Cardinal Thomas Collins: Don’t force physicians to act against their conscience

As Canada develops its assisted dying legislation, we should be careful to protect health care workers’ right to follow their conscience

Toronto Star

“Contemplating Suicide? We Can Help!” There was a time when such an advertisement pointed to a crisis line, where someone was standing by to counsel you and offer hope in a situation of intolerable pain.

We are in a very different time, now. In a few short months, assisted suicide, its grim reality hidden behind blandly deceptive terms like “medical assistance in dying,” will be declared an acceptable option in our country, enshrined in law. As the federal government prepares legislation to implement the Supreme Court’s decision, it is crucial to consider the effects of this fundamental change in our laws.

Death comes to us all – sometimes suddenly, and sometimes slowly. Although patients benefit from medication that controls pain, they are fully justified in refusing burdensome and disproportionate treatment that serves only to prolong the inevitable process of dying. But dying is simply not the same as being killed. We are grateful for physicians and nurses and others who offer medical assistance to patients who are dying, but it is never justified for them to kill a patient. . .[Full text]

 

 

 

The CCRL Strongly Opposes Parliamentary Committee’s Assisted Suicide/Euthanasia Recommendations

News Release

Catholic Civil Rights League

TORONTO, ON February 25, 2016 – The Catholic Civil Rights League (CCRL) strongly opposes the recommendations of the Report of the Special Joint Committee on Physician-Assisted Dying, titled “Medical Assistance in Dying:  A Patient-Centred Approach.” The CCRL uses the more accurate terms “assisted suicide” and “euthanasia” since there is nothing medicinal whatsoever in the process of killing a patient or intervening so that a patient may commit suicide more easily.

The majority report is problematic as it brings Canada further along the path of unrestricted assisted suicide and euthanasia, a regime which began with the Supreme Court’s unanimous decision in Carter v. Canada and with it, the overturning of the prohibition against assisted suicide and euthanasia from the Criminal Code. In the twenty-two years since the 1993 Supreme Court of Canada decision in Rodriguez, Parliament not only continued to oppose assisted suicide and euthanasia in six separate votes, but rather passed near unanimous resolutions for a national anti-suicide prevention policy, and for a further national strategy to support increased palliative care throughout Canada.

The Joint Committee’s majority recommends the practically unfettered and immediate implementation of death on demand for Canadians. The CCRL made submissions to previous consultation panels on euthanasia in response to the decision in Carter, but the League was not prepared to collaborate in the legislative process of advocating for a liberal bill as now proposed.  The CCRL remains of the view, based on the experience of other jurisdictions, that “safeguards”, even as minimally expressed by the Joint Committee, are illusory.  The League fears for the elderly, the disabled, and the those with mental health afflictions, that they will be the subject of increased pressure to take their own lives, rather than gain access to treatment, or palliative care.  In every other jurisdiction, the scope of assisted suicide and euthanasia widens, and instances of egregious circumstances of premature death prevail.

Of particular concern to the CCRL is recommendation #11:

That the Government of Canada work with the provinces and territories to ensure that all publicly funded health care institutions provide medical assistance in dying.

Catholic health institutions cannot and will not participate in the intrinsically evil act of assisted suicide/euthanasia. The Liberals, as professed guarantors of the Charter, cannot in good conscience merely deny the religious and conscientious rights of such institutions. Is the government’s enthusiasm for such a proposal intended to bring about the demise of the Catholic health system?

Recommendation #10 is wholly unacceptable:

That the Government of Canada work with the provinces and territories and their medical regulatory bodies to establish a process that respects a health care practitioner’s freedom of conscience while at the same time respecting the needs of a patient who seeks medical assistance in dying. At a minimum, the objecting practitioner must provide an effective referral for the patient.

As the CCRL has stated many times, the compulsion to make an “effective referral” is an infringement of the Charter right of freedom of conscience and religion.  Compelling an objecting physician to provide an effective referral to another physician, health-care provider, or third party agency in order to carry out assisted death or euthanasia, involves that physician in the objectionable procedure.  The Parliamentary Committee has ignored numerous presentations and submissions opposing any compulsion to force a physician to violate his or her own conscience by being a participant in the very act, the very procedure to which he or she objects in the first place.

We urge members of the media and others who care for the future of Canada to have reference to the dissenting report of four Conservative MPs who have taken issue with the majority recommendations of the Joint Committee.

Canada is entering fully into the culture of death.

The CCRL asks all of our supporters to join us in rejecting this report and we plead with all Canadians, and indeed all Catholics to wake up and join us in this fight, spiritually through prayer, and politically by using our collective voice. Let us announce that we will not accept this.

About the CCRL
Catholic Civil Rights League (CCRL) (www.ccrl.ca) assists in creating conditions within which Catholic teachings can be better understood, cooperates with other organizations in defending civil rights in Canada, and opposes defamation and discrimination against Catholics on the basis of their beliefs. The CCRL was founded in 1985 as an independent lay organization with a large nationwide membership base. The CCRL is a Canadian non-profit organization entirely supported by the generosity of its members.

 For further information:
Christian Domenic Elia, PhD
CCRL Executive Director
416-466-8244
@CCRLtweets

Alberta Catholic bishops reject coerced participation in euthanasia and assisted suicide

Sean Murphy*

Following a first reading of the report of the Special Joint Committee on Physician Assisted Dying, the six Catholic bishops of Alberta welcomed recommendations advocating enhanced palliative care, but expressed deep disappointment about others.  “Killing is not medicine,” they state. “This has no place in a just and ethical society.” (Alberta Bishops ‘deeply disappointed’ in federal report on assisted suicide)

Among the recommendations they criticized were two involving freedom of conscience and religion.

  • “That the government of Canada work with the provinces and territories to ensure that all publicly funded health care institutions provide medical assistance in dying.” This is unacceptable at Catholic hospitals, which are committed to the compassionate care of patients to the natural end of life. Canadians have a right to be served by doctors and institutions that practice only medicine and are not involved in state-sponsored killing. They must not be deprived of access to such just because there are other citizens who desire assistance in committing suicide.
  • “At a minimum, the objecting practitioner must provide an effective referral for the patient.” A physician who conscientiously objects to these practices must not be coerced into referring a patient to another professional for assisted suicide or to be euthanized. This would, in fact, be complicity and thus a violation of the person’s right to freedom of conscience. Furthermore, medical professionals who refuse for reasons of conscience direct or indirect participation must also be protected from intimidation and discrimination.

Archbishop alarmed at erosion of respect for life

Report fails to reflect witnesses’ call for palliative care, conscience rights

News Release

Roman Catholic Archdiocese of Vancouver

VANCOUVER (Feb. 25, 2016) – The leader of the Catholic community in the Lower Mainland called the joint Senate-Commons committee report on assisted-suicide “deeply disappointing.”

Archbishop J. Michael Miller said “Canadians, especially those dying or suffering from illness, deserve better. It’s alarming how easily suicide is being offered and respect for life eroded.”

Miller pointed out a serious omission in the report. “Where is the plan for protecting the Charter rights of Canadians who don’t want to participate in causing patients to die?” he asked. “Many health-care workers believe strongly in saving lives and ending suffering—but not in ending lives. Canadians from many ethical traditions just won’t be able to go along with this. Where is there room for them in medical care? No one can ethically be forced to take part in causing their patient to die. New laws need to ensure their Charter rights are protected as well.”

The Archbishop said he was troubled that the committee disregarded the testimony of so many witnesses who had called for conscience protection for health-care workers and institutions.

The report also fails to make palliative care the high priority many witnesses called for. “Unfortunately the report treats palliative care almost as an afterthought. It’s dismaying that a committee would propose assisted suicide as a ‘choice’ to people who are suffering. Without a real, effective, alternative, what kind of free choice is that?”

He said the committee appeared to have made its preference for assisted suicide clear from the start by choosing the euphemism “medical assistance in dying.” “Doctors have always assisted people who are dying,” he said. “What we are talking about here is medically causing the patient to die.”

He urged Justice Minister Jody Wilson-Raybould to reject the report, to acknowledge the numerous sincere objections in the dissenting portion of the report, and to draft legislation taking into account the testimony of the many witnesses who brought forward concerns about implementing assisted suicide in Canada.

-30-

Paul Schratz Communications Director
communications@rcav.org
604-683-0281

Journalist: shut down Catholic health care facilities that refuse euthanasia, assisted suicide

Sean Murphy*

Doctor Examining an Elderly PatientFollowing a strong statement from the Catholic Bishops of Alberta that Catholic health care facilities will not provide euthanasia or assisted suicide, a columnist at the Edmonton Journal has accused them of defying the Supreme Court of Canada, breaking the law, and denying patients their “legal rights”.

Paula Simons wants to deny public funding to Catholic hospitals, hospices and nursing homes that refuse to allow patients to be killed or helped to commit suicide, which would force them to close, or (more  likely) to be seized by the state through expropriation or other means.

Simons’ column was published the day after statements issued by Covenant Health and Alberta’s Catholic bishops affirmed the traditional opposition of the Catholic Church to euthanasia and assisted suicide, despite the Supreme Court of Canada ruling that ordered legalization of the procedures.

Covenant Health’s Dr. Gordon Self emphasized that the organization was confident that it would “find a way to respond respectfully and compassionately to requests for physician assisted death that does not abandon the person in our care nor compromise the values of care providers or our organization.”

Throughout this process we are committed to upholding the right of both personal and institutional conscience. This will be important for all organizations as they grapple with the same issues of safe and timely co-ordination of care between institutions without abandoning the person in care when their own medical staff conscientiously object. Together we can all learn at this time and benefit from mutual dialogue and thoughtful, ethical reflection.

Alberta’s six Catholic bishops noted that “from a Catholic perspective, the intentional, wilful act of killing oneself or another human being is morally wrong,” so that “no Catholic may advocate for, or participate in any way, whether by act or omission, in the intentional killing of another human being either by assisted suicide or euthanasia.”

The following passage is taken from the bishops’ full statement:

Upholding Conscience Rights

Third, other provincial jurisdictions in Canada have proposed regulations that undermine the conscience rights of physicians and other healthcare workers. This must not be allowed to happen here. Physicians, other medical professionals, and our institutions have to be allowed the freedom that is theirs by right to exercise their conscience, not only to accord with our Charter of Rights and Freedoms, but also as a matter of good medical practice. Morally wrong in itself, the attempt to force a physician to assist in a suicide or to kill another by euthanasia would also fundamentally redefine what it means to be a doctor. Killing is not medicine. Likewise, from an ethical perspective, and certainly from that of Catholic moral teaching, a physician who conscientiously objects to these practices must not be coerced into referring a patient to another professional for assisted suicide or to be euthanized. This would, in fact, be complicity and thus a violation of the person’s right to freedom of conscience. Furthermore, medical professionals who refuse for reasons of conscience direct or indirect participation must also be protected from intimidation and discrimination.

Patient rights and the rights of family members must also be respected – that is, their civil right to access medical care for themselves and their loved ones in which there is no pressure to request or to submit to assisted suicide or euthanasia, and indeed their natural right to be served by doctors and institutions that practice only medicine and are not involved in state-sponsored killing. This is essential to maintaining the relationship of trust between patients and doctors or other care-givers. A great many citizens still intend that their doctors, and the institutions to which they entrust themselves at need, be committed to the Hippocratic oath. They must not be deprived of access to such just because there are other citizens who desire assistance in committing suicide. If they are so deprived, this will have far-reaching consequences, disrupting the relationship of trust with the state as well as with the medical community.

The decision of the Supreme Court of Canada makes legally permissible in some circumstances what is morally wrong in every circumstance: the taking of innocent human life. This is unacceptable in a truly just and ethical society.

Most Reverend Richard W. Smith
Archbishop of Edmonton

Most Reverend Frederick Henry
Bishop of Calgary

Most Reverend Gregory J. Bittman
Auxiliary Bishop of Edmonton

Most Reverend Daniel Motiuk
Bishop of the Ukrainian Eparchy of Edmonton

Most Reverend Girard Pettipas,CSsR
Archbishop of Grouard-McLennon

Most Reverend Paul Terrio,
Bishop of St. Paul