Freedom of Conscience Recognized

NEWS RELEASE

5 June, 2000

Protection of Conscience Project

Pharmacists in Manitoba have decided that they should not be forced to be involved in medical procedures that they find morally abhorrent.

The Annual General Meeting of the Manitoba Pharmaceutical Association adopted a policy that pharmacists may refuse to dispense certain drugs for reasons of conscience. Such  policies exist in the United States, but it is believed that this is the first time a  pharmacists’ association in Canada has formally recognized the importance of freedom of conscience.

News of the development was conveyed to the Protection of Conscience Project in a letter from Ronald F. Guse, Registrar of the Manitoba Pharmaceutical Association.

The Association rejected a clause that would have forced conscientious objectors to involve themselves by making a referral to another pharmacist.

“Pharmacists in Manitoba who voted for this measure should be congratulated and thanked by their colleagues,” said Sean Murphy, Administrator of the Protection of Conscience Project. “The present concern among conscientious objectors is the so-called ‘morning-after-pill’. However, if non-objecting pharmacists do not support their colleagues on this issue, they should expect no support if they object to  dispensing drugs for assisted suicide, euthanasia, and execution by lethal injection.”

“If that seems somewhat far-fetched,” Murphy added, “the College of Pharmacists of British Columbia is already speculating about the expansion of pharmacy services to include such procedures.”

Project letter to the editor, Globe and Mail

(Not published)

Joy Thompson and Hazelle Palmer betray a fundamental misunderstanding of conscientious objection in their criticism of Concerned Pharmacists for Conscience (Don’t let drug stores become pulpits, Globe & Mail, 26 April 2000).

Pharmacists who have moral objections to dispensing the morning after pill usually assert that a new, unique and living human being begins to exist – and pregnancy begins – with the union of sperm and egg. This union they call conception or fertilization. These are hardly novel propositions in an era when fertilization is accomplished routinely in petri dishes, the resulting early embryos kept alive and matured pending implantation – or civil litigation.

The morning after pill prevents the union of sperm and egg only if it is taken in time to suppress ovulation. In other cases, it brings about the death of the early embryo by preventing implantation in the womb. This is the crux of the moral problem faced by pharmacists who hold that it is gravely wrong to deliberately cause the death of the developing human being at any point after conception.

Planned Parenthood and The Society of Obstetricians and Gynaecologists of Canada think that the morning after pill is a good thing. They call it ‘emergency contraception’, they claim that it does not cause abortions, and they ridicule those who disagree. “Out of step with medical community”, “professionally irresponsible, or blatantly uninformed”, and “inventing a controversy” are the accusations hurled from the Planned Parenthood pulpit at conscientious objectors.

The controversy being invented here arises from a difference in terminology. Thompson and Palmer et al define conception – and the beginning of pregnancy – as implantation of the early embryo in the womb, not as the union of sperm and egg. Thus, in their view, ‘contraception’ includes not only drugs or devices that prevent conception (fertilization), but anything that prevents implantation of the early embryo. That is why they describe the morning after pill as a ‘contraceptive’, regardless of its mechanism, and insist that it does not interfere with pregnancy. In their lexicon, the existence of the early embryo following fertilization does not count as pregnancy unless implantation occurs, and the destruction of the embryo prior to implantation is not abortion. The public can hardly be expected to make sense of the present dispute unless these points are clarified.

Out of step with medical community? The Canadian Medical Association advises physicians who have moral objections to abortion to explain this to their patients, and insists that there be no discrimination against physicians who refuse to perform or assist with abortions. Dr. John Williams, the CMA’s Director of Ethics, recently confirmed that doctors are not obliged to refer patients for abortions. “Respect for the right of personal decision in this area must be stressed,” states CMA policy. Is the respect given to doctors to be denied pharmacists and other health care professionals because powerful interests are able to shout them down?

Contrary to Thompson and Palmer’s assertions, conscientious objectors are not trying to prevent the introduction of abortifacient or contraceptive drugs, nor are they attempting to block access to them. These are impossible objectives for such a vulnerable minority with limited means. Instead, they simply ask that they not be hounded out of their professions because they will not do what they believe to be gravely wrong. Does The Best Country in the World have room for such people?

Sean Murphy, Administrator
Protection of Conscience Project

Project letter to the Edmonton Sun

Edmonton, Alberta, Canada
25 April, 2000

Sean Murphy, Administrator
Protection of Conscience Project

Mindelle Jacobs cites Arthur Schafer, director of the Centre for Professional and Applied Ethics at the University of Manitoba, to the effect that conscientious objectors should be driven out of the medical profession if they are unwilling to provide “perfectly legal services” to patients who want the services but can’t go elsewhere to get them. According to Jacobs, Alberta Pharmaceutical Association registrar Greg Eberhart has similar views (Pharmacists want right of refusal, Edmonton Sun, 16 April, 2000).

Well, perhaps they wouldn’t drive them out of the profession. Perhaps they’d just drive them out of the province, or out of the country. Freedom of conscience, if you insist, but not in my back yard.

Now, Jacobs is surely convinced of the truth of the moral vision she shares with Schafer and Eberhart, and of its fundamental importance. After all, she wants to impose that morality by denying conscientious objectors employment, or firing them, or forcing them to go elsewhere to make a living. One wouldn’t do such things unless the morality to be imposed was at least superior to the morality being suppressed, and unless one was also convinced of the necessity of forcing it upon others.

Unfortunately, Jacobs does not explain why her morality is superior to that of pharmacists like Maria Bizecki and Concerned Pharmacists for Conscience. Instead, she indulges in a bit of speculative scare-mongering. If “Bizecki and her pals”have their way, she wonders, “Where will it stop?”

One might also ask where it will stop if conscientious objection is suppressed. A recent bulletin from the College of Pharmacists of British Columbia (Vol. 25, No. 2. Ethics in Practice: Moral Conflicts in Pharmacy Practice) suggests the answer. Driven by the primary ‘ethical criteria’ of legality and consumer demand, the CPBC would require pharmacists to dispense drugs not only for abortion, but for euthanasia, assisted suicide and execution by lethal injection. Canada Safeway, apparently taking its ethical direction from such missives, entered the millennium by asserting that it has the right to ensure employees with religious scruples “promptly serve its customers” and not direct them to competitors for euthanasia drugs and abortion pills (Pharmacy Policies and Procedures, Section IV, Pharmacy Operations, Chapter 4, 1/1/2000, Page No. 16).

Alberta M.L.A. Julius Yankowsky has put forward a bill seeking limited legal protection of conscience for health care workers. The bill does not take any position on the morality or desirability of abortion, assisted suicide, euthanasia or other controversial medical procedures. It simply recognizes that such procedures are morally controversial. It permits discussion and reasoned argument, but not discrimination or coercion.

Sadly, the reaction of Mindelle Jacobs, Arthur Schafer and Greg Eberhart to Mr. Yankowsky’s modest proposal demonstrates the need for such legislation.

New advisors join Project

News Release

Protection of Conscience Project

Two new advisors joined the Project in March.

J. Budziszewski, Ph.d, is Associate Professor, Departments of Government and Political Philosophy, University of Texas (Austin), U.S.A.. He is a specialist in ethical and political philosophy, is the author of five academic books, most recently “The     Revenge of Conscience: Politics and the Fall of Man” (1999) and “Written on the     Heart: The Case for Natural Law”(1997). He has contributed numerous articles and     reviews to both scholarly and popular periodicals, including “First Things”, the     “American Journal of Jurisprudence”, the “Journal of Politics”, the “American Political Science Review”, the “Weekly Standard”,  the”National Review”, and Public Choice”.

David Novak, A.B., M.H.L., Ph.d., is the Richard and Dorothy Shiff Chair of Jewish     Studies, University of Toronto, Ontario, Canada. He is Professor of the Study of Religion at the University of Toronto, and also Professor of Philosophy, with appointments in University College, the Faculty of Law, the Joint Centre for Bioethics, and the Institute of Medical Science. He is also Director of the Jewish Studies Programme. From 1989 to 1997 he was the Edgar M. Bronfman Professor of Modern Judaic Studies at the University of Virginia. He had taught previously at Oklahoma city University, Old Dominion University, the New School for Social Research, the Jewish Theological Seminary of America, and Baruch  College of the City University of New York. From 1966 to1969 he was Jewish Chaplain to St. Elizabeth’s Hospital, National Institute of Mental Health, in Washington, D.C.

 

New advisor joins Project

News Release

Protection of Conscience Project

Janet Ajzenstat, Professor of Political Science at McMaster University in Hamilton     Ontario, has joined the advisory board of the Protection of Conscience Project.
Professor Ajzenstat teaches public law and political philosophy.  Her most recent     books are Canada’s Founding Debates (edited with Paul Romney, Ian Gentles and     William D. Gairdner [Stoddart, 1999], and Canada’s Origins (edited with Peter J.     Smith [Carleton University Press, 1995]).  She is associated with the Centre for     Renewal in Public Policy and the Dominion Institute.  In 1988-89 she was Executive     Director of the Human Life Research Institute (now the Barrie de Weber Institute). Her  most recent contribution to reports for the Institute is Going it Alone (co-authored with Elizabeth Cassidy, Elise Carter and Gerald Bierling), a study of pregnant, unmarried women who have chosen to continue their pregnancies.

The Protection of Conscience Project is a non-denominational, non-profit group of     individuals consisting of a project team and advisory board.  The Project

  •  advocates for protection of conscience legislation;
  • provides information on protection of conscience legislation worldwide;
  • promotes clarification and understanding of the issues involved to assist in reasoned public discussion;
  • acts as a clearing house for reports from people who have been discriminated against for reasons of conscience.