Unless You Tell Them

“Where there is no guidance, a people falls, but in an abundance of counselors there is safety” (Proverbs 11:14, ESV).

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Proposed UK “conversion therapy” Ban Against Counseling Choice: Putting Already At-risk Sexual Minorities in Harm’s Way

Five of we Americans were in London a few weeks ago at the invitation of the International Federation for Therapeutic & Counseling Choice (IFTCC) and Christian Concern to—along with colleagues from the United Kingdom, Norway and Australia (some by video presence)—to hold a one-day conference one block from Parliament challenging the proposed UK “conversion” therapy ban. I wrote the following at the request of Christian Concern and IFTCC, reprinted here with their permission.

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Not By Might, Nor By Power

How do we, as followers of Christ, engage the secular world?

This is no simple question, as the situations and circumstances are nearly infinite in possibility.

Since St. Augustine penned The City of God, there has been a general understanding that Jesus did not come to establish an earthly dominion. One might argue there have been “Christian nations” in a particular sense, but through most of Western history, church and state have always been separate power bases in an uneasy tension. Sometimes the church was on the ascendancy, as when Pope Gregory VII excommunicated emperor Henry IV (1050-1106) over the investiture controversy. You may have heard the story about how Henry stood three days barefoot in the snow to beg forgiveness. This feeds the popular myth of an all-powerful Catholic church embraced by many secularists. Less well known is that three years later, after his second excommunication, Henry IV led his armies against Rome, forcibly deposing Gregory VII and putting his own man in charge. So much for the “all-powerful” church. Power is fleeting, even for emperors and popes.

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Private Equity in Healthcare

While many people, including healthcare professionals, think that much of medical ethics is highly arbitrary and relativistic, with the single prevailing rule being patient autonomy, there are nonetheless some widely accepted principles within medical ethics. Principlism, which is based on four guides made famous by Beauchamp and Childress, includes patient autonomy, beneficence, non-maleficence and justice. Unfortunately, for many people, these are the only ethical considerations needed to make informed decisions regarding right and wrong regarding patient care. Several other considerations are needed to decide complex issues rightly.

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Will Roe Stand?

On December 1, 2021, the U.S. Supreme Court (SCOTUS) heard arguments regarding the legality of abortion restrictions put into place by the state of Mississippi. The case is known as Dobbs v. Jackson. It is the most high-profile abortion case argued before the Supreme Court since Planned Parenthood v. Casey in 1992.

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Faith and Gratitude

As I continue my series on faith and culture, Thanksgiving is right around the corner. But believe it or not, I didn’t choose this topic because of its appropriateness for Thanksgiving week. The topic has been close at hand in my own life of late, which has made me even more aware of its cultural applications.

By way of background, I must admit that I struggle to ask anyone to do anything for me. Asking a friend down the street to give my daughter a ride home from school is difficult and makes me think about what I need to do to even the playing field.

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If I Only Had A Heart…

In the classic tale The Wonderful Wizard of Oz by L. Frank Baum, perhaps most recognized by the 1939 movie version starring Judy Garland, young Dorothy Gale from Kansas and her dog Toto are transported via tornado to the strange Land of Oz and undertake a journey to see the Wizard of Oz in hopes he can return them to their Kansas home. Along her path on the Yellow Brick Road, Dorothy acquires three traveling companions who also have requests they hope the Wizard will grant, to give them each something they seem to lack: a brain, a heart and courage. The group’s progress and attempts to win the favor of the Wizard are hindered and harassed repeatedly by the Wicked Witch of the West and her minions, including incessant taunts about their shortcomings as well as a dire warning for Dorothy: “I’ll get you, my pretty—and your little dog, too!”

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Pandemic Priorities

I joined CMDA in 1982 in the middle of my OB/Gyn residency. At that time, I had known the Lord for about eight years but had not grown spiritually, because I had failed to find a solid, biblical church. Around that time, I finally found a church that helped me grow and develop in my Christian faith. With that growth, I began thinking about how I could incorporate my faith into the practice of medicine and discovered the Christian Medical & Dental Society (CMDS), which was CMDA’s name at that time.

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Debunking a Fallacy: New Study Shows Therapy for Undesired Same-sex Attraction “Can Be Effective, Beneficial, and Not Harmful”

Ideology-driven legislative initiatives are underway to ban therapeutic choice—“conversion therapy” being the provocative, pejorative and ill-defined colloquial term used as a jamming tactic—in the U.S. and internationally for people with undesired same-sex attraction or levels thereof. Carolyn Pela and Philip Sutton have delivered a very welcome contribution in the form of a stringent study answering criticisms levied against what is more properly termed SAFE-T (sexual attraction fluidity exploration in therapy), SOCE (sexual orientation change efforts) or change-allowing therapy. The foundational requirement for such therapy—and for talk-therapy of any kind for any patient complaint—is a willing, motivated and self-directed client. Involuntary therapy is failed therapy, no matter the problem.

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Sacrificing Science on the Altar of Transgenderism: How a Respected Scientific Source Betrayed its Core Values

As far back as data exists, the universal experience has been that transgenderism was an extraordinarily rare occurrence, especially among females.
The last decade, however, witnessed an unprecedented increase in the numbers of young people identifying as transgender and seeking to transition. The surge was particularly striking among young adolescent females who were heavy users of social media but had no prior history of gender dysphoria. Something seemed amiss.

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Born to Die to Self

“But the fruit of the Spirit is love, joy, peace, forbearance, kindness, goodness, faithfulness, gentleness and self-control. Against such things there is no law” (Galatians 5:22-23, NIV).

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If Possible, So Far As It Depends on You

Last week, a friend asked me, as a family physician knowledgeable about COVID-19, to speak to a group she belongs to of community leaders, here in northeast Louisiana. I spoke about the current status of COVID infections in our area and the need for vaccination. The vaccination rate is low in our area—currently only 37 percent are fully vaccinated in our parish.

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On Faith and Excellence

My kids have attended a classical, Christian school for many years. While we love the school for several reasons, its academic rigor set it apart from the several other schools we considered when making the decision to move our kids there 16 years ago. Other schools offered personal attention, others had great mission statements, others had in-depth biblical teaching. But it was all of these things, combined with high academic expectations, that sold us in the end, since the primary purpose of school is to educate kids academically. In the grammar school grades at our school, the students are taught to always do an “Excellence Check,” that is, to look back over their test or assignment and double-check for any errors prior to turning it in. The concept of the Excellence Check resonated with me when my kids were that age because it served as a regular reminder to them that they should be giving their best to each assignment. It was never a “Perfection Check” or a “Compare to Your Neighbor’s Performance Check.” It was a reminder for each student to do his or her best at all times. One student’s best might be a perfect score, while another student’s best might be much lower, but the expectation to do one’s best was clear. We might think of excellence as being at the top of the class or someone who stands out in his field, but that isn’t the way our school defined it, nor the way I am defining it here.

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The Ethics of the SARS-CoV-2 Vaccines Revisited

In the spring 2021 edition of CMDA Today, CMDA published an article that examined the ethical basis for taking a COVID-19 vaccine. The goal of the article was to reassure CMDA members of the good reasons to utilize the COVID-19 vaccines produced in the last year. Since the article’s publication, several members have written with ongoing questions and concerns about the ethical status of the vaccines due to their association with abortion-derived fetal cell lines. The purpose of this blog post is to address those concerns. An update on the safety and efficacy of the vaccines will be addressed in the future.

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Responsibility and Freedom in the Time of COVID

In a weekly column on Sunday, August 29, Evangelical attorney David French declared “It’s Time to Stop Rationalizing and Enabling Evangelical Vaccine Rejection.”

Is that really a thing, you may ask?

There certainly is some evidence for that. Among those who have already been vaccinated against COVID-19, white Evangelicals trail the national average by 10 percent. A significant difference, but not a dramatic difference. In fact, the majority are vaccinated, according to this tweet displayed in the article.

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Evidence Opposing Therapy Bans

Legislation to ban so-called “conversion” therapy or practices for people with undesired same-sex attraction, gender dysphoria and other sexual minority issues is being put forward across the globe.

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Redemptive Treatment of Healing Professionals

Some systems have treated healthcare professionals with clinical skill loss in an almost punitive manner. Aside from careless incompetence, abandonment of patients or grossly unprofessional behavior, this is inappropriate, damaging to the professionals and harmful to society.

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On Faith and Love

My recent contributions to this blog have explored some of the issues I have wrestled with throughout the turmoil of the last year and a half—namely, how faith has impacted the church’s response to issues, and where we have strayed from biblical truths in our responses. I have wrestled with faith and politics, faith and freedom and faith and fear. But the overarching issue, I think, in Christians’ response to recent—and, in fact, any—world events is love. There are only two things that Scripture tells us explicitly identify the Christ-follower: their fruit and their love. Jesus Himself said that all men would know we are His followers if we have love for one another (John 13:35). In fact, He repeatedly commanded that we love one another (John 13:34, John 15:12, John 15:17). And the rest of the New Testament tells us more than 20 times to love one another.

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Escaping Death

“There is a way that seems right to a man, but its end is the way to death” (Proverbs 14:12, ESV).

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One Person at a Time

I have a soft spot for public health. True, I’ve been a family physician for 32 years, and have touched many people’s lives, but decisions made by public health practitioners have an outsized impact on health.

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New Documentary Released on the Rush to Reassign Gender

In keeping with their history of producing eye-opening documentaries taking highly controversial societal trends head on, The Center for Bioethics and Culture (CBC) recently released a film on gender affirming therapy titled Trans Mission: What’s the Rush to Reassign Gender? Running just under 52 minutes, the feature presents activists, healthcare professionals, educators, parents and the patients themselves—among others—regarding “the medical and surgical transitioning of children.” The guests exhibit varied points of view, and they include members of both CMDA and the American College of Pediatricians (ACPeds).

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Real Regulation of Human Embryo Experiments

As we expected, the International Society for Stem Cell Research (ISSCR) issued its revised guidelines on stem cells and embryo experiments at the end of May 2021, and as expected, the ISSCR recommendations are rife with proposed experiments on young human beings. The new guidelines discard the 14-day limit on human embryo experiments in favor of no limits whatsoever, and they allow virtually unrestricted manufacture of human-animal chimeras of any type, as well as creation of genetically altered human embryos and lab constructed human embryo “models.” Very little is left in the category of “currently not permitted.”

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SOCE Reduces Suicidality in a New Study

What if another study came to print asserting that sexual orientation change efforts (SOCE) constituted harmful stressors to sexual minorities? What if a published letter to the editor in the same journal exposed gaping holes in the assessment? What if a reanalysis of the original study “in the strongest representative sample to date of sexual minority persons” revealed polar opposite findings: SOCE “strongly reduces suicidality” and that restrictions on SOCE may “deprive sexual minorities of an important resource for reducing suicidality, putting them at substantially increased suicide risk.” Now that would be something! And these things happened!

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Knowing the Will of God

How do you ascertain God’s will for your life?

This is one of the greatest existential questions asked by followers of Christ, the young in particular. It is also one of the most profoundly misunderstood.

We may be taught that there is a divine roadmap for our lives, known to God yet unknown to us. We desire to know it for two reasons. First, we seek to please God and be good stewards. Second, we believe following his divine plan will maximize our earthly joy and blessing, but He offers no objective way of knowing it. What then, does that say about God? He created a divine master plan for us to follow, but we have to pry it out of Him? What sort of God would do that, and why? What if we make the wrong decision?

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Identifying Healthcare Professionals Who May No Longer Be Able to Care for Patients

As Christian healthcare professionals, God has granted us the high privilege and responsibility of serving others through healthcare. Part of this responsibility is that of maintaining clinical knowledge and skill in order to provide high quality care to our patients. If we lose some of our skills due to trauma, physical or mental illness, or due to normal aging, this may not always be optimally possible.

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Trust in Public Health

WND recently published my op-ed designed to highlight the benefits of trusted doctors and faith-based organizations communicating on public health issues. I also noted what I considered to be several significant failures of government public health messaging.

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The World in Need

When John Donne wrote “No Man Is an Island,” he was lying on his sickbed, thinking, perhaps, it would be his deathbed. When he heard the church bells tolling for a person recently deceased, it got him thinking. His life­—everyone’s life—was diminished by the death of that unknown person. We are all connected.

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On Faith and Fear

During a recent urgent care shift, a young welder presented with a metal foreign body in his eye. If you work in emergency medicine, urgent care or ophthalmology, or if you weld yourself, you are already aware of this occupational hazard. I was not aware of it prior to starting work in urgent care, but I must admit that it makes any dreams I may have had of learning to weld, thereby empowering myself to do more of my own home repairs, much less attractive. Tiny hot flecks of metal landing on the human cornea quickly embed themselves and become difficult to remove. Left there for a few days, they begin to rust, leaving a small rust ring on the cornea after the metal itself is removed—a rust ring which then has to be removed with a tiny drill called an eye burr.

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This is Advocacy: Our Work Begins and Ends with God

Some would say it started earlier this year in January when the 2021 legislative session began in most states. Some would say it started with our increasingly more “live and let live” culture. However, the iniquity started before any of us were born.

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New Study Addresses Sexual Minorities Who Reject LGB Identity

A new study authored by a socio-politically diverse team of psychologists evaluated a religiously diverse population sample of varied sexual identification and found that sexual minority people who reject LGB identification have positive outcomes that contradict the expectations of both minority stress and sexual identity development theories.

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The Return of the God Hypothesis

In last Saturday’s New York Times, Christian columnist Ross Douthat asks, “Can the Meritocracy Find God?”

“The secularization of America probably won’t reverse unless the intelligentsia gets religion,” writes Douthat. Nor is he sanguine for the prospects of that occurring. Douthat postulates two primary obstacles. First, “a moral vision that regards emancipated, self-directed choice as essential to human freedom and the good life.” Second, an entrenched anti-supernaturalism: “The average Ivy League professor, management consultant or Google engineer is not necessarily a strict materialist, but they have all been trained in a kind of scientism, which regards strong religious belief as fundamentally anti-rational, miracles as superstition, the idea of a personal God as so much wishful thinking.”

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The Incredible Impact of a Humble Man of Faith

In a previous blog, I recommended John Stonestreet, president of the Colson Center, and BreakPoint, his daily blog. The Colson Center has several formats for outreach including the Colson Fellow program, weekly podcasts, daily email briefings and Wilberforce Weekend. The Colson Center takes on many of the most pressing issues of the day and thoughtfully discusses ways in which we as Christians can engage our culture. As I said in that earlier blog, if you stop reading this right now and explore the Colson Center options, I will have succeeded in pointing you to a good path for improving your Christian walk.

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The Equality Act Targets the Faith and Medical Communities for Ideology-Based Prosecution

The Washington Examiner recently published my op-ed on the radical Equality Act. This ideologically coercive and discriminatory bill, which has already passed the House and now is on the Senate calendar, will radically impact your professional career and your ability to live out your faith.

The commentary is below, followed by excerpts of a CMDA letter to U.S. Senators and of written testimony submitted by several CMDA members.

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I’m a Slow Reader (Here’s Why), and Living on Borrowed Time

I’ve read novels ever since my youth, and I’ve had an enduring fascination with the side character of the rich elderly female relative who “took to bed” decades earlier. Even before I was a doctor I wondered, “What illness caused her to ‘take to bed’?” There are seldom enough clues to unlock the mystery of which exact medical diagnosis she had that kept her in her bedroom. Writers of novels one to two centuries ago didn’t focus on those clues. She was, after all, a side character.

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On Faith and Freedom

Freedom. It’s an important word to us in the United States—arguably the most important word to the founding of our country.

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Human Bioengineering: Made in the Image of Whom?

While COVID-19 has consumed the attention and energies of the world for the last year, other bioethical and scientific challenges have not gone away and are set to burst back to the forefront this year. Significant advances were made in 2020 to move away from the antiquated science using human fetal tissue from abortion and toward development of modern techniques and biological models that do not use fetal tissue. However, a resurgence of research using trafficked aborted fetal body parts is likely with the new White House Administration. Calls have already been made to gut the current ethical regulations on federal funding of fetal tissue research. The drumbeat for taxpayer dollars to pay for experiments using fetal organs and tissues from abortion continues, trying to make use of the crisis to justify unethical research, e.g., making humanized “lung-only mice” to investigate COVID-19. In the meantime, adult stem cells have made “mini-lungs” in the lab that faithfully model normal lungs, and they are already being used to study COVID-19 infections and therapies.

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Therapy Bans, APA Talking Points and Counseling Choice

A multitude of states, counties and cities have banned “conversion therapy,” usually for minors only, with efforts underway to issue a national ban for all through the so-called “Equality Act” (HR 5). Yet, “conversion therapy” is a misrepresentative, maligning and summarily ill-defined term employed as a jamming tactic to capitalize on an allusion to implicitly forced religious conversion while stigmatizing and intimidating any therapist who would engage in change-allowing therapy. It implies coercion and suffering, neither of which are true of modern change-allowing therapy (aka SOCE for sexual orientation change efforts). Modern SOCE therapists uniformly view old aversive techniques (think shaming, electric shocks, etc.) as unethical and ineffective. Tellingly, no state or municipality enacting a therapy prohibition has yet to ban aversive practices, only counseling that allows clients to explore their potential for change of SOGI (sexual orientation, gender identity). Why not ban aversive measures too, if abuse is really the issue?

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Christians and Conspiracy Theories

“You can’t handle the truth!”

That classic line from A Few Good Men from Colonel Jessup in the witness stand became a waving flag for many. It is enticing to think we own the truth, and that those who can’t “handle” it are naïve, weak or cowardly. Delivered to perfection by Jack Nicholson, Jessup hammered a wedge between truth and fantasy, and of course we all know which side we’re on, don’t we?

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COVID-19 Fact or Fiction?

A growing proliferation of blog posts, podcasts and online videos presenting confusing information regarding COVID-19 has increased over recent months. Many of these controversies are propagated by physicians speaking to large church audiences. In this blog post, I will address the most common disputes.

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Let Us Be Healers

n the process of these elections—national, state, county, city—people who used to treat others civilly have forgotten how to do so. Politics has torn families apart, severed relationships and caused some people to say and do things that can never be unsaid or undone. In their efforts to obtain elected office, politicians and their support teams in both parties perpetrated rumors, lies and innuendo regarding opposition candidates. Some of these actions have destroyed reputations. Social media has helped to perpetrate the spread of misinformation.

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You Could Help Reverse an Abortion!

Like me, you probably entered the medical field because you wanted to help people who were in significant need, facing challenges, and for whom you could have a substantial positive impact. You may have gone in with the goal to save lives. In healthcare, we have the privilege of helping people at some of their most vulnerable points, while also being a light shining into their darkness. For many women, that moment arrives for them after they have taken mifepristone (RU-486) with the intention of ending their pregnancy.

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The Purpose in Pain

When my husband and I worked at a mission hospital in Kenya for six weeks in 2013, we ate dinner every evening with another volunteer doctor, an orthopedic surgeon. We often discussed the use of opioids, or rather, the seldom-use of opioids in Kenya. After a U.S. surgery, he said his patients would receive opioids round the clock in the hospital, and they’d go home with a prescription for 30 to 60 pills. Yet here, patients’ pain was managed with non-opioid pain medications, and nobody was prescribed opioids after discharge.

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Policy Versus Politics: A Retrospect and Prognosis

A physician member of CMDA recently asked me for a perspective on the tragic temporary takeover of the U.S. Capitol and the role of politicians before and after that tumultuous event. The physician’s email began, “I’m so saddened by this incident and so appalled….”

I’ve been asked to share the response to that physician more widely, so my edited response is below, followed by some thoughts on public policy ministry, the last four years and the next four years.

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Upside-Down-and-Backwards: Reflection and Challenge on Inauguration Day

My grandfather was a deeply gracious man. A Southern gentleman to the core and pastor of a large church, he was loving and compassionate toward everyone he met, and he was also uniquely talented at making each and every person with whom he interacted feel loved and heard. He truly cared, and he had an amazing ability to communicate the depth of that concern. In the 40 years I knew him, I never heard him raise his voice or speak a harsh word, with one dramatic exception. So it’s no surprise that the story of Granddaddy, hospitalized and delirious after major surgery, raising his voice at Gran has gone down in family lore. His agitation at her that day was so great, and so perplexing. He was intensely frustrated with her driving, despite the fact that he been in the hospital and nowhere near a car for days. He finally burst out, in his resonant Southern voice, “You insist on driving upside down and backwards just to irritate me!” Needless to say, it did not ease his distress when the entire family burst into laughter. But some things are just so funny you can’t control yourself.

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Navigating Vaccine Ethics

CMDA Senior Vice President for Bioethics and Public Policy Dr. Jeff Barrows and I recently wrote a piece for The Public Discourse, “Is Receiving the Pfizer-BioNTech COVID-19 Vaccine Ethical?” that suggested principles to consider as we navigate ethical issues related to COVID-19 vaccines. I’ve included brief highlights below; more from the original article and also new observations will be published in an upcoming edition of CMDA Today (previously known as Today’s Christian Doctor).

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Our Duty to COVID-19 Patients

You see a 68-year-old male with diabetes and hypertension in the office for coughing, body aches and recent loss of taste and smell, whose symptoms started about three days ago. His pulse oximetry is 95 percent, and the lungs are clear. A COVID-19 test is run and comes back positive. He asks what can be done to decrease his risk for going to the hospital or even death. Unfortunately, you tell him, there are no easily accessible outpatient treatments for COVID-19, and you recommend he use over-the-counter treatments to help his symptoms and to let you know if he is getting significantly short of breath. There are times like this when we in the primary care realm can feel helpless or like there’s not much we have to offer for patients. But is this truly the case for COVID-19?

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UK High Court Rules Puberty Blockers Experimental, Minors Cannot Consent

In a stunning decision with international implications, the United Kingdom’s High Court ruled December 12 in Bell vs. Tavistock that puberty blockers (PB) and cross-sex hormone (CSH) use in gender dysphoric minors was experimental and should not, in most cases, be given to children under 16 without court order, adding that such petitioning was also advisable for 16 to 17 year olds. They clarified that the consent issue was not about the breadth and depth of information the minors were given, but that “There is no age appropriate way to explain to many of these children what losing their fertility or full sexual function may mean to them in later years.”

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Marriage: Past, Present and Future

What is the state of marriage in Western society? How did we get there? What are the implications for the worldwide body of believers?

We began this series in June discussing a report from a study committee of the Presbyterian Church in America calling for a biblically based and scientifically valid sexual apologetic. Across a vast range of hot-button issues, beliefs about human sexuality create the greatest divide between Christianity and the secular community. Within the church there is persuasive evidence that sexual issues are a major contributing factor to declining church participation and membership. Let’s turn our attention now to the issue of marriage.

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My Continued Education in American Racism

In my most recent blog, I wrote of some of my personal efforts to educate myself about racism in America, as well as improve my service for Christ to His world. While I do not ascribe to the tenets of critical theory, and I believe America has made significant progress in combatting its racist tendencies, I affirm the work of Dr. Omari Hodge and the new R2ED Committee he is leading for CMDA. I think it is important and necessary for our moral growth as a nation and our spiritual growth as Christians that we examine these issues and act appropriately.

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New Religious Freedom Survey Provides Encouragement

An encouraging new nationwide poll reveals that Americans see religion as a core part of who they are and how they navigate trials, that they feel the faith community should play an even greater role in social justice and that elected officials should protect religious freedom.

Those are the key findings of my valued friends at Becket, the phenomenal public interest legal institute that has represented Little Sisters of the Poor, the Christian Medical Association and individuals of all kinds of religious persuasions from Anglicans to Zoroastrians.

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First Do No Harm

I got to hear Philip Yancey, one of my long-standing heroes of faith, speak in person a few weeks ago. My college-age daughter and I attended a conference (which, lest you are concerned, was sparsely attended, socially distanced and masked) where he spoke to a group of about 100 people. The minute I received the invitation, I knew I was going to attend if humanly possible. I am a huge fan of Philip Yancey, have read all his books and find him to be one of the most simultaneously encouraging and convicting Christian authors out there. I certainly was not going to miss the chance to hear him speak in person in a small group! I spent the intervening weeks in eager anticipation.

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A Plea to Our Churches

The daily rendering of the news informs us that the rate of COVID-19 infections is skyrocketing. The time it takes for the U.S. to accumulate one million cases has dropped from 44 days to just seven days. The pandemic has not only arrived; it is hitting with hurricane force and has reached a crisis point.

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Ethical Science at Warp Speed

COVID-19 has brought many challenges to us all—medical, ethical, societal. It has also intensified and sharpened the focus of some ongoing bioethical challenges, especially regarding fetal tissue research and the related topic of abortion-derived cell lines and vaccine production. We looked at both of these issues in the spring of 2020, early in the COVID-19 pandemic. Time for some updates, new information and analysis.

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U.S. Sends Shot Across Bow of UN, WHO with Multilateral, Pro-Life Health Declaration

“At stake in this battle is the funding and prevalence of abortion, influencing societal views on abortion and securing or losing conscience freedom for pro-life healthcare professionals.”

At a signing ceremony in Washington, D.C. on October 22, 2020, U.S. Secretary of State Mike Pompeo and U.S. Department of Health and Human Services (HHS) Secretary Alex Azar laid out a multilateral agreement that sends a clear message to the United Nations and the World Health Organization: Stop pressuring countries to submit to a radical abortion agenda and focus instead on consensus global health issues.

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The Filter of Human Rights

As the 2020 election draws near, I’ve been contemplating the underlying reasons some of my family members will likely vote differently than me in this election. They believe the core Christian doctrines and affirm the Bible as the Word of God. They passionately seek to follow after the Lord in all they do. Yet, when they cast their ballot this year, their choice for President will probably differ from mine. It isn’t that they disagree with me on the abhorrence of abortion or the importance of conscience rights. Factors not yet understood by me are causing them to support the alternate candidate. It seems we are viewing political issues through different filters. After musing on this question for several months, I’ve concluded that one of those filters is human rights.

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Overcoming the Bombardment of COVID-19

Carpet bombing, also known as saturation bombing, is a large area bombardment done in a progressive manner to inflict damage in every part of a selected area of land. The phrase evokes the image of explosions completely covering an area, in the same way a carpet covers a floor.

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Victims of the Sexual Revolution

Too often, it seems, Christians engaged in culture are fighting yesterday’s battle. Probably, most who are engaged in apologetics still believe the worldview of secular culture is premised upon values of tolerance and moral relativism. We are way beyond that. Having emerged victorious (according to some) in the “culture wars,” tolerance and “rights-speak” are no longer useful to sexual revolutionaries. Their narrative has shifted. Opponents of Christian morality now assert far more than equivalence. They claim moral superiority, along with intolerant disdain for traditionally-minded folk of most religious or conservative persuasions. The prideful often fall by overreaching, as Napoleon did by invading Russia. Opponents of Christian sexuality have badly overreached. It is a battle they cannot win.

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Brief Reflections on My Recent Education in American Racism

CMDA’s Board of Trustees recently created the R2ED Team, which is a taskforce focused on racism and reconciliation, equality and diversity. As followers of Christ, we want to see persons of all colors and ethnicities blessed by the gospel of Christ and involved in the work and ministry of CMDA as much as possible.

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The Dealer

She wasn’t sure how it happened, but it happened. The sun had set, the rain had started, and the roads were slick, with cars moving slower than usual and drivers being vigilant. She didn’t see it but felt it as her car was hit. The night was going to be a long one.

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A Vaccine Trial is Not a Trial: What Participating Looks Like

I love vaccines. To those of you who have read my other articles on the subject (available here and here), this comes as no surprise. But, you may rightly say, “love” is an awfully strong word. Shouldn’t I only love people, not things?

I love vaccines because I love people. Millions of people are alive today only because they were vaccinated. Who are these people? Nobody knows, because the vaccine kept them from getting sick and dying. One of them could very well be me. Or you.

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Living in the Household of God

Our family has an unofficial mascot—a little bendable Gumby doll. I have no idea where Gumby came from or how exactly we acquired him. He started out as a little game in which various family members move Gumby to different places around the house. When you find Gumby, you move him somewhere else where he awaits discovery by another family member. Over the years, we have adopted an unofficial motto that goes with our unofficial mascot: “Semper Gumby” (always flexible). As is true of numerous other healthcare professionals, flexibility is not my strong suit. I am really good at focus, goals, determination and persistence. Flexibility, not so much. So “Semper Gumby” is a motto for me as much as anyone else in the house. A reminder that flexibility is a necessary part of doing life with other people.

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A Christian Perspective on Antidepressants

“Or do you not know that your body is a temple of the Holy Spirit within you, whom you have from God? You are not your own, for you were bought with a price. So glorify God in your body.” — 1 Corinthians 6:19-20, ESV

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AJP Issues Correction: No Mental Health Gain from Gender-Affirming Surgery

The American Journal of Psychiatry (AJP) printed a rare and important correction this month. A study claiming to be the “first total population study of transgender individuals with a gender incongruence diagnosis” was published in the October 2019 AJP titled “Reduction in mental health treatment utilization among transgender individuals after gender-affirming surgeries: a total population study.” Seven letters to the editor from 12 authors, myself included, resulted in a data reanalysis and subsequent correction statement that no improvement was demonstrated with surgical treatment. Now for the setting and major points of my team’s published letter.

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Was Jesus a Proponent of Critical Theory?

With recent discussions about allocation of scarce resources with the COVID-19 pandemic, concern has been raised about ensuring justice across all ethnic and political lines in caring for our patients. If allocation is determined based on anticipated quality life years based on treatment, then an inherent bias is baked in against the elderly. If likelihood of good outcome is a major criterion, then patients with higher levels of pre-existing disease will lose out. An example of this would be that among certain ethnic/racial populations there is at baseline a higher proportion of people with underlying heart, lung, metabolic or environmental disease. The African American population, in general, has a lower life expectancy, based on these factors, so if one weighs the allocation models to provide support for healthier patients, they will disadvantage people of color in distribution of ventilators, ICU beds and hospital admissions. Similar claims are made regarding people from other minority groups based on religion, gender, socio-economic class, educational attainment, etc.

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There is a Better Way

“For the wisdom of this world is foolishness in God’s sight” (1 Corinthians 3:19a, NIV 1984).

We have seen the devastation, societal decay and moral rot caused by the perpetuation of human wisdom and reasoning. Many in the world call what is “evil, good” and what is “good, evil.” Such reasoning creates a propensity for lawlessness and disintegration. People reject the truth and divine guidance, while also truly casting off restraint (Proverbs 29:18). If such actions lead to decay, what then leads to life?

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Part 2: Answering Contemporary Challenges to Christian Sexual Morality

In Part 1 of this series , we looked at two common objections to a traditional Christian view of sexuality: “What about other Old Testament rules we don’t keep?” and “The New Testament teaching on sexuality was socially constructed and not intended for universal application.” In this second part, we will examine two more recent arguments that have become quite popular and, to some, deceptively persuasive.

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Part 1: Is Christian Sexual Morality a Matter of Ancient Cultural Bias?

What is the foundation of your moral principles?

If you consider that a simple question, you’ve never really thought about it much.

The gut reaction of most Protestants would be “Scripture”—certainly a fitting place to begin—but when one drills down into the details, things get complicated rather quickly. For decades, theological liberals have dismissed biblical teaching on sexuality because they dismiss the Bible. In more recent years, a newer contingent rejects traditional Christian teaching on sexuality arguing that “the Bible never taught it in the first place.”

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Addressing Race in Healthcare Through the Faith and Through the Law

Christian Medical & Dental Associations (CMDA) has tackled race issues in healthcare proactively, gathering members together for prayer and fasting, webinars, public policy statements, articles, discussions, video presentations and more while pledging to “continue seeking to oppose racism in healthcare and society and pursuing justice in access to healthcare and equitable outcomes.”

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The New Subjective Reality of Transgenderism

Is reality subjective or objective?

A new hermeneutic of reality is arising: converting objective physical reality into subjective reality.

The rapid rise of the transgender movement and the denunciation of physical reality inherent in that movement has stunned countless conservatives and especially evangelical Christians. Transgender ideologues are not interested in prioritizing one aspect of physical reality over another. Instead, they want to subvert objective reality to a new subjective reality defined by the individual and the movement.

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Virtual Doctoring, Virtual Church, Virtual Life

When this pandemic started, I, at least, had heard of Zoom. My husband Don, also a family physician, had no clue. We’re both in our 60s and feel simultaneously confused and outdated whenever a new form of technology emerges. Picture a donkey leaning back on the rope held by someone trying to drag it forward. You get the idea.

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Being Refined After the Fire

I love the opportunity to write for CMDA on a regular basis. I always sit down at the computer and words flow out of my heart and out of whatever I am experiencing at that point in time. It has been a new experience to struggle so much with my blog entry this month. I have written four or five entries—and every single one of them is depressing and discouraging, and also very similar to the one I wrote on my last assigned blog date. I keep trying, and I keep coming up pretty empty. It’s only after attempt number four or five that it occurred to me to think about the emptiness itself.

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HHS Addresses “Transgender Mandate” in New Rule…but Supreme Court Redefines “Sex Discrimination”

The U.S. Department of Health and Human Services (HHS) announced on June 12 that it had “finalized a rule under Section 1557 of the Affordable Care Act (ACA) that maintains vigorous enforcement of federal civil rights laws on the basis of race, color, national origin, disability, age, and sex, and restores the rule of law by revising certain provisions that go beyond the plain meaning of the law as enacted by Congress.”

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Medical Conscience Rights, Part II: Sexual Minority Conflicts

Conscience rights are constitutional priorities as well as professional and personal necessities for free people, and these enjoy strong and historic support from the legislature, executive branch and judiciary. They are worth defending, especially when misrepresented and misunderstood.

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Stand in the Gap: A Summons to Healthcare Professionals

OK. The ad is hypothetical, I’ll admit. But only a little. A just-released report on human sexuality issued a clarion call for Christian apologists to step up and counter the increasingly toxic cultural narrative on human sexuality. That narrative—or perhaps narratives, since some are severely at odds—has led to increasing radicalism and polarization, leaving a tide of refugees in its wake.

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Heroes, Wistfulness, Roles and Faithfulness

The viral attack hit especially in the major metropolitan epicenters, and many doctors, nurses, respiratory therapists and other healthcare professionals stayed at work in the trenches, came out of retirement or traveled long distances to volunteer their services to aid those in distress.

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Responding to Anti-Christian Animus Revealed in the Pandemic

In New York City, pronouncements against the volunteer work of the Christian relief group Samaritan’s Purse revealed venomous anti-Christian attitudes. Because Samaritan’s Purse, led by Franklin Graham, the son of the late evangelist Billy Graham, adheres to a biblical view of marriage, some New Yorkers would have had the group kicked out of the city rather than allowed to help save lives.

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Thinking of Ultimate Things

After 10 weeks of avoiding people, I realize how much I miss them. People, that is. I always thought I disliked crowds, but now I find myself missing crowds also. People bring me pleasure. People are precious.

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The Polarizing Pandemic

We are living in a highly polarized society. Disagreeing opinions have very little overlap, making compromise difficult. People talk more than they hear, and they hear more than they listen. People rally and argue and protest, but they rarely build bridges across the divides. Political candidates represent the extreme ends of their party’s platform, and those in the middle are accused of being weak on issues. Opinions on social media are strongly worded and leave no room for useful discussion. Family members have broken fellowship over the Trump v. Clinton election. Friendships are strained over differing definitions of social distancing. The world we live in is broken, and people are afraid. Fear, in fact, is the most insidious form of brokenness. It penetrates the very marrow of our character and changes our motivations. The values and ideals we hold dear are corrupted by fear such that we no longer act based on what we believe, but rather out of avoidance of what we fear.

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Immunizing Conscience

Ethical considerations should have a priority place in science and medicine. Promoting sound bioethics promotes confidence in doctors and scientists and their work, among peers, the public and policymakers. This is certainly seen in the recent ethically-guided decisions around federal funding of research with fetal tissue from elective abortions. Ethical guardrails help focus precious research funds on projects with best chance of success and benefit for all. Even in a crisis such as the current COVID-19 pandemic, illumination of the ethical vs. unethical proposals can educate and serve to focus attention and resources on the paths that will benefit all.

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Downcast: Do Real Christians Get Depressed?

Since the time of Job, people have struggled with depression. Depression isolates, as it causes sufferers to withdraw from others. Unfortunately, the stigma surrounding depression often reinforces the isolation. Not only do others stigmatize those who are depressed, but depressed individuals often believe these misunderstandings about themselves and experience shame. This shame arises from ignorance and misunderstanding about the nature of depression.

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Medical Conscience Rights, Part 1

Per Alliance Defending Freedom: “Freedom of conscience means you are free to carry out your moral duty without fear of government coercion or punishment.”

Also, it need not be faith-based to count. Conscience is conscience, and these rights protect our atheist colleagues as they do us. Canadian philosopher Edward Tingley explains that conscience rights protect those who object to the norm of what even a majority thinks is right, and they apply when (1) a cogent claim can be made that (2) grave wrong is done. The claim of wrong needs only to be serious and defensible.

Conscience rights exist precisely to protect someone who disagrees with majority consensus. They specifically protect unpopular opinions. The objection needs only to be serious and defensible.

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COVID-19 Ramblings and Reflections

The world is caught up in the COVID-19 pandemic. This virus has changed our lives, and it will continue to change the lives of people all over the world for years to come. Schools, churches, businesses, restaurants, sporting events and entire countries are closed or are placed under lockdown. Shelter-in-place, an old term, unknown to most, is now widely used, and it affects, by some estimates, more than half the country. At any hour of the day or night, one can find the most up-to-date tallies for morbidity and mortality in the U.S. and around the world. This led me to three observations.

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CPR in the Times of COVID-19

Cardiopulmonary resuscitation (CPR) is universally applied in cardiac standstill, unless a physician order is given to Do Not Resuscitate (DNR). CPR is the only procedure that can be performed without a physician order; a nurse cannot give aspirin, start an IV or feed a patient without an order. However, CPR is the automatic default when the heart stops. This universal application has created several ethical issues, and the current pandemic now has us questioning if CPR should be the automatic default.

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Coronavirus Response Reveals Character of Governments

American novelist James Lane Allen wrote, “Adversity does not build character; it reveals it.” The response by the governments of countries around the world to the COVID-19 Coronavirus is revealing the fundamental character of those governments.

As the U.S., state and local governments and healthcare professionals labor tirelessly in compassionate and effective efforts to protect American citizens from the spreading COVID-19 Coronavirus, governments in certain countries instead are reportedly exposing persecuted religious groups to the threat.

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Anxious? Me, Too. How To Lean On God When Feelings Don’t Cooperate

I’ve been a family doctor in the same location for 30 years, so many of my patients have been with me a decade…or two…or three. Following people through their life stages has been a joy. We’ve grown older together. I’ve been acutely aware of this in the last two weeks as I’ve called patients to reschedule them. I’ve wanted to call them myself to make sure they don’t need anything, because I’d rather they avoid any medical facility for the next six months.

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A Guide in the Middle of COVID-19

My 21-year-old son attends university in Scotland. Scotland is a beautiful country filled with some of the loveliest people I have met in my travels. They are warm, friendly and willing to help a stranger, even if you can’t always understand what they are saying to you. Those thick Scottish brogues can be difficult! Just sayin’.

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Ethics, Science and Ethical Science

Should ethical considerations have a place in science and medicine? Should ethics reviews be a standard part of science proposal reviews? Some scientists have said one reason they don’t consult ethicists or think about the ethical implications of their research is because ethicists usually say “no” to new technologies or because ethics is arbitrary. But what they are really avoiding is the necessity of setting rational limits on science, thinking they can thereby avoid any limits on their work. Limits that protect all human beings—even nascent human life—are neither arbitrary nor irrational. Such limits offer essential protections against abuses that could actually tarnish the image and standing of science, and limits also provide us opportunities to appreciate our shared humanity. These limits are not barriers but rather channels to move the scientific endeavor onto more productive ground. Science and ethics are not diametrically opposed approaches. In fact, in most cases the two walk hand in hand, enjoying each other’s company and benefitting from the shared journey.

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Culture Clashes Require Courage

Barna research has reported that “Half of Christian pastors say they frequently (11%) or occasionally (39%) feel limited in their ability to speak out on moral and social issues because people will take offense. The other half of pastors say they only rarely (30%) or never (20%) feel limited in this way.”

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Mental Health Advocacy for Gender Dysphoric Youth

British general practitioner Sally Howard wondered in The BMJ, “…the significant majority of children do resolve their gender ID in favour of their natal sex by adulthood. Where is the advocacy for the mental health needs of that majority?” Where, indeed.

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The Importance of Definitions

Definitions are important for what they say—and for what they do not say. Consider the definition of human trafficking. “Trafficking in persons” (TIP) is defined by the U.S. Department of Defense as “the use of force, fraud, or coercion to compel persons to provide labor or services or commercial sex. TIP involves exploitation of all types. TIP can include elements of recruiting, harboring, transporting, providing, or obtaining a person for the purpose of exploitation.” The U.S. Department of State declares, “Human trafficking deprives millions worldwide of their dignity and freedom. It undermines national security, distorts markets, and enriches transnational criminals and terrorists, and is an affront to our universal values. At-risk populations can face deceitful recruitment practices by those bent on exploiting them for labor or commercial sex….” Interestingly, there is no mention of exchanging human beings for money as a definition of human trafficking, yet it seems that buying and selling humans would qualify as “human trafficking.”

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Physician-Assisted Suicide and Euthanasia

On October 27, 1997, Oregon became the first state to legalize physician-assisted suicide. Many Americans were shocked and dismayed at this development. Over time, more and more people have accepted physician-assisted suicide, and it continues to gain momentum.

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