Friday, October 12, 2012

Advice to a Catholic Non for Profit Organization on the HHS Mandate


The United States government recently passed into law the Patient Protection and Affordable Care Act, a federal health care law which aims to reform the country’s current healthcare system to provide more Americans with affordable health insurance coverage. It uses mandates, subsidies, and taxes to encourage and enforce this goal. One such mandate includes the Birth Control Mandate. Under this mandate, health insurance plans provided by employers must make birth control available to women. This mandate essentially narrows our religious liberties under the first amendment to the right to free worship but not freedom of religion which is the liberty granted to us by the first amendment of the Constitution. It allows us to go to our house of worship and praise God but prohibits us from then practicing our beliefs in daily life.  As Catholics we hold contraception to be immoral. Therefore, this mandate means we will now be required to pay for and provide medical benefits which directly oppose the moral and religious beliefs of our organization. This mandate clearly violates our organization’s religious liberties, so as a member of the Catholic Church and of society, we have an ethical responsibility to respond to such a violation of justice in support of religious liberty. As a member of the Catholic Church, we cannot in good conscience violate Church Doctrine despite this law, so we must stand up for our first amendment rights.

The Birth Control Mandate demonstrates a clear violation of Constitutional rights. In requiring our organization and many like us to provide our employees with “preventative care” contrary to our religious beliefs, the United States government violates the first constitutional amendment which forbids making a law “prohibiting the free exercise [of an establishment of religion]”[1] The University of Notre Dame also finds great fault with this mandate and has filed a complaint seeking a compromise which will not force them to violate their religious beliefs. In this complaint they state  as a self-insured organization, Obama’s accommodation which states that religious organizations will not have to offer birth control because the insurance company, will pay for it doesn’t apply to them.[2]  As a self-insured non-profit organization owned and operated by the Catholic Church, we too will receive no exception to this mandate.

 Despite the free exercise clause of the first amendment which disallows government interference with the religious views of religious organizations, the U.S. Constitution and federal statues protect the Birth Control Mandate. Are not the protection of religious organizations from governmental interference with their religious views and the forcing of such organizations to violate these religious views through the Birth Control Mandate contradictory? The Supremacy Clause of article six of the United States Constitution states that it shall be the “Supreme law of the land.”[3] It seems that this article renders the Birth Control Mandate illegal as it contradicts the Constitution, which takes precedence over all other laws. Furthermore, the Religious Freedom Restoration Act introduced in 1993 states, “Government shall not substantially burden a person’s exercise of religion even if the burden results from a rule of general applicability.”[4] The Birth Control Mandate does just this. The Catholic Church has expressed clear opposition to the use of birth control drugs, yet despite the first amendment and the Religious Freedom Restoration Act, finds its freedom to express this belief denied in a country founded on the bases of religious freedom.

            While The University of Notre Dame and similar religious organizations cite the First Amendment to the Constitution and the Religious Freedom Restoration Act to support their allegations that the Birth Control Mandate is illegal, supporters of the mandate also point to these items to demonstrate the legality of the mandate. They point out that an exception to the Religious Freedom Restoration Act exists if the burden placed on a religious entity is essential in advancing a strong government interest.  In opposition, however, the University of Notre Dame explains in its suit that the government has failed to provide any such government interest. On the other hand, though clearly a biased source as she works under President Barack Obama and has political allegiances to his party, Health and Human Services Secretary Kathleen Sebelius states the government interest compelled by the Birth Control Mandate to be: “Improved access to preventive health services prevents illnesses and saves money.”[5] This government interest, it can be argued, meets the exception to the Religious Freedom Restoration Act. The University of Notre Dame and other Catholic organizations disagree, stating that pregnancy is not an “illness” that needs “preventing,” so this is not in fact a legitimate government purpose.[6]

 Furthermore, while many opponents of the mandate cite the First Amendment to the United States Constitution, supporters point to the Free Exercise Clause of this amendment, stating that this mandate does not violate the free exercise clause as it does not prohibit people from practicing their religion, rather it prohibits them from imposing their religious beliefs on those who may disagree. For example, Marci A. Hamilton, Paul R. Verkuil Chair in Public Law at the Benjamin N. Cardozo School of Law and an expert on religious freedom and self-proclaimed republican, states, "This is not a request that involves someone saying that I can't practice my religion, it's not a request that says that I can't believe what I want to believe, this is a request that says I should not have to put into a fungible pile of money that individuals who don't believe what I believe will use in ways that I disapprove of.”[7] It is difficult to find any bias in this statement as Hamilton is an expert on the topic with no political loyalties to the Obama administration. However, the Catholic Church, among others, disagrees with his expert opinion. If our organization is forced to pay, out of our own pocket, for contraception and other “preventative care” measures for our employees with which we find great moral fault, we are being forced to personally violate our religious beliefs, regardless of the beliefs of our employees. This is not a matter of imposing our beliefs on our employees; rather, it is a matter of exercising our religious beliefs freely. This bill allows Catholics to believe whatever they please, but restricts their freedom to act on these beliefs: a clear violation of constitutional rights. Opponents of the bill state that under the Establishment Clause and the Free Exercise Clause, “the Government may not interfere with a religious organization’s internal decision if that interference would affect the faith and mission of the organization itself.”[8] Legal arguments exist on both sides of the issue, but the fact remains that the Constitution expressly prohibits any law from infringing on anyone’s religious beliefs.

            If we refuse to comply with the requirements of this mandate, our organization will face severe monetary penalties. However, if we do comply with this mandate, we violate our sincerely held beliefs which our organization exists to uphold. The Birth Control Mandate is contrary to the Church’s teaching and undermines all that our organization stands for.  Paragraph 2370 of the Catechism of the Catholic Church states, “The use of mechanical, chemical, or medical procedures to prevent conception from taking place as a result of sexual intercourse; contraception offends against the openness to procreation required of marriage and also the inner truth of conjugal love.[9] If we act contrary to this belief or provide the means for others to act in such manners as the Birth Control Mandate requires, not only will we will send mixed signals as to the Catholic Church’s stance on the issue, we will also be committing what we believe to be a grave sin. This is not an issue on which the Catholic Church can “turn a blind eye” or adapt their beliefs to fit the law. We have only two choices: pay the fines or resist the legislation.[10]

Our ethical obligation to uphold our beliefs and fight for our constitutional liberties leads me to advise you to work towards finding a way to avoid providing “preventative care” which we as a Catholic organization do not find morally acceptable. Archbishop Carlson of St. Louis, Missouri recalls a statement from the Congressional documents of the United States in his reaction to the Obama compromise to the HHS mandate, "The framers of the Constitution recognized the eternal principle that man's relation with his God is above human legislation and his rights of conscience inalienable. . . It is an inborn principle which nothing can eradicate.”[11] We must not succumb to the law rather work to ensure the justice of the laws regulating our society.



[1] U.S. Constitution - Amendment 1. - The U.S. Constitution Online. N.p., 1995. Web. 01 Oct. 2012. http://www.usconstitution.net/xconst_Am1.html>.
[2] Goodwin, Liz. "Notre Dame Sues Obama Administration over Birth Control Mandate." ABC News. ABC News Network, 21 May 2012. Web. 09 Oct. 2012. <http://abcnews.go.com/Politics/OTUS/notre-dame-sues-obama-administration-birth-control-mandate/story?id=16395795>.
[3] (U.S. Constitution).
[4] Full Text of the Religious Freedom Restoration Act. Full Text of the Religious Freedom Restoration Act. University of Virginia, 16 Nov. 1993. Web. 09 Oct. 2012. <http://religiousfreedom.lib.virginia.edu/sacred/RFRA1993.html>.
 
[5] Kapur, Sahil. Obamas Birth Control Mandate Takes Effect. TPM. TPM Media LLC, 1 Aug. 2012. Web. 09 Oct. 2012. <http://tpmdc.talkingpointsmemo.com/2012/08/birth-control-mandate-takes-effect.php>.
[6] The University of Notre Dame vs. Kathleen Sabelius, Hilda Solis, Timothy Geithner, U.S. Department of Health and Human Services, U.S. Department of Labor, U.S. Department of the Treasury.  Opac.nd.edu/assets/69013/hhs_complaint.pdf. THE UNITED STATES DISTRICT COURT. 21 May 2012. Print.
 
[7] Nazworth, Napp. "CP Politics." Christian Post. N.p., 2012. Web. 09 Oct. 2012. <http://www.christianpost.com/news/birth-control-mandate-defies-partisan-split-at-heritage-foundation-symposium-82780/>.
[8] The University of Notre Dame vs. Kathleen Sabelius, Hilda Solis, Timothy Geithner, U.S. Department of Health and Human Services, U.S. Department of Labor, U.S. Department of the Treasury.  
[9] Catechism of the Catholic Church. Par 2370
[10] Wilson, Paul. How Will the Church Respond to the Mandate? Catholic Exchange. N.p., 9 July 2012. Web. 09 Oct. 2012. <http://catholicexchange.com/how-will-the-church-respond-to-the-mandate/>.
[11] Carlson, Robert J. "Statement from Archbishop Robert J. Carlson on Obama Compromise to HHS Mandate." St. Louis Review. St. Louis Review, 10 Feb. 2012. Web. 09 Oct. 2012. <http://stlouisreview.com/article/2012-02-10/statement-archbishop>.
 

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