God, AIDS, Africa & HOPE

Reflections / Gedanken

PEPFAR and the Catholic Church

A street in Hillbrow, Johannesburg.

A street in Hillbrow, Johannesburg. (Photo credit: Wikipedia)

I am visiting Johannesburg and a Catholic institution asking for assistance in a difficult situation. The Catholic Church in South Africa has mainly relied on one big sponsor in the last years: PEPFAR, the US American President’s emergency fund. This was done for several reasons; one being that in the beginning it excluded any condom distribution or work with prostitution as a precondition for receiving these funds. There has been very much debate around it at World AIDS Conferences at times as this resulted in some countries showing a clear increase of infections again. Nevertheless, with the money lots of good was also done, amongst others instituting the distribution of antiretrovirals for thousands of South Africans.
The funds now drying up and so the Church is forced to transfer its patients to the governmental facilities with different results. As specially in Johannesburg also quite a big number of asylum seekers still without papers are among those catered for, these people would anyhow not be eligible for continuation of treatment in a primary health care facility.
So the need for special funding to at least get one doctor looking after those patients is needed and hopefully there is a way to support this for the new year.
From what I have seen and heard it seems that for many patients it is a bitter reality check: coming from church run clinics which really went the extra mile for a patient to ensure his or her health, governmental facilities are mostly overcrowded and not able to cope in this way with their patients. Experts fear, that people will be lost in transition or get lost in transition.This shows once again how important the support of the Catholic Church in providing medical services has been and it is to decry that lack of funding forces closure and that – at least in Johannesburg – the government now refuses to deliver antiretroviral medication as a matter of principle to NGO run medical facilities even if they could continue – forcing so the transfer in a way too often not beneficial for the patients.

With a generation of young people being born HIV positive and with the treat of resistance looming like we have seen it with TB, this country needs the continuation of support from all corners of society. Even if there is the growing impression that we have conquered and beaten the deadly pandemic, it might be too early to come to this conclusion. So it is really to hope that also the churches try their utmost to continue as many services as possible to give those infected and affected all necessary support.

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Filed under: Catholic Church, HIV and AIDS, HIV Prevention, HIV Treatment, Networking, Reflection, Religion and Ethics, Society and living environment, , , , , , , , , , , , , , , , , , ,

Honesty and Trust are essential

English: Limburger Dom Limburg an der Lahn Deu...

Limburger Dom (Photo credit: Wikipedia)

I am not sure who follows the story of the Roman-Catholic Bishop of Limburg, whose residence building rose from estimates 5.5 million Euro to over 31 million Euro and who is facing at the same time prosecution for a false affidavit. On the background of a humble Pope Francis, those matters are obviously seen more grave than they would have seen before and it is to wait and see how things develop. The bishop is now in Rome and I am sure the press will be eager to find out what is happening as we “speak” or communicate via this blog.
As my bishop Stephan Ackermann pointed out last night on German TV, without trust a bishop can’t work and it seems that this has gone lost in the diocese of Limburg / Germany. And obviously it goes without say that bishops have to stick to the truth, especially when giving an affidavit. Having a prosecution of a bishop for lying was unheard of in Germany till last week.
I think most Catholics and even non Catholics feel that spring has arrived again in our church and that perspectives have changed. And that attitude has to change also for those thinking till now that they are above the laity and ruling in the church, commonly labeled as serving. The church serves the spiritual needs of people, the church is obliged to proclaim the good news and the unconditional love of God and his option for the poor and marginalized in our society. Posh residences of those in charge of serving are contradicting this duty.

Obviously there is a wide span of opinions what the term “modest” living means and I think we have to be very careful not to judge too harshly when others have other opinions on this subject. So I am actually not interested what the heavily discussed price tag for the bathtub of the bishop of Limburg is. What I find utmost disturbing is the fact of non-transparency and as a member of his financial advisory board publicly claimed, that the bishop asked to conceal the real costs of the building for public consumption. I also don’t mind the bishop flying first class – of course it is a matter of discussion whether this is appropriate – what I really mind is when he claims publicly and on video record that he only flew business class when knowing better. If you don’t want to admit to something, then rather be silent.

From a human point of view I feel sorry for him – it is tough to suddenly stand more or less alone in front of the public eye and not being able to conceal the obvious weaknesses of an expensive taste and a very own way to see realities.  But if you chose to accept a very public role with lots of responsibilities in church and society, then one has to know that scrutiny will follow. And media can be unmerciful and not forgiving.

Whatever happens in the next day – lets hope that it brings an end to this rather sad story. Let’s see how Pope Francis handles this case of a bishop losing the trust of his clergy and the faithful.

Filed under: Catholic Church, Reflection, Religion and Ethics, , , , , , , , , , , ,

New National Health Insurance Plan

English: President Barack Obama's signature on...

President Barack Obama’s signature on the health insurance reform bill at the White House, March 23, 2010.  (Photo credit: Wikipedia)

While South Africa is considering and planing for a new Health care insurance system  which would give its citizens more possibilities to use health care in a dignified and fair way, the same has already happened in the USA. After long battles a new health care  policy is in place and more US Americans are able to get access to health care facilities and the right treatment independent of their financial background.

It is interesting to see, that despite several changes in the act, the US American Catholic Bishops Conference is still fighting the plan, as it includes family planing. To recap: In January 2012, the Department of Health and Human Services issued its mandate as part of the health care reform law that contraceptive care, such as prescriptions for birth control pills, must be fully covered as part of any insurance plan. Some religious organizations are exempt from this rule, but a number of Catholic groups say those exemptions are not enough. While the bishops have continued to oppose the mandate, other Catholic groups, such as the Catholic Health Association, have said the administration has addressed their concerns in the revisions. According to the last version of the federal mandate, which the administration released June 28, any organization that self-certifies as a nonprofit religious group with religious objections to contraceptive coverage can defer coverage of contraceptives to a separate health insurance issuer. The administration “has now established an accommodation that will allow our ministries to continue offering health insurance plans for their employees as they have always done,” the Catholic Health Association’s president,  Sr. Carol Keehan, said after the release of the last version of the mandate. The organization, which describes itself as the largest group of nonprofit health care providers in the nation, comprises more than 600 hospitals and 1,400 long-term care and other health facilities in the USA.
Well, the bishops see it differently:

The Bishop heading the commission dealing with the national health care act, Cardinal Dolan even goes so far that the bishops are concerned that the mandate does not cover for-profit businesses run by individuals who may oppose certain contraceptive services. In essence what he is saying is: If I have a company with hundreds of employees and I have certain religious conviction, then I am entitled to enforce them for all working in my company, even if they don’t share this convictions and they are irrelevant to the work they are doing. It would in practice mean that a Witness of Jehovah Shop owner can exclude blood transfusion for his employees.  It is interesting to see whether such an argument will hold for the future of the bill, and especially on a topic which is since the introduction of Humanae vitae never fully adopted by practicing Catholics and even questioned in its rigidity by Bishops around the world. During the debate phrases like “protecting the freedom of religion” were used and the treat of the end of religious liberty put onto the map.

It has to be seen what the debate in South Africa holds in store when it comes to the point, what services should be included in a new Health Insurance Policy, there are surely interesting times ahead also for us here in South Africa. But it is to hope that at the end, the fundamental right of every citizen to health care according to each and every-bodies conscience prevails. Informed decisions like it has been long introduced in the sector of HIV and AIDS and TB and cancer therapies. The church has a right to enter into such a debate but must also acknowledge that its belief cannot be binding to all citizens regardless of their faith. This trickles down from the nation to single companies where the freedom to choose health care services must be balanced against the conscience of the company owner. We as the church can advocate what we belief is right, but never force democratic nations or people to follow.

Filed under: Catholic Church, General, Medical and Research, Politics and Society, Religion and Ethics, Society and living environment, , , , , , , , , , , , , ,

Chaplain in a special mission

A real priest playing a chaplain on a cruise liner for a trip – that was the wish of the production company when approaching me to join them discovering the beauties of the Black Sea on a trip on the MS Artania. Not more was said during the time before we left Venice two days ago and one would think that the filming would concentrate on the priests obvious duties: the prayer services.

But that was not what the film crew had in mind. Their request was and is to add a religious figure on land during land excursion to let him explain some landmarks in more depth to the persons they accompanied on the trip. The priest as a sort of guarantee for a bit of quality and in-dept information in a reality series normally focusing on emotions and stories more on the surface of life.

I found this approach first strange, then more and more appealing, because at the end that is the task priests should have: being able to add more quality and more sense to normal life, being able to read the signs of time and individual life and to assist in translating life experience into a deeper sphere of understanding. Touching those layers in our existence which are fundamental for understanding and living life to the fullest without being in the lead – connecting the dots in history pointing to what lays ahead in the future and is also represented in this particular moment in time – and all this in a serving role, not overwhelming the persons concerned. So not the leading role but being a supporting actor is the part we as priests are called to perform often in life.

I guess there is more to meditate about during this trip.

Filed under: Catholic Church, General, Religion and Ethics, , , , , , , , , , ,

A real Easter for the church?

Watching closely the first days of the new pope and the reaction of the church officials it is amazing or shocking to see how quick people change the tune and the approach to their ministry. Performing last week still like electors in the medieval time they now preach about poverty and a new direction in the church. Not that I am not in favor of this direction; I have been my whole life advocating that the church must be there where the reality of life meets our faith. What astonishes me is how fast people can turn around and run in the opposite direction. “Faehnlein im Wind” (Going with the wind all times) ?  – or is there really a deep sense emerging that the church served itself the most in the last years and that next to the gospel and sometimes even above came the career and pomp and glory for those in positions. The power of the powerless were marginalized and often forgotten. Whoever went to Rome to attend an audience: it was the triumphed church, almost like a medieval theater performance and instead of embrace one saw mostly the raised finger to exhort the faithful – a teaching church spelling out the “do and do not” Maybe all this shows that the church also suffers a from the danger of relativism and that centralism can distract from the core  message of the gospel: Looking always to Rome means no time no time to look for those next to oneself in the local church.

It seems that the Catholic world breath a sight of relief after this election of Pope Francis and that somehow change is in the air – and I am well aware that the theology of Pope Frances is also sound conservative, but does it really matter when we are dealing with a world where the poor  and marginalized are the those to whom the gospel should bring liberty, justice and a new sense of life.  “The numbers of people living below the poverty datum line are staggering. 3 billion people live on less than US$2 per day. 1.4 billion People live on less than US$1.25/day – and such people in economic terms have become a definition of those who live under the conditions of “extreme global poverty.” An estimated 30,000 children die each day due to poverty  – that is 18 children a minute; a child every 3 seconds.  2.6 billion people around the world do not have access to adequate sanitation and about 885 million people do not have access to clean water. Every day, 4, 100 children die from severe diarrhea – as a result of poor sanitation and hygiene. Approximately 600 million children live in extreme poverty. Nearly 11,700 people die every day from HIV/AIDS, tuberculosis and malaria. Nearly two-thirds of these people are living in sub-Saharan Africa.” ( from an email of the Jesuit Institute perspectives on the Jesuit Pope – 28th March 2013 ).

Maybe it is time to forget the words progressive and conservative and all the intern church battles – and focus together, each of us in his or her own way of that what counts: to bring the unconditional love of God to every corner of this world – in our life and presence. Maybe it happened really a change of heart in all those now switching from a church which ruled to a church which serves the people. Maybe it is like in the times of the good Pope Johan XXIII: the windows of the church are suddenly open and the wind of the Holy Spirit can blow like the Southeastern in Cape Town everything away which had the danger to darken the face of the church for the last years. Whatever it may be: it is certainly a time to enjoy as a Catholic and to feel the energy when 1.2 billion sense and experience together a time of spiritual and factual renewal. And that this is all happening during lent, the Holy Week and Easter makes it even more powerful.

 

Filed under: Catholic Church, Reflection, Religion and Ethics, Society and living environment, Uncategorized, , , , , , , , , , , , , , , , , ,

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