Report: Pontifical Academy for Life
The Pontifical Academy for Life, on the occasion of its 11th General
Assembly held in Rome from 21 to 23 February, offered its Members
and beginning this year, an invited or interested public
an opportunity to reflect on and examine more deeply a scientific and
cultural topic of special timeliness.
With the contribution of international and highly qualified relators,
it examined the theme: Quality of life and ethics of health.
Today, to evoke these two terms, quality of life and health,
is equivalent to focusing public opinion on something more than a
political programme; it is almost like invoking "absolutes", the
greatest or even the only forms of good, to be pursued to the point of a
sort of divinization of health.
On the other hand, there are some who bring light to bear on the
emergence of new illnesses (those due to so-called "well-being") and the
abysmal injustice that is being created between the well-off and those
excluded from their table, which is evident within the individual
health-care sectors and also in the perspective of globalization.
Quality of life: magic words
The words or message, "quality of life", which first appeared in a
political document (a speech by United States President Johnson, who
succeeded John Kennedy as President), permeated Western cultures as a
political and financial ideal deemed sound for peaceful, powerful
societies, capable of producing the means not only to satisfy their
basic needs but also those that aspired to "well-being": social
security, health care, the enjoyment of their wealth, the improvement of
the ecological environment and the satisfaction of a certain number of
desires. After satisfying their needs, people affirmed the urge to
satisfy their desires; however, these have no predetermined limit.
This message converged with the utilitarian philosophy widespread in
English-speaking societies. Elaborated by the philosopher J. Bentham, it
has been renewed in our day by other philosophers (such as P. Singer, in
a sensist and materialist conception) to become an ideal: ethical good
must produce pleasure and eliminate pain. The political programme based
on the quality-of-life concept thus becomes an ethical obligation.
This change gave rise in turn to a corollary: the human being who
does not possess the desired minimal "quality" does not deserve to be
kept alive, hence, the proposal of eugenic parameters for the purpose of
selecting those who do deserve to be accepted or kept alive and those
who are to be abandoned or suppressed via euthanasia.
Self-awareness and the capacity for relating, that is, the "signa
personae", without which the person himself would not exist, have
often been proposed among the features that connote the minimum
quality of a life held to be worth living. This is how it is, for
example, in neo-contractual thought.
Such an ideal conception of "quality of life" thus inevitably
challenges the more traditional concept of the "sanctity of life",
misinterpreted as biological vitalism. This has also given rise to
contraceptive programmes: happiness means few, for quantity is the enemy
Health as well-being for all
In the meantime, the complementary concept of "health" had also
received a utopian and hedonistic impulse, since it was defined by the
World Health Organization (Preamble of the Constitution, 22 July 1946)
as a state of "complete physical, mental and social well-being, not
merely... as the absence of disease or infirmity". In another document
published by the same Organization, health is described as "the physical
and mental well-being necessary to live a life that is enjoyable,
productive and rich in meaning".
Such an ideal consequently impels society to plan "health for all",
even "free of charge".
It was soon noted, however, that financial resources are
insufficient, even for the most developed countries; so health
programmes have been downsized in order to face the problem of the
"allocation of resources for health care". This is a key theme for the
economy, for medicine and for all societies.
Obviously, some people are considering reducing expenditures on the
hospital "businesses", obliging them to revise the system of admitting
patients. Others seek to identify and define "needless expenses". For
example, might "needless expenses" be the sums spent on the terminally
ill? And this is a recognizable incentive to the legalization of
The consequences of this cultural process in the concept of health
have brought to the limelight the opposite of what had been proposed: a
culture that does not accept self-control, sacrifice or hardship, not
even in things that are paradoxically harmful to health; the rejection
of the element of "responsibility" for lifestyles; the overwhelming
desire to eliminate the concepts of disease, pain and death.
The miserable conditions, in terms of health and well-being, of the
developing continents and countries should also be remembered. In many
areas of Africa and Asia, for example, health service has been reduced
to the minimum due to the total lack of organized health care, doctors
and medicines, and has led to the interruption of therapeutic treatment.
The Pontifical Academy for Life also focused on this aspect during its
However, the relators and participants were also asked the
straightforward question: what concept of "quality of life" and what
ideal of "health" are compatible with cultural and historical realism
and further, with Christian anthropology?
We are convinced that the winning solution will consist in working
out a new, critical and positive perspective that approves the non-reductionist
concept of the human being (for this is the crux of the matter), a
concept that respects the unchangeable and equal dignity of every human
person as a creature of God, from conception until natural death; a
perspective that will refer to the fundamental value of life and respect
for the principle of ethical responsibility and will consider the human
being in the perspective of spiritual life, open to transcendence.
The 18 reports and 12 announcements that comprised the General
Assembly certainly made a valuable contribution to rethinking the
principles underpinning the society of "well-being", social justice and
the vision of the human being.