Controversy over doctors’ right to say “no”

The most controversial issues relate to abortion referrals or prescribing birth control.

CMAJ September 16, 2014 186:E483-E484; published ahead of print August 18, 2014

Wendy Glauser

Religious groups, doctor’s organizations, ethicists and abortion rights advocates are raising concerns around the review of an Ontario policy that outlines, among other things, physicians’ right to object to patients’ requests for services on moral grounds.

The College of Physicians and Surgeons of Ontario’s Physicians and Ontario Human Rights Code is up for its five-year review, with both public and expert opinion being sought.

On one side of the spectrum, faith groups and especially Catholic organizations are asking that the current policy  –  which allows physicians to opt out of non-emergency services they conscientiously object to  –  shouldn’t be amended.

While the policy covers any potential objection, the ones most discussed in the media have been related to abortion referrals or prescribing of birth control. [Full text]

Policy allowing doctors to deny treatment on moral or religious grounds under review

Globe and Mail

Kelly Grant

Doctors who refuse to provide certain treatments on religious or moral grounds must tread delicately or risk trampling human-rights laws, according to the chief commissioner of the Ontario Human Rights Commission, which is expected to weigh in soon on a review of professional guidelines for physicians practising in Canada’s largest province.

“First and foremost their job is to provide health-care services to people who require them,” Barbara Hall said. “If [doctors] wish to put forward their own human rights as a barrier to doing that then they may come up against the fact that their rights are not absolute.”

In an interview, Ms. Hall said doctors generally do not enjoy the same legal protections as religious officials – a point her commission underlined to the College of Physicians and Surgeons of Ontario (CPSO) when the medical regulator last updated its policy on doctors and the human-rights code in 2008. . . [Full text]