Although Bill 52, Quebec’s euthanasia legislation, has not yet passed the National Assembly, the secretary of the Collège des médecins du Québec, the state regulator of medical practice, has suggested that grounds for euthanasia will likely be broadened after the bill passes. Dr. Yves Robert, speaking of Alzheimer patients and those under 18, said “We will have to think about that, not only for [incapable] adults but
obviously for youngsters who face terminal diseases.” [National Post] His statement is consistent with statements made by various groups giving evidence in committee hearings. For example, the Quebec Commission on Human Rights and Youth Rights takes the position that failing to provide euthanasia for mentally incompetent patients and minors would constitute a violation of human rights, and warned legislators that if they did not amend the bill to include it, the change would be forced through civil action.
Category: Procedures & Services
Physicians for Human Rights Criticizes Court Decision to Allow Force-Feeding
News Release
New York, NY – 02/11/2014 A federal court today declined to stop force-feeding of Guantánamo detainees, allowing the inhuman and degrading practice to continue.
The U.S. Court of Appeals for the District of Columbia Circuit declined to issue a preliminary injunction to halt force-feeding, a type of intervention that violates core medical ethics and constitutes ill-treatment.
“The rights of men being held in Guantánamo are being completely ignored, and the hunger strike is the only option they have left to protest their indefinite detention, which has lasted more than 11 years without charges for some of them,” said Dr. Vincent Iacopino, PHR’s senior medical advisor. “By allowing the cruel and degrading practice of force-feeding to continue, the court has essentially authorized the continuation of an abusive tactic that violates human rights and fundamental medical ethics.”
The detainees being forced-fed are being held in indefinite detention, which is in itself a violation of human rights. A preliminary injunction would have at least stopped force-feeding, which constitutes ill-treatment and could rise to the level of torture. A call for injunctive relief for ill-treatment or torture should be granted under both international standards and the 8th Amendment, which prohibits cruel and unusual punishment.
While the court did not immediately stop force-feeding by issuing an injunction, two of the three judges said the detainees did have a right to challenge the practice in court, paving the way for a continuing legal battle over the issue. The judges also pointed that that “force-feeding is a painful and invasive process that raises serious ethical concerns.” The legal challenge was filed on behalf of three detainees.
Judge rules family cannot order caregivers to starve mother to death
In a 44 page judgement, Mr. Justice Greyell of the Supreme Court of British Columbia has ruled that family members cannot order caregivers at a nursing home to starve an 83 year old resident to death. Margot Bentley, age 83, is in the final stages of Alzheimer’s disease. Based on written instructions she left before being diagnosed with the disease, family members went to court to stop caregivers from spoonfeeding her when she opened her mouth to accept food. The judge noted that she is not dying, and that to comply with their wishes wold mean that Mrs. Bentley would die from starvation and dehydration and not an underlying disease.
Having considered the evidence, he rejected the claim that Mrs. Bentley is in a “vegetative state” as “neither useful nor accurate,” concluding, instead, that it was possible that she had sufficient mental function to decide whether or not to eat and drink and to communicate that decision in non-verbal ways. He held that spoon-feeding was not “health care” within the meaning of the law, but a form of personal care. While he agreed that, under the common law, a competent adult can refuse food and fluids and thus commit suicide, he ruled that there was no legal precedent for the finding that such a decision could be made on behalf of an incompetent person by a proxy decision maker. On the other hand he recognized statutory and public policy considerations that would tell against such a finding.
The case is of interest because it demonstrates how the kind of directives the family pursued in this case can generate conflicts of conscience among caregivers and health care workers.
Physicians in Ottawa under attack for refusing to prescribe contraceptives
A 25 year old woman went to a walk-in clinic in Ottawa, Ontario, to get a prescription for birth control pills. She was advised the physician on duty did not prescribe contraceptives, and was given a letter stating that for reasons of “medical judgment as well as professional ethical concerns and religious values” he would assist patients only with Natural Family Planning. She declined to return the next day to see another physician, and drove around the block to another clinic about two minutes away. She posted the letter on Facebook, which resulted in a campaign against three Ottawa physicians who decline to provide contraceptives.
Outraged Facebookers called the physician a “jerk,” a “complete anachronism,” “disgusting,” incompetent, “unethical and unprofessional,” a “worthless piece of ____,” a “crummy doctor,” “an idiot,” and described him as – judgemental.
“Goofballs like this,” wrote one, “are the best walking arguments for the birth control they don’t believe in.”
“He should move to the states, or maybe Dubai, where he will be among his own kind.”
One Facebooker suggested that women should go to the clinic to make gratuitous requests for prescriptions, apparently for the purpose of fabricating complaints against the physician: “I think that women should start going in looking for prescriptions for The Pill. You know, just a top up till their family doctor can see them again.”
Alabama protection of conscience bill passes State House of Representatives
By a vote of 71-24, the Alabama House of Representatives has passed the Health Care Right of Conscience Act in the state legislature. The bill is intended to protect all health care providers from being compelled to participate, directly or indirectly, in abortion, human cloning, human embryonic stem cell research, and sterilization if they object to the procedures for reasons of conscience. [Gadsden Times]