Bishops Want Health-Care Reform
THIS CATHOLIC'S VIEW
By Thomas J. Reese, S.J.
In the Gospels, Jesus spends much of his time trying to teach us that God loves us and that the proper response to this love is to love God and our neighbors. He did this trough his preaching but also through his miracles, the most common of which was healing the sick.
Ever since, Catholics and other Christians have responded to the Gospels with a special concern for the sick. Today, 624 Catholic hospitals provide care to millions of sick and dying people in the United States.
Because of the Gospels and because of their experience caring for the sick and dying, the Catholic community has something important to say about health care reform. But if you only listen to the media, you would think that the only health care issue of concern to the bishops is abortion.
The Catholic bishops in their 2007 "Faithful Citizenship" statement, called "for greater assistance for those who are sick and dying, through health care for all and effective and compassionate palliative care." They argue that "Affordable and accessible health care is an essential safeguard of human life and a fundamental human right." The bishops are appalled that more than 46 million people do not have health insurance.
As the U.S. bishops' website says:
Access to health care should not depend on where a person works, how much a family earns, or where a person lives. Instead, every person, created in the image and likeness of God, has a right to life and to those things necessary to sustain life, including affordable, quality health care. This teaching is rooted in the biblical call to heal the sick and to serve "the least of these," our concern for human life and dignity, and the principle of the common good.
In their 1993 statement "A Framework for Comprehensive Health Care Reform: Protecting Human Life, Promoting Human Dignity, Pursuing the Common Good" they noted that "For three quarters of a century, the Catholic bishops of the United States have called for national action to assure decent health care for all Americans."
In their 1993 statement, the bishops laid out eight criteria for evaluating health care reform that are still valid:
• Respect for Life. Whether it preserves and enhances the sanctity and dignity of human life from conception to natural death.
• Priority Concern for the Poor. Whether it gives special priority to meeting the most pressing health care needs of the poor and underserved, ensuring that they receive quality health services.
• Universal Access. Whether it provides ready universal access to comprehensive health care for every person living in the United States.
• Comprehensive Benefits. Whether it provides comprehensive benefits sufficient to maintain and promote good health; to provide preventive care; to treat disease, injury, and disability appropriately; and to care for persons who are chronically ill or dying.
• Pluralism. Whether it allows and encourages the involvement of the public and private sectors, including the voluntary, religious, and nonprofit sectors, in the delivery of care and services; and whether it ensures respect for religious and ethical values in the delivery of health care for consumers and for individual and institutional providers.
• Quality. Whether it promotes the development of processes and standards that will help to achieve quality and equity in health services, in the training of providers, and in the informed participation of consumers in decision making on health care.
• Cost Containment and Controls. Whether it creates effective cost-containment measures that reduce waste, inefficiency, and unnecessary care; measures that control rising costs of competition, commercialism, and administration; and measures that provide incentives to individuals and providers for effective and economical use of limited resources.
• Equitable Financing. Whether it assures society's obligation to finance universal access to comprehensive health care in an equitable fashion, based on ability to pay; and whether proposed cost-sharing arrangements are designed to avoid creating barriers to effective care for the poor and vulnerable.
Recent statements would lead one to believe that at least a couple of bishops have forgotten this commitment. It is interesting, that the Catholic bishops in Europe are not opposed to their governments' involvement in financing health care, except where life issues are involved. A government option, a single payer system or even socialized medicine are not bogeymen for Catholic social teaching. Rather the teaching is very pragmatic: How can we care for the millions who are not insured?
In July, Bishop William F. Murphy, chairman of the bishops' Committee on Domestic Justice and Human Development, wrote every member of Congress and urged affordable health care for all, including immigrants. He was not afraid to be very specific:
Medicaid cost-sharing protections should be maintained and new coverage options should protect the lowest income enrollees from burdensome cost sharing. We urge Congress to limit premiums or exempt families earning less than 200 percent of the Federal Poverty Level from monthly premiums. We also recommend limiting co-payments and other costs which could discourage needed care. In order to move toward universal coverage, we urge increases in eligibility levels. For example, we urge Congress to maintain at least the proposed minimum national eligibility level for Medicaid at 150 percent and CHIP at 300 percent of the Federal Poverty Level; to ensure comprehensive coverage; and to provide states with the resources to expand coverage.
The bishops do not want an abortion fight in the health care debate. They have said that they will be satisfied with the status quo, which is that no federal dollars can go to paying for an abortion. What they do want is health care for all.
Thomas J. Reese, S.J., is Senior Fellow at Woodstock Theological Center at Georgetown University.
By Thomas J. Reese |
September 8, 2009; 11:17 PM ET
| Category:
This Catholic's View
Save & Share:
Previous: Blessing Work |
Next: Engaging the World Anew
Posted by: Farnaz1Mansouri1 | September 9, 2009 7:54 PM
Report Offensive Comment
For those of you that wish to denounce the Church and remove their tax-exempt status, I would just like to remind you that until a few decades ago, the vast majority of hospitals were built by churches or their denominations, and certainly the largest contributor to building hospitals by far was the Catholic church. In those days, hospitals did not necessarily make profits and had to be continually subsidized, again by the churches. Your taxes didn't pay for them, they existed because of the charity of those in the pews and the leadership of the churches willing to care for the "least of these."
Posted by: DouginMoz | September 9, 2009 7:08 PM
Report Offensive Comment
This is very interesting. Like the bishops, I, too, would like health care for all, have blogged about it endlessly, have worked, and am working to see that it happens.
However, I want to see abortions covered. I'm working several hours each week to see that that happens. That makes me unlike the bishops.
Also I am unlike the bishops in that I am not paid by any religious institution that receives the benefits of nonprofit status so long as it honors separation of church and state. Neither the bishops nor the RCC do this. Ever.
They are the embodiment of why religious institutions should not receive nonprofit status, why they must be prevented from lobbying. It is fine for individual clergy to write to their representatives asking for this or that, supporting this or that legislation, so long as they are writing in their capacity as American citizens. Nothing more.
Posted by: Farnaz1Mansouri1 | September 9, 2009 5:38 PM
Report Offensive Comment
Thank you, Thomas Reese S.J. for your article. My bishop told me in a letter read to the congregation last Fall that I was committing a sin if I voted for Obama. I have yet to hear one word from my bishop regarding health care.
Posted by: TX12345 | September 9, 2009 5:30 PM
Report Offensive Comment
I am a practicing Catholic. As such, I am interested in what the Catholic Bishops have to say as a matter of faith. As voting citizen, I could frankly care less. Unless my Church intends to provide me with the benefits each diocese affords its bishops, I am a firm supporter of a wall between church and state. The Bishops are free to comment as is any other individual or organization. The rest of us, notwithstanding our Catholic faith and heritage, are free to make up our own minds about this matter. I fail to understand how any practicing Catholic, bishop or not, would deny healthcare at an affordable price to all in need, because others may use the same plan to abort a baby. Morality and faith are a matter of individual action, not state mandate.
Posted by: kermit5 | September 9, 2009 3:40 PM
Report Offensive Comment
The only sour note in this otherwise commendable stance is the utterly false notion that a fertilized human egg or embryo with no functioning brain is a human with a "soul".
Utter ignorance!
Posted by: lufrank1 | September 9, 2009 2:25 PM
Report Offensive Comment
Father Reese: Great article, thanks. AMDG.
Posted by: hbyrne | September 9, 2009 1:58 PM
Report Offensive Comment
Whatsover you do to the least of these you do unto me --- I don't think that was Marx, but to hear the religious rightwing talk, you'd think Jesus was mute on the subject of the more vulnerable of his flock.
We already have an expensive taxpayer supported healthcare system. Most of the benefits go to those most able to fend for themselves, and the subsidies from both sides of the political aisle to people who feed political campaigns instead of His sheep are a scandal - millstones all around!
We can turn the entire nation into the unreconstructed South, or even into Bangladesh -- but most of us, Christians or not, wouldn't enjoy living there as much as we seem to think.
Posted by: practica1 | September 9, 2009 1:02 PM
Report Offensive Comment
I am a rather devout Catholic so it is somewhat difficult for me to say this, but... the US Catholic Church should put up or shut up. There is a huge system of Catholic health providers (Sisters of Mercy, Franciscan Health, Sisters of Bons Secours, etc.). If the US Church feels so strongly about this, lead by example and make it so that every individual who teaches in a diocesan school anywhere in the country, has access to full service care through any Catholic Health hosptial. They should provide this service in a fee structure that is consistent with the pay levels of the teachers, aides, support staff and principals. This should all be done without "insurance" or pre-existing conditions. Just do it. Many of these hospitals have also created affiliated Drs. groups to provide primary and specialty care, they should be included as well. This will never happen but until then, the Church will continue to be perceived as "do as I say, not as I do".
Posted by: slainte1 | September 9, 2009 12:47 PM
Report Offensive Comment
Comunista:
Let's see, perhaps because I've done Christian mission work in Third World countries where the Catholic Church oppresses the people who live in abject poverty in the shadow of beautifully adorned churches and cathedrals and where the priests charge these same poor people admission to Mass. Can you imagine that kind of greed?
Posted by: InTheMiddle | September 9, 2009 12:00 PM
Report Offensive Comment
Jesus is smiling on the Bishops.
Posted by: chucky-el | September 9, 2009 11:41 AM
Report Offensive Comment
INTHEMIDDLE- it's also already the largest CHARITY in the world. Care to explain why you conveniently leave that out of your indictment of Catholicism?
Posted by: Comunista | September 9, 2009 11:14 AM
Report Offensive Comment
It looks like catholics have a hard decision to make: their faith or their wallets. If they choose to stand against reform, they're breaking with the wishes of the church. Hmmm...
Posted by: Sentient1 | September 9, 2009 10:46 AM
Report Offensive Comment
The Roman Catholic Church is the richest non-governmental organization in the world. Its members are largely the poor of the world, who are squeezed by the church for every cent they can get out of them.
Why don't the Catholic bishops sell some of that priceless art work or vast real estate holdings and take care of the poor? Isn't that what Jesus would do?
Hypocrites!
Posted by: InTheMiddle | September 9, 2009 10:44 AM
Report Offensive Comment
Then why is this the first time I have heard this. A couple of weeks ago there was an article on some Bishops that were opposing the health care bill. I would hope the Bishops and Priests are getting this message to their congregations and are not simply satisfied they are doing their job to get health care for all by simply referencing some policies written in 1933. I can't understand why all religions in America aren't shouting from the rooftops the need for health care for all Americans. I am amazed the religious right isn't fully behind a program to bring health care to all Americans, and not just those who have enough money to buy health insurance which has increased in cost by more than 10% a year for the past several years. How can they sit in church every Sunday and pray for the sick in their congregation when they know any of them can't get the health care they need. Maybe they think that their prayers are enough since it doesn't cost them anything to pray.
Posted by: rclab | September 9, 2009 10:31 AM
Report Offensive Comment
Let us now compare the number of troops controlled by the pope to those controlled by the Medical Industrial Complex. I think we'll find the ratio similar to the Pius IX v. Hitler figure.
Posted by: tojby_2000 | September 9, 2009 10:00 AM
Report Offensive Comment
Nice article, but 'the Church' needed an S. J. to get the simple and direct word out!
Posted by: gamma64 | September 9, 2009 9:44 AM
Report Offensive Comment
I'm all for health care reform (by that I mean put the screws to the insurance companies), but I couldn't give a crap about what the Catholic bishops have to say about it or anything else.
Posted by: adrienne_najjar | September 9, 2009 8:46 AM
Report Offensive Comment
Of course the Catholic Churches are in favor of tax funded health care for anyone "living in the US." Grant money is tight, and the parishioners are tired of "giving til it hurts" to supplement the illegal aliens.
Posted by: asmith1 | September 9, 2009 8:38 AM
Report Offensive Comment
EGGY1, note that bishops are nowhere to be found in anyone's list of the wealthiest people on the planet. All the money that Catholics give goes toward maintaining their churches (1st amendment, etc.), running schools, and helping the poor. Those last two things, by the way, reduce your tax burden.
USAPDX, there are very few issues that are purely political issues. Health care is one of them--it has moral implications that are well within most religion's set of core beliefs. Does the government, under the first amendment, have the right to establish its own religion, its own set of values to which all must adhere?
Posted by: Bluefish2012 | September 9, 2009 8:09 AM
Report Offensive Comment
Reese says that "A government option, a single payer system or even socialized medicine are not bogeymen for Catholic social teaching."
While that may be so on a theoretical level, it is equally true that concentrating power in a political elite, as any of the above approaches would do, is antithetical to the values of the Gospels.
Posted by: thebump | September 9, 2009 7:58 AM
Report Offensive Comment
If the bishops really want expensive taxpayer-funded health care reform, they should volunteer to pay taxes. Otherwise, it kind of looks like they just want the freebee, doesn't it? They want the free government-controlled health care program and they know they don't have to pay for it. And they don't worry much about running up a multi-trillion-dollar nation debt because they have no heirs to inherit it.
Posted by: eggy1 | September 9, 2009 7:24 AM
Report Offensive Comment
WHY DO THOES THAT FILE TAX EXAMPT SPEAK OUT ON POLITICAL ISSUES IN VIOLATION OF THE TAX EXAMPT RULE? WHY SHOULD ANY TAX MONEY GO TO HEATH CARE FOR ANYONE ILLEGAL BEING IN THE U.S.A.? HEATH CARE CHANGES ARE NEEDED IN THE U.S. A. AS WELL AS OTHER CHANGES IN RELATION TO HEATH CARE FOR AMERICANS.
Posted by: usapdx | September 8, 2009 11:38 AM
Report Offensive Comment
America is proving that she is not sutpid. Nor is she gullible. Granted we need health reform but we also need to remove lawyers and health insurance companies from the equation. Therein lies the prohibitive cost. Health care platforms as currently written are injurious to America and could lead to a severe decline while we pay for it with the futures of our children. Sure we need Universal health care. We also need to remove monopolistic greedy pharmaceutical providers, monopolistic insurance company and lawyers who've found a way to prey on America's health cart system.
Posted by: wordlift | September 8, 2009 9:58 AM
Report Offensive Comment
The comments to this entry are closed.

Twitter










DouginMoz,
RE: Your post
Actually, it is untrue that churches, until a few decades ago, paid for most hospitals, etc. This is a matter of fact, not opinion; what you write is not correct.
That said, like many, many others, I believe that the decision to attend or belong to a church, synagogue, mosque, or temple is a personal one. I believe this because it is a fact.
Church, synagogue, mosque, and temple members are invited to support their own religious institutions in their entirety. There is no more reason why taxpayers should contribute to their support than there is for us to help defray the costs of the nation's athletic clubs, attendance at which is also a matter of choice.
Further, separation of church and state is crumbling. I not only believe that tax exempt status is unjustifiable given our commitment to a secular society, but I also think it is unconscionable in light of our current economic distress.
To repeat, all clerics who lobby the Congress should be fined heavily. Anyone including priests, rabbis, imams may communicate with the Congress as private citizens. That is all. Moreover, although challenges to faith-based funding continue, they are not getting very far. Much, much more needs to be done to oppose it.
Theocracy and democracy cannot co-exist.