Making Moral Decisions in Medicine

Our guest blogger this week is Matt Tabbut, a second-year med student (and Cedarville alumnus) at Chicago's Rosalind Franklin University.

At this stage of my medical education, I have begun to look at some practical ethics case studies. There are a few beacons, or waypoints, that I use to help guide me in making decisions. Consider the following.

1. Faith - As a Christian, my faith plays a vital role in moral living. This worldview based on Biblical principles and mandates serves as an anchor or foundation upon which to make ethical determinations. At the heart of Scripture is the concept of loving God and loving others. Thus, the Bible establishes immutable, transcendent, and absolute principles that serve as the ultimate authority in my moral and ethical dealings.

2. Reason - Reason is at the heart of all philosophical thought. However, reason alone (i.e. not tempered by a foundation based on principles - see point 1) is a slippery slope leading to consequences that we may not perceive or be willing to accept. But in my moral deliberations, I should not only be able to provide supporting arguments from faith, but should also be able to communicate arguments from reason that can be accepted more universally.

3. Precedent – A good argument can often be made from analogy, and history can help to clarify ethical dilemmas. Finding correlations with other related situations may shed light on the current problem.

4. Instinct - At least in the negative sense, this is sometimes called the "yuk factor," - another way of describing our gut reaction. Though decisions cannot be made solely on feeling, our gut reaction can give insight as we look other well-founded arguments.

The Pursuit of 'Happyness'

Actor Will Smith received a Best Actor nomination in 2006 for his role as Chris Gardner, a stuggling single father of a five year-old boy. "The Pursuit of Happyness" was inspired by a true story, and is a moving portrayal of courage, tenacity, and street smarts, as the hero tries to make it as an unpaid intern in a San Francisco brokerage firm. At times homeless, at times lying to make a sale, his career finally takes off, and he eventually makes his fortune on Wall Street.

I enjoyed the movie, but it also bothered me a bit. At the very end, I found myself wondering, "Is that it?" Is money the secret of 'happyness?' The film seemed to be saying that material wealth is the goal we should all strive for.

Aristotle taught that moral virtue was the real secret of happiness, and the most important thing to aim for in life. It is also an unlimited good - in other words, you can never have it in excess. Contrast this with Aristotle's view of wealth, as a means to a more noble end, but never an end in itself.

For more, see Mortimer Adler: Aristotle for Everybody

Seeing These Calamities to Their End

January 21st was National Sanctity of Human Life Day. On this day, 34 years ago, the U.S. Supreme Court legalized abortion for any reason. Our guest blogger this week is Murray Vasser, President of Cedarville Students for Life.

In 1783 the slave trade dominated the world’s economy and was deeply entrenched in a morally oblivious society. No one suspected that one of the most influential lobbying powers in Britain was about to be overthrown by a twenty-five-year-old divinity student. As part of an academic literary competition, Thomas Clarkson wrote an essay on the slave trade. As he studied slavery, he became consumed with the horror of it: "In the night I had little rest. I sometimes never closed my eye-lids for grief." On his way to London, this struggle reached a climax: "I sat down disconsolate on the turf by the roadside and held my horse. Here a thought came into my mind, that if the contents of the Essay were true it was time some person should see these calamities to their end."

With that resolution, Clarkson and a small group of friends started a movement that changed the world. By distributing pamphlets, signing petitions, and lobbying Parliament, they awoke a nation’s conscience. In 1807 the slave trade was abolished.

Today we live in a society where 1 out of 4 pregnancies (excluding miscarriages) end in abortion, resulting in more American deaths each year than in all past military conflicts combined. Cedarville Students for Life is an organization committed to "seeing these calamities to their end." Join us on Thursday, February 1st @ 7:00 in ENS 245 to hear Mrs. Paula Westwood, director of Right to Life of Greater Cincinnati. She will be speaking on student activism.

If you wish to join Students for Life, or would like more information, the E-mail address is: studentsforlife@cedarville.edu

The Language of God

I have always thought that Dr. Francis Collins is a pretty cool guy. When I first met him in 1992, I was impressed by his engaging personality, his love of playing the guitar and riding motorcycles, and his unabashed Christian faith.

Dr. Collins is the head of the National Human Genome Research Institute, and directs the Human Genome Project, the $3 billion project to define the DNA sequence of human beings. The first 'rough draft' was completed in June, 2000, with the essentially complete sequence revealed in April, 2003.

A geneticist and physician, but also an evangelical Christian, Dr. Collins uses these various perspectives to harmonize science and faith in his best-selling book, The Language of God: A Scientist Presents Evidence for Belief (Free Press). He refers to the genetic code as "God's Instruction Book," and attests to the creativity and beauty inherent in this most basic blueprint of our biological nature.

After sharing his personal journey into faith, Collins makes a compelling case for his committment to theistic evolution. He criticizes Young-Earth Creationism (YEC) for "ignoring" clear scientific evidence for evolution, and takes Intelligent Design to task for not being "scientific enough."

Now I do not agree with Francis Collins here. I think he is much too hard on YEC, and too dismissive of Intelligent Design. It seems reasonable that our Creator would allow us to see the evidence of His handiwork in the creation around us.

Yet I appreciate Collins' love of God, and his willingness to see that human beings are more than their genes:

[The] DNA sequence alone . . . will never explain certain special human attributes, such as the knowledge of the Moral Law and the universal search for God (p. 140).

This common knowledge of God's Moral Law is why we have such broad agreement on ethical basics across many cultures and worldviews. And the yearning after God can never be ascribed to natural selection and the survival of the fittest.

So read The Language of God with thoughtful care. Despite my disagreements with his evolutionary viewpoint, Francis Collins demonstrates that science and faith are not incompatible. I would be glad to have coffee with him and talk about the things of the Lord. Maybe sometime he'll even give me a ride on his motorcycle.