Promises, promises

Canadian law reformers promise tolerance, freedom of conscience

What happens after the law is changed is another story.

Sean Murphy*

Now let me finally cut to the chase, to the heart of this appeal.  The most vociferous opposition to our challenge comes from some church groups, and some disabled organizations.  To the church groups we simply say that we respect your religious views, but they cannot, in this secular society,  trump our clients’ constitutional rights.  And no one is suggesting that a physician who has a religious objection to assisting a patient with his or her death must do so.
Joseph Arvay, Q.C., Oral Submission to the Supreme Court of Canada,  Carter v. Canada, 15 October, 2014

Introduction

With the passage of the Quebec euthanasia law and the pending decision in Carter v. Canada in the Supreme Court of Canada, physicians, medical students, nurses and other health care workers opposed to euthanasia and assisted suicide for reasons of conscience are confronted by the prospect that laws against the procedures will be struck down or changed.  They may wonder what the future holds for them if that happens.

Will they be forced to provide or assist with something they find morally abhorrent?  If they refuse to do so, will they be disadvantaged, discriminated against, disciplined, sued or fired?  Will they be forced out of their specialty or profession, or forced to emigrate if they wish to continue in it?

The realpolitik of law reform

These questions have been largely ignored, since much of the public debate about euthanasia and assisted suicide has been about whether or not the procedures should be legalized, not about what effect legalization might have on freedom of conscience, particularly among health care workers.  Opponents of legalization understandably decline to raise the issue because they are concerned that doing so would compromise the message they want to deliver.

Advocates of legalization, on the other hand, generally recognize that support for euthanasia and assisted suicide may begin to evaporate if it appears that they intend to force unwilling physicians or health care workers to participate in killing patients.  In particular, they do not wish to alienate members of the health care community who, on principle or as a matter of prudent self-interest, would not support such a coercive policy.  Instead, they adopt a reassuring posture of respect for freedom of conscience and tolerance for opposing views within the medical profession.

It is instructive to see how this strategy has been applied in the case of the Quebec euthanasia law and the Carter case, and then to consider how it was applied in the case abortion, another morally controversial procedure.  While we cannot predict the future, we are now in a position to judge the worth of the assurances given when abortion was legalized over forty years ago, and to apply that judgement to assurances now being made about euthanasia. [Full Text]

Project intervenes in the Supreme Court of Canada

News Release

Protection of Conscience Project

Today the Protection of Conscience Project joined the Catholic Civil Rights League (CCRL) and Faith and Freedom Alliance in a joint intervention at the Supreme Court of Canada in Carter v. Canada, a case seeking the legalization of euthanasia and physician assisted suicide.

The appeal necessarily involves the issue of freedom of conscience for healthcare providers.   An indeterminate number of healthcare providers consider killing patients or assisting in suicide morally or ethically abhorrent. Their views  are consistent with the current Canadian legal framework, which would be fundamentally changed if euthanasia and assisted suicide were legalized.  Such a change in the law would generate demands that physicians and other healthcare providers directly or indirectly participate in what they consider to be gravely immoral activities.

In the event that the Supreme Court strikes down the criminal law as it relates to euthanasia or assisted suicide, the intervention urged the Court to “make clear to the legislature that any legislation in this area must protect the freedom of conscience of healthcare providers,” ensuring that “healthcare providers are not directly or indirectly coerced into becoming parties to killing patients or assisting patients kill themselves.”

In a Backgrounder on the intervention, Project Administrator Sean Murphy notes the need for robust protection for freedom of conscience among healthcare providers if the law is changed. In that case, he argues, direction from the Court will be needed “to correct a dangerous error that has become increasingly widespread: that the state or a profession may impose upon people a duty to do what they believe to be wrong – even if that means killing people.”

Elsewhere, he observes that the history of abortion law reform in Canada demonstrates that healthcare providers “cannot rely on mere promises of tolerance and respect for freedom of conscience.”

” The greater the demand for a procedure -whether the demand arises from the number of patients or from ideological rights claims –  the sooner objecting health care workers will face discrimination, harassment and coercion. ”

The intervention was presented on behalf of the interveners by Robert Staley, with the participation of Ranjan Agarwal, Jack Maslen, and Sheridan Scott, all of Bennett Jones LLP, together with CCRL President, Philip Horgan.  27 interventions were approved by the Court.

A decision is expected in the Spring of 2015.

 

Conscience Versus the Spirit of the Age

Address to the Thomas More Lawyer’s Guild,
Toronto, Ontario, Canada (October, 2014)

Jason Kenney*

In this text of his address to the annual Red Mass dinner hosted by the Thomas More Lawyers’ Guild of Toronto in October 2014, then federal Minister of Employment and Social Development Jason Kenney called on assembled lawyers to defend conscience rights as a bulwark against the spirit of the age running roughshod over us.

It is a great honour to be invited to speak from this distinguished podium, which has been graced by people far more worthy than I, to invoke the life, legacy and lessons of our patron saint, Sir Thomas More.

I say “our” patron although I am not a member of your honourable legal fraternities at the bar and the bench. I labour in a much less august vineyard, that of the political vocation. But in the Jubilee Year of 2000, Saint John Paul II decided to add to Saint Thomas More’s already heavy burden as the patron saint of lawyers by also giving him the impossibly difficult task of acting as the patron saint of politicians.

Earlier this evening, we heard the Gospel reading, “Woe to you, lawyers!” Lest you feel put out, please remember that the most prominent politicians in the gospels are King Herod, Pontius Pilate and Caesar, so the politicians fare much worse!

Poor Saint Thomas, shining light of the Renaissance, the greatest jurist and statesman of his era, martyred for this faith—and his eternal reward is now to keep watch over politicians and lawyers. I suspect that he envies Saint Jude, who is charged only with hopeless causes. . .  [Full text]

Canadian Liberal party leader orders end to freedom of conscience and expression in party

Sean Murphy*

Justin Trudeau, leader of the Canadian Liberal Party, has declared that a purported “right” to abortion and contraception is more important than freedom of conscience and expression.  He has reaffirmed his intention to enforce his views by suppressing freedom of conscience and expression with respect to abortion among Liberal members of parliament; presumably, this will extend to the rest of the federal Liberal Party as well.  When questioned about the effect of his decision on the ‘Catholic vote,’ he asserted that he, himself, is Catholic, and many Catholics were upset when previous Liberal governments decriminalized homosexual conduct and legalized divorce. [CBC News]  In making the statements, Trudeau was reinforcing a policy announced in May and reiterated in June, when his office confirmed that the policy applies to current MPs as well as all future Liberal candidates. “Mr. Trudeau believes that everyone is welcome to their own personal views,” said his office, but must conform to the party line. [The Guardian]  In response, Prince Edward Island Liberal MP Lawrence MacAulay, who professes to be “pro-life,” issued a statement saying, “Despite my personal beliefs, I understand that I will have to vote the party position.” [Lifesite News]

Freedom of conscience for Ontario physicians a prominent concern

Sean Murphy*

The College of Physicians and Surgeons of Ontario, the state regulator of the practice of medicine in the province, is reviewing its policy on freedom of conscience for physicians (Physicians and the Ontario Human Rights Code).  A first phase of public consultation ended 5 August, 2014 and attracted almost 1,800 responses in a discussion forum, most supportive of freedom of conscience [CMAJ].

The straw poll on the consultation page asked the question, “Do you think a physician should be allowed to refuse to provide a patient with a treatment or procedure because it conflicts with the physician’s religious or moral beliefs?”  The results of the survey (the accuracy of which seems uncertain) showed that, of 32,912 respondents, 25,230 (77%) answered “Yes”, 7,616 (23%) answered “No” and 66 were undecided.

The Ontario Human Rights Commission unsuccessfully attempted to suppress freedom of conscience in the medical profession in Ontario in 2008.  In its 2014 submission to the College, the Protection of Conscience Project stated:

The Ontario Human Rights Commission made a serious error in 2008 when it attempted to suppress freedom of conscience and religion in the medical profession on the grounds that physicians are “providers of secular public services.” In its public perpetuation of this error, the Commission has contributed significantly to anti-religious sentiments and a climate of religious intolerance in Ontario. Both were on display earlier this year when it became front page news and a public scandal that three physicians had told their patients that they would not recommend, facilitate or do what they believed to be immoral, unethical, or harmful.