Because it has nothing to do with providing best practices healthcare and everything to do with promoting its theology! And the problem becomes obvious when authority for healthcare decisions must pass through religious leadership that determines – based on theology and not medicine – if best practices ALIGNS with its dogma.
This is Crazytown.
Welcome to Bartlesville, Oklahoma, a town of about 35,000 people who have one hospital called the Jane Phillips Medical Center. That hospital is part of Ascension Health, a large Catholic health care consortium.
Yeah, so what?
Well, in order to do their jobs, local obstetricians and gynecologists need to maintain privileges there.
In order to maintain privileges, a doctor must meet the hospital’s POLICIES.
Sounds reasonable, right, because healthcare policies should be informed by best practices, right?
Catholic hospitals determine their polices based on Catholic doctrine first and foremost. Medical ethics are subject to this doctrine.
Are you beginning to grasp how concern about an incompatibility between religious belief and science-based treatment might arise?
Stick with me here.
What happens when Catholic doctrine stands contrary to some science-based medical service like… let’s say… oh, I don’t know… there are so many to choose from… birth control. Let’s return to Bartlesville/Crazytown and find out together, shall we?
Here is where the rubber of medical service providers meets the road of Catholic doctrine: local OB-GYN doctors who wish to maintain privileges at the one hospital can no longer prescribe birth control for birth control because it’s contrary to Catholic doctrine.
Who determines what healthcare services best fits the needs of patients and on what grounds: medical practitioners with advanced medical training or a group of celibate men in dresses and funny hats who pretend they can turn wine into blood and crackers into flesh by mumbling some Latin?
You are not surprised to find out that the authority – the right and god-sanctioned ethical authority – just so happens to be the group of celibate men… who require no medical expertise whatsoever who are on the basis of their religious authority better able to determine what constitutes the right medical services to provide. The specific patient’s welfare isn’t worth shit; maintaining the Church’s ethical standards are paramount, and local OB-GYNs are turned into their accomplices.
And some people are so militant, so strident, so hateful as to suggest that this hierarchy is intolerable in the public domain where there really is compelling evidence that religious belief when imposed on others is fundamentally incompatible with exercising individual autonomy to hold evidence-based science, its products, and its medical practitioners in higher esteem than religious shepherds s leading flocks of willing religious sheep. We are to vilify those who complain about this religious interference in the public domain to be superior to those who are educated and highly trained people in certain practices. After all, they must immoral because that’s what religious leadership tells us so it must be true. This is equivalent to plumbers and their expertise subject to oversight by those who think pipes can be cleared of problems caused by evil spirits through exorcism. If you have a plumbing problem, this kind of authority suddenly becomes your concern when the plumber you must hire is obligated to not fix it for religious reasons.
The ongoing incompatibility between faith-based and science-adduced practices is so obvious, so ludicrous, so ethically screwed up, that its a mystery anyone with two neurons to rub together might think this hierarchy for determining services is in any way reasonable. It’s not; the truly delusional inmates are running the asylum… or, in this case, the hospital and its medical services.