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Proposed HHS Regulation Could Still Block Access to Contraception, Other Health Services

By Jessica Arons, Center for American Progress and Center for American Progress Action Fund

August 22, 2008 - 10:52am

Jessica Arons's picture

HHS has released its proposed regulation to “help protect health care providers from [religious] discrimination.” The good news is it no longer attempts to re-define abortion to include birth control. But don’t breathe a sigh of relief just yet. The regulation no longer defines pregnancy or abortion at all. But Sec. Mike Leavitt indicated in the press conference that individuals might be able to define those terms for themselves in determining what they find morally objectionable, which means they still may be able to deny women access to oral contraceptives, emergency contraception, and the IUD, among other commonly used methods of birth control.

And that’s just the beginning.

While most of the regulation limits the scope of allowable moral objections to training, performing, counseling, or referring for abortion and sterilization, some sections are not so restricted.

Entities to whom this subsection 88.4(d) applies shall not require any individual to perform or assist in the performance of any part of a health service program or research activity funded by the Department if such service or activity would be contrary to his religious beliefs or moral convictions.

That seems to be an exception you could drive a truck through.

Also note the objections can be based not only on religious beliefs but on any personal moral convictions. This is much broader than the traditional conscience clauses, including those that allowed for conscientious objectors during the Vietnam War.

Finally, the proposed regulation would extend protection from doctors and nurses to just about anyone who might come into contact with a patient, and even some who might not.

[A]n employee whose task it is to clean the instruments used in a particular procedure would be considered to assist in the performance of the particular procedure.

By that logic, an ambulance driver, a receptionist, and even the person who processes health insurance forms might be able to refuse to perform their jobs if related to a health care service they find morally objectionable. Volunteers are explicitly protected too.

The public may submit comments on the regulation during the next 30 days to http://www.Regulations.gov or via email to consciencecomment@hhs.gov.

This post was first published at ThinkProgress.


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2 comments
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Thanks Jessica for your thoughtful analysis of these regulations. Although they have diluted the language found in the draft regulations, the resulting ambiguity places more power into the providers and even less into the hands of the patient. We have slipped into a dialogue around this issue using words such as "conscience" and "moral objections", reminiscent of the "pro-life" and "anti-life" framing of the abortion argument.

We need to be careful not to frame this discussion around conscience and morality, this is about refusing to provide certain services based on emotion, with little to no regard for protecting the health needs and rights of the patient. We need to ensure that those who refuse to provide certain services do not recieve the jobs that will endanger these patients by their refusal, that is the moral and conscientious thing to do!

I am so happy to read your blogs and I hope you continue to use this site to provide interesting and important analyses of these and other issues affecting the health and rights of not only women but their families and communities.

Submitted by Jennifer R. on August 26, 2008 - 10:55am.

I got pregnant when I was 17, had my son when I was eighteen. So if a doctor found teenage pregnancy morally objectionable then I would have had to give birth alone at home?
I ahd complications tha talmost killed me, they could have refused to drive me, bleeding to death, to the hospital?

Submitted by Krystalyn on September 10, 2008 - 12:47pm.