Category: Canada

Proposed policy could severely limit freedom of Ontario physicians

Canadian Physicians for Life

For Immediate Release

(Ottawa) – In a letter today to the College of Physicians and Surgeons of Ontario, the president of Canadian Physicians for Life, Dr. Will Johnston, expressed concern over a draft policy relating to freedom of conscience and the lack of sufficient notice given by CPSO to all interested stakeholders that a consultation process, which officially ends today, has been underway since the end of June.

Canadian Physicians for Life is asking the College for a 90-day extension on the deadline “due to the importance of the issues at stake and the lack of opportunity interested stakeholders were given to comment on the proposal.”

The draft policy, that CPL only learned of late yesterday, would appear to severely limit the freedom of Ontario physicians to practice according to their conscientious/religious beliefs. The College apparently posted the draft policy document, “Physicians and the Ontario Human Rights Code” on its website at the end of June and had set a deadline of today for input on the proposal.

In his letter, Dr. Johnston expressed surprise that the College would not have been more proactive in soliciting input on a policy that could have profound impact on both individual doctors and on the profession as a whole. CPSO does not appear to have issued a news release on the consultation process, and pro-life physicians have been taken by surprise.

Dr. Johnston wrote, “The College must have been aware that groups such as Canadian Physicians for Life — which represents doctors from across Canada who respect the dignity of all human life, regardless of age or infirmity — would have concerns with the College’s view that “decisions to restrict medical services offered….that are based on moral or religious belief may contravene the [Ontario Human Rights] Code, and/or constitute professional misconduct.”

“Refusal on conscientious or religious grounds to refer a woman for an abortion could be deemed professional misconduct under this new policy,” Dr. Johnston said.

A similar requirement (that doctors must make abortion referrals regardless of their conscientious beliefs) was put forward in a July 2006 guest editorial in the Canadian Medical Association Journal. It triggered such a firestorm of controversy, that the Journal was compelled to publish a letter from CMA’s Director of Ethics stating that CMA policy did not require physicians to refer for abortions if it would violate their conscientious or religious beliefs.

Dr. Johnston concluded, “There could be serious problems with what the Ontario College is proposing and we need time to study the implications of this policy in detail. If doctors feel coerced into compromising their deepest convictions as a result of this policy, certainly that’s a problem-not only for the integrity of physicians, but also for the welfare of their patients.”

For further comment, please contact:
Will Johnston, MD, President
Canadian Physicians for Life
ph: 613-728-5433
email: info@physiciansforlife.ca

Canadian Physicians for Life is an educational organization representing physicians who hold that reverence for every human life lies at the root of all medical tradition. Through the ages, this tradition has been expressed in the Oath of Hippocrates. It was rephrased in modern times in the Declaration of Geneva (1948), which says in part, “I will maintain the utmost respect for human life, from the time of conception; even under threat, I will not use my medical knowledge contrary to the laws of humanity.”

Freedom of conscience and religion not a defence

NEWS RELEASE

For Immediate Release

Protection of Conscience Project

Ontario physicians are being advised that they are expected to give up freedom of conscience if they wish to practise medicine in the province. The expectation is set out in “Physicians and the Ontario Human Rights Code,” a draft policy document from the College of Physicians and Surgeons of Ontario.

The document responds to legislative changes, which, according to the Chair of the Ontario Human Rights Tribunal, will see a twenty-fold increase in hearings before the Tribunal – from 150 to 3,000 cases per year.

According to the College, the Tribunal may take action against a physician who refuses to provide or refer for procedures that he finds morally objectionable. The College strongly suggests that the physician’s freedom of conscience and religion will be ignored because “there is no defence for refusing to provide a service” in such circumstances.

In addition to the possibility of prosecution by the Human Rights Tribunal, the College states that it will consider the Human Rights Code in adjudicating complaints of professional misconduct, even though the College admits that it lacks the expertise and authority in human rights.

The College also plans to force objecting physicians to actively assist patients to obtain morally controversial services. A similar demand – that objectors be forced to refer patients for abortion – generated fierce opposition when it appeared in a 2006 guest editorial in the Canadian Medical Association Journal.

The College posted the draft policy for consultation near the end of June, with a response deadline of 15 August. The Project, noting that there was no news release about the draft and that “the mid-summer timing of the consultation is less than satisfactory,” has asked the College to extend the deadline by 90 days.

“Commentators like Rex Murphy, Mark Steyn and Ezra Levant have condemned Canadian human rights commissions for suppressing freedom of expression,” noted Sean Murphy, Administrator of the Protection of Conscience Project. “Perhaps we should not be surprised to see them now being used to suppress freedom of conscience and religion among medical professionals.”

Related Links:

Dawson’s licence revoked for sexual misconduct

Physician who refused birth control to unmarried had sex with patient

 Sean Murphy*

On 9 May, 2005, the Discipline Committee of the College of Physicians and Surgeons of Ontario revoked Dr. Dawson’s registration as a physician for having engaged in the sexual abuse of a married female patient. He was ordered to appear before a panel to be reprimanded and to pay costs to the College in the amount of $2,500.00. A  summary of the judgement is available on the College website. [Full text]

Bedrock values?

Project letter to The Canadian Pharmaceutical Journal

Sean Murphy*

Polly Thompson asserts that religious tolerance is “a bedrock value of our democracy, and it goes both ways,” but then claims that “the onus is on the health professional to respect the religious beliefs of the patient, not the other way around,” a most peculiar form of tolerant reciprocity. The balance of the editorial demonstrates a troubling ignorance of the legal requirements to accommodate conscientious objectors[1] and de facto contempt of the “bedrock value” she purports to respect in theory. (The Public Trust and Access to Medication, Canadian Pharmaceutical Journal, October, 2004, Vol. 137, No. 8).

Patients and pharmacists have equal claims to freedom of conscience and expression, but one looks in vain in the editorial for a thoughtful analysis of how to deal fairly with conflicts of conscience in health care. A principled approach to conscientious objection would, among other things, distinguish between life-threatening injuries or conditions, and non-emergent situations. To equate the provision of blood transfusions for accident victims with dispensing contraceptives or post-coital interceptives suggests a disappointing editorial interest in polemics, not principle.

Thompson is mistaken when she claims that some pharmacists raise religious objections to her access to medication. Their concerns are not with her access, but with their own moral culpability should they facilitate harmful conduct or other wrongdoing by someone else.

The fact that a drug is legal does not determine this issue. By way of comparison, mouthwash is a legal product commonly sold in pharmacies. It can also be an intoxicant when consumed as a beverage. A conscientious pharmacist might well refuse to sell mouthwash to an alcoholic known to consume it for that purpose, whether or not the product could be accessed elsewhere.

Similarly, the practice of law is a self-regulated profession, and, like pharmacists, lawyers are expected to serve the interests of their clients. But a client cannot force a lawyer to facilitate what the lawyer considers to be a wrongful act – even if the act is legal.

Ms. Thompson’s fierce determination to adhere to her own moral views is not surprising, but she has failed to demonstrate that her morality is so superior that it should be imposed upon those who disagree with her. Indeed, she did not even attempt such a demonstration before calling for the elimination of “troubling holes” and “wiggle room” that make grudging allowance for freedom of conscience in pharmacy. Her message to those unwilling to go along with her is uncompromising; get out of the profession. Given this totalitarian mindset, Ms. Thompson’s complaint that ‘fundamentalist extremists’ dictate policy in the United States invites the waggish response that in Canada they write editorials for professional journals.

Pharmacy regulatory authorities can, with some imagination and good will, find ways to ensure “timely access to legal medication” without suppressing of freedom of conscience in the profession. The Canadian Pharmaceutical Journal can contribute to this kind of fruitful accommodation. But the profession and the public are not well served by the kind of incoherence, intolerance, polemics and ignorance of human rights jurisprudence displayed in its October editorial.

Sean Murphy, Administrator
Protection of Conscience Project

Notes

1. Benson I. “Autonomy”, “Justice” and the Legal Requirement to Accommodate the Conscience and Religious Beliefs of Professionals in Health Care [Internet]. Powell River (BC): Protection of Conscience Project; 2001 Mar. The Canadian Pharmaceutical Journal declined to publish the essay, which was a response to an article by Frank Archer that had appeared in an earlier number of the Journal. See also Murphy S. In Defence of the New Heretics: A Response to Frank Archer [Internet]. Powell River (BC): Protection of Conscience Project; 2000 Jul – also declined by the CPJ.

Planned Parenthood and “Anti-Choice” Rhetoric

News Release

Protection of Conscience Project

Planned Parenthood Alberta is recycling the accusation that physicians who object to abortion may “scare” patients with “misinformation” or “impose their moral beliefs.” This smear may be unfairly applied to conscientious objectors who follow the guidelines of the Canadian Medical Association (CMA) and the College of Physicians and Surgeons of Alberta (CPSA).

The CMA advises physicians to inform a patient when their personal morality would influence their recommendations or practice, and to advise patients of their objections to abortion. The CPSA expects physicians to provide information to patients seeking abortion so that they can “make informed decisions on all available options for their pregnancies, including termination.”

On the other hand, objecting physicians can hardly be expected to present morally controversial procedures as morally uncontroversial, or in such a way as to indicate that they approve of them or are indifferent to them. Moreover, the information they reasonably believe necessary to permit the patient to make a truly “informed decision” may be more comprehensive or in other respects different from what Planned Parenthood is accustomed to provide its clients.

An interest group like Planned Parenthood might well stigmatize such discussion as ‘moralizing’ and providing ‘misinformation’. Partisan polemics of this sort do not provide a basis for sound policy making.

Planned Parenthood Alberta is compiling a list of what it calls “anti-choice doctors.” If it is desirable to help patients find physicians who share their outlook on moral issues, it would be preferable for doctors to identify themselves, perhaps through the College of Physicians and Surgeons or professional associations.

But if Planned Parenthood persists in its plan to identify “anti-choice doctors”, it should include in its list the names of physicians who believe that their colleagues should be forced to provide or facilitate morally controversial procedures.

Related: Planned Parenthood and “Anti-Choice Rhetoric” (commentary)