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Angela Bonavoglia

Angela Bonavoglia

ACLU Demands Religiously Owned Hospitals Provide Emergency Reproductive Health Care

Posted: 07/ 5/10 06:45 PM ET

In a dramatic and much needed move, the America Civil Liberties Union has demanded that the federal government step in and require religiously sponsored hospitals to stop endangering women's lives by denying them emergency reproductive health care.

The ACLU is prepared to consider legal action for any woman who is denied appropriate emergency reproductive health care in a religiously owned hospital. "We want women who have suffered to know that they can contact us for legal recourse," said Brigitte Amiri, senior staff attorney with the ACLU Reproductive Freedom Project and a signatory to the letter.

The ACLU took action in response to the Phoenix Diocese's outrageous condemnation of the decision at St. Joseph's Hospital to abort an 11-week pregnancy in a woman whose life was threatened by that pregnancy (an action the ACLU maintains will send a chilling message to staff at other Catholic hospitals) and to other alarming examples of Catholic hospitals withholding emergency reproductive health care from women in life and death situations. (for more, see my last post).

In a July 1 letter to the Centers for Medicare and Medicaid Services (a major source of income for all hospitals, including Catholic hospitals), the ACLU declared that "religiously affiliated hospitals across the country inappropriately and unlawfully deny pregnant women emergency medical care." In doing so, it went on, they are violating laws and regulations essential to the protection of women's health and lives, namely, the Emergency Medical Treatment and Active Labor Act (EMTALA) and the "Conditions of Participation" in the Medicaid and the Medicare programs.

The ACLU letter describes violations of EMTALA, which concern "conditions that arise during pregnancy, or that can be exacerbated by pregnancy, that require an abortion to save the woman's life." Referring to cases described in Lori R. Freedman's excellent article on miscarriage mismanagement in Catholic hospitals in the American Journal of Public Health, the ACLU charges that Catholic hospitals are refusing to terminate pregnancies of hemorrhaging, septic, miscarrying women until the fetal heartbeat stops, and are sending women to other hospitals up to 90 miles away to receive life-saving reproductive health care.

The letter also describes violations of the Conditions of Participation in the Medicaid and Medicare programs. Those conditions require informed consent and stipulate that "physicians must clearly communicate all pregnancy and miscarriage options to women and their families, and women must have the ability to request a certain course of treatment."

The ACLU maintains that that bar was unmet in the cases described in Freedman's article. Nor would it be met, added Amiri, if a woman with a life-threatening ectopic or tubal pregnancy entered a Catholic hospital. The Catholic Ethical and Religious Directives only authorize an "indirect" termination of an "extrauterine pregnancy" , i.e., the surgical removal of the fallopian tube, even though a drug exists that can flush the pregnancy out of the tube, preserving the organ and the woman's ability to conceive in the future.

In the immediate, the ACLU is calling for the federal government to investigate, enforce federal law, hold noncompliant hospitals accountable, and issue a formal notification to all hospitals saying that "denying emergency reproductive health care violates federal law."

Beyond that, the ACLU "stands ready to provide legal assistance to people who have been refused treatment," Amiri said.

For more information, contact Brigitte Amiri at 212-549-2633 or bamiri@aclu.org.

 
 
 

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In a dramatic and much needed move, the America Civil Liberties Union has demanded that the federal government step in and require religiously sponsored hospitals to stop endangering women's lives by ...
In a dramatic and much needed move, the America Civil Liberties Union has demanded that the federal government step in and require religiously sponsored hospitals to stop endangering women's lives by ...
 
 
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HUFFPOST SUPER USER
thinkingwomanmillstone
I'm nervous. My life is under a Micro-bioscope.
06:11 PM on 07/13/2010
If they take the money, they must provide all services. If you want to cling to your religion, fine, just not on the public dime. It's a simple concept.
HUFFPOST SUPER USER
AntigoneRisen
02:45 AM on 07/13/2010
I think the main point of this article has been lost by many comments out here. Conservatives on this matter tend to lack discernment. First of all, yes everyone has a right to their religious belief. That does not include the right to unnecessarily endanger anyone's health or life. That is not a religious right that anyone has.

Further, and more relevant to this article, no hospital or medical facility is required to accept CMS funding or payments. When a facility opts to accept this funding, they sign a contract which requires a certain level of care. These hospitals have opted to receive funding and sign the contract, but have failed to abide by it. That is the legal argument, and the reason for the suit.
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LynneE
A not-so-elite liberal.
10:57 PM on 07/11/2010
Does the right to a religious belief supercede another person's right to LIVE? How would you like to be having a heart attack, walk into a hospital ER, and find out they heal strictly by prayer? They all lay their hands on you and pray over you, but you die anyway. Do you think that's ok, and that they should be able to call themselves a "hospital" and receive federal funding? Because that's essentially what they're doing to women.

At the very end of the extreme, we have islam, whose male ambulance personnel refuse to treat female patients, allowing them to die. All for religious dogma, also known as insanity.
08:17 PM on 07/10/2010
"Emergency reproductive health care"...what in gods name is that?
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LynneE
A not-so-elite liberal.
10:47 PM on 07/11/2010
Treatment of an ectopic pregnancy or miscarriage for example. Treatment of pregnancy-related conditions that threaten the life of the mother or fetus.
05:15 PM on 07/12/2010
Thanks for that I wasn't sure and thought maybe it was a pc phrase for abortion.
HUFFPOST SUPER USER
dawacu
Jesus loves you
11:15 AM on 07/09/2010
Stories like this are why religious groups are afraid of the government restricting their religious rights. When something becomes recognized as a legal right, the right of religious people to practice their religion gets thrown out the window. To many religious people, abortion is murder. You may disagree with their beliefs, but they should never be forced to do something they find spiritually destructive. The fear of the government revoking religious rights is why Prop 8 won in California.

For the record, I believe that abortion should be legal for women in life threatening situations, but that hospitals who disagree with me should not be forced to go against their religious beliefs.
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MNKen
Eschew Obfuscation
11:36 AM on 07/09/2010
You have it backwards. It is not the government restricting religion, it is the religion telliing the government what they will not do, regardless of government regulations, which the hospital voluntarily agreed to follow.

If the hospital does not want to participate in Medicare and Medicaid, then they have the right to become a completely private pay institution. If they want the federal funds, then they should abide by the rules that come with the money.
DUSAA-1775
never moon a werewolf
08:44 PM on 07/09/2010
...' If the hospital does not want to participate in Medicare and Medicaid, then they have the right to become a completely private pay institution. If they want the federal funds ...' some where i got the idea that medicare and medicaid do not fully reimburse the fees of the hospitals or doctors.
so that the hospitals and doctors get paid less by the govt., but take the patients at less than cost in order to provide health care. if the closest hospital is 90 miles away the suit by the ACLU could force all medicare and medicaid patients to go 90 miles for health care.
But at least the 80 year old grandmother would be able to get an emergency abortion.
Why does the ACLU hate the poor and the elderly??
06:44 PM on 07/09/2010
The problem is you would elevate belief above the rights of the individual.
07:02 PM on 07/09/2010
Turfkiller, you seem to be ignoring the fact that one of the most important rights of an individual is the right to her or his religious beliefs. Why do you think that you or anyone else should have the right to compel someone to do something that she or he considers grossly evil?
11:56 PM on 07/13/2010
It is the rights of the individual being discussed, should a doctor or nurse be forced to provide a treatment that they find morally repugnant?
10:49 AM on 07/09/2010
If the gov doesn't do something, I am going to have to add "do not take me to a religiously affiliated hospital ever" to my medic-alert necklace.
07:55 AM on 07/09/2010
Why church and state should be separate:

http://spuc-director.blogspot.com/
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HUFFPOST SUPER USER
IzzyIdol
01:36 AM on 07/09/2010
Past time this was addressed. Thank you ACLU.
07:27 AM on 07/09/2010
the ACLU should also address the unwillingness of sectarian hospitals to honor death with dignity clauses in a patient's or a family's written health care living wills. rekauff
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HUFFPOST SUPER USER
IzzyIdol
07:44 AM on 07/09/2010
Absolutely agree.
bklynsparrow
creating reality from unreal things
10:39 AM on 07/10/2010
In some cases that is because it would conflict with the law. The ACLU would have to sue state governments, not the hospitals. But still a worthy cause.
ThinkCreeps
Seriously, it's time.
01:33 AM on 07/09/2010
And thus for medics to hold to basic simple professional standards, even if they are superstitious.
07:09 PM on 07/09/2010
One would think that a basic simple professional standard for anyone in medicine would be "do no harm"; likewise, one would think that a basic simple moral standard for society would be "do not require that people do evil things that they know to be evil." And is it really "superstition" to say that we were separate human beings even before the umbilical cord was cut? It is much greater "superstition" to refuse to acknowledge scientific fact by pretending that a child in the womb is not a real human being, and to regard pregnancy as a malignant disease to be cured.
ThinkCreeps
Seriously, it's time.
03:01 AM on 07/10/2010
Thanks for that, Ratzinger.
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HUFFPOST SUPER USER
up420oz
01:29 PM on 07/10/2010
in dog u trust, BFD.
been2there
Facts have a liberal bias.
01:09 AM on 07/09/2010
I am a Constitution Voter.
07:56 AM on 07/09/2010
I am bald.
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HUFFPOST SUPER USER
IzzyIdol
09:06 AM on 07/09/2010
I am curious yellow.
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MNKen
Eschew Obfuscation
11:38 AM on 07/09/2010
x2