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The push is on to get a health reform bill through Congress, and some longtime Catholic supporters of a more accessible and affordable American health system are hoping they are not going to have to push back. In both the House and Senate, members and staffers are working to combine multiple committee-passed versions of health reform legislation—two in the Senate, three in the House—into bills that could be taken to the floor.

Officials of the U.S. Conference of Catholic Bishops are working behind the scenes to improve the bills to put them in line with the vision of American health care that the bishops have been encouraging for decades. “We continue to have concerns about the treatment of the poor and immigrants” in the bills, Richard Doerflinger, associate director of the U.S.C.C.B.’s Secretariat for Pro-Life Activities, said on Oct. 21. “But the abortion issue is the one that is most intractable to us.”

The bishops’ message on abortion and conscience rights in health care has been clear, despite some claims that they have changed their position or do not really understand current law. “Our position has been very consistent,” Doerflinger said. “It’s always been that [the final health reform] bill must maintain the status quo on abortion and conscience rights. It should not be used as a vehicle for expanding or changing federal policies.”

He dismissed recent comments by White House press secretary Robert Gibbs that the bishops’ opposition to current health reform legislation is based on a misunderstanding of the Hyde amendment, which prohibits federal funding of abortion in most cases. “I have not heard that message from anyone who’s actually working on the bills; the people at the White House know that isn’t true,” Doerflinger said. “It’s a very disappointing thing that Mr. Gibbs is just trying to blow smoke.”

Asked on Oct. 21 at a roundtable with representatives of faith-based media whether the bishops’ concerns on abortion were being met, Senator Debbie Stabenow, Democrat of Michigan, said: “We don’t have money for abortion in this bill. We do not. We do not. We do not provide public funding for abortion services in this bill.”

Despite President Barack Obama’s statement in his address to both houses of Congress on Sept. 9 that “under our plan no federal dollars will be used to fund abortions,” current versions of the legislation create what Doerflinger called a “bookkeeping exercise” by requiring abortion coverage in most plans and stipulating that a $1-per-month add-on premium would be used to pay for it. “If you’re forcing everyone to pay it, whether you call it a premium or a tax is secondary. Everyone must pay for abortions,” said Doerflinger.

An amendment proposed in committee this summer by Rep. Bart Stupak, Democrat of Michigan, and Representative Joe Pitts, Republican of Pennsylvania, states: “No funds authorized under this act...may be used to pay for any abortion or to cover any part of the costs of any health plan that includes coverage of abortion,” except in cases of rape, incest or risk to the mother’s life. At least 30 House Democrats have come out in favor of the amendment, Doerflinger said, but it might not even be allowed a floor vote if House members invoke a rule blocking it.

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