Question: The Catholic bishops support health care reform. What are the bishops’ key criteria for health care reform?
Answer: The bishops have been consistent advocates for comprehensive, life-affirming reform to the nation’s health care system. Health care reform needs to reflect basic moral principles. The bishops believe access to basic, quality health care is a universal human right not a privilege. In this light they offer four criteria to guide the process: a truly universal health policy that respects all human life and dignity, from conception to natural death; access for all with a special concern for the poor and inclusion of legal immigrants; pursuing the common good and preserving pluralism including freedom of conscience and variety of options; and restraining costs and applying them equitably across the spectrum of payers.
Question: Why are the bishops so vocal about health care reform?
Answer: One out of three Americans under the age of 65 went without health insurance for some period of time during 2007 and 2008. Of these, four out of five were from working families. Sixty four percent of the uninsured are employed full time, year round. This state of affairs is unacceptable. In the Catholic tradition, health care is a basic human right not a privilege. It is a fundamental issue of human life and dignity.
Question: Are the bishops trying to promote an anti-abortion agenda through health care reform?
Answer: The bishops will continue to fight against the evil of abortion by all means available. But they have not demanded that urgently needed health care reform become a vehicle for advancing the pro-life cause, and they likewise believe it should not be used to advance the cause of abortion. In this sense, the bishops have asked that health care reform be “abortion neutral,” this is, that existing laws and policies with regard to abortion and abortion funding be preserved, allowing health care reform to move forward and serve its legitimate goals.
Question: Why are the bishops insistent that healthcare reform be “abortion neutral”?
Answer: Abortion advocacy groups are trying to use health care reform to advance their agenda, by having Congress or a federal official establish abortion as a “basic” or “essential” health benefit, guaranteeing “access” nationwide and requiring Americans to subsidize abortion with their tax dollars or insurance premiums. This would reverse a tradition of federal laws and policies that have barred federal funding and promotion of abortion in all major health programs for over three decades (e.g., the Hyde amendment, 1976), and have respected the right of health care providers to decline involvement in abortion or abortion referrals. This agenda would also endanger or render irrelevant numerous local and state laws regulating abortion. The bishops cannot, in good conscience, let such an important and pressing issue as health care reform be hijacked by the abortion agenda. No health care reform plan should compel anyone to pay for the destruction of human life, whether through government funding or mandatory coverage of abortion. Any such action would be morally wrong and politically unwise.
Question: Are the bishops promoting socialized medicine by advocating for universal access?
Answer: All people need and should have access to comprehensive, quality health care that they can afford, and it should not depend on their stage in life, where or whether they or their parents work, how much they earn, where they live, or where they were born. There may be different ways to accomplish this, but the Bishops’ Conference believes health care reform should be truly universal and genuinely affordable.
Question: Health care is already expensive. Why advocate for legal immigrants to be covered too?
Answer: Legal immigrants pay taxes and contribute to the U.S. economy and social life in the same manner as U.S. citizens do. Therefore, there should be equity for legal immigrants in access to health care. In the Catholic tradition, health care is a basic human right, like education, and having access to it should not depend on where you were born. Achieving equality in this case, for instance, means repealing the five year ban currently in effect for legal immigrants to access Medicaid, and ensuring that all pregnant women in the United States, who will be giving birth to U.S. citizens, are eligible along with their unborn children for health care.
Question: What kind of actions do the bishops recommend to make quality healthcare accessible for all and genuinely affordable?
Answer: Many lower income families simply lack the resources to meet their health care expenses. For these families, significant premiums and cost sharing charges can serve as barriers to obtaining coverage or seeing a doctor. Medicaid cost-sharing protections should be maintained and new coverage options should protect the lowest income enrollees from burdensome cost sharing. The bishops have urged Congress to limit premiums or exempt families earning less then 200 percent of the Federal Poverty Level from monthly premiums; they also recommend limiting co-payments and other costs which could discourage needed care, and increasing eligibility levels for Medicaid and CHIP (Children’s Health Insurance Program). They have urged Congress to provide states with resources to expand coverage and ensure sufficient funding for safety net clinics, hospitals and other providers serving those who will continue to fall through the cracks even after the system is reformed.