Controversy over doctors’ right to say “no”

The most controversial issues relate to abortion referrals or prescribing birth control.

CMAJ September 16, 2014 186:E483-E484; published ahead of print August 18, 2014

Wendy Glauser

Religious groups, doctor’s organizations, ethicists and abortion rights advocates are raising concerns around the review of an Ontario policy that outlines, among other things, physicians’ right to object to patients’ requests for services on moral grounds.

The College of Physicians and Surgeons of Ontario’s Physicians and Ontario Human Rights Code is up for its five-year review, with both public and expert opinion being sought.

On one side of the spectrum, faith groups and especially Catholic organizations are asking that the current policy  –  which allows physicians to opt out of non-emergency services they conscientiously object to  –  shouldn’t be amended.

While the policy covers any potential objection, the ones most discussed in the media have been related to abortion referrals or prescribing of birth control. [Full text]

Freedom from conscience

The Interim

Editorial

On June 24, Joan Chand’oiseau saw a sign at the front desk of the Westglen Medical Centre in Calgary: “The physician on duty today will not prescribe the birth control pill.” The sign, put up only when Dr. Chantal Barry is the sole physician at the clinic, so offended the would-be birth-controller that she has since made the good doctor’s principled objection her casus belli for a modern-day, social-media crusade. The apparent slight against Chand’oiseau has now garnered national attention, with political candidates dutifully – if pitifully – conforming to the conventional wisdom: that some wrong has been done, and some remedy must be made. – [Full Text]

Defend Integrity

The Catholic Register

Editorial

Doctors hold a favoured place in society because they are seen as models of compassion and integrity. They are admired as healers and moral leaders, virtuous people, widely respected. If you can’t trust your doctor, who can you trust?

But there is a legitimate concern that a current undertaking by the Ontario College of Physicians could lead to erosion of that stature. The College is conducting a review of its human-rights-code policy amid some pressure to purge religious freedom and conscience rights from everyday medical practice. First step is an ongoing consulting process that is seeking professional and public input.

Here is The Register’s input: leave the current policy alone and do nothing to undermine a doctor’s autonomy to assert their Charter rights of freedom of religion and conscience. [Full Text]

Input sought on physicians’ conscience rights

The Catholic Register

Evan Boudreau

TORONTO – Silence from the public could cost Ontario’s doctors the right to deny non-emergency procedures, prescriptions and referrals which they morally oppose, warns the Canadian Catholic Bioethics Institute.

The College of Physicians and Surgeons of Ontario (CPSO) is conducting a regularly scheduled review, as it does every five years, of its internal human-rights code and is being pressured to modify the sections regarding denying services based on conscience.

“A lot of physicians feel strongly that they want these conscience rights protected,” said Moira McQueen, executive director of the Canadian Catholic Bioethics Institute. “We have been encouraging people… to write to CPSO to say keep the policy the way it is so that physicians do not have to prescribe something that they think is morally unacceptable. It usually is about contraception and abortion … neither one of those are truly medical emergencies.” [Full Text]

Ottawa archbishop among religious urging CPSO not to violate physicians’ conscience rights

Catholic Register

Deborah Gyapong, Canadian Catholic News

OTTAWA – Ottawa Archbishop Terrence Prendergast, along with an imam and a rabbi, have written a joint-intervention in favour of physicians’ conscience rights.

“No Canadian citizen, including any physician, should ever be disciplined or risk losing their professional standing for conducting their work in conformity with their most deeply held ethical or religious convictions,” wrote Prendergast, Rabbi Reuven Bulka and Imam Samy Metwally in a July 31 letter to the College of Physicians and Surgeons of Ontario.

The College had been seeking input until Aug. 5 on its policy review entitled “Physicians and the Ontario Human Rights Code.” [Full Text]