Washington State mother sues employer for denying insurance coverage to transgender son

Lawsuit claims Catholic health care organization is breaking law by denying coverage for all transgender services

Metro Weekly

John Riley

The ACLU of Washington has filed a civil rights lawsuit against a Catholic health care organization for refusing to cover the medically necessary surgery required by a transgender son of one of their employees.

The ACLU is suing on behalf of Cheryl Enstad, a medical social worker at PeaceHealth St. Joseph Medical Center in Bellingham, Wash. Enstad decided to file a lawsuit after PeaceHealth refused to cover the medical expenses of her transgender son, Pax, even though the treatments that were denied were recommended to treat his gender dysphoria.

Because PeaceHealth is a Catholic health care organization, it tries to abide by the teachings of the Catholic Church when it comes to issues surrounding sexual orientation or gender identity. It used that as justification for refusing to provide coverage for a recommended chest reconstruction surgery and other treatments for gender dysphoria under its medical benefits plan. . . [Full text]

 

Trump Administration Issues Rules Protecting the Conscience Rights of All Americans

News Release

For immediate release

United States Department of Health and Human Services

The Departments of Health and Human Services, Treasury, and Labor are announcing two companion interim final rules that provide conscience protections to Americans who have a religious or moral objection to paying for health insurance that covers contraceptive/abortifacient services. Obamacare-compliant health insurance plans are required to cover “preventive services,” a term defined through regulation. Under the existing regulatory requirements created by the previous administration, employers, unless they qualify for an exemption, must offer health insurance that covers all FDA-approved contraception, which includes medications and devices that may act as abortifacients as well sterilization procedures.

Under the first of two companion rules released today, entities that have sincerely held religious beliefs against providing such services would no longer be required to do so. The second rule applies the same protections to organizations and small businesses that have objections on the basis of moral conviction which is not based in any particular religious belief.

In May, President Trump issued an “Executive Order Promoting Free Speech and Religious Liberty” in which the President directed the Secretaries of Health and Human Services, Labor and the Treasury to consider amending existing regulations relative to Obamacare’s preventive-care mandate in order to address conscience-based objections.

Key Facts about today’s interim final rules:

  • The regulations exempt entities only from providing an otherwise mandated item to which they object on the basis of their religious beliefs or moral conviction.
  • The regulation leaves in place preventive services coverage guidelines where no religious or moral objection exists – meaning that out of millions of employers in the U.S., these exemptions may impact only about 200 entities, the number that that filed lawsuits based on religious or moral objections.
    • These rules will not affect over 99.9% of the 165 million women in the United States.
  • Current law itself already exempts over 25 million people from the preventive-care mandate because they are insured through an entity that has a health insurance plan that existed prior to the Obamacare statute.
  • The regulations leave in place government programs that provide free or subsidized contraceptive coverage to low income women, such as through community health centers.
  • These regulations do not ban any drugs or devices.
  • The mandate as defined by the previous administration suffered defeats in court after court, including the Supreme Court, which ruled that the government cannot punish business owners for their faith.

The IFR can be found here:

https://www.federalregister.gov/d/2017-21852

https://www.federalregister.gov/d/2017-21851

To find a fact sheet on the IFRs, visit:  Religious and Moral Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care Act

Contact: HHS Press Office
202-690-6343
media@hhs.gov

 

Quebec euthanasia rates on track to match Belgian 7-8 year rates after 2 years

Sean Murphy*

Available statistics indicate that Quebec is on track to reach euthanasia rates  after two years that correspond to Belgian rates after seven to eight years (i.e., per 100,000 population and as a percentage of deaths from all causes).

Not all Quebec euthanasia statistics have been made public.  However, the following points appear to be of interest:

  • Almost 20 requests for euthanasia were made weekly in the province in the first half of 2017, slightly higher than the last half of 2016.
  • The percentage of requests that did not result in euthanasia increased slightly from about 37% to 40%
    • Increases in this category, when reported, were attributed mainly to patients becoming incompetent, dying or withdrawing their requests.

The Project’s analysis is available at Euthanasia Statistics: Quebec.

 

Vatican summons Belgian order to Rome over euthanasia policy

Catholic Herald

Simon Caldwell

Vatican officials want to hear in person why Brothers of Charity board members insist on allowing the euthanasia

The Vatican is planning to summon members of a Belgian nursing order to Rome to explain why they are refusing to ditch a policy which allows doctors to kill psychiatric patients in Church-run homes.

Senior Vatican officials want to hear in person why board members of the Organisation of the Brothers of Charity insist on allowing the euthanasia of non-terminally ill patients in the face of a top-level order to reverse the policy. . . [Full text]

 

Health professionals’ pledge rejects any form of participation in or condoning torture

Sean Murphy*

Physicians for Human Rights is sponsoring a Health Professionals’ Pledge Against Torture that includes statements that signatories will never “participate or condone” torture and support colleagues who “resist orders to torture or inflict harm.”  It also commits signatories to insist that their professional associations support those facing pressure “to participate or condone torture and ill-treatment.”

What is noteworthy is that the pledge is not limited to simply refusing to torture someone, but is a pledge against participation (which would include forms of facilitation like referral) and against condoning the practice.

Replace “torture” with commonly morally contested procedures and it becomes obvious that the ethical position taken by Physicians for Human Rights vis-à-vis torture is identical to the position of many health care professionals who object to practices like euthanasia or abortion for reasons of conscience.