Tag: referral

British Medical Association to move to neutral stance on assisted dying

Pulse

The BMA will move to a neutral stance on physician-assisted dying.

The change in position follows a narrow vote at the BMA Annual Representative Meeting (ARM), which h saw 49% of 302 delegates in favour, 48% against and 3% abstaining.

The motion said: ‘This meeting believes, in order to represent the diversity of opinion demonstrated in the survey of its membership, the BMA should move to a position of neutrality on assisted dying including physician-assisted dying.’

It follows a major BMA survey last year that found more doctors are in favour of seeing the BMA change its stance to support assisted dying than those who are against it. . .Another motion adding that provision should be made for ‘conscientious objection’ in any future UK legislation on assisted dying. . . was also passed. . . A section proposing that clinicians with a conscientious objection should refer the patient to another clinician was passed as a reference – meaning it will be looked at but not made official BMA policy . . . continue reading

The Conservative Party’s stance on conscience rights and free votes should worry progressive voters

Xtra

Tracey Lindeman

Ah, the freedom of conscience.

There it is, the number-one freedom in the Canadian charter: the right to move through this country in ways that don’t compromise your values or beliefs. This freedom underlies other significant parts of the charter, namely the right to bodily autonomy and equality, or sections seven and 15, respectively. 

Who would want to live in a place where we couldn’t make personal decisions about our own bodies, decisions that our own consciences support? Say you want to abort an embryo or fetus growing inside you—that’s your right. Or say you have a terminal illness or awful quality of life, and you want to die on your own terms. That’s your right, too. 

Except, in Conservative leader Erin O’Toole’s vision, in these scenarios it’s the doctors exercising their consciences, not the patients. . . continue reading

Erin O’Toole’s abortion stance serves neither physicians nor women

The Conversation

Gwyneth E. Bergman

Conservative Party leader Erin O’Toole recently found himself at the centre of the abortion debate as he hit the campaign trail in advance of the federal election on Sept. 20.

The controversy arose when he stated he was pro-choice while simultaneously claiming that he supported the rights of physicians to deny abortions on the basis of conscience.

He has since stepped back from that position, claiming instead that physicians must still provide referrals even when they object to providing abortions themselves.

However, while referrals are often said to strike a reasonable balance between physician and women’s rights, it’s not clear whether that’s actually true. . . continue reading

Canada’s politicians go MIA in debate over conscientious objection for doctors

BioEdge

Michael Cook

Conscientious objection to abortion and euthanasia has emerged as an election issue in Canada’s 2021 federal election – and politicians are refusing to defend it.

The pro-choice leader of the Conservatives, Erin O’Toole, has walked back from a promise in his party’s platform to “protect the conscience rights of health-care professionals.”

Does this mean that the Conservatives will defend the right not to refer patients for Medical Aid in Dying? O’Toole fudged an answer, but he was clearly not in favour.

The governing Liberal Prime Minister, Justin Trudeau, jumped on an opportunity to score points: “Pro-choice doesn’t mean the freedom of doctors to choose. It means the freedom of women to choose. Leaders have to be unequivocal on that,” he said last week.

The politicians’ reluctance to support doctors who do not want to refer for abortion or euthanasia is mirrored in the reluctance of the professional associations to defend refusal to refer. The College of Physicians and Surgeons of Ontario requires doctors to provide an “effective referral” within a “timely manner” to another professional or agency, should they consciously object. “Physicians must not impede access to care for existing patients, or those seeking to become patients,” reads the college’s policy.

Quebec’s Collège des médecins du Québec says that: “In Quebec, doctors cannot abandon patients or even ignore their request by invoking conscientious objections, particularly in matters of abortion or medical assistance in dying, without referring them to another colleague. It is an ethical obligation.”

However, Colleges in Newfoundland and Labrador, Nova Scotia and Manitoba all explicitly say that professionals who refuse to provide service are not required to make a referral. They cite the Canadian Medical Association’s Code of Ethics and Professionalism.

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If shamelessness is the key to success in politics, O’Toole is looking good

The Globe and Mail

Andrew Coyne

Nice guys, in Canadian politics, do not finish last: they do not even finish. Our political history is littered with the corpses of decent, principled leaders who never got a sniff at power, but were gutted and filleted by their less-encumbered opponents.

Parties in opposition tend to burn through one or two of the decent, principled types while they figure out what they stand for, before at last realizing that what they really stand for is power. Whereupon they promptly find someone sufficiently shameless to get them there. . . .

So Conservatives must be thrilled to find Erin O’Toole showing promise of the requisite shamelessness. . . continue reading