I was disappointed to read about this today. I know I'm a year behind, but that's the price you pay for either WoW-ing, tending to a young child, or doing substantial reading -- and not being distracted by the endless stream of current-event chatter that can't help but tend towards superficiality on account of its perpetuality, it's inability to truly linger and reflect or draw out a discussion for hours and hours or even days or weeks.
The issue seems straightforward if you read articles on it like this from Ms. Magazine, which is the first one I read. Sadly, the Ms. article doesn't ever address the principle that seems to be at the root of the Catholic policy involved, which was cited on the Wikipedia entry I linked to above: "The unborn child can never be thought of as a pathology or an illness," Fr. John Ehrich is reported to have said on the Wikipedia page, whose source is here. “That is, the child is not that which threatens the life of the mother, rather it is the pathology or illness (cancer, premature rupture of membranes, hypertension, preeclampsia, etc.) which threatens the mother’s life.” Why didn't Ms. even cite this principle, much less attempt to either refute it or to show how the Catholic Bishops' policy does not necessarily or reasonably flow from it? I don't understand.
There are at least two features of the Catholic Bishops' position that worry me, however, and these not specifically to this case, but generally as trends.
The first has to do with the "Ethical and Religious Directives for Catholic Health Care Services," the document issued by the United States Conference of Catholic Bishops concerning medical policy. Directive 45 got my attention, which reads:
"Abortion (that is, the directly intended termination of pregnancy before viability or the directly intended destruction of a viable fetus) is never permitted. Every procedure whose sole immediate effect is the termination of pregnancy before viability is an abortion, which, in its moral context, includes the interval between conception and implantation of the embryo. Catholic health care institutions are not to provide abortion services, even based upon the principle of material cooperation."
This seemed to me, when I read it before reading Fr. John Ehrich's statement (above), like a good principle gone ideologically too far. Surely we aren't affirming abortions just because we say that there are situations where they are the best possible option?
The second has to do with matters of controlling outcomes, and when this is appropriate.
Adding that "no physician can predict what will happen with 100 percent accuracy," Father Ehrich said, "What we should not do ... is lower risks associated with pregnancy by aborting children. ... When we try to control every possible situation in life, we end up playing the role of God."
This last line seems to deflate his entire case. The principle of not seeing the unborn child as a pathology or an illness seems sound: surely everyone can agree on that, no? --However, we have the power to control outcomes, and we will continue to do so. Surely controlling outcomes is not evil in and of itself, and manipulating as many outcomes as we can for the best effects also can't be unethical: aren't we called upon to do this in our own ascetical life? --but if it is claimed that mastery of the world means usurping God's power, I must ask whether either God is unworthy of our attention (since He would then be weak and evil) or if the claimant is fundamentally misinformed about the nature of God's power. There must be things that happen which God does not will. The slaughter of the Holy Innocents comes to mind.
The situation does not present itself as one in which men ought to relinquish power to God: it looks like one in which there are several possible outcomes that can reasonably be secured through technological interventions. Chance and necessity (and freedom that can elect this-or-that necessity), not Providence vs. human liberty, is the model here. Modernity is all about controlling outcomes to secure human flourishing. If the Catholic model cannot address Modernity's concerns, it will write itself into irrelevancy.
Regardless, perhaps the abortion didn't need to be performed. Perhaps both mother and daughter could have survived -- I don't know. But if they couldn't, surely the loss of the mother's life would be more traumatic for the family and all involved than the loss of the child -- and doubtless the mother did not want an abortion. (Who gets pregnant multiple times, aiming at an abortion?)
I dunno. I've only read about this for 10 minutes. It made me think that perhaps the Bishops should simply be Bishops, tending to their flocks concerning ethical and spiritual matters, rather than corporate administrators of institutions.