November 20th, 2009
06:44 PM ET
9 years ago

Bishops slam 'unacceptable' health care bill

[cnn-photo-caption image= caption="Bishops slam 'unacceptable' health care bill ."]Washington (CNN)– The US Conference of Catholic Bishops sent a strongly worded letter to members of the US Senate Friday, terming the abortion language in the Senate Democrats' health care bill "completely unacceptable."

"The new Senate bill is an enormous disappointment, creating new and completely unacceptable federal policy that endangers human life and rights of conscience," reads the letter obtained by CNN Congressional Producer Deirdre Walsh.

The bishops proved their power in the House, when, following direct negotiations with the House Speaker, they forced House Democratic leaders to allow a vote on the Stupak amendment, which introduced firmer restrictions on abortion funding.

The language in the Senate bill regarding abortion coverage is not as specific as the House bill passed earlier this month. In their letter to the Senate, the bishops ask for a similar measure to be added.

"Specifically, we urge you to include the House-passed provision that keeps in place the longstanding and widely supported federal policy against government funding of elective abortions or plans that include elective abortions. "

Catholic members of Congress, like Rhode Island Rep. Patrick Kennedy, have already faced rising pressure from church leaders as debate rages over the language in the Stupak amendment.

Full text:

United States Conference of Catholic Bishops 3211 FOURTH STREET NE • WASHINGTON DC 20017-1194 • 202-541-3000 WEBSITE: WWW.USCCB.ORG/HEALTHCARE • FAX 202-541-3339November 20, 2009

United States Senate

Washington, DC 20510

Dear Senator:

On behalf of the United States Conference of Catholic Bishops (USCCB), we strongly urge the Senate to incorporate essential changes to the Senate’s health care reform bill to ensure that needed health care reform legislation truly protects the life, dignity, consciences and health of all. We especially urge the Senate to act as the House has in the following respects:

keep in place current federal law on abortion funding and conscience protections on abortion; protect the access to health care that immigrants currently have and remove current barriers to access; and include strong provisions for adequate affordability and coverage standards.

The Catholic Bishops of the United States have long supported adequate and affordable health care for all. As pastors and teachers, we believe genuine health care reform must protect human life and dignity, not threaten them, especially for the most voiceless and vulnerable. We believe health care legislation must respect the consciences of providers, taxpayers, and others, not violate them. We believe universal coverage should be truly universal, not deny health care to those in need because of their condition, age, where they come from or when they arrive here. Providing affordable and accessible health care that clearly reflects these fundamental principles is a public good, moral imperative and urgent national priority.

Sadly, the legislative proposal recently unveiled in the Senate does not meet these moral criteria. Specifically, it violates the longstanding federal policy against the use of federal funds for elective abortions and health plans that include such abortions – a policy upheld in all health programs covered by the Hyde Amendment, the Children’s Health Insurance Program, the Federal Employee Health Benefits Program – and now in the House-passed “Affordable Health Care for America Act.” We believe legislation that violates this moral principle is not true health care reform and must be amended to reflect it. If that fails, the current legislation should be opposed.

Protecting Human Life and Conscience

Specifically, we urge you to include the House-passed provision that keeps in place the longstanding and widely supported federal policy against government funding of elective abortions or plans that include elective abortions.

In the aftermath of the overwhelming and bipartisan House vote for the Stupak-Smith-Ellsworth- Kaptur-Dahlkemper-Pitts Amendment, there has been much misunderstanding of what it does and does not do. This amendment does not change the current situation in our country: Abortion is legal and available, but no federal dollars can be used to pay for elective abortions or plans that include elective abortions. This provision simply keeps in place existing policy and allows Congress to honor the President’s commitment that “no federal dollars will be used to fund abortions.” The amendment does not restrict abortion, or prevent people from buying insurance covering abortion with their own funds. It Health Care Letter to the Senate November 20, 2009 Page 2 simply ensures that where federal funds are involved, people are not required to pay for other people’s abortions.

Thus far, the pending Senate bill does not live up to President Obama’s commitment of barring the use of federal dollars for abortion and maintaining current conscience laws. The bill provides federal funding for plans that cover abortion, and creates an unprecedented mandatory “abortion surcharge” in such plans that will require pro-life purchasers to pay directly and explicitly for other people’s abortions. Its version of a public health plan (the “community health insurance plan”) allows the Secretary of HHS to mandate coverage of unlimited abortions nationwide, and also allows each state to mandate such abortion coverage for all state residents taking part in this federal program even if the Secretary does not do so. The bill seriously weakens the current nondiscrimination policy protecting providers who decline involvement in abortion, providing stronger protection for facilities that perform and promote abortion than for those which do not. The legislation requires each region of the insurance exchange to include at least one health plan with unlimited abortion, contrary to the policy of all other federal health programs. Finally, critically important conscience protections on issues beyond abortion have yet to be included in the bill. To take just one example, the bill fails to ensure that even religious institutions would retain the freedom to offer their own employees health insurance coverage that conforms to the institution’s teaching. On these various issues the new Senate bill is an enormous disappointment, creating new and completely unacceptable federal policy that endangers human life and rights of conscience.

Immigrants and Health Care Coverage

We support the inclusion of all immigrants, regardless of status, in the insurance exchange. The Senate legislation forbids undocumented immigrants from purchasing health-care coverage in the exchange. Undocumented immigrants should not be barred from purchasing a health insurance plan with their own money. Without such access, many immigrant families would be unable to receive primary care and be compelled to rely on emergency room care. This would harm not only immigrants and their families, but also the general public health. Moreover, the financial burden on the American public would be higher, as Americans would pay for uncompensated medical care through the federal budget or higher insurance rates.

We also support the removal of the five-year ban on legal immigrants accessing federal health benefit programs, such as Medicaid, the Children’s Health Insurance Program, and Medicare. Legal immigrants, who work and pay taxes, should have access to such programs if needed. Removing the ban would help ensure that legal immigrants, who were widely praised in past immigration debates for their many contributions and for playing by the rules, will still have access to health care.

Accessible and Affordable Health Care

The Catholic bishops have advocated for decades for affordable and accessible health care for all, especially the poor and marginalized. The Senate bill makes great progress in covering people in our nation. However, the Senate bill would still leave over 24 million people in our nation without health insurance. This is not acceptable.

The bishops support the expansion of Medicaid eligibility for people living at 133 percent or lower of the federal poverty level. The bill does not burden states with excessive Medicaid matching rates. The affordability credits will help lower-income families purchase insurance coverage through the Health Insurance Exchange. However, the Senate bill would still leave low-income families earning between 133 and 250 percent of the federal poverty level financially vulnerable to health care costs. Overall, the average subsidy provided for in the Senate bill is $1,300 less than the average subsidy in the Health Care Letter to the Senate November 20, 2009 Page 3

House bill. Improvements to the bill should be made so that low-income families have reasonable out of pocket expense for health care.

Immediate reforms are included in the bill that should be helpful in providing relief to the uninsured and underinsured. Additionally, reforms that will strengthen families and protect low-income and vulnerable people such as eliminating denial of coverage based on pre-existing conditions including pregnancy; eliminating life time caps; offering long-term disability services; and extending dependent coverage to uninsured young adults - are significant steps toward genuine health care reform. We urge the Senate to maintain these provisions.

These moral criteria and policy objectives are not marginal issues or special interest concerns. They are the questions at the heart of the health care debate: Whose lives and health are to be protected and whose are not? Will the federal government, for the first time in decades, require people to pay for other peoples’ abortions? Will immigrants be worse off as a result of health care reform? At their core, these health care choices are not just political, technical, or economic, but also moral decisions. This legislation is about life and death, who can take their children to the doctor and who cannot, who can afford decent health care coverage and who are left to fend for themselves.

Our appeal for health care legislation that truly protects the life, dignity, health and consciences of all reflects the unique perspectives and experience of the Catholic community. Our hospitals, clinics, and long-term care facilities provide quality health care to millions. Our dioceses, institutions, and ministries purchase health care for many thousands of employees and their families. Our emergency rooms, shelters, clinics, and charities pick up the pieces of a failing health care system. Our Catholic moral tradition teaches that health care is a basic human right, essential to protecting human life and dignity.

For many months, our Bishops’ conference has been working with members of Congress, the Administration and others to fashion health care reform legislation that truly protects the life, dignity, health and consciences of all. Our message has been clear and consistent throughout. We hope and pray that the Congress and the country will come together around genuine reform.


Bishop William F. Murphy Diocese of Rockville Centre


Committee on Domestic Justice

and Human Development

Cardinal Daniel DiNardo

Archdiocese of Galveston-Houston


Committee on Pro-life Activities

Bishop John Wester

Diocese of Salt Lake City


Committee on Migration

Filed under: Health care • Senate
soundoff (322 Responses)
  1. Jasmine in Germany

    Are not the foundations of our country based upon the "separation of Church and State"? Did not the "pilgrams" leave the Old World for new freedoms? Our Constitution makes no mention of any religious group being in charge of our country.

    I have a few questions. Does the Catholic Church today really understand what the Reformation was all about?

    November 20, 2009 08:16 pm at 8:16 pm |
  2. scott

    I thought that the Catholic Church's tax exempt status (as well as the tax exempt status of all other religions and denominations) was contingent on them being apolitical. It appears to me that they have crossed the line, and should have their tax exempt status pulled. Maybe if the Catholic Church was taxed on its income, we could pay for our wars, the national debt and healthcare.

    November 20, 2009 08:17 pm at 8:17 pm |
  3. SamSunny

    Maybe Congress should go to the Catholic Churches and tell them how to run their religion in their churches. I wish all these religions would stay on their side of the aisle and take care of the worshipping and let the government take care of the governing.

    November 20, 2009 08:18 pm at 8:18 pm |
  4. Tom B

    it would be nice if these bishops cared about the living as much as they do about the unborn

    November 20, 2009 08:18 pm at 8:18 pm |
  5. Mickey

    And just why is the Catholic church sticking it's face into this argument? Are they afraid it will cut into it's profits?

    I think they have their chalices full, what with all the pedophile priests and all...

    Jesus is weeping, and God is pissed!

    November 20, 2009 08:19 pm at 8:19 pm |
  6. r

    Last I checked abortions are legal. It better to do the job now than having the government paying to take care of an unwanted life. The adoption process is too difficult. No the bill is not perfect but come on with a compromise. I just spent seven days in the hospital and the bill is 78k thank God for a cadillac plan I will not complain I don't mind paying the 6 dollars extra in taxes to help someone else are we that greedy in America. I remember the real 9/12/01 We were a country who cared.

    November 20, 2009 08:20 pm at 8:20 pm |
  7. Marco

    I wonder what ever happened to the separation of church and state.

    Soon they'll demand a reinstatement of the crusades and the Knights of Templar along with it.

    November 20, 2009 08:20 pm at 8:20 pm |
  8. Tired of stupidity

    Dear Bishops,

    Abortion is a right in this country. If you want to continue to make it a political issue, enjoy your tax bill next year! 🙂

    A fed up American

    November 20, 2009 08:20 pm at 8:20 pm |
  9. g ontario

    churchs should not be in politics make them pay taxes they are not elected what is this iran

    November 20, 2009 08:21 pm at 8:21 pm |
  10. Mike

    This administration has already said that they do not want the Health Care Reform legislation to change the status quo on abortion (or euthanasia).

    What happened in the House bill via Stupak's amendment amounts to a land grab by conservatives to prevent thousands of women each year from receiving medical services that are currently completely legal and protected by law.

    There is a certain irony that many of the same groups that said that the government might use Health Care reform as an excuse to limit, or interfere with, access to the care that individuals choose, are now advocating that we do just that–by limiting this specific, legally protected procedure from being covered. Nearly all health plans that will be offered public or private would have to drop coverage for the procedure under the Stupak language.

    November 20, 2009 08:23 pm at 8:23 pm |
  11. Eddie B.

    I guess they are slamming the language like they were suppose to do the priests who were molesting boys.

    November 20, 2009 08:23 pm at 8:23 pm |
  12. Big-K

    They should stay out of politics, they would rather see millions suffer because of their holier than thout belief which is only supported by a small manoriy of the country. They are a tax exempt organzation, They should have been more involved in protecting the many people who were abuse by their priest they would not todate countinue to spend millions of donations tax exempt donations to the thousands of victims.

    November 20, 2009 08:24 pm at 8:24 pm |
  13. Digable Planets

    "It has always been around it will always have a niche, but they'll make it a privilege not a right, accessible only to the rich ... the situation would surely change if they were to find themselves in it".

    -Digable Planets, La Femme Fetal

    November 20, 2009 08:24 pm at 8:24 pm |
  14. Ken, AZ

    Are these the same Bishops that had no conscience when their priests were abusing young boys? This false morality seems to stop once an unborn is born. This also applies to those wife cheating GOP'ers on C Street.

    November 20, 2009 08:25 pm at 8:25 pm |
  15. jan

    We are supposed to have separation of church and state!!

    Tell the Catholic bishops to stop worrying about a couple of cells in some other woman's body and start doing something to care for the millions of living children that need help.

    Do you think that the bishops just need more children for the pedifile priests?

    November 20, 2009 08:26 pm at 8:26 pm |
  16. Rick Silvia

    Maybe you should keep your religion off of other peoples body. You have no room to say anything regarding morality being as though you harbored pedophiles that molested young boys

    November 20, 2009 08:26 pm at 8:26 pm |
  17. John McDonough

    So now Catholic Bishops are taking the same position as extreme rignt wing evangelicals. They would rather see people die on the steps of a hospital without insurance than to support a health care bill that would cover an additional 30 million people because they dont like the abortion language? Again the church has its priorities all screwed up! Since when does the Pope dictate social and political policy in the United States? The wingnuts are taking us all down a very dangerous path.

    November 20, 2009 08:27 pm at 8:27 pm |
  18. Rob

    If they are this determined to use their religous office to influience politics mabey they should give up their tax exempt status.

    November 20, 2009 08:27 pm at 8:27 pm |
  19. jan

    Why are half of Americans second class citizens?
    Why should they be able to tell women what they can do with their own bodies?

    November 20, 2009 08:28 pm at 8:28 pm |
  20. Peter E

    Private insurance companies are already using people's money to cover others' abortion. How come ONLY the government ever gets criticized for all the abuses already perpetrated by the private industry? 'Death panels' for instance already exist at health insurance corporations, denying coverage to people who're too old. Why do you think we have the Medicare otherwise? It is because the private industry already sentenced all old people to death, and hence the government had to step in to save them! (a point even republicans make, that's why they favor increased funding for Medicare... they want to keep old voters alive until election day) EVERY SINGLE criticism people make against government run health care are actually abuses already perpetrated by the private industry. It is very hypocritical to criticize one, but not the other!

    November 20, 2009 08:28 pm at 8:28 pm |
  21. Great Letter but can we send one to each insurance company too

    So can the Catholic Church sound off on the corporate greed and lies that kill 45000 American Citizens each year? It would be really great if they would speak up on this importaint issue too.

    November 20, 2009 08:28 pm at 8:28 pm |
  22. Independant Vet

    Diegest all of this , and it means one thing. You Die on Goverment Terms. So don't get sick , yet it's Ok if you starve to death . Obama's wish will be full filled . In doing so , next year , they will award him a prize once again.

    November 20, 2009 08:28 pm at 8:28 pm |
  23. fumblinstumblinoidiot

    Forty million unborn children murdered since roe v wade..the genocide must stop..listen to the bishops folks..not the likes of patches kennedy

    November 20, 2009 08:30 pm at 8:30 pm |
  24. S Callahan

    The Lord in his might will place every member responsible for this voting on their knees...hear his word...HE is the giver of life! The eyes of the Lord are upon the righteous and his ears are open unto their cry. Psalm 34:15

    There will be no rest for those who fail the unborn and the poor!

    November 20, 2009 08:30 pm at 8:30 pm |
  25. Limbaugh is a liberal

    We shall not allow some government bureaucrat to decide what health coverage we can get! No! That's a job for private industry bureaucrats and church leaders exclusively!

    November 20, 2009 08:31 pm at 8:31 pm |
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