catholic hospitals and women's health care (trust me, it is not pretty)

in response to a question in another thread, I looked up some of the issues regarding the fact that the catholic church is now, in many cases, the sole health care provider in an area, and what that means for women, to share that information.
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"When you go into a hospital or an ER, you do not think that there's a bishop between you and your doctor," says Linda McCarthy, CEO of a Planned Parenthood branch in western Washington. In 2010, Peter Sartain, a prominent bishop recently enlisted by the church to crack down on nuns deemed too liberal, was appointed to the Seattle diocese. Not long afterward, he told the Catholic hospital in McCarthy's area to stop performing lab work for Planned Parenthood that the hospital had handled for at least a decade, including tests unrelated to abortion, such as cholesterol screenings. McCarthy publicized the demand and the hospital backed off, for the time being.

"The Catholic bishops are seizing an opportunity to control the health care we all pay for, and they're being wildly successful," says Monica Harrington, the co-chair of Washington Women for Choice. A spate of proposed deals could leave Catholic facilities accounting for 50 percent of the state's hospital admissions. "We could very well end up with three conservative bishops overseeing health care for 6 million people," McCarthy says.

Abortion services are always quick to go when a Catholic hospital takes over, but the changes go much further. In many cases, doctors are prohibited from prescribing birth control, and hospital pharmacies won't sell it. Doctors may even be told not to counsel patients about it. Catholic hospitals have been reluctant to offer emergency contraception to rape victims, and when they do, they first require a pregnancy test to ensure the woman was not pregnant before the assault. The bishops' guidelines forbid tubal ligations and vasectomies. They also extend to end-of-life care: Catholic hospitals may ignore patients' requests to be removed from feeding tubes or life support, even if those wishes are expressed in living wills. And many states allow religious hospitals to discriminate against gays and lesbians, both as employees and as patients.

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http://www.motherjones.com/politics/2013/10/catholic-hospitals-bishops-contraception-abortion-health-care


pr.org/blogs/health/2013/12/02/248243411/aclu-sues-u-s-bishops-says-catholic-hospital-rules-put-women-at-risk


http://www.freep.com/article/20131202/NEWS06/312020076/Catholic-hospitals-miscarriage-ACLU



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A public-health giant

Catholic hospitals provide care for 1 in 6 patients in the United States; they are, collectively, the largest not-for-profit health care provider in the country. As secular hospitals merge with Catholic ones, many health care organizations and the communities they serve are on edge. In Washington state, for example, mergers mean that nearly half of hospital beds are in facilities controlled or influenced by the church, and in many regions a Catholic hospital is the sole provider. Nationwide, Catholic health care providers grew by 16 percent from 2001 to 2011. The number of secular nonprofit hospitals dropped by 12 percent in that period; the number of public hospitals fell by 31 percent.

Catholic health care providers are bound by the Ethical and Religious Directives for Catholic Health Care Services, a document issued by the U.S. Conference of Catholic Bishops that governs how health care providers should deal with reproductive issues, end-of-life care, the “spiritual responsibility” of Catholic health care and a variety of other concerns. The range of women’s health care options that Catholic facilities offer is limited — sometimes, like when a pregnancy goes wrong, to a deadly degree. And while most doctors have an ethical obligation to inform patients of all their options, Catholic facilities routinely refuse to offer even abortions necessary to save a pregnant woman’s life; their doctors are also barred from telling a patient with a nonviable pregnancy that there are other, often safer options available elsewhere, lest the patient seek care at another facility. (LGBT patients may also run into problems, whether it is with hormone therapy for transgender patients or simply the right of married same-sex partners to be treated as next of kin in making health care decisions).

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http://america.aljazeera.com/opinions/2014/2/dangers-of-a-catholichospitaluntold.html


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So many things are galling about Phoenix Bishop Thomas J. Olmsted's excommunication of Sister Margaret McBride, a member of St. Joseph's Hospital Ethics Committee, for approving the termination of the life-threatening, 11-week-old pregnancy of a 27-year-old mother of four that it's hard to know where to begin. But surely one of the most urgent issues this case raises is the danger faced by any woman who sets foot in a Catholic hospital in the midst of a reproductive crisis.

Just to recap, late last year a critically-ill pregnant woman was brought into St. Joseph's suffering from pulmonary hypertension. Her pregnancy posed such a burden to her heart and lungs that carrying it to term almost certainly would have killed her. Sister Margaret approved the decision of the physicians, the patient, and her family to terminate the pregnancy.

When Olmsted learned that this procedure had taken place, all hell broke loose. Without a scintilla of empathy or sympathy for the dying woman and her family, Olmsted said: "The direct killing of an unborn child is always immoral, no matter the circumstances." Since the abortion was not "indirect" (i.e., the byproduct of another procedure necessary to save the mother's life, such as removing a cancerous uterus), the correct moral action, according to Olmsted and the Phoenix diocese, was this: Let the mother and the fetus die.

We do not know how often such decisions come up in Catholic hospitals. Nor do we know if any go the other way -- that is, the beliefs of the Olmsteds of the Church prevail and discharge is followed by a funeral. What we do know is that Catholic hospitals, charged with abiding by the Ethical and Religious Directives for Catholic Health Care Services, pose a real danger to women's health and lives.

"One of the most troubling areas is in the treatment of reproductive emergencies," says Lois Uttley, director of the MergerWatch Project, which works with communities facing Catholic-non-Catholic hospital mergers to preserve reproductive health services. A miscarriage in progress is an example of the emergencies Uttley is referencing. When it happens so early in pregnancy that the fetus cannot survive, the pregnancy has to be terminated quickly. Unfortunately, explains Uttley, in some Catholic hospitals, this isn't what happens; the fetal heartbeat has to stop before doctors can do the procedure.

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http://www.huffingtonpost.com/angela-bonavoglia/reproductive-crisis-do-no_b_602086.html