What Catholics Really Want in Health Care Reform

This article originally appeared in the Washington Post  online "On Faith" section.  It was co-authored by Jon O’Brien, President and Sara Morello, Vice President of Catholics For Choice.

The United States is embroiled in a debate over health care. Ideological divides over morality and money are front and center, and threatening to derail any real progress on what has become a major crisis.


There is a curious divide in the national conversation we are having about what exactly health care is or what it should be. More often than not, it’s about who or what should be left out of the final plan. Some say that it should only be about providing care to some people; others say it should be only about covering some parts of people. Proponents of these positions claim the moral high ground while seeking to leave out undocumented residents or restrict access to reproductive health care. What they are really doing is projecting their own vision of what is moral onto those who will be most affected by this distortion: the taxpayers who will fund and use whatever system emerges.

Coming on the heels of the economic crisis, it is no wonder that many focus on the questions, "What can we afford?" or more precisely, "What are we willing to pay for?" They are not unreasonable questions. But the answers that some people — some who claim to speak for American Catholics — provide are not reflective of what Catholics in the United States believe. We know, because rather than simply relying on those who seem to have the best public relations, we asked nearly a thousand American Catholics what they believe about health care and health care insurance. If you’ve relied on the newspapers, bloggers and television news, the answers might surprise you.

Most American Catholics think providing health care to all people who need it is a matter of social justice. As Catholics, we understand that social justice means we are obliged to be concerned about and care for people who are poorer than we are, or marginalized, or those who don’t have a voice in decisions that have an impact on their lives and the lives of their families. When we asked Catholics, they said that their understanding of social justice includes extending health care to the whole person, not just some parts of people. As a result, a majority of American Catholics think that reproductive health care services should be covered in any eventual reform of the U.S. health care system–including pre- and postnatal care for women, contraception, condom provision as part of HIV/AIDS prevention, and, yes, even abortion.

American Catholics don’t want to be denied the health care services they need at hospitals and clinics that receive their tax dollars. Two-thirds (65 percent) of Catholics polled think that these hospitals and clinics should not be allowed to claim a religious exemption to providing procedures or medicines. Perhaps they understand better than many that the right to object to providing health care belongs to doctors, nurses and pharmacists, actual people who have a conscience. These people have the right to exercise their conscience to act–or not act–in a way their internal moral compass prescribes. They understand that it does not make sense to suggest that an insurance company, HMO, hospital system, pharmacy or clinic has a conscience or a religion.

American Catholics can picture themselves as patients, and want to be able to get birth control and condoms when they go to their doctor. They trust in patients to decide, in good conscience and with the advice of their doctors, on their best options. They don’t want yet another obstacle placed in the way of receiving health care they’re paying for–especially one that’s based on a false premise. American Catholics also think they can speak for themselves. While most are not strongly opposed to the U.S. Catholic bishops taking a stand on the issue of health care reform legislation, they certainly do not want the bishops telling Catholics that they should oppose health care reform if it includes coverage for abortion that they themselves, their wives, sisters or daughters might need. And despite his historic election with support from 52 percent of Catholic voters, the Catholics we polled don’t think President Obama–or the Democratic Party–are well representing their interests.

Catholics for Choice is clear about what we believe. We believe that all people should have access to the health care they need. Nearly three-quarters (73 percent) of American Catholics polled agree. We believe contraception should be available and covered by insurance. More than 60 percent of American Catholics agree.

We believe that abortion should be covered by insurance–whether private or government subsidized. Depending on the circumstances, as many as 84 percent agree with us, and when the question really comes down to respecting a woman’s conscience in regard to her own health, a full half (50 percent) of Catholics polled agree that abortion should be covered whenever a woman and her doctor decide she needs it. Catholics are far more progressive than their bishops, our instinct tells us that, and our poll results prove it.

This conversation about health care and what Catholics think about it is, however, bigger than reforming health care and health insurance in the United States. US commitments to improve the health of people around the world, especially for women and girls, have been neglected for many years. Unfortunately, this neglect is compounded by the power of the Catholic hierarchy and other conservatives to do exactly what we are trying to avoid in the health care reform process. We cannot allow the voices of a small, well-funded and politically powerful group without much personal stake in the outcome to decide what parts of people are worthy of care, to decide from afar what women and men need to live healthy lives.

At Catholics for Choice, we believe in a world where women and men are trusted to make important, moral decisions about their lives. Perhaps no issue is more central to people’s lives than their health. Using the status of political or religious leadership to promote an agenda to which one’s community does not subscribe does a disservice to that community. It is not a social justice agenda. Social justice does not mean telling people what would be best for them, and then seeing to it that those who disagree do not have the means to do otherwise. We believe it means making sure everyone has a chance to make the most of their lives, trusting people to make the decisions they need to make for themselves and their families. That means giving them a hand up when they need it–whether we are of the same nation, political party, faith or family. We believe the conversations on health care should focus on social justice and doing the right thing.

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  • jenh

    Mr. O’Brien,


    The most glaring problem with your article is this: There simply is no such thing as Catholics for Choice. The Catholic Church teaches firmly, with no room for personal interpretation or opinion, that all human life is sacred from the moment of conception until natural death.


    Abortion is the killing of a human being, period. It is never a morally permissible "choice." Anyone who claims to be Catholic, yet insists on the "right" to choose abortion, is NOT Catholic.


    The truth is not up for grabs. The child in the womb is a human being endowed by God with a soul and a purpose and LIFE. The child in the womb is our neighbor. The child in the womb is Jesus in His most vulnerable disguise.


    There is no such thing as the "right" to abortion, and there can be no legitimate choice to kill the child in the womb. "Catholics" who think such a right and choice should exist are deceived and ignorant of their Church’s true teachings.


    Your organization causes scandal to the Church and to all Americans who think you speak with authority and clarity when you do not. The Bishops are absolutely correct in calling all the faithful to reject health care reform that does not protect the unborn. We cannot accept such an evil under the guise of "social justice."


    Where is the justice for our preborn children? If we, who are supposed to be Christ in this dark world, will not defend the weakest and most vulnerable among us, surely no one else will.


    We continue to invite the judgment of God upon our nation through our persistent determination to murder our own children. We are indeed a nation without hope as long as we walk this terrible road.


    It is very regrettable indeed, that "Catholics" like yourself perpetuate the lie that abortion can ever be a moral and acceptable "choice" and that Catholics can reconcile such an evil with their faith. It is impossible.


    I hope you will see the damage you are doing and cease immediately.

  • crowepps

    Anyone who claims to be Catholic, yet insists on the “right” to choose abortion, is NOT Catholic.

    So the only ‘real’ Catholics are the 10 or 15% of the Church that have never used birth control and don’t approve of abortion? Once you’ve tossed everyone out who doesn’t attend regularly (77%), and those who aren’t scrupulous, there aren’t going to be very many Catholics left.


    Most of us aren’t Catholic in the USA, and we do have constitutionally guaranteed freedom of religion, so the opinion of the Catholic Church on this or other issues isn’t particularly relevant to our civil law.

  • jgbeam

    ..for Catholics.   You have it right JenH.  No amount of spin can make it an acceptable choice.


    Jim Grant, Pro-lifer

  • prolifedad


    Perfectly stated. I hereby extend an invitation for all members of “Catholics for Choice” to either respect the Magisterium (teaching authority) of the Church, or to join a PROTESTant denomination such as the Episcopal Church that really doesn’t stand for anything. For you to call yourself Catholic is ridiculous.
    As a wise man once said, “In a church where anything goes, eventually nobody goes.” God bless all of you.

  • prochoiceferret

    I hereby extend an invitation for all members of "Catholics for Choice" to either respect the Magisterium (teaching authority) of the Church, or to join a PROTESTant denomination such as the Episcopal Church that really doesn’t stand for anything.

    Or maybe they’ll decline your patronizing "invitation," and continue to work to eliminate the corruption and misogyny at the heart of the Catholic Church. It’s been too long that the Vicar of Christ hasn’t been very Christ-like at all….

  • arium

    For once I find myself ostensibly in agreement with ProlifeDad.  Catholics need to call his bluff.

    Since the RCC in no way resembles a democratic institution, the RCC will never be reformed from within.  Those who disagree with with Church teachings yet remain members effectively support the status quo.

    Only when the members who disagree with Church teachings on contraception, abortion, divorce, women in clergy, gay marriage, etc., walk away will the Church face the consequences of its moral bankruptcy.  If all objectors would call ProlifeDad’s bluff, taking themselves along with their tithes elsewhere, the Church would lose most of its power and its capacity to do evil.

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