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guillaumeb

(42,641 posts)
Wed Mar 8, 2017, 12:25 PM Mar 2017

Should religious hospitals be required by law to provide abortion services?

Many hospitals in the US are owned by religious orders. Many times, these hospitals are the only hospitals in an area.
The most recent information I can find shows:

In some states, more than 40 percent of all hospital beds are in a Catholic facility, leaving entire regions without any option for certain reproductive health care.

https://www.aclu.org/news/new-report-reveals-1-6-us-hospital-beds-are-catholic-facilities-prohibit-essential-health-care

And these hospitals are limited, by directive, in what they can do.

The Ethical and Religious Directives for Catholic Health Care Services, promulgated by the U.S. Conference of Catholic Bishops, set forth standards that are to govern at Catholic health care facilities.  The Directives prohibit a range of reproductive health services, including contraception, sterilization, many infertility treatments, and abortion, even when a woman’s life or health is jeopardized by a pregnancy

https://www.aclu.org/news/new-report-reveals-1-6-us-hospital-beds-are-catholic-facilities-prohibit-essential-health-care

So these very restrictive directives essentially prohibit RCC owned hospitals and health care facilities from offering the above described services.

But if we frame the issue as the RCC refusing to offer legal services, the question becomes:

Does the US require that all US facilities must provide all medical services?

I ask this because, for one example, in some states, and countries, assisted suicide is one topic that is discussed. If a state allows for doctor assisted suicide, would all medical providers be compelled to assist in suicide?

And if we are asking that all facilities be required to provide care, will every facility be required to provide all services for all conditions? There are 5 levels of care that hospitals can provide. Should every hospital be required to provide care at the highest level?

69 replies = new reply since forum marked as read
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Should religious hospitals be required by law to provide abortion services? (Original Post) guillaumeb Mar 2017 OP
Absolutely yes and if someone doesn't think so, they don't belong on this site. trotsky Mar 2017 #1
Allow me to repeat my question: guillaumeb Mar 2017 #2
I fully understand what you are trying to accomplish here. Your agenda is clear. trotsky Mar 2017 #12
Let me guess how the reply to this one will go... Fix The Stupid Mar 2017 #6
Don't forget, were I challenged to provide evidence of women dying, and then do so... trotsky Mar 2017 #13
You do have a documented history. guillaumeb Mar 2017 #23
I think I'm gonna go watch a movie. trotsky Mar 2017 #36
Thirteenth, by Ava DuVernay. guillaumeb Mar 2017 #37
Exactly. There is no freedom from government right scscholar Mar 2017 #38
+1 50 Shades Of Blue Mar 2017 #54
They can either offer healthcare or not. If they want to sell cars or fix toasters, fine. Eliot Rosewater Mar 2017 #3
So the laws should be rewritten to mandate that every hospital guillaumeb Mar 2017 #4
Not the same thing. Eliot Rosewater Mar 2017 #5
But people can and will die because every hospital is not a Level 1 Trauma Center. guillaumeb Mar 2017 #7
I dont know what the legal or medical requirements are for abortion services as Eliot Rosewater Mar 2017 #10
He's attempting to defend the denial of medical care to women by religious institutions. trotsky Mar 2017 #15
Nice of you to substitute your words for mine. guillaumeb Mar 2017 #22
Like I said, I know what you are doing. n/t trotsky Mar 2017 #34
Knowing what someone is doing, and thinking that you know, guillaumeb Mar 2017 #35
I am aware of that. trotsky Mar 2017 #39
The end. guillaumeb Mar 2017 #47
I think at the very least they should have to preform medically necessary abortions. hrmjustin Mar 2017 #8
Are you saying that a lifesaving procedure should be required, guillaumeb Mar 2017 #9
It should be required if it is a medically necessary procedure. hrmjustin Mar 2017 #11
For religious reasons, like a jealous husband, safeinOhio Mar 2017 #16
In the current conservative climate, that requirement has little support. guillaumeb Mar 2017 #24
Who decides what is medically necessary? Mariana Mar 2017 #33
All good points. That is why in the end I think they should be required to preform abortions period. hrmjustin Mar 2017 #46
If they provide edhopper Mar 2017 #14
This message was self-deleted by its author Act_of_Reparation Mar 2017 #17
No. Act_of_Reparation Mar 2017 #18
You make an important distinction that I would like to add to my initial post. trotsky Mar 2017 #19
Are you saying it's okay for a hospital to opt out of caring for women? What? bettyellen Mar 2017 #21
No, that's not at all what I'm saying. Act_of_Reparation Mar 2017 #26
Sorry - was replying to Trotsky who said IF they provide women's services... bettyellen Mar 2017 #41
Yeah I guess it's kind of a caveat that SHOULDN'T exclude anyone, quite frankly. trotsky Mar 2017 #42
Agreed- it's like a legal segregation of women that has life or death consequences! bettyellen Mar 2017 #43
The same reasoning the OP is using is what Hobby Lobby and the Catholic Church have been. trotsky Mar 2017 #44
It is messed up. There is a shortage of all specialists in some remote areas. Act_of_Reparation Mar 2017 #45
Yes. Of course they should. bettyellen Mar 2017 #20
Even in the face of religious objections? guillaumeb Mar 2017 #25
I don't think they should have 100% catholic staff either. If they discriminate on a religious basis bettyellen Mar 2017 #27
Agreed. I understand that there are religious objections guillaumeb Mar 2017 #28
Not providing certain services would be fine by me... uriel1972 Mar 2017 #31
Agreed. national healthcare is the only solution to this type of problem. guillaumeb Mar 2017 #32
Ah, the old "in the absence of something better we must be grateful for something shitty" canard. Act_of_Reparation Mar 2017 #29
See #28 for my personal view. guillaumeb Mar 2017 #30
You nailed it. n/t trotsky Mar 2017 #40
Generally vs legally TXCritter Mar 2017 #48
If such a law were to be passed, guillaumeb Mar 2017 #49
It bears repeating. Act_of_Reparation Mar 2017 #50
What does this say about the US when so many people have little or no access to healthcare? guillaumeb Mar 2017 #51
Answer the question. Act_of_Reparation Mar 2017 #52
What kind of society does the same thing? guillaumeb Mar 2017 #53
Answer the question, please. Act_of_Reparation Mar 2017 #64
It says that they are (presumably) making decisions guillaumeb Mar 2017 #65
People who would let (presumably) thousands die rather than perform an historectomy... Act_of_Reparation Mar 2017 #66
Decisions have consequences. guillaumeb Mar 2017 #67
Cool story, bro. Act_of_Reparation Mar 2017 #68
Interesting response. Are you discussing Jury Procedures? guillaumeb Mar 2017 #69
I'm OK with that TXCritter Mar 2017 #62
I agree and would go further and say all public health care should be secular. eom guillaumeb Mar 2017 #63
They need to adhere to the standard of care Warpy Mar 2017 #55
I feel that all health care operations should be publicly funded. guillaumeb Mar 2017 #56
A doctor does the abortion, not the hospital. procon Mar 2017 #57
My question goes to requirements. guillaumeb Mar 2017 #58
Any hospital that accepts Medicare patients follow the JCAHO criteria. procon Mar 2017 #59
And does this JCAHO mandate what particular services must be offered? guillaumeb Mar 2017 #60
There's tons of info online that will give you more details than I can. nt procon Mar 2017 #61

trotsky

(49,533 posts)
1. Absolutely yes and if someone doesn't think so, they don't belong on this site.
Wed Mar 8, 2017, 12:31 PM
Mar 2017

Women have DIED because their Catholic hospital wouldn't perform certain services (just to clue you in here, it's not just about abortion).

So fuck the religious assholes who think they can dictate medical treatment options to others based on their interpretation of an old book written by superstitious and ignorant people.

guillaumeb

(42,641 posts)
2. Allow me to repeat my question:
Wed Mar 8, 2017, 12:34 PM
Mar 2017
Does the US require that all US facilities must provide all medical services?

Should the law provide that every hospital must provide every service? In my area, there is a Level 1 trauma center. Should level 1 be the minimum standard? If not, does that not open the possibility that some patients could die due to not being able to access all services that they need?

trotsky

(49,533 posts)
12. I fully understand what you are trying to accomplish here. Your agenda is clear.
Wed Mar 8, 2017, 12:49 PM
Mar 2017

I have stated my opinion.

Fix The Stupid

(948 posts)
6. Let me guess how the reply to this one will go...
Wed Mar 8, 2017, 12:38 PM
Mar 2017

"Absolutely yes and if someone doesn't think so, they don't belong on this site"

Cite? Is there someone on this site who thinks like that? No cite, means you are lying.

"Women have DIED because their Catholic hospital wouldn't perform certain services"

I have never heard of this, so it didn't happen. Liar.

"So fuck the religious assholes who think they can dictate medical treatment options to others based on their interpretation of an old book written by superstitious and ignorant people"

Do you think calling them assholes will endear them to your cause? What proof do you have these are assholes? Do you have any proof like a cite or something that this old book was was written by superstitious and ignorant people? No proof means you are a liar.


Am I close? What do I win?

trotsky

(49,533 posts)
13. Don't forget, were I challenged to provide evidence of women dying, and then do so...
Wed Mar 8, 2017, 12:52 PM
Mar 2017

the goalposts would be moved to say that "well by WOMEN according to my understanding that means hundreds and you have only provided 7 examples so you still haven't proven your statement."

Given the proven and documented history of this dishonest behavior, I have accordingly scaled back my willingness to put forth any significant effort in responding.

guillaumeb

(42,641 posts)
23. You do have a documented history.
Wed Mar 8, 2017, 02:57 PM
Mar 2017

That is correct. Numerous times you have accused me of behavior with no proof. And that pattern continues, or continued as of yesterday.

 

scscholar

(2,902 posts)
38. Exactly. There is no freedom from government right
Wed Mar 8, 2017, 03:45 PM
Mar 2017

even though we have the right of freedom from religion. The government can restrict religion.

Eliot Rosewater

(31,112 posts)
3. They can either offer healthcare or not. If they want to sell cars or fix toasters, fine.
Wed Mar 8, 2017, 12:34 PM
Mar 2017

But healthcare is not like a menu at a Chinese restaurant.

No substitutions.

guillaumeb

(42,641 posts)
4. So the laws should be rewritten to mandate that every hospital
Wed Mar 8, 2017, 12:36 PM
Mar 2017

must offer every service? All must be Level 1 trauma centers?

guillaumeb

(42,641 posts)
7. But people can and will die because every hospital is not a Level 1 Trauma Center.
Wed Mar 8, 2017, 12:39 PM
Mar 2017

And if end of life services and doctor assisted suicide is an option, would that also be mandated at all hospitals?

Eliot Rosewater

(31,112 posts)
10. I dont know what the legal or medical requirements are for abortion services as
Wed Mar 8, 2017, 12:44 PM
Mar 2017

in equipment, accreditation of physicians.

And if there is unique requirements that are not bullshit made up by local governments (funny how the right loves government when they can use it to discriminate and harm) that result in a given facility unable to provide the service, that is one thing.


trotsky

(49,533 posts)
15. He's attempting to defend the denial of medical care to women by religious institutions.
Wed Mar 8, 2017, 01:01 PM
Mar 2017

Basically he's trying to say that since not every human being in the world has access to a level 1 trauma center hospital, women who can't get the reproductive care they want (or that will save their lives) at a Catholic-run hospital should just STFU and deal with it. In the name of protecting religious beliefs, of course.

This kind of argument has a name - it's called the fallacy of relative privation (or the "not as bad as" fallacy):

https://www.logicallyfallacious.com/tools/lp/Bo/LogicalFallacies/155/Relative-Privation
http://rationalwiki.org/wiki/Not_as_bad_as

guillaumeb

(42,641 posts)
22. Nice of you to substitute your words for mine.
Wed Mar 8, 2017, 02:55 PM
Mar 2017

If we are to be consistent, than all services should be equally available to all people.

If government allows healthcare providers to choose which services they will offer, this situation will continue.

 

hrmjustin

(71,265 posts)
8. I think at the very least they should have to preform medically necessary abortions.
Wed Mar 8, 2017, 12:40 PM
Mar 2017

I think they should have to provide birth control.

Everyone has an opinion on abortion but if you are in the medical field you should be prepared to deal with medical reality and abortion is at times a necessary medical procedure.

guillaumeb

(42,641 posts)
9. Are you saying that a lifesaving procedure should be required,
Wed Mar 8, 2017, 12:43 PM
Mar 2017

even if that abortion will result in the death of a fetus?

I would agree.

As to birth control, that can also be medically necessary for women. In other cases it is elective. A better argument, in my view, would be to require that insurance cover birth control.

 

hrmjustin

(71,265 posts)
11. It should be required if it is a medically necessary procedure.
Wed Mar 8, 2017, 12:46 PM
Mar 2017

Personally I think they should be required to preform elective abortions and have to provide birth control.

safeinOhio

(32,696 posts)
16. For religious reasons, like a jealous husband,
Wed Mar 8, 2017, 01:20 PM
Mar 2017

it should be required for Christian hospitals.

Numbers 5:11-31

just saying

Mariana

(14,858 posts)
33. Who decides what is medically necessary?
Wed Mar 8, 2017, 03:27 PM
Mar 2017

Everyone has their own opinions on what is a medically necessary abortion. Can a woman get an abortion if she has a pregnancy that might kill her in the future, but isn't killing her right now? Can she get an abortion if it's determined that the pregnancy is damaging her health, but probably won't kill her outright? Some believe a woman has to be literally dying before an abortion should be considered medically necessary.

 

hrmjustin

(71,265 posts)
46. All good points. That is why in the end I think they should be required to preform abortions period.
Wed Mar 8, 2017, 05:45 PM
Mar 2017

edhopper

(33,592 posts)
14. If they provide
Wed Mar 8, 2017, 12:52 PM
Mar 2017

all other OBGYN services, including treatment of miscarriages (which is essentially abortion) and doesn't provide abortion solely based on religious grounds, then yes.

Response to guillaumeb (Original post)

Act_of_Reparation

(9,116 posts)
18. No.
Wed Mar 8, 2017, 01:41 PM
Mar 2017

All licensed OB/GYN divisions and clinics should.

Glad we pulled ourselves out that moral quandary. Time for lunch.

trotsky

(49,533 posts)
19. You make an important distinction that I would like to add to my initial post.
Wed Mar 8, 2017, 01:44 PM
Mar 2017

IF the hospital provides OB/GYN services, then YES, they should be required. Because abortion, sterility treatments, etc. are all OB/GYN services.

Act_of_Reparation

(9,116 posts)
26. No, that's not at all what I'm saying.
Wed Mar 8, 2017, 03:09 PM
Mar 2017

I said licensed OB/GYN divisions and clinics should be required to provide contraceptive care and abortions.

 

bettyellen

(47,209 posts)
41. Sorry - was replying to Trotsky who said IF they provide women's services...
Wed Mar 8, 2017, 03:58 PM
Mar 2017

Fuck me, it's so hard knowing we still have to fight this.
IF they have women's health services, how messed up is that?

trotsky

(49,533 posts)
42. Yeah I guess it's kind of a caveat that SHOULDN'T exclude anyone, quite frankly.
Wed Mar 8, 2017, 04:22 PM
Mar 2017

I mean, if somewhere is providing health services for human beings (men and women), it should provide ALL reproductive care options for women.

Sorry for any confusion. We are definitely on the same side of this issue!

 

bettyellen

(47,209 posts)
43. Agreed- it's like a legal segregation of women that has life or death consequences!
Wed Mar 8, 2017, 04:34 PM
Mar 2017

So upsetting to hear about these constant attacks on women.

trotsky

(49,533 posts)
44. The same reasoning the OP is using is what Hobby Lobby and the Catholic Church have been.
Wed Mar 8, 2017, 04:41 PM
Mar 2017

Demanding the ability to discriminate against women and deny them access to medical care they need - all in the name of putting religious privilege at the top of the pyramid of rights.

Act_of_Reparation

(9,116 posts)
45. It is messed up. There is a shortage of all specialists in some remote areas.
Wed Mar 8, 2017, 04:59 PM
Mar 2017

I know a pediatric hematologist in the Upper Peninsula who serves three counties. Some of his patients drive up to three hours to get to his office.

guillaumeb

(42,641 posts)
25. Even in the face of religious objections?
Wed Mar 8, 2017, 03:05 PM
Mar 2017

That argument will be an uphill fight in the current climate where religious objection is presumed to overrule the rights of others.

far better, in my opinion, would be to state that no hospital can be owned or operated by a religious institution or order. But that would require that the state take responsibility, or private corporations. I prefer a state run system, like the VA.

 

bettyellen

(47,209 posts)
27. I don't think they should have 100% catholic staff either. If they discriminate on a religious basis
Wed Mar 8, 2017, 03:10 PM
Mar 2017

That's wrong. There's a way to peacefully coexist, and denying women medical care has no place in it.

guillaumeb

(42,641 posts)
28. Agreed. I understand that there are religious objections
Wed Mar 8, 2017, 03:13 PM
Mar 2017

to certain things, but a hospital should not be run by religious orders.

If a doctor tells patients in advance that he/she will not perform certain services, the patient will know and can choose another doctor.

Another argument for a national health service to provide care.

uriel1972

(4,261 posts)
31. Not providing certain services would be fine by me...
Wed Mar 8, 2017, 03:23 PM
Mar 2017

If and only if there is an easily accessible alternative. I understand the RCC is on something of a buying spree of hospitals and the US public system is in bad shape and with Trumpocare only going to get worse.

If this is the case then the RCC better provide safe, accessible abortion/reproductive medicine or get out of the hospital game as far as I am concerned. As they say, if you can't stand the heat, get out of the kitchen. If you can't provide the care that people need, sell up to someone who can.

guillaumeb

(42,641 posts)
32. Agreed. national healthcare is the only solution to this type of problem.
Wed Mar 8, 2017, 03:25 PM
Mar 2017

Getting that national healthcare is the problem.

Act_of_Reparation

(9,116 posts)
29. Ah, the old "in the absence of something better we must be grateful for something shitty" canard.
Wed Mar 8, 2017, 03:16 PM
Mar 2017

Let me ask you something:

If the Church decides it would rather abandon millions of sick people than allow a few doctors to perform a few abortions on their premises, what does that say about the Church?

 

TXCritter

(344 posts)
48. Generally vs legally
Wed Mar 8, 2017, 10:49 PM
Mar 2017

Generally, morally, yes they should.

Legally, finding a statutory mechanism to bind them without running afoul of religious protections -

1) Any hospital which receive government funding should be required to provide abortions

2) The ability and willingness to provide abortions should be a requirement of licensing for any/all ob-gyn/maternity services

3) Any hospital which is a sanctioned or de-facto monopoly should be required to be willing and able to provide any/all generally-practiced ob-gyn/maternity services

Thus, in order for any hospital to opt-out of such services they must

1) Accept no government funding
2) Opt-out of ob-gyn/maternity market AND
3) there must be a readily accessible alternative in the same market.

Act_of_Reparation

(9,116 posts)
52. Answer the question.
Thu Mar 9, 2017, 04:13 PM
Mar 2017

What kind of "Church" abandons people to die because they aren't allowed to adulterate the medical care provided at their facilities according to the whims of their deity?

guillaumeb

(42,641 posts)
65. It says that they are (presumably) making decisions
Fri Mar 10, 2017, 10:17 AM
Mar 2017

based on how they interpret their beliefs.

What other answer would anyone expect them to say?

And I would accept that response as valid.

Act_of_Reparation

(9,116 posts)
66. People who would let (presumably) thousands die rather than perform an historectomy...
Fri Mar 10, 2017, 11:27 AM
Mar 2017

...are just "making decisions based on how they interpret their beliefs."

guillaumeb

(42,641 posts)
67. Decisions have consequences.
Fri Mar 10, 2017, 05:46 PM
Mar 2017

Whether it was the decision to drop 2 nuclear devices, or Stalin's decision to kill off his opponents, or many other examples of people making decisions that have fatal consequences.

And given that there are many hospitals, and not all of them Catholic, we are back at the question of whether all procedures should be required to be available at all hospitals.

Act_of_Reparation

(9,116 posts)
68. Cool story, bro.
Mon Mar 13, 2017, 11:46 AM
Mar 2017

But we've already addressed your question about required procedures. It is unfortunate you are no longer able to participate in that thread, but as you noted, decisions have consequences.

 

TXCritter

(344 posts)
62. I'm OK with that
Thu Mar 9, 2017, 11:57 PM
Mar 2017

If that's how they want to be they shouldn't be running hospitals in the first place. Churches like that shouldn't be involved in anything involving science like hospitals, education, counseling, etc.

Warpy

(111,286 posts)
55. They need to adhere to the standard of care
Thu Mar 9, 2017, 04:26 PM
Mar 2017

even when it involves all those icky doodle lady bits.

IOW, if a woman presents with an ectopic pregnancy, surgery should be immediate. They shouldn't send her home to wait for it to rupture, endangering her life the way Catholic hospitals do. If a fetus is dead, it needs to be removed instead of sending a woman home with a dead baby inside her to wait for her to die of sepsis.

These policies are both insane and deadly. With Catholic hospitals the only option in some areas, the rules on patient care need to be tightened. If they can't cope with treating women's health issues in a timely and caring fashion, the church needs to get out of the business completely.

guillaumeb

(42,641 posts)
56. I feel that all health care operations should be publicly funded.
Thu Mar 9, 2017, 04:28 PM
Mar 2017

But that is not reality in 2017 America.

procon

(15,805 posts)
57. A doctor does the abortion, not the hospital.
Thu Mar 9, 2017, 04:41 PM
Mar 2017

The hospital only provides the facilities, equipment, and the ancillary staff. Not all hospitals offer OBGYN services, or other specialty services for that matter. Notably, the hospital is likely not accredited for those services and would lack the equipment and trained staff to safely do those procedures in house, whicj would place patients at risk. Even so, there must also be a qualified doctor who had hospital privileges and was available at the time.

Hospitals must abide by Federal and state regulations and they can't just decide to open, say, a cardiac care unit, or start seeing OBGYN patients until they have met the minimum criteria to assure patients can be cared for properly. Even if a patient arrived in the ER the hospital would try to transport them to a hospital that was accredited to perform the procedures that patient needed.

Since abortions don't require the use of a hospital, this seems more like a question in search of an argument.

procon

(15,805 posts)
59. Any hospital that accepts Medicare patients follow the JCAHO criteria.
Thu Mar 9, 2017, 06:20 PM
Mar 2017

It also applies to skilled nursing facilities, surgical centers, home health agencies, labs and others. Accreditation is a comprehensive review process to ensure a facility has the ability to meet the highest standard of quality care. It has to be repeated every few years to make sure the facility is in compliance with laws, patients’ rights, even their financial records are reviewed, but patient care, staffing, and safety protocols are key. The accreditation is usually required for state licensure and certification which is needed by insurance companies.

Now, if some rural doctor added a few hospital beds to his spare rooms, the state would never know if he called that a hospital. There are probably small privately owned hospitals that fly under the radar and do a cash and carry business that could let them avoid accreditation and licensing, at least until something went wrong.




guillaumeb

(42,641 posts)
60. And does this JCAHO mandate what particular services must be offered?
Thu Mar 9, 2017, 06:25 PM
Mar 2017

The question, it seems to me, should be why all hospitals are not state run. That would avoid the question of religious hospitals denying certain services and the only question would be how to fund these hospitals.

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