Category: Publications

Protection of Conscience Project publications

Project Submission to the College of Physicians and Surgeons of Saskatchewan

Re: Conscientious Refusal (as revised)

5 June, 2015

Abstract

Council has been given no evidence that anyone in Saskatchewan has ever been unable to access medical services or that the health of anyone in Saskatchewan has ever been adversely affected because a physician has declined to provide or refer for a procedure for reasons of conscience.

The conclusion that objecting physicians “should not be obligated to provide a referral to a physician who will ultimately potentially provide the service” is entirely satisfactory. It is a tacit admission that such a policy would be an unacceptable assault on freedom of conscience.

Conscientious Refusal as revised attempts to nullify the alleged ‘bias’ of physicians who object to a procedure for reasons of conscience by requiring them to refer patients to a non-objecting colleague. This proposal is not sound, since, if it is to be applied fairly and consistently, the ‘bias’ of physicians who do not object to a procedure should be nullified in the same way. This would simply exchange one kind of alleged ‘bias’ for another, inconvenience patients and provide them with no better care.

The more sensible course is to require all physicians to provide patients with sufficient information to satisfy the requirements of informed medical decision making.  Physicians must advise patients at the earliest reasonable opportunity of services or procedures they decline to recommend or provide for reasons of conscience, advise affected patients that they may seek the services elsewhere, and ensure that they have sufficient information to approach other physicians, heath care workers or community organizations.  They must not promote their own moral or religious beliefs when interacting with a patient.

Physicians unwilling to abide by these requirements must promptly arrange for a patient to be seen by another physician or health care worker who is able to do so.

If the College is determined to enact a policy on conscientious refusal, it should ensure that the policy adopted is sufficiently flexible to accommodate physicians with respect to all procedures or services. Otherwise, Council should reject Conscientious Refusal as revised and postpone policy development until after the Carter decision comes into force in 2016.

Contents

I.    Revision of draft policy – Conscientious Refusal

II.    Focus of this submission

III.    Section 5.3

IV.    Section 5.3: Suggested modification

V.    Section 2: Scope

VI.    Summary

Appendix “A” – Ontario College briefing materials

Appendix “B” – Providing Information

Appendix “C” – Conscientious Refusal and assisted suicide/euthanasia

Protection of Conscience Project sees progress, room for improvement in draft Saskatchewan policy

Draft  policy no longer demands referral by objecting physicians

Project –  Prohibiting communication with patients by objecting physicians “unsound”; disclaimer re: euthanasia and assisted suicide “misleading and ill advised”

News Release

Protection of Conscience Project

A committee of the College of Physicians and Surgeons of Saskatchewan has revised a controversial draft policy after a public consultation yielded “a very significant return” of over 4,400 responses, almost all of which opposed it.  The consultation appears to have produced no evidence that anyone in Saskatchewan has ever been unable to access medical services because a physician has declined to provide or refer for a procedure for reasons of conscience, or that the health of anyone in Saskatchewan has ever been adversely affected by conscientious objection by a physician.

The committee concluded that objecting physicians “should not be obligated to provide a referral to a physician who will ultimately potentially provide the service.”  The requirement was deleted from the revised draft.

In a submission to the College, the Protection of Conscience describes the deletion as as “entirely satisfactory” and “a tacit admission that such a policy would be an unacceptable assault on freedom of conscience – not a compromise.”

However, the revised draft effectively prohibits objecting physicians from communicating with patients about morally contested procedures, requiring them to refer patients to a non-objecting colleague.  The assumption underlying the recommendation is that a physician who has a moral viewpoint is incapable of properly communicating with a patient because of ‘bias’.

In its submission, the Project points out that all physicians have moral viewpoints. If the proposed policy is to be applied fairly and consistently, the ‘bias’ of physicians who do not object to a procedure should be nullified in the same way.

This proposal is unsound.  If applied as now written, it would simply exchange one kind of alleged ‘bias’ for another.  If applied fairly and consistently to all physicians, it would inconvenience patients, delay treatments, provide no better outcomes, double the costs of providing health care and antagonize physicians on all sides of any issue.

Instead, the Project recommends that all physicians should be required to provide patients with sufficient information to satisfy the requirements of informed medical decision making, and

  • advise patients at the earliest reasonable opportunity of services or procedures they decline to recommend or provide for reasons of conscience, and
  • advise affected patients that they may seek the services elsewhere, and ensure that they have sufficient information to approach other physicians, heath care workers or community organizations

After the public consultation, the drafting committee added a disclaimer to the revised draft stating that the policy will not apply to physician administered euthanasia and physician assisted suicide.  Among the ostensible reasons offered for this are that the issue is “in a state of development,” ethical implications have not been fully explored, legislation is lacking and there is “considerable uncertainty” about it.

The Project submission describes this as “misleading and ill-advised.”  It reminds the College that, when the associate registrar proposed the coercive policy in July, 2014, it was well known that the Supreme Court of Canada might well legalize physician assisted suicide, and he specifically referred to that.  After the Supreme Court of Canada issued its judgement in Carter, the associate registrar defended the proposition that physicians should be disciplined or fired if they refused to at least refer patients for euthanasia and physician assisted suicide. He did not then urge caution because the ethical implications of the ruling were unclear or there was considerable uncertainty about it.

“It is unrealistic to believe that Conscientious Refusal as revised will not be applied to physician administered euthanasia and physician assisted suicide,” states the Project submission, “either directly, after a certain length of time, or indirectly, as a paradigm for further policy development.”

It recommends that, if the College is determined to enact a policy on conscientious refusal, it should ensure that the policy adopted is sufficiently flexible to accommodate physicians with respect to all procedures or services. Otherwise, Council should reject Conscientious Refusal as revised and postpone policy development until after the Carter decision comes into force in 2016.

The revised policy, Conscientious Refusal, may again be considered by Council on 19 June, 2015.

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

Illinois controversy about legislative overreach

 Catholic bishops withdraw opposition, others remain opposed

Confrontation centres on complicity

Sean Murphy*

 Introduction

Among American states, Illinois has the most comprehensive protection of conscience legislation, the Health Care Right of Conscience Act (HCRCA). In 2009 an attempt was made to nullify the Act with respect to abortion, contraception and related procedures by introducing HB 2354 (Reproductive Health and Access Act), but the bill died in committee two years later.1 Now it appears that the HRCA may be changed by Senate Bill 1564. Critics say the bill tramples upon physician freedom of conscience,2 while the bill’s supporters, like the American Civil Liberties Union (ACLU), claim that the bill is “about making sure no one is withholding information from the patient.”3

SB 1564 was actually drafted by the ACLU,3 but it was introduced by Illinois Senator Daniel Biss. He said that the amendments were partly in response to the case of a woman who was miscarrying over several weeks, but who was refused “diagnosis or options” in the hospital where she had sought treatment.4  Senator Bliss was apparently referring to the story of Mindy Swank, who testified before a Senate legislative panel about her experience.  The Illinois Times reported that she suffered “a dangerous, weeks-long miscarriage” because of the refusal of Catholic hospitals to provide abortions.5

Unfortunately, the Illinois Senate Judiciary Committee does not record or transcribe its hearings, and conflicting news reports make it difficult to determine exactly what happened at some critical points in her story.  Moreover, it appears that the Committee did not hear from the hospitals and physicians who were involved with Ms. Swank, so we are left with a one-sided account of what took place.6

Nonetheless, as a first step in considering the particulars of the bill and the controversy it has engendered, it is appropriate to review the evidence offered to support it.  We will begin with Mindy Swank’s testimony, even if some details are lacking, and then examine the experience of Angela Valavanis, a second case put forward by the ACLU to justify SB 1564.7  [Full Text]

Project advisor awarded honour by state of Indiana

Dr. Shahid Athar receives Golden Hoosier Award
Project advisor awarded honour by state of Indiana

Dr. Shahid Athar, who has been an adviser to the Project from its inception, has received the state of Indiana’s Golden Hoosier Award.

Indiana has annually honoured selected senior citizens for their lifetime of service and commitment to their communities since 2008. The Golden Hoosier Award is considered one of the highest honours given by the State of Indiana to senior citizens.

Dr. Athar was nominated by Pastor Jerry Zehr and Razzi Nalim.  The award citation states:

Dr. Shahid Athar serves his community as a volunteer physician for Indianapolis’s homeless, HIV patients and other individuals who may not be able to afford medical treatment.  In addition, he serves as a board member for the Protection of Conscience Project, St. Vincent Ethical Committee, and the Islamic Medical Association of North America.  Most notably, Dr. Athar is known for his advocacy of interfaith as a way to overcome terrorism and to help Hoosier Muslims deal with the negative fallout of the attacks on September 11, 2001.  Dr. Athar is highly regarded among his peers and his community.  Whether he is providing professional medical care for the needy, or presenting on interfaith, he always leads by example and with compassion for others.  His generosity has left a lasting impression on Hoosiers of all faiths.

The term “Hoosier” means a resident of Indiana.

Tunnel vision at the College of Physicians

National Post

Sean Murphy* 

The College of Physicians and Surgeons of Ontario has adopted a policy requiring physicians who have moral or ethical objections to a procedure to make an “effective referral” of patients to a colleague who will provide it, or to an agency that will arrange for it. In 2008, amidst great controversy, the Australian state of Victoria passed an abortion law with a similar provision.

After the law passed, a Melbourne physician, morally opposed to abortion, publicly announced that he had refused to provide an abortion referral for a patient. This effectively challenged the government and medical regulator to prosecute or discipline him. They did not. The law notwithstanding, no one dared prosecute him for refusing to help a woman 19 weeks pregnant obtain an abortion because she and her husband wanted a boy, not a girl.

They obtained the abortion without the assistance of the objecting physician, and they could have done the same in Ontario. College Council member Dr. Wayne Spotswood, himself an abortion provider, told Council that everyone 15 or 16 years old knows that anyone refused an abortion by one doctor “can walk down the street” to obtain the procedure elsewhere.

So why did the College working group that drafted the demand for “effective referral” urge College Council to adopt a policy that so clearly has the potential to make the College look ridiculous? . . .[Full text]