At Obama’s Notre Dame talk, he at one point refers to the value of conscience:

Let’s honor the conscience of those who disagree with abortion, and draft a sensible conscience clause, and make sure that all of our health care policies are grounded not only in sound science, but also in clear ethics, as well as respect for the equality of women.

What does it mean? Like many political speeches, it commits to as little specific detail as possible. First there’s a call for a “sensible” conscience clause. Sensible? Could mean anything. But rather than stopping at that point, the sentence carries right on, with a call for “sound science” (who could disagree?) and “clear ethics” (yes, again), and … “respect for the equality of women”. What is the intention behind that? It refers to the desire of some to have guaranteed access to particular medical procedures, such as abortion or birth control — i.e. exactly the procedures that a conscience clause would protect.

So, all in all, one side wants a conscience clause, and the other side wants access despite the conscience clause. Obama says that this will be resolved by a sensible conscience clause. It’s a rhetoric of fog. Inside that fog anything might be conjured up.