Two years before long-standing rumors about Cardinal Theodore McCarrick leapt into headlines worldwide, America's most outspoken activist on clergy sexual abuse met with his local bishop -- San Diego Bishop Robert McElroy.

"It was clear to me during our last meeting in your office, although cordial, that you had no interest in any further personal contact," wrote the late Richard Sipe, a former Benedictine priest who then worked for the Seton Psychiatric Institute in Baltimore. While church officials asked him to report to McElroy, "your office made it clear that you have no time in your schedule either now or 'in the foreseeable future' to have the meeting that they suggested."

Sipe's 2016 letter to the San Diego bishop was later posted online and is frequently cited as an example of a bishop ignoring warnings about the now defrocked McCarrick, who often boasted about his clout as a Vatican kingmaker. Now it will receive more attention because Pope Francis has named McElroy to the Sacred College of Cardinals. This promotes the San Diego bishop over several prominent archbishops -- including Los Angeles Archbishop Jose Gomez, who leads America's largest Catholic archdiocese and is president of the U.S. Conference of Catholic Bishops.

In his hand-delivered report, Sipe told McElroy that his ongoing research indicated that 6% of American priests were guilty of sex with minors. Meanwhile, a "systemic" trend was clear: "At any one time no more than 50% of priests are practicing celibacy."

As for the powerful McCarrick, Sipe noted: "I have interviewed twelve seminarians and priests who attest to propositions, harassment, or sex with McCarrick, who has stated, 'I do not like to sleep alone.' "

Debates about McElroy's elevation have focused on other divisive issues in Catholic life, although decades of sexual-abuse crimes loom in the background. He has, for example, supported the ordination of women to the diaconate, allowing them to preach, perform weddings and serve -- one step from the priesthood -- at Catholic altars.

McElroy has openly clashed with American bishops anxious to address "Eucharistic coherence" as prominent Catholics, especially President Joe Biden and House Speaker Nancy Pelosi, support -- with words and deeds -- abortion and LGBTQ rights.