
The Affordable Care Act was signed into law on March 23, 2010. Health care reform approached a make-or-break moment as President Barack Obama and congressional Democrats pushed to pass the bill that Republicans had vowed to oppose. The urgency further galvanized religious bodies and lobbies that had dedicated themselves to seeing health care reform pass — or fail.
While different religious groups had a variety of reasons for supporting or opposing the reform bill, the principal dividing line was a dispute over whether the Senate bill, which was the version the House must adopt or reject, bars taxpayer funding of abortion.
The United States Conference of Catholic Bishops, which supports affordable, universal health care for everyone, including all immigrants, led the charge against the Senate bill. The bishops preferred the House version, which they said contains sufficient safeguards against federal dollars going to fund abortions.
Other groups on the more conservative side of the religious spectrum opposed the bill no matter what its various provisions, with some believing such a reform would represent an unholy intrusion of the state into areas of health care, economics and personal freedom.
But there is also a wide range of religious leaders and groups who invested months of work into lobbying for universal health care coverage — a goal of many religious groups for decades, and they ramped up their efforts ahead of the anticipated vote. They argue it is a moral imperative to extend more affordable health coverage to more people, and the biblical language that was employed by Obama and these faith leaders reinforces the idea of health care reform as fulfilling a biblical injunction.
Whatever their point of view, religious groups became involved in the contentious health care reform debate to an unprecedented degree.
This edition of ReligionLink provides a guide to the major players and religious voices in the debate and resources for covering it.
Why it matters
According to U.S. Census Bureau data, the number of uninsured increased to 46.3 million in 2008, from 45.7 million in 2007. Religious leaders see a number of moral principles involved in health care. Those who support reform say affordable access to care is a moral imperative. Religious opponents of reform fear that it will enlarge access to abortion and that it could restrict care for the most vulnerable. Since the goal of health insurance reform is to improve access to care and give it to those who don’t now have it, whatever happens will affect virtually every American.
Background
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“Health Care: Politics in the Pews”
The Pew Forum published an Oct. 2, 2009, analysis looking at the two main coalitions of religious groups on opposing sides of the issue.
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“Health Policy”
View a variety of recent polls about health insurance reform at PollingReport.com.
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“Remarks by the President in State of the Union Address”
In his Jan. 27, 2010 State of the Union address the president pledged to keep fighting for health care reform, though it remained unclear how he and the Democrats would be able to pass a bill.
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“Remarks by the President to a Joint Session of Congress on Health Care”
Read the text of the nationally televised address to Congress on health care that the president delivered on Sept. 9, 2009, which opened a major new front in a tough fight to develop and pass a reform package.
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HealthReform.gov
The U.S. Department of Health and Human Services explains health care reform at its Web site HealthReform.gov.
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“Health care”
The Washington Post has a page with the latest developments on national health care legislation.
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“A Primer on the Details of Health Care Reform”
Read an Aug. 9, 2009, New York Times primer on health care reform proposals.
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“Churches step into health care debate”
Read an Aug. 18, 2009, Religion News Service story about the religious element to the health care debate.
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“Health reform 101: what is in the bills”
Read an Aug. 10, 2009, Christian Science Monitor guide to principal features of health insurance reform proposals.
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“Surgery for Seniors vs. Abortions?”
Factcheck.org offers analysis of television advertising about health care reform proposals.
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“An Open Letter to Conservative Christians in the U.S., On Health Care”
Read influential evangelical Brian McLaren’s blog post addressing conservative Christians on the subject of health care.
National sources
Individuals
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Leonard J. Nelson III
Leonard J. Nelson III is a professor at the Cumberland School of Law of Samford University and an affiliated scholar with the Lister Hill Center for Health Policy at the University of Alabama at Birmingham School of Public Health. He is a specialist in health care law and author of the 2009 book Diagnosis Critical: The Urgent Threats Confronting Catholic Healthcare. He says Catholic bishops face a dilemma: They support greater access to health care as a matter of social justice, but increased access to health care will bring with it increased demand for a full range of reproductive health services.
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James R. Thobaben
James R. Thobaben, a professor of church in society at Asbury Theological Seminary in Wilmore, Ky., is author of a new volume, Health-Care Ethics: A Comprehensive Christian Resource. The work focuses on evangelical Christian views on health care policy.
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Russell Moore
Russell Moore is director of the Public Theology Project at Christianity Today.
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Richard Cizik
The Rev. Richard Cizik is president of the New Evangelical Partnership for the Common Good. He seeks to bring evangelical Christians, researchers and policymakers together to work on issues such as climate change, economic justice and national security.
The New Evangelicals were among those backing the 40 Days for Health Reform campaign.
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Richard Land
Richard Land is president of the nondenominational Southern Evangelical Seminary in Charlotte, N.C., and previously served for 25 years as president of the Southern Baptist Convention’s Ethics & Religious Liberty Commission.
The Southern Baptist Convention’s Ethics & Religious Liberty Commission performed an analysis of proposed reform by the commission, which concluded that the bill would lead to fewer health care choices and more government intrusion.
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David Saperstein
Rabbi David Saperstein is the Union for Reform Judaism’s senior adviser for strategy and policy. He previously served as the U.S. ambassador-at-large for international religious freedom. Arrange an interview through Jenna Galper.
The Religious Action Center of Reform Judaism in Washington, D.C. was involved in the 40 Days for Health Reform coalition.
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Gary Dorrien
Gary Dorrien is the Reinhold Niebuhr Professor of Social Ethics at Union Theological Seminary and is an advocate of a single-payer system, as he wrote in a July 14, 2009, article in The Christian Century titled “Health-Care Fix.”
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Sayyid M. Syeed
Dr. Sayyid M. Syeed is National Director for Interfaith and Community Alliances at the Islamic Society of North America.
Syeed has taken part in a number of interfaith groups supporting health care reform. ISNA is one of the sponsors of the 40 Days for Health Reform campaign.
Organizations
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Catholics in Alliance For the Common Good
Founded in 2005, Catholics in Alliance for the Common Good is a lay Catholic organization that promotes Catholic social policy and issues.
It is one of the leaders on health care reform.
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Faith in Public Life
Faith in Public Life is “a strategy center for the faith community advancing faith in the public square as a powerful force for justice, compassion and the common good.”
It helped to launch the 40 Days for Health Reform campaign.
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Family Research Council
The Family Research Council is a Christian organization promoting the traditional family unit and the Judeo-
Christian value system. Press contacts are J.P. Duffy or Alice Chao. It produced a television ad that ran in five states saying that a “government health care takeover” would pay for abortions and deny care to those who need it. FRC President Tony Perkins has been a visible and vocal opponent of current health care reform proposals.
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CitizenLink
Focus on the Family’s Action Center arm CitizenLink.com asked people to tell their representatives to exclude abortion services from health care reform. Focus also lists Family Policy Councils in many states.
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Eagle Forum
Eagle Forum is a socially conservative group founded in 1972 by Phyllis Schlafly dedicated to offering resources that promote conservative and religious qualities in American livelihood such as public policy, government, family integrity and private enterprise.
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National Association of Evangelicals
The National Association of Evangelicals is an organization that includes 45,000 congregations from 40 member denominations, individual congregations from an additional 27 denominations, and 250 parachurch ministries and educational institutions. Its mission is to gather, strengthen and expand the evangelical community. Galen Carey is vice president for government relations.
It wrote a July 21 letter to House Speaker Nancy Pelosi asking that health reform explicitly exclude abortion.
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National Right to Life Committee
Jessica Rodgers is a spokeswoman for the National Right to Life Committee in Washington, D.C. Karen Cross is national political director.
It expressed concern that health care reform will expand access to abortion and ration access to care.
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PICO National Network
PICO National Network is a network of faith-based community organizations. It was one of the leaders of the 40 Days for Health Reform campaign. Gordon Whitman is director of public policy and communications. Contact 866-550-7426 ext. 713.
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Universal Health Care Action Network
The Universal Health Care Action Network is an education and advocacy group working to provide comprehensive health care for all Americans. Its comprehensive Web site links to other health care reform campaigns, including Faithful Reform in Health Care. Rachel DeGolia is executive director.
Analysis and research
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“Struggling With Financing: The Recession and National Health Reform Dominate State Medicaid Concerns”
Read an analysis a July poll registers both support for and doubts about health care reform as debate intensifies. The poll was conducted by the Henry J. Kaiser Family Foundation, which specializes in health care issues. A main focus of the foundation is health reform. Drew Altman is president and CEO.
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“Pulling it Together: The Experts vs. The Public on Health Reform”
Read an analysis by Drew Altman, president and CEO of the Henry J. Kaiser Family Foundation, about differences in public and expert perceptions of the current American health care system.
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State Health Access Data Assistance Center
The State Health Access Data Assistance Center at the University of Minnesota provides information and analysis about health insurance coverage with state-by-state profiles.
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Health Insurance–U.S. Census Bureau
The U.S. Census Bureau provides data on the uninsured, including breakdowns by age, race, sex and state.
Regional sources
In the Northeast
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Stuart Altman
Stuart Altman is the Sol C. Chaikin Professor of National Health Policy at the Heller School for Social Policy and Management at Brandeis University in Waltham, Mass. He is an economist whose research interests are primarily in federal and state health policy.
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David Cutler
David Cutler is an economics professor at Harvard University. He wrote the book Your Money or Your Life: Strong Medicine for America’s Healthcare System, which looks at issues involving access to health care.
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Abigail Rian Evans
Abigail Rian Evans is an adjunct professor of family medicine at the Georgetown University Medical Center in Washington, D.C. She wrote Redeeming Marketplace Medicine: A Theology of Health Care.
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Jonathan Gruber
Jonathan Gruber is an economics professor at Massachusetts Institute of Technology in Boston. He advised the Obama campaign in 2008 about health care, and The Washington Post has called him the Democratic Party’s most influential health care expert. He has testified before the Senate Finance Committee about financing health care reform.
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Jacob S. Hacker
Jacob S. Hacker is the Stanley B. Resor Professor of Political Science at Yale University and a Resident Fellow at the Institution for Social and Policy Studies. He edited Health at Risk: America’s Ailing Health System – and How to Heal It.
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Mark Pauly
Mark Pauly is the Bendheim Professor of health care management at the Wharton School at the University of Pennsylvania in Philadelphia. He is an expert on medical economics, health policy and health insurance.
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George P. Smith II
George P. Smith II is a law professor at the Catholic University of America in Washington, D.C. His specialty is bioethics and health law; he has taught internationally.
In the South
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Alabama Policy Institute
The Alabama Policy Institute has produced a video on health care reform that warns of waits and rationing of care.
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Larry Churchill
Larry Churchill is a professor of medical ethics at Vanderbilt University Medical Center and a professor at the graduate department of religion at the Vanderbilt Divinity School in Nashville, Tenn. An expert on the justice and allocation of health care resources, he wrote Self-Interest and Universal Health Care: Why Well-Insured Americans Should Support Coverage for Everyone.
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Nicole Ravenell Edwards
Nicole Ravenell Edwards is president and CEO for the Southern Institute on Children and Families, based in South Carolina but with affiliates throughout the South. The institute is a nonprofit organization that works with business leaders to try to improve children’s quality of life, including access to health care. Ravenell is a public policy expert.
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H. Tristram Engelhardt Jr.
H. Tristram Engelhardt Jr. is a philosophy professor at Rice University in Houston and an expert on bioethics. His current research interests include rights and responsibilities in health care.
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B. Andrew Lustig
B. Andrew Lustig is the Holmes Rolston III Professor of Religion and Science at Davidson College in Davidson, N.C. His specialties include bioethics and religion and science. He was staff ethicist for then-Gov. Mario Cuomo’s New York State Task Force on Life and the Law.
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Ken Thorpe
Ken Thorpe is Robert W. Woodruff professor and chair of the health policy and management department at Emory University in Atlanta. He is an expert in health care financing, insurance and health care reform.
In the Midwest
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Colleen Grogan
Colleen Grogan is co-chair of the Center for Health Administration Studies at the University of Chicago. She is an expert on health policy and health politics.
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M. Cathleen Kaveny
M. Cathleen Kaveny is the John P. Murphy Foundation Professor of Law at the University of Notre Dame. She focuses on the relationship of law and morality.
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Timothy McBride
Timothy McBride is a professor and associate dean for public health at George Warren Brown School of Social Work at Washington University in St. Louis. He focuses his research on Medicare reform, the uninsured and insurance markets, rural health and long-term care.
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Catherine McLaughlin
Catherine McLaughlin directed the Economic Research Initiative on the Uninsured at the University of Michigan in Ann Arbor. The six-year-long initiative conducted research on health insurance coverage. McLaughlin is an expert on health care economics.
In the West
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Alain C. Enthoven
Alain C. Enthoven is a professor emeritus at the Center for Health Policy/Center for Primary Care and Outcomes Research at Stanford University. His research focuses on financing and delivery of health care in the United States.
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Sara Jarrett
Sara Jarrett is a professor of nursing at Regis University in Denver and a member of the Colorado Nurses Association – Government Affairs and Public Policy Committee. The nurses association voted in 2005 to support single-payer universal health care. Jarrett’s work focuses on health care access for the poor.
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Dr. Arthur Kaufman
Dr. Arthur Kaufman is vice president for community health at the University of New Mexico Health Sciences Center. His primary interests are in creating innovative education and service models to address health needs.