While female religious have grown to possess a sense of personal authority in issues impacting the laity, and have come to engage in social-issue-oriented activities, religious institutions have traditionally viewed men as the decision-makers. One Faith, Two Authorities examines the tensions of policy and authority within the gendered nature of the Catholic Church.

Jeanine Kraybilllooks at the influence of Catholic elites—specifically within the U.S. Conference of Catholic Bishops and the Leadership Conference of Women Religious—and their opinions on public policy and relevant gender dynamics with regard to healthcare, homosexuality, immigration, and other issues. She considers the female religious' inclusive positions as well as their opposition to ACA for bills that would be rooted in institutional positions on procreation, contraception, or abortion. Kraybill also systematically examines the claims of the 2012 Doctrinal Assessment against the Leadership Conference of Women Religious.

One Faith, Two Authorities considerswhether the sisters and the male clergy are in fact in disagreement about social justice and healthcare issues and/or if women religious have influence.