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A Compromise That Would Have Cost Obama Nothing

It looks as if we have reached a point where a compromise between the Obama administration and the American bishops is unlikely. Both sides are hardening in their positions. There are reports that the bishops are planning to take the Obama administration to court, arguing that the contraception mandate violates the First Amendment guarantee of freedom of religion.

The bishops are distancing themselves from Catholic groups that have expressed satisfaction with the “accommodation” offered to them by the president: Sister Carol Keehan of the Catholic Health Association, for instance, told reporters she was “pleased and grateful that the religious liberty and conscience protection needs of so many ministries that serve our country were appreciated enough that an early resolution of this issue was accomplished.”

The bishops contend the accommodation did no such thing, and they are not alone. Charles Krauthammer called it an “accounting gimmick,” as did Paul Rahe of Hillsdale College, writing for National Review Online, where he said Obama’s compromise was a “farce,” a “snare and a delusion” designed to permit “bishops, priests, and nuns to save face while, in fact, paying for the contraception and abortifacients that the insurance companies will be required to provide.”

Obama’s accommodation proposes that Church authorities who run hospitals, schools, and other facilities will be entitled to tell their employees that the health care insurance provided by the Church does not cover contraceptives, the “morning after pill,” or sterilization, but that the health insurance company that covers the Catholic institution will be free to contact the employees of that institution and inform them that they are entitled to “free” coverage of these things from the insurance company in question. It is this “cut-out” of the Catholic institution that Sr. Keehan contends protects “religious liberty.”

The problem, as Krauthammer and Rahe point out, is that the premiums of the insurance company will still be paid by the Catholic institution. The insurance company will not provide “free” coverage for contraceptives, certainly as time goes by. The cost will be buried in the insurance premium the Catholic institution pays to provide health care coverage for their employees. That is the accounting gimmick. Insurance companies do not exist to offer free coverage.

Is there a compromise the Obama administration could have offered that would have avoided this difficulty? There is. Obama could have required all health insurance companies to provide coverage for contraception free of charge for everyone in the United States in a stand-alone policy, and then issue a press release informing employees of Catholic institutions who do not receive coverage for contraception from their employer that they can contact—on their own—whichever of these companies that they prefer.

Not that this state of affairs would be ideal for Catholics or the leaders of the Church. But it would place the birth control mandate under Obamacare in the same category as the wide range of taxpayer-funded provisions for birth control that the Church lives with, and opposes through the political process in a less than militant manner.

For examples, condoms are distributed in schools supported by Catholic taxpayers. Planned Parenthood distributes contraceptives with the help of funding from the federal government. Medicaid programs in many states—New York, New Jersey, Massachusetts, Minnesota, Illinois, for starters—provide contraceptives to the poor. Tricare, the U.S. military’s health insurance program, covers birth control pills, diaphragms, and intrauterine devices. The U.S. Department of Health and Human Services provides lists of community health centers, public clinics, and hospitals where birth control devices are available free of charge. Catholic taxpayers pay for all these things.

But what makes the Obama mandate for the coverage of contraception by Catholic employers different—in both its original form and in the so-called “accommodation”—is the directness of the Church’s financing of contraception, abortifacients, and sterilization. Catholic institutions pay insurance premiums that go directly toward providing what the Church considers immoral; arguably, it forces Church leaders to commit an immoral act. (Women who are denied coverage for free contraceptives from their Catholic employer, by the way, are not forced to behave immorally. They are inconvenienced. That is a major difference. There is no moral equivalence.)

Catholics understand that because we live in a pluralistic society their tax dollars and government policy may be directed in a manner they find morally offensive. But they understand as well that the appropriate remedy for such a situation is at the ballot box and working in the public arena to bring about the changes they seek. We don’t expect the bishops to mount the barricades over every morally questionable practice of our government. George Orwell once said, “Civilization is about drawing lines.” It is a point that applies to this situation.

The question is, why didn’t the Obama administration offer an accommodation that would have permitted them to position themselves as the defenders of American women by offering “free” contraceptives? That they chose the “accounting gimmick” instead makes a strong case that they were actively seeking a wedge issue to weaken the Church and its teachings, as well as the Catholic vote. If that is their intention, the leaders of the Church have no room for compromise.

James Fitzpatrick is the author of several books and his columns have appeared in First Things, National Review, the New Oxford Review, and Intercollegiate Review. He writes two weekly columns for The Wanderer.

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Comments:

4.5.2012 | 5:04am
Michael PS says:
Surely, it is not a question of who pays. If an insurance policy is a passport to free contraception, then providing an employee with that policy facilitates an immoral act, even if, for example, the government were to reimburse the insurance company for the cost of contraception

As long as the insurance policy is the means of obtaining free contraception, there is material co-operation on the part of the employer who provides the coverage.

Free, universal coverage would, as Mr Fitzpatrick suggests, would remove this linkage.

One wonders if Sr Carol Keehan has ever read the Provincial Letters
4.5.2012 | 7:38am
Joe DeVet says:
The proposal in this article would probably be morally acceptable.

However, I would still object to it on political/economic grounds. Inviting the federal government to mandate that private companies provide for free any economic good or service should be beyond their Constitutional reach. Or at least the kind of thing that they should refrain from doing.

In any case, we must rid ourselves of this grasping, overreaching, and immoral administration.
4.5.2012 | 8:07am
WFBC says:
The proposed solution above seems doomed in a Supreme Court: " Obama could have required all health insurance companies to provide coverage for contraception free of charge for everyone in the United States in a stand-alone policy...". Can he order Wendy's to give free fries or drug stores to give free asprin?
And why am I smelling clericalism herein. It's okay for 63 million Catholics to pay for countrywide abc through higher health insurance premiums but the identical higher paying by Catholic institutions is not okay. Are we chopped liver?
I think the Church will slowly accept the original compromise off camera like she accepted moderate interest on loans in the 1830's... which compromise probably will stand up in court and I'm sensing the Church will not close all...all applicable institutions.
4.5.2012 | 9:41am
Michael says:
For what reason is Sister Carol Keehan still CATHOLIC?
4.5.2012 | 10:55am
When we will Catholics realize that NO 'compromise' is acceptable when it is with the world, the flesh, or the devil? Didn't Catholics learn when we soothed our conscious over Roe v Wade? We are all guilty of allowing Catholic Democrats to spread the culture of death while we fret about our precious 'conscience'. Lord have mercy on us.
4.5.2012 | 11:10am
Neil says:
How "direct" would a Catholic college's perceived cooperation with evil (i.e., the provision of contraceptives) be under the revised Obama mandate? Let's say that it is mediate material cooperation. The college does not wish to provide contraceptives and takes steps to minimize scandal by protesting against the mandate before acceding to it. The college assumes that most employees who use contraception would find other ways to obtain it even without its mandated coverage in the health insurance plan. Finally, the college believes that the good of providing health insurance is proportionate to the evil of cooperating with the provision of contraception, especially with a "cut-out" further limiting its proximity.

To get at the level of "directness," perhaps we can compare the Catholic college to

1. A Catholic student who has to pay a student activities fee to enroll at a prestigious secular liberal arts college and discovers that mandatory student activities fees help directly pay for a few activities that she considers clearly immoral (e.g., "Sex Week"), as well as many more activities that she considers to be very good.

2. A Catholic businesswoman runs a drugstore that contributes to the common good in numerous ways, but also, because it is judged necessary to stay in business (and perhaps avoid controversy), provides customers with contraceptives and magazines that possibly serve as masturbation aids. She reluctantly signs order forms for the contraceptives and magazines, while clearly limiting the proportion of the evil - keeping the condoms behind the counter, ordering swimsuit magazines but shunning pornography.

3. A Catholic librarian at a reference desk at a college library answers questions from students in English classes who tell her that they are writing argumentative papers for legalized abortion or stem cell research or ending religious tax exemptions. Often, she is asked for the "best" sources or even the "best" arguments for these practices. Occasionally, she is asked by the grateful students to look over essays supporting these practices in order to "improve" the essays.

All of these seem to me to be examples of mediate material cooperation in which the Catholic has a different intention than the students participating in Sex Week, isn't necessarily causing scandal by offering the "usual" things found in a drugstore, isn't essential - the customers would presumably find masturbation aids elsewhere, and is attaining a proportionate good - the librarian is giving students the critical thinking skills that might eventually get them to see the problems with, say, legalized abortion.

Should the student drop out, the drugstore close, and the librarian resign?
4.5.2012 | 11:40am
Gail Finke says:
WFBC: If the President really can require insurance companies to provide these things free of charge, then he SHOULD require all "all health insurance companies to provide coverage for contraception free of charge for everyone in the United States in a stand-alone policy..." Really, that was one of the more ridiculous things I have ever heard anyone say, and I can't believe President Obama said it with a straight face -- or that there were not howls of laughter from everyone in the country. 1) He can't require insurance companies to do that at all. 2) If he could and did, what about all the companies that would still have to pay? Why in the world WOULD they? What a load of nonsense. Yet people continue to talk about this as if it were remotely rational and even possible. I feel more and more as if I live in some world where people can't think at all!
4.5.2012 | 12:39pm
"The question is, why didn’t the Obama administration offer an accommodation that would have permitted them to position themselves as the defenders of American women by offering 'free' contraceptives? That they chose the 'accounting gimmick' instead makes a strong case that they were actively seeking a wedge issue to weaken the Church and its teachings, as well as the Catholic vote."

Indeed it does make a strong case that the benefit was to benefit himself and the Democratic Party instead of the general welfare (or however you put it) of the citizens of the U.S.

It goes deeper, however. It was an intentional act to make American Christians violate their consciences, like the mandate in ancient Rome to blaspheme Christ and proclaim, "Caesar is Lord." President Obama is like the adulterer in Proverbs 6:26 (NASB). He will take all you have, and intentionally defile your soul too:

"For on account of a harlot one is reduced to a loaf of bread,
And an adulteress hunts for the precious life."

As J. Budziszewksi wrote on this website in "The Revenge of Conscience," the people in the Obama administration who are running this have a cancerous and malignant conscience that is propelling them to drag others down to their own level so they will be relieved of the reminders of their own evil choices.
4.5.2012 | 1:17pm
Noahdiah says:
The bishops should lead a vigorous legal challenge, continue their clear teaching on the matter, and seek others to join them. The very concept that any President can "accommodate" rights guaranteed to citizens in the Constitution is deeply offensive and completely wrong, for in fact every President has taken an oath which includes the commitment “…to the best of my ability, preserve, protect, and defend the Constitution of the United States.” As Pope Benedict has very ably pointed out during his recent visit to Cuba, the religious liberty is a natural right of each person and is immutably both public and private. Never before in the history of our nation has such a blatant and dangerous assault on our liberty been waged by a Commander in Chief – and we would be wise to remember that every President carries that title.
4.5.2012 | 1:39pm
Wolf Paul says:
I agree with Gail Finke that many of the takes on this situation sound like people are not thinking straight.

The problem with the mandate starts with the general assumption that contraceptives (including any "after the fact" solutions) are health care. This implies that pregnancy is an illness and detrimental to a woman's health.

While this may be true in a minute percentage of cases, in the majority of cases it is not healthcare but the enabling of particular lifestyle choices.

As such it is not something that should be paid for by any sort of government-mandated scheme or through the solidarity of the citizenship, but by those choosing those lifestyles.
4.5.2012 | 3:30pm
Joe DeVet says:
I should qualify my earlier statement, that the proposed compromise would probaby be morally acceptable.

It is, of course, not morally acceptable to use contraception, as such, in any circumstances, according to Catholic teaching. Which I believe is true--and good and beautiful altogether. Thus, the provision of contraception, and its use, would in this case still be morally wrong for provider and user alike.

What could be morally acceptable would be the position of the Catholic institution, if a scheme like the one proposed took the question of contraception entirely out of the relationship between the institution and its employees.
4.5.2012 | 4:53pm
I see this so-called accommodation as a less than subtle appeal by the Obama re-election campaign to those women deeply paranoid their right to choose is about to be taken away by the religious right. In other words, it is a deliberate, Chicago-style political wager that the women Obama needs voting for him will have a visceral reaction against those nasty old Roman Catholic bishops who would deny them. As commented on in the recent print issue, Nancy Pelosi said 98% of Roman Catholic women don't follow the Church's teaching on contraception (loved the 2 pinnochio assessment of Pelosi's remarks from the Washington paper).
4.5.2012 | 5:28pm
Mike M says:
James Fitzpatrick and the two he cites, Charles Krauthammer and Paul Rahe, are all men of the very far right. Anyone interested in a balanced discussion here?
4.5.2012 | 5:36pm
Ancius says:
Speaking of an "accounting gimmick"! Fitzpatrick's observations about taxation don't so much suggest a Pareto superior alternative as they undermine the Church's "religious freedom" objections to the new health insurance policy.

But Neil frames the problem excellently. Until the U.S. Bishops can adequately respond to the sorts of cases Neil describes, how can they expect any thoughtful person to accept that they are even trying to be reasonable? Archbishop Dolan's behavior looks like pure demagoguery.
4.5.2012 | 6:49pm
Paul A. Rahe says:
One trivial correction to your argument. My piece appeared on Ricochet (www.ricochet.com).
4.5.2012 | 6:59pm
TJH says:
The problem with this whole policy is the premise that it is just for any government to coerce any employer to offer health insurance to its employees. Health insurance should be between patients and their insurance agents. No employer involvement.
4.5.2012 | 8:48pm
Don Roberto says:
Mr. Fitzpatrick's suggestion is *not* morally acceptable because it would require Catholic-owned insurance companies to provide "coverage" for this immoral, cancer-causing, psychologically harmful, demographically suicidal, environmentally-damaging, *recreational* drug. One cannot worship God and Mammon, nor can he worship God and Venus. Mammon doesn't care, nor does Venus; but our God—the One True God—is a jealous God.

4.6.2012 | 8:25am
Angela says:
Neil: In the cases you cite, each person has a decision to make...they have a choice. Morality and being true to your beliefs isn't always easy, or convenient. The student, drugstore owner and librarian each have a choice in how to deal with their situation. In the case of the Catholic Church being forced to provide contraception, the goverment is trying to take away their choice by enacting a law REQUIRING them to violate their morality. It is a violation of the First Amendment.
4.6.2012 | 9:36am
Neil says:
Dear Angela,

You are right that "each person has a decision to make." But the student, drugstore owner, and librarian have incredibly difficult choices that involve dropping out, closing, or resigning. The Catholic college "forced to provide contraception" also has a choice - it could refuse to provide insurance for its employees and give them a cash sum to find their own insurance. (Bishop Lynch of St Petersburg has brought up this scenario.)

Obviously, one wishes that the Catholic college was not put in this position. But it isn't clear to me why it lacks a choice that the student, drugstore owner, and librarian each retain.

Thanks.
4.6.2012 | 9:59am
Traditionally, the Church has always taught that, while the Church and State are distinct societies, the Church, in the person of the Pope, has indirect power over civil authority. “There may occur a clash between the spiritual good and temporal convenience or expediency, and on such occasions the temporal sovereign must yield to the spiritual.” The Church has this right because it serves a higher end, the human being’s eternal salvation.

This doctrine has been obscured, since Pius VII, misled by his evil advisers, entered into a Concordat with the usurper, Napoléon, thereby undermining the sacred and indissoluble alliance between Throne and Altar that had endured since the Edict of Thessalonica of Impp Gratianus, Valentinianus, Theodosius [CJ.1.1.1pr] of 27 February 380, the Magna Carta of the Catholic Church.
4.6.2012 | 7:32pm
Mark VA says:
In addition to creating a wedge issue to promote de-laminating the Church from the inside, I also think that another explanation is possible.

In the scenario where the state insists on becoming the sole provider of health care (among other things), there will be no room left for independent providers, and their troublesome consciences. The decision not to offer a compromise may be calculated to precipitate such a situation, where the state is confident it will eventually become the sole player.

It is not inconceivable that the Bishops will lose control over the 600 plus Catholic hospitals in our nation. These hospitals cannot be closed, but they can come under new management. And if the hospitals go, how much longer will the Catholic schools remain under Bishop's oversight?

This was the reality the Church faced in many places during the last century. On the plus side, we're still being offered the freedom to "worship".
4.11.2012 | 12:00pm
steve says:
Definitely it's not about who pays, but as Mike said, Obama government should provide coverage for contraception free of charge for everyone in need. But the problem goes deeper, however.
4.29.2012 | 10:45am
Roger says:
We were compromised long before we got here. Try and buy health insurance from any secular provider like lay people have to do in the real world. In most every state all plans include coverage for contraception, sterilization and even abortion under some circumstances. It's been the case for years.

We are already well traveled down a very bad road. Even without the mandate we are already arrived. The mandate is nothing more than a perverse confirmation of that fact.

When the Catholic Church wins this battle the lay person is still right back in the same exact situation the Church was in and no one is talking about that.
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