The contentiousness of the 2015 hospital district election on San Juan Island was re-awakened at the February 22, 2017 San Juan County Public Hospital District 1 (PHD) Commission meeting. Discussing the possibility of entering into a contract with Planned Parenthood to provide services PeaceHealth Peace Island Medical Center (PIMC) cannot provide due to its status as a Catholic healthcare organization, the gulf between those for one and those against was wide.
Commissioner Dr. J. Michael Edwards placed the needs of 10th-graders smoking marijuana or tobacco as a higher priority than providing women access to sexual and reproductive healthcare. Commissioner Mark Schwinge vehemently opposed giving even "a penny" to Planned Parenthood saying, "When we cannot settle on things, I think we need to consider moral aspects. Moral law ultimately has to hold sway."