Today there is a growing crisis in politics and economics, as well as health care and more specifically Catholic health care. We have inherited a great legacy in Catholic health care in America; and despite modern challenges to it, we must protect this ministry. Three areas are proposed in which we must respond to the particular medical-ethical challenges we are facing, and these areas are the following: protection of conscience and religious freedom, freedom to develop positive alternatives, and recapturing the vision of Catholic health care. Ultimately love of Christ and fidelity to his teaching and example must undergird our efforts in preserving the delivery of Catholic health care in America.