"No matter how lovely a tone Pope Francis sets on empowering women and the poor, when the subject matter turns to sex, marriage and parenting, the powers that be don't want to hear from him or the Church in any level," she said.
Rather, the argument needs to come from those who have supposedly been empowered by the sexual revolution – laity, and especially lay women.
When the Church hierarchy joins forces with laity and religious on the ground, they can have a powerful effect, Alvare said, and this includes reaching the people taken in by the agenda of the sexual revolution.
Speaking of the partnership the Holy See can have with NGOs and the people who run them, Gallagher in his speech highlighted several key areas of collaboration, the first being to advance the 2030 sustainable development goals, which Pope Francis has called "an important sign of hope" and which in large part are aimed at ending poverty, protecting the environment, and promoting education.
He also pointed to the issues of forced migration and displacement resulting in "unprecedented population shifts," giving specific mention to the 2018 U.N. global compacts on migration and refugees.
Other major areas of concern, he said, are climate change and the promotion of an integral human ecology; the freedom of thought, conscience and religion, which includes concern for religious discrimination and persecution; and freedom of expression, as well as the freedom to convert.
While the global landscape in light of these issues might seem "immense and complex," Gallagher said it is also promising, because the efforts that appear to be small are capable of "developing and achieving ends for the benefit of the common good of all."
In a brief Q&A after his talk, Gallagher encouraged members of NGOs to be active and involved in the debate on relevant issues in their competence, keeping the papal representatives in the loop on the discussion and seeking advice or input from the Holy See when needed.
"Part of the thing about autonomy, is one shouldn't be waiting for instructions," he said. "It's about working together, its about collaborative ministry together," he said, adding that it's not about "a voice coming from on high saying, 'Do a,b,c'."
Responding to a question on his advice for Catholic doctors and medical personnel who work with Catholic-inspired medical organizations, Gallagher said the most important traits needed today are "great courage and sacrifice."
Part of this courage also means exercising the right to follow their conscience. "We expect you to assert the rights of your conscience and that of your more vulnerable colleagues," he said, adding that the role of the conscience for those working in the medical field right now "is absolutely fundamental."
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Elise Harris was senior Rome correspondent for CNA from 2012 to 2018.