Contraception, VSED, POLST, PVS, Oh my!

In "Fear of a Catholic Ghetto" at Religion Dispatches Sarah Morice-Brubaker points out the language being used by Catholic leadership to influence the new mandatory coverage of contraception. Rightly, she emphasizes the size of the Catholic Church's participation in our health care. And she links to a piece of mine at my other home where I'm editor, The Revealer. Here's a clip from the USCCB's statement against coverage of contraception:

As to the exemption, the comments detail how it “is narrower than any conscience clause ever enacted in federal law, and narrower than the vast majority of religious exemptions from state contraceptive mandates,” wrote Picarello and Moses. “By failing to protect insurers, individuals, most employers, or any other stakeholders with a religious objection to such items and procedures, the HHS exemption, like the mandate itself, violates” the U.S. Constitution and various federal statutes.

Here's a clip from the post at First Things where she gets her article's title:

This definition is so narrow that it excludes almost all Catholic institutions as they now operate. The conjunction, “and” before the fourth article ensures that almost no religious organization satisfies the criteria; “or” would have been limiting, but “and” is crippling. Catholic hospitals, schools, and charities do not serve primarily Catholics, they serve everyone; there is no baptismal requirement to receive services from Catholics. We do not serve people because they are Catholic; we serve people because we are Catholic. And the same goes for members of other religious groups.

Elsewhere I've written about Catholic hospitals and health providers as part of the church's mission to spread the Catholic faith. Which is fine by me unless it involves coercion, lack of informed consent, or lack of meaningful referrals. We are not all Catholic. We never will be. The law should protect the right of conscience of those who aren't from those who provide services, with federal dollars, and think they should be. That's not persecution of Catholics.

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A new article at Solitary Watch traces the predecessors to The War on Terror, The War on Crime and The War on Drugs. Here's a clip:

Many historians trace the birth of the War in Crime to the mid-1960s–specifically, to Barry Goldwater’s 1964 presidential campaign, with and his rhetoric of “crime in the streets” and the need for “law and order.” Since that time, politicians have increasingly exploited the fear of violent crime and its perpetrators to institute ever more draconian laws and policies. The War on Crime was soon joined by its partner the War on Drugs, which was launched by Richard Nixon and gained traction during the Reagan Administration. One crime bill after another was passed with broad bipartisan support, and more and more federal and state monies were poured into expanding law enforcement and building and maintaining prisons. Between 1970 and 2005, the U.S. prison population grew by 700 percent.

The thread for me, from my work on denominational health care and end of life care to systematic penalization of segments of society, is how the US legislates who should die, who deserves dignity (and what that means), and how we can/should/get to die. If you are put outside society by governmental systems and laws (think conscience clauses that deem Catholic hospitals outside regulation or "three strikes" drug offenders in prison in California), you are exempt from what the rest of society typically deems as appropriate and fair. Clearly religious exemptions privilege Catholic conscience while penal laws take that privilege away. Still, the law works to provide "special" circumstances to these groups or segments of society.

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Studies continue to break down the persistent vegetative state diagnosis. At The Guardian Mo Costandi interviews Adrien Owen who's conducted studies that test the consciousness of PVS patients since the mid 2000s. While I think it's an unrevealing article--most of this has been hashed elsewhere and with more, shall we say, purpose--it begs the question: what does determining "minimal consciousness" within these patients really mean to them (if that's an appropriate question) but also to their families, their doctors, and to society at large?

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Last month Compassion & Choices launched a campaign to educate elders on how to end their lives by voluntarily stopping eating and drinking (VSED). The issue of elders refusing food and water was nationally highlighted recently when a couple was evicted from their nursing home for choosing VSED. The Catholic Church and its conservative supporters have, as I predicted they would, come out strongly against patients' rights at the end of life, even, as this article attests, going after living wills and do not resuscitate orders. The author, Christian Brugger, Fellow at The Culture of Life Foundation, writes here about a new law in several states that requires medical personnel to abide by a patient's wishes as noted on the new form, POLST. His concern is that a terminal condition is no longer necessary for patients to refuse treatment:

The POLST-type legislation removes the condition that a patient is terminally ill or diagnosed in a PVS before a refusal order is actionable. In other words, the new law permits any adult patient to refuse any treatment at any time for any reason in the event they lack decisional capacity; and health care professionals, directed by a doctor's medical order, ordinarily would be (and are) required to carry out the order. Although the law for strategic purposes is rhetorically formulated as bearing upon end-of-lifemedical decisions, it sets forth no requirement that a patient's refusal of life-support must be limited to end-of-life conditions.

Note the italics (his, not mine). Shouldn't you be able to refuse treatments you don't want? Only if your body and your life are your own. The position of church leadership, however, is that your body is not your own but rather belongs to their interpretation of god. In a society that is comprised of endless varieties of faith, an organization that does not believe your body belongs to you--and is managing 1/5th of all hospital beds--is on a serious mission.

Denver Struggles to Keep Reproductive Services at Hospitals Slated for Catholic Takeover.

From NonProfitInformation.com, a story on the battle raging in Denver about the Catholic takeover of three secular hospitals:

The unexpected delay by the Federal Trade Commission to bless the transaction may provide local critics with a last gasp effort to continue fighting the deal. Community members and medical professionals contend the transfer would unfairly subject comprehensive reproductive health and end-of-life care to church doctrine over patients’ needs. The Catholic church considers abortion, contraception, elective sterilization and termination of invasive life support as “intrinsically evil” and refuses to provide these medical services or respect patients’ advance directives.

The disputed takeover in Denver exemplifies the very serious implications for the 127 non-denominational hospitals that succumbed to merger fever with cash-flush Catholic health care systems in the 1990s. According to a study by Catholics for Choice, half of merged secular-Catholic hospitals suspended most or all of their reproductive health care services. Eighty-two percent denied emergency contraception to rape victims — and more than a third refused to provide a referral.

But for some tax-exempt, nonprofit hospitals co-owned by secular and church interests, there was little more than a wink and a nod to church mandates on care. Comprehensive reproductive healthcare services quietly remained available.

These practices received higher scrutiny in 2001 when the U.S. Conference of Catholic Bishops revised its Ethical and Religious Directives for medical care to address “misinterpretation and misapplication of the principle of cooperation with other-than-Catholic organizations.” In other words, the church would no longer turn a blind eye to reproductive health and end-of-life care at its secular partner facilities that did not meet strict Catholic orthodoxy.

More importantly, the local hospital policymaking was a little noticed precursor to the bare knuckles strategy on recent display with the church’s relentless lobbying for the 2009 Stupak and Nelson amendments to further restrict access to abortion care via publicly-subsidized health insurance plans. At the same time, the Catholic Archdiocese of Washington, D.C., threatened to end social service programs for tens of thousands of poor residents if the city council approved a same-sex marriage ordinance.

Now, the Denver hospital takeover is offering a glimpse of the intense pressure being brought to bear by the church on its healthcare partners. The Vatican’s renewed insistence on complete doctrinal influence on patient care is bolstered by very real threats to hold desperately needed institutional capital funds hostage until its theological demands are met.

It's a great article, full of helpful facts and information. You can read the entire piece here.