Health care reform is a scary subject for ordinary Americans and this is not been helped by the tone of the current national debate on this issue which has turned terribly nasty. One of the most heated concerns to have emerged recently relates to end-of-life conversations. End-of-life conversations are difficult at the best of times and made all the more difficult in these uncertain days of economic upheaval when many Americans have lost their jobs, health care insurance and homes. Unfortunately, some public figures and national leaders have chosen to offer their critique of the proposed health care reforms using only the most inflammatory language possible. The tenor of this debate does not bode well for the American public in terms of any real substantial change to a health care system which is too costly to sustain and unequal in terms of access. These difficult days call for true leadership which does not fail for lack of nerve to embrace the courage of change in the best interests of all in the culture. End-of-life conversations invite everyone involved in the conversation to figure out the right thing to do in each individual case and to have the courage to follow through on the difficult decisions reached. In the same way the American public needs national leaders who will engage the health care reform debate with the same gravitas as those loved ones involved with end-of-life decisions.George Hankins Hull
Dr. Cesar Espineda with several CPE trainees at May 14 Symposium in Baguio City, Philippines In April and May of 2011 Dr. Raymond Lawrence, General Secretary of the College of Pastoral Supervision and Psychotherapy, and CPSP Diplomate and chair of the Accreditation Committee Dr. Cesar G. Espineda visited the Philippines to provide training and assessment for the clinical pastoral training being done. On April 20, 2011, in a ceremony in Asin, Benguet, Philippines, Dr. Raymond Lawrence formally inaugurated the first CPSP Philippine Chapter, Baguio City. At the same event, Bukal Life Care & Counseling Center and the Philippine Baptist Theological Seminary were designated as training centers of the CPSP in the Philippines. Dr. Ryan Clark, professor of Pastoral Care and Counseling at the Seminary, and Ms. Celia Munson, the training coordinator for Bukal, represented these institutions at the event. This new Chapter, the second Chapter in Asia after Hong Kong, is the culmination of work ...