By Gina Christian

(OSV News) – The final document for the North American phase of the 2021-2024 Synod on Synodality was released April 12, capturing a process of dialogue and discernment that two participants described as ‘messy,’ ‘joyful’ and unifying – like the synod itself.

“It’s amazing what comes about when … you invoke the Holy Spirit in the conversation,” Julia McStravog, a theologian and co-coordinator of the North American team for the synod’s continental phase, told OSV News.

“The synodal approach provoked a genuine appreciation and joyfulness on the part of the people of God to be able to engage in conversation, even if they were talking about difficult issues,” team co-coordinator Richard Coll told OSV News. Coll also serves as executive director of the U.S. Conference of Catholic Bishops’ Department of Justice, Peace and Human Development.

Led by Catholic bishops from Canada and the United States, McStravog, Coll and their fellow team members have now synthesized the results of synod listening sessions throughout the two countries, producing a 36-page final document available for download at usccb.org/synod. (According to the USCCB, the Catholic Church in Mexico is participating in the global synod with the Latin American Episcopal Council, or CELAM, given its long partnership with that conference.)

The North American synod team – consisting of eight bishops, three laywomen, two priests, two laymen and two women religious – spent time in prayer, silence and discussion to distill responses for inclusion in the text, which forms a response to the Document for the Continental Stage issued by the Holy See’s General Secretariat for the Synod of Bishops in October 2022.

The final document for the continental stage from North America, along with the contributions of the six other continental assemblies, will form the basis of the “Instrumentum Laboris,” the global synod’s working document, to be released by the General Secretariat in June.

Bishop Daniel E. Flores of Brownsville, Texas, chairman of the USCCB Committee on Doctrine, who leads the North American team with Canadian Bishop Raymond Poisson of Saint-Jérôme-Mont-Laurier, Quebec, presented the document at the Vatican April 12.

Launched by Pope Francis in October 2021, the multi-year synod of bishops – the theme of which is “communion, participation and mission” – seeks to cultivate an ongoing dynamic of discernment, listening, humility and engagement within the Catholic Church.

The North American report highlighted three key themes: the implications of baptism, communion with Christ and one another, and missionary discipleship as a living out of the baptismal calling.

“Our baptismal dignity is inseparable from our baptismal responsibility, which sends us forth on mission,” the document stated. “Every human person possesses the dignity that comes from being created in the image of God. Through baptism, Christians share in an exalted dignity and vocation to holiness, with no inequality based on race, nationality, social condition, or sex, because we are one in Christ Jesus.”

By virtue of their baptism, participants in the synod’s North American phase expressed “a desire for a greater recognition of, and opportunities for, co-responsibility within the church and her mission,” with greater collaboration “among the laity and the clergy, including bishops,” said the document. It stressed “there can be no true co-responsibility in the church without fully honoring the dignity of women.”

An “authentic acknowledgment and respect for the gifts and talents of young people is another vital aspect of a co-responsible church in North America,” said the document.

Amid “polarization and a strong pull towards fragmentation,” synod participants in North America emphasized the need to “maintain the centrality of Christ,” especially in the Eucharist.

The document candidly acknowledged that a “significant threat to communion within the church is a lack of trust, especially between bishops and the laity, but also between the clergy in general and the lay faithful.”

The clergy sexual abuse crisis in particular has caused “major areas of tension in North America,” as have “the historical wrongs found in the residential (and) boarding schools for Indigenous people, which … included abuse of all kinds,” said the document.

In their introduction to the document, Bishop Flores and Bishop Poisson admitted the need to “(make) efforts to listen more effectively to those from whom we have not heard, including many who have been relegated to the margins of our communities, society and church.” They noted their “absence” in the synodal process was “not easily interpreted but was palpably felt.”

Among those often missing from synodal sessions were priests, with bishops acknowledging their responsibility to address that lack “by example and by conveying the transparency and spiritual/pastoral fruitfulness of synodality.”

Synod participants listed women, young people, immigrants, racial or linguistic minorities, LGBTQ+ persons, people who are divorced and civilly remarried without an annulment, and those with varying degrees of physical or mental abilities as marginalized within the church.

Outreach and inclusion of these groups is ultimately driven at the local level by the faithful actively living out their baptism, McStravog told OSV News.

At the same time, “the bishops really took to heart the call … to reach out to the periphery,” Coll told OSV News, who added that virtual synod sessions enabled broader participation.
Synod participants consistently articulated a longing for better formation in the faith and in Catholic social teaching, the document said.

As the synod process moves into its next phase, Coll and McStravog pointed to the need for humility and openness to God’s will.

“We don’t have all the answers, and none of this is pre-packaged,” said Coll. “You have to trust that the Spirit will be there to guide us despite the messiness – or maybe because of it.”

(Gina Christian is a national reporter for OSV News. Follow her on Twitter at @GinaJesseReina.)

By Kimberley Heatherington

(OSV News) – The pro-life movement in post-Dobbs America requires robust support for health care and social service programs to accompany parents who choose life, some clergy, legislators and advocates told OSV News – including efforts to expand Medicaid coverage for postpartum mothers.

The most recent front in the struggle to deliver such assistance is Mississippi, home to the city of Jackson referenced in Dobbs v. Jackson Women’s Health Organization, the U.S. Supreme Court ruling in June that overturned Roe v. Wade. After a two-year clash of political wills, Mississippi’s House March 7 finally passed 88-29 a Medicaid postpartum coverage extension already approved by the state Senate, after the governor said this legislation was part of the “new pro-life agenda.”

Medicaid is a joint federal and state program that gives health coverage to some individuals, families and children with limited income and resources. It’s also the largest single payer of pregnancy-related services, funding 42% of all U.S. births in 2019. According to a 2022 Kaiser Family Foundation study, the average U.S. birth costs $18,865; for those insured, the average out-of-pocket expense is $2,655.
In Mississippi, low-income mothers will now be eligible for a full year of postpartum coverage instead of just 60 days. With the signature of Republican Gov. Tate Reeves, who as lieutenant governor helped craft the Dobbs brief, the bill becomes law.

“I am grateful for the prayer, hard work and collaboration that brought this bill to the finish line,” Bishop Joseph R. Kopacz of Jackson told OSV News. “One big step forward for the common good.”

“Since the overturning of Roe v. Wade, it is very important that we provide support to moms and parents who are keeping their babies rather than aborting them,” Debbie Tubertini, coordinator in the Diocese of Jackson’s Office of Family Ministry, told OSV News.

Jennifer Williams, diocesan director of Catholic Charities of South Mississippi, also shared with OSV News that “expanded Medicaid for postpartum benefits will allow our clients and others across the state the opportunity to receive much-needed medical care and mental health care.”

Both Bishop Kopacz and Bishop Louis F. Kihneman III of Biloxi, Mississippi, issued a Feb. 24 letter urging lawmakers “to protect the life and health of mothers in this state.”

Mississippi is one of the poorest states in the nation. The Centers for Disease Control and Prevention (CDC), indicates Mississippi has the country’s highest infant mortality rate, and its population includes a sizable number of women with chronic medical conditions.

While federal law requires all states to provide Medicaid coverage without cost sharing for pregnancy-related services to pregnant women with incomes up to 138% of the federal poverty level, individuals with pregnancy-related Medicaid coverage typically lose benefits two months after the end of pregnancy.
The 2021 American Rescue Plan Act allowed states to extend Medicaid pregnancy coverage from 60 days to one year postpartum – however, the law’s provision expires in May.

Not all states have taken legislative action – some have done so in varying degrees – owing to political disagreement about the role of government when it comes to assisting mothers in need. Some advocate the government should provide a wider and stronger social safety net, while others oppose efforts to enlarge government programs and spending.

“It’s a philosophical difference about the role of government. I understand that,” said former Congressman Dan Lipinski, a Catholic pro-life Democrat who represented his Illinois district in the U.S. House 2005-2021.

“But I believe that (extending postpartum coverage) is the right thing to do. I don’t think that it is the government stepping in too much to help women who are really in need.”

Two pro-life groups, Democrats for Life of America and Americans United for Life, outlined a proposal declaring that “to change the future, we need a new model, a better paradigm. Birth in the United States of America should be free.”

Lipinski said the pro-life movement is at a critical moment “to demonstrate – now that Roe is gone – what we really stand for, and what we really want to do.”

Lipinksi’s call to comprehensive pro-life action has been echoed on the other side of the political aisle.
“As we take steps to protect the unborn, we also have an obligation to support pregnant and new moms, as well as their young children,” Sen. Marco Rubio, R-Fla., told OSV News. “My Providing for Life Act provides a national blueprint to do exactly that, and I am encouraged to see states across the nation stepping up to do the same.”

Rubio’s plan would enable paid parental leave; expand the Child Tax Credit, Child Support Enforcement requirements, tax relief for adoptive parents and access to social services; provide additional funding, with reforms, to the Women, Infants, and Children, or WIC, program, and more.

Wyoming state Rep. Cody Wylie, R-Sweetwater, grabbed headlines when he declared in support a bill to expand temporarily postpartum Medicaid coverage from 60 days to 12 months through 2024, “If we’re going to hold the line and protect life by outlawing abortion, we also need to be damn sure we’re prepared and willing to roll up our sleeves and fund programs for mothers and children.”

Wyoming Gov. Mark Gordon signed the bill into law March 3 calling it a “signature piece of pro-life legislation” that is expected to help as many as 2,000 low-income Wyoming mothers.

Patrick Brown, a Catholic and fellow in the Life and Family Initiative at the Ethics & Public Policy Center in Washington, told OSV News that both Lipinski and Rubio are “champions in trying to think through what an authentically pro-life policy agenda should be.”

“We should be prudently – but also meaningfully – investing in families, because they’re doing the important work of carrying on society for the next generation,” Brown explained. “That’s my overarching argument for why these kinds of policies are important.”

Nonetheless, “big changes like this don’t happen overnight,” he said. “It took 49 years to overturn Roe v. Wade – and we’re not even in the first year of what a post-Dobbs reality looks like.”

(Kimberley Heatherington writes for OSV News from Virginia.)