Persuasive Speaking Abby Surprenant—2nd Place

NFA Forensics
18 May 201709:45

Summary

TLDRThe video discusses the troubling issue of Catholic hospitals denying life-saving care to women due to religious directives. It highlights cases where pregnant women, in need of urgent medical intervention, were refused treatment, resulting in life-threatening consequences. Despite federal laws requiring emergency care, Catholic hospitals often prioritize religious rules over patient health, sometimes hiding their affiliation and banned services from patients. The video calls for policy reforms, including transparency in hospital services and stricter enforcement of federal law to ensure women's safety in emergencies.

Takeaways

  • 😟 Tamisha Means was denied appropriate care multiple times during her pregnancy, ultimately leading to a stillbirth and her nearly dying from infection.
  • 🏥 Mercy Health Hospital, along with many other Catholic hospitals, follows religious directives that restrict certain medical procedures deemed 'intrinsically evil' by the Catholic Church, regardless of patient risk.
  • ⚖️ Federal law mandates that hospitals must provide emergency medical services when life is at risk, but Catholic hospitals routinely deny miscarriage management, putting patients in danger.
  • 😔 Many women are unaware that they are at Catholic hospitals, which often hide their affiliation, leading to confusion and delayed care during emergencies.
  • 💉 Doctors at Catholic hospitals are forced to follow religious rules that sometimes conflict with their medical judgment, putting women's health at risk.
  • ❌ Catholic hospitals are forbidden from referring patients to other facilities or writing referrals for procedures they cannot perform, leaving some women without options for life-saving interventions.
  • 💸 Despite receiving billions in federal funding, Catholic hospitals continue to deny necessary medical care, violating both medical ethics and federal law.
  • 🚨 There have been cases where women were forced to endure dangerous conditions, such as miscarrying outside hospitals that refused to treat them due to Catholic rules.
  • ⛔ ACLU and other organizations have called for legal reforms, such as the Patient's Right to Know Act, to require hospitals to disclose services they cannot provide due to religious restrictions.
  • 👩‍⚕️ The story highlights the urgent need for federal enforcement to ensure that religious rules do not override life-saving medical care, especially in emergencies.

Q & A

  • What happened when Tamisha Means first went to Mercy Health Hospital?

    -Tamisha Means was 18 weeks pregnant when her water broke. She rushed to Mercy Health Hospital, where doctors reassured her that her baby was fine, gave her Tylenol, and sent her home, despite the baby having died.

  • How did Mercy Health Hospital handle Tamisha Means' condition when she returned later?

    -When Tamisha returned nine hours later in severe pain, the hospital sent her home again. Only on her third visit, when she was hemorrhaging, did they deliver her stillborn baby. She nearly died from infection and was placed in the ICU.

  • Why were the doctors at Mercy Health not held personally negligent for their actions?

    -The doctors were following hospital rules, which were based on Catholic directives that prohibit medical procedures deemed intrinsically evil by the Catholic faith, including certain emergency miscarriage treatments.

  • What conflict exists between Catholic hospital rules and federal law?

    -Catholic hospitals follow religious directives that prohibit certain medical procedures, but federal law, specifically the Emergency Medical Treatment and Active Labor Act (EMTALA), requires hospitals to provide life-saving services in emergencies, regardless of religious beliefs.

  • How does the lack of transparency affect patients at Catholic hospitals?

    -Many patients are unaware they are at a Catholic hospital or what that implies for their care. Visible markers like crucifixes are being removed, and hospitals often rename themselves to hide their Catholic affiliation.

  • What are some of the consequences of Catholic hospitals denying emergency miscarriage management?

    -Women’s lives are endangered as doctors at Catholic hospitals are forced to deny or delay life-saving interventions. This has led to infections, sepsis, and even death in some cases.

  • How do Catholic hospitals prioritize care when it comes to miscarriage or pregnancy complications?

    -Catholic hospitals often prioritize the preservation of the fetus, even if it is no longer viable, over the health of the woman. This can lead to delays in care or outright denial of necessary medical procedures.

  • What did a report on Catholic hospitals reveal about the experiences of OBGYNs working there?

    -A report revealed that 33% of OBGYNs at Catholic hospitals experienced severe conflict with the quality of care they could provide, with some unable to even refer patients for necessary medical procedures due to fear of losing their jobs.

  • What legal action has been taken to address the denial of care at Catholic hospitals?

    -The Patient’s Right to Know Act, currently being introduced in 28 states, would require Catholic hospitals to inform patients upfront about any services they cannot provide due to religious restrictions.

  • What are some solutions proposed to address the issues with Catholic hospitals' denial of care?

    -Proposed solutions include making it clear that federal funding will be pulled from Catholic hospitals that violate the law, passing the Patient’s Right to Know Act, and educating women about the importance of knowing whether their hospital is Catholic before seeking care.

Outlines

00:00

🚨 Negligence at Catholic Hospitals: A Fatal Risk to Women's Health

This paragraph narrates the harrowing experience of Tamisha Means, who, after experiencing water breakage at 18 weeks, was repeatedly sent home by doctors at a Catholic hospital despite severe pain and symptoms. The hospital followed Catholic rules that prohibit certain medical interventions, even when the baby's life was at risk. Despite federal laws mandating care when life is at stake, the hospital's adherence to religious directives led to a delayed delivery of her stillborn child, almost costing her life. This incident highlights the conflict between Catholic hospital policies and federal healthcare laws, putting women's lives in danger by denying necessary emergency care.

05:01

⚠️ The Conflict of Conscience: Doctors Struggle at Catholic Hospitals

This paragraph delves into the ethical dilemmas faced by doctors working at Catholic hospitals, where they are forced to prioritize religious directives over their medical judgment. Interviews reveal that 33% of OBGYNs feel conflicted about the quality of care they can provide, with some unable to offer life-saving treatments or even referrals, risking patients' lives. Specific cases are cited, including a woman forced to deliver her child outside the hospital and another who nearly died from heart failure. The text also discusses the repercussions for healthcare providers who defy church rules, such as Sister Mary McBride, who was excommunicated for allowing a life-saving procedure. The need for federal intervention and patient awareness is emphasized to prevent these dangerous situations.

Mindmap

Keywords

💡Catholic Hospitals

Catholic Hospitals are healthcare institutions that follow the religious directives of the Catholic Church, particularly in matters related to reproduction. In the video, these hospitals are criticized for prioritizing religious doctrines over patient care, particularly in emergencies like miscarriages, where necessary medical procedures are denied.

💡Miscarriage Management

Miscarriage management refers to the medical procedures needed to handle a miscarriage safely. The video highlights how Catholic hospitals often deny emergency miscarriage management, putting women at risk by refusing life-saving procedures due to religious beliefs.

💡Ethical and Religious Directives (ERDs)

The Ethical and Religious Directives are guidelines provided by the Catholic Church that prohibit certain medical procedures, especially those related to reproduction, like abortion. The video explains how these directives force doctors in Catholic hospitals to deny care that could save a woman's life, such as fetal extraction during a miscarriage.

💡Emergency Medical Treatment and Labor Act (EMTALA)

EMTALA is a federal law requiring hospitals that receive Medicare funding to provide emergency medical care regardless of religious or other beliefs. The video discusses how Catholic hospitals sometimes violate this law by refusing to provide life-saving care, even when a patient's life is at risk.

💡Federal Law vs. Religious Beliefs

The video explores the tension between federal law, which mandates life-saving care, and the religious beliefs of Catholic hospitals, which can lead to the denial of certain procedures. This conflict can result in severe consequences for patients, including the death of both the mother and fetus in cases of miscarriage or other reproductive health emergencies.

💡Patient's Right to Know Act

The Patient's Right to Know Act is proposed legislation that would require Catholic hospitals to inform patients about the services they cannot provide due to religious restrictions. The video emphasizes how patients often do not realize they are in a Catholic hospital until it is too late to seek alternative care.

💡Sepsis

Sepsis is a life-threatening condition caused by the body's response to infection. In the video, sepsis is used as an example of how delayed or denied care at Catholic hospitals can lead to severe medical complications, as seen in a woman who nearly died after being sent home during a miscarriage.

💡Fetal Extraction

Fetal extraction is a medical procedure used to remove a fetus that has died or is causing harm to the mother. The video highlights how Catholic hospitals often refuse to perform this procedure during miscarriages, even when the mother's life is in danger, leading to preventable deaths.

💡Medicare Funding

Medicare funding refers to federal financial support provided to hospitals. The video criticizes Catholic hospitals for receiving billions of dollars in Medicare funding while refusing to follow federal laws like EMTALA, which requires emergency medical care for all patients, regardless of religious beliefs.

💡Conscientious Objection

Conscientious objection allows healthcare providers to refuse to perform certain procedures based on moral or religious beliefs. In the video, this concept is central to the denial of care in Catholic hospitals, where doctors are often forced to withhold necessary treatment due to institutional religious policies, even when they know it will harm the patient.

Highlights

Tamisha Means was sent home twice from Mercy Health despite her water breaking and being in excruciating pain.

Mercy Health and over 1,000 Catholic hospitals are banned from providing medical procedures deemed 'intrinsically evil' by the Catholic faith.

Federal law mandates that hospitals, even Catholic ones, must provide life-saving services regardless of religious beliefs.

Means nearly died from an infection after being denied miscarriage management, raising concerns about Catholic hospitals following religious doctrines over medical needs.

Catholic hospitals benefit from $115 billion in federal funding, yet their refusal to provide certain care violates federal law.

Patients often don't know they are at a Catholic hospital, as some hospitals remove religious markers or rename themselves.

Doctors at Catholic hospitals are often forced to go against their medical judgment, leading to compromised patient care.

33% of OBGYNs interviewed at Catholic hospitals reported a severe conflict with the quality of care they provided.

Catholic hospitals often refuse to refer patients to other providers for care they deem unacceptable, even if it puts patients' lives at risk.

A woman in Washington was forced to wait for a natural miscarriage despite the risks, laying in a hospital bed listening to her child's dying heartbeat for seven hours.

Doctors at Catholic hospitals are unable to provide emergency miscarriage care even when it risks infection and death.

Sister Mary McBride was excommunicated for authorizing a life-saving fetal extraction for a woman suffering from heart failure during a miscarriage.

The Department of Health and Human Services has the authority to pull funding from Catholic hospitals that do not comply with federal law, as it did with River District Hospital.

The Patients’ Right to Know Act is being introduced in 28 states to ensure that patients are informed about the services Catholic hospitals cannot provide.

Catholic hospitals prioritize the preservation of the fetus, even in cases where it endangers the mother's life, raising ethical and legal concerns.

Transcripts

play00:01

when Tamisha means was 18 weeks pregnant

play00:04

and felt her water break she rushed to

play00:07

Mercy Health Hospital their doctors

play00:10

determined the baby had died but think

play00:13

progress on September 12th 2016 explains

play00:16

that's not what they told

play00:18

her instead doctor's reassured means her

play00:21

baby was fine gave her two Tylenol and

play00:25

sent her

play00:26

home when she returned 9 hours later in

play00:29

excruciate ing pain they did it again

play00:32

the third time means arrived by

play00:34

ambulance

play00:36

hemorrhaging that's when doctors finally

play00:39

delivered her stillborn son leaving

play00:40

means in the ICU after nearly dying from

play00:44

infection but the doctors at Mercy

play00:46

Health weren't being personally

play00:49

negligent because they were just

play00:51

following Hospital

play00:53

rules slate on September 1st 2016

play00:56

explains Mercy Health along with 1,000

play01:00

other Catholic Hospitals is banned from

play01:03

providing any medical procedure deemed

play01:06

intrinsically Evil by the Catholic faith

play01:10

but the Washington Post on September 3rd

play01:12

2016 points out federal law gives one

play01:14

stipulation to the religious exemption

play01:17

they must provide those Services when a

play01:20

life is at stake yet rewire of September

play01:23

3rd 2016 found by routinely denying

play01:27

emergency miscarriage management

play01:30

Catholic Hospitals are using their faith

play01:33

to justify endangering the lives of the

play01:35

one and five women who will Mis

play01:38

carry this isn't about access to

play01:41

abortion or contraception because

play01:43

Catholic Hospitals do have a legal right

play01:45

to refuse those

play01:47

services but this is about access to

play01:49

emergency life-saving medical care and

play01:52

considering the Washington Post on

play01:54

September 22nd 2016 warns one and six

play01:58

hospitals are Catholic

play02:01

we must address the causes effects and

play02:03

solutions that led Aaron Matson to tell

play02:06

rewire on March 25th 2013 I'm happily

play02:10

Catholic but I'd never willingly step

play02:13

foot in a Catholic

play02:16

Hospital the sickest patient Dr David

play02:19

Eisenberg remembers nearly died of

play02:21

sepsis in his ER pregnant no fetal

play02:24

heartbeat and a 106 degree fever all

play02:28

because 10 days earlier she was sent

play02:30

home by St Joseph's hospital and told

play02:32

nothing could be done Catholic Hospitals

play02:35

prioritize dead fetuses over the women

play02:38

carrying them by breaking the law and

play02:41

purposely misleading

play02:44

patients initially the aention salon

play02:46

explains Catholic Hospitals do follow

play02:48

two sets of rules the first is the

play02:51

ethical and religious directives for

play02:52

Catholic healthc Care Services given by

play02:55

the church which forbids any health care

play02:58

that alters the natural course of

play03:01

reproduction but the other is the

play03:03

emergency medical treatment and active

play03:05

Labor Act federal law requiring every

play03:08

hospital that receives Medicare funding

play03:10

to provide every emergency service

play03:13

regardless of religious belief andice on

play03:16

January 30th 2017 reminds Catholic

play03:18

Hospitals do benefit from

play03:21

115 billion federal dollars so denial of

play03:26

care is violation of the law

play03:30

and too often women have no idea they're

play03:33

at Catholic Hospitals or even what that

play03:35

means think progress in September 3rd

play03:38

2016 explains years ago the crucifix in

play03:42

the front entrance was typically the

play03:45

giveaway but now they're removing

play03:47

visible markers starting with the name

play03:50

New Republic on November 1st 2016

play03:52

explains when St Mary's and St Joseph's

play03:55

Hospital merged earlier this year in

play03:57

Lexington they kept their Catholic

play03:59

affiliation

play04:01

but scrubbed it from their website and

play04:03

renamed themselves Kentucky one Health

play04:07

and names get even more bizarrely

play04:08

deceptive like Swedish Medical Center in

play04:11

Seattle or the Jewish hospital in

play04:16

Louisville and once inside patients

play04:18

aren't informed of ban procedures until

play04:21

it's too late the aclu's May 2016 report

play04:24

explains Angela valanis had a completely

play04:26

laid out birth plan with her doctors at

play04:28

Presence Hospital including a tubal

play04:31

liation post birth but it wasn't until

play04:34

she was being wheeled in for her

play04:35

C-section her doctor admitted he

play04:38

couldn't provide the Tubba liation but

play04:40

she could call their 1 1800 number post

play04:43

surgery to voice a

play04:46

complaint Catholic Hospitals aren't just

play04:48

denying the care they deem

play04:51

anti-catholic they're hiding

play04:54

it when a woman in Washington began

play04:56

heavily bleeding doctors told her they'd

play04:59

have to wait until she miscarried

play05:00

naturally no matter the risk so she laid

play05:04

in a hospital bed listening to her dying

play05:06

child's heartbeat until it stopped 7

play05:09

hours

play05:10

later this denial of care has two

play05:13

massive effects doctors are forced to

play05:16

ignore their best medical judgment and

play05:18

women's health is

play05:20

compromised initially the ethical and

play05:22

religious directives were created to

play05:24

protect doctor's conscience but they

play05:26

forced doctors to violate it a September

play05:30

2016 report in the Journal of

play05:32

perspectives on sexual and reproductive

play05:34

Health interviewed 27 OBGYNs at Catholic

play05:38

Hospitals across the country with

play05:40

terrifying

play05:42

results 33% of Physicians admitted to

play05:45

having a severe conflict with the

play05:47

quality of care provided at Catholic

play05:50

Hospitals worst Catholic doctors can't

play05:52

write referrals or transfer patients so

play05:55

when presented with women who needed

play05:57

life-saving interventions 2 7% of

play06:00

doctors provided no care and no referral

play06:05

because they feared for their

play06:07

jobs they knew those women could die and

play06:10

they sent them home

play06:12

anyway and there's no doubt these women

play06:14

face terrifying consequences the aclu's

play06:18

affir mention report explains when Mindy

play06:20

SN began heavily bleeding at just 11

play06:22

weeks doctors told her she wasn't

play06:25

bleeding enough to justify a fetal

play06:27

extraction no matter her risk of

play06:29

infection and death so on her fourth ER

play06:33

visit Swank was forced to bring the

play06:34

dozens of underwear and Pad she had

play06:36

soaked

play06:37

through just so that nurses could weigh

play06:40

the blood in front of her and once again

play06:42

determine it wasn't

play06:44

enough or like a 19-year-old woman who

play06:47

the aforementioned ACLU report explains

play06:50

delivered her 16-week old child in an

play06:53

ambulance outside of the hospital that

play06:55

refused to treat

play06:57

her the Catholic rules to let a woman

play07:00

suffer die or know her pregnancy could

play07:02

kill her at any moment always Trump the

play07:06

woman her

play07:08

family and federal

play07:11

law when a 27-year-old woman arrived at

play07:14

St Joseph's hospital with heart failure

play07:16

from a weeks-long

play07:17

miscarriage Sister Mary McBride made the

play07:20

executive decision allowing doctors to

play07:22

perform a fetal extraction saving the

play07:25

woman's life but when the church found

play07:27

out St Joseph's lost its Catholic

play07:29

affiliation and sister McBride was

play07:33

excommunicated Solutions have to be

play07:35

enacted federally and

play07:38

personally first The Daily Coast on

play07:41

January 31st 2017 reminds because

play07:44

Catholic Hospitals do benefit from

play07:46

billions of Medicare dollars the

play07:48

Department of Health and Human Services

play07:50

has to make it clear they can and will

play07:53

pull funding they did it just last year

play07:56

to River District Hospital in Detroit

play07:59

after failed to follow protocol to

play08:01

prevent a patient's suicide so there

play08:03

should be nothing stopping the

play08:05

department from doing the same to

play08:07

Catholic

play08:09

Hospitals next the patient's right to

play08:11

know Act is currently being introduced

play08:13

in 28 States and would require doctors

play08:16

at every Catholic Hospital to be upfront

play08:18

about the services they can't provide

play08:21

find out more information and how to get

play08:23

it passed in your state at aclu.org

play08:27

slaent right to know

play08:30

and finally make sure the women in your

play08:33

life know the hospital they choose

play08:35

matters and whenever possible to avoid

play08:38

Catholic Hospitals for burs and

play08:39

Emergency Care I've created a packet

play08:42

with the name and location of every

play08:44

Catholic Hospital that doesn't use Saint

play08:47

in the name take a picture of your state

play08:50

and save

play08:51

it shortly after he excommunicated

play08:54

sister McBride Father John Eric

play08:57

Justified his decision saying

play09:00

there are just some cases where the

play09:02

mother and child will have to die

play09:05

together and if he gets his way so many

play09:08

more needlessly and senselessly

play09:12

will alternate on October 4th 2016

play09:15

explained a miscarriage is already one

play09:17

of the worst moments of a woman's life

play09:19

and at a Catholic Hospital it could

play09:21

easily be her last and maybe that's okay

play09:24

with the church but after addressing the

play09:26

causes and effects of Catholic Hospitals

play09:29

denial of care we know the solutions

play09:32

which must be implemented in order for

play09:35

Catholic

play09:36

Hospitals to get their priorities

play09:43

straight

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الوسوم ذات الصلة
Catholic hospitalsmiscarriage careemergency carereligious ruleswomen's healthfederal lawlife-savinghealth rightsethical conflictsmedical negligence
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