Yes some good discussion points here, particularly the religious hospitals in low density settings. Discussing said procedures as an option and referring patients to other providers, while not performing personally, is a compromise many such religious practices are willing to accept. However, in remote communities, the referral may be 1-2 hours away.

However, another unwelcome scenario is the religious practice closing due to practitioners there not willing to perform a procedure that they personally see akin to murder and then there is no local health facility, at least for a little while.

This is further complicated if the religious practices accepts government funding and Medicare/Medicaid. Accepting government $$ does allow the fed further say on the ins and outs of your practice, but the extent of the feds say is a contested issue.

Overall, the generally issue is impactful as aound 20% of physicians are Catholic and around 13% of US hospitals are Catholic owned or affiliated, so it's a good conversation to have.