A doctor at the Lankenau Medical Center, Dr. Joseph Bushra, requested a religious exemption from his hospital's mandatory COVID-19 vaccine policy. Bushra’s specific position in the hospital's emergency department requires him to work in person with his patients on a daily basis, some of whom are carriers of the COVID-19 virus. The doctor feels that frequent testing and wearing a mask are proper accommodations that will prevent the spread of the deadly virus. In opposition, the hospital saw this as a high-risk situation. While the Main Line Health (MLH) organization offers medical and religious exemptions, they denied him on the basis that patients coming to the hospital are in a highly vulnerable medical situation. This resulted in Bushra suing the healthcare system for discrimination under Title VII of the Civil Rights Act and the Pennsylvania Human Relations Act (PHRA).
As a member of the Tenth Presbyterian Church in Philadelphia, Dr. Joseph Bushra gave four reasons as to why the vaccine violates his religious obligations/beliefs. His first reason is that the composition of the vaccine utilizes cells obtained from aborted fetuses. He explains, “My Christian worldview teaches that human life begins at the moment of conception, and that abortion, which ends a human life, is therefore murder”. The second reason was that he had already contracted the virus in previous months, and the risks that come along with the vaccine outweighed the risks of him obtaining the virus once again. He also felt that he had a religious obligation to ensure that the scarce vaccination be handed out to those who are truly in need rather than wasting one on himself. Lastly, Bushra states it is a violation of his First Amendment Free Exercise rights to go against his conscience as his Christian faith advises.
The constitutional question at hand is whether it is a violation of Dr. Joseph Bushra’s free exercise rights to deny his request for a religious exemption to the COVID-19 vaccine. Or does the government have a compelling state interest in protecting medically vulnerable individuals from risk of contracting a deadly virus? Does the position of an individual matter when considering religious exemptions?
A comparable case, given the compelling state interest of the government to uphold national security and health, is Goldman v. Weinberger. In this case, an Orthodox Jewish individual in the United States Air Force was not allowed to wear his yarmulke while on duty. A yarmulke is a religious head covering worn as a sign of respect, but was refused due to the Air Force's strict policy regarding no headgear inside. The Supreme Court ruled that the Air Force did not violate the free exercise clause, as they must be examined with less scrutiny for their intention to protect the nation. Their policy is made to ensure orderly conduct and uniform attire, which cannot be contested in terms of our nation’s defensive line.
While I see both sides of the argument, I am leaning towards the side of the Main Line Health Incorporation. If Dr. Joseph Bushra were not a physician in an emergency room, the conditions of this case would be extremely different. While Bursha has the right to deny vaccination, he does not have a natural-born right to be a doctor in an emergency medical environment. There is a clear and present danger in having high-risk patients suffering from serious illnesses and at varying ages to be in the presence of an unvaccinated doctor who must also service patients with COVID-19. As someone who has acquired COVID-19 twice while taking the precautions seriously, Bushra’s claim that a mask is enough is inaccurate. If he worked in a different medical facility with a less susceptible environment or had a different occupation, I could understand the religious exemption. I’d argue that jobs in the medical field should be evaluated with less scrutiny in cases similar to this. Is the cost of a life worth a workplace religious exemption? There is a natural right to be alive, but not to be a physician in an emergency room.
Sources:
https://religionclause.blogspot.com/
https://www2.ca3.uscourts.gov/opinarch/241117np.pdf
https://www.oyez.org/cases/1985/84-1097
