Catholic health workers face crisis of conscience

The Catholic Register

Michael Swan

TORONTO – Dr. Luigi Castagna doesn’t think of practicing medicine as a protest movement. But a stalemate over conscience rights for doctors who object to physician-assisted dying may change that.

“We may have to resort to civil disobedience,” Castagna told The Catholic Register.

Castagna is a member and former president of the St. Joseph Moscati Toronto Catholic Doctors’ Guild. He doesn’t think helping a patient commit suicide is good medicine and he doesn’t think he should refer suicidal patients to doctors who believe it their duty to accommodate requests for death.

“You do, on occasion, encounter suicidal patients,” said Castagna. “That’s how we saw them before the (Supreme Court) decision. They were suicidal. It’s a psychological condition and you find out the reason. You do what you do with any patient. You do a history, a physical examination. You establish a diagnosis and you treat them. Successful treatment means that they now wish to live again.”

Given the College of Physicians and Surgeons of Ontario policy that forces doctors to provide an “effective referral” for any recognized, legal medical procedure or treatment, even in those cases where the doctor objects on moral or religious grounds, there is great fear among members of the Doctors’ Guild they will be forced to refer for assisted suicide. . . [Full text]

Ontario physicians oppose referrals for assisted suicide, seek judicial review of CPSO requirement

News Release

Coalition for HealthCARE and Conscience

TORONTO, ONT. (June 20, 2016) – The Coalition for HealthCARE and Conscience, representing more than 5,000 physicians and 100 healthcare facilities across Canada, is heartened that federal legislation for assisted suicide specifically states that no one should be compelled to participate in euthanasia.

However, the coalition is deeply troubled that this directive in Bill C-14 is already being ignored and that doctors who oppose assisted suicide over conscience concerns will be required to help take the lives of patients — at least in Ontario.

The College of Physicians and Surgeons of Ontario (CSPO) demands that doctors who conscientiously object to assisted suicide refer patients seeking to end their lives to other physicians who will provide the procedure.

No other foreign jurisdiction that has legalized assisted suicide requires doctors to perform or refer for this procedure. Other provinces have already implemented guidelines to protect doctors who object to providing or referring for assisted suicide.

“The current approach of the CPSO demands that doctors set aside their morals and go against their conscience to directly refer for assisted suicide,” said Larry Worthen, Coalition member and Executive Director of the Christian Medical and Dental Society of Canada. “In our view, effective referral and participating in assisted suicide are morally and ethically the same thing.”

To ensure that conscience rights are respected for Ontario doctors, three physician groups in the Coalition are seeking an expedited judicial review asking the court to determine whether the approach by the CPSO is unconstitutional.

Members of the Coalition fully support the right people clearly have to refuse or discontinue the use of life-sustaining treatment and to allow death to occur.  However, they also hold strong moral convictions that it is never justified for a physician to help take a patient’s life, under any circumstances.

“By requiring effective referral, the CPSO is forcing people of conscience and faith to act against their moral convictions. This threatens the very core of why they became physicians, which is to help to heal people. This is discrimination. It is unnecessary,” Worthen said.

The Coalition is calling on the College to make accommodations that would allow people who have conscientious objection to assisted suicide to continue to practice medicine.

Protecting conscience rights of health practitioners would require only minor accommodations, such as allowing patients direct access to an assessment or allowing complete transfer of care to another physician.

“There are ways to respect patients’ wishes while protecting conscience rights,” Worthen said. “Not to do so is discrimination against people for their morals and convictions, which are protected in the Canadian Charter of Rights and Freedoms.”

A strong majority of Canadians are on side with the coalition’s beliefs on conscience protection. A recent Nanos Research poll found that 75% of Canadians agreed that doctors “should be able to opt out of offering assisted dying,” compared with 21% who disagreed.

The coalition continues to urge Canadians with concerns about assisted suicide legislation to visit CanadiansforConscience.ca where they can communicate directly with their elected members of provincial or federal parliament.

The coalition represents several like-minded organizations committed to protecting conscience rights for health practitioners and institutions. Members of the coalition include the Catholic Archdiocese of Toronto, the Christian Medical and Dental Society of Canada, the Catholic Organization for Life and Family, the Canadian Federation of Catholic Physicians’ Societies, the Canadian Catholic Bioethics Institute, Canadian Physicians for Life, Evangelical Fellowship of Canada, Archdiocese of Vancouver, and the Catholic Health Alliance of Canada.

 About The Coalition for HealthCARE and Conscience:

The Coalition for HealthCARE and Conscience represents a group of like-minded organizations, including representing more than 110 healthcare facilities (with almost 18,000 care beds and 60,000 staff) and more than 5,000 physicians across Canada, that are committed to protecting conscience rights for faith-based health practitioners and facilities. We were brought together by a common mission to respect the sanctity of human life, to protect the vulnerable and to promote the ability of individuals and institutions to provide health care without having to compromise their moral convictions.

Conscience protection still at risk with assisted death legislation

News Release
For Immediate Distribution

Coalition for HealthCARE and Conscience

OTTAWA, ONT. (April 14, 2016) – The Coalition for HealthCARE and Conscience recognizes that federal legislation tabled today on physician-assisted death has rejected disturbing recommendations from the parliamentary joint committee regarding access to assisted suicide.

However, the coalition, which represents more than 100 healthcare facilities (with almost 18,000 care beds and 60,000 staff) and more than 5,000 physicians across Canada, is concerned that the bill doesn’t protect the conscience rights of health care workers or facilities that morally object to performing or referring for what is being referred to as “medically assisted death.”

By making no reference to conscience rights in the legislation, it appears that the federal government intends to leave it up to individual provincial and territorial governments to determine whether to protect health care workers and institutions and how to do so.

“No other foreign jurisdiction in the world that has legalized euthanasia/assisted suicide forces health care workers, hospitals, nursing homes or hospices to act against their conscience or mission and values,” says Larry Worthen, Coalition member and Executive Director of the Christian Medical and Dental Society of Canada. “These conscience rights must be preserved. As we review this legislation, we will continue to advocate for the vulnerable and for conscience protection, which is provided in the Canadian Charter of Rights and Freedoms.”

A strong majority of Canadians are on side with the coalition’s beliefs on conscience protection. A recent Nanos Research poll found that 75% of Canadians agreed that doctors “should be able to opt out of offering assisted dying,” compared with 21% who disagreed.

Members of the coalition fully support the right people clearly have to accept, to refuse and/ or discontinue the use of life-sustaining treatment and to allow death to occur.  They also hold strong moral convictions that it is never justified for a physician to help take a patient’s life, under any circumstances.

“Our health care workers journey with those who are sick and suffering each day. We will continue to do this in a caring and compassionate way,” Worthen says. “We help patients at the end of life, what we object to is ending their life.”

The coalition contends Canada can significantly reduce the number of people who see death as the only possible option to end their suffering by improving medical and social services.

“Our worth as a society is measured by the support we give to the vulnerable,” said says Worthen. “We need increased access to palliative care, chronic disease and mental health services to help individuals who are suffering across the country.”

The coalition continues to urge Canadians with concerns about assisted suicide legislation to visit CanadiansforConscience.ca where they can communicate directly with their elected members of provincial or federal parliament.

The coalition represents several like-minded organizations committed to protecting conscience rights for health practitioners and institutions. Members of the coalition include the Catholic Archdiocese of Toronto, the Christian Medical and Dental Society of Canada, the Catholic Organization for Life and Family, the Canadian Federation of Catholic Physicians’ Societies, the Canadian Catholic Bioethics Institute, Canadian Physicians for Life and the Catholic Health Alliance of Canada.

For more information, please contact:
Jeff Blay
Media Relations, Coalition for HealthCARE and Conscience
jblay@enterprisecanada.com
289-241-5114


About The Coalition for HealthCARE and Conscience:

The Coalition for HealthCARE and Conscience represents a group of like-minded organizations, including representing more than 110 healthcare facilities (with almost 18,000 care beds and 60,000 staff) and more than 5,000 physicians across Canada , that are committed to protecting conscience rights for faith-based health practitioners and facilities. We were brought together by a common mission to respect the sanctity of human life, to protect the vulnerable and to promote the ability of individuals and institutions to provide health care without having to compromise their moral convictions.

To learn more, visit CanadiansforConscience.ca

Groups make effort to protect physicians’ conscience rights

 The Catholic Register

Deborah Gyapong, Canadian Catholic News

OTTAWA – Doctors’ conscience rights are threatened by a proposed policy of the College of Physicians and Surgeons of Ontario (CPSO) that may force them to refer patients for morally problematic procedures, warn some physicians’ organizations.

The CPSO has given a Feb. 20 deadline for input into the policy that would force physicians to refer patients for procedures such as abortion and assisted suicide (the Supreme Court on Feb. 6 struck down prohibitions against assisted suicide) against their consciences. The College of Physicians and Surgeons of Saskatchewan is also considering similar changes to its policy, with a deadline of March 6 for public input.

The Christian Medical and Dental Society (CMDS) Canada has been working closely with the Canadian Federation of Catholic Physicians’ Societies in rallying opposition to the proposed changes.

“The proposed policy demands that doctors refer for, and in some cases actually perform, procedures like birth control, abortion and even euthanasia,” said CMDS executive director Larry Worthen. “Physicians would have to perform these procedures when the regulator considers them to be ‘urgent or otherwise necessary to prevent imminent harm, suffering and/or deterioration.’  . . . [Full Text]