Unvaccinated medical workers turn to religious exemptions

When nurse Julia Buffo was told by her Montana hospital that she had to be vaccinated against COVID-19, she responded by filling out paperwork declaring that the shots run afoul of her religious beliefs.

She cited various Old and New Testament verses including a passage from Revelation that vaccine opponents often quote to liken the shots to the “Mark of the Beast.” She told her managers that God is the “ultimate guardian of health” and that accepting the vaccine would make her “complicit with evil.”

Religious exemptions like the one Buffo obtained are increasingly becoming a workaround for unvaccinated hospital and nursing home workers who want to keep their jobs in the face of federal mandates that are going into effect nationwide this week.

In some institutions, religious exemptions are being invoked by staff and approved by managers in large numbers. It’s a tricky issue for hospital administrators, who are struggling to maintain adequate staff levels and are often reticent to question the legitimacy of the requests.

“We’re not going to have a Spanish inquisition with Torquemada deciding if your religious exemption is granted or not by the Grand Inquisitor,” said Dr. Randy Tobler, CEO of Scotland County Hospital in Missouri, where about 25% of the 145 employees remain unvaccinated and 30 of them have been granted exemptions.

Tobler, who is vaccinated, said some employees threatened to quit if they were required to get the shot.

“For people that want to judge what we’re doing in rural America, I’d love them to come and walk in our shoes for a little while, just come and sit in the desk and try to staff the place,” Tobler said.

At Cody Regional Health in Wyoming, about 200 of the 620 staffers have asked for religious exemptions and most have been granted. Montana Gov. Greg Gianforte pledged his support last week to “defending Montanans against discrimination based on their vaccination status” in an open letter to medical workers and urged the unvaccinated to consider seeking exemptions. And West Virginia lawmakers have advanced a proposal with health care workers in mind that would let those who quit because their exemption was denied collect unemployment.

As of Monday, health care workers in 24 states — all but three of which went for then-President Donald Trump in the 2020 election — will be required to have received their first vaccine dose or an exemption. The mandate already took effect late last month in jurisdictions that didn’t challenge the requirement in court, although enforcement actions won’t begin immediately.

It affects a wide swath of the industry, covering doctors, nurses, technicians, aides, hospital volunteers, nursing homes, home-health agencies and other providers that participate in the federal Medicare or Medicaid programs.

Beyond the federal mandate, some hospitals and cities have imposed their own requirements. One of the most sweeping is in New York City, where public workers faced termination if they weren’t vaccinated by Friday. The military branches have their own vaccine mandates, but commanders have been loath to grant religious exemptions.

While reasons given for seeking exemptions vary, the vaccines’ remote link to fetuses aborted decades ago is often cited — lab-grown cell lines descended from those fetuses were used in testing and manufacturing processes. The vaccines do not contain fetal cells, however, and workers generally are seeking the exemptions without the backing of major denominations and prominent religious leaders.

But as the health care mandate takes effect, hospital leaders acknowledge that they see the exemptions as a way to retain staff at a time when resources are already stretched thin.

“Our position has been we would we want we want everyone vaccinated,” said Brock Slabach, chief operations officer for the National Rural Health Association. “But we also think that access to care is incredibly important.”

Similar stories abound across the country.

At the 25-bed Community Hospital in McCook, Nebraska, in the southwestern part of the state, about 20% of the 320 employees have not been vaccinated. About 35 applied for exemptions, and others are still deciding what to do. The hospital has rejected some requests that relied on specious religious reasoning.