To the IV International Conference

of the Pontifical Council for Pastoral Assistance to Health Care Workers

 

The Church faced with the challenge of AIDS:

prevention worthy of the human person

and assistance in complete solidarity

 

15 November 1989

 

            Distinguished Ladies and Gentlemen:

 

1.It is a particularly important moment for me to meet today with all of you in this International Conference which the Pontifical Council for Pastoral Assistance to Health Care Workers has promoted for the purpose of deepening the interdisciplinary study of the complex problems related to the threatening spread of AIDS.

In greeting you, I wish to express my heartiest congratulations for your commitment to discuss this vitally interesting subject on such a highly qualified level, and particularly, for having formulated its analysis in a broader anthropological framework, examining the entire question in the light of fundamental questions on existence: “TO LIVE: WHY?”

 

2.Compared with the many other infectious diseases known by Mankind in the course of history, AIDS has by far many more profound repercussions of a moral, social, economic, juridical and structural nature not only on individual families and on neighborhood communities, but also on Nations and on the entire community of peoples. In fact, although in differing intensity and with varied characteristics, the great majority of the world’s nations has been struck by the acquired immunodeficiency virus, and the periodic announcements of the Health Authorities indicate an increasing extension.

            It is right to recognize that, from the initial stages, AIDS has provoked a serious commitment to team research directed by eminent scientists, many of whom are present here today, and to whom I wish to express my most heartfelt appreciation.

            Thanks to their efforts, every day there is greater light shed upon the various aspects relative to this complex and widespread disease. In less than a decade, an important stretch of the road has been covered: molecular biology studies have nearly made known the functions of the virus, the virus-cell interactions and their consequent functional modifications. Other retroviruses have likewise been discovered, and their functions relative to AIDS and other diseases are the object of intensive study and evaluation.

 

            3.It is not at all daring to affirm that, once again, through the study of a dreadful disease, scientific knowledge is broadening to cover a whole area, with important advantages afforded for the treatment of other pathologies.

            And, moreover, as our times are characterized by the growing awareness that biological causes, environmental conditions, and sociocultural components all strongly influence the development and spread of infectious diseases, particular analytical attention has been given to the way in which certain forms of interactional behavior within particular demographic types or groups create and increase the risk of contagion from the acquired immunodeficiency virus. The reference, already well known to all, is obviously to the phenomena of drug addiction and the abuse of sexuality which leads to a process that is expansionist at its base. The positive side of this more exact knowledge is that the world population as a whole is called to assume its proper responsibility with complete awareness.

 

            4.Statistics indicate that it is the generation of youth which is most stricken by AIDS. This threat which hovers over the younger generations should alert everyone to personal commitment because, humanly speaking, the future of the world depends upon the future of its youth, and experience teaches that the only way to foresee the future is to prepare it in the present.

            The threatening spread of AIDS hurls at all men a double-edged challenge which the Church also wants to meet in fulfilling her due share: I am referring to the prevention of the disease and to the health care offered to those who suffer from it. Truly effective action in these two areas cannot be developed without looking to sustain a common effort which results from a constructive vision of the dignity of the human person and his transcendent destiny.

            The peculiar factors which have given rise to AIDS and its global extension, and also a certain way of engaging the battle against this disease reveal – as so appropriately the general theme of the Conference reminds us – a worrisome crisis of values. Certainly not far from the truth is the affirmation that, parallel to the spread of AIDS, there is a kind of immunodeficiency in existential values that cannot but be identified as a real pathology of the spirit.

 

            5.AIDS prevention – to be worthy of the human person and at the same time truly effective – must propose two objectives: to inform adequately and to educate for responsible maturity.

            The information, diffused in so many different centers, must above all be correct and complete, beyond unfounded fears as also beyond false hopes. Personal human dignity demands that each person be helped to grow in affective maturity by means of a specific educational process. Only with information and education which lead to a transparent and joyous rediscovery of the spiritual value of self-giving love as the fundamental meaning of existence, will adolescents and youth be able to find sufficient strength to surmount high risk behavior. Education for living one’s own sexuality in a serious and serene way and preparation for responsible and faithful love are essential aspects of this way towards full personal maturity. Prevention methods which instead promote egoistic interests, deriving from considerations that are incompatible with the fundamental values of life and love, can only end up being contradictory as well as illicit, merely circling the problem without resolving it at its roots.

            For this reason, the Church, sure interpreter of the Law of God and “expert in humanity”, is concerned not only with stating a series of “no’s” to particular behavior patterns, but above all with proposing a completely meaningful lifestyle for the person. She marks out with vigor and joy a positive ideal in whose perspective moral behavior codes are understood and lived.

            In the light of such an ideal, it is extremely harmful to the dignity of the person, and therefore it is morally illicit, to support as AIDS prevention any method which violates the authentically human sense of sexuality, and is a palliative for those deep needs which involve the responsibility of individuals and of society: and right reason cannot admit that the fragility of the human condition – instead of being the motive for greater care – be used as a pretext for yielding to a way of moral degradation.

 

            6.Secondly, if prevention be understood in the constructive sense of the term as leading to the retrieval of the full meaning of life and the exalting fascination of generous dedication, it can only be to the advantage of a greater and vaster commitment to assist AIDS patients, above all among the younger generations. Those who suffer from AIDS, even in their unique pathology, are entitled to receive adequate health care, respectful comprehension and complete solidarity, just like every other ailing person.

            The Church, imitating her Divine Founder and Teacher, has always deemed as fundamental to her mission assistance to those who are suffering. She now feels that she is called upon as protagonist in this new area of human suffering, aware as she is that suffering man is a “special way” of her teaching and ministry.

            Consequently, many Bishops’ Conferences in different parts of the world have published documents, issuing concrete directives to initiate, improve and intensify the pastoral approach of hope in the action taken to prevent AIDS and in the health care offered to those stricken by it, at times even opening specialized AIDS care centers.

            In the spirit of communion, and with confident and intense participation in the sentiment of the whole Church, I willingly take this opportunity to unite my voice to those of the other Bishops, and exhort each and every one to assume his personal responsibilities.

 

            7.Above all, I turn with grievous immediacy to those who suffer from AIDS.

            Brothers in Christ, who know the bitter harshness of the Way of the Cross, do not feel that you are alone. The Church is with you as sacrament of salvation, to sustain you on your difficult path. She receives much when you live out your suffering with faith; she is beside you with the comfort of active solidarity in her members so that you never lose hope. Remember how Jesus invites you: “Come to Me all of you who labor and are overburdened, and I will give you complete rest.” (Mt 11:28).

            At your side, dear ones, are the men of science who are untiringly struggling to subdue and contain this serious disease; and with you are all those who with generous voluntary dedication or with diligent professionality sustained by the ideal of human solidarity, wish to accompany you with every kind of attention and care. But you can offer on your part something which is so important to the community to which you belong. For the effort to give meaning to your suffering is a precious call back to the highest of life’s values, which touches all men, and a particular help which may even be definitive for those who are tempted by despair.

            Every day the prayer of the Church is offered to Our Lord for you, especially for those of you who undergo the illness in abandonment and solitude, for the orphans, for those who are weakest and poorest; those whom the Lord teaches are considered as first in His Kingdom.

 

            8.I now turn to the families: In the family nucleus is children’s first school of life  and of formation in life’s responsibility in all its aspects, including those related to sexuality.

            Parents, you can carry out the first and most effective program of prevention by providing your children with correct information, and preparing them for responsible choice of proper behavior, both individually and socially.

            As for those families who are living from within the drama of AIDS, I want them to feel the special understanding of the Pope, who is so very aware of the difficult mission to which they are called. I pray to Our Lord that He grant them the generosity they need to be able to continue to the end their mission, which, before God and society, they have assumed as undeniable. The loss of family warmth and concern causes in AIDS sufferers the diminishment and even complete loss of that psychological and spiritual state of immunity which at times is as important as physical immunity in sustaining the individual’s capacity for reaction. Especially those families born under the sign of Christian matrimony have the mission to offer a courageous witness of faith and love; not abandoning their dear one, but rather caring for him, they should surround him with attentive care and affectionate presence.

 

            9.To teachers and educators: I appeal to you to become promoters in close contact with the families, of suitable and serious formation of adolescents and youth. Especially in Catholic schools, prepare an organic programming of health education in which preventive measures are in harmony with moral values in the development and formation of a just and authentic lifestyle, fundamental guarantee of the protection of one’s own health and that of others.

            Educators, to you has been confided the responsibility to guide the young generations towards an authentic culture of love, offering in yourselves guidance and a model of faithfulness to the ideal values which give meaning to life.

 

            10.To the youth of every age and social state, I say: Make your thirst of life and love be that thirst of life which is worth living, of a life of constructive  love. The necessary prevention against the AIDS threat is not to be found in fear, but rather in the conscious choice of a healthy, free and responsible lifestyle. Avoid types of behavior which are marked by dissipation, by indifference, by egoism. Be, instead, protagonists in the construction of a just social order upon which the world of your future will depend.

            With generosity and creative imagination, practice ever new forms of solidarity. Reject every kind of marginalization; stand by those less fortunate than you, assist those who are suffering, while you develop the virtues of friendship and understanding, rejecting all forms of violence towards yourselves and towards others. May your strength be hope, and your ideal, the universal assertion of love.

 

            11.To those who govern and those responsible for social well-being: I make an urgent appeal to address in every way the new problems posed by the spread of AIDS. The actual and foreseeable proportions of this disease, as also its close ties with certain behavior patterns which weigh heavily upon interpersonal and social relations, demand that the Nations assume all their responsibility with timeliness and courage, with clear ideas and upright initiatives. In particular, the health and social authorities have the jurisdiction to determine and execute a world-wide plan for the fight against AIDS and drug addiction; within this programming, there should be recognition, coordination and maintenance of all just initiatives developed by private citizens, groups, associations and organizations for prevention, treatment and rehabilitation.

            Likewise, the struggle against AIDS calls for collaboration among all peoples. And because the demand for health and for life is the common denominator of all men, may no political or economic interest divide the commitment of the Nations which, united, are called to respond to the challenge of AIDS.

 

            12.To scientists and researchers, with praise for their commendable efforts, I extend my invitation to intensify and coordinate their labors, source of hope for AIDS sufferers and for all of Humanity. As already stated: “It would be illusory to claim ethical neutrality in scientific research and its applications…Therefore, to maintain their own intrinsic significance, science and technology require unconditioned respect for the fundamental criteria of morality: they must be at the service of the human person, of his unalienable rights, and of his true and integral well-being, according to the project and will of God” (Instruction Donum Vitae, n. 2).

            As yet, there is still no vaccine, nor is there any effective medicine against the AIDS virus. May scientific and pharmaceutical research discover the hoped-for remedy. For Mankind is imploring your competence and your sensitivity, distinguished scientists and researchers; it awaits your response in favor of life, above all, as fruit of your collaboration and dedication.

 

            13.During this interval in which we await the definitive discovery, I invite the physicians and all health care workers involved in this delicate professional sector, to transform your service into witness of helping love. As I said in Phoenix, U.S.A., to the members of the Catholic Health Care Organizations, “You, both individually and collectively, are the living expression of the Parable of the Good Samaritan” (Teachings, X, 3, 1987, p. 506). Therefore, may your diligence be free of any discrimination! Be capable of receiving, understanding and valuing the confidence which your ailing brother has in you. Always seek, through caring and with discretion and love, to draw closer to that mysterious and so human psychic and spiritual sphere of the patient, from which living and healing energy may flow that will help the sick person to discover, even in his condition, the meaning of his life and the meaning of his suffering.

            And you who are volunteer health care workers, who in ever-greater numbers devote competence and availability to AIDS victims or are engaged in the work of preventive education, join and coordinate your efforts, update your training, promote activities outside as well to increase community awareness of the problems linked to the reality and threat of AIDS. Be spokesmen for the anxieties, needs, and expectations of those you are assisting.

 

            14.To our brothers in the priesthood and to our brothers and sisters consecrated in religious life: First of all to those of you who are specifically dedicated to pastoral health care, my most fervent call that you be heralds of the Gospel of Suffering in this contemporary world. The Church’s history in health care abounds in heroic personages: priests, religious brothers and sisters who in their compassionate assistance to the suffering have exalted the doctrine and the reality of Love.

            Your action, my dear brothers and sisters, to be truly credible and effective, should always be sustained by faith and nourished by prayer. You, who have embraced Christ as the only ideal in your lives, are called to be Jesus’ presence in the world: Jesus, Physician of souls and bodies. May those who receive your care perceive through your actions the presence of Jesus, and the tender, maternal presence of the Blessed Virgin Mary.

            Listen generously to the call of your Bishops; love and give preference to assist the sick; act under the sign of self-denial and of love, so that “the Cross of Christ may not be made pointless” (1 Co 1:17). Draw close to those who are the least, the most abandoned of our brothers. Be hospitable, promote and sustain all the initiatives which, in serving the suffering, exalt the greatness and the dignity of the human person and his eternal destiny. Be witnesses to the Church’s love for all those who are suffering, and of her preference for those most tried by evil.

 

            15.Lastly, I invite all the faithful to offer their prayer to the Lord of life to help humanity to gain something also from this new, threatening calamity. May God enlighten believers as to the true and ultimate reason for existence in such a way that always and everywhere they might be messengers of undying hope. May contemporary man know how to repeat the words of Job to the Lord: “I know that You are all-powerful; what You conceive, You can perform” (Jb 42:2). If today, in the face of the impending plague of AIDS, we are still looking for an effective cure, we trust that with the help of God life will finally triumph over death and joy over suffering.

            With this wish, I invoke the blessing of Almighty God upon you and all those who spend their energies at the service of this most noble cause for which you have come together at this Conference.