#1
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Religious freedom vs. medical care
Adults who believe in faith healing and the power of prayer eschew medical care. That’s fine for them, but what about children in their care? Last year, 300 children died because their parents belonged to Christian sects that refuse a doctor’s treatment. Not long ago, an 11-year-old Wisconsin girl with treatable diabetes died because her parents insisted on withholding treatment and merely prayed for her. The case went to court and the parent spent six months in jail. That seems like a nod to exceptions for faith-based neglect and/or manslaughter.
This is a real gray area. Should freedom of religion extend to denying lifesaving care to minors? |
#3
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I've heard of similar stories of minor children of Jehovah's Witnesses that need lifesaving treatments including blood transfusions, but their parents refuse care. There have been some instances where the state has had to intervene and petition the courts to overrule the parents.
No, I don't think religious freedom should be granted in that case. A legal adult should be able to refuse medical treatment, but not refuse to allow medical treatment for their minor children. |
#5
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It's not always faith-based in the religious sense, either.
There was a court-case here a few years ago in which the parents had refused conventional medical care for a toddler with leukaemia on the grounds that the treatment would be too traumatic and distressing (apparently, they thought that dying from leukaemia would not be). The court ordered the treatment to go ahead after taking into account the likelihood of the treatment being successful (our courts have historically refused to order the continuation of futile care). I find it equally disturbing when decisions about medical care for adults are made by family who do not share the religious/philosophical/ethical views about medical treatment which are held by a patient who is unable to give informed consent. I really don't see it as a "grey area" in terms of Constitutional rights. Australia's Constitution has an almost identical clause to the US Constitution regarding religious freedom, but our High Court has pretty consistently taken the view that religious freedom doesn't trump criminal or civil liability or magically waive a legal duty of care. |
#6
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My first marriage was to a Christian Scientist. If a family member was sick or injured, members of the church would come over to pray and “know the truth for it.” However, his parents had the good sense to understand that things like broken arms needed medical attention despite what Mary Baker Eddy thought. But there are religious extremists who are beyond the reach of common sense. Do we break down doors to remove their children with life-threatening conditions?
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#7
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We had this case in our region this year where parents refused chemotherapy for their son based on religious beliefs (some sort of holistic, herbal, new-agey thing, if I remember right). The mother even went so far as to "run away" with her son after the court ruled against the parents, although they later returned and submitted to chemotherapy as ordered. I think basing decisions about medical care on religious beliefs is laughable, but in this case I found myself more inclined to agree with the parents. I don't think their sage waving and random-vitamin therapy is going to save their kid's life, but he is their kid, so shouldn't they be the ones making this type of decision?
IMHO, believing that some sort of invisible Woo-Woo will cure your kid's cancer should be something that makes one ineligible to bear children, but we don't place those kinds of limits on reproduction in this country. If we're going to let just anybody choose to create children, then is it fair to tell them they can't make other life-and-death decisions for their kids? How about the anti-immunization forces ![]() I have strong feelings on both sides of this issue and no useful solution, and I'm glad I'm not in a position where I'll have to deal with it. It seems like the sacred-child-of-society slope is getting more slippery all the time. If I were a youngster like most of you folks, I'd be inclined to gather up my uterus and ovaries and go live in a cave. |
#8
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I went to school with a girl who was born with a hole in her heart. Her stepmother refused to allow her to have the surgery needed to fix it (when she was old enough, around 10 I think) due to religious reasons. She lived to be 13, and died in a hospital sometime between the end of eighth grade and the start of our freshman year of high school. I always thought her parents should have gone to prison for murder. Sad side story: apparently when she died she was already registered, and nobody notified the school that she wouldn't be coming. She was on all the teachers' rosters and was included in roll calls on our first day of high school and was marked absent all day until fifth period when somebody burst into tears in a history class and went and told the principal that she had died. If only she had just been absent.... |
#9
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FWIW, I'm in favour of adult children being able to sue their parents for failure to provide adequate medical care during childhood where that choice has resulted in provable, long-term damage. We attach that legal liability to perfect strangers, and IMHO the legal duty of care owed by a parent to a child should be significantly greater than that owed by any stranger.
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#10
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I fully agree that religious nutjobbery is no excuse for letting a family member die. It raises an interesting question though... who pays for it? If the parents object to, for example, life-saving chemotherapy for a kid on religious grounds, and we as a society say the kid has to have it anyway, do we also have the right to say the parent has to pay for it too? Or does society foot the bill? If so, that opens another huge can of worms: what about people who will claim religious nutjobbery knowing that means they won't have to pay the bills?
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#11
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#12
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I think the same should be true for people who don't take their children to the doctor because they believe in a magical man who lives in the clouds. The two play the same in my head. |
#13
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Hmm. Yeah, I guess if you're going to say (as I would) that religious freedom ends when you're endangering someone else's welfare, economic coercion isn't unreasonable either. So never mind, not that interesting a question after all! |
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#16
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It's like the adage of the drowning man who refuses help from passing boaters because he believes God will save him. When he dies and gets to heaven he demands to know why God didn't save him. God replies that he sent three boats by to rescue him, but he refused their help.
Perhaps instead of taking the tack that we know what is best for those who believe in faith healing, we should posit for them the possibility that God has sent to them medical solutions in lieu of miracles. It's not as though these parents want their children to die. They're just severely misguided. And taking children away from their parents, against everyone's will, is no less traumatic than the alternative. We should be working harder to find middle ground, because that's what tolerance really means. |
#17
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I think tolerance is pretty overrated. Some people are just stupid.
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#18
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Reactionary stupidity is no more noble than natural stupidity.
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#19
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In the cases I'm aware of, people have worked as hard as they possibly can to find a middle ground - the cases are in court because one hasn't been found and a time-critical situation exists which needs to be resolved. IMHO, some of these parents are choosing passive euthanasia for their own children while opposing euthanasia as a choice for others, but I don't think religion should enter into the equation at all - the only question the state needs to decide is whether or not the with-holding of treatment constitutes neglect or failure to provide, if it does, then intervene AND prosecute the parents. Tolerance should not extend to giving someone a free pass for endangering the lives of others (and yes, I believe that the parents of children who die because they've been left in cars on hot days should be prosecuted too), religious beliefs, political beliefs, or personal philosophies notwithstanding. Religion should no more be a "get out of jail free" card for parents who endanger their children's lives than it would be for a stranger who did the same. If anything, parents should be held to a higher standard of duty of care than pretty much anyone else in a child's life. |
#20
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On the other hand, I find it hard to see stupidity in wanting to protect children from very real harm inflicted on them because of their parents' stupidity. |
#21
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Just out of interest, at what age can a child give informed consent for medical care on their own in the US? Here, parents have no automatic right of access to their children's medical records once a child turns 14 and doctors can only violate their medical confidence under pretty extreme circumstances.
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#22
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Just because you don't believe it, doesn't make it a steaming load of crap. This is reactionary stupidity. I don't like it, therefore it must be dumb. |
#23
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And living in the same county as someone else should not grant you the right to dictate how someone else raises their child. Where is the line drawn?
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#24
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Right. |
#25
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I would assume 18 - at least in most States. |
#26
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The minute the government admits that prayer is an effective means of curing a disease, or admits that prayer is an approved alternate treatment at least the equal of proven medical solutions, that's when the churches line up to be counted as "healthcare providers." That's when the government starts to hand money over to any self-ordained nutjob who can wield an aspergillum.
That is as good a reason as any for governmental institutions like the DHHS, NIH, CDC, and FDA to regard "healing power of prayer" with the same scrutiny, and without sentimental attachment, as they would give any purported cure (such as rubbing your face with magic pizza, drinking dog piss, and sticking weasels up your butt). If prayer had any real, tangible, reliable benefit to the patient, and withstood rigorous double-blind testing, then sure — always bearing in mind what the standard for comparison is. Aspirin works even if you don't believe in it. |
#27
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Just short of forcing an innocent person to die so you can have that right.
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#28
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Every law is restricting someone's rights somewhere. The right to privacy, the right to free speech, the right to vote....ALL of our rights have limitations. Nowhere in the constitution do I recall reading a clause guaranteeing the right to smoke in a public place. In the same way, I don't recall seeing the 'right to raise one's children without interference from the state' in there either unless you're really stretching the privacy laws. Anyone claiming some inherent 'right' as a citizen needs to be shown a copy of the Constitution and asked which of those clauses they're applying. More often than not, people are confusing 'rights' with what they think they ought to be allowed to do. |
#29
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Why didn't Jebus save the kids? Maybe they were bad kids.
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#30
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Forcing? That's a little hyperbolic, don't you think? It's not as though these parents are throwing their kids into gas chambers.
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#32
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No, they're just letting them die. Dead is dead. It's not a little owie they'll recover from later and go on the talk circuit to whine about how weird their parents were. They are dead, and the people who are supposed to be caring for and protecting them sat back and let it happen. There is no excuse for that kind of neglect.
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#33
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But who are you to say that they're wrong? Can you prove that somewhere there's not a man in the clouds who approves of this?
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#34
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#35
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John, I think that is the single stupidest sentence you've ever written. When "the alternative" is near certain death of their child, taking the child away by force is several orders of magnitude of less traumatic.
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#36
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I'm just as legally restricted from allowing my children to marry before age 18, having my female children circumcised, denying my children an education, and having multiple spouses as any other Australian - and I'm unequivocably atheist. I am also restrained from failing to provide adequate care for my children (well, not now, because the youngest is about to turn 18). To take it a step further, I'm legally required to ensure that all children in my vehicle are wearing age appropriate restraints and that no-one in my vehicle smokes if there are children under 16 in the vehicle. I also cannot serve alcohol to under 18s. The law doesn't just regulate my responsibility towards my own children, it regulates my responsibility towards the children of others as well. And my religious, political or philosophical beliefs do not - and in my opinion should not - exempt me from complying with those laws. It really is quite interesting to see how two different nations with essentially the same establishment clause interpret its meaning. We also have quite different attitudes about the rights of parents in general (you can quite literally leave home here in your early teens without any need for formal "emancipation" from your parents, and there's a definite transfer of legal power from parent to child which starts happening around puberty). My contention is that if you allow parental power to be absolute, then you effectively make children the property of their parents in the same way that slaves were the property of their masters - and that is a highly undesirable legal status to inflict on anyone, let alone the vulnerable, IMHO. I really don't see any moral difference between a child dying as a result of the actions of the parents and a child dying as the result of their intentional inaction, and I don't believe that there should be a difference in legal culpability between abuse and neglect. A question for you. Peter Singer postulated a world in which parents would have the right to terminate the lives of their disabled children for a period of several years following birth. Do you really see any difference between Singer's proposal and giving parents the right to decide on the basis of their faith whether their child lives or dies? While I accept that there may be situations where causing active or passive harm to others may be the lesser evil, I reject absolutely the notion that religion/faith alone is ever sufficient reason for doing so. For the record, I do not believe that religious beliefs are inherently more worthy of tolerance than political or philosophical beliefs, so I'm using the word "faith" in a fairly broad context here. FWIW, I believe that the UK decision several years ago to compel the separation of conjoined twins was wrong, not because of the parents' faith but because the likelihood of either twin surviving the separation was so low. It was essentially experimental medicine and I don't believe that the courts should be able to compel that. Last edited by HoHoHo; 10th December 2009 at 08:10 AM. |
#37
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I don't need to. All I have to do is cite the law. Parents are free to believe whatever they like. They are not free to neglect or abuse their child. That is illegal.
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#38
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Can you prove that there's not some man in the clouds who wanted the World Trade Centre bombed? Or does your religious tolerance only extend to Christian beliefs?
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#39
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The Constitution contains no law against murder, for instance. Does that mean that murder is a right reserved for the people, according to the Ninth Amendment? I suspect that no court in the nation would agree. Quote:
Until that point, I think it should be treated as a specialized form of murder — murder by deliberate neglect — which is a crime we have empowered the state to prosecute. Otherwise, how do you draw a line between a parent who refuses to treat a child because he (the parent) believes in faith healing, and a parent who refuses to feed a child because the parent is a Breatharian? |
#40
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Unless you're positing that the bombers of the WTC were in fact the parents of the victims, that's not exactly a valid analogy.
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#41
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Said simply, there are crimes of omission as well as crimes of comission. Withholding medical care for your child in a life-threatening condition is the former, and should carry the same penalty as the latter.
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#42
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If one action which harms people based on religious belief is valid, so are they all. No picking and choosing. Either it's inviolate or it isn't. The hoho's analogy is valid.
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#43
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I disagree, but thanks for the ruling.
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#44
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#45
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Also, that's not even to say that I agree that religious beliefs permit any sort of egregious behavior, along the lines of letting children go without medical care OR bombing buildings. I think it's more of a question of personal autonomy as it extends to one's children, and religion as the basis for these decisions is irrelevant. If I don't think my child should receive treatment, it shouldn't matter why or why not; what really matters is whether I should be able to make this decision or not. Personally, I'm not sure where this line should be drawn, but I don't think the fact that terrorists don't have the right to commit bombings will affect my decision.
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#46
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This, I agree with. I don't think religion should enter into it. I think it's irrelevant why the parents want to act/fail to act, and the only issue is whether they should be allowed to do so for any reason.
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#47
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Because children are not considered able to make responsible medical decisions for themselves. Parents are expected to make those responsible decisions until such time as the law recognizes the children as adults. Failure to do so (regardless of the reason) is illegal, and at that point the state has the duty and the right to step in. U.S.C.A. Title 42, Chapter 67, Sec. 5106a orders states to provide services through CPS against medical neglect up to and including competency hearings against the parents should they withhold care. SHOULD you be able to make that decision? Yes. Unfortunately, there's no way of knowing if you're going to invoke some esoteric belief as an excuse for not doing what is in your child's best interest. So the state provides for that. Once again, refer back to my opinion WRT idealists and what 'should' be. |
#48
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That wasn't really my point. John essentially said, "I believe parenting is a universal and unabridged right, to be exercised at the discretion of the parents alone, and you have to prove why it isn't." I am putting the burden of proof back where it belongs, nothing more; if he wishes for that right to exist, on that basis, it is his job to prove it, not mine.
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#49
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For me, the acid test should be "the best interests of the child" and I believe that there exist (fortunately rare) situations in which the best interests of the child should be determined by someone other than the parents - especially when the consequences are irrevocable, and the need to make decisions is time-critical. As I've already said upthread, I absolutely believe that adult children should be able to sue their parents for any long term harm they have suffered as a consequence of their parents failing to provide appropriate medical care when they were fully able to do so. So know, I don't think that you, me, or any other parent should always have an absolute and inalienable right to make decisions which will harm my child to the point of death. When there is disagreement about what is "in the best interests of the child, I absolutely believe that the state has both a right and a duty to act as guardian ad litem for the child until the issue is resolved. Last edited by HoHoHo; 10th December 2009 at 09:15 AM. |
#50
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Giraffiti |
buff disagrees w her bf, buff is tuff, buff protects her bf, srs john is srsly hot |
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