Category: Publications

Protection of Conscience Project publications

Aryan Defender Highlights BC Medical Journal

News Release

Protection of Conscience Project

It is an unusual cover for a medical journal: a crouching, brawny Aryan hero, glowering murderously from under a horned helmet, a copper IUD clutched in his sword hand.

The Administrator of the Protection of Conscience Project wants to post the cover of the January/February edition of the BC Medical Journal on the Project website. In a letter to the editor of the Journal, he describes the cover as “a splendid illustration of the usual basis for conscientious objection to potentially abortifacient devices and drugs.”

Most physicians or others who object to the IUD (intrauterine device) and the ‘morning-after-pill’ do so because such things may act – not by preventing fertilization – but by destroying the developing human embryo by preventing its implantation in the uterine wall. This mechanism of action is explicitly acknowledged in the Journal’s article, written by Dr. Roey Malleson.

Rather than recognizing that the destruction of the developing embryo is a key moral issue – and a controversial one – Dr. Malleson defines the issue out of existence by adopting a coded vocabulary. Only readers familiar with authoritative embryological texts are likely to recognize the polemic behind Dr. Malleson’s use of words like ‘abortifacient’, ‘pregnancy’, and ‘contraception’.

The Project letter lauds the article as “an excellent example of moral obfuscation masquerading as science,” but challenges Dr. Malleson’s authority to tutor colleagues in faith and morals. It rejects the suggestion that civil suits might be used to suppress the freedom of conscience of those who do not share the BC Medical Journal’s enthusiasm for Aryan warriors.

Project Letter to Telegraph Journal

New Brunswick, Canada
24 February, 2002

Sean Murphy, Administrator
Protection of Conscience Project

Dr. Monica Brewer’s characterization of physician referral for morally controversial purposes as a “black and white” issue is the result of inadequate reflection.(“MD’s Morals Restricting Birth Control Access,” February 9, 2002) Her suggestion that doctors who object to the morning-after-pill and contraception “should pair with doctors to whom they can refer” is a suitable solution only for those whose objections are simply matters of professional judgement or personal preference.

For example: physicians who know that 94% of the women who are sold the morning-after-pill do not actually require it to prevent pregnancy (the numbers are provided by those who support its widespread use1) may be unwilling to prescribe it for that reason. However, they might well refer a patient who wants the drug to a doctor who will.

Similarly, some physicians believe that women’s health and social interests are better served by learning to recognize their natural fertility cycles, so that they need not be dependent upon physicians or drug companies to plan or avoid pregnancy. These physicians may not prescribe birth control pills for ‘ecological’ reasons, but probably wouldn’t object to referral.

Finally, an obstetrician who thinks that aborting Down syndrome infants is a good idea, but finds performing abortions a traumatic experience, would probably welcome the opportunity to refer a patient to another colleague.

The situation is quite different when physicians are asked to refer a patient for something to which they have grave moral objections. They believe that by referring patients they are themselves morally culpable for facilitating the wrong that is done. Strange? Not at all.

Consider Newsweek columnist Jonathan Alter’s suggestion that, since physical torture is “contrary to American values”, the US should turn terrorist suspects who won’t talk over to “less squeamish allies.”2 No one would seriously argue that this would relieve the US of moral complicity in torture.

Of course, moral complicity in abortion, contraception and the morning-after-pill are not issues for people like Dr. Morgantaler and his associate, Judy Burwell, who think these are good things, and that those who think differently are mistaken. But it is surprising that they view freedom of conscience as a problem to be solved by abolishing it, at least for those who don’t agree with them.

After all, Dr. Morgantaler justified his defiance of Canadian abortion law in a 1970 article titled, “A Physician and His Moral Conscience.” 3

Notes (provided for editorial verification)

1. “In 16 months of ECP services, pharmacists provided almost 12,000 ECP prescriptions, which is estimated to have prevented about 700 unintended pregnancies.” Cooper, Janet, Brenda Osmond and Melanie Rantucci, “Emergency Contraceptive Pills- Questions and Answers”. Canadian Pharmaceutical Journal, June 2000, Vol.133, No. 5, at p. 28. See also Valpy, Michael, “The Long Morning After”, Globe and Mail, 15 December, 2001)

2. Alter, Jonathon, “Time to Think About Torture”. Newsweek, 5 November, 2001, p. 45.

3. The article appeared anonymously in The Humanist. Quoted in Pelrine, Eleanor Wright, Morgantaler: The Doctor Who Couldn’t Turn Away.  Canada: Gage Publishing, 1975, P. 79

Project Letter to the National Post

Toronto, Ontario, Canada
23 February, 2002

Sean Murphy, Administrator
Protection of Conscience Project

A doctor caring for patients in four Ontario cities may be driven from the profession, or from the country,  because he refuses to practise medicine in accordance with the policies of Planned Parenthood (“MD under fire for denying birth control,” National Post, 22 February, 2002). Welcome to the world of single-issue ethics.

Professor Laura Shanner asserts her personal belief that a physician “absolutely must” help patients obtain drugs or procedures to which the physician objects for reasons of conscience. But there is no self-evident reason why her morality should be imposed upon dissenting physicians under threat of  professional excommunication. Nor do mantras like “standard of care” provide useful guidance when the morality of the ‘care’  itself is in issue. Dr. Morgantaler’s standard of care is, in some  respects, markedly different from that of Physicians for Life. The standard of care in Oregon includes assisted suicide, and in the Netherlands, euthanasia.

On the other hand, John Hof is mistaken in his suggestion that conscientious objectors may refuse to  prescribe contraceptives in order to meet the “spiritual needs” of their patients. People do not go to the doctor to  satisfy their spiritual needs, and physicians should not assume the role of spiritual director.

Conscientious objection arises from concern about one’s own moral culpability, not that of others. It is a matter of personal integrity, not an attempt to control someone else’s behaviour. The unfortunate situation in Barrie may be the result of an infelicitous explanation that failed to make this clear.

Project Letter to the Barrie Examiner

Barrie, Ontario, Canada
22 February, 2002

Sean Murphy, Administrator
Protection of Conscience Project

Continuing attempts to suppress the freedom of conscience of health care workers like Dr. Stephen Dawson (“Doctor’s Faith Under Scrutiny,” The Barrie Examiner February 21, 2002) give the lie to the claim, oft repeated by Canadian politicians, that protection of conscience legislation is unnecessary. Perhaps their complacent attitude reflects the influence of rigid party discipline that only rarely permits them  the ‘privilege’ of voting according to conscience.

Professor J.R. Brown of the University of Toronto appears to covet the role of party whip, ready to lash or to exile recalcitrant ‘scum’ like Dr. Dawson for daring to let their beliefs affect their public behaviour.

Yet Professor Brown’s private beliefs affected his public behaviour when he asserted that people like Dr. Dawson should “find another job.” Will Professor Brown take his own advice? Or will he continue to speak, act and live in accordance with his own beliefs, even as he denies the same freedom to others who think differently – those whom he characterizes as ‘scum’?

Thoughtful readers will recognize that their relationships and their political and social activities are almost always governed, not by an analysis of empirical evidence, but by deeply held convictions about human dignity and equality, about good and evil, and other equally fundamental concepts. Some of these beliefs may be religious, others not, but all are beliefs. There is no reason, apart from anti-religious bigotry, to allow only atheists and agnostics the freedom to act on their beliefs in public life.

Draft Bill Lacks Conscience Protection, Erodes Trial by Jury

News Release

Protection of Conscience Project

The Canadian government’s proposed Assisted Human Reproduction Act lacks protection for health care workers and others who do not want to participate in morally controversial procedures, and erodes the customary right to trial by jury, according to a letter sent earlier this month to Allan Rock, Canadian Minister of Health.

Project Administrator Sean Murphy noted that, beyond the procedures allowed in the draft text, the bill provides for ad hoc legalization of activities by Orders in Council, which do not require parliamentary scrutiny or approval.

Murphy suggested that the bill would establish an expectation of entitlement to legalized procedures, and cautioned that problems will arise for conscientious objectors, especially if provision of the “controlled activities” were made a condition for federal health care grants or transfer payments.

“Experience in Canada and elsewhere suggests that conscientious objectors will . . . be subjected to coercion and discrimination” or “forced into expensive litigation before human rights tribunals or courts . . . to buy the freedom that ought to have been their birthright.”

The letter requests that the bill be amended to include protection of conscience provisions.

Murphy also expressed alarm that the bill erodes the right to trial by jury for serious offences. He argued that it would be more consistent with Canadian legal traditions to reduce the bill’s summary conviction penalties to bring them into line with those now customary in criminal law.