treat the dying with compassion. While acknowledging the limitations of medical practice, our challenge as Christian doctors is to transform the way we act towards the suffering and the dying, to treat them as the image–bearers of God.
What about respect for autonomy?
In the clinical context, autonomy involves self determination, freedom and independence of thought, decision and action. An emphasis on respect for patient autonomy is a relatively recent feature of medical ethics but is to be welcomed in that it promotes shared decision making with health professionals, provides an opportunity for patients to retain some control over their lives, and encourages them to be responsible for their choices and actions. Yet there are problems with the concept of autonomy in health care. In particular, it may be naive in relation to the significant knowledge imbalance between the general public and health professionals. Further, it assumes the capacity to think, decide and act independently. But biblically, individuals are not conceived as purely autonomous agents but as persons in a web of social interdependence. So to speak of the right to individual choice in relation to an issue as complex as euthanasia is problematic.
The minimal, negative or “constraint” requirement of respect for patient autonomy is the obtaining of informed consent for treatment. The argument from autonomy for euthanasia assumes that a competent patient could give a valid, informed consent to euthanasia or physician-assisted suicide. Yet this fails to address the real complexity of end-of-life issues. A range of cultural, legislative, community and family pressures place significant limitations and boundaries on individual choice, and this is especially so during a period of severe illness, when a person is at their most vulnerable and least able to be fully independent. His or her self-worth, framed in terms of crude economic terms, is greatly diminished. If unduly influenced by this perspective, or indirectly influenced by others who hold it, this person is greatly vulnerable to a diminished sense of self- worth. The common good perspective recognizes that persons can be valued even in states of illness, suffering and disability. Resource allocation must be done in a way that respects the vulnerable members of society as participants in the common good, who are called to a destiny that transcends human society.
We also note that respect for autonomy applies to health care workers as well as patients, and no doctor or nurse should be required to perform a procedure which violates their own moral commitments.
Is there really a difference between withholding or withdrawing life supporting treatments and euthanasia?
In continuity with medical tradition going back to the Hippocratic corpus, the Statements of almost all Medical Associations distinguish between the withholding or withdrawal of inappropriate, futile or unwanted life-prolonging medical treatment, on the one hand, and the administration of a lethal injection on request and physician-assisted suicide, on the other. The former may be morally permissible, even morally required under certain circumstances, while the latter is opposed. “Letting die” by the withholding or withdrawal of treatment (treatment abatement) is non-intervention whereas euthanasia/PAS is an intervention in the course of nature. In “letting die”, the illness causes death, whereas in euthanasia/PAS, it is the human agent.
The ability of modern medicine to prolong life by use of dialysis, respirators and artificial nutrition and hydration (ANH) raises the question of when it is morally permissible for doctors to withhold or withdraw such treatment. First, a competent informed patient may refuse potentially life-saving treatment, and a doctor must respect that refusal, since to treat without consent would be an infringement of the autonomy, dignity and moral responsibility of the patient for his or her own decisions.
But in other situations the patient may not be in a position to refuse treatment (they may be incompetent or even unconscious) and treatment abatement is a medical decision (often in consultation with relatives). Even “life saving” or “life prolonging” treatment may be foregone if it is held to be futile or unjustifiably burdensome, or in order to respect the natural dying process at the end of life.
There is some debate about whether percutaneous endoscopic gastrostomy (PEG) feeding may be withdrawn from an incompetent patient on the grounds of futility or burdensomeness. While it is standard treatment to give ANH to brain injury patients in the early stages of illness when some hope of improvement still exists, some Catholics (and some evangelical ethicists) oppose removing ANH from people in what used to be called a persistent vegetative state (PVS), now termed post-coma unresponsiveness, at any stage. They argue that it neither causes a great burden to the patient nor is useless, but rather is beneficial in keeping him or her alive. Further, nutrition and hydration which are “basic to human life” should be clearly distinguished from medical treatment and should always be provided to PVS patients. Others say that this position is vitalism, an elevation of mere physical existence above all other values. It is argued that, for a patient in PVS, the preservation of life in such a state is not a benefit, and when medical treatment can offer no hope of pursuing the spiritual goods of life, there is no duty to preserve life and the patient should be allowed to die.Yet discerning when it is time for the patient to die, time to withhold or withdraw treatment, is not straightforward, and there is a tendency for doctors to over treat at the end of life, so that some people the fear that the process of dying may be prolonged unnecessarily. It is important that patients are aware of the rights they have to refuse any, even life-prolonging, treatment. Such an act is an ethical option for a competent patient. Instigation of advance planning in healthcare enables patients to retain control of healthcare decisions even after they become mentally incompetent, and should be promoted.
Medicine has a mandate for its goals of preserving and prolonging life in both the dominion mandate of Genesis 1:26-28, and the redemption project of healing the sick (eg Matthew 10:8) as a sign that the Kingdom of God has broken into this world to begin to reverse the effects of sin. However, we know that medicine cannot break the power of sin, nor the power of death. Medicine is not the Saviour. Medicine does not give eternal life. And since we are mortal, death is both an enemy to be resisted and the gateway to resurrection life. So there comes a time when death is no longer to be resisted, but acknowledged.
What about “terminal sedation?”
The term “terminal sedation” is used in a number of different ways. It may be used to indicate sedation in the terminal phase (last few days) of an illness, in which case there is no evidence that it shortens life. But “terminal sedation” may also be used to indicate a quite different practice, where the patient need not be imminently dying. Sedation is sometimes used in order to render the patient unconscious so that they can avoid eating and drinking without discomfort. ANH is also withheld with the result that the patient dies, either through dehydration and/or through the effects of immobility and inhibition of coughing, producing sputum retention and hypostatic pneumonia. In such a case it is possible to establish a causal link between the sedation and death, and the intention is to hasten death. It is uncertain how commonly this “sedation towards death” occurs in this country, although there was a celebrated case involving Australian euthanasia activist Dr. Philip Nitschke. It is morally indistinguishable from euthanasia.
But there is a third category of “terminal sedation”, somewhere between sedation in the imminently dying and “sedation towards death”, where sedation is given to relieve uncontrolled suffering and most likely does shorten life, but at the same time, death is not the intended, merely foreseen result of treatment. This is the only category of terminal sedation where the Principle of Double Effect needs to be considered, and might arguably be invoked in order to provide a moral justification for the practice, although this remains controversial. Some authors argue that if heavy sedation is administered to any but the imminently dying, it ought to be accompanied at least by artificial hydration.
Conclusion
Moral opposition to both euthanasia and physician-assisted suicide has been a longstanding feature of both the medical and the Judeo-Christian tradition for good reasons. This does not mean that Christian doctors do not respond with compassion to those suffering at the end of life. We are best equipped to support patients with advanced disease by learning how to discern when a patient is indeed dying, and to give appropriate care, including referral when necessary. Provision of competent and compassionate care will do much to ease the suffering of dying patients and their loved ones, and we have a moral duty to provide it. However we continue to oppose the legalization of euthanasia or physician assisted suicide.
----------------------
• Australian Medical Association. (2007) The Role of the Medical Practitioner in End of Life Care – 2007. http://ama.com.au/node/2803
• Sykes N, Thorns A. The use of opioids and sedatives at the end of life. Lancet Oncology 2003; 4:312-318; Good P. P. D. Good , P. J. R. a. J. C. and N. M. M. H. (2005). "Effects of opioids and sedatives on survival in an Australian inpatient palliative care population." Intern Med J 35: 512-517.
• NHMRC. Ethical guidelines for the care of people in post-coma unresponsiveness (vegetative state) or a minimally responsive state. (2008). Australian Government, p. 36-7.
• Kissane, D. W., Street, A., & Nitschke, P. (1998). Seven Deaths in Darwin: Case Studies under the Rights of the Terminally Ill Act in Northern Territory, Australia. The Lancet, 352(9134), 1097-1102.
• The Principle of Double Effect (PDE) specifies that when an action has two possible effects, one good and one bad, it is morally permissible if the action:
1. is not in itself immoral
2. is undertaken only with the intention of achieving the possible good effect, without intending the possible bad effect although it may be foreseen
3. does not bring about the possible good effect by means of the possible bad effect, and
4. is undertaken for a proportionately grave reason (Sulmasy, D. P., & Pellegrino, E. D. (1999). The Rule of Double Effect. Clearing Up the Double Talk. Archives of Internal Medicine, 159(6), 545-550, p.545).
----------------------
In the medical context, PDE means that “it can be morally good to shorten a patient’s life as a foreseen and accepted but unintended side effect of an action undertaken for a good reason, even if it is agreed that intentionally killing the patient or shortening the patient’s life is wrong” (Boyle, J. (1997). Intentions, Christian Morality and Bioethics: Puzzles of Double Effect. Christian Bioethics, 3(2), 87-88.)Authors
Denise Cooper Clarke
Megan Best
Michael Burke
Lachlan Dunjey
Kuruvilla George
Paul Mercer
Approved by CMDFA board November 6, 2010.
Christian Doctors Oppose Euthanasia Moves
Christian Medical and Dental Association of Australia
Press Release, 1st October 2010
TODAY The Christian Medical and Dental Fellowship of Australia (CMDFA) Ethics Committee opposed moves to legalise euthanasia in Australian Parliaments.
Executive Officer of CMDFA, Dr Michael Burke, stated ‘We affirm the dignity of all human beings and are committed to the relief of suffering and the provision of compassionate care in partnership with our patients and their loved ones. We firmly oppose any intervention which intentionally hastens death as a means of relieving suffering.’
The Association’s website explains that while CMDFA members do not oppose the withdrawal of futile treatment which artificially prolongs life in those whose death is inevitable and imminent, as Christians they believe the role of the physician is to first do no harm. The CMDFA ethics committee members are therefore opposed to a change of the law which would put them in the contradictory position of facilitating the death of people under their care.
Dr Burke further explained, ‘Euthanasia bills have been repeatedly debated and usually defeated. In the presence of suffering, a comprehensive and integrated approach is needed that addresses the physical, social and psycho-spiritual needs of all concerned. Hence we call for the continued strengthening of palliative care services and their increased accessibility for all Australian citizens. We call on all medical professionals to retain their commitment to patient centred, evidence based, Hippocratic medical care.’
Legalisation of euthanasia risks devaluation of the lives of the sick as well as creating an environment where the rights of vulnerable patients are threatened. Government reviews from the Netherlands repeatedly show that a significant number of patients are given euthanasia without explicit request or consent, despite the guidelines which aim to protect them.
‘For these reasons’ said Dr Burke, ‘we encourage further development of comprehensive palliative care services as a solution to the suffering of those in our community. Furthermore, we are firmly opposed to any moves to legalise euthanasia or physician-assisted suicide in Australia’.
25. Note that, The Priceless Life Centre, http://pricelesslifecentre.org.au/, Phone 1800 090777, is active in giving hope to those who have experienced an unexperienced pregnancy, and that the following statement is found on its web site:
Every year many thousands of unexpected pregnancies occur in Australia. This can be a very distressing time and often women and men who want information and support don’t know where to turn. In Queensland the Priceless Life Centre offers hope for those experiencing an unexpected pregnancy. We also provide quality values based education programs.
We are committed to ensuring women and men have access to accurate information and the support they require to make real and informed choices when pregnant. Our phone line is Queensland wide and we have opportunity for face to face appointments at Mt Gravatt, Alderley and South Brisbane.
The Priceless Life Centre is based on the Christian principles of valuing and respecting the lives of all people. The Priceless Life Centre was previously known as the Pregnancy Problem Centre. The PLC was established in 1996 and is a non-profit organisation.
Abortion Referral is not part of our service.
26. Request Sessions and Communicants who have an involvement with The Priceless Life Centre, to advise the Public Questions and Communications Committee of their assessment of the effectiveness of The Priceless Life Centre.
27. Note that, The Get a Grip Youth Wellbeing Project, is the strategic development and release of innovative youth sex educational programs focused on well-being, for youth aged 13 – 15 years, and that the following statement is found on its web site:
GET A GRIP teenz™ is for the youth of Australia. This eight week program for Grade 8 / 9 students (13 years and above), promotes smart choices and healthy relationships by answering the “Why?" and "Why not?” of sexual relationships. Teen Guyz and Girlz are encouraged to question the prevailing social attitudes, find value within the precious gift of sex, and gain a greater understanding of life, relationships and the body.
28. Request Sessions and Communicants who have an involvement with, The Get a Grip Youth Wellbeing Project, to advise the Public Questions and Communications Committee of their assessment of the effectiveness of The Get a Grip Youth Wellbeing Project.
29. Write to the Minister for Foreign Affairs and the Shadow Minister for Foreign Affairs requesting them to ensure that the newly created nation of South Sudan retains its sovereignty and that they take action to cease intrusions and disturbance by North Sudan and to ensure than South Sudan retains all its territory as set out by the signed peace agreement.
Extracted from the records of the General Assembly by me:
(Rev) R Clark Clerk of Assembly


