
In this article I will explore why the Church's stance on condoms is the correct one.
The Church is officially against the use of artificial contraception, including condoms. It is important to make some distinctions here. Officially, the church is only concerned with marital relations, because sex outside this context is considered grave matter. This means objectively it is sinful, although subjectively it may not be. Therefore, official teachings concerning the specifics of a gravely immoral act would usually be superfluous. For example, the Church has not yet made any comment on the use of a condom during a homosexual act, because homosexual acts are considered gravely immoral anyway, and the use of a condom is irrelevant in this case.
Having made those clarifications, let's explore the main point of this article. The pope said last year that condoms are not the solution to AIDS in Africa. He was met with outrage over these comments. The reason is many people rely on the following mentality when dealing with the HIV/AIDS epidemic:
1) HIV and AIDS is a serious problem in Africa
2) People spread HIV through promiscuous sex, which is human nature and thus unchangeable
3) Condoms reduce the risk of transmission in a given sex act
4) Condoms are the solution to the problem.
Anyone would agree, which includes the pope as well I would assume, that the first and third premises are correct. It is scientifically shown that a condom reduces the risk of transmission of HIV/AIDS in a particular sex act vs. not using one. Nobody believes that the rate of transmission stays the same with or without condom use. Of course, everyone also agrees that HIV and AIDS are a serious problem in Africa.
It has been shown that condoms are 85% effective against HIV/AIDS, so naturally if there is a given sex act, there is a reduction in the risk of transmission.
Above, the conclusion (4) that condoms are a solution, automatically follows if the other three premises are correct. However, I believe, as does the pope, that premise #2 is false, and that is the specific premise that is being challenged by the pontiff. He believes the only real solution to the AIDS crisis in Africa is through a change in behavior.
This change includes not having sex outside of marriage. Just imagine if the rate of AIDS in a country started off at 1%. If everyone followed the rule of waiting until marriage to engage in sex, at most the rate would go from 1% to 2% and then drop. The disease could only spread to another partner and that's it. What happened in reality though was that the 1% infected many others who then infected many more and so on until the rates grew exponentially.
If condoms were introduced, the exponential growth would not stop, but would only be slowed. There is an 85% rate of effectiveness with condom use, and therefore a 15% failure rate. That means that with everyone using condoms, AIDS would be spread at 15% the normal rate, assuming behaviors do not change. This may sound great, but really it is only delaying the inevitable. Also, I am assuming a lot here. I am assuming a 100% rate of use within a country from a 0% rate to begin with, which is unheard of. However, this is the goal of many organizations such as the UN. Many people believe that with complete condom use, AIDS will decrease. It will not. Even if the rate of transmission slows, it is still there. Their perfect solution just reduces the rate of spread, based on the assumption that behavior is unalterable. Plus, it will continue to grow exponentially by definition.
Let's take the rate of HIV transmission for heterosexual sex without a condom of around 0.75%. The UN and others' perfect solution is to reduce this rate to 0.1125% and leave it at that. Of course, once again, this is assuming the country goes from 0% use to 100% use. The main problem with this "solution" is that the rate will continue to increase. Think of it like interest rate. If you are getting a 0.75% interest rate, your money will grow faster, but with 0.1125%, your money will still grow and continue to grow faster and faster. This "perfect" solution does not solve the problem at all.
Of course, everything I've said so far has been based on the assumption that people are incapable of changing behavior. That going from promiscuity to fidelity is impossible. But I disagree. I have much more confidence in people than others do. I think society can change for the better.
What the pope is proposing is a perfect solution. If people waited until marriage to have sex with a single partner, there would not be an exponential growth of the AIDS epidemic. It would flatline and eventually disappear.
Some may ask about married couples where one partner has AIDS. The Church would say that the loving thing to do is NOT risk infecting one's partner with a terrible illness. Whether that risk is one in 150 or one in 900, putting someone at risk of contracting a lethal disease is always immoral.
Therefore, if people listened to the Catholic Church, AIDS would cease to spread COMPLETELY. It is not an 85% solution, it is a 100% solution.
In order to really understand the Church's stance vs. the rest of the world, we must look at real world examples. In Uganda, there was a dramatic reduction in AIDS cases, unlike anywhere else in Africa. Why? Because they started to employ the ABC strategy, which is Abstinence, Be faithful, and if necessary, use a Condom. This is unlike other African countries whose main focus was the distribution of condoms. The countries with the highest use and availability of condoms experienced an increase in infection rates. Only Uganda which focused on Catholic values saw a reduction.
In this case, we can see that people really can change behavior, and the impact is positive. If condoms were the solution, Africa would have been rid of HIV and AIDS long ago, or at the very least there would be no new cases. However, that scenario is a mere dream. The rates have actually increased. They say it is easier to find condoms than it is to find clean water in Africa. Billions of Western dollars flood Africa with money for condoms every year with little impact.
What the pope is constantly saying is that the real and sustainable solution to the AIDS epidemic is a change in values and actions. If people were faithful to marriage and those with HIV/AIDS did not infect others, the disease would disappear completely. Why must we have such little confidence in humanity?
Some believe that the pope is unconcerned with AIDS in Africa, but the fact is most people suffering from AIDS receive treatment from the Catholic Church. Many scientists have explicitly or implicitly confirmed what the pope is saying. A Stanford University study found that the ABC approach was the most successful because it emphasized abstinence and faithfulness, as the pope has.
Edward C. Green, director of the AIDS Prevention Research Project at the Harvard Center for Population and Development Studies, said the evidence shows that the pope is correct in his assertion that condoms are not the solution.
This debate is rarely about science, it's about ideology. Condoms are seen as sexually liberating. No longer must a couple be completely committed in order to have sex, but sex can be enjoyed as a casual activity between people. Condoms in some way undermine the old paradigm of sex being connected with birth and have "liberated" us sexually. It's a fairytale that, despite the evidence, has continued to survive. To suggest that the solution lies in sexual morality is anathema to modern society's notion that sex is only about self-gratification. I believe most of the attacks on the pope are motivated less out of concern for HIV and AIDS patients in Africa but more out of a fear of religious conservatism which argues that not all sexual activity is permissible. If you doubt this theory, I suggest you read comments on articles concerning the pope on condoms. Nearly all of them are personal attacks on the pope and refer to his age or position and say he has no authority on sexual matters. Rarely do these comments reflect a concern for the people of Africa unless they are accusing the pope of somehow indirectly killing them.
The world needs a strong moral voice instead of more condoms. I hope the pope continues to speak up for what is right despite voices of opposition.