Catholic Identity and Charity Care in the Era of Health Reform
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Catholic healthcare institutions live amidst tension between three intersecting primary values, namely, a commitment of service to the poor and vulnerable, promoting the common good for all, and financially sustainability. Within this tension, the question sometimes arises as to whether it is ever justifiable, i.e., consistent with Catholic identity, to place limits on charity care. In this article we will argue that the health reform measures of the Affordable Care Act do not eliminate this tension but actually increase the urgency of addressing it. Moreover, we will conclude that the question of limiting charity care in a manner that is consistent with the obligations of Catholic identity around serving the poor and vulnerable, promoting the common good, and remaining financially sustainable is not a question of if, but of how such limits are established. Such limits, however, cannot be established in light of one overriding moral consideration or principle, but must be established in light of a multitude of principles guiding us to a holistic understanding of the interrelatedness of the moral dimensions of Catholic identity.
- Advocatesforresponsiblecare.org. (2013). Dialysis crisis. Accessed January 27, 2013, from http://advocatesforresponsiblecare.org/Dialysis_Crisis.html.
- Andrulis, D. P., & Siddiqui, N. J. (2011). Health reform holds both risks and rewards for safety-net providers and racially and ethnically diverse patients. Health Affairs, 30(10), 1830–1836. CrossRef
- Ashley, O. P., Benedict, M., Jean DeBlois, C. S. J., Kevin, D., & O’Rourke, O. P. (2006). Health care ethics: A Catholic theological analysis. Washington, DC: Georgetown University Press.
- Benedict XVI, Pope. (2006). Deus Caritas Est. Washington, DC: United States Conference of Catholic Bishops.
- Bishops, National Conference of Catholic. (1986). Economic justice for all: Pastoral letter on Catholic social teaching and the U.S. economy. Washington, DC: U.S. Catholic Conference.
- Chazin, S., Friedenzohn, I., Martinez-Vidal, E., & Somers, S. A. (2010). The future of U.S. charity care programs: Implications of health reform. Accessed March 22, 2013, from http://www.academyhealth.org/files/publications/FutureofCharityCarePrograms.pdf.
- Council, Second Vatican. (1996). Gaudium et Spes: Pastoral constitution on the church in the modern world. In A. Flannery (Ed.), Vatican council II. Vol. 1, The conciliar and postconciliar documents. New York: Costello.
- Glaser, J. W. (1994). Three realms of ethics: Individual, institutional, societal: Theoretical model and case studies. Kansas City, MO: Sheed & Ward.
- Glaser, J. W. (2011). The common good calls for balance, limits. Health Progress (Saint Louis, Mo.), 92(2), 34–39.
- John XXIII, Pope John. (1961). Mater et Magistra: On Christianity and social progress. In D. J. O’Brien & T. A. Shannon (Eds.), Catholic social thought: The documentary heritage. Maryknoll, NY: Orbis.
- Joynt, K. E., & Jha, A. K. (2013). Characteristics of hospitals receiving penalties under the hospital readmissions reduction program. JAMA, 309(4), 342–343. CrossRef
- Katz, M. H. (2010). Future of the safety net under health reform. JAMA, 304(6), 679–680. CrossRef
- Kuczewski, M. (2012a). Can medical repatriation be ethical? Establishing best practices. The American Journal of Bioethics, 12(9), 1–5. CrossRef
- Kuczewski, M. (2012b). Response to open peer commentaries on “Can medical repatriation be ethical? Establishing best practices”. The American Journal of Bioethics, 12(9), W1–W3. CrossRef
- Meaney, M. E. (2001). The ordering of charity medical care in an era of limits. HEC Forum: An Interdisciplinary Journal on Hospitals’ Ethical and Legal Issues, 13(2), 196–211.
- Mich, M. (2005). Commentary on Mater et Magistra. In K. R. Himes & L. S. Cahill (Eds.), Modern Catholic social teaching: Commentaries and interpretations (pp. 191–216). Washington, DC: Georgetown University Press.
- Parsi, K., & Hossa, N. (2012). Complex discharges and undocumented patients: Growing ethical concerns. The Journal of Clinical Ethics, 23(4), 299–307.
- Pontifical Council for Justice and Peace. (2004). Compendium of the social doctrine of the church. Washington, DC: United States Conference of Catholic Bishops.
- Porter, J. (1989). De Ordine Caritatis: Charity, friendship, and justice in Thomas Aquinas’ Summa Theologiae. The Thomist, 53, 197–213.
- Richard McCormick, S. J. (1995). The Catholic hospital today: Mission impossible? Origins, 24(39), 648–653.
- Richard McCormick, S. J. (1998). The end of Catholic hospitals? America, 179(1), 5.
- Smutko, G. (1979). Toward a spirituality of stewardship. The Priest, 35, 35–37.
- United States Conference of Catholic Bishops. (2009). Ethical and religious directives for Catholic health care services (5th ed.). Washington, DC: United States Conference of Catholic Bishops.
- Catholic Identity and Charity Care in the Era of Health Reform
Volume 25, Issue 2 , pp 111-126
- Cover Date
- Print ISSN
- Online ISSN
- Springer Netherlands
- Additional Links
- Charity care
- Catholic identity
- Common good
- Distributive justice
- Affordable Care Act
- Undocumented residents
- Industry Sectors
- Author Affiliations
- 1. Ascension Health, 4600 Edmundson Road, Saint Louis, MO, 63134, USA
- 2. Ascension Health Care Network, Saint Louis, MO, USA
- 3. Columbia St. Mary’s, 2320 North Lake Drive, E1621, Milwaukee, WI, 53211, USA