Category: News Releases

Nova Scotia medical regulator: unwilling physicians must collaborate in euthanasia and other controversial procedures

News Release

For Immediate Release

Protection of Conscience Project

The College of Physicians and Surgeons of Nova Scotia (CPSNS) has adopted a new policy (Conscientious Objection) that will compel physicians unwilling to provide a service for reasons of conscience – including euthanasia – to help patients obtain the service elsewhere. The College adopted Conscientious Objection notwithstanding letters from at least 24 Nova Scotia physicians indicating that they would have to retire early or leave the province if the policy were ratified by the College Council.

The hostility of the CPSNS to physician freedom of conscience may reflect the College Registrar’s longstanding promotion of mandatory effective referral for abortion, euthanasia and assisted suicide. Nova Scotians will not be well-served by morally partisan CPSNS standards likely to cause physicians to emigrate, retire, restrict their practices or leave family medicine or palliative care.

It is unacceptable to compel unwilling physicians to become parties to killing their patients or to other procedures they believe to be gravely wrong and/or contrary to good medical practice. The Canadian Medical Association (CMA) has repeatedly gone on record against mandatory effective referral, and the College of Physicians and Surgeons of Alberta does not support it, contrary to what Conscientious Objection seems to imply by referencing these authorities.

The Protection of Conscience Project is a non-profit, non-denominational initiative that advocates for freedom of conscience among health care workers. It does not take a position on the acceptability of morally contested procedures. The Project’s critical review of Conscientious Objection addresses issues directly or indirectly related to the protection of physician freedom of conscience, including:

Contact:
Sean Murphy, Administrator,
Protection of Conscience Project
Email: protection@consciencelaws.org

Dr. Iain Benson returns to the Project Advisory Board

News Release
For immediate release

Protection of Conscience Project

Dr. Iain Benson has returned to the Protection of Conscience Project Advisory Board. Dr. Benson was a member of the Board from early 2018 to the fall of 2022, when he stepped down due to other commitments. He is Professor of Law, University of Notre Dame Australia, Sydney (2016, ongoing) and
Extraordinary Professor of Law, University of the Free State, Bloemfontein South Africa (2009, ongoing).

Born in Edinburgh, Scotland, the father of seven children, Professor Benson is an academic, lecturer and practising lawyer specialising in pluralism and human rights.  His particular focus is on freedoms of association, conscience and religion, the nature of pluralism, multi-culturalism and relationships between law, religion and culture. He has been involved in many of the leading cases on rights of association, conscience and religion in Canada and abroad for two decades.  As a barrister he has appeared before all levels of court and his work has been cited by the Supreme Court of Canada and the Constitutional Court of South Africa.

He was one of the drafters of the South African Charter of Religious Rights and Freedoms (signed by all major religions in that country in September 2010) and remains closely involved in advancing the Charter in that country and similar projects elsewhere. He was Special Rapporteur on Law and Religion in Canada and South Africa to the Pontifical Academy of the Social Sciences, Vatican City ( May, 2011, pub’d in Acad. Proceedings, 2012).

Author of over 40 academic articles and book chapters, he is co-editor with Tom Angier and Mark D. Retter of The Cambridge Handbook of Natural Law and Human Rights (C.U.P., 2023) and with Barry W. Bussey, of Religion Liberty and the Jurisdictional Limits of Law (Toronto: Lexis Nexis, 2017); he authored “Subsidiarity: Ancient and Contemporary Accounts” in Nicholas Aroney and Ian Leigh (eds) Christianity and Constitutionalism (O.U.P., 2022) as well as a monograph, Living Together with Disagreement: Pluralism, the Secular and the Fair Treatment of Beliefs by Law (Ballan Australia: Connor Court, 2012). His scholarly work is referred to in many books and articles.

He teaches Legal Philosophy, Legal History, Public International Law, Law and Religion and Contemporary Legal Issues and examines and supervises at Masters and Doctoral levels. He works in English and French, dividing his time between Australia (where he now lives) and France, South Africa and Canada (in the latter two of which he has or has had appointments).
[Faculty profile]

Contact: Sean Murphy, Administrator
Protection of Conscience Project
email: protection@consciencelaws.org

New College of Physicians human rights policy includes some surprises, but tightens the screws on dissenting physicians

News Release

For immediate release

Protection of Conscience Project

A draft College of Physicians and Surgeons of Ontario (CPSO) policy on human rights updates a controversial requirement for “effective referral” for morally contested services. The policy survived a constitutional legal challenge, and the CPSO seems to consider this a license to make increasingly oppressive demands on dissenting physicians.

In addition, however, the draft includes some surprises:

  • A new policy provision validates the reasoning of physicians opposed to making effective referrals for reasons of conscience. It forbids physicians to comply with patient requests they believe to be discriminatory, applying to facilitation of discrimination the same reasoning applied by physicians who refuse to facilitate euthanasia and assisted suicide by effective referral.

These policy revisions are described in a submission by the Protection of Conscience Project () in response to the CPSO invitation for comment on Human Rights in the Provision of Health Services (Human Rights 2022).

Human Rights 2022 tightens the screws on physicians unwilling to provide or facilitate procedures for reasons of conscience. They are warned that “many patients” will need their help to get even services that patients can directly access.

Further, they must:

Through Human Rights 2022 the CPSO forbids physicians to “express” moral judgement not only about patient beliefs, but about the services they seek. This is inconsistent with the Canadian Medical Association Code of Ethics and Professionalism and obstructs physician-patient matching, an effective strategy for accommodating patients and physicians and improving health outcomes. It also attacks physician freedom of conscience, which can only be exercised by expressing moral/ethical judgement about services.

In defending the effective referral policy, the CPSO assured the courts that physicians could avoid moral/ethical conflicts by changing their scope of practice: from palliative care to hair restoration, for example. A new provision in Human Rights 2022 seems intended to pressure physicians to extend their scope of practice/clinical competence to include services to which they object for reasons of conscience.

Finally, Human Rights 2022 includes a pejorative and unnecessary warning directed at objecting physicians, implying that are likely to lie, deceive, mislead and coerce their patients. Demeaning innuendos of this kind are considered a form of workplace harassment by the Ontario government.

The experience of the Protection of Conscience Project is that objecting practitioners are typically willing to work cooperatively with patients and others to accommodate patient access to services as long as cooperation does not involve collaboration: an act that establishes a causal connection to or de facto support for the services to which they object.

The Project submission includes an example of a single protection of conscience policy applicable to all services and procedures.

The Protection of Conscience Project is a non-profit, non-denominational initiative that supports health care workers who want to provide the best care for their patients without violating their own personal and professional integrity. It does not take a position on the acceptability of morally contested procedures.

Contact: Sean Murphy, Administrator (protection@consciencelaws.org)

Ontario College of Physicians cautioned against disciplining physicians

Irremediability of mental illness, eligibility for euthanasia in dispute

News Release

For immediate release

Protection of Conscience Project

MAID (Medical Assistance in Dying, euthanasia/assisted suicide) becomes available in Canada for patients with mental illness alone in March, 2023. A patient must have an irremediable medical condition to be eligible for MAID, but a number of prominent Canadian psychiatrists insist that mental illness cannot be classified as an irremediable medical condition.

Now the College of Physicians and Surgeons of Ontario (CPSO) has been cautioned that it cannot discipline these physicians if they refuse to facilitate requests for euthanasia or assisted suicide from patients they consider ineligible for the services.

The comments are included in a submission from the Protection of Conscience Project on the CPSO’s draft revision of its MAID policy.

The submission also recommends that the CPSO explicitly reiterate its position that euthanasia/assisted suicide requests are not emergencies. A statement to that effect was deleted from the draft MAID policy, which now cites a resource suggesting that practitioners providing euthanasia/assisted suicide in the community should call 911 if they need help from paramedics emergency room staff to establish IV access.

Repeating a previous recommendation, the Project urged that responsible practitioners should be required to be present and remain with patients self-administering MAID drugs until death ensues. Failed unaccompanied self-administration can bring patients to hospital emergency rooms, causing conflict and distress. Successful unaccompanied self-administration could lead to delayed discovery of corpses in disturbing circumstances, triggering police and coroner investigations.

Practitioners unwilling to falsify death certificates for euthanasia/assisted suicide should not be forced to do so, says the Project, since falsification of death certificates is contrary to accepted international standards and can be considered deceptive, unethical or professionally ill-advised.

Finally, the Project recommends that the CPSO provide ethical direction or guidance about proceeding with euthanasia when an incapacitated patient who has signed a waiver of final consent has expressed ambivalence about proceeding. Ambivalence falls short of the Criminal Code threshold of refusal, so a practitioner can legally proceed if a patient has expressed only ambivalence.

The Protection of Conscience Project is a non-profit, non-denominational initiative that supports health care workers who want to provide the best care for their patients without violating their own personal and professional integrity.  It does not take a position on the acceptability of morally contested procedures.


Contact: Sean Murphy, Administrator (protection@consciencelaws.org)

Catholic Medical Association Disappointed After Proposed Removal of Federal Conscience Protection for Health Care Professionals (Rule 1557)

News Release

Catholic Medical Association

Philadelphia, PA – July 26, 2022 – The Catholic Medical Association is profoundly disappointed with the announcement of the proposed removal of federal conscience protection for those working in health care. With this proposed regulation, the Biden Administration has taken yet another action of blatant government overreach. In 2019, federal regulations were enacted that protected medical professionals from unfounded discrimination if they declined participation in actions contrary to their moral or ethical principles. This protection is at risk of being destroyed with the Biden Administration’s Health and Human Services proposal to rescind these constitutionally sound principles.  

The American health care system is already under duress, having worked diligently throughout the pandemic. Unfortunately, many of our physicians and other health care professionals are choosing to leave their careers due to government intrusions in their care for others. Further, our potential future medical professionals are opting out of these careers for the same reason. This critical shortage of those who will care for Americans in the years to come will be exacerbated by the Biden Administration’s actions. Why would our best and brightest individuals choose a medical career and its sacrifices knowing that the federal government will dictate what they must or can’t do?  

This action is clearly coercive, and a clear violation of First Amendment protections. Forcing medical professionals to perform abortions, gender transition surgeries, or assisted suicide against their moral, religious, and clinical judgment is an assault on their rights and on their patients’ best interests. This action must be opposed by all parties affected, including medical professionals, health systems, hospitals, and patients.   

The CMA also calls on every state legislature to enact strong medical conscience rights and religious freedom protections for their state’s health care professionals. States that do so will not suffer the shortages of physicians, nurses, and others that will develop in states that do not provide such protection. These assaults on the ability to provide the best practices and compassionate care for those who seek our help, advice, and guidance will continue to be combatted, both at the Federal and state levels. The CMA and its many like-minded partner organizations are committed to this fight for conscience rights and religious freedom.  

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The Catholic Medical Association is a national, physician-led community of 2,400 healthcare professionals consisting of 115 local guilds. CMA’s mission is to inform, organize, and inspire its members, in steadfast fidelity to the teachings of the Catholic Church, to uphold the principles of the Catholic faith in the science and practice of medicine.

Jill Blumenfeld blumenfeld@cathmed.org cathmed.org