President Obama’s re-election and the prospect of a second Obama administration, freed from the constraints imposed by the necessity of running for re-election, have created a crisis for the Catholic Church in the United States. In the thought-world and vocabulary of the Bible, “crisis” has two meanings: the conventional sense (a grave threat) and a deeper sense (a great moment of opportunity). Both are applicable to the Church in America these next four years. The immediate threat, of course, is the HHS (Health and Human Services) mandate requiring Catholic institutions and Catholic employers to include coverage of contraceptives, sterilizations, and abortifacient drugs in the health insurance offered to their employees. The legal challenges mounted against this obvious violation of the first freedom, religious freedom, may well be vindicated. But with Obamacare now seemingly set in concrete, the Church will face a host of such implementing “mandates” and it will be imperative to contest those that are morally unacceptable, time and time again. Authentically Catholic health care in America is now in mortal danger, and it is going to take a concerted effort to save it for future generations.