Not without a certain trepidation, I have come to speak at a clergy convention in one of the dioceses of Pennsylvania which was the subject of the Grand Jury report last summer. Hundreds of priests in the state had been abusing minors and many of the older cases were simply covered up and the perpetrators reassigned by bishops. The report coincided with the revelation that Theodore McCarrick, one of the highest ranking prelates in the US Church, was a serial abuser who was able to hide in plain sight while simultaneously presenting himself as leading the clean-up in the wake of the 2002 Boston scandals. These stories broker at the same time as a huge reorganisation in the Diocese of Pittsburgh, which has seen the number of parishes reduced by almost two thirds at a stroke and many priests now given responsibility for second and third parish communities numbering thousands of parishioners. There is, as one would expect, demoralisation among clergy and laity. Pittsburgh retains strong Catholic institutions and communities, but the contraction of this large and thriving diocese is the harbinger of wider changes.