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Cardinal seeks changes to Caritas venture

Posted by Michael Paulson June 12, 2009 08:20 AM

In yesterday's Globe, Kay Lazar and I had a story about the latest development in Caritas Christi's plans to participate in the state's effort to provide health insurance to nearly every resident of Massachusetts. Caritas has entered a joint venture with a non-Catholic health company, Centene Corp., and has become entangled in a complicated controversy over the morality of its participation in a system that, by state law, provides coverage for abortion services. Those services would not be provided at Catholic hospitals, but critics say any relationship between Caritas and abortion providers is unacceptable.

Here's the lede to the story about Caritas Christi and abortion in the Globe:

Cardinal Sean P. O'Malley, concerned about the relationship between Caritas Christi Health Care and an insurance plan that covers abortions, is seeking modifications to the joint venture that the beleaguered Catholic hospital chain has entered into with a St. Louis-based healthcare company to provide insurance to low-income Massachusetts residents.

O'Malley, who has been criticized by several conservative Catholic and antiabortion activists for his handling of the Caritas venture, issued a statement yesterday declaring that "under no circumstances" will Caritas provide or refer patients for procedures prohibited by Catholic teaching, which include abortion, contraception, and sterilization.

And the Archdiocese of Boston said publicly for the first time yesterday that Caritas would not be permitted to profit from the provision of abortion services by others.

The archdiocese would not specify the changes it is seeking to the joint venture, called CeltiCare, which is 49 percent owned by Caritas Christi.

But the church sought to clarify its requirements for the deal after a number of conservative bloggers and interest groups had recently criticized the venture, accusing O'Malley, often in quite angry language, of abandoning the church's commitment to protecting the unborn.

This week, many of the activists have seized upon, as evidence of the problematic nature of the venture, the new website of CeltiCare. The website specifies the copayments for abortions (from 0 to $100, depending on the plan), and lists family planning and reproductive service providers, including Planned Parenthood facilities in Boston, Somerville, and Worcester.

The president of Caritas Christi, Dr. Ralph de la Torre, issued a statement yesterday saying that individuals covered under the new venture will be told to talk to their insurance company if they seek abortions or other services prohibited by Catholic teaching.

"When a patient seeks such a procedure, Caritas healthcare professionals will be clear that (a) the hospital does not perform them and (b) the patient must turn to his or her insurer for further guidance," de la Torre said. "This, in fact, is the practice currently in place in the Caritas system as we work with other insurance companies under state laws that mandate access to procedures not provided within the Caritas system."

Here is a statement on the abortion issue from Cardinal Sean P. O'Malley, the archbishop of Boston, and Dr. Ralph de la Torre, the president of Caritas Christi.

Conservative critics of the deal are not mollified. The archdiocese expects to announce the final structure of the Caritas deal, and the cardinal's ruling as to whether it is acceptable, before July 1. The cardinal has the power to block the deal, but the archdiocese is hoping that will not be necessary, both because the cardinal wants Caritas to be able to participate in a system intended to extend health coverage to low-income people who could not previously afford it, and also because the arrangement would generate income for Caritas, which has been financially struggling.

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5 comments so far...
  1. For me, the key sentence of the article is this one:

    "When a patient seeks such a procedure, Caritas healthcare professionals will be clear that (a) the hospital does not perform them and (b) the patient must turn to his or her insurer for further guidance,"[Dr. Ralph] de la Torre said."

    In other words, is there a real, substantial equivalence between what the Cardinal is sayin, "no referrals," and what Dr. de la Torre, President of Caritas is saying,
    when he says "the Caritas health care professionals will make clear" and "turn to one's insurer for more guidance," or is the Dr.'s phraseology a 'referral?' Until i find out, i continue to reluctantly withhold my archdiocesan appeal donation.

    Posted by gaudete June 12, 09 10:18 AM
  1. Yes, that's the statement that grabbed me, too.

    What Catholics are supposed to do when someone "seeks such a procedure" is to try to prevent it. It's called being "pro-life."

    There are a zillion, and perhaps I'm exaggerating a tad but not much, places to refer women (and their partners) seeking "such procedures" which are compassionate, effective, safe...and save lives.

    Posted by Kelly Thatcher (used to be "Clark") June 12, 09 09:38 PM
  1. Hi gaudete, Mikey, ALL,

    ST: Cursed either Way / Encouraging Life

    Accepting money from the state that makes the rules always causes problems. Yet we pay money to the state and should be able to help the population at large even non-pro-life Christians/Pagans with our money. It is one of those ethical dilemmas that needs to worked out when the state is cooperative. We just saw NH do a naughty, yet they may have placed a workable band-aide on their new Mass copy cat law.

    The thing I really want to see is the Doctor or Nurse Practitioner encouraging Life, Breast Feeding, etc as part of the patient/medical dialog. Tell them who to see about Life Planning that includes children, religion, family, and money. Maybe the Hospital even has parent classes. NOW if the patient really wants an abortion or asks about it, you can give your option-out after you have given your life opt-in.

    Maybe they need a "Warning Sign" placed on the wall like at hazardous sports parlors so that the patient is informed and the medical people ONLY need to be pro-life, using the sign as their referral.

    Posted by MANY_MrDave June 13, 09 10:40 AM
  1. The joint statement was, sadly, misleading. The arrangement is, in fact, not at all exactly the same procedures in place now at Catholic hospitals. When emotionally distraught women in an unplanned pregnancy come to a Catholic Hospital, we are free to give them guidance consistent with Catholic teachings alone. The referrals we currently give are to pregnancy crisis centers with personnel that assist the mother in understanding there is a child within her womb and abortion is not an option for her. The referrals we give are about assistance and support during her pregnancy, counseling, guidance and if necessary, references about adoption services. Abortionists are not involved. Caritas has promised to give proabortion guidance to the patient and monitor Catholics to be sure they are complying.

    Secondly, when Mr. de la Torre says the patient will be sent back to "their insurance company" what he is leaving out in that dynamic, is that the "insurance company" is "Celticare" which Caritas owns and Caritas has contracted with the abortionists to provide the abortions under the name "Celticare". Caritas also under the name "CeltiCare" has hired bilingual people to answer the phone in the call centers to give out the number of the people they subcontracted with to perform the abortions.

    Posted by Carol June 14, 09 07:15 PM
  1. The Joint Statement backfired.

    Does anyone educated on the facts really believe that the National Catholic Bioethics Center has been trying to crack the code of Humanae Vitae and Evangelium Vitae to find a morsel they can use to modify the partnership agreement that will comport with the creation of CeltiCare to hire people to answer the phone to send the women to the abortionists Caritas has subcontracted with so they can flow the multimillion dollars through and claim the arrangement is not a cash cow?
    The Cardinal has one card left in his hand and if he's smart enough to listen to his colleagues telling him what the problems are theologically that make this deal impossible, he'll have an epiphany. there will be a 'ta da' moment and he'll block the venture and walk away with some measure of his credibility intact and recoverable.
    If he sticks with the credo of the last three months, he's got a big web of lies on his hands that will grow like Pinocchio's nose. We will not let this kind of a scandal blow over.

    Posted by Carol June 15, 09 12:01 AM
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Michael Paulson covers religion for The Boston Globe. He shared in the Pulitzer Prize in 2003, won the Mike Berger, Templeton and Supple awards in 2008, and is a four-time winner of the Wilbur Award.
E-mail mpaulson@globe.com.

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