Category: Project News Releases

Protection of Conscience Project News Releases

A watchdog in need of a leash

Ontario College of Physicians manipulates consultation process

New Release

For immediate release

Protection of Conscience Project

It appears that the College of Physicians and Surgeons of Ontario is manipulating its consultation process to support a controversial draft policy intended to force doctors to do what they believe to be wrong.

The College is intervening in a Discussion Forum about Professional Obligations and Human Rights (POHR), apparently to discredit critics and defend the policy. The Forum is supposed to be used by the public to provide feedback on the policy, and to post emails and written submissions the College receives from the public.

But on 29 January the College posted a comment accusing Professor Margaret Somerville of misrepresenting its policy in a National Post column. The comment included a link to a letter to the National Post from College President, Dr. Carol Leet.

Not content with interfering in the consultation by posting its own statement, the College impersonated anonymous forum participants and used its statement to reply to comments supporting Professor Somerville’s “modest proposal.”

Someone at the College seems to have had second thoughts about impersonating participants, because the replies were revised a couple of days later to identify the College as the author. But the purported correction of participant responses still violates College policy.

Sean Murphy, Administrator of the Protection of Conscience Project, thinks College officials are interfering in the consultation because they are afraid that more people will begin to realize what the draft policy really means.

“In her National Post column, Professor Somerville succinctly critiqued the draft policy, and offered a reasonable alternative,” he said. “If Dr. Leet disagreed, she was within her rights to write a letter to the editor.”

“But,” he added, “interfering in the consultation process is unacceptable.”

Murphy observed that the College is supposed to be the watchdog protecting the public and profession from unethical conduct.

“It seems this watchdog needs a leash.”

For details, see A watchdog in need of a leash: Ontario College of Physicians manipulates consultation process

Saskatchewan physicians to be forced to do what they believe to be wrong

Policy wording supplied by abortion and euthanasia activists

Policy would apply to euthanasia, if legalized.

Protection of Conscience Project News Release

The College of Physicians and Surgeons of Saskatchewan is proposing a draft policy demanding that physicians who object to “legally permissible and publicly-funded health services” must direct patients to colleagues who will provide them.  If another physician is unavailable, the College demands that they provide “legally permissible and publicly-funded” services,  even if doing so “conflicts with physicians’ deeply held and considered moral or religious beliefs.”

Physicians usually refuse to participate in abortion because they believe it is wrong to kill what the criminal law refers to as a child that has not become a human being.1 The proposed policy will require them to find a physician willing to do the killing they won’t do.  Should the Supreme Court of Canada legalize euthanasia, the policy will require objecting physicians who refuse to kill patients to find someone who will.

The seamless fit between referral for abortion and referral for euthanasia is not surprising.  The draft College policy was largely written by abortion and euthanasia activists, notably Professor Jocelyn Downie of Dalhousie University.

In a 2006 guest editorial in the Canadian Medical Association Journal, Professor Downie and another law professor claimed that objecting physicians are obliged to refer patients for abortion.2  Their views were vehemently rejected by physicians and repudiated by the Canadian Medical Association.3  Partly as a result of the negative response, Professor Downie and her colleagues in the “Conscience Research Group” decided to convince Colleges of Physicians and Surgeons to impose it.4

Saskatchewan’s draft policy is taken almost verbatim from their “Model Conscientious Objection Policy.”

The Conscience Research Group is  a tax-funded initiative that includes Professors Downie and Daniel Weinstock.5   Both  were members of an “expert panel” that recommended that health care professionals who object to killing patients should be compelled to refer patients to someone who would,6 because (they claimed) it is agreed that they can be compelled to refer for “reproductive health services.”7

Current efforts by the College of Physicians and Surgeons of Ontario to suppress freedom of conscience in the medical profession may have been influenced by the Conscience Research Group.  However, the College in Saskatchewan is the first to copy and paste its preferred model into a draft policy.

The Project insists that it is incoherent and contrary to sound public policy to include a requirement to do what one believes to be wrong in a professional code of ethics. It is also an affront to the best traditions of liberal democracy, and, ultimately, dangerous.

The College Council has approved the policy in principle, but will accept feedback on it until 6 March, 2015.

Notes:

1.  Criminal Code, Section 238(1). (Accessed 2014-12-02)

2. Rodgers S. Downie J. “Abortion: Ensuring Access.” CMAJ July 4, 2006 vol. 175 no. 1 doi: 10.1503/cmaj.060548 (Accessed 2014-12-02).

3.  Blackmer J. Clarification of the CMA’s position on induced abortion. CMAJ April 24, 2007 vol. 176 no. 9 doi: 10.1503/cmaj.1070035 (Accessed 2014-02-22)

4.   McLeod C, Downie J. “Let Conscience Be Their Guide? Conscientious Refusals in Health Care.” Bioethics ISSN 0269-9702 (print); 1467-8519 (online) doi:10.1111/bioe.12075 Volume 28 Number 1 2014 pp ii–iv

5.   Let their conscience be their guide? Conscientious refusals in reproductive health care: Meet the team.(Accessed 2014-11-21)

6.  Schuklenk U, van Delden J.J.M, Downie J, McLean S, Upshur R, Weinstock D. Report of the Royal Society of Canada Expert Panel on End-of-Life Decision Making (November, 2011) p. 101 (Accessed 2014-02-23)

7.   Schuklenk U, van Delden J.J.M, Downie J, McLean S, Upshur R, Weinstock D. Report of the Royal Society of Canada Expert Panel on End-of-Life Decision Making (November, 2011) p. 62 (Accessed 2014-02-23)

Ontario physicians to be forced to do what they believe to be wrong

Draft policy demands that objectors provide or refer.

Policy would apply to euthanasia, if legalized.

Protection of Conscience Project News Release

A draft policy of the College of Physicians and Surgeons of Ontario demands that physicians must provide services to prevent imminent “harm, suffering and/or deterioration,” even if doing so is contrary to their moral beliefs.

Should the Supreme Court of Canada legalize euthanasia, the policy will require objecting physicians to lethally inject patients themselves if a delay would result in “harm” or “suffering.” In less urgent circumstances, the policy will require physicians unwilling to kill patients to promptly refer them to “a non-objecting, available physician or other health-care provider.”

However, many physicians who object to killing patients for reasons of conscience would also object to referral. Dr. Charles Bernard, President of Quebec’s Collège des médecins, has explained that mandatory referral effectively nullifies freedom of conscience: “It is as if you did it anyway.”1

Dr. Bernard was talking about Quebec’s euthanasia law, but the same principle holds with respect to abortion – another procedure that involves killing.

Prominent academics and activists want to force objecting physicians to provide or refer for abortion and contraception. They and others have led increasingly strident campaigns to suppress freedom of conscience among physicians to achieve that goal. The College’s draft policy clearly reflects their influence.

However, crusades against physicians who refuse to provide or refer for abortion are dress rehearsals for eventual campaigns against physicians who refuse to kill patients. It is not a coincidence that activists who would force objecting physicians to facilitate abortion and contraception also intend to force objectors to refer for euthanasia – and for the same reasons.2

The Project insists that it is incoherent and contrary to sound public policy to include a requirement to do what one believes to be wrong in a professional code of ethics. It is also an affront to the best traditions of liberal democracy, and, ultimately, dangerous.

The College Council has tentatively approved the policy, but will accept further public input until 20 February, 2015 before imposing it on Ontario physicians.

Notes:

1.  Consultations, Tuesday 17 September 2013 – Vol. 43 no. 34: Collège des médecins du Québec, (Dr. Charles Bernard, Dr. Yves Robert, Dr. Michelle Marchand) T#154

2. For example: Schuklenk U, van Delden J.J.M, Downie J, McLean S, Upshur R, Weinstock D. Report of the Royal Society of Canada Expert Panel on End-of-Life Decision Making (November, 2011) p. 62, 69, 101 (Accessed 2014-02-23)

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.

 

Protection of conscience initiative launched by New Zealand health care professionals

NEWS RELEASE

For immediate release

Protection of Conscience Project

The New Zealand Health Care Professionals Alliance Te Hononga Mãtanga Haurora O Aortearoa has launched a website highlighting the interest of the Alliance in freedom of conscience in health care.  The new site features a Best Practice Guide, Patient Support and Resources, and an introduction to the Alliance’s Mentorship Programme.

The Alliance is a non-denominational organization that welcomes members from all health care professions, including nurses & midwives, doctors, radiographers, pharmacists, laboratory technologists, anaesthetic technicians, and radiation therapists.  Hospital chaplains may also join.  Membership is open to professionals in training, practice and retirement who support the purposes of the organization.

Sean Murphy, Administrator of the Protection of Conscience Project, offered his congratulations to the Alliance.

“Since the Project began in 1999, it has emphasized the importance of local initiatives of this kind,” he said, “and especially the need for health care professionals to become active in support of their own fundamental freedoms.”

“The people best placed to respond to pressures against freedom of conscience in health care are those closest to the action,” Murphy explained.  “New Zealanders know best what challenges they face in their own country, and how to respond effectively to them.  The history of the Alliance demonstrates that quite clearly.”

The New Zealand Health Professionals Alliance (NZHPA) was incorporated in 2009 in response to an attempt by the Medical Council of New Zealand to suppress freedom of conscience by means of a direction called Beliefs and Medical Practice.  Relying on the Health Practitioners Competence Assurance Act 2003, the NZHPA applied to the High Court for a judicial review of the draft statement because it considered it unlawful.  The court supported the NZHPA, and the Medical Council ultimately decided not to publish the direction.