Fade in, Uncle Sam is lying on the ground, partially incapacitated. He’s been shot multiple times, by John Boehner, Eric Cantor and the GOP House leadership. While Cantor stands in the road and attempts to block the ambulance’s arrival, (1) the “CSI” of public examination and opinion is looking over the crime scene, trying to piece together what exactly has happened. As it turns out, one of the bullets can be traced…back to the Catholic Church! (This is the point where Horatio Caine dons his sunglasses, and utters a one-liner about the crime not being exactly…holy.)
It’s an intriguing story, lacking only the beginning strains of The Who’s “We Won’t Get Fooled Again” to complete the scene. The story is based on actual events, with origins tracing back well beyond the passage of PPACA in 2010. Given enough time and page space, I could regale you with a long treatise on the church’s history of government entanglements, however I’d like to keep your attention, while not taking up too much of your time, my fine young readers! So, we’ll just get right into the substance of the story, starting with 2010 and PPACA. (2)
Although the specific text regarding the coverage of contraceptives, known as the “Contraceptive Mandate,” cannot be found within the 906 pages of Public Law 111-148, section 2713 does contain a general mandate for insurers to cover, with no cost-sharing requirements, the following items:
‘‘(1) evidence-based items or services that have in effect a rating of ‘A’ or ‘B’ in the current recommendations of the United States Preventive Services Task Force;
(2) immunizations that have in effect a recommendation from the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention with respect to the individual involved; and
(3) with respect to infants, children, and adolescents, evidence-informed preventive care and screenings provided for in the comprehensive guidelines supported by the Health Resources and Services Administration.
(4) with respect to women, such additional preventive care and screenings not described in paragraph (1) as provided for in comprehensive guidelines supported by the Health Resources and Services Administration for purposes of this paragraph.”
Pursuant to item (4) in the list above, in January of last year, the Department of Health and Human Services issued a ruling requiring insurers to “…cover these [recommended contraceptive] services without cost sharing for women across the country” beginning on August 1st, 2012. The ruling made an exception for what it referred to as, “Nonprofit employers who, based on religious beliefs, do not currently provide contraceptive coverage in their insurance plan,” granting them an additional year to comply with the new law. (3) As a result of this ruling, the Catholic church commenced an offensive against what it considered an “attack on freedom of religion.” (4)
The opposition from the Catholic church hasn’t waned in the past year and a half. With the help of certain members of congress, two bills (one in the House,(5) the other in the Senate(6)) have been introduced, in an attempt to attach a “Conscience Clause” to the new health care law. Both bills are currently stalled in committee, with little to no prognosis for passage.
It is at this point in our sordid tale, that the “bullet” comes in to the picture. On September 26th, a letter was sent to Congress by two committee chairmen from the Conference of Catholic Bishops. Within the text of this letter, Cardinal Sean P. O’Malley and Archbishop William Lori, urged congress to commit to the following course of action:
“We have already urged you to enact the Health Care Conscience Rights Act (H.R. 940/S. 1204). As Congress considers a Continuing Resolution and debt ceiling bill in the days to come, we reaffirm the vital importance of incorporating the policy of this bill into such “must-pass” legislation.“(7)
Indeed, two days later the House Republican majority inserted language to these ends, into the tail-end of section 131 of House Joint Resolution 59,(8) and sent it back across the hall to the Senate, which rejected it and sent it back, during the to-and-fro volleying leading up to the current “Partial Government Shutdown of 2013.”
So, did the Catholic church cause the current government shutdown? No, but they did “supply the shooters with additional ammunition, knowing what that ammunition would be used for,” and that makes them complicit. (Right about now, some would love to see Calleigh Duquesne (ah, Emily Procter!) walking into the offices of the Conference of Catholic Bishops, and placing O’Malley and Lori in cuffs, I suspect!) Will the victim survive? We’re sure to find out within the next few days, as we bump up against Thursday’s debt limit deadline. Until then, I guess we’ll just have to…stay tuned! (Cue the Roger Daltrey scream…)