A Catholic healthcare system has settled a lawsuit claiming it had discriminated against the transgender child of an employee. But the real story found in this incident is about the opportunity Catholic healthcare systems have to make moments of resurrection happen.
“After his doctor suggested it would be the best way to treat his gender dysphoria, Paxton had chest reconstruction surgery the following year, in 2016.
“At the time, his mother, Cheryl, was a medical social worker at PeaceHealth St. Joseph Medical Center in Bellingham. But PeaceHealth refused to cover the surgery. After taking out a second mortgage and using money from his college fund, the family paid approximately $11,000 out of pocket for his operation. . .
“Now, PeaceHealth, a nonprofit, Catholic health-care organization based in Vancouver, Washington, with 10 medical centers and approximately 16,000 employees, has changed its employee policy on transgender care after settling its lawsuit with the family, who was represented by the American Civil Liberties Union of Washington.”
The settlement amount was undisclosed. PeaceHealth claimed it had already begun covering transgender-related surgeries in January 2017, but that policy only applied to individuals above the age of 18. The system’s insurance provider, Aetna, continues to deny medically necessary surgeries to transgender minors, which Enstad was at the time of his surgery.
Enstad said he and his family were “pleased they took a step, especially being a Catholic hospital,” but hoped the system “eventually removes the age-related limitation coverage” and that more employers would act similarly. According to Lisa Nowlin of the ACLU, the state affiliate has another case pending in which a transgender patient is suing another Catholic healthcare system, Providence Health and Services, for abruptly canceling his chest reconstruction surgery. The outcome of PeaceHealth’s settlement and that case could be quite determinative in Washington State, where a majority of healthcare systems are Catholic. Disputes over transgender healthcare involving Catholic providers have increased nationwide in recent years.
Beyond the legal and policy ramifications, Paxton Enstad’s story personalizes the true costs when Catholic healthcare systems deny care to transgender patients and the positive health outcomes when these systems choose to be affirming. Enstad’s parents described how their son sunk into a deep depression when he began puberty. His mother said that they knew they were “losing our kid” who was “not functioning” and “so depressed.”
But, she said, chest reconstruction “made all the difference” and immediately after surgery, Enstad’s parents knew their child had come back to life. Hilary Howes, a transgender Catholic woman, has spoken movingly of this transitioning experience:
“My path followed Christ, who as we would say, suffered, died and was buried. As a transgender person I suffered alienation, died of shame, and was buried in guilt. Through transition I rose again in accordance with God’s will for me and am now living my transfigured life.”
Shouldn’t healthcare be focused on bringing people to life and wholeness, especially healthcare from a Catholic perspective? With demand for transgender health services growing, Catholic providers should take the path of affirmation that leads to resurrection. 2019 should be the year that these providers put aside fighting and settling lawsuits, and willingly seek to make Catholic providers not just reluctant participants in LGBT care, but medical leaders in these resurrection journeys.
—Robert Shine, New Ways Ministry, January 9, 2019