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. JamesOL

    Roe v. Wade is the law of the land. Separation of Church and State is too! So, butt out, Catholic Church!!

    November 20, 2009 09:35 pm at 9:35 pm |
  2. MB

    Church and State. I think providing health care to all is a choice that we will make. We will also make a individual choices about reproductive rights.

    I am comfortable about allowing women the right to make a choice. The church appears to be uncomfortable about women in general.

    November 20, 2009 09:35 pm at 9:35 pm |
  3. Jane White

    I don't understand why Catholic Bishops are using their own narrow religious doctrine to influence PUBLIC legislation? Many don't even believe in contraception! Is this where we're headed next?

    And why do they, in particular, have so much clout in determining the outcome of this bill's passage?

    Can't they lose their tax exempt status if they try to influence legislation????

    What are the IRS rules on this, not to mention separation of church and state?

    November 20, 2009 09:36 pm at 9:36 pm |
  4. Gary

    What happened to separation of church and state? Does this not violate IRC 403(b)? When is their tax exempt status going to be repealed? When is the IRS going to start to enforce the exsisting rules and regulations? Enough already! Get the church out of the political arena now!

    November 20, 2009 09:37 pm at 9:37 pm |
  5. Craig H Easton, PA

    There is not much that galls me more than religious leaders, any religious leaders, dictating what is acceptable for everyone else. In my view, they should be preaching to their flocks and persuading them of the moral rightness of their message, not playing hardball politics. The bill provides a subsidy for lower income people to buy health insurance, without which they often forgo medical treatment until their own lives are at risk. I can live with the public option policies not covering abortion services, but to tell a citizen of this country that he or she can't use their own funds to cover the miniscule part of the premiums to add that coverage is simply wrong. I find it the height of hypocricy and irony that these so-called conservatives are all hot and bothered about socialized medicine and then want to use the power of the government they despise so much to impose their beliefs on the rest of the country.

    November 20, 2009 09:39 pm at 9:39 pm |
  6. patrick

    They have a nerve!

    Did they think about protecting childrent when their lot went about raping and sexually molesting children, and then covering it up, and relocating priests and bishops... to Rome of all places.

    Brood of Vipers!

    November 20, 2009 09:40 pm at 9:40 pm |
  7. Jamie

    I totally accept the Bishops' point of view. Now, since you want to ride on the US political train, you have to pay the fact, every "christian" that wants to comment on politics and then solicit tax-free money and at the same time tries to influence our political system should have to pay taxes as well. This farce that they are trying portray that they are not political is your fair share.

    November 20, 2009 09:41 pm at 9:41 pm |
  8. Nevada dude

    keep the church out of politics!!!

    November 20, 2009 09:42 pm at 9:42 pm |
  9. Breck

    When churches start meddling in politics, there tax exempt status needs to be revoked. The ONLY reason churches are not taxed is because they stay out of politics.

    November 20, 2009 09:42 pm at 9:42 pm |
  10. Daryn Guarino

    Sounds like the Bishops are politicians. If they want to be politicians, that's fine, strip their churches of their tax-free status and they can talk all they want.

    November 20, 2009 09:43 pm at 9:43 pm |
  11. Greg

    And you think America isn't on the verge of becoming a theocracy on par with Iran? Who the hell cares what the catholic church thinks? They don't think for me, and I didn't vote for them.

    November 20, 2009 09:45 pm at 9:45 pm |
  12. phil

    What right do these "MEN" have to make any judgement call on something as private as a woman's choice. This is the problem with all organized religions... they are run by and benefit the male gender. I am a male but when will people begin to realize that it is organized religion that cause most of the worlds woes. All of the organized religious movements, catholicism, judiasm, islam, taoism, quakerism and on and on are all male dominant. WAKE UP WORLD!

    November 20, 2009 09:46 pm at 9:46 pm |
  13. Carole

    LOL, LOL, LOL toooooo funny.

    *Was this in between training of altar boys? Like we care what they think. Pah leez.

    November 20, 2009 09:47 pm at 9:47 pm |
  14. Mark L.

    One Additional Note – For Anybody Out There that is Adamantly OPPOSED to a Woman's Right to Choose because they classify abortion as Murder – Try to Remember – In the eyes of the Lord, if abortion truly is Murder, than it is up to God to pass judgement down upon the woman who chooses an abortion and NOT up to you, NOT up to the U.S. Supreme Court, NOT up to the Catholic Church, and Most Certainly – NOT UP TO THE POPE !! He is ONLY A MAN – HE IS NOT GOD !!

    November 20, 2009 09:47 pm at 9:47 pm |
  15. Barbin

    The Catholic Bishops do not speak for me. They seem to think the U.S. of A. is their theocracy. Not so. The Bishops' job is to make sure there are as many members of the Roman Church as can be. Contraception doesn't get their support, either. I don't see why anyone would accept the bishops' dictates. If our Congress listens to these guys, then our (spineless) Congress is letting the few rule the many.

    November 20, 2009 09:48 pm at 9:48 pm |
  16. Garofulaar

    Separation of church and state. Butt out catholic bishops.

    November 20, 2009 09:49 pm at 9:49 pm |
  17. Greg K., PA

    I don't like war, but my tax dollars still fund that. The fact is, some people don't have a religious issue with abortion. The Religious Coalition for Reproductive Rights looks at this as a personal issue of religious freedom – the option should be there and the decision to use it should be left to the woman, her doctors and religious advisors. Unless you'd rather have the back alley hack jobs back.

    Legal, safe, and rare.

    November 20, 2009 09:49 pm at 9:49 pm |
  18. Goldn

    How in the heck can Bishops approve or disappove of anything relating to reproduction. They can't have sex but are the largest child molestion ring know to man.

    November 20, 2009 09:53 pm at 9:53 pm |
  19. Susan

    Yeah, everything should be consulted with religious wingnuts...........

    November 20, 2009 09:54 pm at 9:54 pm |
  20. Jacob

    And then they sent a letter to former Congressman Mark Foley stating that they think molesting children is okay too.

    November 20, 2009 09:55 pm at 9:55 pm |
  21. Alberto Gonzalez

    Thank God that we have Correct Moral Bishops to speak the truth!

    November 20, 2009 09:56 pm at 9:56 pm |
  22. indie voter

    No more! If churches want to keep the status as non-taxable entities they should not send their opinions to political leaders. Keep it in the pulpit.

    November 20, 2009 09:56 pm at 9:56 pm |
  23. Indiana Pagan

    And the Roman Catholic Church and its assorted divisions, committees, and affiliates, are still not regarded as political entities? Absolutely amazing.

    It's time to tax the RCC like the for-profit, politicking organization that it is.

    November 20, 2009 09:57 pm at 9:57 pm |
  24. Chris Poisson

    As a catholic I believe, if the church wants to get involved in politics they should start paying taxes.

    November 20, 2009 10:00 pm at 10:00 pm |
  25. Crazy Harry

    I guess these bishops don't understand the concept of seperation of church and state.

    November 20, 2009 10:01 pm at 10:01 pm |
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