Where Do We Go from Here?

Where Do We Go from Here? for urban faithA HEALTH-CARE FORUM: 16 Christian leaders talk faith, policy, justice, and reform. Featuring Harry R. Jackson Jr., Jim Wallis, Alveda King, Brian McLaren, Barbara Williams-Skinner, Noel Castellanos, Chandra White-Cummings, Lisa Sharon Harper, and more.

“We are now faced with the fact that tomorrow is today. We are confronted with the fierce urgency of now.

Martin Luther King Jr. wrote those words in the conclusion to his final book, Where Do We Go from Here: Chaos or Community? It was 1967, and he was writing in reference to the epic battle for social justice that raged throughout the ’60s. It was a battle between integrationist and separatist, rich and poor, conservative and progressive, Black Power and nonviolent resistance. Most significantly, it was a battle between American and American.

Today in the U.S., we find ourselves at another defining crossroads. The health-care debate is tearing at our nation’s soul, exposing and widening our cultural divisions. Issues — both real and perceived — such as class, race, euthanasia, sanctity of life, immigration law, size of government, and fiscal responsibility have been infused into our conversations and arguments, making a rational and bipartisan resolution seem increasingly unlikely. But whatever the political outcome, a choice remains for us as a nation — and as followers of Jesus. Which will we choose: chaos or community?

In this special forum, UrbanFaith joins forces with Sojourners to present a collection of diverse perspectives on health-care reform. In the days following President Barack Obama’s address before Congress, we asked a cross section of Christian leaders for their opinions about the health-care controversy. Below are their statements of support, opposition, and philosophical reflection. Some are brief, others more expansive. But in each, we hope you’ll find a fresh idea, challenge, or encouragement that helps advance your view of this complex topic.

Reform Is a Moral Issue by Jim Wallis

In his speech before Congress, President Barack Obama made the commitments that a broad coalition in the faith community had asked for — reform as a moral issue, affordable coverage for all, and no federal funding of abortion. Now it is the job of the faith community and every concerned American to make sure the final bill reflects all these moral principles. We will now be calling on our members of Congress, both Democrats and Republicans, many of them members of our congregations, to support these moral commitments and to make sure, as they “iron out the details,” that each one is firmly upheld.

Rev. Jim Wallis is president and CEO of Sojourners and the author of The Great Awakening: Reviving Faith and Politics in a Post-Religious Right America. For his full statement, click here.

Whose Morality? by Harry R. Jackson Jr.

Church leaders have been asked by the president to call universal health care a “moral imperative.” Projecting universal health care as the “only” moral imperative is as sensible as calling a person born in the U.S. a native Australian because he visited Sydney once. It is certain that every judicious person in the nation wants medical care for the least, the last, and the left out — the goal is admirable, yet sometimes evil is done by those with good motives who lack long-term vision.

The crux of the health-care question is not whether we want to help everyone; the question is how do we deliver the help. Personally, I do not want a socialistic system fraught with inefficiencies. Others are wary of crippling a system that is currently saving millions of lives every day. This argument is not theoretical — delay or denial of essential services will spell death for thousands. Aren’t the lives of every American important? “First do no Harm!” are the familiar words to the Hippocratic Oath.

Where does that leave us? Unfortunately, the plan as it is being fashioned is patently evil. It has several major blemishes. These blemishes are threefold — the moral impact of denied service, funding of abortion, and making employers (including churches) pay for a system that administrates death.

Despite the president’s declarations, his henchmen have refused to add amendments to the bill that would specifically rule out state paid abortion. The Capps amendment, which passed the House Energy and Commerce committee, clearly states that abortion can be “covered” under the public option and must be covered under at least one private plan in each region that is in the Exchange. While it’s a precise point, the other side keeps pointing to the Capps amendment and saying, “Look, it says no ‘funds’ can go for abortions”…. but it violates the Hyde Amendment by providing government subsidies for health plans that “cover abortion” whether the tax dollars actually pay for it or the private premiums pay for the abortion.

Experts tell me that the Capps Amendment has an accounting gimmick that makes it look like only private funds would pay for the abortion, but it clearly says that the government public plan and private plans may, and some must, “cover abortion.”

Most people believe that health-care reform is an important moral issue. However, big government alone cannot reform health care. In fact, it is not the proper mechanism for such a reform.

The community, including the church, has to play a role in health-care reform. Historically, churches and other faith-based charitable organizations have taken an active role in the development of hospitals and organizations that supply care for the sick.

In 2005, when Hurricane Katrina dramatically altered the lives of many people, and blacks in particular, it was the church and other non-governmental organizations such as the Red Cross, the Southern Baptist Convention, Habitat for Humanity, Salvation Army, and Catholic Charities, to name a few, who were very instrumental in the efforts to respond to this emergency.

Health-care reform is an emergency, no question; however, government intervention alone cannot adequately address it. The American community — and the faith community, in particular — must play an active role in the reform efforts.

Bishop Harry R. Jackson Jr. is senior pastor of Hope Christian Church and founder of the High Impact Leadership Coalition. He is the coauthor (with Tony Perkins) of Personal Faith, Public Policy.

Reclaiming Civility by Kathy Khang

I’ve grown weary of the health-care debate, because there’s less and less actual debating going on. There’s a lot of noise — loud voices coming from people accusing one another of fear-mongering, politicizing, hypocrisy, racism, and ignorance. I must admit that some of the ranting is actually kind of funny, if I don’t take myself or anyone else too seriously.

But in the past couple weeks I’ve had to stop reading, listening, and watching. The news is too disheartening.

I think we’re losing our way to reforming anything because some of us are too busy drawing lines in the sand. (And not the kind Jesus was drawing.) I know I’m lost.

What difference does it all make if, in the name of reform, neighbors can’t be neighbors?

Well, it matters to me because on most days I want to live out what I say I believe. I don’t know about you, but I find it hard to love my neighbor when I think they are stupid and wrong. Justice and reform will have to start with my heart, before I open my mouth to help shift the noise back to reasonable and civil debate. Anyone want to join me?

Kathy Khang is a mother of three and wife of one who’s trying to love and follow Jesus. She also serves with InterVarsity Christian Fellowship as a multiethnic ministry director. She is a coauthor of More Than Serving Tea: Asian American Women on Expectations, Relationships, Leadership and Faith, and she blogs at MoreThanServingTea.wordpress.com.

Affirming That America Cares by Barbara Williams-Skinner

As chairman of the board of the Christian Community Development Association and a member of the National African American Clergy Network, I wholeheartedly welcome President Barack Obama’s clear and bold pronouncement of the moral foundation for comprehensive and affordable health care for all Americans. His affirmation that America must become a nation that cares about the health and wellbeing of all of her citizens is encouraging.

In his speech to Congress, beyond the issue of universal, affordable coverage and health care as a basic moral issue, was another critical issue. As a pro-life Democrat, I was especially gratified to hear President Obama state unequivocally that abortions would not be included as part of health-care reform legislation.

I pray that congressional leaders on both sides of the aisle would come together behind the President’s vision for comprehensive health-care reform legislation that is worthy of our great nation.

Rev. Dr. Barabara Williams-Skinner is a member of the National African American Clergy Network and president, Skinner Leadership Institute.

Not a Political Contest by Wesley Granberg-Michaelson

Our health-care crisis is, above all, a moral failure. Reform should be neither a partisan cause nor a political contest, but a necessity of service to the common good of our society. I trust that our politicians now can act as the leaders they were elected to be.

Rev. Wesley Granberg-Michaelson is the General Secretary of the Reformed Church in America.

Remember It’s HealthCare by Arnold M. Culbreath

Everyone in the U.S. should have, and deserves to have, health-care coverage. I think we all agree that our current health care needs an overhaul. However, to have a proposed health bill that either directly or indirectly mandates a universal tax funding for all abortions for any reason is not health care — especially when abortion remains the leading cause of death in the Black community, higher than AIDS/HIV, accidents, heart disease, cancer, and violent crimes combined.

Rev. Arnold M. Culbreath is the urban outreach director for the Life Issues Institute, where he leads the Protecting Black Life outreach ministry.

Neighborliness and Generosity by Diana Butler Bass

President Obama has made the moral case for health-care reform by appealing to the best aspects of American character, reminding us of our history, and by making people accountable for their actions. He has called us to neighborliness and generosity. He has drawn a life-affirming picture of a caring community, asking everyone to do his or her part, outlining the responsibilities of deep democracy. And if that’s not progress — and progressive — I don’t know what is.

Diana Butler Bass is a commentator and scholar in American religion and the author of several books, including the bestselling Christianity for the Rest of Us. Read her full statement here.

In Good Faith by Galen Carey

The National Association of Evangelicals welcomes President Obama’s renewed call for bipartisan cooperation on health-care reform. We support the goals of extending coverage, controlling costs, and preventing federal funding of abortion. As the debate moves forward we call on all members of Congress to negotiate in good faith and with the civility, humility, and respect which this important issue demands.

Dr. Galen Carey is director of Government Affairs for the National Association of Evangelicals.

Pray and Act Accordingly by Alveda C. King

The church can turn the tide in the current political debates. God is neither Democrat nor Republican; God is sovereign. The first and final acts of people of faith should be to pray and act accordingly. As to the current health-care debate, we must encourage the President and leaders of our nation to remember the dignity of all Americans.

In a recent open letter to President Obama, I joined several African American leaders to declare:

“Mr. President, in the Beloved Community envisioned by Dr. Martin Luther King, Jr., equal justice means that young people in the womb are not terminated and the elderly in ill health are not denied care because of their age.

We are concerned that your current healthcare plan will not serve the needs of those who are most at risk….

If healthcare reform passes, we have no doubt the number of African American women having abortions will sky rocket. The healthcare bill text needs to clearly exclude abortion from any taxpayer-subsidized or government-mandated benefits. Abortion is not healthcare.

People with disabilities, terminal illnesses, and the elderly, all who need special and expensive care, are also at risk of losing accessibly to doctors and having care denied or delayed…. We are concerned that patient care would be made based primarily on cost and that people with disabilities or special health needs will be put on waiting lists, or worse yet, denied potentially life-saving procedures outright….

We, the undersigned, urge you and your colleagues to seriously consider the concerns we have outlined above. Now is the time for Democrats and Republicans to come together to stand for compassionate care for all Americans, joining the chorus of “Free At Last” as proclaimed in Dr. King’s ” I Have A Dream” speech.” [Read the complete letter here.]

Considering these words, I invite people of prayer to hold steadfast to the dream as we pray that God will heal our land.

Dr. Alveda King is a pastoral associate and the director of African American Outreach for Priests for Life.

A Matter of Character by Brian McLaren

Three things struck me about President Obama’s speech to Congress on health-care reform. First, I was struck by his emphasis on morality. Caring for our poor neighbors — and even more so when they are sick — is indeed a moral concern.

Second, I was impressed by the way the speech addressed economic concerns. Like a lot of people, I’m concerned about costs and deficits — and I thought the President wisely pointed out that the rising costs of doing nothing are unacceptably high. The fact that we pay significantly more for health care than other wealthy nations — and are not more healthy, but less — tells me we have a lot to learn from other countries, both in treating disease efficiently and in pre-empting it with healthier living.

Finally, I was impressed by the mature and responsible character reflected in both the speech’s content and delivery. Even when he was called a liar by a member of Congress from whom we would expect more adult, civil, and professional behavior, the President modeled the grace and restraint that signal maturity of character. And similarly, the speech rightly emphasized that health care is a matter of national character. It takes maturity to integrate diverse concerns that are both long-term and short-term, personal and corporate, economic and moral. It takes maturity to integrate our traditional values of individual self-reliance and of commitment to our neighbors.

Our nation hasn’t displayed a lot of that maturity of character in my lifetime, and now, both in what we do and how we do it, is our opportunity to learn and grow.

Brian McLaren (brianmclaren.net) is a speaker and author, most recently of Everything Must Change and Finding Our Way Again.

Looking Beyond Our Own Interests by Noel Castellanos

President Obama’s appeal to Congress and to the American people to stay the course and reform our current health-care system is a clear call for us to look beyond our own personal interests and to assure that 50 million of our brothers and sisters in this country without basic health coverage receive this basic human right in the richest nation in the world.

Rev. Noel Castellanos is CEO of the Christian Community Development Association, a network of over 500 non-profits ranging from grassroots, community based groups to large relief and development organizations serving under-resourced communities.

Contend for the Faith by Chandra White-Cummings

Health care, as is the case with most policy issues, is complex and does not readily lend itself to sound-bite solutions or cue-card commentary. Making headway will require serious and rigorous thinking, an expanded collective capacity to think beyond the confines of one’s own borders of concern, innovative perspectives, and finally, decisive action. A scenario that can greatly benefit from the involvement of dedicated, biblically-literate Christians who are prepared to bring the gospel to bear in this arena.

In the health-care arena, our primary responsibility is the same as in other spheres of life — to make disciples of Jesus Christ by teaching obedience to what He has commanded. How can this apply to health-care reform efforts?

First, we should teach people the importance of prayer. We are instructed through Paul’s first letter to Timothy to pray and intercede for “kings and all who are in authority” by asking God to help them; and to give thanks for them. Society desperately needs to learn dependence on a source outside itself for answers to life’s perplexities and issues. Questions about who should be responsible for providing health care to the poor, what is the scope of government’s responsibilities to its citizens, and how should systemic inequities that plague our health-care system be remedied cannot be answered by mere human wisdom. We need God’s help.

If Christians of all political persuasions, parties, and positions would conspicuously pray for God to help the President exercise prudence and execute justice in a way that will allow all of us to “live peaceful and quiet lives marked by godliness and dignity,” we can show the power of true unity to accomplish workable and practical solutions.

Second, we should teach the importance of a comprehensive standard of justice by standing for truth without compromise. One of the most hotly contested portions of the President’s proposed health-care reform involves allowing government funding of abortions. In numerous places in the Bible, we are told that it is wrong to murder, and also we are warned of the wrath of God against those who shed innocent blood. We are also reminded that God Himself creates human beings with identity and purpose, and that we are responsible to Him for how we use our bodies. Christians should, according to Jude 3, contend for the faith that God has entrusted to us. So we should oppose any provisions that could violate God’s principles of justice.

We can help people understand the unbreakable bond between justice and righteousness, and that if our President would act justly toward his constituents, he must also conform to God’s standards of righteousness. Caring for the poor is but one consideration for truly equitable and just health-care reform.

Third, Christians can contribute to the health-care debate by teaching the necessity of examining and addressing root causes of deeply entrenched problems. One of the hallmarks of Jesus’ ministry was His insistence on compelling people to deal with heart issues and not just outward behavior. In health-care, racism and discrimination, institutional corruption, and abandonment of personal responsibility have all greatly contributed to the mess we find ourselves in. For example, a May 2008 study published in the American Journal of Obstetrics and Gynecology estimates that the annual cost of human papillomavirus (HPV)-related conditions in this country is $2.25 billion to $4.6 billion. This economic toll on an already overburdened health-care system represents but one result of our refusal to submit our sexuality to the principles of God’s law.

Whereas many are still trying to keep a wall erected between private behavior and public intervention, Christians should be dispelling that myth and injecting notions of collective accountability and consequence into conversations about how to bring down the cost of health care.

The Bible clearly teaches Christians that we have a life-preserving, purifying, and illuminating role in society. Christian lives, lived boldly and faithful to biblical principles, can turn around even this seemingly impassable health-care dialogue.

Chandra White-Cummings is a columnist for UrbanFaith and director of the Black Life Issues & Action Network, in Dayton, Ohio, a non-profit program that works to educate, empower, and engage the African American community concerning issues that impact Black women, children, and families. She blogs at Life As We Know It.

Beyond Vilifying and Demonizing by Eugene Cho

In the health-care debate, I think it’s time we move beyond vilifying and demonizing one another as people who either monopolize compassion or completely lack it. No one wants anyone to die or to go broke. But we have a system that can be improved, right?

My perspective is simple, even though I acknowledge the situation is complex and the solutions even more so. As a country and government, I don’t believe we have to provide universal health care. While I personally acknowledge it is a moral issue from my worldview, I have to understand that people have fundamentally different views about the role and purposes of government.

So, while we don’t have to, it is amazing to consider that as a country and as the people of this country …

We can do this.

We don’t have to but we get to. Doesn’t this contribute to our collective idea of liberties and the pursuit of happiness?

Rev. Eugene Cho, a second-generation Korean-American, is the founder and lead pastor of Quest Church in Seattle and the executive director of Q Cafe, an innovative nonprofit neighborhood café and music venue. He and his wife are also the co-founders of One Day’s Wages — a movement to fight extreme global poverty. You can stalk him at his blog or follow him on Twitter.

Rights and Wrongs by Lisa Sharon Harper

“Healthcare reform is @ the right to life,” read my Twitter tweet. “Interesting … Many who claim to be ‘pro-life’ trumpeted choice over the past month.”

The tweet posted to my Facebook page and touched off the longest string of commentary I’ve ever had! One response from an old friend was particularly interesting. She identified herself as “a conservative” and “born again” and said health care should be kept separate from the “right to life.”

Should it?

Health care is a basic human right, according to Article 25.1 of the Universal Declaration of Human Rights, for it is directly connected with a human’s right to live (Article 3, UDHR). But let’s not get all technical.

Let’s get biblical.

In the Matthew 25 story of the sheep and the goats, Jesus Himself says an equitable health-care system is a mandate for those who call themselves Jesus followers.

Jesus refers to the righteous whom the Father has invited into the kingdom in verse 37. The word righteous is actually translated the just or equitable in character and action. The word equitable is about fairness and intrinsically refers to systemic justice. In other words, the ones who seek to create fair systems, the ones who level playing fields, will be the ones standing on the right with the sheep.

Now, which playing fields is Jesus most concerned about? In the same passage, He actually lays out a public policy agenda.

• The word hungry (v. 35) means famished in the Greek. It should lead us to consider “How just is our food system?”

Thirsty means just that — thirsty. It should lead us to consider our water system: “How clean and safe is the water provided for the ones on the other side of the tracks in our towns, our cities, our world?”

Naked actually means stripped in the Greek. It should lead us to consider “How do our systems affect those who have experienced the greatest injustices, those on the bottom, those who live with the greatest weight of our systems on their shoulders?”

Sick means diseased. It should lead us to consider the justice of our health-care system. Does our health-care system offer an equitable distribution of health and life to rich and poor?

Stranger means immigrant. It should lead us to consider the justice of our immigration system.

Prison means prison. It should lead us to consider the justice of our prison system.

So, as Jesus followers we must seek to level the playing fields that govern public life. How can we, then, in good conscience, separate in our minds and our hearts the health of the living from the health of the unborn? We cannot.

Rather, we must consider our times. We must consider our history in the public square — I refer here to our leadership in the segregationist movement and the anti-women’s rights movements of the mid-20th century. In those days, evangelicals were ruled by fear of change. We were ruled by fear of the future. We were guided by the instinct to preserve the self. As a result, our mantra became: “Damn the one who would threaten my way of life!”

Today, we stand at another crossroads. God has given us another chance to stand on the right side of history. The evangelicals of the 19th century had their “come to Jesus” moment over slavery. They chose well. The evangelicals of the 20th century had their “come to Jesus” moment over Jim Crow and segregation. Many of them walked away from Jesus. This is our moment.

We must examine the proposals being put forth by Congress and examine the words of Jesus.

We must ask the questions: Is it just and equitable to make sure that every citizen of our nation has access to health-care that can save their lives? Is it unjust to deny access to health-care to those who cannot afford it? Would Jesus condone unjust health-care policies that have the ability to affect the lives of millions of people made in the image of God?

Then we must choose our side in the annals of history.

I choose health-care reform, and I am for the public option. Why? Because I am for a consistent ethic of life.

Lisa Sharon Harper is co-founder of New York Faith & Justice, a city-wide movement of churches, organizations, and individuals committed to following Christ, uniting the church, and ending poverty in New York. She also is the author of Evangelical Does Not Equal Republican … or Democrat.

Justice, Integrity, and Respect by Samuel Rodriguez

Our nation needs health-care reform that reconciles affordability and accessibility with the protection of life, conscience, personal and religious liberties. We encourage all members of Congress to debate with integrity, humility, and respect. Health-care reform is a matter of social justice driven by a moral imperative that is undeniable.

Rev. Samuel Rodriguez is president of the National Hispanic Christian Leadership Conference.

Learning to Listen to Each Other by Gina R. Dalfonzo

One of the questions asked in reference to this forum was “What can be done to heal the ‘often bitter divisions’ that the health-care debate has exposed in America?” This was the question that really got me thinking. As Christians, we’re supposed to set an example of treating each other with love and respect even when we disagree. As Paul tells us, we are to speak the truth in love (Eph. 4:15).

And yet, all too often, we fail to do this. I’ve seen Christians on both sides become mired in conspiracy theories and outright deceptions, leading to groundless accusations, hurt feelings, and anger. Of all people, we should realize the need both to seek truth and to treat each other with courtesy and respect.

Part of that effort involves clearing up misconceptions. Since UrbanFaith and Sojourners have graciously given me the opportunity to share my viewpoint here among my progressive Christian brothers and sisters, let me try to clear up a couple right now.

First of all, believe it or not, we conservative Christians actually do understand your concerns about the poor and uninsured. (I would hardly be working for Prison Fellowship Ministries if I only cared about the wealthy and powerful.) What we need you to understand is that we’re afraid that expanding government control of health care will only worsen the situation. Anyone who doubts the possibility of rationing or other abuses need only look at the government-run health-care system in Great Britain, where infants, the elderly, and everyone in between are having their health care withdrawn, not expanded.

The fact is that governments simply cannot afford to assume the bulk of the staggering costs of health care. And the more control that government has over our health care, the less control we individuals have over some of our most important and personal decisions. And yet many of us who are trying to point these things out get called whiny, racist, or worse.

For the record — though it shouldn’t even need to be said — it’s no fairer to lump everyone who voted against Barack Obama into one big group of racists than it would be to lump everyone who voted against Sarah Palin into one big group of sexists. Of course there are subsets of racists and sexists in these respective camps, and goodness knows they can be unpleasantly vocal. But to ascribe the basest possible motives to an opponent just because one disagrees with his or her ideas is the last thing a Christian should be doing. And this goes for both sides. We must learn to listen respectfully to what others are really saying, not to what our preconceptions tell us they must be saying and thinking.

More than anything, the topic of health care should remind us of the dignity and worth of each individual, and the significance of his or her opinions, needs, and values, in the eyes of our Creator. Without that shared belief to guide us, we will never get anywhere.

Gina R. Dalfonzo is editor of The Point and a writer for BreakPoint Radio, both ministries of Prison Fellowship. She’s also the editor of Dickensblog, “a blog for all things Dickens.”
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Let’s Continue the Conversation

So what do you think? Did you see your perspective represented here? Do you agree or disagree with our panelists? Did we miss a crucial point of the debate? Let us hear your feedback now. Leave your comments below to continue the conversation.

Confronting Health-Care Hysteria, Part 2

Confronting Health-Care Hysteria, Part 2 for urban faithOne might find it strange that a guy who spends his time writing and speaking about reconciliation is sticking his neck out on the volatile issue of health-care reform. The attitude of a reconciler, a peacemaker, would seem to be at odds with that of someone who is outspoken about political issues. But the more I understand reconciliation, especially the biblical principles behind the idea, the more I find myself unable to keep my opinions to myself.

In the end, I am not as concerned about whether health-care reform passes or fails as I am with how people who represent Christ to the world are thinking through and communicating what they believe.

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Confronting Health-Care Hysteria, Part 1

Confronting Health-Care Hysteria, Part 1 for urban faithA Note to Readers: As an African American Christian living in France, my views on America’s raging health-care debate were bound to be out of the mainstream. But a recent trip to Burundi, one of the poorest nations in the world, has given my point of view another twist. As a result, I am writing three op-ed articles for UrbanFaith on the health-care issue from my specific perspective as a black American based in Paris who does reconciliation work in Africa.

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Republicans Want Health Care, Too

Republicans Want Health Care, Too for urban faithI’m a registered Republican. I didn’t vote for Barack Obama. I believe in free-market enterprise. I like smaller government. There, I said it. It’s out!

That said, I think government plays essential roles in any civilized society. Defense, interstate highways, basic education to name a few. And there is one more role I would add to the list. Health care!

I know we have the most advanced medical treatment in the world — and the most expensive. I wouldn’t want to see it compromised. But I have to admit that something is wrong with the picture when the working poor and a sizable portion of the middle class don’t have access to these benefits. I am coming to believe what the rest of the modern world has concluded — that health care is a basic human right. To be last in line of industrialized nations to provide medical treatment for all our citizens is not something I am proud of.

I like government close to home. That’s one reason I’m a Republican. But I also have to admit that Social Security has served us fairly well, and I have no real complaints about how my Medicare is working. Oh, yes, the bureaucratic paperwork is aggravating and I hate talking to a computerized recording, but I guess that’s not too different from the way most large corporations function these days.

I seriously doubt that health-care reform can be accomplished without raising our taxes, but, frankly, that’s one of the taxes I wouldn’t mind paying. Compared to the costly wars we have funded recently, health care seems like a rather redemptive investment.

Do I like what Obama is proposing? Actually, I do. While I wouldn’t want a government takeover of our health-care system, I do see the value in a system that insures every citizens’ access to competent medical treatment.

Obviously it’s a very complex issue. And I’d be the first to acknowledge my ignorance in many of the complicated realities of this confusing medical world. I do know, however, that it makes no sense to see my low-income neighbors go to the hospital emergency room for ailments that could be treated inexpensively in a community clinic. And I do know from personal experience that physicians prescribe expensive and unnecessary procedures just to protect themselves from lawsuits. I guess these are a couple of the reasons why they say the system is broken.

I like competition. That’s one reason I like what Obama is proposing. I think I’m ready to let the government give health care a try. Our free-enterprise approach, while propelling us to the top spot in medical advances, has failed to figure out a system that shares the benefits with the whole of society. And that’s a justice issue.

Say what you will about Obama, on this one I believe he’s on the right side. We may disagree strongly about his politics and his methods, but his push to see that all citizens are being rightly cared for — especially the poor — is a push in the right direction.

And I’m still a Republican.

The Heart of Reform

Five reasons why the church should support health-care reform. An urban pastor’s view.

The Heart of Reform for urban faithI approach the discussion about health-care reform from the perspective of an urban minister. I’ve worked with urban core neighbors, neighborhoods, congregations, and community groups for more than 20 years. I’ve watched people struggle to access basic health services in the shadow of world-class hospitals. I know hardworking people caught in the “catch-22” level of income: They make too much to access Medicaid but too little to afford health insurance premiums. They work for companies that either don’t offer health insurance or offer it partially at a level these employees can’t afford.

Workers are forced to use a patchwork of health fairs, free clinics, and doctors who will see them occasionally without cost (God bless these). They put off illness or pain until it becomes chronic or unbearable and then make a dash to an emergency room. The health costs they incur are a greater portion of their household income than most Americans. The cost to their dignity is inestimable. But the cost to America’s integrity is even higher.

At the same time, I know that health-care costs are spiraling upward for higher-wage neighbors. The monthly cost for my family’s health insurance is higher than our mortgage payment. Our benefits are stripped down and our co-pays and deductibles are higher than ever.

I know people whose prescriptions are no longer covered, whose important procedures are denied, and whose insurance has been dropped. Many people have filed bankruptcy due in large part to unpayable medical bills.

In short, while the health-care system has not been working for the working poor for a long time, it is not working for more and more middle-income neighbors. None of this begins to factor in the significant levels of abuse of the system by those who game it — professional health-care providers, the insurance industry, and consumers of health-care services. The current system is not sustainable, it is not reasonable, it is not just. It does not reflect what we know is best about or for America.

So, I am completely on board with the call for quality, accessible, affordable health care for all citizens. I’m advocating for this from the perspective of an urban Christian minister on the one hand, and as an American citizen on the other.

As a Christian minister, I am convinced that quality, accessible, affordable health care for all is a moral imperative. As an American citizen, I am personally convinced it is a right that’s implied in the very intent of our Constitution and historic social contract. But it is as a Christian minister that I offer the following considerations on health-care reform to the church I love:

1. The Samaritan principle sets the tone for the Christian church regarding care for the poor, uninsured, and desperate in our land. Simply put, in the care a Samaritan extends to a wounded, helpless victim, Jesus declares what it means to be an authentic neighbor. If we have the resources to help and heal, we should. Not because we’ll get reimbursed. Not because there’s profit involved. Not because we’ll get recognized or rewarded. But because it reflects the caring, healing intention of God for God’s people in relationship to one another and in witness to the world.

We cannot pass by because we presume somebody else will take care of uninsured people. We cannot ignore what’s happening because it’s just bigger than us or beyond us. Jesus calls us to see, respond, help, comfort, and restore — as if those left out and wounded were our very own.

2. Jesus’ ministry of healing was conducted in the face of structures and regulations designed to control, limit, and exclude. I’ve been reading the Gospels again during this time of national concern about health care. Health and healing was front and center for Jesus. Undoubtedly, Jesus’ healings were a sign that he was the anticipated Messiah and that a new era was beginning. However, Jesus’ healings also confronted, exposed, and undermined age-old systems that, in the name of health care, prevented healing from occurring.

Jesus cut through the red tape, system-serving regulations, and control-oriented rituals to actually offer what God desired for people — healing, restoration, and a future of dignity and hope. Instead of defending the current status quo practices that place ordinary folks in similar binds, the people who follow and claim to reflect Jesus should consider how he judged and exposed the ineffectiveness and meanness of structures that served themselves at others’ expense.

3. The context of community, inclusion, and sharing resources to assist the neediest — central in the early church witness — is a pattern and principle to renew. Beginning with Acts 2, we see the earliest believers holding things in common, pooling resources, and selling off assets in order to meet the needs of the weakest among them. It was not about me and mine, but we and ours. In the perspective of that early faith community, my personal self-interest includes your well-being. They realized that we are deeply interconnected with one another.

The apostle Paul affirmed this principle with his counsel to the church in Corinth that we are members of one another, that no part can say to another, “I don’t need you.” To what extent are there such awarenesses or practices in the church today? And to what extent is our sense of community — over against asserting individual privilege and private rights — bearing witness to the larger community and nation of what is good, possible, and godly?

4. Christian leaders should be leading the health-care dialogue by seeking the truth and speaking the truth. To this point, it doesn’t seem to me that there has been a debate or dialogue about health-care reform. Much of the so-called debate to this point has focused on myths, distortions, and outright lies about proposed health reform legislation. The news media focus has been on misinformed people shouting down congressional leaders, calling them Nazis, and burning them in effigy.

I’m convinced Christians should not only not be a part of those scenarios, but that we should make a contribution to the dialogue that is fact-based, truth-seeking, civil, and that moves all to find the common ground necessary to ensure that quality, accessible, affordable health care is available to all American citizens.

If the news media or partisan groups play to distortions and extremes, then people of Christian faith have a significant role to get the facts, convey them in understandable ways, and create conversations that deal in what’s real. We are the people whose scriptures declare, “you will know the Truth and the Truth will set you free” (John 8:32). We are the people who are reminded that “God has given us, not a spirit of fear, but of power, of love, and of self-discipline” (2 Tim. 1:7).

5. Let us embody and advocate for the principles, practices, and norms of the beloved community toward which Jesus pointed. Christians have no stake in propping up old-order systems, or aligning ourselves with self-serving institutions, or playing to sub-Christian social stratifications. At personal, community, and systemic levels, Christians are challenged to practice now the norms and promises of the future described in the Scriptures.

I love the way Bible scholar Walter Brueggemann puts it: “God’s future is enacted as present neighborliness.”

Is not quality, accessible, affordable health care for all one such act of “present neighborliness” that is a signal of the direction God intends the future to move? I think so. And I invite Christians and people of other faiths to join me and others in this kairos moment — this period of unique opportunity to witness something magnanimous and restorative in our generation.

This article appears courtesy of a partnership with Sojourners.