This is a great NYT column by Ross Douthat.

(HT: Cafe Hayek)

But sometimes the state goes further. Not content with crowding out alternative forms of common effort, it presents its rivals an impossible choice: Play by our rules, even if it means violating the moral ideals that inspired your efforts in the first place, or get out of the community-building business entirely.

This is exactly the choice that the White House has decided to offer a host of religious institutions — hospitals, schools and charities — in the era of Obamacare. The new health care law requires that all employer-provided insurance plans cover contraception, sterilization and the morning-after (or week-after) pill known as ella, which can work as an abortifacient. A number of religious groups, led by the American Catholic bishops, had requested an exemption for plans purchased by their institutions. Instead, the White House has settled on an exemption that only covers religious institutions that primarily serve members of their own faith. A parish would be exempt from the mandate, in other words, but a Catholic hospital would not.

Ponder that for a moment. In effect, the Department of Health and Human Services is telling religious groups that if they don’t want to pay for practices they consider immoral, they should stick to serving their own co-religionists rather than the wider public. Sectarian self-segregation is O.K., but good Samaritanism is not. The rule suggests a preposterous scenario in which a Catholic hospital avoids paying for sterilizations and the morning-after pill by closing its doors to atheists and Muslims, and hanging out a sign saying “no Protestants need apply.”