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A Healthy Dose of Religious Freedom: New HHS Division to Protect Medical Professionals

On January 18th, the Trump Administration announced the creation of the Conscience and Religious Freedom Division of Health and Human Services.

According to Roger Severino, the head of the Civil Rights Office at HHS, the division’s purpose is to protect doctors, nurses, and other health care providers “from being coerced into participating in activities that violate their consciences, such as abortion, sterilization, or assisted suicide.”

This is very good news. Not only does it further the cause of religious freedom, but it recognizes that religious freedom is more than just the right to believe what we want in the privacy of our heads, homes and houses of worship. Instead it’s the right to orient our lives, including our public lives, around those beliefs.  And it also shines a much-needed light on what is a frontline in the battle to protect freedom of conscience and religion: hospitals and doctors’ offices.

As Severino put it, “America’s doctors and nurses are dedicated to saving lives and should not be bullied out of the practice of medicine simply because they object to performing abortions against their conscience . . .”

Last week, his office released a 216-page proposed regulation entitled “Protecting Statutory Conscience Rights in Health Care.”

Now predictably, critics jumped on the announcement. Lambda Legal said that the Division and the proposed rule “[weaponizes] HHS’s Office of Civil Rights against [the LGBT community].”

If you’re wondering what on earth they’re talking about, you’re not alone. Somehow, a proposal about abortion and physician-assisted suicide is actually about the LGBT community?

The proposed rule mentions “abortion” 155 times and “suicide” 29 times. We know because we counted. Now how many time does it use “LGBT,” or “transgender,” or any related term? Zero.

Someone whose response to the announcement made sense was the United States Conference of Catholic Bishops. They expressed gratitude to HHS for “taking seriously its charge to protect these fundamental civil rights.” “For too long,” they said, “we have seen medical professionals, including pro-life nurses like Cathy DeCarlo, who have been coerced by their employers into participating in abortion.” DeCarlo, a nurse at New York’s Mt. Sinai Hospital, was threatened with disciplinary action “in May 2009 if she did not honor a last-minute summons to assist in a scheduled late-term abortion.”

This was despite the fact that, one, DeCarlo’s objection to abortion was on record, and two, there was no medical emergency involved. The Alliance Defending Freedom, representing DeCarlo, asked HHS to investigate, and it did. The result was a change in the policy at the hospital. Unfortunately, by then the damage to DeCarlo’s religious freedom had already been done.

There are more than 600 Catholic hospitals in the United States, which provide one in six of the nation’s hospital beds. Many view this as a terrible thing precisely because these institutions, not to mention the Protestant ones, will not go along with John Paul II called “the culture of death.”

The Manhattan Declaration specifically cited “the effort to compel pro-life institutions (including religiously affiliated hospitals and clinics), and pro-life physicians, surgeons, nurses, and other health care professionals, to refer for abortions and, in certain cases, even to perform or participate in abortions.”

If people can be compelled to participate in the taking of innocent human life, there’s no limit to what can be done to violate the conscience.

I’m grateful for the Administration’s and Severino’s commitment to protecting this religious freedom of health care workers. In doing so, they’ve taken an important step in protecting ours, as well.


BreakPoint is a Christian worldview ministry that seeks to build and resource a movement of Christians committed to living and defending Christian worldview in all areas of life. Begun by Chuck Colson in 1991 as a daily radio broadcast, BreakPoint provides a Christian perspective on today’s news and trends via radio, interactive media, and print. Today BreakPoint commentaries, co-hosted by Eric Metaxas and John Stonestreet, air daily on more than 1,200 outlets with an estimated weekly listening audience of eight million people. Feel free to contact us at where you can read and search answers to common questions.

John Stonestreet, the host of The Point, a daily national radio program, provides thought-provoking commentaries on current events and life issues from a biblical worldview. John holds degrees from Trinity Evangelical Divinity School (IL) and Bryan College (TN), and is the co-author of Making Sense of Your World: A Biblical Worldview.

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Publication date: January 24, 2018

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