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Nancy Northup

Nancy Northup

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New Bill Would Allow Religious Hospitals to Deny Life-Saving Emergency Care

Posted: 02/14/11 04:58 PM ET

Would you ask someone else to die for your religious beliefs? A new proposal moving through Congress makes clear that the U.S. Conference of Catholic Bishops apparently expects everyone to die for theirs. The same members of Congress who last week attempted to dial back the definition of rape to the nineteenth century now propose another change to federal law that is just as shocking: in a move long sought by the political arm of the Catholic clergy, hospitals would be permitted to refuse to treat women with life-threatening emergencies.

A newly revised bill in the House of Representatives proposed by Rep. Joseph Pitts (R-Penn.), would allow religious hospitals to determine the care provided to patients regardless of prevailing standards in medical care -- even in medical emergencies -- and regardless of the religious beliefs of the patient. Though dramatic, it is no overstatement to say that the so-called "Protect Life Act" would be more aptly named the "Death Warrant for Women Act," as it would allow hospitals to refuse to treat a woman needing a medically necessary abortion to save her life.

This is a dramatic departure from prevailing law, which sets out a commonsense baseline for emergency care in a key consumer protection that applies to all hospitals. The law, the Emergency Medical Treatment and Active Labor Act (EMTALA), applies to any hospital receiving funds under Medicare or Medicaid (effectively, all of them) and was signed into law by President Reagan to combat the widespread practice of "patient dumping" -- hospitals' refusal to treat low-income and uninsured patients who need emergency care.

As its name suggests, EMTALA reflects a particular concern for women in labor. Under the law, hospitals that cannot provide the care a patient requires must stabilize their condition prior to transferring them to another facility. This is truly a minimal obligation, and makes sense given that anyone -- pregnant women included -- must be able to seek care in an emergency from the closest hospital to them at the time.

That religious hospitals would jeopardize their patients' lives rather than perform a medically necessary abortion is not mere speculation, it is documented fact. A 2008 article in the American Journal of Public Health examined numerous instances in which Catholic hospitals put patients' lives at risk, as reported by the doctors who were forced to deny them care.

In one example, a woman 14 weeks pregnant who suffered ruptured membranes and was in the middle of a miscarriage was forced by the Catholic hospital to travel 90 miles to another hospital to complete the miscarriage. In another instance, a pregnant woman was already septic and hemorrhaging, and her doctor recommended a pregnancy termination. The Catholic hospital staff refused. Rather than treat the woman, the staff proposed moving her from the emergency room into a hospital bed, giving her a transfusion, and waiting for the fetus to die before helping the woman.

Another doctor reported that a woman, pregnant at 19 weeks, was "dying before our eyes" -- she had a 106 degree fever and the whites of her eyes were filled with blood -- but still the Catholic hospital refused to treat her until the fetus finally died. The woman barely survived after spending 10 days in the intensive care unit. The doctor, disgusted with the Catholic hospital's policies that endangered patients, eventually quit his position to work at a nonsectarian medical center.

More recently, Bishop Thomas Olmsted excoriated the staff of St. Joseph's, a Catholic Hospital in Phoenix, Arizona, for performing an abortion for a 27-year-old mother of four who was 11 weeks pregnant. She was told by her doctors that if she brought the pregnancy to term, her chance of dying was "close to 100 percent." Writing that the life-saving abortion constituted "cooperation in evil," Bishop Olmsted not only excommunicated the nun who had worked for 30 years as a hospital administrator, but revoked the hospital's Catholic affiliation.

When the Catholic bishops sought a broadened refusal provision during last year's health care reform debate, lawmakers rightly refused. A right to deny care to anyone on the basis of religious or moral beliefs can far too easily intrude on the core goal of reform -- to ensure that a basic standard of care is available to every American.

But this latest change goes much further than even those proposals would have. Because the proposed legislation would override legal obligations under EMTALA, the new law would actually allow hospitals to deny care altogether -- literally to do nothing in an emergency, including fail to stabilize and transfer. Catholic religious officials have long asserted that refusal rights should permit this active neglect. They contend that women in this situation should be left "in God's hands," and, even, that it is preferable for a woman to die in childbirth than to "live the rest of her existence knowing" she had an abortion, as Father John Ehrich, Medical Ethics Director of the Phoenix Diocese, wrote about the Phoenix case. Until now, however, the law has helped to protect most patients from the dire consequences of this dogmatic view.

Access to abortion is a constitutional right -- a truth that these debates over refusal disregard. Even putting this fundamental point aside, the notion that religious medical facilities could legally allow women to die from treatable conditions inside their doors cannot be permitted in a religiously pluralistic society. While religious hospitals are entitled to an official religious orientation, they must not be permitted to use their theology to jeopardize patients' lives.

The happenstance of which hospital an ambulance rushes someone to in an emergency cannot be a game of Russian roulette. Moreover, in many areas of the country, religiously affiliated hospitals are the largest or only providers of care. Congress should immediately and decisively reject this frightening proposal to make clear that all patients' medical needs are the first and only consideration for hospitals in an emergency.

 
 
 
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05:36 PM on 02/15/2011
When I went to a Catholic hospital at 22 wks pregnant, I was pretty confident there was nothing wrong with me, but better safe than sorry, right? After sitting in the ER waiting room for 4 hrs, checking every hour or so to see if I had lost fluid and counting kicks, I finally got to see a Dr. Instead of being reassured, I was told I was having a miscarriage and there was nothing he was going to dot. I'll never forget his exact words, "What your problem is, that you're 22 weeks and not 24." After a heated exchange, where I begged for infusions of saline and antibiotics, thinking I would just sweat out the possibility of sepsis for a few weeks, the Dr called in an OBGYN from L&D. After 5 hrs, I was examined, and discovered there was nothing wrong with me or my baby,

The legislation that seeks to keep women with second and third trimester non-viable pregnancies who have decided to terminate and try to move on with their lives from doing so, or allowing hospital administraters to endanger women's lives for their religious beliefs is hypocrtical. In emergency rooms across this country, right now, it is policy to give up on healthy fetuses at this age without even trying to help them. They aren't really considered viable. But heaven forbid a woman have the right to decide when to give up, instead of the doctor, the governement, or a bishop.
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HeadAches
I'm here, getting into your head giving you...
12:53 PM on 02/15/2011
Only in USA under Christian Sharia laws will you find such anti human behavior!
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TeamSarah4CHOICE
10:55 AM on 02/15/2011
Nancy

Thank you for highlighting the Bill put forth by the GOP. You correctly dubbed the Bill ""D3ath Warrant for Women Act," I would like to add, it is the Christian's version of Sharia Law.
09:36 AM on 02/15/2011
If a hospital ISN'T gov funded, they can choose what services they provide. Pretty simple.
ThinkCreeps
Seriously, it's time.
10:05 AM on 02/15/2011
No... not if people might accidentally appear there with medical needs, expecting to be treated professionally using the best of practice.

The degree of malpractice is not dependent on who's paying. If you don't like healing the sick on the grounds of a pre-medieval mindset then it would be best to become a priest and not a doctor.
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TeamSarah4CHOICE
11:19 AM on 02/15/2011
Bu

You are wrong. Religious hospitals are indeed funded by the govt. They get tax exempt status so who do YOU think picks up the tax-tab? Answer: the govt. Thus, they MUST follow laws and the laws say tax exempt hospitals are NOT allowed to deny legal medical procedures.
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PrometheanSalvation
Bringing fire to cleanse the land.
09:35 AM on 02/15/2011
If religion prevents one from acting in accordance with the dictates of one's chosen profession; time to change one of those things and end the conflict.
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3RawBob
My Bible: the Jefferson Bible
10:13 AM on 02/15/2011
The insidious aspect of the proposed resolution is that the conscience provision which would guide an individual doctor's decision is now available to a building. In other words, the doctor may have no qualms about performing a lifesaving abortion, but he can be forbidden to do so in that hospital building by his employer.
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PrometheanSalvation
Bringing fire to cleanse the land.
09:20 AM on 02/15/2011
Religion; the bane of an enlightened society.
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3RawBob
My Bible: the Jefferson Bible
09:50 AM on 02/15/2011
Religion has a place in society. You have to pick and choose, or as it says in the Bible, to seperate the wheat from the chaff. (Sorry, couldn't resist.)
08:59 AM on 02/15/2011
Do the doctors at these Catholic hospitals take an oath that overrides the Hippocratic oath to do no harm? This is shameful and scary. How can the life of an unborn child override the life of the mother?
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3RawBob
My Bible: the Jefferson Bible
09:26 AM on 02/15/2011
Remember it is not only Catholic hospitals. In Massachusetts, a private equity firm bought the Catholic hospitals, and continue with the "no abortion for any reason" rule. This is a for-profit Deleware corporation.
09:36 AM on 02/15/2011
ANY doctor that performs an abortion UNLESS the mother's life is in danger is ALREADY violating the oath.

LOL
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Martin Houde
I am no microbe
12:45 PM on 02/15/2011
No, not until the child is born.

If the unborn child dies, the woman can live. The other way around does not work. Technically, that could define the fetus as a parasite, although of course I don't think of a fetus as a parasite !

The doctor sees the woman's health first. The child second. If he can save both, good for it. But the woman prevails. She's already viable. With an unborn child, you never know until birth.
08:15 PM on 02/15/2011
Some women die AFTER childbirth from complications. No one can predict the outcome of any pregnancy, and sometimes, by the time a life-threatening situation occurs, it's too late to do anything about it. This is why women should always have a choice about continuing their pregnancy and have a right to decide for themselves..

.
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ugotabkidnme
08:53 AM on 02/15/2011
"Would you ask someone else to die for your religious beliefs? Catholics do. The sacrament, Confirmation, requires a Catholic to take an oath to become a Soldier of Christ and to die for Jesus.
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Carl Caroli
I just don't understand people
08:34 AM on 02/15/2011
As long as there's no tax payer dollars involved, they're entitled to decide what to treat or not. If there is, then stop subsidizing them.
07:34 AM on 02/15/2011
Catholic hospitals already impose their morals on patients. This law would make it worse.
A friend of mine went to one during an emergency during a pregnancy (it was the closest hospital in a rural area). It was a planned pregnancy. They delayed her ultrasound, again and again, even tho there were signs that something was wrong. They were trying to delay it til past her 20th week. She insisted on the ultrasound. The fetus was found to have a rare form of dwarfism and severe spina bifida. (the spine was actually OUTSIDE of the body) The doctors told her the baby would not survive more than a few days with these terrible defects. She was devastated....
But they still pushed and bullied her, trying to get her to carry the fetus to term and go through labor and delivery "for research". And because abortion is "bad"....I was HORRIFIED! Most woman who have carried a child will understand how awful and traumatizing it could be to give birth to a child THAT deformed, to even know you were carrying it. If Republican men could get pregnant, none of these laws would exist.
ThinkCreeps
Seriously, it's time.
08:39 AM on 02/15/2011
She should sue them.
So should those who had to pay for the subsequent care necessary.
The atttending staff should also face malpractice charges.
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gloriousbeing
I know my gloriousness, how about you?
03:28 PM on 02/15/2011
I have a friend who went through a similar experience.....the fetus had no brain, just a brain stem that was keeping the fetus breathing. Also a club foot and a hand that resembled a chicken's foot/claw. She was told that the fetus could not live if carried to term, but was still encouraged to continue the pregnancy. It was a horrifying experience for her and her husband. My friend and her husband asked me to be present as social support to both of them and to stay as she was induced and went through labor to birth this dead fetus. It was a tragic, heartbreaking situation for both of them and while I remained strong for them during the procedure and afterward, I sobbed all the way home at how callously they were treated by so-called professionals who were more concerned with their own religious agenda than for the loss my friends were experiencing. It is an experience that I will never forget.
07:04 AM on 02/15/2011
I wonder if the women involved were Catholic as well. Often times non-Catholics are treated at Catholic hospitals (or non-Adventists at Adventist hospitals) because they are close/convenient or simply the only option. IMO, if the women denied care weren't Catholic, it almost makes it worse - as they were being denied care for a religious purpose that they did not share.

BTW - I include Adventist hospitals for fairness as a poster below brought them up. As far as I know Adventist hospitals don't deny care based on the teachings of their faith. Nor do Jewish Hospitals (of which there are many). I have to admit I don't know the Adventist stance on abortion.
ThinkCreeps
Seriously, it's time.
04:40 AM on 02/15/2011
If you want to pass yourself off as a hospital, and take money from patients, state and federal funds like a hospital, then you need to provide the services of a hospital.

Evidence-based policies, with authority and responsibility for decisions resting with the patient's doctor.
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DrHas
01:56 AM on 02/15/2011
Does anyone know what actual christian ruling is regarding abortion? I would have assumed that threat to life of the mother would be an indication to go ahead with abortion, if it's the cause, does anyone know?
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3RawBob
My Bible: the Jefferson Bible
09:13 AM on 02/15/2011
The pro-life christian beliefs are tied up in the political religious right movement. They are all over the place. Some Christian faiths are actually very pro-choice in their beliefs. The Catholic dogma of "no abortions at any time for any reason" is based upon the Immaculate Conception dogma of 1854.
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Sahuaro
Molded by Gilligan, Steed, Darrin, 99, Spock, &Ayn
12:52 AM on 02/15/2011
Those who disagree with the bishops are proponents of slavery. How else can you force someone to do work that violates their core beliefs? If a doctor believes that the appendix and tonsils are the 4th, 5th, and 6th spiritual eyes, only slavery could force her to remove them. If you need it removed, you would want a different doctor anyway.
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08:46 AM on 02/15/2011
They don't have to work at that hospital.
12:02 AM on 02/15/2011
Someone said that the pregnant woman did not have a Constitutional right to have an abortion, even in an emergency situation. Would someone please tell me at what specific age the female fetus, once born, loses her Right to Life? My local hospital group would not be damaged if Medicare payments were taken away since they don't take those of us with only Medicare, anyway, except for possibly in an emergency.
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cwebster
predominantly exasperated
02:05 AM on 02/15/2011
Apparently, according to the Catholic Church, the female foetus loses it's Right to Life the moment it is born. The Republicans seem to want to make this effective across the country.
ThinkCreeps
Seriously, it's time.
04:35 AM on 02/15/2011
Male fetuses too.

It's just that it's easier for them to end the lives of post-birth female fetuses.
ThinkCreeps
Seriously, it's time.
08:42 AM on 02/15/2011
The physicians at hospital had an absolute professional responsibility to treat her to the best of their abilities. Maybe their abilities were that sadly lacking, but they should have a real moral reservation about taking home a paycheck in the circumstances.