What a New Pope Means for Catholic-Affiliated Hospitals in the U.S.

Since his election in 2013, Pope Francis reshaped the tone, priorities, and social commitments of Catholic-affiliated hospitals in the United States—not by changing doctrine, but by emphasizing pastoral care, equity, and systemic reform. While the Ethical and Religious Directives (ERDs) remain unchanged in substance since their last revision in 2018, Francis catalyzed shifts in emphasis that ripple across hospital leadership, governance, and community health strategy.

The new Pope, Pope Leo XIV, formerly American Cardinal Robert Prevost is generally regarded as a moderate within the Catholic Church, closely aligned with the pastoral and reformist vision of Pope Francis. While he has not publicly taken definitive stances on some contentious issues, such as the ordination of women deacons or the blessing of same-sex unions, his actions suggest a cautious yet progressive outlook. For instance, he has supported the inclusion of women in advisory roles within the Dicastery for Bishops, reflecting a commitment to broader participation in Church governance.

What we can expect from Pope Leo XIV:

  1. Role in the Vatican and Implications for Healthcare Leadership

As Prefect of the Dicastery for Bishops, Cardinal Prevost played a central role in selecting bishops globally, shaping diocesan priorities. While not directly involved in healthcare policy, bishops influenced by his leadership often prioritize:

  • Social justice and care for the vulnerable, in alignment with Pope Francis’s vision.
  • Catholic health ministry values, including dignity of life (anti-abortion, against assisted suicide), access to care, and holistic healing.

This suggests support for Catholic health systems that emphasize equity, pastoral care, and mission alignment with Church teaching.

  1. Pastoral Emphasis and Missionary Experience

His years in Peru as a missionary shaped a perspective rooted in:

  • Healthcare access for underserved populations.
  • Partnerships with local clinics and Catholic hospitals, especially in rural and marginalized communities.

He likely values community health outreach, as well as government programs like Medicaid who serve all, regardless of their ability to pay. 

  1. No Explicit Healthcare Policy Statements

There are no known public statements or writings by Cardinal Prevost specifically targeting U.S. hospital policy, reproductive ethics, or bioethics. However, his alignment with Pope Francis suggests a general preference for:

  • Affordable and accessible healthcare.
  • Ethical care consistent with Catholic teaching, such as opposition to euthanasia and abortion, support for palliative care, and conscience protections for Catholic providers.