Katholieke Stichting Medische Ethiek
20 april 2024

“Zorg voor hem”: compassie als synodale oefening van genezing

Message of His Holiness Pope Francis XXXI World Day of the Sick

11 February 2023

Dear brothers and sisters!

Illness is part of our human condition. Yet, if illness is experienced in isolation and abandonment, unaccompanied by care and compassion, it can become inhumane.

When we go on a journey with others, it is not unusual for someone to feel sick, to have to stop because of fatigue or of some mishap along the way. It is precisely in such moments that we see how we are walking together: whether we are truly companions on the journey, or merely individuals on the same path, looking after our own interests and leaving others to “make do”. For this reason, on the thirty-first World Day of the Sick, as the whole Church journeys along the synodal path, I invite all of us to reflect on the fact that it is especially through the experience of vulnerability and illness that we can learn to walk together according to the style of God, which is closeness, compassion, and tenderness.

In the Book of the Prophet Ezekiel, the Lord speaks these words that represent one of the high points of God’s Revelation: “I myself will be the shepherd of my sheep, and I will make them lie down,says the Lord God.. I will seek the lost, and I will bring back the strayed, and I will bind up the injured, and I will strengthen the weak […] I will feed them with justice” (34:15-16). Experiences of bewilderment, sickness, and weakness are part of the human journey. Far from excluding us from God’s people, they bring us to the centre of the Lord’s attention, for he is our Father and does not want to lose even one of his children along the way. Let us learn from him, then, how to be a community that truly walks together, capable of resisting the throwaway culture.

The Encyclical Fratelli Tutti encourages us to read anew the parable of the Good Samaritan, which I chose in order to illustrate how we can move from the “dark clouds” of a closed world to “envisaging and engendering an open world” (cf. No. 56). There is a profound link between this parable of Jesus and the many ways in which fraternity is denied in today’s world. In particular, the fact that the man, beaten and robbed, is abandoned on the side of the road represents the condition in which all too many of our brothers and sisters are left at a time when they most need help. It is no longer easy to distinguish the assaults on human life and dignity that arise from natural causes from those caused by injustice and violence. In fact, increasing levels of inequality and the prevailing interests of the few now affect every human environment to the extent that it is difficult to consider any experience as having solely “natural” causes. All suffering takes place in the context of a “culture” and its various contradictions.

Here it is especially important to recognize the condition of loneliness and abandonment. This kind of cruelty can be overcome more easily than any other injustice, because – as the parable tells us – it only takes a moment of our attention, of being moved to compassion within us, in order to eliminate it. Two travellers, considered pious and religious, see the wounded man, yet fail to stop. The third passer-by, however, a Samaritan, a scorned foreigner, is moved with compassion and takes care of that stranger on the road, treating him as a brother. In doing so, without even thinking about it, he makes a difference, he makes the world more fraternal.

Brothers and sisters, we are rarely prepared for illness. Oftentimes, we fail even to admit that we are getting older. Our vulnerability frightens us and the pervasive culture of efficiency pushes us to sweep it under the carpet, leaving no room for our human frailty. In this way, when evil bursts onto the scene and wounds us, we are left stunned. Moreover, others might abandon us at such times. Or, in our own moments of weakness, we may feel that we should abandon others in order to avoid becoming a burden. This is how loneliness sets in, and we can become poisoned by a bitter sense of injustice, as if God himself had abandoned us. Indeed, we may find it hard to remain at peace with the Lord when our relationship with others and with ourselves is damaged. It is crucial, then, even in the midst of illness, that the whole Church measure herself against the Gospel example of the Good Samaritan, in order that she may become a true “field hospital”, for her mission is manifested in acts of care, particularly in the historical circumstances of our time. We are all fragile and vulnerable, and need that compassion which knows how to pause, approach, heal, and raise up. Thus, the plight of the sick is a call that cuts through indifference and slows the pace of those who go on their way as if they had no sisters and brothers.

The World Day of the Sick calls for prayer and closeness towards those who suffer. Yet it also aims to raise the awareness of God’s people, healthcare institutions and civil society with regard to a new way of moving forward together. The above-quoted prophecy of Ezekiel judges harshly the priorities of those who wield economic, cultural, and political power over others: “You eat the fat, you clothe yourselves with the wool, you slaughter the fatlings; but you do not feed the sheep. You have not strengthened the weak, you have not healed the sick, you have not bound up the injured, you have not brought back the strayed, you have not sought the lost, but with force and harshness you have ruled them” (34:3-4). God’s word is always illuminating and timely; not only in what it denounces, but also in what it proposes. Indeed, the conclusion of the parable of the Good Samaritan suggests how the exercise of fraternity, which began as a face-to-face encounter, can be expanded into organized care. The elements of the inn, the innkeeper, the money and the promise to remain informed of the situation (cf. Lk 10:34-35) all point to the commitment of healthcare and social workers, family members and volunteers, through whom good stands up in the face of evil every day, in every part of the world.

These past years of the pandemic have increased our sense of gratitude for those who work each day in the fields of healthcare and research. Yet it is not enough to emerge from such an immense collective tragedy simply by honouring heroes. Covid-19 has strained the great networks of expertise and solidarity, and has exposed the structural limits of existing public welfare systems. Gratitude, then, needs to be matched by actively seeking, in every country, strategies and resources in order to guarantee each person’s fundamental right to basic and decent healthcare.

The Samaritan calls the innkeeper to “take care of him” (Lk 10:35). Jesus addresses the same call to each of us. He exhorts us to “go and do likewise” (Lk 10:37). As I noted in Fratelli Tutti, “The parable shows us how a community can be rebuilt by men and women who identify with the vulnerability of others, who reject the creation of a society of exclusion, and act instead as neighbours, lifting up and rehabilitating the fallen for the sake of the common good” (No. 67). Indeed, “we were created for a fulfilment that can only be found in love. We cannot be indifferent to suffering” (No. 68).

On 11 February 2023, let us turn our thoughts to the Shrine of Lourdes, a prophetic lesson entrusted to the Church for our modern times. It is not only what functions well or those who are productive that matter. Sick people, in fact, are at the centre of God’s people, and the Church advances together with them as a sign of a humanity in which everyone is precious and no one should be discarded or left behind.

To the intercession of Mary, Health of the Sick, I entrust all of you who are ill; you who care for them in your families, or through your work, research and volunteer service; and those of you who are committed to weaving personal, ecclesial, and civic bonds of fraternity. To all, I impart my heartfelt blessing.

Rome, Saint John Lateran, 10 January 2023

Francis


We verliezen compassie

Homily held in the Holy Mass on the 60th anniversary of the inauguration of the Faculty of Medicine and Surgery of the Catholic University of the Sacred Heart

Pope Francis
5 November 2021

As we commemorate with gratitude the gift of this seat of the Catholic University, I would like to share with you some thoughts in relation to its name. It is dedicated to the Sacred Heart of Jesus, as is this day, the first Friday of the month. Contemplating the Heart of Jesus, we can let ourselves be guided by three words: memory, passion and consolation.

Remembrance. To remember [in Italian, ricordare], means “to return to the heart, to return with the heart”. Ri-cordare. What does the Sacred Heart of Jesus make us return to? To what He did for us: the Heart of Christ shows us Jesus who offers Himself, it is the compendium of his mercy. Looking at it – like John did in the Gospel (19: 31-37), it comes naturally to us to remember his goodness, which is freely given, which can be neither bought nor sold; and unconditional, it does not depend on our actions, it is sovereign. And it is moving. In today’s haste, in the midst of a thousand errands and continuous worries, we are losing the capacity to be moved and to feel compassion, because we are losing this return to the heart, that is, this memory, this return to the heart. Without memory one loses one’s roots, and without roots, one does not grow. It is good for us to nurture the memory of who has loved us, cared for us, and lifted us up. I would like to renew today my “thanks” for the care and the affection I have received here. I believe that in this time of the pandemic it is good for us to remember even of the times we have suffered the most: not to make us sad, but so as not to forget, and to guide us in our choices in the light of a very recent past.

I wonder: how does our memory work? To simplify, we could say that we remember someone or something when it touches our heart, when it binds us to a particular affection or lack of affection. And so the Heart of Jesus heals our memory because it brings it back to the fundamental affection. It roots it on the most solid base. It reminds us that, whatever happens to us in life, we are loved. Yes, we are loved beings, children whom the Father loves always and, in any case, brothers and sisters for whom the Heart of Christ beats. Every time we peer into that Heart we discover ourselves “rooted and grounded in love”, as the Apostle Paul said in today’s first reading (Eph 3:17).

Let us cultivate this memory, which is strengthened when we are face to face with the Lord, especially when we let ourselves be looked upon and loved by Him in adoration. But we can also cultivate among ourselves the art of remembering, of treasuring the faces we meet. I think of the tiring days in hospital, at university, at work. We run the risk that everything will pass without a trace, or that only fatigue and tiredness will remain. It is good for us, in the evening, to look back on the faces we have met, the smiles we have received, the good words. They are memories of love and they help our memory to find itself again: may our memory find itself again. How important these memories are in hospitals! They can give meaning to a sick person’s day. A fraternal word, a smile, a caress on the face: these are memories that heal inside, they do the heart good. Let us not forget the therapy of remembering: it does so much good!

Passion is the second word. Passion. The first is memory, remembering; the second is passion. The Heart of Christ is not a pious devotion, so as to feel a little warmth inside; it is not a tender image that arouses affection, no, it is not that. It is a passionate heart – just read the Gospel -, a heart wounded with love, torn open for us on the cross. We have heard how the Gospel speaks of it: “One of the soldiers pierced his side with a spear, and at once there came out blood and water” (Jn 19:34). Pierced, He gives; in death, He gives us life. The Sacred Heart is the icon of the Passion: it shows us God’s visceral tenderness, his loving passion for us, and at the same time, surmounted by the cross and surrounded by thorns, it shows us how much suffering our salvation cost. In its tenderness and pain, that Heart reveals, in short, what God’s passion is. What is it? Man, us. And what is God’s style? Closeness, compassion and tenderness. This is God’s style: closeness, compassion and tenderness.

What does this suggest? That, if we really want to love God, we must be passionate about humanity, about all humanity, especially those who live the condition in which the Heart of Jesus was manifested, that is, pain, abandonment and rejection; especially in this throwaway culture that we live in today. When we serve those who suffer we console and rejoice in the Heart of Christ. One passage in the Gospel is striking. John the Evangelist, at the very moment when he recounts the pierced side, from which blood and water flow, bears witness so that we may believe (cf. v. 35). Saint John writes, that is, that at that moment the testimony occurs. Because the pierced Heart of God is eloquent. It speaks without words, because it is mercy in its pure state, love that is wounded and gives life. It is God, with closeness, compassion and tenderness. How many words we say about God without showing love! But love speaks for itself, it does not speak of itself. Let us ask for the grace to become passionate about the man who suffers, to become passionate about service, so that the Church, before having words to say, may keep a heart that beats with love. Before speaking, may she learn to safeguard her heart in love.

The third word is comfort. The first was remembrance, the second passion, the third is consolation. It indicates a strength that does not come from us, but from those who are with us: that is where strength comes from. Jesus, the God-with-us, gives us this strength, his Heart gives us courage in adversity. So many uncertainties frighten us: in this time of the pandemic we have found ourselves to be smaller, more fragile. In spite of so many marvellous advances, this is also evident in the medical field: so many rare and unknown diseases! When I find people in the audiences – especially children – and I ask: “Are you ill?” – [they answer] “A rare disease”. There are so many of them today! How hard it is to keep up with pathologies, with treatment facilities, with healthcare that is really what it should be, for everyone. We could become discouraged. That is why we need consolation – the third word. The Heart of Jesus beats for us, always repeating those words: “Courage, courage, do not be afraid, I am here!”. Courage, sister, courage, brother, do not lose heart, the Lord your God is greater than your ills, He takes you by the hand and caresses you, He is close to you, He is compassionate, He is tender. He is your comfort.

If we look at reality from the greatness of his Heart, the perspective changes, our knowledge of life changes because, as Saint Paul reminded us, we know “the love of Christ which surpasses knowledge” (Eph 3:19). Let us encourage ourselves with this certainty, with God’s comfort. And let us ask the Sacred Heart for the grace to be able to console in turn. It is a grace that must be asked for, as we courageously commit ourselves to opening up, helping one another, carrying one another’s burdens. It also applies to the future of health care, especially “Catholic” health care: sharing, supporting each other, moving forward together.

May Jesus open the hearts of those who care for the sick to collaboration and cohesion. To your Heart, Lord, we entrust our vocation to care: let us make every person who approaches us in need feel they are dear to us. Amen.


Nabijheid, compassie en liefde

Address for the opening of the Synod

Pope Francis
9 October 2021

Dear brothers and sisters,

Thank you for being here for the opening of the Synod. You have come by many different roads and from different Churches, each bearing your own questions and hopes. I am certain the Spirit will guide us and give us the grace to move forward together, to listen to one another and to embark on a discernment of the times in which we are living, in solidarity with the struggles and aspirations of all humanity. I want to say again that the Synod is not a parliament or an opinion poll; the Synod is an ecclesial event and its protagonist is the Holy Spirit. If the Spirit is not present, there will be no Synod.

May we experience this Synod in the spirit of Jesus’ fervent prayer to the Father on behalf of his disciples: “that they may all be one” (Jn 17:21). This is what we are called to: unity, communion, the fraternity born of the realization that all of us are embraced by the one love of God. All of us, without distinction, and in particular those of us who are bishops. As Saint Cyprian wrote: “We must maintain and firmly uphold this unity, above all ourselves, the bishops who preside in the Church, in order to demonstrate that the episcopate is itself one and undivided” (De Ecclesiae Catholicae Unitate, 5). In the one People of God, therefore, let us journey together, in order to experience a Church that receives and lives this gift of unity, and is open to the voice of the Spirit.

The Synod has three key words: communion, participation and mission. Communion and mission are theological terms describing the mystery of the Church, which we do well to keep in mind. The Second Vatican Council clearly taught that communion expresses the very nature of the Church, while pointing out that the Church has received “the mission of proclaiming and establishing among all peoples the kingdom of Christ and of God, and is, on earth, the seed and beginning of that kingdom” (Lumen Gentium, 5). With those two words, the Church contemplates and imitates the life of the Blessed Trinity, a mystery of communion ad intra and the source of mission ad extra. In the wake of the doctrinal, theological and pastoral reflections that were part of the reception of Vatican II, Saint Paul VI sought to distil in those two words – communion and mission – “the main lines enunciated by the Council”. Commemorating the opening of the Council, he stated that its main lines were in fact “communion, that is, cohesion and interior fullness, in grace, truth and collaboration… and mission, that is, apostolic commitment to the world of today” (Angelus of 11 October 1970), which is not the same as proselytism.

In 1985, at the conclusion of the Synod marking the twentieth anniversary of the close of the Council, Saint John Paul II also reiterated that the Church’s nature is koinonia, which gives rise to her mission of serving as a sign of the human family’s intimate union with God. He went on to say: “It is most useful that the Church celebrate ordinary, and on occasion, also extraordinary synods”. These, if they are to be fruitful, must be well prepared: “it is necessary that the local Churches work at their preparation with the participation of all” (Address at the Conclusion of the II Extraordinary Assembly of the Synod of Bishops, 7 December 1985). And this brings us to our third word: participation. The words “communion” and “mission” can risk remaining somewhat abstract, unless we cultivate an ecclesial praxis that expresses the concreteness of synodality at every step of our journey and activity, encouraging real involvement on the part of each and all. I would say that celebrating a Synod is always a good and important thing, but it proves truly beneficial if it becomes a living expression of “being Church”, of a way of acting marked by true participation.

This is not a matter of form, but of faith. Participation is a requirement of the faith received in baptism. As the Apostle Paul says, “in the one Spirit we were all baptized into one body” (1 Cor 12:13). In the Church, everything starts with baptism. Baptism, the source of our life, gives rise to the equal dignity of the children of God, albeit in the diversity of ministries and charisms. Consequently, all the baptized are called to take part in the Church’s life and mission. Without real participation by the People of God, talk about communion risks remaining a devout wish. In this regard, we have taken some steps forward, but a certain difficulty remains and we must acknowledge the frustration and impatience felt by many pastoral workers, members of diocesan and parish consultative bodies and women, who frequently remain on the fringes. Enabling everyone to participate is an essential ecclesial duty! All the baptized, for baptism is our identity card.

The Synod, while offering a great opportunity for a pastoral conversion in terms of mission and ecumenism, is not exempt from certain risks. I will mention three of these. The first is formalism. The Synod could be reduced to an extraordinary event, but only externally; that would be like admiring the magnificent facade of a church without ever actually stepping inside. The Synod, on the other hand, is a process of authentic spiritual discernment that we undertake, not to project a good image of ourselves, but to cooperate more effectively with the work of God in history. If we want to speak of a synodal Church, we cannot remain satisfied with appearances alone; we need content, means and structures that can facilitate dialogue and interaction within the People of God, especially between priests and laity. Why do I insist on this? Because sometimes there can be a certain elitism in the presbyteral order that detaches it from the laity; the priest ultimately becomes more a “landlord” than a pastor of a whole community as it moves forward. This will require changing certain overly vertical, distorted and partial visions of the Church, the priestly ministry, the role of the laity, ecclesial responsibilities, roles of governance and so forth.

A second risk is intellectualism. Reality turns into abstraction and we, with our reflections, end up going in the opposite direction. This would turn the Synod into a kind of study group, offering learned but abstract approaches to the problems of the Church and the evils in our world. The usual people saying the usual things, without great depth or spiritual insight, and ending up along familiar and unfruitful ideological and partisan divides, far removed from the reality of the holy People of God and the concrete life of communities around the world.

Finally, the temptation of complacency, the attitude that says: “We have always done it this way” (Evangelii Gaudium, 33) and it is better not to change. That expression – “We have always done it that way” – is poison for the life of the Church. Those who think this way, perhaps without even realizing it, make the mistake of not taking seriously the times in which we are living. The danger, in the end, is to apply old solutions to new problems. A patch of rough cloth that ends up creating a worse tear (cf. Mt 9:16). It is important that the synodal process be exactly this: a process of becoming, a process that involves the local Churches, in different phases and from the bottom up, in an exciting and engaging effort that can forge a style of communion and participation directed to mission.

And so, brothers and sisters, let us experience this moment of encounter, listening and reflection as a season of grace that, in the joy of the Gospel, allows us to recognize at least three opportunities. First, that of moving not occasionally but structurally towards a synodal Church, an open square where all can feel at home and participate. The Synod then offers us the opportunity to become a listening Church, to break out of our routine and pause from our pastoral concerns in order to stop and listen. To listen to the Spirit in adoration and prayer. Today how much we miss the prayer of adoration; so many people have lost not only the habit but also the very notion of what it means to worship God! To listen to our brothers and sisters speak of their hopes and of the crises of faith present in different parts of the world, of the need for a renewed pastoral life and of the signals we are receiving from those on the ground. Finally, it offers us the opportunity to become a Church of closeness. Let us keep going back to God’s own “style”, which is closeness, compassion and tender love. God has always operated that way. If we do not become this Church of closeness with attitudes of compassion and tender love, we will not be the Lord’s Church. Not only with words, but by a presence that can weave greater bonds of friendship with society and the world. A Church that does not stand aloof from life, but immerses herself in today’s problems and needs, bandaging wounds and healing broken hearts with the balm of God. Let us not forget God’s style, which must help us: closeness, compassion and tender love.

Dear brothers and sisters, may this Synod be a true season of the Spirit! For we need the Spirit, the ever new breath of God, who sets us free from every form of self-absorption, revives what is moribund, loosens shackles and spreads joy. The Holy Spirit guides us where God wants us to be, not to where our own ideas and personal tastes would lead us. Father Congar, of blessed memory, once said: “There is no need to create another Church, but to create a different Church” (True and False Reform in the Church). That is the challenge. For a “different Church”, a Church open to the newness that God wants to suggest, let us with greater fervour and frequency invoke the Holy Spirit and humbly listen to him, journeying together as he, the source of communion and mission, desires: with docility and courage.

Come, Holy Spirit! You inspire new tongues and place words of life on our lips: keep us from becoming a “museum Church”, beautiful but mute, with much past and little future. Come among us, so that in this synodal experience we will not lose our enthusiasm, dilute the power of prophecy, or descend into useless and unproductive discussions. Come, Spirit of love, open our hearts to hear your voice! Come, Holy Spirit of holiness, renew the holy and faithful People of God! Come, Creator Spirit, renew the face of the earth! Amen.