Apparently the Obama Administration is due to issue its new regulations on conscience rights for health care providers sometime between now and March 1. (See this court filing.) I'm trying to get up to speed on the Bush regs, and I have a couple of questions:
1) Are folks who oppose the Bush regs arguing that they represent a change in the law, and if so, what is their argument? I can understand opposition based on opposition to the underlying laws (Church Amendments, Public Health Service Act, Weldon Amendment) or on wanting to keep the existing laws underenforced and underpublicized, but I can't figure out any way to view these regulations as changing the existing law. Any thoughts?
2) Section 88.4(d)(2) of the regulations provides that a covered entity shall not: "discriminate in the employment, promotion, termination, or the extension of staff or other privileges to any physician or other health care personnel because he performed, assisted in the performance, refused to perform, or refused to assist in the performance of any lawful health service or research activity on the grounds that his performance or assistance in performance of such service or activity would be contrary to his religious beliefs or moral convictions, or because of the religious beliefs or moral convictions concerning such activity themselves."
Given the language in bold, does this mean that a Catholic health care organization could not refuse to hire or grant privileges to a physician who is a notorious provider of late-term abortions, for example? If the person provides the services based on his moral convictions, wouldn't that person fall within this regulation's protection? (Obviously the organization could prevent the person from performing the services at that organization, but the physician could maintain their own private practice.) Or would a research entity dedicated to pro-life values be precluded from refusing to hire someone who has been a leader in embryonic stem cell research?
If I'm correct in my interpretation of the provision (and I very well may be wrong), this does reflect an accurate view of conscience (i.e., sometimes conscience forbids, but sometimes conscience permits). A policy based on that reality, though, creates problems when it focuses almost exclusively on conscience protection at the level of the individual provider. Institutional identity gets pushed to the margins. Am I missing something?
As I mentioned in passing on a post sometime back, I left the Catholic Church many months ago. For those interested, I explain why today over at religiousleftlaw.com. As an outsider to the Church now, I avoid criticism of Church leaders on MOJ (and actually not very much on religiousleftlaw except for today's post there). So, as I look back over my posts from September on here, I have been mainly posting on MOJ about the religion clauses, spirituality, theology, and the sociology of religion. I am grateful to Rick for permitting me to continue here.
As Rick pointed out a few days ago, we usually do not equate "legally permissible" with "must be funded by the government." At a minimum, we should be prepared to make separate arguments for government funding; the fact that an activity is protected by the Constitution is not an argument for funding. My local paper this morning falls into the trap in criticizing new state legislative proposals on abortion: "If ending a pregnancy is legal, income should not be a barrier." Perhaps the argument could work if the state was creating financial obstacles to abortion, but there is nothing in law or logic that compels the state to remove financial obstacles to the exercise of a constitutional right. Particularly in the case of abortion, where the removal requires the financial support of a citizenry sharply conflicted on the topic, these arguments are weak.
Saturday, February 5, 2011
Today's "Daily Thought from Jean Vanier" is too lovely for me not to share:
The life that begins when a child is conceived is a powerful reality, hidden in that first cell. This life is not just a physical thing, allowing the growth of the tiny body with all its organs, but also something psychological and spiritual. The power of life hidden in the body pushes the tiny child out of the womb of his mother and into her arms, and invites him to enjoy his parents love, to advance through life, to acquire knowledge, to be independent of his parents, to love others, to open himself to the world, to create and procreate.
There are a number of life forces working along side each other, one to form the body, one to create relationships, and another to develop knowledge and creativity. All is united. All is one, contained in that life hidden in the first cell. It is at the root of all movement and all physical growth, but also of all relationships, all growth in knowledge, all spiritual activity.
- Jean Vanier, Our Journey Home, p. 140
Friday, February 4, 2011
Commmonweal currently has interesting pieces on events in Egypt here and here. A stable Egypt has contributed to peace in the region since the Camp David Accords, but our economic and strategic support of the regime has undoubtedly been in tension with our commitments to democracy and human rights. As someone who studies the region, I believe that this is a complicated situation that belies simplistic solutions. Let us pray for leaders in the U.S. and Egypt and most importantly for peace, justice, security and the defense of human dignity in Egypt.