Imagine a sexual assault survivor rushing to the nearest emergency department, only to learn the hospital refuses to provide emergency contraception on religious grounds. Instead of treatment, she’s given a referral or sent elsewhere. Every passing hour erodes the medicine’s effectiveness. That’s not theoretical. That’s happening in Ontario today, at taxpayer-funded Catholic hospitals.

Ontarians pay taxes to fund health care. When the province funds a hospital, that hospital should deliver the “standard of care”, not a version filtered through religious doctrine. Yet, Catholic hospitals, because of conscience protections enshrined by the Charter and history, often refuse to provide emergency contraception or abortion directly. They may offer referrals, but not timely, on-site treatment.

Let’s be clear: no individual clinician’s conscience should be dismissed. Personal conscience protections are vital, and should remain, but institutions are not persons. Catholic hospitals choose to operate within the public health system, serving a broad and diverse population. When they choose public funding, they must also choose to meet public expectations: evidence-based, timely care.

A survivor’s access to medical care must not hinge on the hospital’s religious affiliation. Ontario’s policy is explicit: survivors deserve immediate access to emergency contraception and trauma-informed care. Yet religious exemptions turn policy into patchwork, a postcode lottery in survival care.

This isn’t about dismantling Catholic health care providers. It’s about accountability. The province can maintain agreements with religious institutions, but with conditions. Hospital funding contracts must mandate on-site delivery of all provincially endorsed, time-sensitive reproductive health services. If a facility cannot reconcile that with its religious identity, it should opt out of the public system and operate privately.

Ontario must uphold the principle that public funding buys uniform, high-quality, evidence-based health care for every resident. No one’s care should be delayed or denied because of a logo on a door. Ontarians, especially survivors of trauma, deserve more than patchwork conformity. They deserve consistency, dignity, and timely treatment.

It’s time to close the conscience loophole.