Janie Valentine’s post on Monday about a Christian health sharing ministry considering the surgical treatment of ectopic pregnancy to be the moral equivalent of abortion points out a major concern related to the church and bioethics. This is particularly a concern regarding the evangelical Protestant church and bioethics. With its hierarchical structure the Roman Catholic Church has a way of connecting the well considered thoughts about bioethical issues that are expressed by Roman Catholic ethicists with the ministries of the church. Protestant churches, and evangelical Protestant churches in particular, have a significant disconnect between those who think deeply about and write about bioethical issues and those who are doing ministry.
The issue of whether to cover the costs of surgical treatment of ectopic pregnancy illustrates the need for people within the church to learn how to think about bioethics and other ethical issues. It is not that we need to have some established evangelical set of ethical positions on issues, but rather an understanding by people in the church of how to properly analyze and think about an ethical issue. Over centuries of thought Christian scholars have recognized the principle of double effect as a good way of analyzing moral dilemmas in which doing something that is good, such as saving the life of a woman with an ectopic pregnancy results in the unwanted bad affect of the death of an embryo. It is clear that we should not focus solely on consequences and do things that are wrong even to save a person’s life, but it is reasonable at times to do good things that have unintended but foreseeable bad effects. There is a way of thinking about ethical issues that has been well established by Christian ethicists over the years which many in the church are not at all familiar with. That is a problem.
The question is how those of us who understand how to think well from a Christian perspective about moral and ethical issues can communicate that to the church in general. Over the past eight years I have been trying to do that by teaching at a Christian university. My thought has been that if we teach students who will be the future leaders of their churches how to think well about ethics they will help their churches think well about those things. However, what I have learned is that only a small minority of the students at what I consider to be an excellent Christian university actually get enough education in ethics to be able to do that. Somehow we need to convince the church that learning how to think well about moral and ethical concerns from a distinctly Christian way of thinking is important for the life and health of the church and methods to accomplish that need to be established.