New Zealand abortion activists complain about physician freedom of conscience

Dr. Joseph Lee, a physician in Blenheim, New Zealand, has been criticized by abortion activists because he refused to prescribe contraceptives for a 23 year old patient.  Dr. Lee practises at the Wairau Community Clinic.  A pamphlet in the reception area advises patients that some of the clinic’s physicians will not prescribe contraceptives, and staff attempt to direct patients accordingly.  The clinic leader may consider installing a sign to minimize further conflicts.

Dr. Lee identifies himself as a Catholic, but is reported to have said that he would be willing to prescribe the birth control pill to a woman who was spacing children or had had at least four children.  That is not consistent with the teaching of the Catholic Church on the subject, and it is an unusual position among health care workers who object to providing contraception.

The Abortion Law Reform Association NZ (ALRANZ) wants the General Medical Council to force objecting physicians to refer patients or otherwise assist them to obtain morally contested services.  The president of ALRANZ, Dr. Morgan Healey, claims that a High Court decision in 2010 has made the question of referral legally ambiguous. [New Zealand Herald]

However, Justice Alan MacKenzie of the High Court in Wellington, New Zealand,unambiguously ruled that New Zealand’s Contraception, Sterilisation and Abortion Act protected objecting physicians, and that the General Medical Council could not force them to refer abortion.  All that is required of a physician who objects to abortion is to decline to begin the process and inform his patient that she may obtain the procedure from another practitioner.  The protection of conscience provision states that objecting health care workers are not obliged “To fit or assist in the fitting, or supply or administer or assist in the supply or administering, of any contraceptive, or to offer or give any advice relating to contraception.”  The ruling was the result of litigation by the New Zealand Health Professionals Alliance, which, earlier this year established a website to support freedom of conscience for health care workers.

 

Irish Bishops’ briefing note on the Protection of Life During Pregnancy Bill 2013

The Catholic bishops of Ireland have sent a briefing note to the Oireachtas (Irish parliament) concerning the controversial Protection of Life During Pregnancy Bill 2013.  Among the criticisms of the bill was the following reference to the bill’s protection of conscience provision:

3.      The Bill also creates a number of serious moral, legal and Constitutional conflicts in the area of freedom of conscience and religious belief, notably:

A.  The Bill provides for conscientious objection by ‘any medical practitioner, nurse or midwife’ only. It excludes others who may be obliged to co-operate in providing abortion services against their conscience or religious belief. This is in contrast to the wording of the proposed Protection of Human Life in Pregnancy Bill 2001, which provided for conscientious objection by ‘any person’ carrying out or assisting in an abortion. The operation of this clause is also unacceptable because it involves a form of co-operation in evil by obliging those who conscientiously object to knowingly put the patient in to the care of medical personnel who will carry out an abortion. In effect, therefore, medical personnel are being given no choice but to cooperate in an abortion. This is in contrast to the practice in many other countries which ask only that the patient be handed over to the care of other medical personnel. Limiting the scope of conscientious objection in this way is potentially in conflict with Article 44.2.3 of the Constitution, which states that: “The State shall not impose any disabilities or make any discrimination on the ground of religious profession, belief or status”, with the general direction of legal interpretation of Article 9 of the European Convention on Human Rights and with recent UK based cases such as Doogan & Anor v NHS Greater Glasgow & Clyde Health Board [2013] ScotCS CSIH 36.

B.  Article 44.2.3 also raises important questions of principle about the application of the Party Whip system to oblige members of the Oireachtas to vote in favour of this legislation, against their religious conscience. It may even open the possibility of a Constitutional challenge to the legislation itself on the basis of an un-constitutional legislative process.

C.  The obligation on ‘appropriate institutions’ identified by the Minister to provide abortion services may be in conflict with existing legal arrangements and, in some cases with Article 44.2.5 of the Constitution, which states that: “Every religious denomination shall have the right to manage its own affairs, own, acquire and administer property, movable and immovable, and maintain institutions for religious or charitable purposes”.

Update on American HHS controversy

The Department of Health and Human Services has confirmed a regulation that will require businesses with over 50 employees to provide health insurance for birth control and surgical sterilization, even if they object to doing so for reasons of conscience.  The regulations includes exemptions for objecting “religious employers” (largely limited to houses of worship) and objecting religious non-profit organizations.  However, the continued demand that objecting business owners be forced to comply and the nature of the exemptions remain unacceptable to many religious organizations.  Speaking for the Becket Fund for Religious Liberty, Eric Rassbach, Deputy General Counsel, said:  

When it comes to religious liberty, the Department of Health and Human Services is acting like a kid who doesn’t want to eat his lima beans. Our Constitution and laws require them to protect religious exercise, but they really don’t want to, so they are trying every trick in the book to avoid doing so. But we will keep suing until the courts make HHS comply with its obligations. [Becket Fund News Release]

The U.S. House of Representatives Energy and Committee has issued a report accusing the Obama administration and Department of Health and Human Services of “unprecedented abuse” of religious liberty.

There are now 61 civil suits filed against the regulation, with over 200 plaintiffs. [Becket Fund, HHS Information Central].  In one of them, a unanimous decision by the10th Circuit Court of Appeals in Denver has directed a lower court allow a civil suit brought by Hobby Lobby, a chain of arts and crafts stores.  The owners of the company object to being forced to provide embryocidal forms of birth control.  They are seeking an injunction against the enforcement of the regulation [The Tennessean].  A Largo, Florida, company with the same objections has been granted a preliminary injunction [Tampa Tribune], as has Geneva College, a Christian college in Pennsylvania [NCR].

American Catholic bishops have been adamant that the HHS regulation is unacceptable, once again declaring a “Fortnight for Freedom” from 21 June to 4 July to encourage opposition to it and support for freedom of religion.  Timothy Cardinal Dolan, Archbishop of New York, has been one of the leading opponents of the law.  The Archdiocese of New York is among the plaintiffs in the lawsuits against the regulation.  However, the Archdiocese of New York has, for years, been indirectly paying for health insurance for employees of the Catholic Health Care System that includes coverage for contraception and abortion.  The arrangement was approved by Cardinal Dolan’s predecessor, Archbishop John O’Connor, who died in 2000.  A spokesman for the Archdiocese stated that the coverage is provided “under protest.”  [New York Times]

What role does Conscience play in Medical Ethics?

  • D. Vincent Twomey, SVD* | . . . conscience is assumed to be a purely subjective thing, a personal preference . . .that is fundamentally irrational. . . The sincerity of those who hold a subjective view of conscience is not in doubt. But is it enough? More importantly, what is wrong about that all-pervasive contemporary understanding of conscience? For the rest of this paper, I will concentrate on such a misunderstanding in the hope of clarifying what conscience in fact is. . . Full Text

Catholics, Baptists Come Together Over Conscience-Rights Bill

National Catholic Register

Archbishop William Lori and Russell Moore of the Southern Baptist Convention are  united by the belief that Congress must act to help preserve freedom of religion  and conscience.

WASHINGTON — Catholic and Baptist leaders are collaborating to ask national  legislators to support a bill that would offer conscience protections to  health-care workers across the country.

“While Catholics and Southern Baptists espouse different theological views,  we are united by the belief that Congress must act to help preserve our freedom  of religion and conscience,” Archbishop William Lori of Baltimore and Russell  Moore of the Southern Baptist Convention wrote in a June 21 letter to members of  Congress. . .  [Full story]