A version of the article below was first published in the winter 2004 edition of the Human Life Review (New York). A few months after I wrote it President Reagan died. I posted the piece to the HumanLifeMatters blog in April 2007, but for some reason it has disappeared. I am re-posting it below with updates as required. It is more pertinent today.MP______________
In 1982, “Baby Doe” was born in Bloomington, Indiana. The baby had Down’s syndrome and a defect of its oesophagus that needed corrective surgery before the child could drink from a bottle. The surgical procedure was considered routine for children born with the condition known as trachea-oesophageal fistula. Because Baby Doe had Down’s syndrome, the parents decided to refuse the surgery and allow the wee child to starve to death. When the situation became public, several couples offered to adopt Baby Doe and even pay for the surgery: But the parents, their doctors and an Indiana Court said they had a right refuse medical treatment in order to starve the baby. That’s exactly what happened, and Baby Doe died seven days after being born.
Decent people across America (and the world) were appalled at

this horrible injustice – including President Ronald Reagan. The next year the President wrote an article for the
Human Life Review entitled "Abortion and the Conscience of the Nation" in which he dealt directly with his horror at the case of Baby Doe. It was President Reagan’s correct view that abortion concerns every person because all humanity is interdependent. To illustrate this point, the President quoted English poet and divine, John Donne (1572-1631) who wrote, “… any man’s death diminishes me, because I am involved in mankind; ….” This is part of Donne’s 17th famous Meditation from Devotions upon Emergent Occasions (1623). Those words follow the immortal line, “No man is an island entire of it self; every man is a piece of the Continent, a part of the main; ….” The point being that humanity’s interdependence makes the welfare of one person the concern of all people. America is not made up of 300-million little islands entire unto themselves. Words like “family,” “citizen, “community,” “neighbor,” and even the United States of America attest to human interdependence. And that human interdependence included disabled and helpless Baby Doe.
The President continued:
“We cannot diminish the value of one category of human life – the unborn – without diminishing the value of all human life. We saw tragic proof of this truism last year when the Indiana courts allowed the starvation death of “Baby Doe” in Bloomington because the child had Down’s syndrome.”
The great man was deeply troubled. He said, “The real question today is not when human life begins, but, What is the value of human life?” He reminded readers that America was founded by men and women “who shared a vision of the value of each and every individual.” The President said that this vision was clearly evident from the beginning with those towering words of the
Declaration of Independence:
“We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable rights, that among these are the right to life, liberty, and the pursuit of happiness.”
The President lamented: “Regrettably, we live in a time when some persons do not value all human life. They want to pick and choose which individuals have value. Some have said that only those individuals with “consciousness of self” are human beings.” He continued:
“Obviously, some influential people want to deny that every human life has intrinsic, sacred worth. They insist that a member of the human race must have certain qualities before they accord him or her status as a human being.”
With clarity and conviction President Reagan held that an important ingredient to America’s future was a return to acceptance of the sanctity of human life ethic. The great statesman concluded his essay by stating,
“My Administration is dedicated to preserving America as a free land, and there is no cause more important for preserving that freedom than affirming the transcendent right to life of all human beings, the right without which no other rights have any meaning."
His words carried an ominous tone for the future regarding definitions of worthy life of “some influential people” that would discount the intrinsic value of the cognitively disabled. Little did he know that a decade later he himself would join this group of people whose intrinsic value was/is being discounted.
ONE GREY NOVEMBER DAY

It was a dreary, grey day in November of 1994 that Ronald Reagan told the American people he had Alzheimer’s disease. Friends and foes alike were stunned at the news. It was a fate one would not wish on their worst enemy! With his irrepressible optimism, class, courage and dignity the former President expressed his love of America and gratitude to the American people for allowing him to serve as their President. Rather than focus on himself, Mr. Reagan expressed concern about public awareness of this awful disease of Alzheimer’s which afflicts millions of Americans. He called upon the goodness of Americans to support those families enduring the painful journey of losing a loved one to Alzheimer’s disease. Of his beloved wife Nancy, Ronald Reagan lamented, “I only wish there was some way I could spare Nancy from this painful experience. When the time comes, I am confident that with your help she will face it with faith and courage.” His faith in her was well placed: Throughout their soul-wrenching journey with Alzheimer’s disease, Mrs. Reagan remained by him—steadfast in faith and courage—just as he knew she would be.
By extension from his own situation, I believe that Ronald Reagan was appealing to the best part of America to rally around families of people with profound disabilities in an embrace of a community of comfort and affirmation. Ronald Reagan finished his sad announcement to the American people by saying,
“I now begin the journey that will lead me into the sunset of my life. I know that for America there will always be a bright dawn ahead. Thank you my friends. May God always bless you.”
With those eloquent words, America’s 40th President retired from public scrutiny: A steady decline of Alzheimer’s disease awaited him.

Ronald Reagan’s imagery of entering the sunset of his life was historically poignant. In 1787, a Constitutional Convention assembled in Philadelphia to make a Constitution defining how America would govern itself. It was no easy task. There was much division and heated debate, but eventually the Convention members had an instrument they could support. As the last members were signing the constitutional document, Benjamin Franklin looked toward the President’s chair. At the back was a painting of a sunrise. Doctor Franklin commented to a few members near him that painters often find it challenging in their art to differentiate a rising from a setting sun. Then Benjamin Franklin said:
“I have often and often, in the course of the sessions, and the vicissitudes of my hopes and fears as to its issue, looking at that behind the President, without being able to tell whether it was rising or setting; but now at length, I have the happiness to know, that it is a rising, and not a setting sun.”[1]One hundred and ninety six years later Ronald Reagan spoke of the setting sun of his own life, and I worried.
I worry more and more that the analogy the great wordsmith chose for himself will apply to the greatness of America too. As the President would say if he could, the sun will set—perhaps never to rise again—if her people abandon the self-evident truth and founding principle: the sanctity of all human life
MISSING THE CLARION CALL AND ITS DISASTROUS IMPLICATIONSUnfortunately, a significant segment of American society did not respond to R

onald Reagan’s clarion call. In the twenty-six years since Ronald Reagan wrote his article for the
Human Life Review, America has yet to excise the malignancy of Roe versus Wade. That dreadful Supreme Court decision not only opened Hell’s gates wide to abortion on demand across the land, just as insidiously, it began to mutate the public mindset to consider what had previously been unthinkable: Killing human beings who are inconvenient, burdensome, unloved, despairing or whose disabilities fall below an arbitrary level of acceptability. Euthanasia and assisted suicide.
Roe versus Wade was not just pernicious, it was pervasive. Evil advances in increments and lies grease the skids.
LIES OF THE HEARTThe worst lies are lies of the heart —they rot the souls of men and nations.
We now know that the 1973 Roe versus Wade Supreme Court abo

rtion decision that struck down all state laws restricting abortion, was based on a lie. Jane Roe was actually Norma McCorvey and her pregnancy resulted from romance not gang rape, as was claimed at the time. In the years that followed Roe versus Wade, McCorvey experienced a dramatic change of heart, and moral conviction that often follows Christian conversion. For quite some time, McCorvey sought to re-open her now despised court decision, and set the record straight. We hoped she would get her chance. A federal appeals court agreed to hear oral arguments by McCorvey to overturn the landmark decision. She has stated: “All I did was lie about how I got pregnant. I was having an affair. It all started out as a little lie. I said what I needed to say. But, my little lie grew and grew and became more horrible with each telling."
[2] Sadly, in 2004, the Appeals Court turned back McCorvey's request. (See -
http://www.lifenews.com/nat817.html)
Abortion advocates had been preparing the public to accept the necessity of abortion for years before the 1973 High Court’s decision. They effectively conjured graphic metaphors of rusty coat-hangers and back-alleys and said that thousands upon thousands of women died each year at the unscrupulous hands of criminal abortionists. Former U.S. Surgeon General, C. Everett Koop, finally set the record straight on this fiction:
“Undocumented statements, subsequently acknowledged as unfounded in fact, were endlessly repeated until they acquired a ring of truth. Sincere and concerned people were disturbed; they were purposely misled. Thousands of women were said to be dying each year at the hands of criminal abortionists. Some estimated 10,000 women died each year of illegal abortion – others said 5,000. The United States Public Health Service, however, reported from all abortions legal and illegal, 189 deaths in 1966, 160 deaths in 1967.”
[3]According to the U.S. Bureau of Vital Statistics, the year before Roe Versus Wade (1972) there were 39 women who died from illegal abortions in America.
[4] Suffice to say that abortion advocates
SLIGHTLY inflated the numbers to falsely shock the public into thinking there was a virtual holocaust of desperate women dying in back-alleys of cities across America. As regrettable as the 189, 160, 39 or even one death were, the oft quoted thousands upon thousand of women dying each year in America from botched abortions was simply not true.
One thing is certain, after the 1973 Supreme Court abortion decision, an unfathomable holocaust of children began, the likes nobody could have imagined, even in their darkest nightmares! For millions of babies, wombs became killing fields! Did anybody actually believe the killing, once unleashed, would remain confined there?
By the time that the Baby Doe case became public in 1982, withholding medical treatment, nutrition and hydration from Down’s Syndrome newborns had become routine medical practice. In the December 1982 issue of
Archives of Internal Medicine, a Dr. Norman Fost, Professor of Pediatrics at the University of Wisconsin, wrote, “It is common in the United States to withhold routine surgery and medical care from infants with Down’s syndrome for the explicit purpose of hastening death.” Newborns with other handicaps receive similar treatment as was noted by a 1983 report of the President’s Commission for the Ethical Study of Ethical Problems in Medicine.
[5] In subsequent years, more incremental advances of evil could be noticed in euthanasia and assisted suicide acceptance.
PROMOTING DEATH FROM BEHINDTHE RESPECTED ROBES OF ACADEME
In 1998, Australian bioethicist Peter Singer was appointed Decamp Professor at Princeton University’s Center for Human Values. With the authority, respect and prestige of Princeton University behind him, Singer contends there are two crucial attributes necessary to being a person regardless of species: rationality and self-consciousness. By these criteria, persons include whales, monkeys, dogs, pigs, cattle, and so on. But according to this criterion, Ronald Reagan’s advanced Alzheimer’s disease disqualified the former American President from the equal moral worth as a pig or a dog. In his ground-breaking book CULTURE OF DEATH: THE ASSAULT ON MEDICAL ETHICS IN AMERICA, Wesley J. Smith says about Peter Singer’s philosophy:
“…some humans would not be persons, including newborn human infants, whether disabled or not, and people with advanced Alzheimer’s disease or other severe cognitive disabilities – people whom Singer claims are not self-conscious or rational.”[6]Later Smith clarifies Singer’s intent:
“What Singer contends is that the moral worth of lives—whether animal or human—is roughly equal to their cognitive abilities. …Thus, Singer appears to believe that given the choice between saving the life of a dog and a mentally retarded human being, we should choose Fido.”[7]AN ELEPHANT IN THE ROOM?When people avoid an obvious discussion it’s like an elephant is in the room that nobody acknowledges. Let me get to the point. According to Singer’s own standards Ronald Reagan is no longer a person! And according to the bioethics of Peter Singer, America should have denied the former U.S. President his humanity or even basic medical care due to his advanced Alzheimer’s disease.
A Singerite disciple might respond that when Mr. Reagan
was a person he amassed a fortune that will allow his family to treat him with the dignity afforded to real persons who have rationality and self-awareness. Precisely! The brutality of utilitarian medicine espoused by the Peter Singers of this world comes into sharper focus: The rich, loved Alzheimer’s patient would get care; the poor, unloved person with Alzheimer’s or any other cognitively disabled American would be killed. Welcome to the America of Princeton’s Johnny-come-lately.
PARALLELS BETWEEN BABY DOE AND TERRI SCHIAVO
The parallels between Baby Doe and Terri Schiavo are worth n

oting: Both cases involved mentally disabled people – one a newborn infant, the other an adult woman. Both cases involved the desire of immediate family to kill a handicapped member. Both cases had complete strangers offering to take care of (even adopt) Baby Doe and Terri Schiavo. Both cases involved court sanctioned starvation/dehydration killings. Both cases presumed the individuals were better off dead than living disabled. In fact, at a 1993 deposition, Terri’s husband, Michael Schiavo, stated under oath, “…she’s a total quadriplegic. Okay? In my own feelings, if Terri were to wake up and see herself the way she is now, she wouldn’t even want to live like that.”
In other words, it is better to be dead than disabled. But that’s how a strapping, healthy, strong man felt looking at someone else with a serious disability. Michael Schiavo only knew the twenty-six year old Terri of yesteryear. I think that if one reads between the lines, Michael was vocalizing his own fear of being disabled.
Am I suggesting Terri would have wanted life as a quadriplegic? Yes I am. Oh, maybe not at first. I can certainly understand that if Terri had awoken to find herself a quadriplegic she might initially want to die. What a terrible shock! After all, she was young, vibrant and beautiful with the American dream stretching out ahead of her. Then overnight her world was turned upside down. Of course she might have despaired of life for a period of time.
Nobody who is able-bodied wants to live as a quadriplegic—yet thousands of people go through the despair and emerge to live full and contented lives in that state. Attitudes of people with disabilities change over time. What is utterly overwhelming today, may not be tomorrow, next year or ten years hence. Canadian rehabilitation counsellor, Walter Lawrence (himself a quadriplegic) commented on the changing attitudes of people toward their disabilities, their perceptions of quality of life (or lack thereof), and an accompanying desire to die:
“What I see in rehab is that 90 percent of all high lesion spinal cord injured persons want to commit suicide. After five years of living with a spinal cord injury, 5 percent contemplate suicide. It is a drastic change.”
[8]Quality of life is a moving target! There is no reason to believe things would have been different for Terri.
QUADRIPLEGIA BY THE INSTALMENT PLAN
Twenty-five years ago, I was healthy, strong, agile and athletic. I would have recoiled in horror at the thought of living with progressively degenerative disease; yet in 1984, that’s exactly what happened. I was diagnosed with multiple sclerosis (MS). Today, I move about in an electric wheelchair, my right arm is becoming increasingly useless. My left arm is the only remaining limb unaffected by MS. Unless some way is found to stop this terrible disease, quadriplegia is a distinct possibility for my future. I do not want to live as a quadriplegic! But do not construe what I’ve just said as a desire to die or that life can not be complete without the full use of my limbs.
I have entered an advanced stage of multiple sclerosis and even my few remaining functions may yet be stripped from me! In fact, my future may be worse than Terri’s Schiavo’s was when she was murdered by judicial decree in Florida. I don’t want to live like that! The same may have been true for Terri. She may not have wanted to live as a quadriplegic, but that does not mean she is better off dead! And even if she wanted to die in 1993, she may have felt different in 2004. We just do not know how people will feel after the shock, after the despair, after the grieving subsides. Human beings are resilient and most will redefine themselves within their new realities.
Physical

function is not the final arbiter for the value of a life. Quality of life is not the final arbiter of human value. Love is the final arbiter of life. It is Divine love not romantic love that creates life in God’s image. It is Divine love that sanctifies every human life, not sentimental affection. To know Divine love, and to love the Lover is what gives life meaning.
If that is true, then Terri Schiavo and Ronald Reagan won hands down. Granted, humanly speaking there were people who did not value them, but others did. Terri Schiavo was loved and valued by her parents, her siblings and tens of thousands of people across America—most of whom she never met. Ronald Reagan was loved by his family, and millions of his fellow-Americans—most of whom he never met.
Ronald Reagan died on June 5th 2004. If he could speak to us today, I believe his tone would carry a new sense of urgency, even desperation for America’s future. Like the crew of the sinking Titanic sending flairs up into the sky, Mr. Reagan would be calling his fellow-Americans back to his beloved America’s original vision of the sanctity of human life ethic. I think he would point to it as a solid foundation for human rights and true human equality.

America must embrace, once again, the sanctity of human life ethic. It has lost its way and is floundering on high seas of the twenty-first century, and risks sinking into history.
Mark Pickup
__________________
[1] Benjamin Franklin, “Franklin on the Constitution” in Readings in World History, ed. Leften S. Stavrianos (Boston: Allyn and Bacon, Inc., 1962), p.258.
[2] Quote Taken from Minnesota Concerned Citizens for Life webpage http://www.mccl.org/fp_news/mccorvey.htm , accessed 18 February 2004.
[3] C. Everett Koop, The Right to Live The Right to Die (Wheaton, Illinois: LIVING BOOKS, 1982), p.36.
[4] From the U.S. Bureau of Vital Statistics Center for Disease Control, as cited in Dr. and Mrs. J. C. Wilke, Abortion: Questions and Answers, rev. ed. (Cincinnati: Hayes Publishing, 1988), pp. 101-2.
[5] Quoted from Nat Hentoff, “The Awful Privacy of Baby Jane Doe,” http://www.web.syr.edu/~syndrake/hentoff.htm ; accessed 9 February 2004.
[6] Wesley J. Smith, CULTURE OF DEATH: THE ASSAULT ON MEDICAL ETHICS IN AMERICA (San Francisco, California: Encounter Books, 2000), p.15.
[7]Smith, 192.
[8] Jennifer L. Piccolo, "Too high a price to pay for hope: MS sufferer’s principles lead him to reject stem cell transplant," The Washington Times, 21 June 2001, A1.