‘Obamacare’ Is About Access, Not Excess

MASS REPEAL: Calls for the dismantling of President Obama’s signature healthcare legislation have gone into overdrive since the Supreme Court ruled the law as constitutional last month. (Jonathan Ernst/Newscom)

The federal government has not taken over health care. The federal government has taken over access to health care. There is a difference.

When I was a student at Morehouse College in the early 1970s, activists launched a campaign to address the shortage of African American doctors in the state of Georgia. They produced bumper stickers that asked “Only 100 Black doctors in Georgia?” with a map of the state’s 139 counties in the background. With many of those 100 doctors concentrated in urban areas such as Atlanta, people voiced clear concern over access to health care for thousands of African Americans in rural, poor and remote areas. Morehouse College President Hugh Gloster responded to this concern by founding the Morehouse School of Medicine, which joined Howard University Medical School, Meharry Medical College and the Charles Drew School of Medicine (similarly founded to address access issues in the Los Angeles area) as the nation’s only predominantly Black medical schools.

Were the government to have taken over health care, the government would be proffering medical diagnoses, prescribing medicine, and performing surgery. This is not the case. What the Supreme Court’s ruling upheld on June 28 was not government-controlled health care, but a federal system that expands access to health care for millions of Americans, mostly poor and many people of color. In a country where national strength finds measure on barometers of military might and economic prosperity, Scripture connects a nation’s well being to its care for the poor. In the fifth chapter of the biblical book bearing his name, Jeremiah challenges his nation, saying:

5:26 For among my people are found wicked men: they lay wait, as he that setteth snares; they set a trap, they catch men.

5:27 As a cage is full of birds, so are their houses full of deceit: therefore they are become great, and waxen rich.

5:28 They are waxen fat, they shine: yea, they overpass the deeds of the wicked: they judge not the cause, the cause of the fatherless, yet they prosper; and the right of the needy do they not judge.

5:29 Shall I not visit for these things? saith the Lord: shall not my soul be avenged on such a nation as this?

And among the judgments God speaks through Ezekiel, health care stands prominently:

34:4 The diseased have ye not strengthened, neither have ye healed that which was sick, neither have ye bound up that which was broken, neither have ye brought again that which was driven away, neither have ye sought that which was lost; but with force and with cruelty have ye ruled them.

Interestingly, the arguments against the healthcare reform upheld by the Supreme Court do focus on the problem of systemic access, and the price to be paid for it — whether the price is monetary in the form of the penalty for failure to carry health insurance or individual liberty in the form of governmental coercion. Yet in both cases, the plight of the poor and needy, the sick and infirm, goes unaddressed. How to make health care accessible for those on the margins of society receives little attention from those who would dismantle “Obamacare.” Promises to repeal the legislation without offering a clear alternative for how we as a nation make health care available and accessible to all persons reduces “the least of these” to political pawns, whose lives represent fodder for a political machine designed to appeal to the self-interests of America’s middle class.

UPHOLDING THE LAW: Supporters of President Obama’s healthcare reform rallied outside the Supreme Court chambers prior to the Court’s historic ruling on June 28. (Jonathan Ernst/Newscom)

Such a move must be resisted by President Obama and supporters of the legislation. The president campaigned for much of 2008 by appealing to that same middle class. He has lost some of their support with his championing of this version of reform, but that is precisely because our electoral system makes it difficult to appeal to a moral high ground as a strategy for garnering support (unless the issues revolve around sexuality and/or abortion). Some who have been disappointed by the president but still support him for reelection need to become more vocal in raising this issue above individual self interest to the moral high ground, much as Jim Wallis and Sojourners put forth the notion that poverty is a moral issue in the 2004 presidential campaign.

The question of access to health care ought matter significantly to people of faith. But it is easy to see how a church whose own theology promises personal prosperity apart from systemic issues of justice can miss the mark of its high calling to care for the poor. Indeed, it is as if a central claim of many messages draws directly from the Rev. Frederick J. Eikerenkoetter, better known as Reverend Ike: “The best thing you can do for the poor is not be one of them.”

Our ministry to the sick must move beyond prayer and visitation, and our work amongst the poor requires more than acts of charity. Justice questions continue to loom large in a nation with rampant inequality in quality of life, minimized access to maximal care, and economic stumbling blocks that tie the quality of health to possession of wealth. The spiritual gift of healing is not restricted to those in a specific economic category. If God’s divine, miraculous intervention to bring healing cannot be tied to social status, why should not a national healthcare philosophy be similarly non-discriminatory?

The Supreme Court ruling on the constitutionality of the Affordable Care Act provides the opportunity for the various agencies: government, hospitals, physicians, pharmaceutical companies, insurance companies, and employers to move with plans for implementation. It is good news for many who currently have little if any access to health care.

While many decry the “intrusion of big government,” an unanswered question for Christians who have opposed healthcare reform is “how has the church mobilized on behalf of the sick and the poor?” In other words, could it be that the intrusion of “big government” in part reflects a gaping hole in our mission to care for the least of these through ministries of mercy, prayer for healing, and advocacy for the oppressed? Are we so busy with “destiny and prosperity” that our attentions have been taken from our responsibilities to fulfill Jesus mission in Luke 4 and Matthew 25?

‘Obamacare’ Prevails: Supreme Court Upholds Healthcare Law

In a 5-4 vote, the U.S. Supreme Court upheld the Patient Protection and Affordable Care Act today, including the controversial individual mandate that requires all Americans to buy health insurance beginning in 2014. However, the ruling limited the federal government’s power to punish states for not expanding Medicaid coverage, as the ACA required.

“The Court did not sustain it as a command for Americans to buy insurance, but as a tax if they don’t. That is the way Chief Justice John G. Roberts, Jr., was willing to vote for it, and his view prevailed. The other Justices split 4-4, with four wanting to uphold it as a mandate, and four opposed to it in any form,” Lyle Denniston, the 81-year-old reporter, wrote on SCOTUS blog today.

The immediate sense is that this is a major victory for President Barack Obama and the signature legislation from his first term in office. “Whatever the politics,” the president said after the ruling, “today’s decision was a victory for people all over this country whose lives will be more secure because of this law and the Supreme Court’s decision to uphold it.”

But the decision also was an indication that the Supreme Court perhaps isn’t as predictably partisan as many believed prior to the announcement. Breaking with the court’s other conservative justices, Chief Justice Roberts announced the judgment that allows the law to go forward with its mission of covering more than 30 million uninsured Americans. Many observers speculate that Roberts’s ruling reflected his attempt to avoid going down in history as an activist chief justice on what might be the most important decision of his tenure.

UrbanFaith spoke to a variety of legal and medical experts about what the implications of today’s decision may be.

BERNARD JAMES: “An extraordinarily important substantive issue about the power of Congress under the Commerce Clause.”

Bernard James, professor of law at Pepperdine University in Malibu, California, along with three other sources UrbanFaith talked to earlier this week, expected the individual mandate to be struck down, but said the ruling has the potential to answer “an extraordinarily important substantive issue about the power of Congress under the Commerce Clause.”

The Commerce Clause refers to Article 1, Section 8, Clause 3 of the U.S. Constitution. It gives Congress the power to regulate commerce with foreign nations and among the states.

“Once it’s clear what the Commerce Clause permits and what it requires, not just health care, but all other subjects on the current agenda for this Congress will be more easily pondered and legislated,” said James.

“There were not five votes to uphold [the individual mandate] on the ground that Congress could use its power to regulate commerce between the states to require everyone to buy health insurance. However, five Justices agreed that the penalty that someone must pay if he refuses to buy insurance is a kind of tax that Congress can impose using its taxing power,” editor Amy Howe wrote on the SCOTUS blog. “Because the mandate survives, the Court did not need to decide what other parts of the statute were constitutional, except for a provision that required states to comply with new eligibility requirements for Medicaid or risk losing their funding. On that question, the Court held that the provision is constitutional as long as states would only lose,” she wrote in her summary of the ruling.

JAMES A. DAVIDS: “This is like federalism on steroids.”

James A. Davids, former president of the Christian Legal Society and a joint professor at the Robertson School of Government and the School of Law at Regent University in Virginia Beach, Virginia, said that ever since the New Deal was implemented in the 1930s, the Supreme Court has viewed federal power “expansively.” That vision of federal power was “tweaked” under the Renquist court, Davids said, in its rulings on two bills, the Violence Against Women Act of 1994 and the Gun-Free School Zones Act of 1990. As with today’s ruling, the court said then that there may be good reasons to enact these laws, but not under the Commerce Clause. “There were exceptions going into the power of the government under the Renquist court, under federalism issues, and this is like federalism on steroids,” said Davids.

Davids also said the Rehnquist court ruled that it was constitutional for the federal government to withhold highway funding from South Dakota when the state refused to comply with the National Minimum Drinking Age Act. In this case, the Court said current Medicaid funding cannot be revoked, but new funding can be withheld.

“Nothing in our opinion precludes Congress from offering funds under the ACA to expand the availability of health care, and requiring that states accepting such funds comply with the conditions on their use. What Congress is not free to do is to penalize States that choose not to participate in that new program by taking away their existing Medicaid funding,” Chief Justice Roberts wrote in his opinion. Roberts, who was appointed by President George W. Bush, cast the deciding vote to uphold the ACA.

DR. BEN CARSON:“We got what could be expected” from politicians.

For Dr. Ben Carson, the world-famous neurosurgeon and director of pediatric neurosurgery at Johns Hopkins Children’s Center in Baltimore, Maryland, the outcome of today’s decision doesn’t change much. “The impetus behind the bill was the fact that we had these escalating costs and people who weren’t adequately covered … even though we spend twice as much per capita on healthcare as anybody else in the world,” said Carson.

He supports the concept of health-care reform, but doesn’t think the ACA was done right and compared the effort to hiring pundits to rebuild a bridge instead of hiring structural engineers. “It was done by politicians and special interest groups as opposed to by people who actually know what the problem is and know how to deal with it,” said Carson. “We got what could be expected in that situation.”

Escalating beaurocracy and a lack of comprehensive electronic medical records make the practice of medicine more difficult than it once was, Carson said. In his new book, America the Beautiful: Rediscovering What Made This Nation Great, he includes a chapter on health-care reform. He suggests using “health stamps” to incentivize the uninsured to use  clinics rather than emergency rooms for their primary care. This would lead not only to cost savings, but to better care for patients with chronic illnesses, Carson said.

He also advocates Tort reform to rein in the costs of medical malpractice suits. “We’re the country in the world that has the biggest problem with that. Is it because we have the worst doctors? Of course not. It’s because of special interest groups. The Trial Lawyers Association. We will not deal with them. Every time it has come up before Congress, the House has passed it, but the Senate will not vote on it, because there are some filibustering senators who are in the hip pocket of the Trial Lawyers Association,” said Carson.

Finally, Carson said we have to come to grips with the fact that insurers make money by denying people care. “That’s a basic inherent conflict of interest. We have to find a way to deal with that,” he said.

TONY MEGGS: “We’re grateful that congress, both left and right, saw healthcare sharing ministries like ours … as being part of the solution.”

Some Christians, especially the self-employed and small business workers, are participating in medical cost sharing ministries like Medi-Share because they can’t afford the high cost of individual health insurance plans. Today’s ruling won’t have a direct impact on them, said Tony Meggs, the president and CEO of Medi-Share’s parent organization, Christian Care Ministry.

As part of an alliance of three cost sharing organizations, Medi-Share lobbied for and won an exemption from the individual mandate for its members. “We’re grateful that Congress, both left and right, saw healthcare sharing ministries like ours and the other two ministries as being part of the solution,” said Meggs.

His organization’s 19-year history of paying every eligible bill (approaching $700 million to date) and its focus on wellness and preventative care helped convince legislators that cost-sharing ministry members deserved an exemption, he said.

“They understand that they need to bend the cost curve in some way in getting people to make better choices in terms of how they live their lives. From a diet and exercise perspective, those are things that Congress was interested in, and so I think it was a combination of [that and] the fact that we’ve been here for a long time. This is how we help people. It’s credible. We’re not scamming people,” said Meggs.

Medi-Share’s steady growth “accelerated” after the ACA was enacted, Meggs said, and he expects that growth to continue because he says there is about a 40 percent cost difference between an individual health insurance plan and a monthly Medi-Share contribution.

There are differences, however. Medi-Share participants must sign a statement of faith and agree not to abuse drugs or alcohol or engage in extra-marital sex, Meggs said. Medical problems resulting from violations of these agreements are not generally “shared,” nor are mental health problems or some pre-existing conditions. Additionally, insurance companies are contractually obligated to pay for eligible services, but “sharing” medical expenses is voluntary for Medi-Share members. “There’s no guarantee. There’s no contract. Our program is strictly voluntary, but what I can tell you is that over a 19 year history, a 100 percent of every eligible bill that we’ve ever published has been shared,” said Meggs

What about you?

How will today’s ruling impact your family’s health decisions?

Obama Grants Young Immigrants Reprieve

IMMIGRATION SHIFT: President Barack Obama delivers remarks on the Department of Homeland Security’s immigration announcement in the Rose Garden of the White House, June 15, 2012. (Official White House Photo by Sonya N. Hebert)

President Obama announced June 15 that the Department of Homeland Security will stop targeting young undocumented immigrants for deportation under certain circumstances.

Deferrals for Immigrant Children

“Under the new policy, people younger than 30 who came to the United States before the age of 16, pose no criminal or security threat, and were successful students or served in the military can get a two-year deferral from deportation,” CNN reported. It also allows these immigrants to apply for work permits if they are currently in the United States and can prove that they have been for at least five years, the article said.

Renewed Support from Evangelicals

The president’s announcement follows a June 12 announcement that more than 100 Evangelical leaders have signed a Statement of Principles for Immigration Reform. The statement calls for “a bipartisan solution on immigration” that respects human dignity and the rule of law, protects family unity, guarantees secure borders, ensures fairness to taxpayers, and establishes a “path toward legal status and/or citizenship for those who qualify and who wish to become permanent residents.”

‘Path to Citizenship’ Controversial

Christianity Today reported that only the path to citizenship point “is likely to touch on anything controversial,” because “the other five principles represent values that the vast majority of Americans believe should drive immigration reform.”

Focus on the Family Joins the Fight

The Los Angeles Times reported that although evangelical leaders like Southern Baptist Ethics and Religious Liberty Commission president Richard Land and National Association of Evangelicals president Leith Anderson have supported immigration reform for several years, this is the first time that Focus on the Family has affirmed support for the issue.

‘Political Cover’ for President Obama

At The Daily Beast, David Sessions opined that “thanks to an emerging coalition of religious leaders, [immigration reform] might be the only issue where there is plausible common ground to be shared between the White House and the GOP base.” Perhaps he is correct. CNN described Evangelical and Catholic support for reform as “political cover” for the president.

Whether Obama’s political move will win him votes or backfires is the subject of a roundup at The Week, should you care about such things.

Gov. Romney’s ‘Tricky Balancing Act’

On Sunday, Presidential hopeful Mitt Romney told “Face the Nation’s” Bob Schieffer that  “if [Obama] really wanted to make a solution that dealt with these kids or with illegal immigration in America, than this is something he would have taken up in his first three and a half years, not in his last few months,” The Washington Post reported.

Today, CBS described Romney’s position on the issue as “a tricky balancing act”  of “aggressively courting the Hispanic vote, which could be decisive in the election” while holding on to his “conservative base that wants tough immigration policies.”

Impacted Immigrants Have Questions

Meanwhile, the young undocumented immigrants that the law directly impacts have questions, according to the Associated Press. They want to know: “Is it too good to be true? How will it actually work? What are the risks or pitfalls?”

 What Do You Think?

Should young people whose parents brought them to the United States illegally be eligible for a path to citizenship?

Celebrating Fatherhood with Thabiti Boone

CHAMPION OF CHANGE: Thabiti Boone gave up a promising basketball career to be the kind of father he never had.

On June 13, the White House Office of Public Engagement and Office of Faith-Based and Neighborhood Partnerships honored ten new “Champions of Change” who do outstanding work in the field of fatherhood. They join Thabiti Boone, a previous Champion and supporter of President Obama’s White House Fatherhood and Mentoring Initiative.

Boone is a college basketball hall of famer who gave up a promising career when he took responsibility for his newborn daughter as a college student. He is the International Representative for Omega Psi Phi Fraternity Fatherhood and Mentoring Initiative, a fatherhood adviser to the Allan Houston Legacy Foundation and the Fathers and Men of Professional Basketball Players, and a former New York Theological Seminary adjunct professor. UrbanFaith talked to Boone about his work with fathers and his own experience and legacy as a father. The interview has been edited for length and clarity.

UrbanFaith: You work with various organizations on the issue of fatherhood. What are the key principles that you share with men about being a good father?

Thabiti Boone: I’ve always shared from my own personal background that being a father is one of the greatest joys that any man can have. I tell fathers, “The first principle is that principle of love and connection, knowing that this child who came from you and who you helped create, will always be a part of who you are and the legacy of what you stand for.” A lot of times fathers get caught up in being defined as providers, but the greatest principle is that it’s almost like a spiritual gift from God that allows a man to become a father, and so when he has a child, it’s the most beautiful blessing that a man can have.

You became a father unexpectedly in college and took your daughter to school with you. What motivated you to give up your basketball dreams to care for her?

That was life changing for me. My mom got pregnant at 13 and my dad was an older guy who wasn’t sure whether he wanted to be a father or not, so my circumstances could have come at the hands of a judge who decided that these two parents were not in a position to parent me. But my grandmother took responsibility for me. Knowing my fate could have been different because my dad questioned whether or not he wanted to be a father made me never want to be in a position to question my fatherhood of a child I produced. My dad was physically there, but I never really had the kind of father/son relationship that I felt would have benefited both of us. And so, I knew that if I ever became a father, no matter what age, I was going to be the kind of father that I know my dad wanted to be, but just couldn’t be. I wanted to be the kind of father that so many young black males growing up in my neighborhood didn’t have. I wanted to break that cycle and be the best father that I could be.

Growing up in a neighborhood where I didn’t see many hopes, dreams, aspirations, or male role models, I also knew that if I ever made it out of the streets of Brooklyn, I would not only raise a daughter and family, but I would become a mentor and role model of what it is to be a man. That was another motivating force, because even when my father wasn’t around, I was still searching, trying to identify who can take the place of my father. I didn’t have much success with that until I met my high school coach.

The last piece that was very, very motivating is when I almost lost my mother through her attempted suicide. At the age of 12, I watched my mother jump off the rooftop of a tenement building where we lived. I knew my father had something to do with that. My mother lost self-esteem, faced depression, had a nervous breakdown, and had to head a single-parent family, and she reached the breaking point. So I knew I wanted to be the kind of son and father that would never bring that kind of pain into a woman’s life. I didn’t want to disappoint my mother. I didn’t want to disappoint my grandmother, and I didn’t want disappoint myself.

EASTER AT THE WHITE HOUSE: Thabiti Boone revels in his fatherhood legacy with his daughter and grandsons.

When I did become a teenage father, I didn’t want to start making excuses like other dads make, or whatever the reasons that prevent them from being fathers. Enough had occurred in my life for me to say, “You know what? I can be inspired and motivated to really, really conquer this thing and hit this thing head on.” And so, every time I looked at and dealt with my daughter Kim, I knew that nothing was more important to me than being the greatest dad I could be. Nothing was more important to me than trying to live up to that principle of God giving me a gift to confront me with everything I’d gone through and everything that was against me. This was actually related back into fatherhood. God said, “Okay here’s your turn. Now are you going to choose basketball as your reason like a lot of fathers have chosen different reasons why they’re not in their child’s life, or are you going to step up like a true basketball player, like a true champion, and take on this thing and make whatever sacrifices you need to make to make this thing happen?” In my spirit, in my little teenage mind, I said, “I have to turn this paradigm around.” I think the way I’m living now would not have occurred if I would have denied my daughter. Becoming a dad closed the gap.

What keeps men from being the kind of dads that their children need them to be?

Several things are barriers. So many fathers are coming from this cycle of father absence in their own lives that you have generations of fathers who don’t have fathers. They become fathers and there’s no compass and action plan. By the time they become dads, they don’t have the proper tools or the emotional wherewithal to be able to come into fatherhood the right way.

As we’ve been going around the country talking to dads, a lot of them deep down really want to be dads, emotionally, but they’re stuck with their own hurt of fathers who have rejected them and have not been in their lives. They bring that pain into their relationship as they become fathers to their own children and this cycle just keeps viciously going. And so, one of things we’re trying to do is assist fathers with how to overcome their own personal challenges around fatherhood in their own lives.

The second barrier comes from employment. One of the biggest responsibilities a father has to his family and children is economic. You have to provide for them and make sure they have the things that they need to prosper. A lot of fathers, especially in the African American and Hispanic communities, don’t have a proper job and background, and it really presents a serious challenge for them in meeting that financial responsibility. That’s why a lot of father programs and government programs are geared around helping fathers get jobs. If we can continue to help dads with skill development and education, it will allow them to meet the financial responsibility of their children.

I know what it feels like when you can’t provide. When I was in college as a basketball player, I saw that my daughter needed Pampers and milk, so I started to develop a little low self-esteem because I couldn’t give her those things. I felt better when I took my scholarship money and income from part-time jobs to give her things that she needed. If fathers can get that kind of assistance, it would be a great self-esteem boost for them in terms of that barrier.

The last thing is how fathers are received. We have to start asking: How do we define fathers and what is that definition based on? Do we continue to beat up on them and call them “dead-beats” and irresponsible, or do we do more to analyze and understand what is making our fathers who they are and what is causing father absence? Having that conversation really helps dads to know that there is some common ground and that society is not saying to them, “You’re worthless and inconsequential,” but instead, “You’re needed.”

What we’re finding in this fatherhood movement, whether it’s in my work with Allan Houston or with President Obama, is that celebrating dads and giving them the benefit of the doubt that they can do it if they step up does a lot to help them in their overall commitment to their children.

Do you think President Obama would be as passionate about fatherhood if hadn’t had an absentee father himself?

One of the things he has shared at the White House both publicly and with us that work with him is that if he was not the president, he still would feel the importance of this issue based on his personal challenge with his own dad. And so, I think he would still be as passionate about this issue and would do all that he can to support it even if he wasn’t the president. With all the things that he has going on as president, the fact that he still feels the need to have this initiative says a lot about what he thinks about this issue.

In an interview with Yahoo! Sports last year, your daughter, who is a married nurse with two sons of her own, said you are a “real man who stepped up to the plate.” In that same interview, you said that the fact that your grandsons have not know poverty or tragedy is your legacy. You traded the potential to have a professional basketball career for this legacy. How do they compare?

People like Allan Houston, who was one of the greatest players in the NBA and has a wonderful foundation that addresses the issue of fatherhood, would have no interest in having me advise and assist him on the issue of fatherhood if he didn’t respect what I did with my own daughter.  The same thing is true of the president, other NBA players, and people that I work with in other walks of life. We can be remembered for how great we were on the court, but basketball is only going to be in our lives for a certain amount of time. What we do to impact our families as fathers and to impact society as fathers and men, that’s the lasting legacy.

My choice was: Do I want Kim to say, “My dad used to be a pretty good ball player,” or do I want her to say, “My dad will always be remembered for the fact that I was more important that anything in this world.” And so, when I see my grandsons, who are growing up in a two-parent home, never having experienced what I’ve experienced, with two loving parents, I cannot beat that kind of legacy. Going back to what I said earlier about the generational challenge around father absence, God forbid my two grandsons ever know what that feels like, because their grandfather took on the challenge to eliminate and then bring into their life a legacy of father presence through my son-in-law.

I’m proud to have been in the basketball hall of fame as a college player,  and I’m proud of my success and all my accomplishments, but nothing compares to the feedback that I get from what I’ve done in terms of being a father. I would not trade all that other stuff in for the world. I will forever be known as the guy who stood up and stepped up when fatherhood really wasn’t that popular back in 1984.

Obama’s Healthcare Mandate: Redefining Religious Freedom?

RELIGIOUS LIBERTY UNDER FIRE?: Supporters of religious freedom and against President Obama's HHS mandates on faith institutions rallied in front of the HHS building on March 23. New protest rallies led by Catholic and conservative groups are taking place around the nation. (Photo: Olivier Douliery/Newscom)

Last Friday at noon, hundreds of demonstrators gathered on Capitol Hill and at rallies across the nation to protest President Barack Obama’s health-care law and, specifically, the law’s mandate requiring employers to provide insurance coverage for contraceptives.

Conservative politicians and activists led the charge, with leaders such as Minnesota congresswoman Michele Bachmann declaring, “This is about, at its heart and soul, religious liberty. … We will fight this and we will win.” Bachmann’s battle cry represents a growing movement of religious conservatives who contend that the president’s plan violates their freedom and beliefs.

Growing up, I had the opportunity to attend a Catholic school until my senior year. As a result, I know first-hand the strong commitment to pro-life causes that many Catholics hold. For instance, as a choir member, it was an annual tradition for us to sing at the youth mass that occurred before the Right to Life March, a protest against Roe v. Wade. Abortion, euthanasia, and the death penalty were topics that came up regularly in religion class. So it came as no surprise when I heard that 34 Catholic organizations have filed 12 federal lawsuits challenging the U.S. Department of Health and Human Services’ birth control mandate under the Affordable Care Act (also known as “Obamacare”).

Under the mandate, employers are required to provide access to contraceptive services as part of their health plans at no cost. However, as President Obama stated during a February 10 press conference, “[W]e’ve been mindful that there’s another principle at stake here — and that’s the principle of religious liberty, an inalienable right that is enshrined in our Constitution. As a citizen and a Christian, I cherish that right.” Knowing that many religious institutions oppose the use of contraceptives, originally all churches were exempted from the requirement. Now, that exemption is extended to any religious organization that has an objection to providing contraceptives; in those cases, the insurance company is responsible, not the organization.

To many people, including Christians, this sounds reasonable. So, why are Catholic organizations complaining?

The problem, they argue, is in the definition of “religious organizations.” In a lawsuit filed by Catholic organizations in Washington, D.C., the plaintiffs state that the mandate requires religious organizations to satisfy four criteria.

• First, the organization’s purpose must involve teaching and sharing religious values.

• Second, employees must subscribe to the same faith.

• Third, the organization must primarily serve those that subscribe to the same faith.

• Finally, the organization must be a non-profit.

“Thus, in order to safeguard their religious freedoms,” the lawsuit continues, “religious employers must plead with the Government for a determination that they are sufficiently ‘religious.’ ” Failure to adhere to the mandate could lead to penalties and fines. Since many Catholic organizations, such as hospitals, charities, and schools, employ and extend services to people of different faiths (and many people who claim no faith at all), it would be difficult to prove they are exempt from the mandate based on religion.

“If a group isn’t perceived as ‘religious,’ then they will be forced to provide drugs that violate their doctrine,” says Chieko Noguchi, the Director of Communications for the Archdiocese of Washington, one of the plaintiffs. “If the government can order us to violate our conscience, then what comes next?”

But don’t think that this is just a Catholic issue. According to the mandate’s opponents, it affects all Americans who profess to believe in God.

“One of the central missions of any church is supporting the less fortunate in our communities,” writes Lutheran pastor Joe Watkins in a June 3 editorial for the Philadelphia Inquirer. “With this mandate’s redefinition of a religious institution, many charitable operations will effectively be driven out of business. Under the new law if you are a Lutheran charity and you provide help to or hire non-Lutherans, you cease to be a religious institution. The same goes for Catholics, other Protestant denominations, and all other faith-based organizations.” He also argues that this will not only impact all religious groups, but also those who are either influenced or helped by these groups, since more time would be dedicated to religious background checks for potential employees and clients.

“It is distressing that our government would opt for a coercive and unfair regulation that requires us to make such an impossible choice,” Watkins wrote. “As a church, we have always opposed the use of drugs and procedures that are abortion-inducing. … Under this new governmental regulation, though, just by simply following our beliefs, we will face penalties under law.”

Watkins isn’t alone in his critique of the mandate. Back in February, some 2,500 Catholic, evangelical, Protestant, Jewish, and other religious leaders signed a letter asking the President to “reverse this decision and protest the conscience rights of those who have biblically based opposition to funding or providing contraceptives and abortifacients.” Also, the Catholic Church is planning to invite evangelicals for their upcoming event “Fortnight for Freedom,” which will take place the two weeks between June 21 and July 4 in order to bring attention to religious freedom issues.

In his speech announcing changes to the mandate, President Obama reflected on his first job in Chicago working with Catholic parishes in poor neighborhood. “I saw that local churches often did more good for a community than a government program ever could, so I know how important the work that faith-based organizations do and how much impact they can have in their communities.”

I am living proof of the positive effects of the faith-based organizations that President Obama described. I’m a proud, non-Catholic alumna of a Catholic school who understands why Catholics and their supporters are upset and concerned by the Affordable Care Act’s implications for religious freedom. By defining what a religious organization is, the HHS mandate could potentially hinder Christians from living out their faith with integrity. We, as Christians, are called to serve others no matter what. As a self-professed believer, President Obama should’ve recognized this.

What do you think?

Are Catholics and their conservative allies overreacting to the mandate or do they have a point?