WJEC RE Model Answers Unit 2 Religion and medicine Religion and medicine 1. a. Explain what religious believers mean by the term conscience. Conscience is an innate moral sense that guides actions and responses. For example when faced with a moral dilemma it is often our conscience that directs us towards doing what is right/good. b. Explain how having a religious faith might influence someone’s choices in matters of life and death. Christians believe their faith helps them make important choices in life. Christians place great importance on the sanctity of life. They believe life is a sacred gift given to us by God and therefore ought to be respected. Many Christians will pray, read the bible or talk to a priest or vicar about important choices relating to life and death they may be faced with. Christians try to do what is right. They try to follow the will of God though this is sometimes very difficult especially when dealing with medical ethics. For example is abortion or euthanasia ever right and if so when? c. ‘It’s your body, you should be able to do what you want with it’ Give two reasons why a religious believer might agree or disagree with this statement. (i)Some Christians would agree with this statement. They might say that God has given us free will to make decisions about what we do with our own bodies. Some Christians believe that the individual has a right to choose what happens to their body and others should respect this right even if they disagree with the choices we make. (ii)Some other Christians will disagree with this statement. They might say that to do whatever we want to our bodies is selfish and we ought to stop and think about the consequences our actions have on others. For example does a foetus have rights or the relatives of the person that wants to end their life? Failure to think of others is selfish and unchristian. d. Explain from two different religious traditions the teachings about abortion. (You must state the religious traditions you are referring to) Catholic view = The Catholic Church take an absolute stance on abortion. The Catechism teaches that all human life including the life of the unborn is a precious and sacred gift given to us by God. They believe abortion is a sin because it violates the sanctity of life. Pope Benedict described abortion as ‘an intrinsically evil act’ that is beyond any justification. Therefore even in difficult situations such as when a girl has been raped or a foetus is severely disabled the Catholic Church remains totally opposed to abortion. They believe that the killing of the innocent is always wrong. Quaker view = Quakers take a relative view of abortion. They believe that the individual must search their own conscience and act in a way that is best for them. Therefore most Quakers will allow and support the right of a mother to choose whether or not she wishes to have an abortion and they would pray that the mother is guided by the Holy Spirit to make the correct choice. Quakers are well known for their tolerant attitude towards others and the decisions that they make. They tend to try and understand the choices a person makes rather than simply condemning them. e. ‘Doctors should do what the patients ask them to do’ Do you agree? Give reasons or evidence for your answer, showing that you have thought about more than one point of view. You must include reference to religious beliefs in your answer. Many Christians and indeed religious believers from other faiths will disagree with this statement. They will point out that doctors are in a privileged position of power and trust and that they should never abuse this position. At the beginning of their medical careers doctors take the Hippocratic Oath. This is a promise that they will never do anything to damage or destroy human life. Many Christians for example Catholics would say that because of this doctors should not consider carrying out abortions or euthanasia and should instead always respect the sanctity of life. In the case of voluntary euthanasia some people would argue that the patient’s wishes should be respected especially if that person had little quality of life. However many religious believers would say that sometimes patients don’t know what is in their best interests. Some patients would feel pressurised into ending their lives because they feel they are a burden to their families and to the health service. Other patients are depressed because of illness and in need of treatment not being killed. Some Christians would argue that doctors should not carry out IVF treatment either because it is unnatural. If God has decided for whatever reason that a person is not to have children then God’s will ought to be respected. Doctors have no right playing God even if it is what the patient wants. Some people will say that a person has the right to decide what they want to do with their bodies and that doctors should accept this. If a person is a sensible adult it is their right to choose what happens to them. They have the right to exercise their free will regardless of what others may think. I think doctors have a moral and legal responsibility to care for their patients and sometimes this will mean acting in a way different to what patients might want. They are the experts and often know what is in our best interests even if we disagree. 2. a. Explain what religious believers mean by the term free will. This relates to the belief that nothing is determined. For example when making moral decisions I am free to choose which course of action to take. I can do what is right or what is wrong, the decision is mine. b. Explain how having a religious faith might support the view that life is special. Christians believe that life is a special gift given to us by God. Christians believe that human beings are made in the ‘image and likeness of God’ and because of this all human life is sacred. Christians believe their bodies are temples and that the Holy Spirit lives in each one of us. Christians believe people should treat each other with dignity and respect because human life is so important (sanctity of life). This is also the reason why they are so against killing – ‘thou shall not kill’. c. ‘Free will means that I can choose when to end my life’ Give two reasons why a religious believer might agree or disagree with this statement. (i)Some Christians believe that God has given us free will so that we can take control of our own lives and make the important decisions in life including whether or not to end our own lives. This is why some Christians support euthanasia. They believe that a person has the right to live with dignity and when illness takes this away the person should be free to end their own life. Free will gives a person choice, power and responsibility. (ii)Some other Christians disagree. They believe that only God has the right to decide when a person’s life is to end. Life was given by God therefore it belongs to him and only he should decide when it ends. Life is a sacred gift from God and to destroy life is a mortal sin. d. Explain from two different religious traditions the teachings about euthanasia. (You must state the religious traditions you are referring to) Catholic view = Catholic teachings take an absolute position on euthanasia. Catholics believe that all human life is sacred (sanctity of life) and ought to be respected. The commandment says ‘thou shall not kill’ and Catholics believe this refers to euthanasia also. Even in a situation where a person is suffering greatly and wants to die the Church teaches that this is a sin. Life is precious and every effort must be made to protect and preserve life even where the quality of life is low. Pope John Paul II once famously said ‘we live in the midst of a titanic struggle between a culture of death and the Gospel of life’. He taught that we should always choose life over death. Quaker view = Quakers take a relative approach to euthanasia. This means they make a decision on euthanasia based on the particular situation. Therefore in some situations Quakers would respect a person’s wish to end their life prematurely especially in cases where a person was terminally ill and suffering greatly. However Quakers value life very highly and would encourage people to live with illness where possible because even when a person is very ill they can often still enjoy a quality of life. Euthanasia should therefore never be seen as a first choice. Quakers seek to embrace and cherish life; they seek to find the good in every situation even when this is extremely difficult. e. ‘Life belongs to God, nobody should intervene’ Do you agree? Give reasons or evidence for your answer, showing that you have thought about more than one point of view. You must include reference to religious beliefs in your answer. Many Christians would agree with this statement. According to the book of Genesis God made man ‘in his own image and likeness’. Christians consider human life to be sacred because it was God given and because they believe the Holy Spirit lives in each one of us. Many Christians believe that people have no right making life and death decisions whether this be in relation to abortion, euthanasia, IVF, the death penalty etc. Many religious believers from other faiths including Jews, Muslims, Hindus and Sikhs also believe that all life belongs to God. God is considered to be the supreme creator and therefore only he has the right to make life and death decisions. For people to try and play the role of God is wrong/sinful. However there are many people that would disagree with this statement. For example atheists believe there is no God therefore life belongs to the individual. Therefore when it comes to making life and death decisions many atheists believe that the person should decide for themselves what they wish to do. They do this by following their own conscience. Some religious believers believe that God creates life but then he gives it over to us and it is therefore our right to make life and death decisions in relation to issues such as abortion and euthanasia. God gave us free will to make decisions. He also gave us instructions and guidance to help us make the correct decisions through the bible, Jesus and the Church. I think all life does belong to God because he has complete authority over all of creation. God gave us life therefore he alone has the right to decide when that life should end. Once people begin to play God it causes a lot of problems for example do doctors have the right to create ‘designer babies’ or end someone’s life because they believe the person has no real quality of life? 3. a. Explain what religious believers mean by the term Hippocratic Oath. This is a special promise made by those working in medicine to do their best to preserve life. For example this means a doctor should always try and treat their patients to the best of their ability and never to harm or breach patient confidentiality. b. Explain how having a religious faith might influence a persons’ attitude towards abortion. Some Christians e.g. Catholics are against abortion because it violates the sanctity of life. Catholics believe all life including that of the unborn is a sacred gift from God and ought to be protected. Many Catholics join organisations such as Pro-Life or SPUC to campaign on behalf of the unborn. These religious believers see abortion as breaking the commandment ‘thou shall not kill’. Abortion for them can never be justified. c. ‘People should be able to choose the gender of their baby’ Give two reasons why a religious believer might agree or disagree with this statement. (i)Some Christians will disagree with this view because they think any kind of genetic engineering is unnatural. God chooses who should be born what gender they should be, what eye and hair colour they will have and the type of person they will become. People have no right interfering in the natural process and trying to play the role of God. (ii)Some other Christians may disagree. They might argue that God gave us intelligence so that we could improve the natural order. God allowed us to develop the skills and technologies needed to be able to carry out IVF or genetic engineering. God also gave us a conscience and free will to make difficult decisions in life. Therefore if done for the right reasons then people should be allowed to choose the gender of their baby. d. Explain from two different religious traditions the teachings about free will. (You must state the religious traditions you are referring to) Catholic view = The Catechism of the Catholic Church teaches that when God created mankind he created rational and intelligent creatures. God gave mankind the ability to control his own actions. Free will allows a person to shape their own life. Catholics believe that free will is a force for growth and maturity in truth and goodness. If used correctly free will should direct us back to God, we will act in a way that pleases God and allows us to achieve salvation. If used incorrectly free will allows a person to sin and move away from God. Church teachings help Catholics to use their free will correctly. Quaker view = Quakers believe that there are many paths to God. They believe that God reveals himself to people in different ways and therefore people have the freedom to listen to the truth revealed to them and then act according to their own conscience. Quakers, unlike Catholics do not believe in absolute truths such as ‘abortion is always wrong’. They believe that the right thing to do varies depending on the situation. They will use free will to try and do the most loving thing in a particular situation. Quakers believe that silent worship and God’s Spirit will help them use their free will correctly. e. ‘Decisions about birth and death should be left to God’. Do you agree? Give reasons or evidence for your answer, showing that you have thought about more than one point of view. You must include reference to religious beliefs in your answer. Many Christians will agree with this statement. Christians consider God to be the supreme authority because he is the creator of everything that exists. Christians also believe that God is omnipotent (all powerful), omnibenevloent (all loving) and omniscient (all knowing) and because of this God alone has the right to make decisions about birth and death. Some Christians would disagree with the statement. They might claim that whilst God is the supreme authority he nevertheless gave us free will and dominion over the earth and the creatures in it. God trusted mankind and gave us the skills and abilities to make important decisions including those about birth and death. This is why some Christians will support abortion as ‘the lesser of two evils’ in some cases i.e. rape or if the mother’s life is at risk (this is also known as the theory of double effect). It is also the reason why some Christians support euthanasia. They argue that God would not want people to needlessly suffer and that a truly loving and merciful society would pass laws that allow a person the right to die when there is no quality of life. Atheists would argue that God does not exist and that man alone should make the important decisions about life and death. Some would say that laws are made by people based on what people want and what they think is right. I think there is too much interfering in the natural process concerning life and death. Increasingly people and particularly doctors are playing the role of God and I think this is causing many problems that could easily be avoided. For example women in their 60s receiving fertility treatment or people in wheelchairs claiming they have no quality of life at all and wish to die. For me neither of these examples is right and should not be allowed. 4. a. Explain what religious believers mean by the term medical ethics. These are the moral principles that affect medical issues and practices. For example it is generally considered wrong for a doctor to deliberately harm his/her patients. b. Explain how having a religious faith might influence a person’s views on euthanasia. Some Christians believe that an all loving God (omnibenevolent) would not want a person to suffer immense pain and indignity when there is no hope of recovery. They would argue that in cases where there is very little or no quality of life at all then a person ought to be allowed to die. In some cases euthanasia is the most loving and merciful thing to do. To allow a person to carry on suffering is not only cruel it is also unchristian. Jesus used miracles to end the suffering of others but in situations where miracles are not forthcoming a person’s right to die with dignity should be respected. c. ‘Hospice care is better than euthanasia’ Give two reasons why a religious believer might agree or disagree with this statement. (i)Some Christians would agree. They would argue that palliative care is often so good that many patients are in little if any pain at all. Also every effort is made in hospices to protect the dignity of patients. Time spent here is also very valuable as it gives loved ones time to spend in each other’s company. Dying naturally also respects the sanctity of life. (ii)Some other Christians would disagree. Patients in hospices are often in a lot of pain and discomfort. Even when powerful painkillers are used to remove physical pain there remains the mental torture of dealing with your own death and the grief this causes loved ones. Christianity is based on love, compassion, mercy and empathy. Surly these values allow for a person to have their lives ended prematurely avoiding continual needless suffering and indignity when all quality of life has been removed. d. Explain from two different religious traditions the teachings about IVF. (You must state the religious traditions you are referring to) Catholic view = The Catholic Church teaches that fertility treatment is unnatural and therefore immoral. Through IVF embryos are discarded or used for medical research and this violates the sanctity of life, given that life begins (according to Catholics) at conception not birth. In the Acts of the Apostles we are told that ‘every child whether born or unborn is a child of God’ therefore the destruction of embryos is a violation of the commandment ‘thou shall not kill’. Artificial Insemination is equally unnatural and given that sperm from a donor is often used it violates the exclusive relationship between husband and wife. Furthermore Psalm 127 clearly points out ‘children are a gift; a reward from God’. Therefore Catholics believe children are a precious gift not an absolute right that every person has. Quaker view = Quakers are generally in favour of IVF. Many Quakers believe that fertility treatment aids and assists the natural process of creation and therefore ought to be welcomed and embraced. After all we have been instructed by God in the book of Genesis to ‘go forth and multiply’ and fertility treatment helps this to happen. Fertility treatment allows infertile people to experience the love and joy of parenthood and brings a sense of fulfilment to those involved. The failure to have children can cause pain and tension within a relationship. Fertility treatment can help overcome these problems and is therefore seen as a good thing by many Quakers. e. ‘Scientific advancements cause more problems than they solve’. Do you agree? Give reasons or evidence for your answer, showing that you have thought about more than one point of view. You must include reference to religious beliefs in your answer. Some Christians would agree with this statement. Advancements in science are making medical ethics more and more complicated. Whilst developments in science and technology help to save lives and to improve the quality of peoples’ lives it does cause new problems. Contraception, fertility treatment, designer babies, cloning etc simply weren’t problems until relatively quite recently. Now due to advancements in science doctors are increasing playing the role of God when it comes to making important decisions relating to life or death. Some Christians argue this is unnatural and immoral. Take the example of abortion. Advances in science means that more illnesses or abnormalities can be detected during the course of the pregnancy and this might well encourage more women to have abortions. This for many Christians is a violation the sanctity of life. Some Christians and religious believers of other faiths would argue that scientific advancements solve more problems than they cause for example new and more effective medicines and procedures such as the ability to save premature babies as young as 22 weeks. Science also allows us to have a more developed knowledge and understanding of the universe. I think science is a tool and just like any other tool it can be put to good use or it can be abused. This is not the fault of science but the people that use it. Therefore advancements in science can be of great use but it can undoubtedly cause many problems also. 5. a. Explain what religious believers mean by the term quality of life. This refers to the extent to which life is meaningful and pleasurable. For example a fit and healthy young person would be said to have a very good quality of life. b. Explain how having a religious faith might influence a persons’ attitude towards IVF. Catholics are taught that fertility treatment is unnatural and therefore immoral. Through IVF embryos are discarded or used for medical research and this violates the sanctity of life, given that life begins (according to Catholics) at conception not birth. In the Acts of the Apostles we are told that ‘every child whether born or unborn is a child of God’ therefore the destruction of embryos is a violation of the commandment ‘thou shall not kill’. Catholics would therefore avoid using IVF and encourage others to do likewise. c. ‘Euthanasia is always wrong’ Give two reasons why a religious believer might agree or disagree with this statement. (i)Some Christians would agree with this statement. They believe that human life is of great value. Biblical teachings that reflect this view include, ‘God created man in his own image’, ‘you yourselves are God’s temple’ and ‘rescue the weak and the needy’. Perhaps the clearest teaching about the sacredness of human life comes from the Commandment ‘thou shall not kill’ instead Christians are expected to ‘love their neighbour’. Euthanasia it would seem goes against these teachings. (ii)Some other Christians believe that in certain circumstances doctors ought to assist in the ending of someone’s life. In such cases the patient may be in extreme pain and discomfort due to a terminal and debilitating illness and therefore have no real quality of life. Or perhaps the patient is in a persistent vegetative state (P.V.S.). These Christians feel that helping someone to die with dignity is the right thing to do. They often argue that God loves us and that He would never want people to suffer needlessly. Therefore those who assist others in their death through active euthanasia are motivated by a sense of love, compassion and empathy and these are considered to be key Christian values. d. Explain from two different religious traditions the teachings about medical ethics. (You must state the religious traditions you are referring to) Catholic view = The Catholic Church teaches that all medical research and treatments ought to respect the sanctity of life. They believe that the natural law as intended by God should be respected. The Catholic Church believes that certain medical treatments are wrong such as abortions, euthanasia, and IVF because they go against the natural order. The Church considers these actions to be sinful because human life is being destroyed. The Catholic Church takes an absolute position in protecting all forms of human life whether it be that of the embryo, the foetus or the terminally ill pensioner – ‘all human life is sacred and must be protected’. Quaker view = Quakers do not hold one clear set of teachings in relation to medical ethics. Instead they allow each individual to search their own conscience and decide for themselves whether or not certain medical treatments are justified or not. Therefore in certain situations some Quakers would support a woman’s right to choose in relation to abortion or for childless couples to undergo fertility treatment. Similarly in certain situations some Quakers would respect the wishes of a person who wanted to die. Quakers believe that there are many paths to God and that they should be respectful and tolerant of the views of others. They try not to judge or condemn the actions of others instead they try to be understanding. e. ‘A women should not be able to ask for an abortion’ Do you agree? Give reasons or evidence for your answer, showing that you have thought about more than one point of view. You must include reference to religious beliefs in your answer. Catholics and some other Christians would agree with this statement. The Catholic Church teaches that no woman has the right to ask for an abortion. According to their teachings human life begins at the moment of conception and that all human life is a sacred gift given to us by God. As such we have a moral responsibility to protect and preserve life in all its forms especially that of the weak and the vulnerable – ‘rescue the weak and the vulnerable: deliver them from the hand of the wicked’. Organisations such as S.P.U.C and Pro-Life support the Catholic viewpoint on abortion. The Salvation Army hold a similar viewpoint. They too believe that every effort must be made to treasure and cherish human life however in extreme cases they will allow abortion for example if the foetus was the product of an incestuous relationship. Many Christians will use biblical teachings to support their views on abortion. They may refer to the commandment ‘thou shall not kill’, or the teaching in Genesis that ‘God created man in his own image and likeness’ to support their claims. Biblical and church teachings are often used as evidence to support and justify certain ethical viewpoints. Some Christians disagree with this statement. They believe that a woman should be allowed to ask for an abortion in certain conditions. Despite claiming to recognise and appreciate the sanctity of human life certain Christians amongst them some Anglicans, Lutherans, Baptists and Methodists claim that in certain situations abortions are permissible. Reasons for this may include if the woman has been raped. Or perhaps she is too young, too poor or the baby she is carrying is severely disabled. Many within the United Reformed Church hold similar viewpoints. Here abortion is regarded as the lesser of two evils. Some Pro-choice supporters claim that a woman has a right to decide what happens to her body and if she wants to have an abortion even for social reasons i.e. pregnancy interferes with education, career, looking good in a bikini while on holiday etc. then this is her right. I personally believe that abortion is wrong and I believe the law that permits abortion in the UK ought to changed. This would help to reduce the number of abortions that take place each year (approx. 43 million worldwide!!!). Whilst I can empathise with the girl who has been raped or living in extreme poverty nevertheless I don’t quite see how this justifies abortion. Alternatives such as adoption, fostering or care homes still exist. I consider the unborn themselves to be innocent and voiceless and as such I believe that we have a moral duty to do all in our power to protect them. 6. a. Explain what religious believers mean by the term sanctity of life. This means life is precious and utterly priceless. For example a person’s life should never be bought or sold because it is beyond monetary value. b. Explain how having a religious faith might influence someone’s attitude towards medical ethics. Many religious people have very clear views about medical ethics. Catholics for example are taught that abortions, euthanasia and IVF are wrong because they go against the sanctity of life. They believe that in all three cases human life is being destroyed and this goes against the commandment ‘thou shall not kill’. Another example of how a person’s religious faith might affect their attitude towards medical ethics is that of Jehovah witnesses and their views on blood transfusions. Jehovah Witnesses believe that the bible forbids the ingesting of blood therefore even in a medical emergency they will refuse blood transfusions. c. ‘If the doctors can do it, then it must be right’ Give two reasons why a religious believer might agree or disagree with this statement. (i)Some Christians will disagree with statement. Just because someone can do something this does not mean that they ought to do it. Doctors can perform abortions yet many religious believers such as Catholics would criticise them for doing so because they believe this goes against the sanctity of life and is therefore sinful. (ii)Some other Christians will disagree with this statement because there have been examples of doctors acting in ways that have gone against the wishes of their patients and their families. An extreme example was Harold Shipman who was a family GP from Manchester. He killed many elderly patients in his care despite having taken the Hippocratic Oath. Just because he had the medical expertise to act in this way did not make it right. Religious believers from all different faiths were appalled at his actions. d. Explain from two different religious traditions the teachings about the sanctity of life. (You must state the religious traditions you are referring to) Catholic view = The sanctity of life is an important part of Catholic teachings. Catholics believe that all human life is created by God and is therefore sacred. Catholics believe that humans are created in ‘the image and likeness of God’ and that any violation of the sanctity of life is sinful. We are the reflection of God. His image is captured in us. This highlights the special bond that exists between God and mankind. We are not the product of some random event. There is nothing accidental about us. We are valuable and precious in his eyes. This belief is reinforced by the commandment ‘thou shall not kill’ because of this many Catholics are against war, capital punishment, abortion, suicide and euthanasia. Quaker view = Quakers tend not to hold absolute views in relation to most things. However Quakers do strongly believe in the value of human life. Quakers believe that we should treat one another with dignity and respect. This is why Quakers are so against the use of violence and war. However in certain situations Quakers will accept the use of artificial contraception, abortion, fertility treatment and even euthanasia. They are very much guided by their individual conscience and if in a particular situation a person’s conscience allowed it then they would consider this course of action to be right. e. ‘Euthanasia is just another name for murder’ Do you agree? Give reasons or evidence for your answer, showing that you have thought about more than one point of view. You must include reference to religious beliefs in your answer. Some Christians would disagree with this statement. They believe that in certain circumstances doctors ought to be allowed to assist in the ending of someone’s life. In such cases the patient may be in extreme pain and discomfort due to a terminal and debilitating illness. Or perhaps the patient is in a persistent vegetative state (P.V.S.) and has no quality of life. Some Christians feel that helping someone to die with dignity is the right thing to do and is therefore no way like murder. They often argue that God loves us and that He would never want people to suffer needlessly. Therefore those who assist others in their death through active euthanasia are motivated by a sense of love, compassion and empathy and these are considered to be key Christian values. Refusing to end the suffering of another is cruel and inhumane. This is the view taken by Debbie Purdy and her supporters. She is campaigning for a change in British law that would allow her husband to assist her in her death abroad but avoid prosecution on return to this country. There are also those in society who claim that a person ought to have the right to decide how and when their life is to end. It may be argued that this is a basic human right which respects the free will of the individual. Pro euthanasia groups such as Dignitas and Exit support this viewpoint. Again they reject claims that euthanasia is similar to murder. Many Christians strongly oppose all forms of active euthanasia. They believe that human life is of great value. Biblical teachings that reflect this view include, ‘God created man in his own image’, ‘you yourselves are God’s temple’ and ‘rescue the weak and the needy’. Perhaps the clearest teaching about the sacredness of human life comes from the Commandment ‘thou shall not kill’ instead Christians are expected to ‘love their neighbour’. Catholics take an absolute stance against all forms of active euthanasia. Teachings from Vatican II make this very clear, ‘life must be protected with the utmost care’. Pope Paul VI later declared ‘human life is sacred; all men must recognise this’. I personally believe that all forms of active euthanasia are morally wrong and I do think them similar to murder. The taking away of human life is in my opinion always wrong. Whilst I can empathise with the person who is terminally ill and wants their suffering to be brought to an end, I still believe alternatives exist. The vast majority of pain can be managed and many people can still enjoy a certain degree of quality of life despite their illness. Life ought to be cherished and celebrated not devalued and brought to a premature end. Finally many people have gone on to recover despite being told their illness was ‘terminal’.