Letter: If society wants to legalize euthanasia, physicians should not be the ones to carry it out  

The Gazette

J. Donald Boudreau, MD

Physicians who refuse to be co-opted into assisting patients  accelerate their death are not, as Dr. Dave Lambert seems to imply,  medical dinosaurs. And by rejecting his option, we are most certainly  not trying to save or prolong lives “at all costs,” that is, we are  not vitalists. One can simultaneously reject both vitalism and euthanasia. . . [Full text]

 

Australian regulator misrepresents physician obligations

Claim that practitioner codes require referral disproved by Australian Medical Association

Sean Murphy*

According to a report in The Examiner, a representative of the Australian Health Practitioner Regulation Association told a Tasmanian legislative committee that physicians who object to a procedure for reasons of conscience are obliged by professional codes of ethics to refer patients to another physician.  Lisa McIntosh was addressing the Committee concerning a proposed Reproductive Health Bill.

Her assertion is contradicted by a submission by the Australian Medical Association Tasmania, which protested the section of the bill that would force objecting physicians to facilitate morally contested procedures by referral.  The AMA Tasmania submission included quotes from the AMA Code of Ethics and a document from the Medical Board of Australia Good Medical Practice to demonstrate that the draft legislation information paper falsely claimed that there was a duty to refer.

The Committee also heard from Catholic Archbishop Adrian Doyle, whose concerns about the proposed bill included the mandatory referral provision.

 

Now Secretary of Health and Human Services Kathleen Sebelius is not radical enough to work at Rite Aid

 

Freedom2Care.org

Jonathan Imbody*

Tolerance. Diversity. Broad-mindedness. Those are the words.

Bullying. Discriminating. Compelling. Those are the deeds.

The contradictory words and deeds often come from one and the same individuals–and in a case I learned about today, companies. Turns out the words of tolerance, diversity and broad-mindedness only apply to those who comply with the dogma and submit to the will of the speakers.

Here’s an email I received this morning from a pharmacist member of the Christian Medical Association:

“Subject: Forced to resign over mandate to sell the morning after pill.

“Just to let you know that Rite-Aid corporation came out with a stricter policy on July 5, 2013 that requires all employees to accommodate the sale of the morning-after pill to all comers, of either gender and of any age.  I tendered my resignation within the hour, it was accepted, and my last work day is July 20th.  I realize that I am an ‘at will’ employee and I do not expect any recourse. Just for your information to add me to the list of those quitting pharmacy solely because of the policy change.  Keep up the good work. The battle rages.  The Lord is able to supply our needs.”

Remember that even the Obama administration health department opposed the unlimited sale of the morning-after pill, citing health concerns. So presumably, even the radically pro-abortion Secretary of Health and Human Services, Kathleen Sebelius, is not radical enough to work at Rite Aid.

Unfortunately, Secretary Sebelius and President Obama trashed the only federal regulation protecting health care professionals from discrimination and firings for reasons of conscience. They and other abortion advocates also can’t seem to muster enough liberality to support the tolerant, diversity-respecting and broad-minded principles of the Healthcare Conscience Rights Act (S 1204 and HR 940).

While the regulation and the law apply specifically to government-funded programs, each can help establish an environment of true respect for conscience, tolerance and diversity that will protect health care professionals nationwide. Until then, pharmacists, obstetricians and family docs who still adhere to the Hippocratic oath and faith tenets remain subject to job loss, discrimination and ostracism for their life-affirming views.

Jonathan Imbody
Vice President for Government Relations,
Christian Medical Association 
CMA Washington office: P.O. Box 16351 • Washington, DC 20041
703-723-8688 (office) • 703-434-9794 (mobile)
Director, Freedom2Care – 50 groups and 29,000 individuals advancing conscience rights

Editorial: Rx: No to assisted suicide

Calgary Herald

Editorial

They’re the forgotten ones in the heated debate over assisted suicide — the doctors.
Up until now, discussion of the issue has focused exclusively on patients. However, a new Canadian Medical Association survey that shows only about one-quarter of doctors would be willing to participate in an assisted suicide should act as a warning to all. Suddenly, the doctors’ perspective comes into plain view — doctors do not want to help kill people.[Full text]

Conscientious objection: the struggle continues

Bioedge

Reproduced with permission

Michael Cook*

The fight over conscientious objection to abortion has moved from the evening news to the academic journals. In the April issue of the American Journal of Public Health, two defenders of reproductive rights outline strategies to restrict abortion rights. They complain that “unregulated conscientious objection” seems to be growing, especially in countries where opposition to abortion is strong.

In a SSRN paper which is yet to be published, Lachlan De Crespigny, an Australian doctor writing from Oxford, and two academics from Monash University fiercely defend a recent law in the state of Victoria which forces doctors to refer for abortion. “The unregulated use of conscientious objection impedes women’s rights to access safe lawful medical procedures,” they write. “As such, we contend that a physician’s withdrawal from patient care on the basis of conscience must be limited to certain circumstances.”.

They contend that arguments in support of conscientious objection are often a smokescreen for imposing Catholic dogma. But women who conscientiously desire abortions also have rights. “The choice of abortion is in many cases the morally responsible decision that should not be overridden by the imposition of another’s conscience.”

A recent paper in the Journal of Bioethical Inquiry by two Canadians, a doctor and a lawyer, tries to make some philosophical distinctions which make conscientious objection to abortion more plausible. They distinguish between “perfective” and “preservative” freedom of conscience. The former is exercised in the pursuit of a perceived good. This must often be limited. The latter is more fundamental and cannot legitimately be coerced except in the most exceptional circumstances.

“If the state can legitimately limit perfective freedom of conscience by preventing people from doing what they believe to be good, it does not follow that it is equally free to suppress preservative freedom of conscience by forcing them to do what they believe to be wrong. There is a significant difference between preventing someone from doing the good that he/she wishes to do and forcing him/her to do the evil that he/she abhors.”

It could be argued that an ethics committee, or an institution or a government assumes the moral responsibility for a coerced decision. But this does not take into account the well-documented guilt and shame felt by concentration camp survivors who were forced to participate in heinous crimes. “When it is suppressed by coercion, the result is the kind of spiritual rape suffered by those victims of the camps who were forced to do what they believed to be wrong.”