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Sally Steenland

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Conservative Religious Organizations Wage Another Battle Against Contraception

Posted: 10/25/11 02:11 PM ET

When does religious liberty shift from the freedom to practice one's faith to the imposition of that faith on a diverse public? Or to put it another way, when does liberty for some become discrimination against others?

This is more than a theoretical question. It's one that is playing out right now with a proposed federal rule that implements part of the Affordable Care Act. The rule requires employers to include in their health insurance plans coverage for contraception and other basic preventive health services. The real-life question has to do with religious organizations that are employers but believe contraception is a sin. Should they be exempt from the rule?

According to the Department of Health and Human Services, which promulgated the proposed rule, the answer is a qualified yes. But a number of religious organizations that would not be exempt under the rule are fighting to broaden its exemption requirements to include them.

The proposed HHS rule says that employers must meet the following criteria in order to qualify:

  1. The purpose of the organization is to inculcate religious values.

  2. The organization primarily employs those who share the religious tenets of the organization.

  3. The organization primarily serves those who share the religious tenets of the organization.

  4. The organization is a nonprofit under the IRS Code.

That leaves out large Catholic universities such as Notre Dame that employ people of many different religions -- as well as those with no religion -- yet do not want their health care plans to cover contraception. They argue that contraception violates Catholic teachings and to be forced to include it is a serious infringement of their religious liberty.

Those on the other side argue that religious organizations such as Notre Dame that choose to operate in a pluralistic secular democracy must respect the religious liberty and consciences of their employees, many of whom are not Catholic or religious at all. For virtually all these workers, contraception is not a sin but an essential part of moral responsibility around creating a family and parenting. To deny them access to such a basic health service is to unfairly impose a particular set of theological beliefs on people who believe differently.

What's more, say proponents of the rule, this isn't even a matter of the Catholic Church vs. other religions, since the vast majority of Catholic women -- 98 percent, according to the Guttmacher Institute -- use contraception. Such a statistic raises an important question: Who is the Catholic Church? Is it the millions of people in the pews who disregard official church teachings in some cases, or is it a much smaller group of church leaders?

Religious organizations cannot have it both ways. They cannot on the one hand claim a religious exemption that requires everyone who works for them to abide by their religious beliefs, and at the same time employ people whose worldview and beliefs are very different from theirs. Here's where religious liberty for some is likely to turn into religious discrimination against others.

One last point: A principle that virtually everyone can agree on is the importance of reducing the need for abortion in the United States. A sure way to do that is to reduce the number of unwanted pregnancies by making contraception accessible and affordable. Another desirable goal is to increase the number of healthy pregnancies, healthy babies and strong families -- all of which are more likely when women use contraception to plan their families and ensure healthy intervals between their children.

Religious liberty is written into the First Amendment of the Constitution. You can't get much more bedrock than that. Throughout our history, scholars and advocates on the ground have contested the amendment's scope and scale. That is what is happening now. It is democracy in action, with each side putting forth its best arguments, seeking to persuade policymakers and the public.

As they battle it out, two other American values will likely come into play -- pragmatism and compromise. We usually manage to work things out, with each side giving up something and getting something in return. Such a compromise could happen in this case, and in fact one was recently proposed by Melissa Rogers, a First Amendment religious liberty expert and scholar.

Rogers looks to state laws in Hawaii and New York, where religious employers may refuse to provide coverage for contraception, but then must provide workers with access to an outside equally affordable health care plan that does include contraceptive coverage.

While not perfect, it is workable and partly satisfies each side. In these days of vituperative rhetoric and demonized opposition, that might just count as a win-win.

 

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06:28 PM on 10/30/2011
Now I am a proponent of contraceptives, but this seems like a bigger assault on religon than anything.

If a Catholic University like Notre Dame hold true to their belief that contraceptives are a sin then who is the federal government to tell them, "hey too bad. Shove it and pay for them anyways."

The employees should be responsible about where they are getting hired and the beliefs and policies of that organization.

Again I feel the federal government has outstepped its boundaries. Is forced cosmetic plastic surgery next?

Something here just seems wrong.
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Larry Motuz
Lawless markets lead ill-gotten gains.
01:24 PM on 12/14/2011
Contraception is not an employment issue. If your employer is a Jehovah's Witness, can he/she offer a health insurance plan that won't cover blood transfusions?
04:20 PM on 12/14/2011
Contraceptives are frivilous to ones medical health (in most instances).

Preventing a pregnancy is not a medical issue.

Now a blood transfusion in most cases I can possibly think of is medical and usually urgent.

Similarly with abortion. The last stat I had found said that only 9 percent (give or take based on natural error) were for health concerns, rape or incest. So less than 10% of all abortions in the United States are elective and medically unecessary.

In both cases why should an employer be forced to insure them if they do not believe in these practices. Pro-choice people like to talk about not forcing beliefs on others but this legislation does just that. It forces pro-choice ideology on others.

Again I have to fall back to the comparison to cosmetic plastic surgery. Should an employer be forced to cover that. Its frivilous and medically unnecessary

So I am going to have to dissent on this issue. And if I were a buisness owner/employer I wold fight this tooth and nail. If my hypothetical employees dont agree then they can choose not to work for me.
charlesrfd2003
Proud American who believes in the Bill of Rights
11:29 AM on 10/27/2011
The Catholic bishops fail to understand that when the employer pays a premium for mandated insurance that does not give the employer the right to determine what procedures the insurance will pay. That is one of the changes with health care reform. The employer cannot pick and choose medical procedures anymore. Only the staffs for the church, the rectory and the grade school (maybe) will meet the qualifications for exemption. Their colleges, social agencies, hospitals, and cemeteries employ people who are not Catholic and/or serve non-Catholics as well as Catholics. Sometimes the diocese owns other businesses as part of investment usually in land. The bishops want exemptions for everything. No other organization or corporation claims that. These bishops are power mad. They have no business trying use the law to make people bend to their perceptions of morality.
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Michele Somerville
10:00 PM on 10/26/2011
Dear Ms. Steenland,
Thanks for this fine discussion and especially for emphasizing the fact that that way too many abortions are the result of backwards doctrine on contraception.
Michele Somerville
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David MacWilliams
My micro-bio is no longer empty...
07:41 PM on 10/26/2011
Religious freedom means YOU get to practice YOUR religion. It does not mean that you should get a state-sanctioned pass to shove your B.S. belief system down other people's throats. If you don't believe in abortion or contraceptives, don't get one or use them but mind your own business when it comes to others choices.
06:38 PM on 10/30/2011
So what is your opinion on a school like Brigham Young which is owned and operated by the Church of Latter Day Saints (Mormons). They have an honor code that says pre-marital sex on University ground is punishable.

Also you talk about others choices but what about the choices of the organisation to follow its own moral religious guidelines? The government should not be able to force this on people, at least not at the federal level. State and local maybe but not federal.
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Dragosurfer
I surf, therefore I am…..
10:14 AM on 10/26/2011
As was stated in the article, the number of abortions can be reduced significantly by using contraception (all forms of contraception), so it seems that the religious people fighting for this change, and make no mistake we are talking about the pro-life movement, have no real plan to end abortions, they just want to make it illegal.

If the religious pro-life people go away, a solution to end the need (the root cause) for abortions can work. Religion is the Problem here, not the solution.
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Dragosurfer
I surf, therefore I am…..
10:06 AM on 10/26/2011
Will organized religion, especially the Catholics, ever give up this out-dated, draconian, misogynistic, anti-contraception stance. In today’s over populated world, this dogma only serves to inflict more pain and suffering into impoverished areas of the world. This has a very negative affect on the poorest of the poor, and organized religion is deaf and blind to their suffering.

Religion is a big part of the problem of over population; then they provide only a very small fraction of the aid needed for them problem they helped create, and pat themselves on the back for doing a good job. Also, organized religion has never put forth a workable plan to end poverty and homelessness.

Religion is them problem, no the solution.
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invisbl
same as it ever was
12:20 PM on 10/26/2011
Bah, poverty, suffering, whatever. They have afterlife to look forward to, meanwhile they gotta toe the party line.
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Dragosurfer
I surf, therefore I am…..
01:24 PM on 10/26/2011
And what a "party" it is.....unless of course your a woman living in a slum in Africa, and you just had your 9th or 10th baby.
12:20 AM on 10/26/2011
.....

hmm. So a religious university that choose to operate out of religious convictions but hires non-religious staff in order to bring diversity of thought into the university must now abandon their religious convictions because of those hiring practices.
08:38 AM on 10/26/2011
How do they achieve diversity by bringing in some non-religious and forcing them to follow the religious rules? Lets bring in some different people who are just like us?
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OneFish
Various and assorted mutualistic microbial buddies
12:27 PM on 10/26/2011
If they want to operate in the modern market they should follow the local customs. I say let the buggers go completely volunteer labor if they want their exemption.
12:06 AM on 10/26/2011
If they were all being forced to use contraception, I might understand the argument. However, if someone doesn't want to use the service then they don't have to, it just means it's available to those who do want it. If catholic universities feel so strongly about it, how about they only employ catholic staff? Problem solved. As you say, you can't have it your own way all the time.
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way2sunny
07:43 AM on 10/26/2011
But 98% of catholic women ignore that rule.
06:31 PM on 10/30/2011
Discrimnitory hiring practice? I do not see why the federal government has the right to tell the a buisness it must abandon its religious beliefs.

You can't hire only Catholics. Its discrimination. This seems like an assault, intentional or unintentional, on religion.
11:57 PM on 10/25/2011
One fact keeps getting lost in these discussions: Contraceptive medications are often prescribed for purposes that don't violate Catholic moral principles, e.g., to control endometriosis. Are women who work for Catholic organizations to forego coverage for the treatment of potentially serious medical conditions?
This alone seems grounds for compromise on the issue.
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invisbl
same as it ever was
12:17 PM on 10/26/2011
Was going to post something on that until I saw your post. Absolutely, birth control can be used for medicinal purposes other than birth control.
12:33 PM on 10/27/2011
I should know; I'm one of the women who used it for medical reasons unrelated to contraception. I'm not Catholic, nor have I ever worked for a Catholic organization, but I've still dealt with insurance companies who refuse to cover it unless I submitted proof from my doctor that I needed it for a "legitimate medical reason." Frankly, it doesn't matter what a woman needs contraception for-considering the incredible stress that pregnancy puts on a woman's body, preventing unwanted pregnancies can still be seen as a "legitimate medical reason" in my book and it's none of the company's friggin' business what it's needed for (and I told them that, too!).

Either way, to force women to toe the party line when they don't follow your religious beliefs is not only unconstitutional, it's also plain rude.
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Bones Rhodes
08:32 PM on 10/25/2011
"since the vast majority of Catholic women -- 98 percent, according to the Guttmacher Institute -- use contraception"

Discovered Catholic girls way back in 1963 when I was 15: what a great find.
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AdamWest1313
Hardcore Agnostic
02:09 AM on 10/26/2011
I could NOT agree more. Repression: It can be a great thing.
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AntithiChrist
Rhymes with Grist
08:04 PM on 10/25/2011
When does liberty for some become discrimination against others?

At the church door. They can peaceably meet inside the church with like-minded church people, and when they come out of that door they enter the land where their silly ideas about magical men and bronze age social strictures have no place deciding what's right for their non-churchy neighbors.

OK...I'm fantasizing again.
shylove2
warfare state is pathological
07:22 PM on 10/25/2011
What's the problem if their employees share their tenants then they dio not need to restrict contraception coverage as a special exemption. The special exemption may be to make sure they share the tenants by force of coverage. It also creates a coverage environment where insurance companies can take it as routine to have contraction and abortion outside of normal coverage as a special needs charge when it is just another legal medical service that should be available in all policies whether someone chooses to use it or not. It is a form of medical intimidation.
06:14 PM on 10/25/2011
if these people where capable of logical thinking they would not be religious in the first place.
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Claude Hosch
A single bracelet does not jingle
07:10 PM on 10/25/2011
I beg to differ. They remove themselves from outliers. Most keep a low profile after doing so, too busy improving self to be associatd with extremes.
06:10 PM on 10/25/2011
These people are terrified because they are becoming the minority. Most of all they fear payback time. They fear being treated the same way that they have treated "the other" of all stripes for hundreds of years.

No birth control more babies to prop up their fading numbers.
04:29 PM on 10/25/2011
With 9 BILLION people in the world maybe we should be fighting for sterilization instead of mere contraception.
05:35 PM on 10/25/2011
THE UN HAS ALREADY TRIED THAT. AND CHINA IS STILL DOING IT. WHAT A GREAT MODEL TO FOLLOW.
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10:50 PM on 10/25/2011
If only that were true. This would be a much better world.
09:47 AM on 10/26/2011
When puppy mill parents like the Dugars with their 19 kids ( and counting) get our collective condemnation instead of being rewarded with their own reality show, maybe the choices won't be so authoritarian.
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Cindbird
11:57 PM on 10/25/2011
The number is SEVEN (7) Billion, not 9 billion.
09:30 AM on 10/26/2011
what's a couple of billion amongst friends.