Faith healing challenged

OREGON CITY, Ore.

When Dr. Seth Asser saw row after row of children’s graves in a small cemetery not far from the end of the historic Oregon Trail, he knew many of these early deaths should not have happened. The children’s parents relied on faith healing, instead of doctors.

The pediatrician published a landmark study concluding many of the deaths could have been prevented if the children had received medical care.

“What struck me was the fact that it was obvious from the expressions on the headstones that the children were loved,” Dr. Asser said. “So it was especially troublesome they were not afforded the care that most parents would give their children.”

His study 10 years ago brought attention to the issue, and yet today three criminal cases — two in Oregon and one in Wisconsin — have revived concerns about exemptions that most states grant to parents who rely on faith healing to treat sick children.

Faith healing has deep roots in American history, and yet it may seem surprising that in the 21st century, children still die because parents choose not to seek medical help from physicians.

State laws across the nation exempt members of religious groups from prosecution if they choose faith healing over science. Dr. Asser and a colleague, Rita Swan, have been trying to get states to repeal such laws, arguing that safety should always come first, no matter what the parents believe.

“We can’t legislate good parenting, but at least we shouldn’t have laws allowing bad parenting,” said Ms. Swan, who now heads the advocacy group Children’s Healthcare.

But the two have been lonely voices, partly because tragedies are rare and partly because legislators are loath to challenge parental rights, especially when they are intertwined with the constitutional right to freedom of religion.

According to the U.S. Department of Health and Human Services, at least 30 states have specific exemption laws on the books.

And HHS also argues that federal law is silent, saying nothing in the amendments to the original 1974 Child Abuse Prevention and Treatment Act, can “be construed as establishing a federal requirement that a parent or legal guardian provide any medical service or treatment that is against the religious beliefs of the parent or legal guardian.”

Five states have repealed exemption laws, Ms. Swan said: Hawaii, Maryland, Massachusetts, Nebraska and North Carolina.

Some states have revised their laws, including Oregon in 1999. After a stormy debate in the Oregon Legislature, then-Gov. John Kitzhaber — a doctor — signed a compromise bill into law that eliminated the Oregon spiritual-healing exemption in some manslaughter and criminal-mistreatment cases.

Many of the exemption laws were enacted in the 1970s, promoted by two top advisers to President Nixon — Bob Haldeman and John Erlichman — and an influential senator, Charles Percy of Illinois, who practiced Christian Science, which embraces a form of faith healing but does not prevent any members from seeking medical care.

“One of the mistakes people make is lumping all these groups together,” said Stephen Lyons, a Boston lawyer who has defended Christian Scientists.

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