Katholieke Stichting Medische Ethiek
19 mei 2024

Mondiale gelijkheid in gezondheidszorg

Message to the participants in the international conference organized by the Pontifical Academy for Life, 18-19 January 2024

16 januari 2024
Paus Franciscus

To the Participants in the International Conference: “The Declaration of Helsinki: Research in Resource-Poor Settings”

I am pleased to greet all of you at the start of the conference organized by the World Medical Association, together with the American Medical Association and the Pontifical Academy for Life. The theme you are addressing, “The Declaration of Helsinki: Research in Resource-Poor Settings”, is both important and timely, for the Declaration itself highlights the fundamental issue of freedom and informed consent with regard to clinical research. Starting from this foundation, we have seen through the years how this topic has had an influence on medical practice as a whole.

Since its initial version in 1964 and through its subsequent updates, the Declaration has offered an essential contribution to making possible the transition from research on patients to research with patients. We well know how significant this shift has been for the practice of medicine in fostering a new harmony in the relationship between doctor and patient. While the asymmetry present in the therapeutic relationship is all too apparent, the central role that the sick person should have has not yet become a reality. It needs to be continually safeguarded and promoted in the novel circumstances in which medicine finds itself, which are advancing with increasing speed and which include new technological and pharmaceutical resources, economic interests and commercial alliances, and cultural contexts in which it is easier to instrumentalize others for one’s own purposes.

Clinical research in low-income countries is an area that is especially susceptible to such vulnerabilities. Indeed, these concerns form a particular aspect of that protection which we always need to ensure, in all aspects of our life together, for the people in our societies who are most at risk. On the international level, we are witnessing many injustices that push poor countries into a disadvantaged position, in terms of access to and use of available resources, leaving them at the mercy of wealthier countries and industrial entities that appear insensitive to those who cannot assert themselves in economic terms, even when fundamental needs and rights are at stake. These are issues that likewise concern technologies such as artificial intelligence (cf. Message for the 2024 World Day of Peace). It is very important to prevent inequalities from occurring also in the field of healthcare and clinical research. We cannot subordinate care, which represents the essential attitude that allows human life to progress through the entrusting of one person to another, to the reductive mentalities of the market and of technology.

I am happy, then, that you are considering these questions, seeking not only to engage their implications on the theoretical level, but also to find concrete solutions. For we need to balance research opportunities and the welfare of patients, so that the expenses incurred by research and access to the resulting benefits are equitably distributed.

Here, I also want to draw your attention to the fact that respecting the freedom of the different communities involved means appreciating as well their diverse cultural sensitivities, which should not be harmed by patterns of knowledge and social practices that they do not recognize as their own. We are faced, then, with challenges that give rise to questions of global justice concerning healthcare. In this area, after the experience of the pandemic, we have seen how important it is to provide forms of governance that go beyond those available to individual nations. In this regard, we need to foster a way of thinking about the international community that effectively serves the human family, turning to a perspective of social friendship and universal fraternity (cf. Fratelli Tutti, 173).

With these sentiments, I offer my prayerful good wishes for your deliberations and your work. Upon all taking part in this conference, I willingly invoke the abundant blessings of Almighty God.

From the Vatican, 16 January 2024

FRANCIS


“Het is niet goed dat de mens alleen is”

Boodschap voor de XXXII Werelddag van de zieken, 11 februari 2024

10 januari 2024
Paus Franciscus

“Het is niet goed voor de mens om alleen te zijn”. Zorgen voor de zieken door te zorgen voor relaties

“Het is niet goed dat de mens alleen blijft” (Gen 2,18). Vanaf het begin heeft God, die liefde is, de mens geschapen voor gemeenschap, door in zijn wezen de dimensie van relaties te leggen. Zo is ons leven, gevormd naar het beeld van de Drie-eenheid, bedoeld om zich volledig te realiseren in de dynamiek van relaties, vriendschap en wederzijdse liefde. We zijn geschapen om samen te zijn, niet alleen. En juist omdat dit doel van gemeenschap zo diep in het menselijk hart is gegrift, beangstigt de ervaring van verlatenheid en eenzaamheid ons en is die pijnlijk voor ons en zelfs onmenselijk. Dit wordt nog erger in tijden van kwetsbaarheid, onzekerheid en onzeker zijn, vaak veroorzaakt door het begin van een ernstige ziekte.

Ik denk bijvoorbeeld aan degenen die vreselijk eenzaam waren tijdens de Covid-19 pandemie: patiënten die geen bezoek konden ontvangen, maar ook verpleegkundigen, artsen en ondersteunend personeel, allemaal overbelast en afgezonderd in isolatieafdelingen. En laten we natuurlijk niet degenen vergeten die het uur van de dood alleen moesten trotseren, bijgestaan door gezondheidspersoneel maar ver van hun familie.

Tegelijkertijd deel ik met verdriet de benarde toestand en eenzaamheid van diegenen die door oorlog en de tragische gevolgen daarvan zonder steun en hulp zitten: oorlog is de meest verschrikkelijke sociale ziekte en de meest kwetsbare mensen betalen de hoogste prijs.

Er moet echter worden benadrukt dat, zelfs in landen die vrede kennen en over meer middelen beschikken, de tijd van ouderdom en ziekte vaak in eenzaamheid wordt doorgebracht en soms zelfs in verlatenheid. Deze trieste realiteit is vooral een gevolg van de cultuur van het individualisme, die prestaties ten koste van alles ophemelt en de mythe van efficiëntie cultiveert, en onverschillig en zelfs meedogenloos wordt wanneer mensen niet langer de kracht hebben om mee te kunnen doen. Het wordt dan een cultuur van weggooien, waarin “mensen niet langer worden gezien als een primaire waarde die moet worden gerespecteerd en beschermd, vooral als ze arm of gehandicapt zijn, als ze ‘nog niet nodig’ zijn – zoals ongeborenen – of ‘niet langer nodig’ – zoals ouderen” (Fratelli tutti, 18). Helaas is deze manier van denken ook doorgedrongen in bepaalde politieke keuzes, die de waardigheid van de mens en zijn behoeften niet centraal stellen en niet altijd de strategieën en middelen begunstigen die nodig zijn om ieder mens het fundamentele recht op gezondheid en toegang tot zorg te garanderen. Tegelijkertijd worden de kwetsbaren aan hun lot overgelaten en wordt hun eenzaamheid nog groter door de zorg te beperken tot gezondheidsdiensten, zonder dat deze op een verstandige manier vergezeld gaan van een “therapeutische alliantie” tussen arts, patiënt en familielid.

Het doet ons goed om opnieuw dat Bijbelse woord te horen: het is niet goed dat de mens alleen is! God spreekt het uit aan het begin van de schepping en onthult ons zo de diepe betekenis van zijn plan voor de mensheid, maar tegelijkertijd ook de dodelijke wond van de zonde, die men binnenbrengt door het opwekken van wantrouwen, breuken, verdeeldheid en dus isolement. Het beïnvloedt de persoon in al zijn relaties: met God, met zichzelf, met anderen, met de schepping. Een dergelijk isolement doet ons de zin van het bestaan verliezen, berooft ons van de vreugde van de liefde en doet ons een drukkend gevoel van eenzaamheid ervaren in alle cruciale momenten van het leven.

Broeders en zusters, de eerste zorg die we nodig hebben bij ziekte is een nabijheid vol mededogen en tederheid. Daarom betekent zorgen voor de zieke in de eerste plaats zorgen voor diens relaties, al zijn relaties: met God, met anderen – familie, vrienden, gezondheidswerkers -, met de schepping, met zichzelf. Is dit mogelijk? Ja, het is mogelijk en we zijn allemaal geroepen om ons ervoor in te zetten. Laten we kijken naar de icoon van de barmhartige Samaritaan (vgl. Lc. 10, 25-37), naar zijn vermogen om stil te staan en naaste te worden, naar de tederheid waarmee hij de wonden van zijn lijdende broeder verzacht.

Laten we ons deze kernwaarheid van ons leven herinneren: we zijn op de wereld gekomen omdat iemand ons verwelkomde, we zijn gemaakt om lief te hebben, we zijn geroepen tot gemeenschap en broederschap. Deze dimensie van ons wezen ondersteunt ons vooral in tijden van ziekte en kwetsbaarheid, en het is de eerste therapie die we allen samen moeten volgen om de ziekten van de samenleving waarin we leven te genezen.

Tegen jullie, die een ziekte doormaken, tijdelijk of chronisch, wil ik zeggen: schaam je niet voor je verlangen naar nabijheid en tederheid! Verberg het niet en denk nooit dat je anderen tot last bent. De toestand van de zieken nodigt ons allen uit om de opgejaagde ritmes waarin we ondergedompeld zijn af te remmen en onszelf te herontdekken.

In deze veranderende tijd waarin we leven, zijn wij christenen in het bijzonder geroepen om de barmhartige blik van Jezus aan te nemen. Laten we zorgen voor hen die lijden en alleen zijn, misschien gemarginaliseerd en afgedankt. Met wederzijdse liefde, die Christus de Heer ons geeft in gebed, vooral in de Eucharistie, helen we de wonden van eenzaamheid en isolement. En zo werken we samen om de cultuur van individualisme, onverschilligheid en afwijzing tegen te gaan en de cultuur van tederheid en mededogen te laten groeien.

De zieken, de zwakken, de armen vormen het hart van de Kerk en moeten ook het middelpunt zijn van onze menselijke aandacht en pastorale zorg. Laten we dit niet vergeten! En laten we ons toevertrouwen aan de Allerheiligste Maria, Heil van de Zieken, opdat zij voor ons ten beste spreekt en ons helpt om bewerkers van nabijheid en broederlijke relaties te zijn.


Draagmoederschap is schending waardigheid moeder en kind

Toespraak tot leden van het corps diplomatique geaccrediteerd bij de Heilige Stoel

Puas Franciscus
8 januari 2024

Your Excellencies, Ladies and Gentlemen,

I am pleased to welcome you this morning and to extend my personal greetings and good wishes for the New Year. In a special way, I thank His Excellency Ambassador George Poulides, Dean of the Diplomatic Corps, for his kind words, which eloquently expressed the concerns of the international community at the beginning of a year that we hope to be one of peace, but has instead dawned amid conflicts and divisions.

Our meeting is a fitting occasion for me to thank you for your efforts to foster good relations between the Holy See and your respective countries. Last year, our “diplomatic family” became even larger, thanks to the establishment of diplomatic relations with the Sultanate of Oman and the appointment of its first Ambassador, here present.

Here I would note that the Holy See has now appointed a resident Papal Representative in Hanoi, following last July’s conclusion of the relative agreement on the status of the Papal Representative. This is a sign of the intent to pursue the process already initiated in a spirit of reciprocal respect and trust, thanks also to frequent contacts on the institutional level and to cooperation with the local Church.

2023 also saw the ratification of the Supplementary Agreement to the 24 September 1998 Agreement between the Holy See and Kazakhstan on mutual relations, which facilitated the presence and work of pastoral agents in that country. The past year also marked the celebration of significant anniversaries: the hundredth anniversary of diplomatic relations with the Republic of Panama, the seventieth anniversary of those with the Islamic Republic of Iran, the sixtieth of those with the Republic of Korea, and the fiftieth of those with Australia.

Dear Ambassadors,

One word in particular resounds in the two principal Christian feasts. We hear it in the song of the angels who proclaimed in the night of the birth of the Saviour, and we hear it again in the greeting of the risen Jesus. That word is “peace”. Peace is primarily a gift of God, for it is he who has left us his peace (cf. Jn 14:27). Yet it is also a responsibility incumbent upon all of us: “Blessed are the peacemakers” (Mt 5:9). To strive for peace. A word so simple, yet so demanding and rich in meaning. Today I would like to concentrate our reflections on peace, at a moment in history when it is increasingly threatened, weakened and in part lost. For that matter, it is the responsibility of the Holy See within the international community to be a prophetic voice and to appeal to consciences.

On Christmas Eve 1944, Pope Pius XII delivered a memorable Radio Message to the peoples of the world. The Second World War was drawing to a close after more than five years of conflict and humanity sensed – in the Pope’s words – “an ever more clear and firm will: to make of this world war, this universal upheaval, the starting point for a new era marked by profound renewal”. Some eighty years later, the impetus for that “profound renewal”, appears to have receded, and our world is witnessing a growing number of conflicts that are slowly turning what I have often called “a third world war fought piecemeal” into a genuine global conflict.

Here, in your presence, I cannot fail to reiterate my deep concern regarding the events taking place in Palestine and Israel. All of us remain shocked by the October 7 attack on the Israeli people, in which great numbers of innocent persons were horribly wounded, tortured, and murdered, and many taken hostage. I renew my condemnation of this act and of every instance of terrorism and extremism. This is not the way to resolve disputes between peoples; those disputes are only aggravated and cause suffering for everyone. Indeed, the attack provoked a strong Israeli military response in Gaza that has led to the death of tens of thousands of Palestinians, mainly civilians, including many young people and children, and has caused an exceptionally grave humanitarian crisis and inconceivable suffering.

To all the parties involved I renew my appeal for a cease-fire on every front, including Lebanon, and the immediate liberation of all the hostages held in Gaza. I ask that the Palestinian people receive humanitarian aid, and that hospitals, schools and places of worship receive all necessary protection.

It is my hope that the international community will pursue with determination the solution of two states, one Israeli and one Palestinian, as well as an internationally guaranteed special status for the City of Jerusalem, so that Israelis and Palestinians may finally live in peace and security.

The present conflict in Gaza further destabilizes a fragile and tension-filled region. In particular, we cannot forget the Syrian people, living in a situation of economic and political instability aggravated by last February’s earthquake. May the international community encourage the parties involved to undertake a constructive and serious dialogue and to seek new solutions, so that the Syrian people need no longer suffer as a result of international sanctions. In addition, I express my profound distress for the millions of Syrian refugees still present in neighbouring countries like Jordan and Lebanon.

I think in a special way of the beloved Lebanese people, and I express my concern for the social and economic situation that they are experiencing. It is my hope that the institutional stalemate that has even further burdened them will be resolved and that the Land of Cedars will soon have a President.

Remaining on the Asian continent, I would also call the attention of the international community to Myanmar, and plead that every effort be made to offer hope to that land and a dignified future to its young, while at the same time not neglecting the humanitarian emergency that the Rohingya continue to experience.

Alongside these complex situations, there are also signs of hope, as I was able to experience in the course of my Journey to Mongolia, to whose authorities I once more express my gratitude for their welcome. I also wish to thank the Hungarian authorities for the hospitality I received during my visit to that country last April. It was a journey into the heart of Europe, rich in history and culture, where I felt the affection of many people, yet sensed the proximity of a conflict that we would have considered unimaginable in the Europe of the twenty-first century.

Sadly, after nearly two years of large-scale war waged by the Russian Federation against Ukraine, the greatly desired peace has not yet managed to take root in minds and hearts, despite the great numbers of victims and the massive destruction. One cannot allow the persistence of a conflict that continues to metastasize, to the detriment of millions of persons; it is necessary to put an end to the present tragedy through negotiations, in respect for international law.

I also express my concern for the tense situation in the South Caucasus between Armenia and Azerbaijan, and I urge the parties to arrive at the signing of a peace treaty. It is urgent that a solution be found to the dramatic humanitarian situation of those living in that region, while favouring the return of refugees to their own homes in legality and security and with respect for the places of worship of the different religious confessions present there. These steps will help contribute to the building of a climate of trust between the two countries, in view of the greatly desired peace.

Turning our gaze to Africa, we are witnessing the suffering of millions of persons as a result of the numerous humanitarian crises that various sub-Saharan countries experience due to international terrorism, complex social political problems, and the devastating effects caused by climate change. Added to these are the effects of the military coups d’état that have occurred in several countries and certain electoral processes marked by corruption, intimidation and violence.

At the same time, I renew my appeal for serious efforts on the part of all engaged in the application of the November 2022 Pretoria Agreement, which put an end to the hostilities in Tigray. Likewise, for the pursuit of specific solutions to the tensions and violence that assail Ethiopia, and for dialogue, peace and stability among the countries of the Horn of Africa.

I would also like to bring up the tragic events in Sudan where sadly after months of civil war no way out is in sight, and the plight of the refugees in Cameroon, Mozambique, the Democratic Republic of the Congo and South Sudan. I had the joy of visiting the latter two countries at the beginning of last year, as a sign of my closeness to their people who are suffering, albeit in different contexts and situations. I express my heartfelt gratitude to the authorities of both countries for their efforts in organizing these visits and for their hospitality. My Journey to South Sudan also had an ecumenical flavour, since I was joined by the Archbishop of Canterbury and the Moderator of the General Assembly of the Church of Scotland, as a sign of the shared commitment of our ecclesial communities to peace and reconciliation.

Although there are no open wars in the Americas, serious tensions exist between several countries, for example Venezuela and Guyana, while in others, such as Peru, we see signs of a polarization that compromises social harmony and weakens democratic institutions.

The situation in Nicaragua remains troubling: a protracted crisis with painful consequences for Nicaraguan society as a whole, and in particular for the Catholic Church. The Holy See continues to encourage a respectful diplomatic dialogue for the benefit of Catholics and the entire population.

Your Excellencies, Ladies and Gentlemen,

Against this backdrop that I have sketched without any pretension to completeness, we find an increasingly lacerated world, but even more, millions of persons – men, women, fathers, mothers, children – whose faces are for the most part unknown to us, and frequently overlooked.

Moreover, modern wars no longer take place only on clearly defined battlefields, nor do they involve soldiers alone. In a context where it appears that the distinction between military and civil targets is no longer respected, there is no conflict that does not end up in some way indiscriminately striking the civilian population. The events in Ukraine and Gaza are clear proof of this. We must not forget that grave violations of international humanitarian law are war crimes, and that it is not sufficient to point them out, but also necessary to prevent them. Consequently, there is a need for greater effort on the part of the international community to defend and implement humanitarian law, which seems to be the only way to ensure the defence of human dignity in situations of warfare.

At the beginning of this year, the exhortation of the Second Vatican Council in Gaudium et Spes seems especially timely: “On the question of warfare, there are various international conventions, signed by many countries, aimed at rendering military action and its consequences less inhuman… These agreements must be honoured; indeed public authorities and specialists in these matters must do all in their power to improve these conventions and thus bring about a better and more effective curbing of the savagery of war”. Even when exercising the right of legitimate defence, it is essential to adhere to a proportionate use of force.

Perhaps we need to realize more clearly that civilian victims are not “collateral damage”, but men and woman, with names and surnames, who lose their lives. They are children who are orphaned and deprived of their future. They are individuals who suffer from hunger, thirst and cold, or are mutilated as an effect of the power of modern explosives. Were we to be able to look each of them in the eye, call them by name, and learn something of their personal history, we would see war for what it is: nothing other than an immense tragedy, a “useless slaughter”, one that offends the dignity of every person on this earth.

Wars, nonetheless, are able to continue thanks to the enormous stock of available weapons. There is need to pursue a policy of disarmament, since it is illusory to think that weapons have deterrent value. The contrary is true: the availability of weapons encourages their use and increases their production. Weapons create mistrust and divert resources. How many lives could be saved with the resources that today are misdirected to weaponry? Would it not be better to invest those resources in the pursuit of genuine global security? The challenges of our time transcend borders, as we see from the variety of crises – of food, the environment, the economy and health care – that have marked the beginning of the century. Here I reiterate my proposal that a global fund be established to finally eliminate hunger and to promote a sustainable development of the entire planet.

Among the threats caused by these instruments of death, I cannot fail to mention those produced by nuclear arsenals and the development of increasingly sophisticated and destructive weapons. Here, I once more affirm the immorality of manufacturing and possessing nuclear weapons. In this regard, I express my hope for the resumption, at the earliest date possible, of negotiations for the restart of the Joint Comprehensive Plan of Action, better known as the “Iran Nuclear Deal,” to ensure a safer future for all.

To pursue peace, however, it is not enough simply to eliminate the implements of war; its root causes must be eradicated. Foremost among these is hunger, a scourge that continues to afflict entire areas of our world while others are marked by massive waste of food. Then there is the exploitation of natural resources, which enriches a few while leaving entire populations, the natural beneficiaries of these resources, in a state of destitution and poverty. Connected to this is the exploitation of people forced to work for low wages and lacking real prospects for professional growth.

The causes of conflict also include natural and environmental disasters. To be sure, there are disasters that human beings cannot control. I think of the recent earthquakes in Morocco and China that resulted in hundreds of victims, as well as the severe earthquake that struck Türkiye and part of Syria, and took a terrible toll of death and destruction. I think too of the flood that struck Derna in Libya, effectively destroying the city, not least because of the simultaneous collapse of two dams.

Yet there are also disasters that are attributable to human activity or neglect and contribute seriously to the current climate crisis, such as the deforestation of the Amazon, the “green lung” of the earth.

The climate and environmental crisis was the topic of the 28th Conference of the Parties to the United Nations Framework Convention on Climate Change (COP28) held last month in Dubai. I regret that I was unable to participate personally. The Conference began in conjunction with the World Meteorological Organization’s announcement that 2023 was the warmest year on record in comparison with the 174 years previous. The climate crisis demands an increasingly urgent response and full involvement on the part of all, including the international community as a whole.

The adoption of the final document at COP28 represents an encouraging step forward; it shows that, in the face of today’s many crises, multilateralism can be renewed through the management of the global climate issue in a world where environmental, social and political problems are closely connected. At COP28, it became clear that the present decade is critical for dealing with climate change. Care for creation and peace “are the most urgent issues and they are closely linked”. For this reason, I express my hope that what was adopted in Dubai will lead to “a decisive acceleration of the ecological transition, through means… [to be] achieved in four sectors: energy efficiency; renewable sources; the elimination of fossil fuels; and education in lifestyles that are less dependent on the latter”.

Wars, poverty, the mistreatment of our common home and the ongoing exploitation of its resources, which lead to natural disasters, also drive thousands of people to leave their homelands in search of a future of peace and security. In journeying, they risk their lives along dangerous routes, like those through the Sahara desert, in the Darién forest on the border between Colombia and Panama in Central America, in the north of Mexico at the border with the United States, and above all on the Mediterranean Sea. Sadly, in the last ten years the Mediterranean has turned into a great cemetery, as tragedies continue to unfold, due also to unscrupulous human traffickers. Let us not forget that the great number of victims include many unaccompanied minors.

The Mediterranean should instead be a laboratory of peace, “a place where different countries and realities can encounter each other on the basis of the humanity we all share”. I wished to emphasize this in Marseille, during my Apostolic Journey for the Rencontres Méditerranéennes, and I am grateful to the organizers and the French authorities for having made that Journey possible. Faced with such an immense tragedy, we can easily end up closing our hearts, entrenching ourselves behind fears of an “invasion.” We are quick to forget that we are dealing with people with faces and names, and we overlook the specific vocation of this, “our sea” ( mare nostrum), to be not a tomb but a place of encounter and mutual enrichment between individuals, peoples and cultures. This does not detract from the fact that migration should be regulated, in order to accept, promote, accompany and integrate migrants, while at the same time respecting the culture, sensitivities and security of the peoples that accept responsibility for such acceptance and integration. We need likewise to insist on the right of people to remain in their homeland and the corresponding need to create the conditions for the effective exercise of this right.

In confronting this challenge, no country should be left alone, nor can any country think of addressing the issue in isolation, through more restrictive and repressive legislation adopted at times under pressure of fear or in pursuit of electoral consensus. In this regard, I welcome the commitment of the European Union to seek a common solution through the adoption of the new Pact on Migration and Asylum, while at the same time noting some of its limitations, especially concerning the recognition of the right to asylum and the danger of arbitrary detention.

Dear Ambassadors,

The path to peace calls for respect for life, for every human life, starting with the life of the unborn child in the mother’s womb, which cannot be suppressed or turned into an object of trafficking. In this regard, I deem deplorable the practice of so-called surrogate motherhood, which represents a grave violation of the dignity of the woman and the child, based on the exploitation of situations of the mother’s material needs. A child is always a gift and never the basis of a commercial contract. Consequently, I express my hope for an effort by the international community to prohibit this practice universally. At every moment of its existence, human life must be preserved and defended; yet I note with regret, especially in the West, the continued spread of a culture of death, which in the name of a false compassion discards children, the elderly and the sick.

The path to peace calls for respect for human rights, in accordance with the simple yet clear formulation contained in the Universal Declaration of Human Rights, whose seventy-fifth anniversary we recently celebrated. These principles are self-evident and commonly accepted. Regrettably, in recent decades attempts have been made to introduce new rights that are neither fully consistent with those originally defined nor always acceptable. They have led to instances of ideological colonization, in which gender theory plays a central role; the latter is extremely dangerous since it cancels differences in its claim to make everyone equal. These instances of ideological colonization prove injurious and create divisions between states, rather than fostering peace.

Dialogue, on the other hand, must be the soul of the international community. The current situation is also the result of the weakening of structures of multilateral diplomacy that arose after the Second World War. Organizations established to foster security, peace and cooperation are no longer capable of uniting all their members around one table. There is the risk of a “monadology” and of splitting into “clubs” that only admit states deemed ideologically compatible. Even agencies devoted to the common good and to technical questions, which have thus far proved effective, risk paralysis due to ideological polarization and exploitation by individual states.

In order to relaunch a shared commitment to the service of peace, there is a need to recover the roots, the spirit and the values that gave rise to those organizations, while at the same time taking into account the changed context and showing regard for those who do not feel adequately represented by the structures of international organizations.

To be sure, dialogue requires patience, perseverance and an ability to listen, yet when sincere attempts are made to put an end to disagreements, significant results can be achieved. One example that comes to mind is the Belfast Agreement, also known as the Good Friday Agreement, signed by the British and Irish governments, whose twenty-fifth anniversary was commemorated last year. Putting an end to thirty years of violent conflict, it can serve as an example to motivate and encourage authorities to trust in peace processes, whatever the hardships and sacrifices they entail.

The way to peace is through political and social dialogue, since it is the basis for civil coexistence in a modern political community. 2024 will witness elections being held in many nations. Elections are an essential moment in the life of any country, since they allow all citizens responsibly to choose their leaders. The words of Pope Pius XII remain as timely as ever: “To express one’s own view of the duties and sacrifices imposed on him or her; not to be compelled to obey without first being heard – these are two rights of the citizen which find expression in democracy, as its very name implies. From the stability, harmony and good fruits produced by this contact between the citizens and the government of the state, one may recognize whether a democracy is truly sound and well balanced, and perceive the vigour of its life and development”.

It is important, then, that citizens, especially young people who will be voting for the first time, consider it one of their primary duties to contribute to the advancement of the common good through a free and informed participation in elections. Politics, for its part, should always be understood not as an appropriation of power, but as the “highest form of charity”, and thus of service to one’s neighbour within a local or national community.

The path to peace also passes through interreligious dialogue, which before all else requires the protection of religious freedom and respect for minorities. It is painful to note, for example, that an increasing number of countries are adopting models of centralized control over religious freedom, especially by the massive use of technology. In other places, minority religious communities often find themselves in increasingly precarious situations. In some cases, they risk extinction due to a combination of terrorism, attacks on their cultural heritage and more subtle measures such as the proliferation of anti-conversion laws, the manipulation of electoral rules and financial restrictions.

Of particular concern is the rise in acts of anti-Semitism in recent months. Once again, I would reiterate that this scourge must be eliminated from society, especially through education in fraternity and acceptance of others.

Equally troubling is the increase in persecution and discrimination against Christians, especially over the last ten years. At times, this involves nonviolent but socially significant cases of gradual marginalization and exclusion from political and social life and from the exercise of certain professions, even in traditionally Christian lands. Altogether, more than 360 million Christians around the world are experiencing a high level of discrimination and persecution because of their faith, with more and more of them being forced to flee their homelands.

Finally, the path to peace passes through education, which is the principal means of investing in the future and in young people. I have vivid memories of the celebration of World Youth Day in Portugal last August. As I renew my gratitude to the Portuguese authorities, civil and religious, for their hard work in organizing the event, I continue to treasure that encounter with more than a million young people from all over the world, brimming with enthusiasm and zest for life. Their presence was a great hymn to peace and a testimony to the fact that “unity is greater than conflict” and that it is “possible to build communion amid disagreement”.

In recent times, the challenges faced by educators have come to include the ethical use of new technologies. The latter can easily become a means of spreading division or lies, “fake news”, yet they also serve as a source of encounter and mutual exchange, and an important vehicle for peace. “The remarkable advances in new information technologies, particularly in the digital sphere, thus offer exciting opportunities and grave risks, with serious implications for the pursuit of justice and harmony among peoples”. For this reason, I thought it important to devote this year’s Message for the World Day of Peace to the subject of artificial intelligence, one of the most significant challenges for the years to come.

It is essential that technological development take place in an ethical and responsible way, respecting the centrality of the human person, whose place can never be taken by an algorithm or a machine. “The inherent dignity of each human being and the fraternity that binds us together as members of the one human family must undergird the development of new technologies and serve as indisputable criteria for evaluating them before they are employed, so that digital progress can occur with due respect for justice and contribute to the cause of peace”.

Consequently, careful reflection is required at every level, national and international, political and social, to ensure that the development of artificial intelligence remains at the service of men and women, fostering and not obstructing – especially in the case of young people – interpersonal relations, a healthy spirit of fraternity, critical thinking and a capacity for discernment.

In this regard, the two Diplomatic Conferences of the World Intellectual Property Organization, which will take place in 2024 with the participation of the Holy See as a Member State, will prove particularly important. In the view of the Holy See, intellectual property is essentially directed to the promotion of the common good and cannot be detached from ethical requirements, lest situations of injustice and undue exploitation arise. Special concern must also be shown for the protection of the human genetic patrimony, by prohibiting practices contrary to human dignity, such as the patenting of human biological material and the cloning of human beings.

Your Excellencies, Ladies and Gentlemen,

This year the Church is preparing for the Holy Year that will begin next Christmas. In a particular way, I express my gratitude to the Italian authorities, national and local, for their efforts in preparing the City of Rome to welcome great numbers of pilgrims and to enable them to draw spiritual fruit from their experience of the Jubilee.

Today, perhaps more than ever, we need a Holy Year. Amid many causes of suffering that lead to a sense of hopelessness not only in those directly affected but throughout our societies; amid the difficulties experienced by our young people, who instead of dreaming of a better future often feel helpless and frustrated; and amid the gloom of this world that seems to be spreading rather than receding, the Jubilee is a proclamation that God never abandons his people and constantly keeps open the doors to his Kingdom. In the Judeo-Christian tradition, the Jubilee is a season of grace that enables us to experience God’s mercy and the gift of his peace. It is also a season of righteousness, in which sins are forgiven, reconciliation prevails over injustice, and the earth can be at rest. For everyone – Christians and non-Christians – the Jubilee can be a time when swords are beaten into ploughshares, a time when one nation will no longer lift up sword against another, nor learn war any more (cf. Is 2:4).

Dear brothers and sisters, this is my heartfelt wish for each of you, dear Ambassadors, for your families and colleagues, and for the peoples you represent.

Thank you and a Happy New Year to all of you!


Artificiële intelligentie en vrede

Message for the 57th World Day of Peace

1 January 2024
Pope Francis

At the beginning of the New Year, a time of grace which the Lord gives to each one of us, I would like to address God’s People, the various nations, heads of state and government, the leaders of the different religions and civil society, and all the men and women of our time, in order to offer my fervent good wishes for peace.

1. The progress of science and technology as a path to peace

Sacred Scripture attests that God bestowed his Spirit upon human beings so that they might have “skill and understanding and knowledge in every craft” (Ex 35:31). Human intelligence is an expression of the dignity with which we have been endowed by the Creator, who made us in his own image and likeness (cf. Gen 1:26), and enabled us to respond consciously and freely to his love. In a particular way, science and technology manifest this fundamentally relational quality of human intelligence; they are brilliant products of its creative potential.

In its Pastoral Constitution Gaudium et Spes, the Second Vatican Council restated this truth, declaring that “through its labours and its native endowments, humanity has ceaselessly sought to better its life”. When human beings, “with the aid of technology”, endeavour to make “the earth a dwelling worthy of the whole human family”, they carry out God’s plan and cooperate with his will to perfect creation and bring about peace among peoples. Progress in science and technology, insofar as it contributes to greater order in human society and greater fraternal communion and freedom, thus leads to the betterment of humanity and the transformation of the world.

We rightly rejoice and give thanks for the impressive achievements of science and technology, as a result of which countless ills that formerly plagued human life and caused great suffering have been remedied. At the same time, techno-scientific advances, by making it possible to exercise hitherto unprecedented control over reality, are placing in human hands a vast array of options, including some that may pose a risk to our survival and endanger our common home.

The remarkable advances in new information technologies, particularly in the digital sphere, thus offer exciting opportunities and grave risks, with serious implications for the pursuit of justice and harmony among peoples. Any number of urgent questions need to be asked. What will be the consequences, in the medium and long term, of these new digital technologies? And what impact will they have on individual lives and on societies, on international stability and peace?

2. The future of artificial intelligence: between promise and risk

Progress in information technology and the development of digital technologies in recent decades have already begun to effect profound transformations in global society and its various dynamics. New digital tools are even now changing the face of communications, public administration, education, consumption, personal interactions and countless other aspects of our daily lives.

Moreover, from the digital footprints spread throughout the Internet, technologies employing a variety of algorithms can extract data that enable them to control mental and relational habits for commercial or political purposes, often without our knowledge, thus limiting our conscious exercise of freedom of choice. In a space like the Web, marked by information overload, they can structure the flow of data according to criteria of selection that are not always perceived by the user.

We need to remember that scientific research and technological innovations are not disembodied and “neutral”, but subject to cultural influences. As fully human activities, the directions they take reflect choices conditioned by personal, social and cultural values in any given age. The same must be said of the results they produce: precisely as the fruit of specifically human ways of approaching the world around us, the latter always have an ethical dimension, closely linked to decisions made by those who design their experimentation and direct their production towards particular objectives.

This is also the case with forms of artificial intelligence. To date, there is no single definition of artificial intelligence in the world of science and technology. The term itself, which by now has entered into everyday parlance, embraces a variety of sciences, theories and techniques aimed at making machines reproduce or imitate in their functioning the cognitive abilities of human beings. To speak in the plural of “forms of intelligence” can help to emphasize above all the unbridgeable gap between such systems, however amazing and powerful, and the human person: in the end, they are merely “fragmentary”, in the sense that they can only imitate or reproduce certain functions of human intelligence. The use of the plural likewise brings out the fact that these devices greatly differ among themselves and that they should always be regarded as “socio-technical systems”. For the impact of any artificial intelligence device – regardless of its underlying technology – depends not only on its technical design, but also on the aims and interests of its owners and developers, and on the situations in which it will be employed.

Artificial intelligence, then, ought to be understood as a galaxy of different realities. We cannot presume a priori that its development will make a beneficial contribution to the future of humanity and to peace among peoples. That positive outcome will only be achieved if we show ourselves capable of acting responsibly and respect such fundamental human values as “inclusion, transparency, security, equity, privacy and reliability”.

Nor is it sufficient simply to presume a commitment on the part of those who design algorithms and digital technologies to act ethically and responsibly. There is a need to strengthen or, if necessary, to establish bodies charged with examining the ethical issues arising in this field and protecting the rights of those who employ forms of artificial intelligence or are affected by them.

The immense expansion of technology thus needs to be accompanied by an appropriate formation in responsibility for its future development. Freedom and peaceful coexistence are threatened whenever human beings yield to the temptation to selfishness, self-interest, the desire for profit and the thirst for power. We thus have a duty to broaden our gaze and to direct techno-scientific research towards the pursuit of peace and the common good, in the service of the integral development of individuals and communities.

The inherent dignity of each human being and the fraternity that binds us together as members of the one human family must undergird the development of new technologies and serve as indisputable criteria for evaluating them before they are employed, so that digital progress can occur with due respect for justice and contribute to the cause of peace. Technological developments that do not lead to an improvement in the quality of life of all humanity, but on the contrary aggravate inequalities and conflicts, can never count as true progress.

Artificial intelligence will become increasingly important. The challenges it poses are technical, but also anthropological, educational, social and political. It promises, for instance, liberation from drudgery, more efficient manufacturing, easier transport and more ready markets, as well as a revolution in processes of accumulating, organizing and confirming data. We need to be aware of the rapid transformations now taking place and to manage them in ways that safeguard fundamental human rights and respect the institutions and laws that promote integral human development. Artificial intelligence ought to serve our best human potential and our highest aspirations, not compete with them.

3. The technology of the future: machines that “learn” by themselves

In its multiple forms, artificial intelligence based on machine learning techniques, while still in its pioneering phases, is already introducing considerable changes to the fabric of societies and exerting a profound influence on cultures, societal behaviours and peacebuilding.

Developments such as machine learning or deep learning, raise questions that transcend the realms of technology and engineering, and have to do with the deeper understanding of the meaning of human life, the construction of knowledge, and the capacity of the mind to attain truth.

The ability of certain devices to produce syntactically and semantically coherent texts, for example, is no guarantee of their reliability. They are said to “hallucinate”, that is, to create statements that at first glance appear plausible but are unfounded or betray biases. This poses a serious problem when artificial intelligence is deployed in campaigns of disinformation that spread false news and lead to a growing distrust of the communications media. Privacy, data ownership and intellectual property are other areas where these technologies engender grave risks. To which we can add other negative consequences of the misuse of these technologies, such as discrimination, interference in elections, the rise of a surveillance society, digital exclusion and the exacerbation of an individualism increasingly disconnected from society. All these factors risk fueling conflicts and hindering peace.

4. The sense of limit in the technocratic paradigm

Our world is too vast, varied and complex ever to be fully known and categorized. The human mind can never exhaust its richness, even with the aid of the most advanced algorithms. Such algorithms do not offer guaranteed predictions of the future, but only statistical approximations. Not everything can be predicted, not everything can be calculated; in the end, “realities are greater than ideas”. No matter how prodigious our calculating power may be, there will always be an inaccessible residue that evades any attempt at quantification.

In addition, the vast amount of data analyzed by artificial intelligences is in itself no guarantee of impartiality. When algorithms extrapolate information, they always run the risk of distortion, replicating the injustices and prejudices of the environments where they originate. The faster and more complex they become, the more difficult it proves to understand why they produced a particular result.

“Intelligent” machines may perform the tasks assigned to them with ever greater efficiency, but the purpose and the meaning of their operations will continue to be determined or enabled by human beings possessed of their own universe of values. There is a risk that the criteria behind certain decisions will become less clear, responsibility for those decisions concealed, and producers enabled to evade their obligation to act for the benefit of the community. In some sense, this is favoured by the technocratic system, which allies the economy with technology and privileges the criterion of efficiency, tending to ignore anything unrelated to its immediate interests.

This should lead us to reflect on something frequently overlooked in our current technocratic and efficiency-oriented mentality, as it is decisive for personal and social development: the “sense of limit”. Human beings are, by definition, mortal; by proposing to overcome every limit through technology, in an obsessive desire to control everything, we risk losing control over ourselves; in the quest for an absolute freedom, we risk falling into the spiral of a “technological dictatorship”. Recognizing and accepting our limits as creatures is an indispensable condition for reaching, or better, welcoming fulfilment as a gift. In the ideological context of a technocratic paradigm inspired by a Promethean presumption of self-sufficiency, inequalities could grow out of proportion, knowledge and wealth accumulate in the hands of a few, and grave risks ensue for democratic societies and peaceful coexistence.

5. Burning issues for ethics

In the future, the reliability of an applicant for a mortgage, the suitability of an individual for a job, the possibility of recidivism on the part of a convicted person, or the right to receive political asylum or social assistance could be determined by artificial intelligence systems. The lack of different levels of mediation that these systems introduce is particularly exposed to forms of bias and discrimination: systemic errors can easily multiply, producing not only injustices in individual cases but also, due to the domino effect, real forms of social inequality.

At times too, forms of artificial intelligence seem capable of influencing individuals’ decisions by operating through pre-determined options associated with stimuli and dissuasions, or by operating through a system of regulating people’s choices based on information design. These forms of manipulation or social control require careful attention and oversight, and imply a clear legal responsibility on the part of their producers, their deployers, and government authorities.

Reliance on automatic processes that categorize individuals, for instance, by the pervasive use of surveillance or the adoption of social credit systems, could likewise have profound repercussions on the social fabric by establishing a ranking among citizens. These artificial processes of categorization could lead also to power conflicts, since they concern not only virtual users but real people. Fundamental respect for human dignity demands that we refuse to allow the uniqueness of the person to be identified with a set of data. Algorithms must not be allowed to determine how we understand human rights, to set aside the essential human values of compassion, mercy and forgiveness, or to eliminate the possibility of an individual changing and leaving his or her past behind.

Nor can we fail to consider, in this context, the impact of new technologies on the workplace. Jobs that were once the sole domain of human labour are rapidly being taken over by industrial applications of artificial intelligence. Here too, there is the substantial risk of disproportionate benefit for the few at the price of the impoverishment of many. Respect for the dignity of labourers and the importance of employment for the economic well-being of individuals, families, and societies, for job security and just wages, ought to be a high priority for the international community as these forms of technology penetrate more deeply into our workplaces.

6. Shall we turn swords into ploughshares?

In these days, as we look at the world around us, there can be no escaping serious ethical questions related to the armaments sector. The ability to conduct military operations through remote control systems has led to a lessened perception of the devastation caused by those weapon systems and the burden of responsibility for their use, resulting in an even more cold and detached approach to the immense tragedy of war. Research on emerging technologies in the area of so-called Lethal Autonomous Weapon Systems, including the weaponization of artificial intelligence, is a cause for grave ethical concern. Autonomous weapon systems can never be morally responsible subjects. The unique human capacity for moral judgment and ethical decision-making is more than a complex collection of algorithms, and that capacity cannot be reduced to programming a machine, which as “intelligent” as it may be, remains a machine. For this reason, it is imperative to ensure adequate, meaningful and consistent human oversight of weapon systems.

Nor can we ignore the possibility of sophisticated weapons ending up in the wrong hands, facilitating, for instance, terrorist attacks or interventions aimed at destabilizing the institutions of legitimate systems of government. In a word, the world has no need of new technologies that contribute to the unjust development of commerce and the weapons trade and consequently end up promoting the folly of war. By so doing, not only intelligence but the human heart itself would risk becoming ever more “artificial”. The most advanced technological applications should not be employed to facilitate the violent resolution of conflicts, but rather to pave the way for peace.

On a more positive note, if artificial intelligence were used to promote integral human development, it could introduce important innovations in agriculture, education and culture, an improved level of life for entire nations and peoples, and the growth of human fraternity and social friendship. In the end, the way we use it to include the least of our brothers and sisters, the vulnerable and those most in need, will be the true measure of our humanity.

An authentically humane outlook and the desire for a better future for our world surely indicates the need for a cross-disciplinary dialogue aimed at an ethical development of algorithms – an algor-ethics – in which values will shape the directions taken by new technologies. Ethical considerations should also be taken into account from the very beginning of research, and continue through the phases of experimentation, design, production, distribution and marketing. This is the approach of ethics by design, and it is one in which educational institutions and decision-makers have an essential role to play.

7. Challenges for education

The development of a technology that respects and serves human dignity has clear ramifications for our educational institutions and the world of culture. By multiplying the possibilities of communication, digital technologies have allowed us to encounter one another in new ways. Yet there remains a need for sustained reflection on the kinds of relationships to which they are steering us. Our young people are growing up in cultural environments pervaded by technology, and this cannot but challenge our methods of teaching, education and training.

Education in the use of forms of artificial intelligence should aim above all at promoting critical thinking. Users of all ages, but especially the young, need to develop a discerning approach to the use of data and content collected on the web or produced by artificial intelligence systems. Schools, universities and scientific societies are challenged to help students and professionals to grasp the social and ethical aspects of the development and uses of technology.

Training in the use of new means of communication should also take account not only of disinformation, “fake news”, but also the disturbing recrudescence of “certain ancestral fears… that have been able to hide and spread behind new technologies”. Sadly, we once more find ourselves having to combat “the temptation to build a culture of walls, to raise walls… in order to prevent an encounter with other cultures and other peoples”, and the development of a peaceful and fraternal coexistence.

8. Challenges for the development of international law

The global scale of artificial intelligence makes it clear that, alongside the responsibility of sovereign states to regulate its use internally, international organizations can play a decisive role in reaching multilateral agreements and coordinating their application and enforcement. In this regard, I urge the global community of nations to work together in order to adopt a binding international treaty that regulates the development and use of artificial intelligence in its many forms. The goal of regulation, naturally, should not only be the prevention of harmful practices but also the encouragement of best practices, by stimulating new and creative approaches and encouraging individual or group initiatives.

In the quest for normative models that can provide ethical guidance to developers of digital technologies, it is indispensable to identify the human values that should undergird the efforts of societies to formulate, adopt and enforce much-needed regulatory frameworks. The work of drafting ethical guidelines for producing forms of artificial intelligence can hardly prescind from the consideration of deeper issues regarding the meaning of human existence, the protection of fundamental human rights and the pursuit of justice and peace. This process of ethical and juridical discernment can prove a precious opportunity for shared reflection on the role that technology should play in our individual and communal lives, and how its use can contribute to the creation of a more equitable and humane world. For this reason, in debates about the regulation of artificial intelligence, the voices of all stakeholders should be taken into account, including the poor, the powerless and others who often go unheard in global decision-making processes.

I hope that the foregoing reflection will encourage efforts to ensure that progress in developing forms of artificial intelligence will ultimately serve the cause of human fraternity and peace. It is not the responsibility of a few but of the entire human family. For peace is the fruit of relationships that recognize and welcome others in their inalienable dignity, and of cooperation and commitment in seeking the integral development of all individuals and peoples.

It is my prayer at the start of the New Year that the rapid development of forms of artificial intelligence will not increase cases of inequality and injustice all too present in today’s world, but will help put an end to wars and conflicts, and alleviate many forms of suffering that afflict our human family. May Christian believers, followers of various religions and men and women of good will work together in harmony to embrace the opportunities and confront the challenges posed by the digital revolution and thus hand on to future generations a world of greater solidarity, justice and peace.

From the Vatican, 8 December 2023


Presentaties “Artificiële intelligentie: Zegen of vloek?”

Presentaties gehouden op de studiedag Artificiële intelligentie: Zegen of vloek? op 25 november 2023 in Hilversum.

Programma Programmaboekje
René Donkers, adviseur zorgtechnologie Ontwikkelingen zorgtechnologie
Mgr.dr. Everard de Jong, hulpbisschop van Roermond Artificial Intelligence – Zal AI ooit mens worden en hem/haar overtreffen?
Dr. Lambert J.M. Hendriks, rector grootseminarie Rolduc, voorzitter Katholieke Stichting Medische Ethiek De ethische aspecten van AI in de gezondheidszorg
Drs. Lotte Voets, specialist ouderengeneeskunde AI-documenten van UNESCO, EU en COMECE

COMECE: bezorgdheid over concept document materiaal van menselijke oorsprong

COMECE, 12 september 2023

COMECE and Katholisches Büro express concerns over EP SoHO Regulation Draft

The Commission of the Bishops’ Conferences of the European Union (COMECE) and the Katholisches Büro in Berlin are jointly releasing a statement on Tuesday, September 12, 2023, expressing their deep concerns about the draft of the European Parliament’s position on the SoHO Regulation. This regulation will set the fundamental curse for future handling of prenatal human life in European transplantation and pharmaceutical legislation. 

The members of the European Parliament are called to vote on the draft and tabled amendments prepared by the ENVI Committee concerning the future Regulation on “Quality and safety standards for substances of human origin intended for human use” – also known as SoHO Regulation.

The Secretariat of COMECE, in collaboration with the Katholisches Büro in Berlin, expresses profound concerns about the potential consequences of the broad definition of ‘human substance’ outlined in the draft, which could include human embryos and foetuses.

“The danger lies in the possibility that such a definition may degrade the dignity and value of human life, creating an unacceptable equivalence between embryos and foetuses and simple skin cells or blood plasma”, Fr. Manuel Barrios Prieto, Secretary General of COMECE, explains.

Furthermore, the joint statement raises questions about Article 58 of the draft. If approved, this article would permit and mandate preliminary genetic testing on embryos and foetuses, potentially paving the way for life selection and raising concerns about compatibility with the right of self-determination for both donors and recipients.

Lastly, COMECE and the Katholisches Büro in Berlin underscore the need for greater clarity in the draft concerning the rights of individual EU Member States to regulate this highly ethical field. The statement emphasises that it must remain possible for each Member State to refuse the authorisation of a SoHO preparation [and also] its recognition“.

Once approved by the European Parliament, the text will serve as the institution’s position in preparation for upcoming trialogue negotiations with the European Commission and the Council of the European Union.


COMECE: EU-grondrecht op abortus is ethisch onverdedigbaar

In the context of the public debate on including a supposed right to abortion in the EU Charter of Fundamental Rights, COMECE publishes the statement ‘The Ethical Indefensibility of an EU Fundamental Right to Abortion’ elaborated by its Commission on Ethics.

The document argues that the respect for the inalienable dignity of every human being in every stage of life – especially in situations of complete vulnerability – is a fundamental principle in our democratic societies.

H.E. Mgr. Anton Jamnik, President of the COMECE Commission on Ethics, states that “EU Member States have very different constitutional traditions with regard to the legal regulation of abortion, therefore, constituting a fundamental right to abortion would go against the general principles of the Union law”. The document also reiterates that “there is no recognised right to abortion in European or International law”.

At the beginning of 2022, COMECE expressed its deep concern over President Emmanuel Macron’s proposal of including a supposed right to abortion in the Charter of Fundamental Rights of the European Union.

In July 2022, reacting to a resolution of the European Parliament, COMECE released a statement encouraging political leaders “to work for more unity among Europeans, not to create higher ideological barriers and polarization”.


Vierde evaluatie Nederlandse euthanasiewet

Rijksoverheid, 30 mei 2023

De vierde evaluatie Wet toetsing levensbeëindiging op verzoek en hulp bij zelfdoding is gepubliceerd. Uit de rapportage blijkt dat steeds meer Nederlanders vinden dat iedereen zelf moet kunnen beschikken over eigen leven en dood. Een meerderheid van 60 procent van de Nederlanders vindt zelfbeschikking over eigen leven en dood een goede zaak, constateren Erasmus MC, Amsterdam UMC, UMC Utrecht en Erasmus Universiteit Rotterdam op basis van een peiling onder bijna 1100 mensen. In 2016 en 2010 was dit respectievelijk 53 en 49 procent.

Ook gaat het steeds vaker over de persoonlijke ervaring van het lijden door mensen. Burgers hechten daarnaast veel waarde aan uitvoering van euthanasie door een arts. Alternatieven als hulp bij zelfdoding door een ander of een ‘zelfdodingspil’ kunnen rekenen op veel minder steun. Ook artsen achten zowel zelfbeschikking als hun rol bij de gewenste levensbeëindiging belangrijk. Euthanasie wordt intussen steeds vaker toegepast: 9025 keer in 2021 (5,3 procent van alle sterfgevallen in dat jaar) tegen 6650 keer in 2015 (4,5 procent van de sterfgevallen).


Het gezinsleven versterken

Message for the launch of the Family Global Compact

30 May 2023
Pope Francis

Dear brothers and sisters!

In the Apostolic Exhortation Amoris Laetitia, I expressed my conviction that “the welfare of the family is decisive for the future of the world and that of the Church” (No. 31). With this in mind, I wish to support the Family Global Compact, a collaborative plan aimed at bringing the pastoral care of families into dialogue with centres of study and research on the family located in Catholic universities around the world. An initiative of the Dicastery for the Laity, Family and Life and the Pontifical Academy for Social Sciences, the Compact is inspired by studies and research on the cultural and anthropological relevance of the family and the new challenges it faces.

The goal is synergetic: to enable the pastoral care of families in the particular Churches to benefit from the research and the educational and training programmes in Catholic universities. Together, the universities and programmes of pastoral ministry can more effectively promote a culture of family and life in this time of uncertainty and a certain shortage of hope. Solidly grounded in present realities, such a culture would help new generations to appreciate marriage and family life with its resources and challenges and the beauty of generating and nurturing human life. What is urgently needed, in a word, is “a more responsible and generous effort to present the… motivations for choosing marriage and the family and in this way, to help men and women better respond to the grace that God offers them” (Amoris Laetitia, 35).

Catholic universities have the task of developing in-depth theological, philosophical, legal, sociological and economic analyses of marriage and the family, in order to uphold their importance within contemporary systems of thought and action. Studies have revealed a crisis in family relationships, fueled by both contingent and structural problems, which, in the absence of adequate means of support from society, make it more difficult to create a serene family life. This is one reason why many young people are choosing unstable and informal types of emotional relationships over marriage. At the same time, surveys make it clear that the family continues to be the primary source of social life, and point to the existence of good practices that deserve to be shared and promoted globally. Families themselves can and should be witnesses and leaders in this process.

The Family Global Compact is not meant to be a static programme aimed at crystallizing a few ideas, but a process structured in view of four goals, namely:

  1. Initiating a process of dialogue and greater collaboration among university study and research centres dealing with family issues, in order to make their activities more productive, particularly by creating or reviving networks of university institutes inspired by the social doctrine of the Church.
  2. creating greater synergy of content and goals between Christian communities and Catholic universities.
  3. promoting the culture of family and life in society, so that helpful public policy resolutions and objectives can emerge.
  4. harmonizing and advancing proposals that result from this, so that service to the family can be enhanced and sustained in spiritual, pastoral, cultural, legal, political, economic and social terms.

It is in the family that many of God’s dreams for the human community are realized. Hence, we cannot resign ourselves to the decline of the family in the name of uncertainty, individualism and consumerism, which envision a future of individuals who think only of themselves. We cannot be indifferent to the future of the family as a community of life and love, a unique and indissoluble covenant between a man and a woman, a place where generations meet, a source of hope for society. The family, it should be recalled, has a positive effect on everyone, since it is a generator of common good. Healthy family relationships represent a unique source of enrichment, not only for spouses and children but for the entire ecclesial and civil community.

I thank all those who have joined the Family Global Compact and those who will do so in the future, and I invite them to devote themselves with creativity and confidence to every initiative that can help put the family once more at the heart of our pastoral and social commitment.

Rome, Saint John Lateran, 13 May 2023


De Billings-revolutie en vruchtbaarheids-bewustzijn

Message to participants in the WOOMB international congress on “the ‘Billings revolution’ 70 years later: from fertility knowledge to personalized medicine”, Rome, Catholic University of the Sacred Heart, 28-29 April 2023

24 April 2023
Pope Francis

Dear brothers and sisters!

I offer a warm greeting to the organizers and participants of the WOOMB International Congress entitled The “Billings Revolution” 70 years Later: From Fertility Knowledge to Personalized Medicine. I very much appreciate this initiative, which once again reminds us of the beauty and dignity of human sexuality.

In the second half of the last century, as pharmacological research for fertility control expanded and the contraceptive culture was on the rise, John and Evelyn Billings conducted careful scientific research and developed a simple method, accessible to women and couples, for natural knowledge of fertility, offering them a valuable tool for the responsible management of procreative choices. In those years, their approach might have appeared outdated and less reliable in comparison with the purported immediacy and security of pharmacological interventions. Yet in fact, their method has continued to prove timely and challenging, since it has led to serious reflection on a number of essential areas. These include the need for education in the value of the human body, an integrated and integral vision of human sexuality, an ability to cherish the fruitfulness of love even when not fertile, the building up of a culture that welcomes life and ways to confront the problem of demographic collapse. In this respect, the original momentum of what has been called the “Billings revolution” has not diminished, but continues to contribute to the understanding of human sexuality and a fuller appreciation of the relational and procreative dimensions of the couple.

In a world dominated by a relativistic and trivialized view of human sexuality, serious education in this area appears increasingly necessary, requiring an anthropological and ethical approach in which doctrinal issues are explored without undue simplifications or inflexible conclusions. In particular, there is a need always to keep in mind the inseparable connection between the unitive and procreative meanings of the conjugal act (cf. PAUL VI, Humanae Vitae, 12). The former expresses the desire of the spouses to be one, a single life; the latter expresses the shared desire to generate life, which endures even at times of infertility and in old age. When these two meanings are consciously affirmed, the generosity of love is born and strengthened in the hearts of the spouses, disposing them to welcome new life. Lacking this, the experience of sexuality is impoverished, reduced to sensations that soon become self-referential, and its dimensions of humanity and responsibility are lost. The tragedy of violence between sexual partners – including the murder of women – here finds one of its main causes.

Indeed, we are tending to lose sight of the connection between sexuality and the fundamental vocation of each person, the gift of self, which finds particular fulfilment in conjugal and family love. This truth, while present in the heart of each human being, requires education in order to achieve full expression. This is urgently needed, and it represents a challenge for the Church and all those who have the good of the person and society at heart. As I pointed out in Amoris Laetitia, it demands concrete, creative and courageous responses in the area of sexual education: “The language of the body calls for a patient apprenticeship in learning to interpret and channel desires in view of authentic self-giving. When we presume to give everything all at once, it may well be that we give nothing. It is one thing to understand how fragile and bewildered young people can be, but another thing entirely to encourage them to prolong their immaturity in the way they show love. But who speaks of these things today? Who is capable of taking young people seriously? Who helps them to prepare seriously for a great and generous love?” (No. 284). In the aftermath of the so-called sexual revolution and the breakdown of taboos, we need a new revolution in our way of thinking. We need to discover the beauty of human sexuality by once again turning to the great book of nature, learning to respect the value of the body and the generation of life, with a view to authentic experiences of conjugal love.

Another dimension of sexuality, no less challenging in our time, is precisely its relationship with procreation. Knowledge of fertility, while having a general importance for education, becomes all the more important when a couple chooses to be open to accepting children. The Billings Method, together with others like it, represents one of the most suitable means for realizing responsibly the desire to be parents. Today the ideological and practical separation of the sexual relationship from its generative potential has resulted in the quest for alternative forms of having a child, no longer through marital relations but through the use of artificial processes. However, while it is appropriate to assist and support a legitimate desire to conceive with the most advanced scientific knowledge and technologies that can enhance fertility, it is wrong to create test tube embryos and then suppress them, to trade in gametes and to resort to the practice of surrogate parenthood. At the root of the current demographic crisis is, along with various social and cultural factors, an imbalance in the view of sexuality. Hence, the Billings Method also serves as a resource for dealing naturally with infertility problems and for helping spouses become parents by identifying the most fertile periods. In this field, a greater understanding of the processes of procreation, using modern scientific findings, could help many couples make informed and ethically sound decisions that are more respectful of the person and his or her dignity.

This is a task for Catholic universities, and Faculties of Medicine in particular, to take up with renewed commitment. It was essential that John and Evelyn Billings were able to work in the School of Medicine of the University of Melbourne. It is likewise important that the Study and Research Centre for the Natural Regulation of Fertility, present since 1976 in the Catholic University of the Sacred Heart, be part of one of the most prestigious Italian academic institutions and thus benefit from the most advanced scientific knowledge as it carries out its mission of research and training.

The scientific approach of this International Congress is coupled with a recognition of the importance of paying attention to the uniqueness of each couple and each person, and women in particular. A “personalized medicine” reminds us precisely that each person is unique and unrepeatable and that, prior to being the object of treatment for dysfunctions and diseases, he or she must be helped to express his or her potential in the best way possible, with a view to that well-being which is above all the fruit of a harmonious life.

Finally, promoting knowledge of fertility and natural methods also has great pastoral value, since it helps couples to be more conscious of their marital vocation and to bear witness to the Gospel values of human sexuality. The importance of this is seen in the large number of participants at this Congress, with people from many countries and every continent gathered in Rome or joining by video. The positive feedback that has emerged from your various experiences, often the fruit of your work in very difficult social and cultural settings, confirms the importance of your efforts to work with perseverance and commitment in this field, not least to promote the dignity of women and a culture marked by the acceptance of life. These, in fact, are values that we share with other religions.

Your work also contributed to a primary aspect of the Church’s ministry to families, as my Predecessors have taught and I too noted in Amoris Laetitia: “In this sense, the teaching of the Encyclical Humanae Vitae (cf. 10-14) and the Apostolic Exhortation Familiaris Consortio (cf. 14; 28-35) ought to be taken up anew” (No. 222). The use of methods based on the natural rhythms of fertility should be encouraged, emphasizing the fact that they “respect the bodies of the spouses, encourage tenderness between them, and favour the education of an authentic freedom” (Catechism of the Catholic Church, 2370).

Dear friends, I offer you my best wishes for the fruitfulness of your work and I thank you for all that you do. Carry on with passion and generosity in your valuable service to the ecclesial community and to all those who seek to cultivate the human values of sexuality. May we always keep in mind that God’s original blessing is reflected with particular splendour in this area of life (cf. Gen 1:26-30), and that we are called to honour him in this area as well, as Saint Paul exhorts us: “Therefore glorify God in your body” (1 Cor 6:20). I bless all of you from my heart and I ask you, please, to remember me in your prayers.

Rome, Saint John Lateran, 24 April 2023

Francis