Category: Procedures & Services

Nurse practitioners not always compensated for providing medical assistance in dying

Ministry of Health and Long Term Care does not provide fee-for-service the way it does for physicians

CBC News

Angela Gemmill

The Nurse Practitioners Association of Ontario says some of its members are helping to provide their patients with medically assisted deaths without compensation.

It wasn’t until April of 2017 that nurse practitioners (NPs) in Ontario could prescribe the controlled substances used for medical assistance in dying (MAID).

Since then about 40 NPs across the province have provided either patient assessments or the procedure itself.

A patient must be assessed by two independent health care providers. This can be either a physician or a nurse practitioner. The procedure is the same regardless of who provides it.

One nurse practitioner in Sudbury, Ont. says it’s important for her to provide support to patients who want to take this step. She admits that medical assistance in dying is rather limited in Sudbury, in that not a lot of physicians or nurse practitioners are willing to provide it for patients. . . [Full text]

 

Medics should not be forced to do procedures they object to on ethical grounds

The Conversation
Reproduced with permission

David S. Oderberg*

For most people, the term “conscientious objection” evokes images of Quakers and pacifists registering to avoid military service. Many countries have a long and honourable tradition of accommodating such conscientious objectors. It might not be about bombs and bullets, but healthcare professionals often find themselves fighting a conscience battle of their own.

In the UK, Canada, Sweden and other countries, conscientious objectors in healthcare have found themselves discriminated against in various ways – whether through dismissal, lack of promotion, or more subtle forms of coercion. Most cases involve doctors, nurses or midwives refusing to perform abortion or euthanasia (or to assist with either). Yet these happen, through historical accident, to be the flashpoint of current controversy. . . [Full text]

Bill to give medical staff right to refuse role in abortions condemned

The Guardian

Tim Wyatt

Pro-choice groups have condemned an attempt to create new laws that would allow doctors and nurses to refuse to take part in abortions on moral grounds.

A private bill going through the House of Lords that would expand rights of conscientious objection for healthcare professionals has been dismissed as unnecessary by abortion providers and campaigners.

Those in favour of the bill, sponsored by the Northern Irish crossbench peer Nuala O’Loan, insisted their aim was not to restrict abortion but to uphold freedom of belief and religion they claim is under threat in hospitals since a contentious supreme court ruling in 2014. . . [Full text]

 

UK bill seeks to protect conscientious objection for medical practitioners

Crux

Catholic News Agency

LONDON – A bill in the British Parliament would clarify the rights of conscientious objection for medical professionals, protecting them from participating in medical procedures to which their beliefs are opposed.

The Conscientious Objection (Medical Activities) Act 2017 would defend healthcare workers in England and Wales from partaking in the withdrawal of life-sustaining treatment, IVF or similar fertility treatments, or abortion if they have a conscientious objection to doing so.

The bill, now at the committee stage in the House of Lords, was introduced by Baroness Nuala O’Loan, a peer from Northern Ireland, who believes medical professionals should not be discriminated against for their personal beliefs. . . [Full Text]

Why conscientious objection in the medical profession must be protected

The House Magazine

Fiona Bruce, MP

Accommodation of conscientious objection is a long-respected matter of liberty and equality in this country. This respect should be as relevant today as ever, writes Fiona Bruce

The Conscientious Objection (Medical Activities) Bill is scheduled for Committee Stage in the House of Lords this Friday, and I have been watching its progress with interest. The Bill’s sponsor is Baroness Nuala O’Loan – a widely respected legal mind in the Lords who served as first Police Ombudsman in Northern Ireland, and is a former Chair of the Equality and Human Rights Commission’s Human Rights Inquiry. Among those who spoke in favour of the Bill at Second Reading were the former Conservative Lord Chancellor, Lord Mackay of Clashfern, and senior Conservative Peers Lord Elton, Baroness Eaton and the renowned surgeon, Lord McColl of Dulwich. . . [Full text]