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Since its first edition in 1948, the US Conference of Catholic Bishops' Ethical and Religious Directives for Catholic Health Care Services (ERD) has guided Catholic institutions in the provision of health care. However, while the papacy of Pope Francis and the clerical sex-abuse scandal both profoundly impacted the Catholic Church, the latest edition of the ERD does not address or reflect these transformations. Now for the first time, Todd A. Salzman and Michael G. Lawler present an extended critical commentary on the 2018 ERD.

In the Catholic tradition, moral sexual activity is institutionalized within the confines of marriage and procreation, and sexual morality is marital morality. But theologians Todd Salzman and Michael Lawler contend that there is a disconnect between many of the Church's absolute sexual norms and other theological and intellectual developments explicitly recognized and endorsed in the Catholic tradition, especially since the Second Vatican Council.