Umsebenzi wezempilo ongumKatolika wakuchasa ukuthintela inzala. Ikliniki yakhe yamaKatolika yamgxotha
Ingcali yezonyango eselula yasePortland, e-Oregon, wagxothwa kulo nyaka ngenxa yokuchasa iinkqubo ezithile zonyango ezisekwe kwinkolo yakhe yobuKatolika.
Nangona kunjalo, wagxothwa hayi kwisibhedlele esinganyangekiyo, kodwa kwinkqubo yezempilo yamaKatolika, ethi ilandela imfundiso yamaKatolika kwimiba yokuziphatha.
"Ngokuqinisekileyo khange ndicinge ukuba sikhona isidingo sokubamba amaziko amaKatolika ukuba aphendule ngokuba ngabaphilayo kunye namaKatolika, kodwa ndiyathemba ukusasaza ulwazi," utshilo uMegan Kreft, umncedisi kwezonyango, uxelele i-CNA.
"Ayisiyonto ilusizi nje ukuba ubungcwele bobomi bomntu busingelwe phantsi kwiinkqubo zethu zempilo zamaKatolika: inyani yokuba iyakhuthazwa kwaye iyanyanyezelwa ayamkelekanga kwaye inyani."
U-Kreft uxelele i-CNA ukuba ucinga ukuba amayeza azakulungelelana nenkolo yakhe yama Katolike, nangona wayengumfundi wayelindele imiceli mngeni njengomntu ophila ngokusebenza kwicandelo lezempilo.
UKreft waya kwiYunivesithi yaseOregon yezeMpilo kunye nezeNzululwazi ePortland. Njengoko bekulindelekile, kwisikolo sezonyango wadibana neenkqubo ezinje ngokuthintela ukukhulelwa, inzalo, iinkonzo ze-transgender, kwaye kwafuneka axolise ngazo zonke.
Wayekwazi ukusebenza kunye ne-Ofisi yesihloko IX ukufumana izindlu zonqulo ngelixa esesikolweni, kodwa ekugqibeleni amava akhe kwisikolo sezonyango amkhokelela ekubeni angabandakanyi umsebenzi kukhathalelo lokuqala okanye kwimpilo yabafazi. abasetyhini.
"Ezo ndawo zamayeza zifuna ababoneleli abazimisele ngakumbi ekukhuseleni ubomi kunayo nayiphi na enye into," utshilo.
Yayisisigqibo esinzima, kodwa uthi wayenoluvo lokuba oogqirha abasebenza kula macandelo bahlala bezamkela iinkqubo ezithandabuzekayo njengokukhupha isisu okanye ukuzibulala.
"Sibizelwe kwicandelo lezonyango ukuba sikhathalele ngokwenyani ingqondo, umzimba kunye nomoya," wagxininisa, esongeza ukuba njengesigulana wazabalaza ukufumana unyango oluqinisekisa ubomi.
Nangona kunjalo, uKreft wayefuna ukuvuleleka nakweyiphi na into uThixo awayembiza ngayo, kwaye wakhubeka kwisikhundla somncedisi kwezonyango e-Providence Medical Group, kwisibhedlele sakhe samaKatolika saseSherwood, e-Oregon. Ikliniki yinxalenye ye-Providence-St enkulu. Inkqubo yezeMpilo kaJoseph, inkqubo yamaKatolika eneeklinikhi kwilizwe liphela.
"Bendinethemba lokuba ubuncinci umnqweno wam wobugqirha ohambelana nokholo lwam kunye nesazela sam kuya kunyamezelwa, ubuncinci," utshilo uKreft.
Ikliniki yamnika lo msebenzi. Njengenxalenye yenkqubo yokuqesha, wacelwa ukuba atyikitye uxwebhu oluvuma ukuthobela izazisi zobuKrestu kunye ne-mission kunye ne-US Bishops 'Ethical and Religions Guidelines for Catholic Health Services, ezibonelela ngesikhokelo samaKatolika. kwiingxaki zokuziphatha.
E-Kreft, kwabonakala ngathi kuphumelele wonke umntu. Ayizukunyanyezelwa nje indlela yamaKatolika kukhathalelo lwempilo kwindawo yakhe entsha yokusebenza; kubonakala ngathi, ephepheni ubuncinci, iya kunyanzeliswa, hayi kuye kuphela kodwa kubo bonke abasebenzi. Wayityikitya ngovuyo imiyalelo kwaye wasamkela isikhundla.
Phambi kokuba uKreft aqale ukusebenza, uthi, omnye wabaphathi baseklinikhi waqhagamshelana naye ukuze abuze ukuba zeziphi iinkqubo zonyango angathanda ukuzenza njengomncedisi.
Kuluhlu olunikiweyo-ukongeza kwiinkqubo ezininzi ezinobungozi ezinje ngokuthungwa okanye ukususwa kweenzipho - yayiyinkqubo enje nge-vasectomy, ukufakwa kwesixhobo sangaphakathi, kunye nokuthintela ukukhulelwa okungxamisekileyo.
UKreft wothuswa kukubona ezo nkqubo ziluluhlu, kuba zonke zichasene nee-ERD. Kodwa ikliniki ibanike izigulana ngokuphandle, utshilo.
Yayityhafisa, utsho, kodwa wafunga ukuba uza kuhlala enyanisekile kwisazela sakhe.
Kwiiveki zokuqala zomsebenzi, uKreft uthe ucele ugqirha ukuba athumele isigulana ukuba sikhuphe isisu. Ukwafumanise ukuba iklinikhi ikhuthaze ababoneleli ukuba babhale ngendlela yokuthintela ukukhulelwa.
UKreft uqhakamshelane nabaphathi beklinikhi ukubaxelela ukuba akananjongo zokuthatha inxaxheba okanye ukubhekisa kwezi nkonzo.
"Khange ndicinge ukuba kufuneka ndicacise ngale nto, kuba kwakhona, umbutho uthe ezi ayizizo iinkonzo abazinikelayo," watsho uKreft, "kodwa bendifuna ukubaphambili kwaye ndifumane indlela eya phambili."
Waqhakamshelana neZiko leSizwe lamaKatolika kwiBioethics ukufumana iingcebiso. U-Kreft uthe uchithe iiyure ezininzi emnxebeni noGqirha Joe Zalot, ingcali yeenqobo ezisesikweni kwi-NCBC, efunda ngeendlela zokujongana neengxaki zokuziphatha awayejamelene nazo.
Uninzi lwabantu aluyazi imikhwa ye-bioethics yamaKatolika, kwaye i-NCBC ikhona ukunceda abaqeqeshi bezempilo kunye nezigulana ezinale mibuzo, uZalot uxelele i-CNA.
UZalot uthe i-NCBC ihlala ifumana iifowuni ezivela kubasebenzi bezempilo abanyanzelwa ukuba benze izinto ezingqubana nezazela zabo. Uninzi lwexesha ngoochwephesha bamaKhatholika kwinkqubo yehlabathi.
Kodwa rhoqo, wathi, bafumana iifowuni ezivela kumaKatolika asebenza kwiinkqubo zezempilo zamaKatolika, njengoMegan, abaphantsi kwengcinezelo efanayo.
"Sibona iinkqubo zempilo zamaKatolika zisenza izinto ebekungafanelekanga ukuba bazenze, kwaye ezinye zimbi kunezinye," uphawule watsho.
U-Kreft uthethe nomlawuli weklinikhi kunye negosa eliyintloko lokudibanisa imishini malunga neenkxalabo zakhe kwaye waxelelwa ukuba umbutho "awulawuli abathengisi" kwaye ubudlelwane bezigulana kunye nomnikezeli wabucala bubucala kwaye Ngcwele.
UKreft ufumanise ukuba impendulo yeklinikhi ayonelisi.
“Ukuba uyinkqubo engazixabisiyo [ii-ERD], zibone njenge-bureaucracy, kwaye ngekhe wenze iinzame zokuqinisekisa ukuba zidityanisiwe okanye ukuba abasebenzi kunye nabanikezeli ngeenkonzo bayaziqonda, kungcono ungazisayini. Masingaguquguquki apha, bendifumana imiyalezo exubeneyo, ”utshilo uKreft.
Ngaphandle kweklinikhi inyanzelisa ukuba "ayiboneleli ngeenkonzo zamapolisa," u-Kreft wayekholelwa ekubeni izigqibo zakhe zezempilo ziphantsi koqwalaselo.
U-Kreft uthi umlawuli weklinikhi wakhe ngaxesha lithile wamxelela ukuba amanqaku ekwaneliseka kwezigulana ekliniki anokuhla xa engakhange amisele uthintelo-ndlela. Ekugqibeleni, iklinikhi yamnqanda uKreft ekuboneni nasiphi na isigulana sabasetyhini seminyaka yokuzala, ngokucacileyo ngenxa yeenkolelo zakhe malunga nokuthintela inzala.
Esinye sezigulana zokugqibela uKreft wabona ibhinqa eliselula awayekhe walibona ngaphambili ngengxaki engahambelani nokucwangciswa kosapho okanye impilo yabasetyhini. Kodwa ekupheleni kolu tyelelo, wacela uKreft ukuba akhulelwe.
U-Kreft uzame ukumamela ngovelwano, kodwa uxelele isigulana ukuba akanakumisela okanye abhekisele kunyango olukhawulezileyo, ecaphula imigaqo-nkqubo ka-Providence ngalo mbandela.
Nangona kunjalo, xa uKreft eshiya igumbi, waqonda ukuba kungenelele omnye umsebenzi wezonyango kwaye wayechaza isigulana sothintelo olungxamisekileyo.
Kwiiveki ezimbalwa emva koko, umphathi wezonyango wengingqi wabiza uKreft ukuba abambe intlanganiso kwaye waxelela uKreft ukuba isenzo sakhe sisenzakalisile isigulana kwaye uKreft "usenzakalisile isigulana" kwaye ngenxa yoko waphula i-Hippocratic Oath.
“La ngamabango amakhulu kwaye anentsingiselo enziwa malunga nengcali yezempilo. Kwaye ngoku bendisebenzela uthando kunye nokukhathalelwa kwalo mfazi, ndimkhathalela ngokwembono yezonyango neyomoya, ”utshilo uKreft.
"Isigulana besifumana uxinzelelo, kodwa bekuvela kwimeko awayekuyo."
Emva kwexesha, uKreft waya eklinikhi wambuza ukuba bangamvumela na ukuba athathe ikhosi yoCwangciso lwezeNdalo kwimfuno yakhe eqhubekayo yemfundo, kwaye bala ngoba “bekungadibani” nomsebenzi wakhe.
Ii-ERDs zithi imibutho yezempilo yamaKatolika kufuneka ibonelele ngoqeqesho lwe-NFP njengenye indlela yokuthintela ukukhulelwa kwehomoni. U-Kreft uthe ebengazi ukuba nabani na eklinikhi uqeqeshiwe kwi-NFP.
Ekugqibeleni, ubunkokheli beklinikhi kunye nabasebenzi bazise uKreft ukuba kufuneka atyikitye uxwebhu olulindelekileyo lokusebenza, esithi ukuba isigulana sicela inkonzo esinganikezeliyo, uKreft uya kunyanzeleka ukuba athumele isigulana kwenye. Umsebenzi wezempilo wobonelelo.
Oku kuya kuthetha ukuba uKreft wayebhekisa kwiinkonzo yena, kwisigwebo sakhe kwezonyango, wayezithatha njengeziyingozi kwisigulana, ezinje nge-tubal ligation kunye nokuqhomfa.
UKreft uthi ubhalele iinkokheli zenkqubo yokhathalelo lwempilo, ebakhumbuza ngobuzazi babo bobuKatolika kwaye ebuza ukuba kutheni le nto kukho uqhawuko phakathi kwe-ERD kunye nezibhedlele. Uthi akazange afumane mpendulo kwimibuzo yakhe malunga ne-ERDs.
Ngo-Okthobha u-2019, wanikwa isaziso seentsuku ezingama-90 sokurhoxa kuba engazukuyityikitya ifom.
Ngokulamla kuququzelelwa nguThomas More Society, inkampani yamagqwetha yamaKatolika, uKreft uvumile ukuba angammangaleli uProvidence kwaye ebengasasebenzi ebutsheni bowe-2020.
Iinjongo zakhe kwisisombululo, uthi, yayikukukwazi ukubalisa ibali lakhe ngokukhululekileyo-into enokuba isimangalo yayingamvumeli ukuba ayenze-kwaye abe ngumthombo wenkxaso kwabanye oochwephesha abanezichaso ezifanayo.
U-Kreft uphinde wafaka isikhalazo kwi-Ofisi yamaLungelo oLuntu kwiSebe lezeMpilo kunye neeNkonzo zoLuntu, elisebenza nabaqeshi ukuza nesicwangciso sokulungisa amanyathelo okulungisa ukuphulwa kwamalungelo oluntu kwaye banokufumana inkxaso-mali. federal ukuba ulwaphulo luyaqhubeka.
Uthi okwangoku akukho hlaziyo lukhulu kweso sikhalazo; ibhola okwangoku ikwinkundla yeHHS.
IQela lezoNyango leProvidence alikhange liphendule kwisicelo seCNA sokubeka izimvo.
UKreft uthi ngokwenza umsebenzi wokhathalelo lwempilo, wayefuna ukuba "kukukhanya okuncinci" kwikliniki yakhe, kodwa oku "akuzange kunyamezeleke okanye kuvunyelwe kumbutho."
“Bendilindele [inkcaso] kwisibhedlele esingaqhelekanga apho uqeqesho lwam belukhona, kodwa inyani yokuba iyenzeka eProvidence ihlazo. Kwaye iyababhida abaguli kunye nabantu ababathandayo ”.
Ucebise nabuphi na oqeqeshiweyo kwezempilo ukuba bajongane nengxaki yokuziphatha ukuba banxibelelane ne-NCBC, kuba banokunceda ukuguqula kunye nokusebenzisa iimfundiso zeCawe kwiimeko zobomi bokwenyani.
UZalot ucebise ukuba bonke abasebenzi benkonzo yamaKatolika baziqhelanise nokukhusela isazela esibhedlele okanye eklinikhi apho basebenza khona kwaye bafune abameli bezomthetho ukuba kunyanzelekile.
UZalot uthe i-NCBC iyazi ukuba ubuncinci kugqirha omnye kwiNkqubo yeMpilo ye-Providence ovuma ukuzibulala.
Komnye umzekelo wakutshanje, uZalot uthe wafumana umnxeba ovela komnye umsebenzi wezempilo ovela kwenye inkqubo yokhathalelo lwempilo yamaKatolika owayebona utyando lokunikezelwa kwesini kwakhona kwizibhedlele zabo.
Ukuba abasebenzi okanye abaguli babona izibhedlele zamaKatolika zisenza izinto ezichasene nee-ERD, kufuneka banxibelelane nedayosisi yabo, ucebise uZalot. I-NCBC inokuthi, ngokumenywa ngubishophu wasekhaya, enze "uphicotho" lobukatolika besibhedlele kwaye enze izindululo kubhishophu, utshilo.
UKreft, ngandlela thile, usadodobala emva kokugxothwa iinyanga ezintandathu emsebenzini wakhe wokuqala wezonyango.
Uzama ukukhusela abanye abanokuzifumana bekwimeko efanayo neyakhe, kwaye unethemba lokukhuthaza izibhedlele zamaKatolika ukuba zikhethe ukuguqula kwaye zinike "ukhathalelo lwempilo olubalulekileyo ababenalo."
“Kusenokwenzeka ukuba bakho nabanye abasebenzi bezempilo, nkqu naseProvidence, abanamava afanayo. Kodwa ndicinga ukuba iProvidence ayisiyiyo yodwa inkqubo yezempilo yamaKatolika kweli lizwe enengxaki yoku ”.