Pastor surveilled after ministering to migrants sues US government

Pastor surveilled after ministering to migrants sues US government

Video Courtesy of Park Avenue Christian Church


A prominent Manhattan pastor has filed a federal lawsuit alleging that U.S. officials violated her religious freedom when she was put on a watchlist over her ministry to migrants at the border.

The Rev. Kaji Douša, senior pastor of Park Avenue Christian Church and longtime advocate for immigrants’ rights, was the only clergy member listed in a secret government database created to collect information on the caravan of Central American migrants that traveled through Mexico toward the U.S. border last fall.

Her lawsuit against the Department of Homeland Security, Immigration and Customs Enforcement and U.S. Customs and Border Protection argues that placing her on the watchlist and surveilling her violated her First Amendment rights and the Religious Freedom Restoration Act.

“I think that what ICE and CBP and DHS are doing is not legal,” Douša told Religion News Service “There is so much rhetoric about so-called illegal immigration, and I don’t understand why people who say ‘do it legally’ don’t apply those same standards to their own government.”

People protest against U.S. immigration policies on the American side, right, of the Mexico-America border near Tijuana on Dec. 10, 2018. RNS photo by Jair Cabrera Torres

Working with the New Sanctuary Coalition, an immigrant advocacy organization, Douša participated in a 40-day “Sanctuary Caravan” of faith leaders in Tijuana, Mexico, late last year to provide pastoral services to hundreds of migrants seeking asylum in the U.S. When she returned to the U.S. in January, federal immigration officials detained her for several hours and interrogated her about her work ministering to migrants at the border and in New York City.

“They interrogated her about her motives,” the complaint states. “They interrogated her about her associations. They revealed to Pastor Douša that they had collected detailed information about her and her pastoral work. And they revoked the access she had previously been granted to expedited border crossing.”

Under a program dubbed Operation Secure Line and revealed through leaked DHS documents obtained by San Diego’s NBC affiliate in March, the federal government targeted more than 50 journalists, lawyers and immigration advocates and subjected them to repeated questioning by border authorities.

The documents included Douša’s name and photo with a yellow “X” across her face, reportedly denoting that her Secure Electronic Network for Travelers Rapid Inspection, or SENTRI, pass to expedite border crossings had been revoked, apparently due to her connection with the migrants.

ICE declined to comment on the allegations due to the pending litigation.

Douša, a United Church of Christ pastor, has spent years ministering to migrants, both at her Park Avenue church and previously as a pastor at the United Church of Christ of La Mesa, near the border in California.

More than 230 clergy members, including UCC’s top leadership and prominent faith leaders such as the Rev. Nadia Bolz-Weber and Rabbi Joshua Stanton, have signed a letter supporting Douša.

“In this country, the government cannot decide to whom we may preach or with whom we may pray,” the letter reads. “We believe we should take a stand and say so together … Because, mark our words: If we let them come for some of us now, they will come for all of us in time. That we cannot abide.”

Douša argued that the agencies “significantly burdened” her free exercise of religion, which includes serving the “least of these,” per an excerpt from the Gospel of Matthew that introduces Douša’s complaint.

The lawsuit also alleges that the government has diminished her ministry by compromising her “covenant of confidentiality” with worshippers, who she said include immigrants as well as prominent and powerful Manhattanites.

“It’s very, very difficult for people to be able to have a conversation where they unburden their conscience and seek the path to redemption when they’re worried about whether or not there’s a microphone in the confessional,” Douša said. “I don’t know the extent of the government surveillance. I don’t want to make anybody more vulnerable.”

Rev. Kaji Douša. Photo courtesy of UCC

One of the women she had officiated a wedding for in Tijuana was questioned specifically about her connection with Douša when she presented herself for asylum, the lawsuit alleges.

“The U.S. government cannot retaliate against a member of the clergy because it disfavors the people she leads in prayer,” Arnold & Porter Kaye Scholer LLP, the law firm representing Douša along with Protect Democracy, said in a statement. “While this sort of authoritarian tactic might fly in other nations we revile as unjust, our Constitution and laws forbid it.”

“I’m not a criminal,” Douša said. “Nothing I’ve done is illegal. I don’t encourage anyone to do anything illegal. And I don’t think they could ever really allege that because there would be no evidence to support it.”

Instead, she said, the government “seems to want to make it as difficult as possible to know the truth about what’s happened at the border. And I see and witness what is happening at our border, and there’s very clear evidence that government does not like that.”

In a related case, federal prosecutors announced last week that they will pursue a retrial against border activist Scott Warren, a volunteer with the faith-based migrant advocacy group No More Deaths, who is facing felony charges and possible prison time for providing humanitarian aid to migrants at the U.S.-Mexico border.

Could black philanthropy help solve the black student debt crisis?

Could black philanthropy help solve the black student debt crisis?

Left: Robert Smith. Right (clockwise from left): Beyonce Knowles-Carter, Jay-Z, LeBron James and Nicki Minaj.
Reuters, USA Today

When billionaire Robert E. Smith decided to pay off the student loans of the graduating class of 2019 at Morehouse College, he suggested that others follow his lead.

“Let’s make sure every class has the same opportunity going forward, because we are enough to take care of our own community,” Smith declared in his commencement speech.

But is there even enough black private wealth in the United States to pay off all black student loan debt?

As a scholar in social transformation and African American studies, I’m intrigued by this question. It provides an opportunity to examine black wealth, higher education and the possibilities for alleviating debt, which in turn opens the door to new economic opportunities.

Black celebrities give to higher education

Smith’s gift is estimated to be worth US$40 million and will benefit 396 students.

That’s a lot of money, and he’s done it before. Before his gift to Morehouse, Smith donated $50 million to Cornell University, his alma mater, in part to support African American and female students at Cornell University’s College of Engineering.

Other black celebrities have also stepped up to fund education. Powerhouse couple Beyonce and Jay Z gave more than $1 million in scholarships to students who lived in cities they were touring in 2018.

Rapper Nicki Minaj gave 37 “Student of the Game” scholarships. LeBron James, through his foundation, promised to pay for 2,300 students to attend the University of Akron – at an estimated price tag of $100 million. Oprah Winfrey has donated more than $400 million to educational causes.

But with just five black billionaires in the United States – Smith, Winfrey, David Steward, Michael Jordan and Jay-Z – monumental gifts like the one that Smith made will likely be few and far between.

Is Smith’s claim that “we are enough to take care of our own community” true of all the black wealth in the U.S.?

Philanthropy among African Americans

A strong heritage of black philanthropy dates back to mutual aid societies of the 1700s and 1800s in which free blacks sought to help fellow blacks facing hardships or distress and, in later years, in need of education and job training.

Black charitable giving also arose from the black church and fraternal organizations throughout the 1800s and 1900s with movements such as abolitionism, the Black Women’s Club Movement and the civil rights movement.

Mary Church Terrell, the first president of the National Association of Colored Women, described how charitable organizations had “a keen sense of the responsibility” to secure economic and educational resources, “lifting as we climb” up the ladder of social mobility. This ethic of giving was also present among the early black economic elite such as Thomy Lafon, Madame C.J. Walker and James Forten.

Black giving remains strong to this day. Despite racial wealth gaps, black families contribute larger portions of their wealth than any other racial and ethnic group. The W.K. Kellogg Foundation reports that two-thirds of all black households donate to charitable causes. This giving amounts to about $11 billion annually, most of which goes to religious organizations.

But how much of it goes to higher education? African Americans across the socioeconomic spectrum report donating 17% to education – both K-12 and post-secondary institutions and scholarship funds. That adds up to about $1.8 billion donated annually.

Counting black millionaires

The percentage of black households worth over $1 million has remained at or below 2% since 1992, or about 877,000 based on 2018 population estimates.

Among black high net worth households – those with a net worth of more than $1 million (not counting the value of their primary home) or with an annual household income of $200,000 – 49% report giving to higher education. This is significant since across all racial groups, the share of dollars donated by high net worth individuals to higher education was only 4%.

Black student loan debt

Student loan debt in the U.S. reached an all-time high in 2019, making it the second-highest consumer debt category behind mortgage debt. Over 44 million borrowers owe roughly $1.5 trillion in student loan debt.

Looking at 2016 data, 86.4% of blacks completing a bachelor’s degree had some form of student loan debt, and the average amount borrowed was $34,010. If we multiply the total number of blacks that graduated with some form of debt – roughly 168,000 – by the average amount borrowed per individual, the average cumulative debt for this one graduating class was roughly $5.7 billion. This includes graduates from all colleges – public as well as private – but not community colleges.

Of course, looking at it at the most basic level, the collective wealth among America’s black billionaires – which totals $13.4 billion with the recent addition of Jay-Z – can easily subsidize the debt of a single graduating class.

And while a more sophisticated calculation is undoubtedly warranted, a rough estimate shows that the $5.7 billion in black student debt could be covered by America’s black millionaire households if each one chose to devote $6,500 toward eliminating the overall debt.

Of course, the debt load for black students goes far beyond one graduating class. The majority of blacks in the labor force that hold a bachelor’s degree or higher have some form of student loan debt. This means that the figures for the entire black population with outstanding student loan debt across generations are significantly higher than $5.7 billion.

Robert Smith’s gift to the class of 2019 at Morehouse provoked an interesting discussion about whether black philanthropy can alleviate black student loan debt. However, one-off philanthropic efforts that help a small group of beneficiaries can’t compete with the kind of large-scale change needed to alter the course of an entire community.The Conversation

Mako Fitts Ward, Clinical Assistant Professor, African and African American Studies & Women and Gender Studies, School of Social Transformation, Arizona State University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

How Black Pharmacists Are Closing The Cultural Gap In Health Care

How Black Pharmacists Are Closing The Cultural Gap In Health Care

SHILOH, Ill. — After a health insurance change forced Bernard Macon to cut ties with his black doctor, he struggled to find another African American physician online. Then, he realized two health advocates were hiding in plain sight.

At a nearby drugstore here in the suburbs outside of St. Louis, a pair of pharmacists became the unexpected allies of Macon and his wife, Brandy. Much like the Macons, the pharmacists were energetic young parents who were married — and unapologetically black.

Vincent and Lekeisha Williams, owners of LV Health and Wellness Pharmacy, didn’t hesitate to help when Brandy had a hard time getting the medicine she needed before and after sinus surgery last year. The Williamses made calls when Brandy, a physician assistant who has worked in the medical field for 15 years, didn’t feel heard by her doctor’s office.

“They completely went above and beyond,” said Bernard Macon, 36, a computer programmer and father of two. “They turned what could have been a bad experience into a good experience.”

Now more than ever, the Macons are betting on black medical professionals to give their family better care. The Macon children see a black pediatrician. A black dentist takes care of their teeth. Brandy Macon relies on a black gynecologist. And now the two black pharmacists fill the gap for Bernard Macon while he searches for a primary care doctor in his network, giving him trusted confidants that chain pharmacies likely wouldn’t.

Black Americans continue to face persistent health care disparities. Compared with their white counterparts, black men and women are more likely to die of heart disease, stroke, cancer, asthma, influenza, pneumonia, diabetes and AIDS, according to the Office of Minority Health.

But medical providers who give patients culturally competent care — the act of acknowledging a patient’s heritage, beliefs and values during treatment — often see improved patient outcomes, according to multiple studies. Part of it is trust and understanding, and part of it can be more nuanced knowledge of the medical conditions that may be more prevalent in those populations.

For patients, finding a way to identify with their pharmacist can pay off big time. Cutting pills in half, skipping doses or not taking medication altogether can be damaging to one’s health — even deadly. And many patients see their pharmacists monthly, far more often than annual visits to their medical doctors, creating more opportunities for supportive care.

That’s why some black pharmacists are finding ways to connect with customers in and outside of their stores. Inspirational music, counseling, accessibility and transparency have turned some minority-owned pharmacies into hubs for culturally competent care.

“We understand the community because we are a part of the community,” Lekeisha Williams said. “We are visible in our area doing outreach, attending events and promoting health and wellness.”

To be sure, such care is not just relevant to African Americans. But mistrust of the medical profession is especially a hurdle to overcome when treating black Americans.

Many are still shaken by the history of Henrietta Lacks, whose cells were used in research worldwide without her family’s knowledge; the Tuskegee Project, which failed to treat black men with syphilis; and other projects that used African Americans unethically for research.

“They completely went above and beyond,” says Macon (center) of Vincent and Lekeisha Williams, owners of LV Health and Wellness Pharmacy.

Filling More Than Prescriptions

At black-owned Premier Pharmacy and Wellness Center near Grier Heights, a historically black neighborhood in Charlotte, N.C., the playlist is almost as important as the acute care clinic attached to the drugstore. Owner Martez Prince watches his customers shimmy down the aisles as they make their way through the store listening to Jay-Z, Beyoncé, Kirk Franklin, Whitney Houston and other black artists.

Prince said the music helps him in his goal of making health care more accessible and providing medical advice patients can trust.

In rural Georgia, Teresa Mitchell, a black woman with 25 years of pharmacy experience, connects her customers with home health aides, shows them how to access insurance services online and even makes house calls. Her Total Care Pharmacy is the only health care provider in Baconton, where roughly half the town’s 900 residents are black.

“We do more than just dispense,” Mitchell said.

Iradean Bradley, 72, became a customer soon after Total Care Pharmacy opened in 2016. She struggled to pick up prescriptions before Mitchell came to town.

“It was so hectic because I didn’t have transportation of my own,” Bradley said. “It’s so convenient for us older people, who have to pay someone to go out of town and get our medicine.”

Lakesha M. Butler, president of the National Pharmaceutical Association, advocates for such culturally competent care through the professional organization representing minorities in the pharmacy industry and studies it in her academic work at the Edwardsville campus of Southern Illinois University. She also feels its impact directly, she said, when she sees patients at clinics two days a week in St. Charles, Mo., and East St. Louis, Ill.

“It’s just amazing to me when I’m practicing in a clinic setting and an African American patient sees me,” Butler said. “It’s a pure joy that comes over their face, a sigh of relief. It’s like ‘OK, I’m glad that you’re here because I can be honest with you and I know you will be honest with me.’”

She often finds herself educating her black patients about diabetes, high blood pressure, high cholesterol and other common conditions.

“Unfortunately, there’s still a lack of knowledge in those areas,” Butler said. “That’s why those conditions can be so prevalent.”

Independent black-owned pharmacies fill a void for African American patients looking for care that’s sensitive to their heritage, beliefs and values. For Macon, LV Health and Wellness Pharmacy provides some of that vital support.

Avoiding Medical Microaggressions

For Macon, his experiences with medical professionals of backgrounds different from his own left him repeatedly disappointed and hesitant to open up.

After his wife had a miscarriage, Macon said, the couple didn’t receive the compassion they longed for while grieving the loss. A few years later, a bad experience with their children’s pediatrician when their oldest child had a painful ear infection sparked a move to a different provider.

“My daughter needed attention right away, but we couldn’t get through to anybody,” Macon recalled. “That’s when my wife said, ‘We aren’t doing this anymore!’”

Today, Macon’s idea of good health care isn’t colorblind. If a doctor can’t provide empathetic and expert treatment, he’s ready to move, even if a replacement is hard to find.

Kimberly Wilson, 31, will soon launch an app for consumers like Macon who are seeking culturally competent care. Therapists, doulas, dentists, specialists and even pharmacists of color will be invited to list their services on HUED. Beta testing is expected to start this summer in New York City and Washington, D.C., and the app will be free for consumers.

“Black Americans are more conscious of their health from a lot of different perspectives,” Wilson said. “We’ve begun to put ourselves forward.”

But even after the introduction of HUED, such health care could be hard to find. While about 13% of the U.S. population is black, only about 6% of the country’s doctors and surgeons are black, according to Data USA. Black pharmacists make up about 7% of the professionals in their field, and, though the demand is high, black students accounted for about 9% of all students enrolled in pharmacy school in 2018.

For Macon, though, the Williamses’ LV Health and Wellness Pharmacy in Shiloh provides some of the support he has been seeking.

“I still remember the very first day I went there. It was almost like a barbershop feel,” Macon said, likening it to the community hubs where customers can chitchat about sports, family and faith while getting their hair cut. “I could relate to who was behind the counter.”

Donor-funded journalism is on the rise in Africa: why it needs closer scrutiny

Donor-funded journalism is on the rise in Africa: why it needs closer scrutiny

Some African journalists are concerned that foreign funders may influence what they cover and how.EPA-EFE/Jayden Joshua

 

An enormous and increasing portion of the foreign development aid coming into Africa annually is for media development. Foreign aid funds diverse projects, ranging from investigative journalism in Nigeria to stories on Chinese building projects in Kenya, or health reporting in South Africa.

The news media landscape and journalism practices – on the continent as well as globally – have undergone massive change in recent times. This, coupled with the collapse of familiar business models, and the limited potential for genuinely independent “watchdog” journalism, the relationship between external influences on local cultures and practices of journalism needs to be reassessed.

A report last year, by the American Centre for International Media Assistance, concluded that about US$600 million a year is spent on media development in Africa by state and private funders. This may exceed a billion dollars if the opaque amount China spends on media operations and training globally is included. Much of this is focused on Africa.

But how does this aid influence journalism in Africa?

Our recent international study examined the impact of foreign development aid on media systems in seven African countries. These were Ghana, Ethiopia, Nigeria, Tanzania, Senegal, South Africa, and Sudan. A separate report focused on Latin America.

We witnessed parallel and intensifying debates among media workers in developing countries who accept (or depend on) foreign funding. Funders themselves are also increasingly reflecting on their objectives and how they measure success. And, the role of foundations in funding journalism is coming under increasing scrutiny.

Much of the media aid industry still holds the view that media workers and institutions in the South should emulate their counterparts in the North. But, our study took a different approach. We asked to what extent a flow of foreign money has affected the ability of developing regions to foster a critical and independent media sector.

Chinese versus Western perspectives

Journalists who took part in our project worried that the foreign assistance or travel they’ve received may limit the stories they can tell, or influence the way they tell them. On the other hand, they often feared that without foreign financial support, critical journalism in their countries would vanish.

The colonial powers of Britain, France, and Portugal still cast a long shadow over Africa’s media. More recently, however, African media has been shaped by the US and China. Many foreign interventions are small, like the funding of a single investigative news story, for example. But some are massive.

Since the end of the Second World War in 1945, foreign aid has been directed at disseminating a model of journalism practice and education that aligns with the interests of wealthy, Northern donor nations. Chinese involvement in Africa has led to questions being asked about the assumptions underpinning Western media funding and training.

Because Chinese media are based on a very different model, their initiatives have caused anxiety among journalists and commentators steeped in the liberal-democratic tradition. This tradition emphasizes the “watchdog” role of journalism.

Chinese media, on the other hand, adopt a more persuasive and positive tone and favor official perspectives. This, while taking a critical view of the history of Western involvement in Africa. This approach is sometimes called “constructive journalism.” It promises to present Africa in a more positive light than the stereotypes that have historically characterized Western coverage.

The establishment of Chinese media outlets such as China Global Television Network, the wire service Xinhua, and China Radio International in Africa have been seen as part of China’s strategy to increase its visibility overseas.

Simultaneously, the cultural diplomacy component of media aid has seen African journalists receive offers for paid travel to Europe, North America, and especially to China.

We know little about how these exchanges – and other forms of foreign investment by corporate or religious institutions – affect African media and the stories they tell.

The fear is that the Chinese model, because of the government’s control over the media, is dangerous to introduce in African countries where press freedom has often come under attack.

But fears about a major shift may be overblown or premature given that research has shown that the influence of Chinese media on journalists and audiences in Africa remains minimal.

For its part, Western aid has resulted in an Anglo-American culture of journalism education, which has proved impractical to implement in countries with illiberal political regimes.

A quandary

Should under-resourced African journalists accept any foreign funding?

This is a difficult question. There are risks that come from shunning aid. This includes missed opportunities to develop African media or report independently on local power brokers.

On the other hand, aid can be used to coerce journalists to change their norms and practices unduly.

Media producers and users in developing countries need to be more vigilant about foreign media support. And they need to evaluate it. For citizens in countries that provide such aid, the challenge is to scrutinize the efforts made in their name.The Conversation

Herman Wasserman, Professor of Media Studies and Director of the Centre for Film and Media Studies, University of Cape Town; Audrey Gadzekpo, Professor in the Department of Communication Studies, University of Ghana, and Chris Paterson, Senior Lecturer in International Communication, University of Leeds

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Churches Wipe Out Millions In Medical Debt For Others

Churches Wipe Out Millions In Medical Debt For Others

Video courtesy of RIP Medical Debt


The leaders of Pathway Church on the outskirts of Wichita, Kan., had no clue that the $22,000 they already had on hand for Easter would have such impact.

The nondenominational suburban congregation of about 3,800 had set out only to help people nearby pay off some medical debt, recalled Larry Wren, Pathway’s executive pastor. After all, the core membership at Pathway’s three sites consists of middle-income families with school-age kids, not high-dollar philanthropists.

But then they learned that, like a modern-day loaves-and-fishes story, that smaller amount could wipe out $2.2 million in debt not only for the Wichita area but all available debt for every Kansan facing imminent insolvency because of medical expenses they couldn’t afford to pay — 1,600 people in all.

As Wren thought about the message of Easter, things clicked. “Being able to do this provides an opportunity to illustrate what it means to have a debt paid that they could never pay themselves,” he said. “It just was a great fit.”

Churches in Maryland, Illinois, Virginia, Texas and elsewhere have been reaching the same conclusion. RIP Medical Debt, a nonprofit organization based in Rye, N.Y., that arranges such debt payoffs, reports a recent surge in participation from primarily Christian places of worship. Eighteen have worked with RIP in the past year and a half, said Scott Patton, the nonprofit’s director of development. More churches are joining in as word spreads.

The mountain of bills they are trying to clear is high. Medical debt contributes to two-thirds of bankruptcies, according to the American Journal of Public Health. And a 2018 Kaiser Family Foundation/New York Times poll showed that of the 26% of people who reported problems paying medical bills, 59% reported a major life impact, such as taking an extra job, cutting other household spending or using up savings. (Kaiser Health News is an editorially independent program of the foundation.)

The federal Consumer Financial Protection Bureau proposed a rule last month to curb debt collectors’ ability to bug those with outstanding bills, and some states have tried various measures, such as limiting the interest rates collectors may charge. But until a comprehensive solution emerges, churches and others are trying to ease some of the load by jumping into the debt market.

A big part of RIP’s appeal comes from the impact even a small donation can have, say participating church leaders. When a person can’t pay a bill, that debt is often packaged with other people’s debt and sold to bill collectors for some fraction of the total amount of the bill. Those debts usually come from low-income people and are more difficult to collect.

RIP Medical Debt buys debt portfolios on this secondary market for pennies on the dollar with money from its donors. But instead of collecting the debt, RIP forgives it.

To be eligible for repayment from RIP, the debtor must be earning less than twice the federal poverty level (about $25,000 a year for an individual), have debts that are 5% or more of their annual income and have more debt than assets.

Because hospitals and doctors are eager to get those hard-to-collect debts off their books, they sell them cheap. That’s how, Patton said, those 18 churches have been able to abolish $34.4 million of debt since the start of 2018.

Working this way puts a high-dollar project within reach of even small churches. Revolution Annapolis, a nondenominational Maryland church with Sunday attendance of around 200 and without a permanent building, wiped out $1.9 million in debt for 900 families in March. Total amount raised: $15,000.

Revolution leaders heard about RIP Medical Debt on a segment of John Oliver’s “Last Week Tonight” in 2016, said Kenny Camacho, lead pastor. But at the time, they didn’t think they had the resources to make much of a splash.

After hearing about another church that paid off millions last year, Revolution leaders decided to try it. At most, they hoped to have an impact in their area, Camacho said. But the money went much further, eventually covering 14 counties in eastern and central Maryland.

Emmanuel Memorial Episcopal Church, a congregation of about 175 families in Champaign, Ill., had a similar experience. The original idea was to try to have an impact just in Champaign County, said the Rev. Christine Hopkins. But their $15,000 abolished $4 million of debt for the entire diocese, which stretches across the southern half of the state.

“We were bowled over, actually,” Hopkins said. “It was to the point of tears.”

In many cases, churches have not had to do a fundraising campaign because their contribution came from money already on hand. Emmanuel Episcopal, for instance, had leftovers from a campaign set up a year ago to celebrate the centennial of its church building.

The Fincastle Baptist Church, with 1,600 members in the Roanoke, Va., area used money it had budgeted for an annual “Freedom Fest” event to honor first responders, and then partnered with local television station WSLS in a telethon to raise more. That effort abolished over $2.7 million in medical debt targeted at veterans.

The RIP nonprofit allows donors to choose geographic areas they want to reach and can pinpoint veterans as recipients. But beyond that, no restrictions are allowed, Patton said. A church can’t specify which types of medical procedures could be paid for or anything about the background of the recipients.

That didn’t bother church leaders contacted for this story. But it is a subject that’s been broached by donors of all types in the past, Patton said.

For instance, some potential donors have asked to exclude people from different faiths or certain political parties, he said. “It’s just absurd. This is not a revenge tactic,” Patton said. “People who are requesting those things really don’t understand philanthropy.”

Churches don’t necessarily experience a direct return in the way of new members. All the processing goes through RIP Medical Debt, which sends letters notifying the beneficiaries their debts have been forgiven. Donors can have their names listed on those letters, but not everyone opts to do so.

New membership wasn’t the point for Pathway Church in Kansas, Wren said. “Sometimes the more powerful spiritual message is when you’re able to do something for somebody that you’ll never meet.”

The Revolution Church decided against putting its name on the notification letters, Camacho said, because it didn’t want beneficiaries to feel obligated. “When a person has their debt forgiven, we want them to experience that as a kind of no-strings-attached gift,” he said. “We don’t want there to be any sense that because we did this now they should visit our church or something.”

Besides, he said, the gift covered an area large enough that some beneficiaries live a couple of hours away. “I would much rather them think more positively about the church down the street from where they live.”

Donors sometimes hear back from the people whose debts they’ve paid, but not often. Many don’t expect it. “I guess that’s a biblical story, too. Jesus forgave 10, and only one said thank you,” Hopkins said.

Churches have a lot of choices when it comes to charity, but medical debt and affordability issues often resonate with parishioners. Some churches are worried enough about medical costs for their members that they subscribe to cost-sharing nonprofits, in which members pay each other’s medical bills.

Medical mission work has long been an important form of outreach for Fincastle Baptist Church in Virginia, said associate pastor Warren King. The church runs a free clinic, and mission trips to other countries usually include a medical component.

Paying off medical debt is an extension of that line of thinking. “We need to do not just this thing but many things that practically show the love of God,” King said. “It’s hard to tell somebody God loves you if they’re starving and you don’t try to deal with the problem.”

Hopkins said the debt outreach was a satisfying project for her Illinois congregation because it could resolve a problem for the beneficiaries. “We do a lot of outreach that’s food-related and housing-related. This was something different,” Hopkins said. “You help feed somebody, and you’re feeding them again the next day. This was something that could make an impact.”