The decision was controversial. Religious control over a large secular institution raised the hackles of local women's and civil rights advocates. Karen Cooper, executive director of NARAL (the National Abortion and Reproductive Rights Act League), declared Swedish Hospital's concession "absolutely ridiculous, obscene, that a religious organization can dictate medical practices to the entire community of Seattle."
Swedish Hospital, licensed for 860 beds, continues to provide tubal ligations, vasectomies, contraception, and the morning after pill. To prevent any financial gain from these practices that run counter to Vatican dictates, the local archbishop recommended an "alienation of property."