“The USCCB was fully on board with 0bamacare, as were many other Catholic charities”.
Wrong. Obamacare has always had funding for abortion. The USCCB were “on board” during the formulative stage of Obamacare. Once it was signed into law and they got to read what was in it they were never on board.
The Roman Catholic Church in general, and the US Roman Episcopate in particular, have an infantile understanding understanding of economics; they think they can have socialism with their own little carve outs while the rest of society is enslaved. It doesn't work that way. Masters are masters, and their 'House Negroes' are still slaves.