Training and Resources

g Light & Life Communications

g FM Evangelists

g Discipleship
Study Aids
Book Reviews

g Church Resources
Curriculum materials
Membership Resources

g Free Resources
Book of Discipline
Pamphlet - "Is God Calling You to Ordained Ministry"
Local Ministerial Candidate Handbook
Reducing the Risk of Child Sexual Abuse
Pastor's Handbook
Deacon's Handbook
Ordaining Women

The Christian's Secret of a Happy Life

g For Pastors and Servants
Sermon Helps

Book Samplers

g Certificates
Annual Conference Credentials

Transfer (Conference Level)
Transfer (Denominational Level)


 

Bioethical Decisions and Today's Christian:
Finding Your Way Through The Morass of Today's Overwhelming Medical Ethical Dilemmas

13-Lesson Overview by Robert E. Cranston, M.D. Neurologist & Bioethicist

(Click here for permission to reproduce this material free of charge.)          

 

Introduction

The end of the 20th century has brought unusual technological advances to our society. Christians today face dilemmas that were completely beyond imagination just a few years ago. Abortion became legal in the U.S. in 1973. Organ transplantation came into its own in the latter half of the century. When I attended medical school in the late 1970s, AIDS was not a part of standard medical school curriculum. Since then, the AIDS epidemic has exploded in America and around the world.

New diseases, technologies, and health treatment options raise many complicated questions. When does life begin? When does death transpire? What is "Quality of Life", "Sanctity of Life", and how do they differ from each other? When is care futile? Who owns the life that we each live?

Christians are to be light in a dark world and a seasoning salt in a corrupt society. If we are to serve God in these roles, we must engage the prickly issues of the day. To do this John Wesley used four tools to make decisions that have since been labeled the Wesleyan Quadrilateral. These are: Scripture, Reason, Tradition-including the wisdom of the Church through the ages, and Experience-including God's work in our lives and the inner witness of the Holy Spirit. We will always observe and respect these same four signposts as we travel through this process. We will reason together around scripture and pray for the Holy Spirit's illumination as we do so. Since many of the bioethical dilemmas we will engage were not extant in ages past, we will tap not only into the great creeds of the church and the wisdom tradition within our own churches, but also into the new tradition of Christian bioethical thought.

It is my belief that our ethics must be, in the words of John Kilner, (See Lesson Twelve), "God-Centered… Reality-Bounded…(and) Love-Impelled." As I work through ethical dilemmas, using Wesley's quadrilateral, I am always guided by these three parameters.
This is a brief introduction for the committed Christian to the world of bioethics. An evening fellowship and discussion group might be its most appropriate setting, but a Sunday School class study group may also prove effective. I hope that it will whet your appetite, and stimulate further learning so that as Christians we will be a part of the discussion, keeping God in the public forum.

God Bless you as you read and study together.


Notes for Discussion Leaders

This curriculum is designed for use in one of several settings. It may be used in a standard Sunday School class, or perhaps more effectively in a longer class format, such as an evening adult Bible study group. It is important to emphasize that much of the learning in this endeavor will occur as your discussants prepare for the classes ahead of time and then process the information afterward, either singly or in groups. If your group's participants cannot make the commitment to read the entire lesson ahead of time, I suggest that you ask as a minimal effort that they agree to carefully read the scripture passages prior to class.

I would recommend in your group discussions each week that you limit your group size to no more than ten. Larger groups may be split into smaller cells, but for effective discussion, maximum cell size optimally should not exceed ten. Each group should be isolated enough from the other groups that they do not distract each other.

As you prepare for your classes, I would suggest that in addition to the week's reading and scripture passages, you try to read some of the background information contained in "For Further Reading". If your group's funds are limited, I would recommend that you purchase Scott Rae's book An Introduction to Ethics, as a helpful single reference book. The Bio Basics series booklets are also quite good for the topics they cover, and are relatively inexpensive.

This is probably not the kind of study for which you can easily delegate weekly teaching responsibilities. I would anticipate best results from leaders with strong interest or background in the subject matter. The dynamics of your particular group may prove this suggestion unnecessary.

Your group may discover that each chapter merits two weeks of study and discussion. If you try and cover each lesson in one week you will probably find that there is too much material to answer all the questions. As a leader, you may wish, the week before, to designate specific questions for discussion the next week. Some of these suggestions will be more or less necessary, depending on the composition of your group. I recommend that you read the notes for the upcoming lesson early in the week. By doing this, the concepts can percolate in your mind throughout the week. You may then choose to focus the discussion on one of the areas covered in the lesson, as opposed to trying to cover all the questions.

Finally, in an effort to continually focus on the process with which we address these complicated questions, I might suggest that on the blackboard or on a poster in your discussion room, you place in large letters the four guideposts that will help you through this complicated discussion. These are Scripture, Reason, Tradition and Experience. Each week as you process your discussion, make an effort to direct your thoughts along these lines. This is more fully explained in the introduction and in the first two lessons.


May the Lord direct your words and thoughts.

 

Acknowledgments

Special thanks to the Free Methodist Church of North America, Bishop Les Krober, and the Study Commission on Bioethics for encouraging me in this work, and for allowing me a forum through which to share this information. The Free Methodist Church has been a part of my life since long before I was born. I am grateful for the church and its impact on me and my family.

This curriculum was fostered directly by coursework at Trinity International University, in Deerfield, Illinois. Trinity Graduate School, at TIU, offers a modular, on-campus M.A.degree in Bioethics for the full-time professional. John Kilner, Ph.D., directs this program, and served as my advisor. He, along with C. Ben Mitchell, Ph.D., Nigel M. de S. Cameron, Ph.D., David Schiedermayer, M.D., David Fletcher, Ph.D. and other outstanding faculty members have helped me to begin to learn about the fascinating world of bioethics.

Some of the case illustrations, and much of my own personal interest in bioethics is derived from work at Carle Clinic Association and Carle Foundation Hospital with the Ethics Committee and Consult Team. Thanks, Steve Johnson, M. A., (Ph.D., soon), Kevin Powell, M. D., Ph.D, Dr. Tamara Mitchell, and the entire team.

Professor U. Milo Kaufmann, Ph.D., retired from University of Illinois at Urbana-Champaign, offered much valuable editorial advice. Thank you, Brother Milo.
Special thanks to my wife, Barbara Finger Cranston, who along with our children, have supported and encouraged me through this process. Barb is a Godly, talented woman, and God's best single gift to me.

Thanks also to Mattis Avenue Free Methodist Church, in Champaign, Illinois. The good people of this church helped create and critique this, as I worked these issues through with them.

Soli Deo Gloria.

Robert E. Cranston, M.D.



CONTENTS

About the Author

Introduction

Chapter One
What is Bioethics?

Chapter Two
Why Do Bioethics?

Chapter Three
Abortion, and Our Response

Chapter Four
Infertility and Assisted Reproduction

Chapter Five
Genetics Dilemmas

Chapter Six
Quality of Life vs. Sanctity of Life

Chapter Seven
The Christian Response to AIDS

Chapter Eight
Brain Death, Organ Transplants, and NHBODP

Chapter Nine
Futility of Care

Chapter Ten
Advance Directives

Chapter Eleven
Euthanasia and Physician Assisted Suicide

Chapter Twelve
Rationing of Care

Chapter Thirteen
What is a Christian to Do?

Glossary

Pre- and Post-Test

Permission