Conscience Clauses and the Challenge of Co-operation in a Pluralistic 
	Society
    Director for Pastoral Projects and Communications
	February 2003
	
Reproduced with permission
                    
				
				
    
	
	Carol Hogan*
	Introduction 
	During the last decade, secular activists began mounting a concerted 
	effort nationally to eviscerate the concept of "conscience clauses" which 
	have historically facilitated cooperation between Catholic individuals and 
	institutions and the government in the delivery of health and social 
	services. In our state, they are using "reproductive health" freedoms, which 
	rest on privacy rights, as a vehicle for this challenge. They claim that 
	privacy rights, which are implicit in the federal constitution and explicit 
	in California's Constitution, as positive rights, thereby obligating 
	government to their provision. Secularists are also holding that religious 
	liberty, affirmed in both constitutions, is subject to government oversight 
	and subordinate to public sentiment. We Catholics view both privacy and 
	religious liberty differently; we understand those freedoms as negative 
	rights, that is, they are rights that insure government noninterference. 
	A number of questions arise at this point. 
	First, are "privacy" and religious liberty positive or negative rights?
	
	Second, what exactly is this religious freedom we claim and does it mean 
	something different today than it did to the American Founders? 
	Third, must a religious organization be subject to the government 
	characterization and oversight if the public wills it? 
	And finally, can we as Catholic individuals and Catholic institutions 
	continue to function as a viable part of American society if we lose the 
	"conscience clause" as a method of opting out of immoral or illicit public 
	policy? 
	In this paper, I will respond to these questions and assert that the 
	challenge of cooperation in American society is synonymous with the 
	challenge of keeping effective opt-outs. I will examine certain current 
	events, the history of religious freedom, contemporary judicial 
	constitutional interpretation, the divergent worldview of secularists and 
	Catholics, the agenda and tactics of the secularists, and the nature of 
	contemporary American society. I will conclude with several suggestions how 
	we as Catholics can meet the challenge of cooperation in today's society.
	
	Current Events
	Brigham Young University Law Professor Lynn Wardle was prescient when he 
	wrote in the July-August 1993 issue of Health Progress: 
	Increasing pressure on healthcare providers who 
	assert rights of conscience can be expected from three sources. First, some 
	medical schools have considered refusal to participate in certain procedures 
	as a negative factor in the admission process... Second, the aging of the 
	baby-boom generation will create greater financial pressures on the American 
	healthcare system, and that may cause nonmonetary factors-including rights 
	of conscience of individual and institutional healthcare providers-to be 
	sacrificed to the exigencies of the moment... Third, the increasing cost of 
	healthcare in the United States has made reform a leading political issue. 
	Although many different plans have been proposed, common to all of them is 
	an increase in the federal role... [and] the only federal statutory 
	protection for healthcare providers' rights of conscience... is sorely 
	inadequate.[1] 
	He also pointed out that nearly all existing state conscience clauses 
	protecting healthcare providers are deficient and many have been met with 
	"hostile judicial interpretations that have diminished their scope and 
	strength."
[2]
	An impressive demonstration of that very fact occurred in September 2000 
	when the Superior Court of Sacramento declined Catholic Charities' request 
	to issue an injunction barring the implementation of a 1999 state mandate 
	that all employee health insurance policies with coverage for 
	pharmaceuticals include contraceptive drugs and devices. The authors of the 
	mandate, foreseeing a religious liberty challenge, had inserted a 
	"conscience clause" that they touted as an accommodation for religious 
	organizations. However, the exemption applied only to sectarian institutions 
	employing and serving fellow sectarians. Further, suitable policies became 
	unavailable for purchase because the mandate for the inclusion of 
	contraceptives in drug benefit plans was on insurance companies. This 
	effectively precluded an opportunity for civil disobedience by the Catholic 
	social service agencies, healthcare institutions and universities that were 
	impacted. 
	In its lawsuit, Catholic Charities claimed infringement of its religious 
	liberty rights guaranteed in both the California and the U.S. constitutions. 
	Because it illicit for a part of the Catholic Church to provide 
	contraceptive coverage to its employees, and because it is immoral for 
	Catholic Charities to deprive its employees of pharmaceutical benefits in 
	their health insurance in order to avoid the conflict, the mandate 
	unconstitutionally interferes with the Church's religious freedom. The 
	Catholic Church does not oppose the state or federal government's right to 
	craft a public policy in variance with its teaching; it only asserts that 
	institutions, as well as individuals, have the right to exercise 
	their freedom of religion, as guaranteed in the state and federal 
	constitutions, and that when public policy is in conflict, and public safety 
	is not at risk, religious liberty prevails. The Catholic Church and its 
	institutions should be granted an exemption. 
	Catholic Charities appealed the Superior Court's decision to the 
	California Third Court of Appeals. In July 2001 that Court similarly turned 
	back the request for an injunction, finding that the mandate did not unduly 
	burden Charities' religious freedom, but that the failure to mandate 
	contraceptive coverage would infringe on individual workers' conscience 
	freedoms. Catholic Charities lawsuit is now before the California Supreme 
	Court, which will have the last word on the state constitutionality of the 
	contraceptive mandate. That word will be determinate for both the viability 
	and the scope of religious liberty in California, what many people consider 
	the most "pluralistic" state in the nation. 
	"Conscience clauses" had been the time-honored method of allowing both 
	individuals and religious institutions to "opt out" of public policy in 
	conflict with their religious beliefs. Following the 1973 U. S. Supreme 
	Court Roe v. Wade decision, Congress passed the "Church Amendment," known 
	for its sponsor, Senator Frank Church, to underline the fact that the 
	Court's decision granting women the right to an abortion was not an 
	entitlement, and that exemptions for certain health programs was in order. 
	That amendment, which was the prototype for many state healthcare provider 
	"conscience clauses" that were legislated in the 1970s, declared that "the 
	receipt of federal funds... will not require hospitals to participate in 
	abortion and sterilization procedures, if they object based on moral or 
	religious convictions."[3] 
	Up until the decade of the 1990s "conscience clause" exemptions were 
	often included in legal mandates for proscribed activities, such as 
	abortion, sterilization, contraception, and in vitro fertilization, at the 
	request of the impacted Catholic institutions. There was almost no 
	dissention with the claim that Catholic social service, healthcare and 
	educational institutions were religious organizations. Catholic healthcare 
	is a large and thriving part of the nation's healthcare system, but because 
	of historical deference, they have been able to opt-out of providing 
	services to the public that they find immoral. That may no longer true in 
	part, as Professor Wardle stated, because "greater financial pressures on 
	the American healthcare system may cause nonmonetary factors to be 
	sacrificed to the exigencies of the moment."[4]
	
	It also may no longer true in part because secular activists, such as the 
	American Civil Liberties Union (ACLU), abortion-rights advocates and women's 
	groups, are increasingly resisting, on ideological bases, such legal 
	remedies for conscience violations. They have concluded that entry into the 
	secular pursuits of caring for society's vulnerable members makes the 
	institution offering the services a secular rather than a religious one and 
	that it is "unfair" that such an institution can access the benefit of an 
	exemption from a public policy mandate. These ideological opponents of 
	"conscience clauses," are relentlessly and publicly re-labeling them as 
	"refusal clauses"[5] while mounting 
	challenges to any exemption from public policy mandates for 
	religiously-affiliated institutions that accept public funds or narrowly 
	redefining religious organizations so that the exemption is ineffective. 
	The ACLU Reproductive Freedom Project, which has taken the lead in this 
	effort, has a stated agenda of "combating limitations on reproductive health 
	care."[6] One of the top 
	items on their agenda is requiring contraceptives be included in employee 
	health plan pharmaceutical coverage with no-or negligible opt-outs-and their 
	first target state for this mandate was California. In 1999, five years 
	after the initial bill was introduced and after numerous tries and despite 
	extensive opposition lobbying by the Catholic Conference, the requirement 
	that pharmaceutical coverage in private employee health plans include 
	contraceptives, with a narrow "conscience clause" exemption, was passed and 
	signed by the Governor. 
	The exact language of the exemption was specifically developed by the 
	ACLU,[7] made available to legislators in 
	the various states considering a contraceptive mandate, and is in fact 
	contained in the recently enacted New York contraceptive mandate, which also 
	fails to exempt most New York Catholic social service, healthcare and 
	educational institutions.[8] 
	As just demonstrated, "conscience clauses" to protect the religious freedom 
	of those engaged in healthcare and social services are endangered by both 
	financial exigencies and secular ideologies. Although religious liberty is 
	"guaranteed" in California's Constitution, and acknowledged and protected by 
	the federal Bill of Rights, the ACLU has begun to re-evaluate religious 
	freedom on the basis of public opinion, claiming that their focus groups and 
	polls reflect that the public rejects "refusal clauses" by large margins.[9]
	
	At this point it would behoove us to recall the history of religious 
	freedom in Western civilization, and more particularly, how it grounded the 
	American democratic experiment in the New World.
	History of Religious Freedom 
	Christendom, the intricate intertwining of Christianity and the state, 
	provided much of the framework for medieval European society. Monarchs ruled 
	by "divine right" and were crowned by bishops or popes. Clerics, and even 
	bishops, served at the pleasure of those who wore the crown.[10] 
	The hegemony of the Catholic Church was interrupted in 1517, when Martin 
	Luther posted his 95 Theses. By this act he planted the seeds for the 
	Reformation, which became "the political and religious event that divided 
	the Western Christian church into Catholic and Protestant,"[11] 
	and as history shows, it heralded the beginning of the end for Christendom.
	
	Luther's message that "false doctrine" had led to the corruption in the 
	Catholic Church fueled a popular movement to reform the Church, which spread 
	rapidly through Germany in the 1520s. At approximately the same time, 
	competing Protestant movements began in Switzerland with John Calvin, who 
	preached predestination and held the Catholic Church guilty of idolatry, and 
	in England with King Henry VII, who broke with the Vatican over the Pope's 
	refusal to grant him a divorce from his wife. Responding to these 
	"protests," Pope Paul III convened the Council of Trent, which met in three 
	sessions spanning the years 1545-1563. The decrees of Trent clearly defined 
	Catholic dogma, delineating the Church's theological position over against 
	Protestantism, and gave form to the Roman Catholicism that endured 400 
	years-until Vatican II.[12] 
	Religious wars engulfed the continent during the 1500s and 1600s, 
	dividing the medieval Church into "Catholic" and "Protestant" and then 
	fragmenting Protestantism into numerous sects. However, the entrenched model 
	of Christendom and the familiar desire for religious homogeneity lingered. 
	It was not until England passed the "Act of Toleration" in 1689, that the 
	some diversity was formally accepted.[13] 
	That "toleration" gave legal protection against coercion and mayhem to those 
	who dissented from the state's chosen religion, but did not grant them what 
	we understand as religious liberty. It remained for the newly-minted 
	Americans to implement the idea of freeing religion from governmental 
	oversight. Colonial America became the place where "for the first time in 
	Western history, the state and church were cleaved from one another."[14]
	
	European settlers came to America in the middle of the seventeenth 
	century seeking freedom to practice a religion different from the one 
	sanctioned by their country's government. Ironically, though, upon arrival 
	in the New World those first colonists gave their elected leaders the power 
	to enforce their chosen religious beliefs and practices. "The inhabitants 
	of... the settlements adhered to a basic... belief that the Bible ... read 
	correctly... would prove a clear and infallible guide to the constitution of 
	both Church and State, and no one who refused to follow the canons of 
	scripture was to be tolerated."[15] 
	It was not until 1644, when the English Puritan Roger Williams parted 
	company with his fellow New Englanders and founded Rhode Island that the 
	"experiment" in religious freedom actually began. Williams believed that 
	religion could only be authentic if it was freely chosen and freely 
	exercised; therefore Rhode Island's charter provided religious liberty for 
	all and established no Church. His thinking was eventually paralleled by the 
	American founders, 150 years later, i.e.
	1. Religion is indispensable to a free republic 
	because it informs consciences and creates morality.
	2. Religion should have no civil authority; 
	government should have no religious authority.
	3. Government must not suppress the free exercise of 
	religion or coerce conduct contrary to conscience.[16]
	
	"[By] deciding against maintaining an established 
	church, the United States embarked on a new and radical course. It not only 
	broke with its European roots; it departed from previous human experience. 
	Until that time... the idea that a society could be maintained without its 
	governing authority upholding and promoting a central belief system would 
	have been inconceivable."[17] 
	Accordingly, in 1791 the "establishment" clause and the "exercise" clause 
	were ratified as part of the First Amendment to the Constitution of the 
	United States: 
	
		Congress shall make no law respecting an establishment of 
		religion, or prohibiting the free exercise thereof; or abridging the 
		freedom of speech, or of the press; or the right of the people peaceably 
		to assemble, and to petition the Government for a redress of grievances.[18]
		
	
	However, it is important to remember that the founders thought that "the 
	right of a society or government to interfere in matters of religion will 
	hardly be contested by any persons, who believe that piety, religion, and 
	morality are intimately connected with the well being of the state, and 
	indispensable to the administration of civil justice,"[19] 
	and considered the "religious liberty" clauses simply as prohibiting the 
	Federal Government from taking any action to either establish a national 
	church or to prevent Americans from exercising their religion in the various 
	states, a number of which did have established churches. 
	In his 1833 commentary on the U. S. Constitution, Supreme Court Justice 
	Joseph Story pointed out that "in some of the states, Episcopalians 
	constituted the predominant sect; in others Presbyterians; in others, 
	Congregationalists; in others, Quakers; and in others again, there was a 
	close numerical rivalry among contending sects... Thus, the whole power over 
	the subject of religion is left exclusively to the state governments, to be 
	acted upon according to their own sense of justice..."[20]
	
	Judicial Constitutional Interpretation 
	It is interesting to note that between 1789 and 1947, the United States 
	Supreme Court heard only one "religious freedom" case.[21] 
	Since 1947, there have been dozens of cases. Not coincidentally, it was in 
	1947, that U. S. Supreme Court Justice Hugo Black unearthed and employed 
	Thomas Jefferson's "wall of separation" language when he wrote for the 
	majority in Everson v. Board of Education: "In the words of 
	Jefferson, the clause against establishment of religion by law was intended 
	to erect a 'wall of separation between Church and state.'"[22]
	
	That phrase, familiar to modern Americans, is not found in the 
	Constitution but in a January 1, 1802 letter Jefferson wrote in response to 
	the Danbury Baptist Association's inquiry about his stance on their 
	religious liberty. At the time the Baptists were being persecuted for not 
	being part of the Congregationalist Church, the "predominant sect" in the 
	state of Connecticut. Jefferson wrote: 
	Believing with you that religion is a matter which 
	lies solely between man and his God; that he owes account to none other for 
	his faith or his worship; that the legislative powers of the government 
	reach actions only, and not opinions, I contemplate with sovereign reverence 
	that act of the whole American people which declared that their legislature 
	should 'make no law respecting an establishment of religion, or prohibiting 
	the free exercise thereof,' thus building a wall of separation between 
	church and State.[23] 
	It is important to remember that the religious freedom clauses in the 
	First Amendment to the U. S. Constitution did not grant religious 
	freedom to Americans, a liberty which the Founders viewed as God-given, but 
	rather restrained the federal government from interference with the 
	citizenry in either their choice or their practice of religion. As Bishop 
	Thomas Curry points out in his book, Farewell to Christendom: 
	"Prohibition of an establishment of religion meant that government should 
	not select, promote, or prefer one religious group, a practice familiar to 
	many Americans at the time the First Amendment was enacted. America defined 
	the role of the State; it left the Church free to define its own role and 
	what was good or bad for religion."[24]
	
	The First Amendment curbs the power of the federal government. It does 
	not make the government a "neutral" judge as to the benefits and burdens of 
	certain public policies upon religion and religious practitioners or give it 
	authority as an arbiter of where to place a "wall of separation"[25] 
	American founders' intent was that the government is be absent, not neutral, 
	in all matters religious. 
	This misuse of Jefferson's words as metaphor to mean a bright line 
	separating all things secular from all things religious has seriously skewed 
	the historical concept of religious liberty in the United States and has 
	resulted in numerous rulings that rest on "judicial reasoning [that is]... 
	fractured, polarized and utterly confusing. Even constitutional experts lose 
	their way in the maze of precedents that now surround the First Amendment."[26]
	Divergent Worldviews of Secularists and Catholics 
	Diametrically opposing worldviews explain most of the controversy about 
	"conscience clauses" and the attempted "refusal" of Catholic institutions to 
	submit to the demands of the "rights" activists. On one side are activists 
	whose sensibilities are overwhelmingly secular and whose ideology demands 
	that religion be treated as just another lifestyle, belonging wholly to the 
	private realm. On the other side are the Catholic Church and various 
	religious freedom advocates who share the American Founders' understanding 
	of religious freedom, a belief in the value of religion and the deference 
	due it. Arguments that resonate with one side elude the other. In fact, the 
	very words "right," "justice," "fairness," "discrimination," and "equality" 
	take on different meanings depending upon the worldview of the proponent.
	
	The "rights" activists, who consider Judeo-Christian religious tenets and 
	tradition quaint at best and divisive at worst, share a worldview with many 
	secular ideologues in legal and political circles that have the power to 
	craft public policy and tender constitutional interpretations. Although 
	secularists give lip service to the "inalienable rights" language used by 
	the American Founders in the Declaration of Independence, their worldview is 
	that human rights come from human institutions and documents, such as the U. 
	S. Constitution. They hold that individual autonomy is one of society's 
	highest values, accept the postulate that morals are personal preferences 
	and believe that rights are positive entitlements, which means that access 
	to the "right" is synonymous with the right itself. Rather than accepting 
	the Bill of Rights as restraining government from interference with 
	God-given inalienable human rights, they see government as the grantor and 
	arbitrator of those rights. 
	By virtue of this understanding, they view any "absence" of government in 
	the oversight of religion and religious practices as showing preference to 
	religion, and that religious as well as nonreligious individuals and 
	institutions must heed government mandates. They believe that justice 
	dictates that government must be actively neutral in ensuring the proverbial 
	"level playing field," by stamping out "discrimination" by religious 
	institutions, and erasing their tax benefits. 
	This worldview has led to the bright line "wall of separation" metaphor 
	gaining credence in popular culture. Whereas the Founders were concerned 
	that government would interfere with religion, the current concern seems to 
	be that religion is interfering with the government's duty to provide 
	positive rights. 
	On the other hand, the worldview held by the Catholic Church is that 
	society, although a human construct, ought to be girded by the principles of 
	"natural law." Catholic sensibility contains awe at the mystery and 
	transcendence of the One who created humans in his image and from whom flow 
	their inalienable rights. Catholic teaching holds out faith in God's love 
	and justice, hope for human progress consistent with human dignity, and the 
	belief that with reason we can discover the immutable laws of the universe. 
	Catholics believe that there is an objective base for societal mores and 
	personal values and that right and wrong exist independent of individual 
	choices. They also believe that there are responsibilities corresponding to 
	rights, and that for thriving, humans need to live in community to which 
	they owe fidelity. They understand that we have been commanded to care for 
	each other with love and for all of creation with stewardship. 
	Although the concept of religious freedom arose within Western 
	Civilization, the Vatican retained its vision of Christendom as the ideal 
	relationship between God and human society until the middle of the 20th 
	century. However, with the thriving of the American Catholic Church in a 
	land of religious freedom, the Church fathers developed and quantified their 
	understanding of human freedom to encompass religious liberty. On December 
	7, 1965 in the Vatican II Council, they adopted Dignitatis Humanae, 
	in which they declared that "the right to religious freedom is the right of 
	religious groups not to be prevented from freely demonstrating the special 
	value of their teaching for the organization of society and the inspiration 
	of all human activity... [And] the right... to hold meetings or establish 
	educational, cultural, charitable and social organizations.[27]
	
	Most thoughtful Catholics resist the "wall of separation" metaphor as 
	instructive for describing the ideal relationship between Church and State. 
	They assert that religious liberty freedom allows them access to the public 
	square, welcomes them to speak and act on their values, and permits them to 
	participate in society in a manner consistent with the tenets of their 
	faith. Catholics are constrained from imposing their beliefs on government 
	policy or advocating a theocracy. Likewise, the government is to be absent 
	in religious activities-unless public safety is in jeopardy. Catholics 
	dispute secularists' contention that consensus on the "goodness" or efficacy 
	of public policy, such as universal contraception, rises to the threshold of 
	"ensuring public safety." 
	The Agenda and Tactics of the Secularists 
	As mentioned earlier, the ACLU and affiliated groups' ideology leads them 
	to re-labeling "conscience clauses" as "refusal clauses" so as to convince 
	the public that such an opt-out is form of discrimination against or unequal 
	treatment of women or that it is allows certain institutions which define 
	themselves as religious to impose their views on their employees or on the 
	public. 
	The Reproductive Freedom Project has publicly acknowledged that their 
	primary agenda item is "combating limitations on reproductive services 
	offered by religiously affiliated providers."[28]
	In order to advance their agenda, their tactics include declaring that 
	religious institutions do not even qualify for religious freedom or 
	"conscience clauses"-only individuals have the freedom of conscience or that 
	exemptions for religiously affiliated institutions amount to "refusal" 
	clauses, and should cause those institutions to forfeit tax monies and their 
	tax exempt status. 
	In her July 2002 testimony before the U. S. Congress Subcommittee on 
	Health that was considering "Protecting the Rights of Conscience of Health 
	Care Providers and a Parent's Right to Know," Catherine Weiss, Director of 
	the ACLU's Reproductive Freedom Project, laid out their rationale for 
	rejecting "conscience clauses": 
	Constitutional principles neither require nor 
	forbid most refusal clauses. Based... on our study of case law the ACLU 
	identified two measures for evaluating refusal clauses. We consider first 
	whether granting an exemption would impose burdens on people who do not 
	share and should not bear the brunt of the objector's religious beliefs... 
	By "burdens" we mean to include obstacles to health care... We consider next 
	whether the exemption protects the religious practices of pervasively 
	sectarian institutions or instead protects institutions operating in the 
	public sphere.[29] 
	In addition, reproductive rights activists have cleverly blurred the line 
	in the public's mind between "access" to a right and the right itself. That 
	tactic comes under the category of moving the privacy guarantee (upon which 
	abortion rights rest) from a negative right, i.e., a right to be left alone, 
	to a positive right, i.e., an entitlement to "reproductive health services" 
	at the time and place of one's choosing. 
	Contraception is trumpeted by abortion rights activists as the panacea 
	for the nation's problems, and a factor in ensuring "public safety." A 
	demonstration of that mindset can be found in a Planned Parenthood Fact 
	Sheet prepared in support of California's contraceptive mandate which 
	contains this claim: "Contraception is not a luxury for women. Just as we 
	have historically supported immunizations, we should support contraception 
	as the medically necessary immunization for unwanted pregnancies."[30]
	
	The list of organizations with agendas to protect reproductive rights and 
	ensure unlimited access to reproductive health services is lengthy. Among 
	them are Abortion Access Project, the ACLU Foundation Reproductive Freedom 
	Project, MergerWatch Project, National Abortion Rights Action League, 
	National Women's Law Center, Planned Parenthood Federation of America, 
	Center for Reproductive Law and Policy and the Women's Law Project. 
	Melding their agendas with their tactics, this is the action plan that 
	emerges: 
	1. Using women's equity and individual religious 
	freedom arguments, mandate contraceptive coverage in all employee health 
	plans-first in the states and then nationally, where an exemption is 
	necessary only exempt sectarian institutions; 
	2. Using the argument that access is necessary for 
	exercising rights, legalize the dispensing of RU-486 by non-physicians;
	3. Using the same access argument, as well as the 
	individual religious freedom argument, mandate the universal availability of 
	"the morning-after pill," with or without a physician's prescription, in 
	pharmacies and rape trauma centers;
	4. Using both the women's equity and the access 
	arguments, mandate abortion training in medical schools, first in states, 
	and then nationally;5. Using the access and the religious freedom for 
	individuals arguments, block mergers of Catholic and non-Catholic hospitals, 
	and;
	6. Using the argument that acceptance of public money 
	means accommodating all the public's requests, require Catholic healthcare 
	to provide the full range of reproductive health services or lose their 
	tax-exempt status. 
	The Nature of contemporary American Society 
	California is arguably the most pluralistic state in America, a country 
	which prides itself on its multiculturalism. After all, children speaking 
	more than 100 different languages attend California public schools. If a 
	"pluralistic society" is one which is host to a variety of people who differ 
	in ethnicity, language, lifestyle and religion, then California qualifies, 
	and America as a whole qualifies. If however, a "pluralistic society" is one 
	in which many faith traditions and ethnic cultures are welcome to 
	participate freely in forming public policy and setting social mores, 
	California does not qualify, and America may not. 
	In 21st century America the loudest voices are attempting to persuade us 
	that religion is not a "good" but is an obstacle to freedom. They dispute 
	what was generally understood for nearly two hundred years-that religion is 
	effective in creating moral citizens and conducive to the civil order. 
	Ironically, although secularism and cultural liberalism are the basic tenets 
	that underlie this dismissal of religion and this drive to raise 
	"reproductive rights" to the highest freedom, it is not publicly recognized 
	as a distinctive belief system. As pointed out by Louis Bolce and Gerald De 
	Maio in their article in the Fall 2002 issue of The Public Interest: 
	The impression conveyed by both [the Washington 
	Post and the New York Times] newspapers is that traditional religious 
	beliefs motivate people to oppose abortion... support conservative social 
	movements, and adopt intolerant attitudes, but that a modernist or 
	secularist outlook apparently has little or no connection to the reasons why 
	someone supports abortion rights... joins culturally progressivist 
	organizations, expresses antipathy toward... Christians...[31]
	
	American Catholics are part of the American culture, and many have been 
	seduced by the utopian ideal of unlimited and unilateral "choice." They 
	reject the wisdom of the age-old Church teachings about sexuality, marriage, 
	fidelity and family or they fail to understand Jesus' command to care for 
	"the least among us." Failure by individual Catholics and by some 
	institutions bearing the Catholic name to adhere to the Church's teaching on 
	contraceptives is used against the Catholic Church when it challenges public 
	policy mandates. Polls showing the majority of Catholics reject the 
	Vatican's stance on birth control; evidence of health insurance contracts in 
	Catholic hospitals that provide coverage for contraceptives; documentation 
	of elective sterilization procedures being offered and performed in Catholic 
	hospitals; and other demonstrations of American noncompliance with Church 
	teaching all have undermined the religious freedom of those institutions and 
	individuals who remain faithful to Catholic teaching. In addition, it has 
	caused boldness in the secularists as they move from mandating coverage for 
	contraceptives, to mandating abortion training in medical schools, to 
	requiring emergency contraception at rape trauma centers, and to proposing 
	that abortion be available in Catholic hospitals that accept public funds.
	
	A realistic assessment of the current American culture means that unless 
	current trends reverse it looks bleak for the continued existence of social 
	services and healthcare that have a Catholic identity. Most or all of our 
	efforts to "cooperate" in a "pluralistic" society may be stymied by the 
	overwhelming acceptance of secularism as the national ideology. If 
	self-defined Catholic institutions are unable to follow the tenets of the 
	Catholic faith when delivering services to the needy on behalf of the 
	government, those institutions will cease to exist or will cede their 
	Catholic identity and exist as "community" or government operated entities. 
	In that case, we all lose. In California, the Church will be precluded from 
	doing many of its good works and the government will have driven out a large 
	part of the Catholic Church whose 400 year presence has contributed to the 
	rich history of the state and whose saints' names have graced much of 
	California's geography and institutions. 
	How Can Catholics Meet the Challenge? 
	Public policy mandates exempt Catholic parochial schools because they 
	viewed as existing in the private realm. Catholic elementary and secondary 
	schools were founded more than a hundred years ago to combat the pervasive 
	Protestant ideology in the public schools. They take no government money 
	although they provide a service to society by educating the youth. The 
	result is that the Catholic identity of Catholic parochial schools has 
	remained intact and no one questions that they are religious institutions 
	who qualify for religious freedom. 
	Catholic Charities and Catholic hospitals also have a long and well 
	respected history of providing service to those who need it. For all the 
	right reasons, including scriptural mandates, charity and efficacy, in the 
	last century, Catholic social service agencies and Catholic healthcare began 
	to accept "pass-through" tax money to provide even more services to the 
	state and the nation's needy and vulnerable. For most of that time those 
	Catholic institutions operated in comfortable collaboration with the 
	government, which allowed them "carve-outs" so that they did not have to 
	offer services that violated their conscience. 
	The age-old maxim plays here well: "With the King's money comes the 
	King." With the increasing secularization of American culture, the 
	decreasing availability of "reproductive health services," and the expanding 
	role of the judiciary in tailoring religious freedom, the familiar vehicle 
	of the "conscience clause" as an opt-out from immoral or illicit public 
	policy mandates became unreliable. Large Catholic institutions, such as 
	Catholic Charities, Catholic healthcare, and Catholic universities, became 
	targets for removal of "conscience clause" privileges because it appeared 
	that they were being offered a benefit that nonreligious institutions could 
	not access. Both types of institutions accepted public monies, but only 
	those that were nonreligious had to accept the "strings." And, given the 
	historical American Protestant ethos with its congregational understanding 
	of Church, the claim that Catholics are called to serve humanity's physical 
	as well as spiritual needs through their religious organizations seemed like 
	a ploy to escape the burden of mandates. 
	Recalling Professor Wardle's estimation that the shortage of health care, 
	including reproductive health care, would create the suitable climate in 
	which financial exigencies would trump moral imperatives, and bearing in 
	mind the increasing acceptance of secularism as a national ideology, it is 
	not surprising that here in the 21st century, the time-honored "conscience 
	clause" may become an historical artifact. 
	Two possible solutions present themselves. One, using Catholic parochial 
	schools as a model, Catholic social services, Catholic healthcare, and 
	Catholic universities could begin the process of reverting to private 
	funding. Surely if the enormity of the need is known, large sums of money 
	would be forthcoming. Although the public money allowed these institutions 
	to become large and competitive with nonreligious institutions, perhaps now 
	is the time to scale back, retrench, and rethink the Catholic vision for 
	caring for the least among us. 
	Another solution would involve publicizing the possible demise of the 
	effective "conscience clause" for religiously-affiliated organizations, the 
	intransigence of the government in providing "pass through" tax money while 
	allowing Catholic institutions to serve within their moral parameters, and 
	the likely shortfall of services to needy individuals. If that was combined 
	with aggressive education of Catholic parishioners on the history of 
	religious freedom in America and on the Church's teaching regarding 
	sexuality, family, fidelity, and social justice, as well as reminding them 
	of the magnitude of the Church's service to the poor and needy on behalf of 
	society, perhaps public opinion could be moved by them in such a way that 
	conscience clauses would be preserved. 
	That then is our challenge. Conscience clauses are an endangered 
	species-unless the California Supreme Court reverses the lower courts, or 
	even more improbably, the U. S. Supreme Court reasserts the historic 
	understanding of religious liberty. Our options are: We can cede our 
	institutions to community oversight, withdraw from participation in the 
	wider culture using the parochial schools as a model-or we can educate our 
	Catholics and the public, and retake our rightful place cooperating in a 
	pluralistic society, protected from coercion or interference by our 
	constitutionally protected religious liberty. 
	
	Notes
	1. Lynn D. Wardle, JD,
	
	"Conscience Clauses Offer Little Protection,"Health Progress, 
	July-August 1993, found at: , p. 7-8.
	2. Ibid., p. 1.
	3. Maureen Kramlich, Esq., "Respect for Conscience: 
	History and Current Threats" (Buffalo, NY: Annual Meeting of Diocesan 
	Pro-Life/Respect Life Directors and State Catholic Conference Directors, 8 
	August 2002), p. 2.
	4. Wardle, "Conscience Clauses Offer Little Protection," 
	p. 1.
	5. Catherine Weiss, 
	Prepared Witness Testimony 
	before U. S. House of Representatives Subcommittee on Health, 11 
	July 2002, 
	6. American Civil Liberties Union Reproductive Freedom 
	Project, 
	"Protecting Reproductive Rights…," p. 9.
	7. Kramlich, "Respect for Conscience: History and 
	Current Threats," p. 7.
	8. New York State Catholic Conference,
	news releases
	9. Kramlich, "Respect for Conscience: History and 
	Current Threats," p. 5.
	10. Herman J. Pottmeyer, "Catholicism in Germany," in 
	Encyclopedia of Catholicism, ed. Richard McBrien (New York: 
	HarperCollins Publishers, Inc, 1995), p. 558.
	11. R. Emmet McLaughlin, "The Reformation," in 
	Encyclopedia of Catholicism, p. 1091.
	12. Ibid, pp. 1093-94.
	13. Thomas J. Curry, The First Freedoms (New 
	York: Oxford University Press, 1986), p. 2.
	14. James F. Sweeney, Esq., "The 'Problem' of Religious 
	Freedom: Living Faithfully in a Secular Society" (Fresno, CA: Legatus 
	Society, July 15, 2002), p. 3.
	15. William Ames, Conscience with the Power and 
	Cases thereof (London, 1630), Bk.4, 10: quoted in Perry Miller, 
	Orthodoxy in Massachusetts (Cambridge, MA, 1933), pp. 165-66; quoted in 
	Thomas J. Curry, The First Freedoms, p. 4.
	16. Sweeney, p. 4.
	17. Thomas J. Curry, Farewell to Christendom 
	(New York: Oxford University Press, 2001), 3.
	18. The Constitution of the United States of America, 
	First Amendment, 1791.
	19. 
	http://supreme.lp.findlaw.com/constitution/amendment01/01.html#3 citing J. 
	Story, Commentaries on the Constitution of the United States (1833).
	20. J. Story, Id. at 1873.
	21. Sweeney, Esq., "The 'Problem' of Religious Freedom: 
	Living Faithfully in a Secular Society," 6.
	22. Justice Hugo Black, writing for the majority in 
	Everson v. Board of Education, 330 U.S. I, 15 (1947).
	23. Thomas Jefferson," Letter to the Baptists in 
	Danbury, Connecticut," reprinted in Lipscomb, Andrew and Berg, Albert, 
	The Writings of Thomas 
	Jefferson, Vol. 16, 282-283, found on First Amendment Cyber-Tribune 
	website.
	24. Curry, Farewell to Christendom, p. 45.
	25. Ibid., p. 20.
	26. Ibid., p. 72.
	27. Vatican II, Dignitatis Humanae, 7 December 
	1965 (Northport, NY: Costello Publishing Company, Inc., 1996), p. 803.
	28. ACLU Reproductive Freedom Project, "Protecting 
	Reproductive Rights...," p. 9.
	29. Weiss, p. 3-4.
	30. "Planned Parenthood Fact Sheet on Necessity of AB 
	110," 1995, contained in the Record for Catholic Charities v. State of 
	California, Vol 5, Exhibit M, entry A 001158, August 2000.
	31. Louis Bolce and Gerald De Maio, "Our Secularist 
	Democratic Party," 
	The Public 
	Interest, Fall 2002, p. 8.