![]() |
|||||||||
|
|||||||||
May 24, 2010 • VOL. 48, NO. 10 • Oakland, CA |
|||||
for watchful concern With the recent passage of the Patient Protection and
Affordable Care Act (PPACA) providing a major overhaul of the health care
system in the United States, it will take time to know what effect this
will have on the moral and economic, as well as physical, health of the
United States.
It will certainly allow greater access to health care for more people, although its provisions will be phased in over the next 10 years, with few mechanisms for controlling health care costs until 2020. The Alliance of Catholic Health Care has a PDF of the outline here with timelines for what will go into effect when.Ê They also provide a PDF chart here indicating how the health care reform act will affect individuals.
Certainly a major concern remains the question of federal funding of abortion. While the bill does not explicitly make such provision, it also does not explicitly forbid it, as has been the case through the Hyde Amendment for over 30 years now. Moreover, if, as some argue, the effect of the language of the bill is to keep federal funds from paying for abortion, one would have to question why an executive order from the President would be needed to provide for this, let alone how, in the first place, an executive order could have the statutory effect needed for this to happen. Likely it will be for the courts to decide if the health care reform bill can allow for federal funding of abortion. As we know, the courts’ track record is not encouraging when it comes to upholding human dignity at the beginning of life. But analysis aside, if the intention of Congress was to prevent federal funding of abortion in the health care reform package, they could have simply incorporated the language of the Hyde Amendment and left no doubt (as the House version of the bill had done). The Hyde Amendment has been voted in each year by Congress on appropriations through the Department of Health and Human Services; it does not apply to the PPACA because it was not explicitly placed in the bill. The fact that Congress didn’t do this only raises suspicions as to what the real intention is, especially given the fact that the majority of Americans do not want their taxpayer dollars paying for abortion. There is also concern over the lack of sufficient conscience protections for health care providers. Here again, the problem is more what the bill does not say rather than what it requires: among other things, it does not prevent government from discriminating against plans that refuse to participate in abortion or from mandating health insurers to pay for procedures that might violate the religious or moral beliefs of insurance purchasers. Both of these concerns, i.e., abortion funding and conscience protection, are too legally complex to go into any further detail here. However, readers can learn more about these and other health care issues by visiting links to USCCB and California Catholic Conference documents here (PDF), here, here, here (PDF) and here (PDF). This, though, is not all. My brother bishops and I have also been advocating for accessibility to health care especially for immigrants. Remarkably, the PPACA kept in place a requirement for legal immigrants to be in this country for five years before they become eligible for Medicaid. What is perhaps even more astonishing, undocumented immigrants are prohibited from buying health insurance even with their own money. Obviously, this will not prevent them from becoming ill and injured and in need of health care, but they will be forced to forgo or delay it — the very thing health care reform is supposed to remedy. I cannot but agree with those who have described this part of the health care reform bill as “just plain mean.” More information about this and other problems with the health care reform package is available from the California Catholic Conference linked from the diocesan home page. While all of this points to some uncertainties as to the direction that the health care system in this country will take, what is certain is that no legislation, no matter how much good it may do otherwise, can be supported if it violates fundamental human rights. The first of these is, of course, the right to life, because without that right, all others fall. Also fundamental are the rights of conscience and religious liberty, as well as the right to be accorded basic human dignity. Time will tell if Congress will act to correct these deficiencies in the Patient Protection and Affordable Care Act. I urge our people to continue to learn more about this issue, and to use the knowledge they acquire along with their values to inform their participation in political life. Let us continue to pray and act for a health care system that will uphold and enhance human dignity in all stages and conditions of life. The Inquisition and Index: Vatican records shed light on dark chapter VATICAN CITY (CNS) — The Roman Inquisition and
the Index of Forbidden Books obviously do not represent the brightest
chapters in Catholic history, but newly published documents from Vatican
archives should help scholars distinguish between the truth and the dark
legends.
|
| Copyright © 2008 The Catholic Voice, All Rights Reserved. Site design by Sarah Kalmon-Bauer. |