Trampled rights

Catholic Register (Editorial)

Requiring doctors to remain pillars of integrity while chipping at their moral underpinning is an odious contradiction. Yet that is what the College of Physicians and Surgeons of Ontario proposes with a draconian new policy that tramples on conscience and religious rights.

The provincial regulatory body disregarded the majority view of 16,000 public submissions, dismissed the opinion of the Ontario Medical Association and the American Medical Association, and rejected the policy of the Canadian Medical Association when it voted 21-3 to force doctors to refer patients who seek treatments that their own doctor won’t provide due to moral or religious convictions. . . [Full text]

In the assisted-dying debate, where’s the compassion for doctors?

Edmonton Journal (Editorial)

What happens when those we trust most with human life are suddenly in charge of death?

Earlier this month, the B.C. Court of Appeal upheld a decision by the Supreme Court of Canada, ruling against a family who wanted their mother’s care home to stop spoon-feeding her.

It’s difficult to fault either party.

Margaret Bentley, 83, neither speaks nor recognizes her relatives, and her family is certain the former dementia-ward nurse, now in the late stages of Alzheimer’s disease herself, would not want her life to continue in her current state.

A living will written by Bentley in 1991 outlined as much in no uncertain terms: “If at such a time the situation should arise that there is no reasonable expectation of my recovery from extreme physical or mental disability, I direct that I be allowed to die and not be kept alive by artificial means or ‘heroic measures.’ ”

But Bentley’s health-care workers refused to deliberately withhold food. They argued that by opening her lips to receive food when touched with a spoon, Bentley was consenting to being fed, and thus to being kept alive. The courts agreed. . . [Full text]

Doctors who refuse to provide services on moral grounds could face discipline under new Ontario policy

National Post

Sharon Kirkey

Doctors who refuse to prescribe birth control or other medical services because of their personal values could face possible disciplinary actions, Canada’s largest medical regulator says.

Moral or religious convictions of a doctor cannot impede a patient’s access to care, the College of Physicians and Surgeons of Ontario said Friday in a 21-3 vote supporting an updated Professional and Human Rights policy.

The policy makes clear: “You cannot kick someone out of your office without care,” said Dr. Marc Gabel, past president of the college and chairman of the policy’s working group.

Some council members said the new code, which the college expects physicians to comply with or face complaints of professional misconduct, could lead to “state-run” medicine, while others said the church has no place in a doctor’s office. . . [Full text]

Unacceptable to force doctors to participate in assisted dying against their conscience: CMA head

National Post

Sharon Kirkey

No physician in the country should be forced to play a role in any aspect of assisted dying against their moral or religious beliefs — including referring patients to another doctor willing to help them die, the Canadian Medical Association says.

Legalized physician-assisted death will usher in such a fundamental change in practice “we simply cannot accept a system that compels physicians to go against their conscience as individuals on something so profound as this,” CMA president Chris Simpson said in an exclusive interview.

The unanimous Supreme Court of Canada ruling legalizing assisted dying would not compel doctors to help patients end their lives when the historic decision takes effect next year.

But the justices were more guarded on the issue of mandatory referral, saying the Charter rights of both patients and doctors will need to be reconciled.

Dr. Simpson said that many doctors who conscientiously object to assisted dying feel the very act of referral “is contrary to their personal ethics or moral or religious beliefs.” . . . [Full text]

How far should a doctor go? MDs say they ‘need clarity’ on Supreme Court’s assisted suicide ruling

National Post

Sharon Kirkey

Canada’s doctors are seeking clarity from the federal government on what the Supreme Court of Canada intended in its landmark ruling on assisted dying, including the question of how far a doctor is permitted to go in contributing to a patient’s death.

“We’ve got a few key questions that we think need clarity and this is one of them: Is it euthanasia or is it assisted dying?” said the Canadian Medical Association’s director of ethics and professional affairs, Dr. Jeff Blackmer.

The powerful doctors’ lobby said it is not clear whether the high court has opened the door not just to assisted suicide  –  where a doctor writes a prescription for a lethal overdose of drugs the patient takes herself  –  but also to something many physicians find profoundly more uneasy: pushing the syringe themselves. . . [Full text]