Conscientious objection is an important medical principle

Doctors are expected to have integrity. Does this not entail that they should do what they think is right?

The Spectator

Toni Saad

Something interesting is happening in the House of Lords. Baroness O’Loan’s Conscientious Objection (Medical Activities) Bill, now at the committee stage, has put on the agenda an issue which well-deserves to be there. Its point is simple: all healthcare professionals should have a legal right to opt out of certain procedures which they find objectionable. It specifies three areas: abortion provision, withdrawal of life-saving treatment, and actions relating to certain reproductive technologies.

This is not particularly radical; the 1967 Abortion Act already explicitly protects conscientious objection. Indeed, it could even be asked why this should, in a country with a tradition of liberty like ours, even be up for debate. Do we really need law to protect the right to conscience?

Sadly, it has become clear that we do. Armchair philosophers have been discussing the merits of forcing doctors and nurses to act against their conscience (or lose their jobs) over the last few years. Many papers against conscience have been published. . . [Full Text]

World medical body pushes back on conscience fight

The Catholic Register

Michael Swan

The international society of Catholic doctors is using Canada as an example of what can go wrong when doctors are forced to refer for abortion.

The World Federation of Catholic Medical Associations is drawing on Canada’s experience to counter proposals before the World Medical Association to adopt forced referrals and signal ethical acceptance for euthanasia. . . [Full Text]

Pregnant women in rural B.C. urged to leave town to deliver

40% of women in rural Canada have to drive at least 1 hour away for maternity services

CBC News

Briar Stewart

For pregnant women in Fort Nelson, B.C., part of the prenatal routine includes agreeing not to have their babies in the northern community.

“Due to staffing issues, we are unable to conduct safe obstetric care,” says the memo from the health centre.

An official with Northern Health, which oversees health centres in the region, says while physicians and staff are equipped to respond to  an “unplanned delivery,” women are advised to leave up to a month before their due date because “the safety of both the mother and the baby must come first.”

Fort Nelson, a community of 3,500, is one of dozens of rural communities in Canada where maternity services have been eliminated, in part because of the ongoing struggle to recruit and retain doctors in remote parts of the country.

The lack of intrapartum care means some women have to travel hundreds of kilometres and pay thousands of dollars to have their babies, even though health experts say long-distance delivery can come with greater health risks. . . [Full Text]

Why we must protect the conscience rights of medical professionals

Is it really such a radical idea to think healthcare professionals should not be forced to help in procedures to which they morally object?

Catholic Herald

Prof. Andrew Tettenborn

Just over three years ago, two devout Catholic midwives lost an important claim in the courts. Disciplined for declining to make arrangements for abortions in a Glasgow maternity ward, they sued, saying that the Abortion Act’s conscience clause allowed them to refuse to participate in the procedure. The Supreme Court, combining an impressive capacity for casuistry with a matching unconcern for moral consistency, chose to define “participation” as meaning carrying out the abortion, and nothing more. Organising, managing and aiding other people to do it was quite different; there was no right to refuse to do it.

The point matters a great deal. Many NHS hospitals now put abortion and other controversial procedures out to tender (a matter itself a cause for concern, though not here), and so organisation rather than participation is increasingly what will be demanded from often unwilling staff. . . [Full Text]

Belgium’s euthanasia commission under fire after shock letter by whistleblower

BioEdge

Xavier Symon

Evidence of gross negligence is mounting against Belgium’s peak euthanasia regulatory body, the Federal Commission for Euthanasia Control and Evaluation.

Dr. Ludo Van Opdenbosch, a neurologist who was a Commission member for several years, resigned in September 2017. Associated Press recently obtained the letter of resignation that Dr Van Opdenbosch sent to senior politicians, which details his dissatisfaction with the oversight processes of the Commission. “I do not want to be part of a committee that deliberately violates the law,” he wrote.

According to the letter, the Commission failed to refer to authorities a doctor who Van Opdenbosch says euthanised a demented patient without consent. The letter outlines the basic details of the case – the patient, whose identity was not disclosed, was euthanised at the family’s request, and there was no record of any prior request for euthanasia from the patient.

Furthermore, Van Opdenbosch states that when he expressed concerns about other potentially problematic cases, he was immediately “silenced” by other members of the Commission. He suggests that because many of the doctors on the commission are leading euthanasia practitioners, they can protect each other from scrutiny, and act with “impunity”.

“It’s not euthanasia because the patient didn’t ask, so it’s the voluntary taking of a life,” said Dr An Haekens, psychiatric director at the Alexianen Psychiatric Hospital in Tienen, Belgium. “I don’t know another word other than murder to describe this.”

However, the two co-chairs of the commission, Dr Wim Distelmans and Gilles Genicot, have strongly denied that there has been any negligence. “It can obviously occur that some debate emerges among members but our role is to make sure that the law is observed and certainly not to trespass it,” they said. They also denied that Van Opdenbosch had been muzzled.

Associated Press had already revealed details of a rift between the co-chair of the Commission, Dr. Willem Distelmans, and Lieve Thienpont, an advocate of euthanasia for the mentally ill. Distelmans suggested some of Thienpont’s patients might have been killed without meeting all the legal requirements.

More than 360 doctors, academics and others have since signed a petition calling for tighter controls on euthanasia for psychiatric patients.


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