CMA physicians call on HHS to protect patients with regulations upholding healthcare professionals’ rights

NEWS RELEASE
July 15, 2008
For Immediate Release

Christian Medical Association

Washington, D.C.–July 15, 2008– Responding to a story published this morning by the New York Times , physicians of the Christian Medical Association called  on Secretary of Health and Human Services Michael O. Leavitt to publish  regulations in accord with federal laws protecting patients and healthcare  professionals in decisions relating to controversial procedures and  prescriptions. The New York Times indicated that the Department has drafted regulations “to ensure that  federal money does not ‘support morally coercive or discriminatory practices or  policies in violation of federal law.'”

“It’s high time that the will of the people, as expressed over the past 35 years  through laws passed by Congress, finally be translated into practical healthcare  regulations,” noted Dr. David Stevens, CEO of the 13,000-member faith-based  professional organization of doctors, in a letter today to the Secretary. “Americans  on all sides of controversial issues such as abortion, reproductive technologies  and assisted suicide can appreciate the need to protect everyone’s First  Amendment rights of free speech and religious exercise. That means that  healthcare professionals must be free to follow their individual conscientious  convictions on these life-and-death matters. The CMA  letter also noted, “An informal survey of Christian Medical Association members  found that over 41 percent of respondents had been “pressured to compromise  Biblical or ethical convictions.”

Anecdotal accounts suggest that few persecuted  healthcare professionals actually know their conscience rights and that they  typically simply submit to pressure by resigning. Unless pro-life professionals  are equipped to know and apply their conscience rights, they actually stand at risk of being weeded out from the profession altogether .

Dr. Gene Rudd, Executive Vice President of the CMA, noted, “From the 1973 Church  Amendment to the more recent Hyde-Weldon Amendment, Congress has recognized the  importance of protecting patients and their healthcare professionals from  political pressures on these vital issues.”Patients are protected when physicians follow objective ethical codes, such as  those expressed in the Hippocratic Oath and the Judeo-Christian Scriptures. We  recognize that some individuals choose to refuse to follow these principles, and  under current law, that is their choice. “The regulations reportedly under consideration at Health and Human Services  apparently would simply protect the right for all healthcare professionals to  make professional judgments based on moral convictions and ethical standards.  Protecting this right also protects patients who choose their physicians based  on life-affirming values.”

Contact: Becky Gerber  Telephone: 888-231-2637    E-mail: becky.gerber@cmda.org The Christian Medical Association is equipped with Ku Band Digital Uplink  satellite and ISDN lines.

Planned Parenthood and “Anti-Choice” Rhetoric

News Release

Protection of Conscience Project

Planned Parenthood Alberta is recycling the accusation that physicians who object to abortion may “scare” patients with “misinformation” or “impose their moral beliefs.” This smear may be unfairly applied to conscientious objectors who follow the guidelines of the Canadian Medical Association (CMA) and the College of Physicians and Surgeons of Alberta (CPSA).

The CMA advises physicians to inform a patient when their personal morality would influence their recommendations or practice, and to advise patients of their objections to abortion. The CPSA expects physicians to provide information to patients seeking abortion so that they can “make informed decisions on all available options for their pregnancies, including termination.”

On the other hand, objecting physicians can hardly be expected to present morally controversial procedures as morally uncontroversial, or in such a way as to indicate that they approve of them or are indifferent to them. Moreover, the information they reasonably believe necessary to permit the patient to make a truly “informed decision” may be more comprehensive or in other respects different from what Planned Parenthood is accustomed to provide its clients.

An interest group like Planned Parenthood might well stigmatize such discussion as ‘moralizing’ and providing ‘misinformation’. Partisan polemics of this sort do not provide a basis for sound policy making.

Planned Parenthood Alberta is compiling a list of what it calls “anti-choice doctors.” If it is desirable to help patients find physicians who share their outlook on moral issues, it would be preferable for doctors to identify themselves, perhaps through the College of Physicians and Surgeons or professional associations.

But if Planned Parenthood persists in its plan to identify “anti-choice doctors”, it should include in its list the names of physicians who believe that their colleagues should be forced to provide or facilitate morally controversial procedures.

Related: Planned Parenthood and “Anti-Choice Rhetoric” (commentary)

Pro-life nurse reaches settlement agreement with Oregon health department over request for religious accommodation, abortion

Rutherford Institute Attorneys, Health Department Agree on Resolution to Implement New Policies

Salem, Ore.— Attorneys for The Rutherford Institute have reached a mutually agreeable resolution with the Marion County Health Department on behalf of Janice Turner, a public health nurse who lost her job with the health department due to her deeply held religious belief that life begins at conception. The settlement agreement provides for the enactment of two new policies.  The first policy guarantees that all clients who receive emergency contraception, a.k.a. “the morning after pill,” will be informed in easily understandable terms that it functions by preventing the implantation of a fertilized ovum if conception has already occurred. The second policy, a general statement of employees’ rights to religious belief and expression within the workplace, prevents discrimination based upon religious or moral beliefs regarding abortion or contraception and requires the health department to accommodate those beliefs.  Patterned after existing Conscience Clause legislation, this policy ensures that employees who refuse to accept job duties that contradict their religious or moral beliefs regarding abortion or contraception can do so without fear of being fired, demoted, transferred or disciplined.

Turner, who worked for the Health Department from 1990 until July 2001, had early on in her employment expressed her religious opposition to abortion and requested accommodation from having to discuss or promote abortion procedures with her patients. According to Turner, her initial supervisor accommodated her religious beliefs and allowed her to refer those patients wanting to receive emergency contraception or information about abortion to another nurse. However, in 1995, a new supervisor was appointed to the Women’s Clinic who declared herself to be pro-choice and allegedly acted in a manner intolerant of other viewpoints. According to Turner, this new supervisor stated her expectation that everyone on staff discuss emergency contraception with patients as “a method of contraception that will prevent a pregnancy” and discouraged the nurses from referencing it as a possible abortifacient.  Turner claims that her supervisor continually reiterated her distaste for Turner’s pro-life views regarding emergency contraception and repeatedly told her that she “was not a complete nurse.”  During Turner’s final evaluation, the supervisor warned Turner that her position could be cut in the department budget, and if Turner wanted another position in the department, she would have to be willing to dispense emergency contraception. Attorneys for The Rutherford Institute filed a complaint in Janice Turner’s behalf last year in U.S. District Court.

“This is a timely issue which brings to light the importance of protecting health care workers’ rights, especially those who have sincerely held religious beliefs regarding abortion,” stated John W. Whitehead, president of The Rutherford Institute.  “It is also heartening to see that women, some of whom may have religious beliefs against taking an abortifacient, will be given complete information regarding the effect of the morning-after pill on a possibly fertilized ovum and its medical implications.”

The Rutherford Institute is an international, nonprofit civil liberties organization committed to defending constitutional and human rights.

Nisha N. Mohammed Ph: (434) 978-3888, ext. 604;
Pager: 800-946-4646, Pin #: 1478257
Email: Nisha N. Mohammed

Louisiana Health Dept. Reverses Itself In “Morning-After” Pill Case

State Agrees To Provide Religious Accommodation For Nurse After Discrimination Complaint Filed With EEOC

News Release

American Center for Law and Justice

(New Orleans, LA) – The American Center for Law and Justice, an international public interest law firm committed to protecting life, announced today that the Louisiana Department of Health and Hospitals has reversed itself and has now agreed to stop discriminating against a public health nurse from New Orleans who was threatened with termination for refusing to dispense pregnancy-ending medication – a job requirement that violates her deeply held religious beliefs.

The move comes less than one week after the ACLJ filed formal complaints with the Equal Employment Opportunity Commission (EEOC) and the Louisiana Commission on Human Rights contending that Louisiana Dept. of Health and Hospitals is discriminating against the nurse because of her religious beliefs.

“We’re delighted that the religious beliefs of our client will now be accommodated in the workplace,” said Stuart J. Roth, Senior Counsel of the ACLJ, which is representing the nurse. “From the beginning, our client just wanted to do her job without violating her conscience and her religious beliefs. Unfortunately, it took formal action on our behalf and publicity about the case before the state agreed to do what it should have done all along – stop threatening and criticizing our client and permit her to work without violating her religious beliefs.

Last week, the ACLJ filed complaints with the EEOC and the Louisiana Commission on Human Rights on behalf of Cynthia Day of Marrero, Louisiana who is employed as a Public Health Nurse III with the Louisiana Department of Health and Hospitals, Office of Public Health at a clinic in New Orleans. The complaints contend that Day repeatedly told her supervisors that she could not dispense what is known as an emergency contraception pill, also known as a “morning-after” pill – medication designed to end pregnancies. Day says she holds a sincere religious belief that human life, beginning at fertilization, is sacred and cannot be harmed in any way.

But instead of accommodating her beliefs, the complaints contend that Day was criticized for her beliefs and threatened with being fired. In fact, as the complaints were being filed last week, Day received a disciplinary letter from her employer – a letter proposing a five-day suspension without pay for insubordination.

Then, within days of filing the complaints and following publicity about the case, Day received a letter from Madeline W. McAndrew, Assistant Secretary of the Dept. of Health and Hospitals. In the letter dated October 25th, McAndrew said the Health Department “is rescinding the proposed action and will accommodate your request based on religious and moral grounds.” McAndrew told Day that she instructed officials to “immediately remove you from any duties that require you to discuss or provide the emergency contraception pill.” At the same time, McAndrew stated that a listing of “reassignment opportunities” will be made available to Day “for future permanent duty assignments to accommodate your request …”

“We plan to withdraw the complaints filed with the EEOC and with the Louisiana Commission on Human Rights when our client receives the accommodation,” said Roth. “We will continue to work with our client to ensure that her religious beliefs are accommodated and monitor the ongoing employment status very closely to make sure she is not discriminated against in the workplace.”

“This is a very important victory in one of the fastest growing areas of pro-life litigation – protecting the conscience rights of health care workers,” said Roth.

The resolution of the Louisiana case comes on the heels of a major federal court decision in California. In May 2002, the ACLJ successfully convinced a jury that Riverside County violated the constitutional rights of a former nurse who was fired from her job for refusing to dispense “morning-after” medication. A federal court jury found that the county violated her First Amendment rights of free speech, freedom of religion, and failed to reasonably accommodate her religious beliefs. Damages in that case – including a jury award and attorney’s fees – totaled $100,000.


The American Center for Law and Justice is an international public interest law firm specializing in constitutional law and protecting human life. The ACLJ is headquartered in Virginia Beach, Virginia, USA.

Traumatised health care professionals forced to take part in abortion procedures

News Release

Doctors for Life, South Africa

The incident at Philadelphia Hospital again highlights the unbearable pressure exerted on healthcare professionals to take part in the Termination of Pregnancy Act against their conscience. The following quotes were collected from traumatized Health Care Professionals whom Doctors For Life contacted:

Healthcare worker 1: “I never really understood what a TOP was, and didn’t really think to find out, I didn’t ask the patient why she was crying before she went in, I just held her hand and told her it would be okay. When the procedure was nearing the end, I looked into the vacuum bottle to see what I could see. A hand with an arm attached to it, a tiny leg, with a kneecap, and a head without the mouth. This little tot must have been about 16 – 18 weeks. Then the realisation hit me, this is why she was crying.”

“On one occasion the nursing sister thrust open the door of the sluice room and demanded that I stay away. Being a woman, it’s never easy to say; ‘I must stay away’ we are all as inquisitive as cats. I peered into the sluice room and saw a tiny baby girl. She must have been about 23 – 25 weeks old. My heart lurched into my throat, to see this little girl gasping for air, and her little arms were grasping at air.”

“My response was to wrap her up and take her home and try and make her live. I didn’t, and she wouldn’t have made it. She tried to cry, and little grunting noises were falling on deaf ears. I too turned my back on her, and went to sit in the linen room until she passed away.”

Healthcare worker 2: ” I don’t know who to talk to, I don’t want to have part in abortion because of my convictions, but am being pressurised by the government to work in the woman’s ward. They give abortion tablets and we have to complete the mess. I am too afraid to speak over the radio for fear that my voice may be recognised and because I need to consider my income.”

Healthcare worker 3: “I work at the T.O.P. clinic but I do not want to work here yet I am being pressurised to do so. Somebody needs to stop this. They can’t do this”

Healthcare worker 4: “They are very subtle, I stood up against abortion, and afterwards there were the following repercussions: I did not get any promotion; everything I said they shot down. The district nominated me to attend a seminar, but the director said I could not go because I am against abortion. I don’t think I will speak over the radio. Everything to do with abortion gives me a mental block.”

Healthcare worker 5: “Of cause it is a traumatic experience to be part of an abortion procedure. Once I was called to take an aborted baby to the sluice. It traumatised me for a long time”

Doctors For Life International (DFL) represents 750 doctors, specialists and professors of medicine from different medical faculties across South Africa.

Doctors For Life will assist and give legal advice in cases where nurses, doctors and other healthcare workers are being pressurised to have part in abortion procedures against their conscience.

Enquiries: Dr Jay Mannie (Dep. CEO)

Mobile phone: +27(0)83 6414 382
More Information: www.dfl.org.za