For decades, the Catholic Church has supported reform of America’s health care system and has promoted the idea that all people should have access to medical care. What policies would best serve that end has been a matter of considerable debate, a debate that continues in the context of the health care reform bill recently approved by Congress. What is not open for debate amongst faithful Catholics, however, is the fact that abortion is not health care and that no American should be forced to pay for another person’s abortion. The new health care reform law fails that test. In the coming days, Catholics must work to ensure that the new law’s provisions in favor of federal financing of abortion are reversed, and that the conscience rights of medical personnel to decline involvement in procedures they find immoral be respected. True health care reform is in service of the goal of expanding health care opportunities for all, in particular the poor.