Whose Rights Come First: Doctors’ or Patients’?

Medscape

Arthur L. Caplan

Hi. I’m Art Caplan. I’m at the Division of Medical Ethics at the NYU School of Medicine. Conscientious objection—everybody seems to be talking about it these days. What are the rights of physicians, pharmacists, nurses, or other healthcare workers to say that something may be legal but they refuse to do it?

This issue has come up particularly as more and more health systems are merging. You see Catholic hospitals merging with secular hospitals. Catholic hospitals have a huge presence in the American world of hospitals and nursing homes, probably accounting for 40% of all facilities. When mergers take place, whose values predominate? . . [Full text]

(Project response: Freedom of conscience in healthcare: “an interesting moral swamp?”)

Position Paper of the Abrahamic Monotheistic Religions on Matters Concerning the End of Life

The position of Abrahamic religions on end of life and palliative care

News Release

Dicastery for Promoting Integral Human Development

Yesterday 28 October at the Casina PIo IV in the Vatican, 40 representatives of the Jewish, Muslim and Christian faiths signed the joint Position Paper of the Abrahamic monotheistic religions on matters concerning the end of life.

Invited by the Pontifical Academy for Life, presided over by His Excellency Archbishop Vincenzo Paglia, the religious, including the Prefect of the Dicastery for Promoting Integral Human Development Peter K. A. Turkson, have committed themselves in 12 points to stating that euthanasia and assisted suicide are morally and intrinsically wrong and should be prohibited without exception. Any pressure and action on patients to end their lives is categorically rejected.

A very important point for the mission of the Dicastery is that concerning  Health Care Workers that states that no health care worker should be forced or subjected to pressure to witness directly or indirectly the deliberate and intentional death of a patient through assisted suicide or any form of euthanasia, especially when such practices go against the health care worker’s religious beliefs, because there should be always respect for conscientious objection to acts that conflict with a person’s ethical values. This remains valid, continues the Paper, even if such acts have been declared legal at a local level or by categories of persons.

Very significant, the joint declaration also addresses the spiritual and material accompaniment of the terminally ill and their families, as well as the use of medical technology at the end of life and the promotion of palliative care.

World Medical Association Reaffirms Opposition to Euthanasia and Physician-Assisted Suicide

News Release

World Medical Association

The World Medical Association has reaffirmed its long-standing policy of opposition to euthanasia and physician-assisted suicide.

After an intensive process of consultation with physicians and non physicians around the world, the WMA at its annual Assembly in Tbilisi, Georgia, adopted a revised Declaration on Euthanasia and Physician-Assisted Suicide.

This states: ‘The WMA reiterates its strong commitment to the principles of medical ethics and that utmost respect has to be maintained for human life. Therefore, the WMA is firmly opposed to euthanasia and physician-assisted suicide.’

It adds: ‘No physician should be forced to participate in euthanasia or assisted suicide, nor should any physician be obliged to make referral decisions to this end.’

The Declaration says: ‘Separately, the physician who respects the basic right of the patient to decline medical treatment does not act unethically in forgoing or withholding unwanted care, even if respecting such a wish results in the death of the patient.’

The revised Declaration defines euthanasia as ‘a physician deliberately administering a lethal substance or carrying out an intervention to cause the death of a patient with decision-making capacity at the patient’s own voluntary request.’

It says that physician-assisted suicide ‘refers to cases in which, at the voluntary request of a patient with decision-making capacity, a physician deliberately enables a patient to end his or her own life by prescribing or providing medical substances with the intent to bring about death.’

WMA Chair Dr. Frank Ulrich Montgomery said: ‘Having held consultative conferences involving every continent in the world, we believe that this revised wording is in accord with the views of most physicians worldwide.’

Voluntary assisted dying and the role of the GP

With assisted dying debates taking place in parliaments around the country, the question now is: What does it mean for GPs?

RACGP: newsGP

Doug Hendrie

Victoria’s voluntary assisted dying legislation came into effect in June.

With other states like Western Australia and Queensland now moving to introduce similar laws, the question now is – what does assisted dying mean in practice for GPs?

To tackle the practicalities of the process, SBS Insight host Jenny Brockie facilitated an expert panel at the RACGP’s GP19 conference in Adelaide. . . . [Full text]

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]