Alberta Catholic doctors fear erosion of conscience rights

Grandin Media

Andrew Ehrkamp

Many Catholic doctors in Alberta are worried that they will soon be forced to provide referrals for medically assisted suicide, says the head of the provincial St. Luke’s Physicians’ Guild.

Dr. Mary Ellen Haggerty says a recent Ontario court decision sets a precedent that will lead to a legal requirement that any doctor in Alberta must provide that referral. For Catholics, such a referral would make them morally complicit in the act itself. To date the doctors have been protected by the Charter rights to freedom of conscience and freedom of religion if they refused to participate in assisted suicide and euthanasia, as well as abortion and other controversial procedures. . . [Full text]

Varadkar invokes St John Henry Newman in conscience debate

Taoiseach was responding to Labour leader’s call for end to clerics ‘instructing’ politicians

The Irish Times

Marie O’Halloran

Catholic politicians should look to the comments of newly canonised Saint John Henry Newman when considering issues of conscience, Taoiseach Leo Varadkar has said.

Mr Varadkar made his remarks after Labour leader Brendan Howlin highlighted comments by Catholic primate Archbishop Eamon Martin last month at the Kennedy Summer School.

Archbishop Martin said Catholic politicians in particular had a responsibility to support laws that “uphold the dignity of every person from conception to death”. He also cautioned against politicians leading “parallel lives compartmentalised in to spiritual and secular spheres”.

Mr Howlin suggested that this idea of Catholic politicians “has the potential to be deeply problematic” as Irish society becomes more pluralist and multicultural. . .[Full text]

Assisted Suicide Case About Doctor Fired from Catholic Health Network Challenges Religious Freedoms

Newsweek

Jeffery Martin

Centura Health, a Catholic health care network in Colorado, fired a doctor who attempted to help a terminally ill man end his life. According to KDVR, the lawsuit filed against Centura will be going back to state court where questions about freedom of religion could be raised.

Dr. Barbara Morris wanted to prescribe life-ending drugs to Neil Mahoney, a 64-year-old with incurable cancer. Centura’s policies against assisted suicide allegedly violated state law. KCNC reports that after asking a state court to declare that she could not be sanctioned for attempting to help her patient end his life, Dr. Morris was dismissed from her position. . . . [Full text]

Nova Scotia hospital forced to provide euthanasia, assisted suicide

Services to be provided in attached building

Arrangement said to preserve Catholic identity

Sean Murphy*

Hospital

St. Martha’s Regional Hospital in Antigonish, Nova Scotia, will begin providing euthanasia and assisted suicide (EAS). The hospital had refused to provide the services because they were considered to be contrary to the Catholic identity of the hospital. The change of policy appears to have been forced by the threat of a lawsuit by EAS advocates. A campaign to force the hospital to permit EAS services had been ongoing for some time [See 958 days without medical assistance in dying policy, Ban on assisted dying at St. Martha’s hospital should end, says law prof].

St. Martha’s was established by a Catholic religious order, the Sisters of St. Martha. However, in 1996 the order transferred ownership of the hospital to the state. The terms of the transfer were set out in a “Mission Assurance Agreement” that required the state to ensure that “the philosophy, mission and values of St. Martha’s Regional Hospital would remain the same and the hospital would keep its faith-based identity.”1

Notwithstanding the terms of the agreement, from 1996 the hospital was not legally a private or Catholic institution, even though it is popularly known as “Nova Scotia’s only Catholic hospital .”2 EAS advocates argued that state ownership of the hospital made it a state actor obliged to provide euthanasia and assisted suicide.1 Logically, this would also apply to abortion, surgical sterilizations, and other procedures contrary to Catholic teaching.

The Nova Scotia Health Authority states that the change of policy is consistent with “the spirit of the Mission Assurance Agreement,”3 which seems to imply that a way has been found for the hospital to “keep its [Catholic] faith-based identify” while providing euthanasia and assisted suicide.

According to NSHA’s Vice President of Health Services and Chief Nursing Executive Tim Guest, euthanasia and assisted suicide will be provided in the Antigonish Health and Wellness Centre, formerly the Martha Center.4

Built in 1961, the Antigonish Health and Wellness Center is attached to St. Martha’s Regional Hospital. In 2009, still known as the Martha Center, it was described as “primarily a professional building” of 92,000 square feet that had undergone major renovations between 2006 and 2009.5

The Sisters of St. Martha have issued a statement:

The Sisters of St Martha were informed that the Nova Scotia Health Authority continues to uphold our Mission Assurance Agreement, while providing access in Antigonish for individuals who request Medical Assistance in Dying (MAID).

The Nova Scotia Health Authority has assured us that Medical Assistance in Dying (MAID) will not take place in St. Martha’s Regional Hospital. We do not own St. Martha’s Regional Hospital, or the building called the Antigonish Health and Wellness Center. . . 6

It is not clear from the statements if assessments and preliminaries for euthanasia/assisted suicide will occur in the hospital building, with actual administration of lethal medication taking place in the Health and Wellness Center.

1. Downie J, GilbertD. Nova Scotia now a leader in medical assistance in dying [Internet]. The Chronicle Herald. 2019 Sep 19.

2. Willick F. Ban on assisted dying at St. Martha’s hospital should end, says law prof [Internet]. CBC News. 2018 Dec 28.

3. Lord R, Quon A. NSHA quietly changes medically assisted dying policy at Catholic hospital [Internet]. Global News. 2019 Sep 18.

4. 989XFM. Nova Scotia Health Authority allows Medically Assisted Death at St. Martha’s Regional Hospital [Internet]. 2019 Sep 19.

5. Guysborough Antigonish Strait Health Authority. Request for Proposal: Radio Frequency (RF) Wireless Site Survey [Internet]. 2009 Apr 17.

6. Boisvert B. Sisters of St. Martha Media Statement [Internet]. 2019 Sep 19.

Pope Francis on conscientious objection by health care practitioners

La Croix misrepresents papal statement

Sean Murphy*

Pope FrancisAn article in La Croix International, “Pope reminds health workers to put patients first” includes a subtitle, “Conscientious objectors told that human dignity demands exceptions sometimes be made.” (La Croix International, 20 May, 2019)

The subtitle reflects speculation by critics unidentified by the article’s anonymous author(s) that the Pope’s comments were aimed at “pro-lifers who may object to performing an abortion, even though the mother may, for various reasons, risk serious and even life-threatening physical or psychological trauma should she try to conceive.”

La Croix appears to be alone among news agencies in putting this “spin” upon the Pope’s address (Compare reports by Crux, Vatican News, ANSA, and the Catholic Herald, for example).

“[T]o put patients first” accurately conveys one of Pope Francis’ messages to the Italian Catholic Association of Health Care Workers.

“Conscientious objectors told that human dignity demands exceptions sometimes be made” does not.

Nothing in the text of the of the Pope’s address remotely suggests that human dignity sometimes requires health care workers to set aside their conscientious convictions and their objections and do what they believe to be wrong.

Pope Francis said nothing of the kind.  But that is precisely the kind of demand made by activists and even state authorities in a number of countries, even (as in Canada) to the extent of forcing unwilling practitioners to be parties to killing their patients or helping them commit suicide.

The misrepresentation exemplified in the La Croix article supports such attacks on freedom of conscience (and religion) and exacerbates the problems faced by healthcare practitioners attempting to resist them.

What Pope Francis actually had to say warrants attention by anyone who wants to understand the exercise of freedom of conscience by health care practitioners.

He noted that “any medical practice or intervention on the human being must first be carefully assessed if it actually respects human life and dignity (“di ogni pratica medica o intervento sull’essere umano si deve prima valutare con attenzione se rispetti effettivamente la vita e la dignità umana.”) .

When health care practitioners refuse to provide procedures or services, it is typically because they have made that assessment,and consider the interventions contrary to the good of the human person and subversive of the integrity and dignity of human life: in brief, harmful to the patient.

Conscientious objection in such circumstances, the Pope said, does not just reflect the need to preserve one’s personal integrity, but “also represents a sign for the healthcare environment in which we find ourselves, as well as for the patients themselves and their families” ( “ma rappresenta anche un segno per l’ambiente sanitario nel quale ci si trova, oltre che nei confronti dei pazienti stessi e delle loro famiglie. “)

In many situations, this “sign” may well be a sign of contradiction to the dominant ethos, likely to trigger violent emotional reactions and repression by state or professional authorities. Hence, for purely pragmatic reasons, it behooves objecting practitioners to be careful in expressing themselves. Beyond this, Pope Francis offers advice that reflects the actual practice of practitioners who responsibly exercise freedom of conscience:

La scelta dell’obiezione, tuttavia, quando necessaria, va compiuta con rispetto, perché non diventi motivo di disprezzo o di orgoglio ciò che deve essere fatto con umiltà, per non generare in chi vi osserva un uguale disprezzo, che impedirebbe di comprendere le vere motivazioni che ci spingono. È bene invece cercare sempre il dialogo, soprattutto con coloro che hanno posizioni diverse, mettendosi in ascolto del loro punto di vista e cercando di trasmettere il vostro, non come chi sale in cattedra, ma come chi cerca il vero bene delle persone. Farsi compagni di viaggio di chi ci sta accanto, in particolare degli ultimi, dei più dimenticati, degli esclusi: questo è il miglior modo per comprendere a fondo e con verità le diverse situazioni e il bene morale che vi è implicato.

The choice of the objection, however, when necessary, must be made with respect, so that what must be done with humility, so as not to generate an equal contempt, which would prevent the understanding of the true motivations that drive us. Instead, it is good to always seek dialogue, especially with those who have different positions, listening to their point of view and trying to transmit yours, not as someone who goes up in the chair, but as someone who seeks the true good of people. Be the traveling companions of those around us, especially the last, the most forgotten, the excluded: this is the best way to fully understand the different situations and the moral good that is involved.

Source: Libreria Editrice Vaticana, Discorso del Santo Padre Francesco all’ Assocziazone Cattolica Operatori Sanitari (ACOS).  Sala Clementina, Venerdì, 17 maggio 2019.

Photo by Nacho Arteaga on Unsplash