The debate on what is labeled quality of life is as old as the advent of philosophy, since it was Aristotle who
pondered that issue and determined that eudaimonia (i.e. human flourishing or
happiness) constituted the good life. This notion is frequently used
in a variety of settings, especially when talking about medical
treatment. A corollary to that technical term is the good
life—meaningful work, ideal living conditions, a supportive network
of human relationships, decent housing, and good health. Due to an
apparent similarity, it is crucial to draw an important distinction
between quality of life and what the Church calls the inherent dignity of life. In their pastoral letter, Faithful Citizenship, the Catholic Bishops of the United States said,
"Every human person is created in the image and likeness of God. The
conviction that human life is sacred and that each person has
inherent dignity that must be respected in society lies at the heart
of Catholic social teaching. Calls to advance human rights are
illusions if the right to life itself is subject to attack. We
believe that every human life is sacred from conception to natural
death; that people are more important than things; and that the
measure of every institution is whether or not it enhances the life
and dignity of the human person." Since life inherently commands our
respect, every member of society has a shared responsibility to
create those conditions, which are conducive to a high quality of
life for all citizens. Any deterioration in a given individual’s
quality of life neither diminishes nor negates their fundamental
human dignity. As the quality of someone’s life lessens, the
obligation to defend that inherent dignity increases.
As Catholics, created in the image of God, people
are not only exalted among all God’s creatures but those God-like
qualities make us responsible for what we create, the resources we
use—these and all the other elements which constitute the good
life—are not solely for personal use, but for the benefit of all and
a sign of the graciousness of God. Our lives will be judged by God
on the basis of our virtue, not our possessions. For believers, the
reality of human suffering is a true paradox. In this world,
suffering is almost unavoidable and it is not simply negative.
In the apostolic letter Salvifici doloris, Pope John Paul II wrote about what he labeled
the Gospel of Suffering, "This [next] chapter [in the Gospel of
Suffering] is written by all those who
suffer together with Christ, uniting
their human sufferings to his salvific suffering. In these people
there is fulfilled what the first witnesses of the Passion and
Resurrection said and wrote about sharing in the sufferings of
Christ. Therefore in those people there is fulfilled the Gospel of
suffering, and, at the same time, each of them continues in a
certain sense to write it: they write it and proclaim it to the
world, they announce it to the world in which they live and to the
people of their time. Down through the centuries and generations it
has been seen that in suffering there is
concealed a particular power that draws a person interiorly close to
Christ, a special grace" (SD,
n. 26).
In hospital settings, quality of life becomes
part of the complex deliberations that go into determining how
appropriate a medical treatment or procedure is in a specific
situation. So, if the patient could reasonably expect a good quality
of life, even what the Church labels an extraordinary treatment, the
prospect of a reasonably good life after such treatment, could be a
reason to accept treatment that can be legitimately declined. Thus,
quality of life in healthcare terms is not the equivalent of a
comfortable life, as much as it is the expectation of a meaningful
existence after treatment. The determinants of a good life include
human relationships, the ability to communicate, a relatively
pain-free future, the ability to enjoy life’s pleasures and, in many
instances, the desire to be useful for other people.
Frequently, people who are
dying express a fear—not to be an excessive burden. For Catholics,
caring for the sick and dying is a supreme example of faith. Far too
many people, either out of fear or expedience, dismiss any thought
of quality of living among those who are dying. There are untold
blessings that come from such a tragic situation—the great benefits
that arise from the ability of those who are terminal to both
receive and to impart acts of human kindness, gestures of
sacrificial love. Today, the good life is almost exclusively
associated with luxuries and firm control over life itself. For
those who believe, human dignity is the foundation upon which any
quality of life must be built, human suffering, while not sought,
can become meaningful—and the lives of the suffering remain a gift
and sign to others, the sick, suffering and/or dying offer untold
opportunities both for those who are sick and for all who are
healthy to bestow mutual acts of kindness that constitute true
blessings. These actions are not only earthly signs, but they
fulfill the command that Christ gave to His Church that she always
have a preferential love for the sick.
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