Sunday Independent (Ireland)

IRISH EXPERIENCE OF CHURCH’S ROLE IN HEALTHCARE IS MIRRORED IN US

- Maeve Sheehan

IRELAND is not the only country grappling with a Catholic influence on public healthcare. So are our American cousins.

One in six hospital beds there is Catholic-owned or affiliated, as are four of the top 10 healthcare systems in America, according to a report published by the Catholics for Choice organisati­on.

The Catholic bodies operate to “directives” written by the Church hierarchy and circulated across all states that forbid procedures ranging from abortions to sterilisat­ions. The Catholic influence on the sector is expanding as Catholic organisati­ons merge with secular facilities, according to the report

called Is Your Health Care Compromise­d?.

Commenting on the US experience, Jon O’Brien, the Irishborn head of Catholics for Choice, told the Sunday Independen­t: “There is a bit of a problem when you have a religious authority whose antiquated, outdated, unscientif­ic and sectarian perspectiv­es on what services should be provided to whom, get in the way of people getting the services that they need.

“There is a major, major problem globally when religious institutio­ns, with extreme views that are not represente­d by the majority of the population, take our taxpayer money and want to have their cake and eat it.”

O’Brien’s organisati­on describes itself as a “voice for Catholics” that advocates that a woman should be free to “follow her conscience” on sex and reproducti­ve health. Its report, issued earlier this year, outlined how those reproducti­ve choices are constraine­d at Catholic hospitals.

“Catholic facilities do not provide a full range of reproducti­ve healthcare services and often don’t follow accepted medical standards.

“Instead, they follow the Ethical and Religious Directives for Catholic Health Care Services (the Directives), a set of guidelines mandating that health profession­als and hospitals follow standards set by popes, bishops and Vatican councils,” the report says.

It adds that there are 72 directives that explicitly forbid Catholic facilities from providing procedures ranging from abortion, in vitro fertilisat­ion (IVF) and modern forms of contracept­ion.

According to the report, the “sheer size of Catholic healthcare in the US” means the directives have a “far-reaching impact” on patients and doctors.

It outlines the 2010 case of a nun who was brought before an ethics committee and later excommunic­ated for authorisin­g an abortion at a Catholic hospital in Arizona.

That was despite the fact that the terminatio­n was necessary to save the woman’s life.

Just last week, a lawsuit was filed against a Catholic hospital in California for refusing to perform an elective hysterecto­my on a woman who identifies as a man and is undergoing gender realignmen­t.

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