As promised, let’s talk more about this Hobby Lobby
Supreme Court Case and religious liberty. Hobby Lobby is a for-profit business
run by Christians who claim that their business model incorporates articles of
their faith. Their court case is against the “employer mandate” portion of the
Affordable Care Act (ACA) – “Obamacare” – under the Religious Freedom
Restoration Act (RFRA). Their claim is that the law mandates they provide
health insurance coverage for their employees which will include reproductive
health medicines they believe are abortifacients which they claim are against
their religion. It is somewhat of a complex claim. There are lots and lots of
things to talk about here, but first I think we should make a few things clear
about their claim and their religion.
#1 – We the people, as a voting public,
legislature, Supreme Court, or government in general, cannot and should not
judge their religion. Whether or not we believe this action is actually
anathema to their religion is not at issue. They get to define their religion.
Not us. Not official dogma. Not their religious leaders. Only them.
#2 – We do, however, get to determine whether or
not we believe any burden that is imposed on them is “substantial” enough to
warrant accommodation. And we get to determine whether the reason the law was
made in the first place is a “compelling” enough interest to override the
burden imposed on them and their religious conscience. (For more on these terms
and this calculus, please see last week’s blog.)
So onto the problems.
Problem #1: A tax is not a burden.
I wrote a lot here in my earlier drafts about the
legal problems of this case, but it was too long and too esoteric. So, I will summarize
very quickly and let you move onto the “sexier” problems:
1. In the Supreme Court case which upheld the ACA,
the justices determined that the “employer mandate” is actually not a mandate
after all, but a tax.
2. Taxes are not substantial burdens to our
religious conscience. No one gets to exempt themselves from paying taxes
because they disagree with the things those taxes pay for. No one gets to pick
and choose what their taxes pay line by line. I am a pacifist and I have to pay
for a military with my taxes. Such is life. Whatever moral complicity I bear,
it is not enough to warrant accommodation from paying my taxes.
If you want to read more about this, I HIGHLY recommend
this incredible blog piece.
Problem #2: Whose religious liberty?
The owners of Hobby Lobby are petitioning that to
provide insurance coverage that provides Plan B and certain IUDs would mar
their religious conscience and cause moral guilt. But what about the religious
conscience of their employees? After all, it is the employees who will be
electing to either make use of those medicines or medical procedures, not the
employer. Nevertheless, the employer is saying that even by merely partially paying for insurance which grants opportunity to use these medicines or
procedures (which are all legal), their religious conscience would incur substantial religious guilt.
At the moment, these same employers are not
providing health insurance. If their employees want to get an IUD or use Plan B
medication, they have to use their own money. But that money comes from working
for this company. So it goes like this: Money starts in the hands of Hobby
Lobby, then goes to employee in exchange for their work, then goes to a
hospital or pharmacy. According to Hobby Lobby, this does not make them morally
complicit. But if the money begins, the same as before, with Hobby Lobby, then
goes to an insurance company in exchange for an employees work, then goes to a
hospital or pharmacy, suddenly the moral guilt creates a substantial burden on
the moral conscience. How is one different than another?
But there are other things to consider. One of the
ways I like to test my agreement or disagreement with a policy or legal
standing is to imagine an analogy that involves a position I both agree and
disagree with to make sure my principled position is consistent. The ACA has
created (at least tried to) a new entitlement for Americans: affordable
healthcare. The entitlement is aimed to be universal and consistently available
for all Americans despite employment, thus the exchanges and tax credits for
self-insured and medium-income, Medicaid expansions for the non-working or
working poor, and the regulations for standards of minimum coverage for the
employed with coverage.
So let’s imagine an employer that believes in very
strict separation of the sexes. Labor laws prohibit this in the workplace, but
according to his religion, women should never see male doctors and men should
never see female doctors. So under this law, he wants to petition that the
coverage his company provides would keep this standard. Is that ok? Should all
his employees, even those who do not hold this religious belief and had no idea
he held it, be bound to this rule in seeking healthcare?
Some might immediately say here, “Well, the
employees don’t HAVE to work for that company. They can go elsewhere if they
feel the need to get different health insurance.” Let’s consider that in a few
more examples. What about a CEO who comes from a religious background that does
not believe blood transfusions and organ transplants are moral? Or a company
run by folks that do not believe in vaccinations? Or going further into other
universal entitlements, what about companies that do not believe in overtime
pay? Or equal wages for women?
We do not think that overtime pay or equal
opportunity employment should be held to the whims of employers but should be a
benefit to all employees regardless of where they are employed. Why not this
universal entitlement? What makes a religious burden against the man who doesn’t
think women deserve equal pay any less substantial than the man who doesn’t
want to provide insurance that includes IUDs? Why does a janitor at her local
neighborhood grocery store need to find out the religious beliefs of the owner
regarding vaccinations for her kids but she doesn’t need to worry about whether
or not the owners believe overtime pay is religiously immoral? What is the
important difference, here?
If I were hired as a clerk for a movie theater,
should the owner, who lives 6 states away, dictate how and under what
circumstances I am able to get an emergency biopsy of my thyroid because he has
a religious issue with it? And if so, why? Because his company contributes to
it? As an employee who would pay for it with my paycheck, isn’t that the exact
same amount of contribution as paying a monthly premium to an insurance
company?
I don’t disagree that this issue is about personal liberty.
IT MOST CERTAINLY IS. But we are talking about creating an ambiguous manner of
determining a person’s conscientious autonomy to make life-altering decisions.
Healthcare is incredibly important. Life’s crises often revolve around this
very issue. And we are playing with the notion that a very powerful, very small
group of people (business owners) be able to regulate how and under what
circumstances the benefit of paid healthcare is allocated. For all Americans,
but the poor especially, this will add a whole new level of coercion into the
employment process and the decision to seek medical treatment when ill or
injured, which is truly a sad and dangerous notion.
Problem #3: Fairies are not real. (You’ll get it
in a second.)
Hobby Lobby is not protesting providing all birth
control, but only a few forms: ella, Plan B, and the copper IUD. They claim
these are abortifacients and therefore against their religion. If you will
remember point #1 at the very beginning, we are not allowed, as a government,
to judge whether or not their religion dictates a moral burden on the conscience
by providing access to these medicines or procedures. (Although we are free to engage
one another about it as a dialogical people.)
But the problem here is not whether or not
abortifacients are against their religion, but whether or not ella, Plan B, or
the copper IUD are, in fact, abortifacients (a substance that induces an
abortion – or, at the very least, stops fertilized eggs from being implanted
onto the uterine wall).
There was cause to believe, for years, that the
reason some of these medicines or devices worked was because they stopped
fertilized eggs from being implanted. But a lot of scientific research that has
been coming out lately has shown this theory to be false and that the medicines
or devices work in ways that are not religiously controversial.
(Some articles here and here about this new research, with links to follow and read yourself if you like.)
So who gets to make a ruling on this? Do we leave
it up to the owners of Hobby Lobby to investigate the newest scientific
research and determine whether or not that research is trustworthy enough to
remove their moral guilt? Do the judges have to weigh the scientific evidence
and make the determination whether or not the medicines or devices are, in fact,
abortifacients? Who gets to make that determination?
But really here, what do we do with petitions for
accommodations and exemptions from law based on scientifically erroneous
beliefs that have created an imposition onto the religious conscience that are,
in actuality, not really there?
I know this is going to get into absurdity, but
bear with me. Imagine a CEO who asks for an exemption for providing
reproductive services which test semen samples because he still believes in the
homunculus,
which means collecting the sample would kill human life. Or what about a businessman
who believed that all injections actually put invisible demon fairies into our
bloodstream, which caused moral corruption? Or, less absurdly, a company didn’t
want to provide vaccinations because they believed vaccines caused Autism, a
belief debunked by scientific research for many years now.
I am all for having conversations about moral
burdens on the conscience and how we can work around those, but not if we are
going to argue about fairies that don’t even really exist, especially if the
belief in those fairies restricts another person from having access to
healthcare that everyone else can easily make use of.
That about sums it up. I realize there are many
points of contention here, especially the central question of whether or not
healthcare, all on its own, should be an entitlement. (I wager only rich people
with access to it even question that…) That is another discussion we will have
to take up, later. Even still, there are many problems with this case and how
it shakes out could have devastating effects on making sure the working poor
and average Americans have reliable access to healthcare free of ambiguous
restraints and external forms of coercive manipulation.