The book discusses the changing relationship between American Catholic Bishops and civil authorities in the United States, as civil authority has eclipsed traditional Catholic ecclesiastical privilege and clerical exemption resulting from the hierarchical mismanagement and cover-up of clerical sexual abuse in the United States.

The book discusses the changing relationship between American Catholic Bishops and civil authorities in the United States, as civil authority has eclipsed traditional Catholic ecclesiastical privilege and clerical exemption resulting from the hierarchical mismanagement and cover-up of clerical sexual abuse in the United States.