Rite & Reason: The RTÉ Prime Time interview with
Praveen Halappanavar was both distressing and disturbing.
It stands in
sharp contrast to the seemingly cold formality of those in power.
Expressions of sympathy that do not listen lack something.
We do
well to remember that nowhere outside the circle of family and friends
is the tragedy of Savita Halappanavar’s death felt more keenly than
among the staff of Galway University Hospital whose kindness has been
acknowledged by Mr Halappanavar.
Furthermore, a properly
constituted team of independent medical experts should be able to assess
the correctness or otherwise of the clinical management of his wife’s
care.
However, at the core of this tragedy there is another
important issue. Praveen Halappanavar has insisted that a consultant
dealing with his wife’s case denied several requests for a termination
on the grounds that it was the law and that “this is a Catholic
country”.
He has further stated that there is no mention of these
requests or comments in the hospital records. If this is true then this
is a very serious matter which neither the HSE inquiry nor Hiqa is
competent to deal with effectively.
Last Thursday this newspaper
revisited the tragic story of Michelle Harte who, while suffering from
malignant melanoma, was advised by doctors to terminate an unplanned
pregnancy.
Her solicitor, Michael Boylan, said that while her
obstetrician was willing to carry out the procedure the hospital’s “ad
hoc” ethics committee refused permission after what he described as “an
appalling delay”.
She went to England for a termination. She died
some time later. This is by no means the first case in recent times in
which an ethics committee has intervened in clinical decision making.
In
considering these matters it is important that this should not be an
exercise in Rome bashing.
The Roman Catholic Church like other churches
has important things to say about medical ethics but at the end of the
day in a state-funded health service every citizen should have access to
all services lawful within the state and consistent with best medical
practice.
Procedures or treatments considered immoral by individuals can always be declined.
There are questions to be asked about ethical decision making in Galway University Hospital: Who sets the standards?
Is
there an ethics committee or an ad hoc group of any kind (not to be
confused with a research ethics committee) and if so who are the
members, who appoints them and to whom are they accountable?
Did such a
body have any influence, directly or indirectly, in the case of Savita
Halappanavar?
The Church of Ireland holds the view that
“Christians reject the practice of induced abortion . . . save at the
dictate of strict and undeniable medical necessity”.
While there
is no point in rehearsing all the failures that have led us to where we
are today it is worth saying that when the first constitutional
amendment on abortion was being promoted the Church of Ireland warned it
could lead to the introduction of abortion.
The personal tragedy
that has destroyed the dreams of a beautiful young couple from India who
wanted to share their future with us is a painful fact that we have to
live with. We cannot undo harm done but we must learn from it.
The
claim that Ireland is one of the safest places in the world to be
pregnant has nothing to do with this event.
We might as well say there
was no need to abolish the death penalty because we don’t hang people
very often.
The fact is that senior doctors who specialise in
obstetrics tell us that irrespective of what happened in Galway there
are situations where a termination is necessary but in a grey area where
they need legal cover.
They deserve that protection and more
importantly women deserve that protection.
My personal view is that
legislation alone will never cover all possible eventualities and that
we have to trust our doctors.
Therefore whatever legislation is
proposed should provide for a standing professional body to which
doctors can turn for independent advice and,where necessary, direction
and approval for their actions.
We have talked long while others weep.
It is time to act.
The Venerable
GORDON LINNEY is former Church of Ireland archdeacon of Dublin