Sect forbids medical procedure

By RICHARD N. OSTLING
AP RELIGION WRITER
NEW YORK -- Jehovah's Witnesses are renowned for teaching that Jesus is not God and that the world as we know it will soon end. But another unusual belief causes even more entanglements -- namely, that God forbids blood transfusions even when patients' lives are at stake.
The doctrine's importance will be underscored next week as elders who lead more than 98,000 congregations worldwide recite a new five-page blood directive from headquarters.
The tightly disciplined sect believes the Bible forbids transfusions, though specifics have gradually been eased over the years. Raymond Franz, a defector from the all-powerful Governing Body that sets policies for the faith, thinks leaders hesitate to go further for fear that total elimination of the ban would expose the organization to millions of dollars in legal liability over past medical cases.
Doctrine's history
The Witnesses have opposed transfusions of whole blood since 1945. A later pronouncement also barred transfusions of blood's "primary components," meaning red cells, white cells, platelets and plasma.
An announcement in 2000 in the official Watchtower magazine, however, said that because of ambiguity in the Bible, individuals are free to decide about therapies using the biological compounds that make up those four blood components, such as gamma globulin and clotting factors that counteract hemophilia.
Next week's directive could create confusion about these compounds, known as blood "fractions."
Without noting the 2000 change, the new directive tells parents to consider this: "Can any doctor or hospital give complete assurance that blood or blood fractions will not be used in treatment of a minor?"
Aside from the new directive, a footnote in the Witnesses' standard brochure, "How Can Blood Save Your Life?," mentions the 2000 article on fractions -- but then omits its contents.
By coincidence, next week's directive follows some heavy criticism of the blood transfusion policy from attorney Kerry Louderback-Wood of Fort Myers, Fla., writing in the Journal of Church and State, published by Baylor University.
Louderback-Wood, who was raised a Witness but now has no religious affiliation, accuses her former faith of giving "inaccurate and possibly dishonest arguments" to believers facing crucial medical decisions.
No clear instruction
Louderback-Wood complains that many Witnesses and physicians aren't given clear instruction about their faith's blood transfusion policy, particularly on the subject of fractions.
She's no disinterested bystander. The lawyer says her mother died from severe anemia in 2004 because local elders didn't realize hemoglobin is permitted.
Louderback-Wood learned that hemoglobin was allowed from the Web site of Associated Jehovah's Witnesses for Reform on Blood, which was founded in 1997 by dissenting local elders, eight of whom served on Hospital Liaison Committees that advise Witnesses and physicians.
The founder of Associated Jehovah's Witnesses, speaking on condition of anonymity to protect his standing in a faith that does not tolerate dissent, says liaison committee members know about the revised teachings, but most Witnesses automatically refuse all forms of blood without consulting the committees. Physicians are often ill-informed about Witness beliefs, he says.
Legal liability
Louderback-Wood thinks the faith is subject to legal liability for misinforming1 adherents, which to her knowledge is an untested theory in U.S. courts. Related issues arise in a pending lawsuit in Calgary, Alberta, however, over the alleged "wrongful death" of teenage leukemia patient Bethany Hughes.
Witnesses headquarters refused an Associated Press request to interview an expert on blood beliefs. Instead, General Counsel Philip Brumley issued a prepared statement rejecting Louderback-Wood's "analysis and conclusions" in general.
The Watchtower's 1945 ban said "all worshippers of Jehovah who seek eternal life in his new world" must obey. Such edicts are regarded as divine law, since the Governing Body uniquely directs true believers. Violators risk ostracism by family and friends.
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