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00:00 Introduction and overview 02:45 How the Seventh Edition was developed 05:42 Conversation with Nathaniel Blanton Hibner, Ph.D. 09:10 Stakeholder and theological consultation process 15:30 Under-the-radar changes in the new ERDs 24:05 Major developments in the Seventh Edition 36:40 New directives on gender dysphoria 48:20 Practical implications for Catholic health care 58:00 Final reflections and takeaways In November 2025, the United States Conference of Catholic Bishops voted to approve a new 7th Edition of the Ethical and Religious Directives for Catholic Health Care Services. In this episode, Dan and Tom talk with Nathaniel Blanton Hibner, Ph.D., Senior Director of Ethics at the Catholic Health Association, who discusses the process by which this edition was developed over the past four years. Following the interview, Dan and Tom provide their analysis of the new text, first exploring what they see as the four "under the radar" developments. They then turn to the four significant developments of the 7th edition, with special attention to the new directives on care for patients experiencing gender dysphoria. Links to the documents and articles noted in the podcast can be found below: The Ethical and Religious Directors for Catholic Health Care Services: https://www.usccb.org/resources/ERDs-... Edmund D. Pellegrino, "The Commodification of Medical and Health Care: The Moral Consequences of a Paradigm Shift from a Professional to a Market Ethic," in Pellegrino's Clinical Bioethics: A Compendium, Edited by G. Kevin Donovan, David G. Miller, and Claudia Ruiz Sotomayor (Catholic University of America Press, 2025): 387 - 408. https://www.cuapress.org/978081323754... National Institute on Aging, "What Are Palliative Care and Hospice Care?" (2021): https://www.nia.nih.gov/health/hospic... Ron Hamel, "Ethics - Palliative Care - Stealth Euthanasia?", Health Progress (January-February 2014): https://www.chausa.org/news-and-publi...