Doctor on duty ‘will not prescribe the birth control pill,’ reads sign at Calgary walk-in clinic

National Post

Manisha Krishnan

CALGARY – A doctor at a Calgary walk-in clinic is refusing to prescribe birth control due to her personal beliefs.

Dr. Chantal Barry will not prescribe contraception, a receptionist at the Westglen Medical Centre confirmed. Patients looking for birth control are provided a list of other offices in the city that prescribe it.

Westglen only has one doctor available to walk-in patients at any given time, so a sign at the facility’s front desk reads, “The physician on duty today will not prescribe the birth control pill.”

“I was shocked and outraged,” said Joan Chand’oiseau, 45, who saw the sign while attending an appointment with her gynecologist Tuesday. Ms. Chand’oiseau immediately posted a photo of the sign on Facebook, prompting angry responses from several of her friends.

“I don’t think her belief system should have any part in my reproductive health,” she said.

Under the College of Physicians and Surgeons of Alberta’s policy on Moral or Religious Beliefs Affecting Medical Care, doctors can refuse to provide medical services, but must ensure the patient is offered timely access to those services from another practitioner. . . [Full text]

Euthanasia rulings in Europe stir right-to-die debate

CTV News

The Associated Press

PARIS  — One French court acquitted a doctor of poisoning seven terminally ill patients while another ordered physicians to suspend treatment for a comatose man, while Britain’s top court said the country’s ban on assisted suicide may be incompatible with human rights.

The decisions of the past few days are fueling the arguments of Europeans who say the duty of doctors is to end the suffering of those beyond treatment.

But emotions run high on all sides around the issue of euthanasia and assisted suicide, as is shown by the bitter case of the comatose Frenchman, Vincent Lambert. Hours after the French court sided with his wife in ordering an end to treatment, the European Court of Human Rights blocked the move at the request of his parents, in a rare late-night ruling. . . [Full text]

Virginia’s compulsory vasectomy

Bioedge

Michael Cook

A Virginia petty criminal has been sentenced to 20 months in prison, three years supervised probation and two years unsupervised probation – and a vasectomy. Twenty-seven-year-old Jessie Lee Herald pleaded guilty to child endangerment, hit and run driving and driving on a suspended license. But it was for none of these that assistant prosecutor Ilona L. White imposed the condition of a vasectomy as part of the plea bargain.

“It was primarily due to the fact he had seven or eight children, all by different women, and we felt it might be in the commonwealth’s interest for that to be part of the plea agreement,” she explained.

He has also agreed not to reverse the vasectomy – which is difficult, in any case – as long as he is on probation.

The quirky conditions of Herald’s sentence, which went viral on the internet, provoked much commentary. It was called “temporary negative eugenics” at Jezebel and at Slate “reproductive coercion“.

Perhaps Ms. White lacks a sense of history, or she would have sensed the irony of compulsory sterilization in Virginia. In 2002, the 75th anniversary of a notorious Supreme Court decision, Buck v. Bell, Virginia Governor Mark Warner publicly apologized for the state’s past involvement in eugenics. He said, “The eugenics movement was a shameful effort in which state government never should have been involved.”

Carrie Buck was a young woman whom the commonwealth of Virginia wanted to sterilise because she came from bad stock. The case went all the way to the US Supreme Court, which ruled, in an 8-1 decision, against Ms. Buck. The majority ruling was written in 1927 by the legendary Oliver Wendell Holmes Jr., whose imperishable argument was:

It is better for all the world, if instead of waiting to execute degenerate offspring for crime, or to let them starve for their imbecility, society can prevent those who are manifestly unfit from continuing their kind. The principle that sustains compulsory vaccination is broad enough to cover cutting the Fallopian tubes. Three generations of imbeciles are enough.

After nearly a century, perhaps the commonwealth of Virginia has come full circle in its attitude toward eugenics. Except that now, two generations seem to be enough.


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Right-to-die already weighing on Quebec’s conscience

 New law has hospitals, doctors grappling with old fears, new moral burdens

Toronto Star

Allan Woods

MONTREAL—Quebec passed a landmark euthanasia law earlier this month meant to end the agony in the final days of a terminal patient’s life. But the legislation has lumped the province’s medical community with an existential burden it is only now confronting.

Doctors are weighing their consciences against their looming legal responsibilities to dying patients. It’s not entirely clear which one will win the day.

“I’ve been working in clinical ethics as a physician for 24 years and this is going to be one of our biggest challenges,” says Dr. Eugene Bereza, director of the centre for applied ethics at Montreal’s McGill University Health Centre.

The process that led to Bill 52, the so-called Medical Aid in Dying legislation, was wrenching enough in a society where the government, school and hospitals were a proxy for the Catholic Church not two generations ago. . . . [Full text]

New Zealand Green Party will force referral for abortion for non-medical reasons

Sean Murphy*

The Green Party of New Zealand has published a position paper that includes a number of statements concerning abortion in the country.  The paper notes that the law now requires that abortion must be approved by two physicians on grounds that the procedure is necessary to preserve the woman’s mental or physical health or because of fetal disability. The party states that, since “99% of abortions are approved on ‘mental health’ grounds,” the current legal situation is ‘dishonest’.  This seems to be a frank admission that 99% of abortions are not, in fact, necessary to ensure mental or physical health.

If it forms a government, the party would decriminalize the procedure completely up to 20 weeks gestation, while continuing “current practice” beyond that point.  In addition, the position paper states that “to prevent coercion either for or against abortion,” it will:

Ensure medical oversight agencies, such as the Medical Council, maintain, publicise and enforce codes of ethics mandating that personal beliefs (including religious, political and moral) are protected, however the practitioner is required to refer the patient to a neutral practitioner in a timely manner.

Three points about this proposal are of interest.

First: it implies that a physician willing to provide an abortion is “neutral” with respect to the procedure, while a physician unwilling to do so is not.  This is incorrect.  To take a position either for or against the acceptability of abortion involves a moral or ethical judgement, just as a moral or ethical judgement is involved in stealing or refusing to steal.

Second: objecting physicians not infrequently refuse to facilitate morally contested procedures by referral because they believe that doing so makes them complicit in the act.  Demanding that they facilitate abortion by referral is not protective of their freedom of conscience or religion.

Third: if the paper is correct in asserting that  no medical grounds exist for “99%” of abortions now taking place in New Zealand,  there would seem to be no reason to compel objecting physicians to refer for the procedure.