There is no future without the elderly… No to a selective healthcare system
This adamant appeal to re-humanize our societies comes from the Community of Sant’Egidio out of concern for the future of our societies.
Addressed to all, citizens and institutions, «for a decisive change of mentality leading to new initiatives, both health and social, towards the elderly,» it emerged recently during the coronavirus crisis.
«The elderly are in danger» in many European countries and elsewhere, in this Covid-19 pandemic, the appeal warns, recalling their «dramatic numbers of deaths in institutions make us shudder.»
«There will be much to review in public health systems and in the good practices needed to reach and treat everyone effectively, to overcome institutionalisation,» they note.
«However,» the appeal underscores, «we are particularly concerned about the sad stories of the massacres of elderly people in institutions.»
None of this, the appeal says, would have happened if the idea that it is possible to sacrifice their lives for the benefit of others were not gaining ground.
«It is,» it acknowledges, «what Pope Francis calls the «culture of waste» which takes away the right of the elderly to be considered people, but only a number and in some cases not even that.»
In numerous countries faced with a need for care, the appeal decries, «a dangerous model is emerging that favors «selective health care», which considers the life of the elderly as residual.»
«Their greater vulnerability, the advancing years, the possible other pathologies they carry, would justify a form of «choice» in favor of the youngest and healthiest.»
Resignation to such an outcome, the appeal states, «is humanly and juridically unacceptable.»
Though it is certainly so in a religious vision of life, the appeal underscores it is also «in human rights and in medical ethics.»
«No «state of necessity» that legitimizes or codifies exceptions to these principles,» the appeal stresses, «can be accepted. The thesis that a shorter life expectancy leads to a «legal» decrease in its value is, from a legal point of view, barbaric.»
That this is done through an imposition by the State or health authorities outside the person’s own will, it argues, «represents a further intolerable expropriation of the rights of the individual.»
The elderly’s contribution, it reminds, continues to be the subject of important reflection in all civilizations, and «is fundamental in the social fabric of solidarity between generations.»
«The generation that fought against dictatorships, struggled for reconstruction after the war and built Europe,» it says, «cannot be left to die.»
«Fruit of a utilitarian mentality, the acceptance of the «early» death of the elderly,» it stresses, «creates a hypothecation on the future, dividing society into age groups and introducing the dangerous principle of their inequality.»
«We believe,» the signatories reaffirm, «that the principles of equal treatment and the universal right to care, which have been achieved over the centuries, must be strongly reaffirmed.
«It is time,» they appeal, «to devote all necessary resources to safeguarding the greatest number of lives and humanizing access to care for all. The value of life should remain the same for all.»
«Those who depreciate the fragile and weakest life of the elderly,» the appeal recognizes, «are preparing to devalue life altogether.»
With this appeal, they express their sorrow and grave concern at the too many deaths of older people in recent months, and their «hope for a moral uprising to change the direction of care for the elderly, so that especially the most vulnerable will never be considered a burden or, worse, useless.»
Prime ministers, cardinals, organization leaders, and academics are just among the first few who have begun to sign the appeal.
The appeal has been translated into different languages and spread today at international level (see the first signatories below).
To join, please contact: eventi@santegidio.org
Below is the appeal in its entirety:
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THERE IS NO FUTURE WITHOUT THE ELDERLY
Appeal to re-humanize our societies. No to a selective healthcare system
In the Covid-19 pandemic, in many European countries and elsewhere, the elderly are in danger. The dramatic numbers of deaths in institutions make us shudder.
There will be much to review in public health systems and in the good practices needed to reach and treat everyone effectively, to overcome institutionalisation. However, we are particularly concerned about the sad stories of the massacres of elderly people in institutions. None of this would have happened if the idea that it is possible to sacrifice their lives for the benefit of others were not gaining ground. It is what Pope Francis calls the «culture of waste» which takes away the right of the elderly to be considered people, but only a number and in some cases not even that.
In numerous countries that are faced with the need for care, a dangerous model is emerging that favors «selective health care», which considers the life of the elderly as residual. Their greater vulnerability, the advancing years, the possible other pathologies they carry, would justify a form of «choice» in favor of the youngest and healthiest.
Resignation to such an outcome is humanly and juridically unacceptable. It is also so in a religious vision of life but also in the human rights and in medical ethics. No «state of necessity» that legitimizes or codifies exceptions to these principles can be accepted. The thesis that a shorter life expectancy leads to a «legal» decrease in its value is, from a legal point of view, barbaric. The fact that this is done through an imposition (by the State or health authorities) outside the person’s own will represents a further intolerable expropriation of the rights of the individual.
The contribution of the elderly continues to be the subject of important reflection in all civilizations, and it is fundamental in the social fabric of solidarity between generations. The generation that fought against dictatorships, struggled for reconstruction after the war and built Europe cannot be left to die. Fruit of a utilitarian mentality, the acceptance of the «early» death of the elderly creates a hypothecation on the future, dividing society into age groups and introducing the dangerous principle of their inequality.
We believe that the principles of equal treatment and the universal right to care, which have been achieved over the centuries, must be strongly reaffirmed. It is time to devote all necessary resources to safeguarding the greatest number of lives and humanizing access to care for all. The value of life should remain the same for all. Those who depreciate the fragile and weakest life of the elderly are preparing to devalue life altogether.
With this appeal we express our sorrow and grave concern at the too many deaths of older people in recent months and we hope for a moral uprising to change the direction of care for the elderly, so that especially the most vulnerable will never be considered a burden or, worse, useless.
First signatories:
Andrea Riccardi, Historian, Founder of the Community of Sant’Egidio
Romano Prodi, Former President of the European Commission
Jeffrey D. Sachs, Director of UN Sustainable Development Solutions Network
Aleksandra Dulkiewicz, Mayor of Gdansk, Poland
Simonetta Agnello Hornby, Writer, UK
Manuel Castells, Full Professor of Sociology, University of California Berkeley, Spain
Irina Bokova, Former Director-General of UNESCO, Member of the High Committee for Human Brotherhood, Bulgaria
Mark Eyskens, Former Prime Minister of Belgium
Hans Gert Pöttering, Former President of the European Parliament, Germany
Felipe González Márquez, Former Prime Minister, Spain
Marie De Hennezel, Psychologist, France
Jean-Pierre Denis, Director of La Vie, France
Card. Matteo Zuppi, Archbishop of Bologna
Adam Michnik, Intellectual, Director of Gazeta Wyborcza, Poland
Michel Wieviorka, sociologo, President of International Sociological Association of Paris, France.
Giuseppe De Rita, Founder of CENSIS
Stefania Giannini, Deputy Director-General UNESCO
Maria Antónia Palla, Journalist, Portugal
Navi Pillay, Judge, President of ICDP, South Africa
Annette Schavan, Former Federal Minister for Education and Research, Germany
Jürgen Habermas, Philosopher, Germany
To join, please contact us at: eventi@santegidio.org
