God, AIDS, Africa & HOPE

Reflections / Gedanken

Gloves are off?

The clock is ticking and the preparations for the synod of the bishops to discuss family and marriage matters are in full swing. Some churches publish their findings on the questionnaire, others treat it as a sort of highly secretly exercise. Some parts of the hierarchy asked frankly those called the laity, others compiled answers without elaborating on the ways how they did it. In Germany it seems that the topic is highly contested. Cardinal Marx from Munich made it very clear that in the question of divorced and remarried couples, the church must be able to consider all their options. This was in answer to soon-top-be Cardinal Mueller in Rome, who insisted already upfront that nothing can be changed at all. Only to be reprimanded by an South American Cleric in the same rank that there is more to it than just dogmatic insistence. The Diocese of Freiburg published a guideline for the possibility in some instances for a blessing of a second marriage and communion for those who are divorced and remarried. Which obviously drew flag from Mueller in Rome again, who insisted that people living in a second marriage are living in sin and therefore are excluded from Holy Communion.
Such debates are not new – I remember that  then Bishop of Rottenburg – Stuttgart and now Cardinal Kasper, then Bishop and now Cardinal Karl Lehmann from Mainz as well as Archbishop Oscar Saier from Freiburg published a letter to the faithful on the 10th of July 1993 declaring that in case of a remarried divorce, the priest must find out in a talk “whether that, what is right in general, also applies for the situation of the couple concerned”. It’s the simple question of oikonomia, one of the acknowledged traditions of the Orthodox church through all ages till today which is in principle also recognized in the Roman-Catholic Church, but not for marriage cases. Oikonomia means that there is a law (like the marriage is for ever) but it acknowledges that humans can fail and for the greater good of the people involved and because of the unconditional love of God to be experienced through the church, there is a solution to start anew without denying the general rule.  The Orthodox church requires a time of penance and acknowledgement of failure before allowing the new marriage. And I think it’s right so: Couples tend to think that love never ends when they get married and it is for most horrible to experience failure and the ceasing of love. There is need for a time of reflection, soul-searching before restarting life again. So saying that there is only the Roman Catholic alternative of being faithful to the letter of the law is cheating the people of alternatives which have proven their value through 2000 years without compromising faith. In 1993 the reaction of then head of the department for doctrine, Cardinal Ratzinger was sharp and direct: He found the Bishops being unfaithful and in opposition to the teaching of the church and that was end of the story. Thanks God times have changed and at least it is allowed in church now to think again – at least in most parts of it.

Bishop Ackermann from Trier, one of the younger bishops in Germany made his standpoint quite clear in a series of interviews. After the German Bishops Conference published parts of the finding of the laity for the synod, the Bishop was asked about sex before marriage, contraception, same-sex marriage and the question of divorce and remarriage. He stated that not every sexual act before marriage can be considered a great sin, the question of distinguishing between “artificial contraception” and ‘natural contraception” is in his opinion artificial itself. Even on the question of same-sex partnerships he clearly stated that there is no way of conducting a marriage as understood by the church, but he admitted that he would not refuse to  bless a same-sex couple, if they would come up for a blessing in one of the services dedicated to couples and their love ending with a personalized blessing for each couple. I guess it is a sensitive answer, it shows that there is acknowledgement of love between to people independent from their sexual orientation, but it makes at the same time clear, that there is a difference how church and theology defines marriage and the state defines it. Same sex partnerships are not a marriage in a sacramental way as understood by the church – I often think if the church would put all the energy it takes to fight the state on same-sex partnerships instead would put into supporting marriage and family life in parishes it would surely look better on this side.  Church and state are different entities with different definitions of certain aspects of life which indeed can be lived next to each other without fighting. I read once a quote from Cardinal Napier which stated that civil partnerships have nothing to do with the church. Right so, if that is the case don’t fight them. But I also have to admit that I still don’t like the word “same-sex marriage” – same rights yes, but create another word, less burdened with a long tradition leading, yes asking for debates dividing people unnecessarily.

Following the internet debates on all those topics it seems that the gloves are off and all parties concerned are anxious to get their message through. It shows how divided the church is on that topic and that in the last 30 years the rift was covered up through tough measures against anybody even asking the right questions. Academic theologians were to scared to research freely as they had to fear not to get into teaching with the blessing of the official church. Doctrine was everything – but times have changed and as a bishop in South Africa put it: “We are allowed to think again and to debate questions without fear”. This is indeed a step in the right direction and I only hope that all this debate ends up not with winners and losers but with the unconditional love of God being personalized in those leading the church so that everybody can see and experience that faith is an assistance to life and not a constant headache.

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

PreP – one does not hear a lot about it…

“We don’t know the side effects of this drug. It’s too expensive. Insurance won’t cover it. It hasn’t been studied enough. It will encourage slutty behavior. And why the hell don’t people just use condoms?”
Sounds familiar? That has been the objections raised to the oral contraceptive progesterone (“The Pill”), approved by the FDA 54 years ago. And it seems that with Truvada as an alternative method to prevent a HIV infection it started similar. Pre-exposure prophylaxis would add to more sexual contacts, critics claimed and they painted the picture of orgies and inhibited sex lives. In an article at TheBody.com Mark S King tries to tackle all those concerns and to come up with a new assessment about the drug and its benefits and disadvantages as a prophylaxis.
To read more go to TheBody.com.

Damon L Jacobs from New York tackles this topic from a more practical side. He decided to take Truvada as PrEP since 2011 and reports on his findings in an article on this blog. As he is also a psychotherapist and safe sex educator in NY and SF it is indeed an interesting read. For more go to the blog.

The question is obviously whether PrEp would also function in South Africa and what the financial implications would be, if insurance companies and even government would consider this to be offered on a wider scale. This is certainly up to a debate which we have to start sooner than later.

Filed under: General, HIV and AIDS, HIV Prevention, HIV Treatment, Medical and Research, Reflection, , , , , , , , , , , , , ,

Philip Seymour Hoffman death is speaking volumes

Another actor dead as a result of drug use; it seems that celebrities and public persons have more possibilities to entertain drug use, even confessing to it, getting clean only to start all over again. Fame seems not to translate into a happy life but into depression and yearning for more and the ultimate kick. All those stories tell us about a tragedy of being put on a pedestal and the assumption, that money and VIP treatment creates happiness in life. From Withney Houston, Amy Winehouse to Heath Ledger and Chris Kelly – they all tell the story of stars  at the end not able to connect to real life; and personalities, whose need for excitement, paired with unlimited finances and so-called VIP friends brought on a lifestyle that often breeds addiction.
It leaves the question what really carries us through life? Is it money, fame or at the end such simple things like love, good friends, a lover holding on to the person even in bad times?
For me such tragedies show how life can be wasted by slipping into an artificial life style often fostered by the need to have again and again a new story for all these celebrity magazines which live and strive of the curiosity of its readers.  So at the end it is the mixture of extreme personalities and perceived society demands which creates the need for drugs and prescribed medication leading to early death.
How far away is from this the daily struggle of those we cater for at HOPE Cape Town. It seems so far away, but at the end, it boils down to the same human experience: anxiety, yearning for love and acknowledgement, the feeling of loneliness and the cry for help in one or the other way. Celebrity person in Hollywood and a person in the townships of Cape Town:  when it comes to emotions, there is a certain similarity for sure.

Filed under: General, Reflection, Society and living environment, Uncategorized, , , , , , , , , , , , , , , , ,

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, , , , , , , , , , , , , , , , , , ,

Every struggle hero a good politician?

The ANC manifesto will tell South Africans exactly who to vote for, says President Jacob Zuma and I guess he means it. He means it differently as I or others will understand it. And I have to admit that elections in South Africa posses tough choices. The problem of the ANC is a problem also churches face: Glorifying the past and telling people how good one has been at times does not qualify for office in these times. Or to phrase it differently: Not every struggle veteran is a good politician – what wisdom could the ANC gain if they would acknowledge and honor those having been in the struggle but also being honest that most of them not qualify to run a country or a province. This assessment is does not lack respect – the opposite is the case: one respects the achievements while acknowledging the limitations. Every period of time needs people up to tasks of the specific time. It’s up to an organization to acknowledge that and up to the wisdom of people concerned to step aside as “honored elderly”. Because this is not happening in South Africa and only people in line with any statement made by the senior officials and struggle heroes can climb up the carer ladder we are in the predicament as it unfolds today. Exactly because of that, “Malemas” can rise and try to destroy even more the future of South Africa.
The ANC will rule forever says the president and shows very bluntly, that he has not understood what democracy means. It is not about a party – it is about honoring those who brought freedom and give this generation the chance to develop a country by democratic means and with the eduction and freedom attached which is needed to develop into a healed and healthy society.

The South African society needs healing more than anything else – and even for that we need people able to heal instead of singing struggle songs and showing clearly that they are not willing to see this as their proud history with no prominent role in our days. And no, I am not anti ANC at all – I really hope that this party, like also others by the way, can meet that transformation for the better good of the people. Because only then the state will function without corruption; only then health services and fundamental service deliveries will take place in a fashion suitable and acceptable for the masses. Only then politicians will understand that they serve the people and not themselves and their families – only then people in power don’t have the urge to compensate for lost gains in the times of struggle.

History comes in chapters – it’s time that we allow for a new chapter, memorizing the past without letting ourselves and our action been poised by the blame game. Only reconciliation and healing will bring the future. So once again: let’s honor the heroes of the struggle and let’s form a new generation of politicians able to overcome the divide plaguing our country years into democracy.

Filed under: General, Politics and Society, Reflection, Society and living environment, Uncategorized, , , , , , , , , ,

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