# LCMS Convention Workbook_St. Louis Missouri_1981_S407 # Machine transcription, uncorrected — CHI Digital Archive (demonstration) 406 THEOLOGICAL DOCUMENTS (c) When possible treatment involves grave burdens to oneself and to others: and (d) When there are no mgans left to relieve pain and no hope of recovery remains. The very listing of these considerations indicates the degree to which medi- cal judgment is involved in the decision as to whether or not to employ heroic measures in situations where no reasonable hope of benefit or of success appears to exist, or where. in addition. excessive discomfort and or cost are involved. The facts in a given case do not always present themselves in a clear-cut fashion. If medical judgment indicates that a patient is irretrievably in the process of dying. it is possible for a physician licitly to choose, for example. not to treat new infections or emergencies. even those which are likely to hasten the death process. 16 Il. ETHICS IN THEOLOGICAL FOCUS Having discussed in some detail the definition of important terms, it is now necessary to turn to the major spiritual and moral considerations involved in discussing the question of euthanasia. In order to get a proper perspective on this vital matter which affects both faith and life, it will be helpful to examine it on the basis of the Apastles’ Creed. In this formal staternent of faith we confess our faith in God who, as Creator, Redeemer and Sanctifier, deals with life in its totality as well as in its everlastingness. It would be difficult to imagine a more comprehensive instrument of appraisal than this formulation of the Christian faith as confessed and taught by countless church members down through the ages. 1. Life Is the Creator's Gift God created human beings to live and not to die. Death in any form is inimical to what God originally had in mind for His creation. Death is the last great enemy to be overcome by the power of the risen Lord (1 Cor. 15:26). To speak of ‘death with dignity” or ‘merciful release,” therefore, consists of engaging in unholy rhetoric. Death entails destruction, separation and loss. None of these is part of the image in which God once created the human race (Gen. 1:26). Dying, therefore, is not just another point in the cosmic process or in the experience of living, as it is sometimes made out to be. Living is the only proper response on the part of a being created by the God of life. Death is the very negation of what God has given. Had it not been for man’s own rebellion against the kind of intended relationship established by having been fashioned in God's image. there would be no death. In that case even the word “euthanasia” would never have occurred to anyone. It is written of man in Gen. 2:7 that God breathed into him His very own spirit to tum him into a living being. When death, therefore, is described only in terms of the total stoppage of the circulation of blood and the cessation of the animal and vital functions, or even as irreversible coma, that may not say enough. For behind such a statement is a view of human life which identifies it solely with that of the animal kingdom. This does not do justice to the biblical revelation, which insists that people were not made to die like dogs in a ditch. While the Scriptures depict the animals as also having {or being) nephesh (soul), human beings are described as being unique in the sense that they are endowed with ruach (spirit). Dying, therefore, is called giving up one's spirit, as for example in John 19:30, where we read of Jesus’ death on the cross (cf. also Eccl. 12:7). The use of the criterion of “brain death” has contributed to a more constructive discussion in depth of the subject at hand. This yardstick is based on the death of the cortex, whose obliteration makes it virtually impossible to 18 Il. ETHICS IN THEOLOGICAL FOCUS 17 distinguish between a living patient and an unburied corpse. Such a person is dead in the most elementary sense of no longer being able to respond within the parameters established by the fact that he or she has been created in the image of God. Death by every definition represents a defeat. It runs counter to every sustained expectation of each person as a living being. Having been made in the image of that God who is Life itself, human beings, even in their fallen estate, have within them a vague awareness that they are in this world not just for the purpose of leaving it by one of ‘‘death’s thousand doors.” The psalmist’s resistance to dying typifies the biblical view of death. He expressed his thanks to God in these words: ‘‘Thou hast kept me alive, that I should not go down to the pit” (Ps. 30:3b). To be sure, the apostle Paul freely expressed the wish to depart and be with Christ as a status “‘far better” than temnaining in the flesh (Phil. 1:23). At the same time, however, he realized that it was more necessary for him to carry on here in his morta] body on account of his converts to Christianity. At the end of his life, which had been full of suffering of every kind, he was quite ready to acknowledge that the time of his departure had come (2 Tim. 4:6). Yet he did so on the conviction that the moment of his violent death had been established in the counsels of his God and Lord. Unlike Seneca, the apostle gave no thought to taking his own life as a way of nobly leaving the hardships of this present existence. Death is an intensely personal experience. For man is not just ‘‘a brother to the insensible clod,"’ to quote William Cullen Bryant Dying is nowhere described in Scripture as gentile absorption into the Great All. At the same time, death does not occur apart from considerations for the totality of all things. There is a sense in which the individual's death is intricately woven into the fabric of God’s permissive will for the whole of His created order. By revelation the apostle Paul could hear the dark language of nature’s pathos as it eagerly looked forward to the liberation of all creation from “‘the servitude of corruption” (Rom. 8:21). John Milton was indebted to the apostle for this insight, when he wrote: Earth felt the wound, and Nature from her seat, Sighing through all her works, gave signs of woe That all was lost (Paradise Lost, IX, 780-782). Hence the created world engages in that symphony of sound referred to by the apostle as groaning together in travail (Rom. 8:22). Death and corruption are alien powers that seem to triumph everywhere except for that destiny which is associated with the resurrection of the body to eternal life on the part of those who take God at His word. It is within God’s purview alone to decide on the moment when the indi- vidual is to share that life which lies beyond death in a world restored to a splendor even greater than that of its pristine purity. Within the context of this certain hope, mercy killing runs squarely against the grain of the will of a gracious Creator, who allows an alien power to fell man by way of death for 19