VOLUME 8, NUMBER 1 JANUARY 2019 CATHOLIC HEALTH MINISTRY Edited by Rachelle Barina Nathaniel Hibner Tobias Winright Journal of Moral Theology is published semiannually, with regular issues in January and June. Our mission is to publish scholarly articles in the field of Catholic moral theology, as well as theological treat- ments of related topics in philosophy, economics, political philosophy, and psychology. Articles published in the Journal of Moral Theology undergo at least two double blind peer reviews. Authors are asked to submit articles electronically to [email protected]. Submissions should be prepared for blind review. Microsoft Word format preferred. The editors as- sume that submissions are not being simultaneously considered for publication in another venue. Journal of Moral Theology is available full text in the ATLA Religion Database with ATLASerials® (RDB®), a product of the American Theological Library Association. Email: [email protected], www: http://www.atla.com. ISSN 2166-2851 (print) ISSN 2166-2118 (online) Journal of Moral Theology is published by Mount St. Mary’s Univer- sity, 16300 Old Emmitsburg Road, Emmitsburg, MD 21727. Copyright© 2019 individual authors and Mount St. Mary’s Univer- sity. All rights reserved. EDITOR EMERITUS AND UNIVERSITY LIAISON David M. McCarthy, Mount St. Mary’s University EDITOR Jason King, Saint Vincent College SENIOR EDITOR William J. Collinge, Mount St. Mary’s University ASSOCIATE EDITOR M. Therese Lysaught, Loyola University Chicago MANAGING EDITOR Kathy Criasia, Mount St. Mary’s University BOOK REVIEW EDITORS Kent Lasnoski, Quincy University Christopher McMahon, Saint Vincent College EDITORIAL BOARD Jana M. Bennett, University of Dayton Mara Brecht, St. Norbert College Jim Caccamo, St. Joseph’s University Meghan Clark, St. John’s University David Cloutier, The Catholic University of America Christopher Denny, St. John’s University Matthew Gaudet, Santa Clara University Mari Rapela Heidt, Waukesha, Wisconsin Kelly Johnson, University of Dayton Andrew Kim, Marquette University Warren Kinghorn, Duke University John Love, Mount St. Mary’s Seminary Ramon Luzarraga, Benedictine University, Mesa William C. Mattison III, University of Notre Dame Christopher McMahon, Saint Vincent College Mary M. Doyle Roche, College of the Holy Cross Joel Shuman, Kings College Matthew Shadle, Marymount University Christopher P. Vogt, St. John’s University Brian Volck, University of Cincinnati College of Medicine Paul Wadell, St. Norbert College Greg Zuschlag, Oblate School of Theology J OURNAL OF M ORAL T HEOLOGY V OLUME 8 , N UMBER1 J ANUARY 2019 C ONTENTS A Note from the Editors Rachelle Barina, Nathaniel Hibner, Tobias Winright ................. 1 Repair Work: Rethinking the Separation of Academic Moral Theolo- gians and Catholic Health Care Ethicists Paul J. Wojda ............................................................................. 4 Catholic Bioethicists and Moral Theologians Drifting Apart?: A Se- quela of Specialization and Professionalization Becket Gremmels ..................................................................... 22 Equally Strange Fruit: Catholic Health Care and the Appropriation of Residential Segregation Cory D. Mitchell and M. Therese Lysaught ............................ 36 Does Hospital and Health System Consolidation Serve The Common Good? Michael Panicola .................................................................... 63 Accompaniment with the Sick: An Authentic Christian Vocation that Rejects the Fallacy of Prosperity Theology Ramon Luzarraga ..................................................................... 76 Grace at the End of Life: Rethinking Ordinary and Extraordinary Means in a Global Context Conor Kelly ............................................................................. 89 A Voice in the Wilderness: Reimagining the Role of Catholic Health Care Mission Leader Michael McCarthy ................................................................ 114 Theologians in Catholic Healthcare Ministries: Breaking Beyond the Bond with Ethics Darren M. Henson .................................................................. 130 Contributors .................................................................................... 145 A Note from the Editors Rachelle Barina, Nathaniel Hibner, and Tobias Winright HIS SPECIAL ISSUE of the Journal of Moral Theology brings moral theologians and health care ethicists together to ex- plore current topics in Catholic health care ethics. Catholic health care organizations have grown into ministries of un- T precedented size, complexity, and power, and the ethicists and mission leaders that they employ are enmeshed in clinical and or- ganizational questions that have theological importance. Throughout the development of organized U.S. health care, moral theologians have been fruitfully engaged in scholarship and dialogue about medico- moral matters, and moral theologians have moved between the acad- emy and mission and ethics roles in health ministry. In bringing schol- ars and ethicists together, this issue explores the evolution of their re- lationship and opportunities to further partner in serving the Catholic moral tradition and the church’s health ministry. It also highlights a number of papers that are of topical relevance to the changing health care landscape today. As editors, we hoped that this issue would include papers from both moral theologians and health care ethicists, and we did achieve some balance. (Although we wish we had more balance with regard to the gender of authors, as well as experience and seniority.) The issue opens with two papers that explore the roles of each group and the opportunities to partner together, one written by moral theologian Paul Wojda and the second by ethicist Becket Gremmels. The issue contin- ues with four papers that explore topics of moral significance in Cath- olic health ministry: Cory Mitchell and Therese Lysaught on residen- tial segregation, Michael Panicola on the impact of mergers and ac- quisitions, Ramon Luzarraga on prosperity theology, and Conor Kel- ley on global solidarity in end of life decision-making. Finally, the issue concludes with papers from Michael McCarthy and Darren Hen- son, both of whom assess the current professional landscape and point towards the vast opportunities for theologians to contribute to health ministries. On the whole, we hope that this issue will increase our mu- tual interest in and understanding of one another. We also want to note some of the shortfalls we experienced in the process of collecting these essays. First, we were not overwhelmed by 2 a large number of submissions or vast amount of interest in writing for this issue. Perhaps this substantiates the need for dialogue and in- creased collaboration that prompted us to organize the issue in the first place. We hope that this issue might encourage more interest in health ministry during the vocational exploration of theologians as well as more literature that engages Catholic medico-moral matters and moral questions about health care systems and organizations. Second, some topics we hoped to include were not covered. For example, we hoped to include an in depth examination of the im- portance and necessary scope of theological training for mission/eth- ics leaders in health ministry. We also hoped for interest in the topic of academic freedom and the roles of academic theologians and Cath- olic health care leaders in negotiating controversial moral matters. There has long been discussion about the role of theologians in con- troversial moral matters, but there is no scholarship on the experiences of ethicists and mission leaders, whose writing is sometimes being constrained or censored. There is need for further discussion about how academic theologians and ethicists might collaborate on ensuring there is a healthy level of theological discourse and scholarship on the controversial moral matters that ethicists are often experiencing in real time, long before broader discussion in the public or church. As a final note, we want to be so bold as to acknowledge that in our personal experiences as well as in discussing this special issue with both theologians and mission/ethics leaders, we have been sur- prised by the strong sentiments held by some members in each group about the other. We sense a suspicion from some theologians about whether the academic and practical work of Catholic health care ethics is in fact a rigorous application of the theological tradition. We also have encountered more than a few ethicists who criticize moral theo- logians for not being more engaged in Catholic health ministry or more attuned to the practical realities of clinical care, organizational affairs, and health policy. Neither point was made explicitly in any of the articles, but these sentiments loom in subtle, unspoken, yet influ- ential ways in perceptions of theologians and health care mission/eth- ics leaders. These sentiments illustrate the need for ongoing dialogue so that each group can understand and support the work of the other. The two roles are different ways of living the vocation of the theolo- gian, and both are important in the life of a healthy and vibrant church that has large educational and healing ministries. As theologians and mission/ethics leaders, we all have our existing interests and commitments, and we all tend to remain focused in those areas where we are comfortable and knowledgeable. Catholic univer- sities, starting with theologians, and Catholic