Debra W. Haffner
Executive director, Religious Institute

Debra W. Haffner

An ordained Unitarian Universalist minister and Executive director of the Religious Institute, a multifaith organization dedicated to sexual health and justice.

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Matters of life and death

In Texas, a Catholic bishop made two hospitals cease doing tube-tying operations for women who are not going to have more babies. In Arizona, a nun was excommunicated and the hospital where she works was expelled from the church after 116 years for allowing doctors to terminate a pregnancy to save a woman's life. At the same time, some doctors and other health professionals have faced disciplinary action for refusing to perform procedures or provide medications that go against their religious beliefs.


Should Catholic hospitals be able to restrict doctors from performing common and legal medical practices? Do such restrictions unfairly impinge on the rights of non-Catholic patients and doctors, particularly those in rural or underserved areas where alternative hospitals are not readily available?


Access to sexual and reproductive health services is a matter of life and death.

Although this question begins with incidents in Arizona and Texas, I couldn't help but think about last week's news about an unregulated abortion clinic in Philadelphia. My heart is heavy from the horrifying story of an unregulated abortion provider who worked in squalor and unsanitary conditions for decades. While abortion in Philadelphia is legal, authorities ignored repeated complaints about this practice, which operated without oversight for 17 years.

By all accounts, Dr. Kermit Gosnell mostly treated Philadelphia's poor and immigrant women. One of these was a 41-year-old Nepalese woman, Karnamaya Mongar, who died from complications following an abortion performed by Gosnell. (She sought him out after being turned away from clinics in Virginia and Maryland).

He had been named in at least 10 malpractice suits, hadn't had his office inspected since 1993, and his practice was eventually shut down after a drug-related complaint brought police to his door. His story is a grim reminder of what women throughout the United States will face if once again denied access to safe and legal abortion services.

There need not be a conflict between religious freedom and saving women's lives. Surely there is common ground agreement that the sacredness of human life is best upheld when women and men create life intentionally. More than 3300 religious leaders have already endorsed the Religious Declaration on Sexual Morality, Justice and Healing affirming access to reproductive health care, including voluntary contraception, sterilization, and abortion services.

The Religious Institute's new Open Letter to Religious Leaders on Maternal Mortality and Reproductive Justice clearly addresses the issue of religious hospitals and the delivery of reproductive health services. It states, "Hospitals and health services, regardless of religious affiliation, must provide or refer clients to the full range of reproductive health services. Services must be culturally specific and competent, and offered without regard to sex, income, race, religion, marital status, gender identity, or sexual orientation."

Institutions have a responsibility towards the communities they serve, regardless of religious affiliation. While we respect that medical providers can and will disagree on matters of conscience, religious institutions that oppose specific services must still ensure that the services are available for the women who need them. When there is a conflict between the conscience of the provider and the woman, the institution delivering the services has an obligation to assure that the woman's moral agency and her decisions will be respected and that she has access to reproductive health care, either directly or through referral.

As a minister, I have counseled women who have been in situations similar to Karnamaya Mongar. But their stories ended differently because in Connecticut, safe abortion services are available without cumbersome legislative restrictions. In the United States, many women live in communities where they may be served by a single hospital. Women in countries around the world often lack safe maternal health and family planning services. Health delivery organizations, whether secular or faith based, in the United States or around the world, have a responsibility to assure that the women they serve have access to the full range of sexual and reproductive health services required by their individual circumstances and their individual moral decision making.

Safe services should not be an accident of geography.

By Debra W. Haffner  |  January 26, 2011; 2:30 PM ET Save & Share:  Send E-mail   Facebook   Twitter   Digg   Yahoo Buzz   Del.icio.us   StumbleUpon   Technorati  
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For all who commented, please think about this. Your mothers allowed you to live, thereby giving you the ability to voice your opinion. Abortion kills very small human beings (they cannot be anything else) resulting in no voice for them.

Posted by: priestess_82 | February 3, 2011 3:23 PM
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@wiki-truth: Who is Adrianna?

Posted by: whynotajoke | February 1, 2011 9:34 PM
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The problem is, if I'm in an ambulance, on the way to the hospital, I probably wouldn't be given the option to be taken to a non-catholic hospital. Do we have to wear medical alert bracelets requesting that we be taken to a REAL hospital?

Posted by: JimZ1 | February 1, 2011 8:39 PM
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Freedom of religion is nothing more than freedom of mythology and must never, ever, take precedence over basic human rights such as healthcare. If all the pro-lifers really cared about human life, they would ALL be stopping wars, housing the homeless, feeding the hungry, fight for destitute children, caring for prisoners, fighting inequities around the world, etc., etc., etc. It is pretty comical to think that pro-lifers care about human beings when there is so to do for the humans already here. When they have solved all the problems of the living, then we can talk about abortion. The term pro-life is the most hypocritical term in the English language. As for the rcc, having been raised catholic, I know there is a special hell just for catholics!

Posted by: bob2davis | February 1, 2011 7:42 AM
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If religious organizations actually cared and not pretend to care about the people, they would not proselytize while saving lives.

Providing essential health care to people whom cannot otherwise afford services, and then proselytize during the provisions of those essential service is using the person for the purpose of converting them, amoral and unethical behavior hiding behind the concept of we care about you, but only if you join our church and accept our beliefs and leave your church and your beliefs behind, oh and by the way, give us twenty percent of your income. It sounds more like an organized crime family than a religious organization.

Religion is meant to free people not enslave or bind people.

Patrick

Posted by: patmatthews | February 1, 2011 6:05 AM
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Surely you jest in saying 'There need not be a conflict between religious freedom and saving women's lives. Surely there is common ground agreement that the sacredness of human life is best upheld when women and men create life intentionally. More than 3300 religious leaders have already endorsed...'

There is obviously a conflict; some religions believe that aborting the fetus is a direct contravention of the commandment 'Thou shalt not kill'. The fact that you and 3300 other religious leaders believe differently does not make so. Morality is not consensus driven, rather its Truth driven. The consensus can and many times has been wrong: many religious leaders believed slavery was moral too.

Posted by: bruce18 | January 31, 2011 10:46 PM
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"...religious institutions that oppose specific services must still ensure that the services are available for the women who need them."

On what authority do you make this demand? So you're saying that elective abortions, which make up (according to Guttmacher) more than 97% of total abortions, must be performed by conscientious objectors merely because someone walks in and demands it? Very few women "need" abortions. I guess that a vegan market "must still ensure that meat is available to women who need it" merely because they demand it. How twisted.

Posted by: Raidernation1 | January 31, 2011 5:02 PM
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__

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Posted by: wiki-truth | January 30, 2011 11:48 AM
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Irisheddie, to portray black women's abortions as genocide shows your racism (or your willingness to pander any crazy thing to rile up support for your view). Are you saying that black women are guileless, stupid, or incompetent to make a reasoned decision? That those evil abortion providers are tricking them into not having babies? Please, spare everyone your insults.

And suggesting that there's a plenty of health care facilities for everyone in the country to choose from is just ignorant.

Posted by: MomZ | January 29, 2011 3:16 PM
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There is nothing "consfused" about this piece. It is well reasoned and points out the ethical obligation of medical providers (be they religious institutions or not) to ensure that sexual and reproductive services are available to women -- these providers do not have to provide these services themselves. They just need to do the right thing and refer to those providers who will provide these services. Reproductive health is a part of a woman's whole health and to ignore that is immoral and unethical. It seems to me that physicians who are supposed to take care of women but refuse to ensure they have the services they need should not have gone into medicine.

The issue with the abortion provider in Philadelphia is that what he was doing was not only improper but illegal. When termination of pregnancy is exceedingly difficult to get, it pushes women to seek it where they can even from a provider such as this. It is the improper illegal providers who cause deaths, not physicians who provide safe, proper termination procedures.

The issue with Montgomery County approving a Catholic hospital over the other hospital is that when there is a choice between an institution that provides all services to women and the Catholic one that limits services for women, it should have been a no brainer for Shady Grove. Catholic hospitals are entitled to provide the services they want to. They just shouldn't be allowed to open new hospitals when there are better alternatives.

Posted by: commentator3 | January 27, 2011 7:20 AM
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Save your mock horror, Deb. You and those like you who have made abortion a sacrament of the culture of death now have the results of your "choice". That it kills women somehow bothers you? It also kills black people and women. Over 60% of abortions done are done on black women. The KKK must be secretly applauding you and all your ilk for doing in the open what they could only hope to do in the dark of night and under cover. In my books, that kind of race killing is called genocide, but you will never admit to this in your haste to ensure that every woman who wants to gets a chance to kill her unborn child.

And stop with the nonsense about "insuring a women's right to reproductive choice" at Catholic hospitals. If you don't like a Catholic hospital, by all means, go somewhere else. There is no dearth of health care facilities in this country.

Posted by: IrishEddieOHara | January 26, 2011 8:20 PM
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liee -

What's confusing? The RCC is a major cause of illegal abortions with its sociopathic opposition to all abortion for all reason. They don't care if their stance kills women. They just do not care. Their opposition to all abortion has made the right to abortion nearly meaningless in some parts of the country because the supposedly pro-life people have caused all doctors to run away from doing what they should.

Posted by: david6 | January 26, 2011 6:45 PM
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This is a very confused piece that does not seem to understand what it wants to address. Are you writing about the tension between religious freedom and the freedom to have a choice to abort? That's enough of a topic by itself, but you skip through it saying nothing, really. Then you try to spin the Kermit Gosnell story as a "warning" to what could happen if abortion was illegal, but his filth and murder happened under a "legal" system that ignored duty for political considerations, which suggests a whole sick mindset. Then you jump again into Kumbayaland, playing around with some weird idea that somehow there is "commonground" on issues of life and death. Here's the truth: No one should be forced to act against their duties to their religions and no one should be forced to endure exploitation because a movement would rather see a filthy clinic kept open than actually attend to its duties. Let everyone attend to their duties in both cases, and others RESPECT those duties and the world would be better off. There. Was that so hard to write?

Posted by: liee | January 26, 2011 3:35 PM
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