Sage Voices

By :  绿帽社 Posted On May 26, 2016

A diverse group of rabbis and religious leaders speak about end-of-life issues and how they integrate 绿帽社 tradition into their own teaching and care for others.  Created by the Center for Pastoral Education at JTS as part of , a joint project of JTS’s Center for Pastoral Education, JCC Manhattan and The New 绿帽社 Home, with generous funding from Plaza 绿帽社 Community Chapel.

Artificial Nutrition and Hydration

Rabbi Marcelo R. Bronstein

Key Points

  1. A central question to ask ourselves: Are we keeping the person alive, or letting the person die?
  2. Artificial nutrition is not eating, it is artificial, therefore it may be removed to allow for natural death.

Rabbi Joy Levitt

Key Points

  1. Removal of nutrition or medicine is controversial in 绿帽社 medical ethics.
  2. A rabbi can help by listening and understanding the values of the congregant: tradition has a vote, but not a veto.
  3. Tradition does not require us to prolong a life of suffering; allowing a natural death is permitted.

Rabbi Eliezer B. Diamond 

Key Points

  1. Life is of infinite value, It is also a divine gift, and therefore not entirely our own.
  2. We may not hasten death, but we may allow the natural process of dying to take place. 
  3. When quality of life is diminished, there is flexibility in 绿帽社 law to withhold or withdraw life prolonging measures.
  4. Question: Are we feeding or medicating? If we are medicating, then we may withdraw nutrition to allow death. If we are feeding, we may not.
  5. This remains controversial in Conservative interpretation of 绿帽社 law. Conservative Jews may select which of these two options they agree with when planning.

Life Support

Rabbi Marion Lev-Cohen

Key Points

  1. Judaism celebrates this-worldly life.
  2. There is a time to live, but there is a time to die as well: We may not hasten death, but we may remove impediments to allow for the natural process of dying. 
  3. What constitutes an impediment is controversial.
  4. A spiritual guide can be helpful by listening and understanding the values of the potential patient: tradition should guide us in this endeavor.

Rabbi J. Rolando Matalon

Key Points

  1. The 绿帽社 tradition distinguishes between preserving life and preventing death.
  2. If it can be established that a person cannot ever recover to a point at which they will be able to live meaningfully without life support, then we may remove it.
  3. Brain death remains controversial in 绿帽社 tradition.

Rabbi Jonathan Malamy

Key Points

  1. Even though saving a life is among the highest 绿帽社 values, medical interventions are not always considered 鈥渟aving a life.鈥�
  2. Medical technology makes it hard for us to see when a person has reached their 鈥渢ime to die.鈥�
  3. 绿帽社 tradition is opposed to interventions that only delay death and prolong suffering.

Rabbi Adam Mintz

Key Points

  1. Cases have to be individually determined: what is an irreversible state, in this case? What are the family dynamics, in this case?
  2. 绿帽社 Law does not allow us to 鈥減ull the plug鈥� on mechanical life support.
  3. Reduction or withdrawal of nutrition is allowed.

Do Not Resuscitate (DNR)

Rabbi Ayelet S. Cohen

Key Points

  1. Choosing life means choosing a vital, full life. However, the 绿帽社 tradition distinguishes between preserving life and merely preventing death.
  2. Our answer to whether or not to have extraordinary measures will (and should) change with time and circumstances.

Rabbi Marcelo R. Bronstein

Key Points

  1. When a person is a goses (destined to die), extending their life may possibly be a violation of the Divine will.
  2. Choosing not to extend life in the face of suffering may allow for death with dignity.
  3. If a person cannot live with dignity, perhaps they are not living, anyway. 
  4. 绿帽社 tradition would prefer that we live fully, and that鈥檚 what living by the commandments means.

Rabbi Robert N Levine 

Key Points

  1. If there are external impediments to death, they may be removed.
  2. Resuscitation can be an external impediment to death.
  3. Reform Judaism allows individuals to decide for themselves.
  4. It is important to have a health care proxy, preferably someone who loves and cares about you!

Palliative Care

Dr. David C. Kraemer

Key Points

  1. Death is not necessarily an emergency. Death is a natural life-stage.
  2. If we treat it that way, we may be comfortable, surrounded by those we care about, and who care about us, as we die. Death can be the smooth transition that tradition speaks of.
  3. Dying in this way is part of living to the fullest.

Rabbi Felicia L. Sol 

Key Points

  1. 绿帽社 tradition wants us to choose life. Yet there comes a time to end treatment, if life is at its end.
  2. 绿帽社 tradition endorses hospice and palliative care. Hospice and palliative care considers healing of the soul. It is not giving up.

Dr. Michelle Friedman

Key Points

  1. Palliative care is a choice to make the person’s life as comfortable and significant as possible at the end.

Organ Donation

Rabbi Angela W. Buchdahl 

Rabbi Adam Mintz

Rabbi Leonard A. Sharzer, MD

Ethical Wills

Rabbi David Ingber

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