Alberta’s conscience rights bill

Western Standard
Reproduced with permission

John Carpay

Alberta’s conscience rights bill

Bill 207 enshrines “freedom of conscience and religion” – protected by the Canadian Charter of Rights and Freedoms– for Alberta’s health care providers. For many years, Premier Jason Kenney has consistently and publicly supported protecting freedom of conscience, so nobody should be surprised if he supports this Private Member’s Bill.

Bill 207 will not limit patient access to abortion. Firstly, abortion does not require a referral, as any abortion clinic will tell you when you call and ask. Secondly, even if abortion did require a referral, if one physician refuses to provide such referral then the patient would simply go to another doctor. Inconvenient? Yes, absolutely. In a free country, the right to honour one’s conscience trumps someone else’s interest in not being inconvenienced.

Forcing someone to do something that they believe to be wrong is serious business. It is also a hallmark of totalitarian states. But in free and democratic societies, the government will bend over backwards to avoid coercing citizens to participate in what they see as evil. This is why the Charter describes freedom of conscience and religion as “fundamental,” and mentions it ahead of the freedoms of expression, association and peaceful assembly.

When a democracy is at war, the pacifists who oppose killing another human being will not be required by government to serve on the front lines and shoot at foreign troops. A democracy can continue with its war efforts without requiring every citizen to be willing to kill enemy soldiers.

Just because pork is legal and popular does not mean that all butchers should be forced, by law, to sell it. Some Muslim and Orthodox Jewish butchers will refuse to handle or sell pork, and no doubt this refusal will inconvenience some customers. The disappointed customers will need to go elsewhere, upon learning that the store they travelled to does not carry what they want.

The BC Human Rights Tribunal recently issued a pro-freedom ruling that female estheticians could refuse to wax the male genitalia of Jessica (Jonathan) Yaniv, for religious and other reasons. Yaniv will be inconvenienced by having to locate a waxologist who is willing and able to provide a Brazilian bikini wax for male genitals. But not forcing women to handle male genitalia is more important than sparing someone the inconvenience of going elsewhere.

Put simply: in a free society, you do not have the right to require other people to do things that they do not wish to do. In a free country, nobody has a legal right to be free from the inconvenience of needing to look elsewhere for a product or service. This respect for freedom is consistent with – or is supposed to be consistent with – the philosophy of the United Conservative Party.

Bill 207 protects doctors from being required to assist their patients in committing suicide, as one example of a medical service that some doctors see as wrong. Many non-religious doctors believe on conscientious grounds that suicide is not a valid or legitimate medical treatment.

Providing a referral is active participation. This is why the Colleges of Physicians and Surgeons of Ontario prohibits doctors from performing female genital mutilation (FGM) and also prohibits doctors from referring for this medical service. If it’s wrong to remove portions of a young girl’s genitals, then it’s also wrong to refer her to another doctor who will provide that same service.  As in Ontario, Alberta’s College states that “no physician should perform such procedures, irrespective of cultural norms in other societies, and no physician should be complicit in allowing such procedures to go ahead.” To refer for FGM is to be complicit in FGM. Requiring doctors to refer for a service they believe to be wrong is to violate the conscience of doctors.

And yet the Alberta College of Physicians and Surgeons requires doctors to refer for assisted suicide. Bill 207 addresses this problem by protecting the fundamental Charter freedoms of doctors and other health care providers. A vote for Bill 2017 is a vote for freedom.

The courts keep inventing new rights, turning our Charter on its head

National Post
Reproduced with permission

John Carpay

If I told you that I wanted to rob a home or store, would you sell me a gun? Presumably not. But what about giving me the name and contact info of another person who is willing to sell me a gun? If you wanted to avoid any participation in my planned robbery, you would refuse to provide a referral.

When it comes to female genital mutilation (the cutting and removal of some or all of a young girl’s external genitalia) the College of Physicians and Surgeons of Ontario (CPSO) recognizes that referring is as bad as providing. The CPSO prohibits this practice, common in many African and Middle Eastern countries. Female genital mutilation causes infection, disease and death in many girls, and life-long health problems for millions of women.

The CPSO policy prohibits physicians from performing, and from referring for, female genital mutilation procedures. Both performing and referring constitute professional misconduct. The reasoning is obvious. If mutilating a girl is wrong, then it’s also wrong to provide a referral for this barbaric procedure.

College of Physicians and Surgeons of Ontario in Toronto, Ont. on Tuesday April 9, 2013.

Sadly, the CPSO abandoned this common-sense approach in the case of Christian Medical and Dental Society vs. CPSO. This court case was about a challenge to the CPSO policy requiring all doctors in Ontario to provide referrals for abortion, assisted suicide, and other medical procedures which some doctors view as harmful to patients and morally wrong. In court the CPSO argued that “a referral is neither an endorsement of the service for which the referral is provided, nor a guarantee that it will be provided.” The CPSO argued that providing a referral is trivial and insignificant, so a doctor would not be violating her conscience when referring a patient for a procedure that the doctor considers harmful. If the CPSO’s courtroom arguments are true, then why prohibit referring for female genital mutilation?

The Ontario Superior Court of Justice ruled that the CPSO policy violates the Charter freedom of religion and conscience, but then justified this violation as necessary to ensure “equitable” access to health-care services.

Abortion and assisted suicide are both legal medical procedures. Plenty of doctors are available to provide the one, the other, or both. Having to ask two, three or more doctors for a particular medical service is inconvenient for patients, to be sure.

But does the Charter provide citizens with a legal right to be free from inconvenience? Beyond a bald declaration, the court provides no explanation as to how or why being inconvenienced is a violation of the Charter. Nor does the court explain why it is necessary to force every single doctor in Ontario to provide referrals for abortion and assisted suicide. In other words, even if many doctors refuse to provide referrals for these services, the public would still have ready access to both.

The purpose of the Charter is to protect citizens from government. For example, the Charter should protect health-care workers (and everyone else) from being pressured or coerced by a government body to do what one believes to be wrong.

Conversely, there is no Charter right to force another human being to provide a service that runs contrary to their conscience. Interactions between citizens should be free from coercion. A patient’s power to compel a doctor to do what the doctor believes to be harmful is as destructive as a doctor’s power to compel a patient to do what the patient believes to be harmful.

The doctors who challenged the CPSO policy were not merely asking the court to be spared an inconvenience. Rather, an Ontario doctor who refuses to violate her conscience risks expulsion from the medical profession.

In upholding the CPSO policy, the court confuses fundamental Charter freedoms with personal interests and desires. The court has dismissed the Charter’s protection from government coercion as less important than a newly invented “right” to compel our fellow citizens (in this case doctors) to do what we want them to do. The court has turned the Charter on its head.

Lawyer John Carpay is president of the Justice Centre for Constitutional Freedoms (, which intervened in Christian Medical and Dental Society of Canada vs. College of Physicians and Surgeons of Ontario.


Doctors have right to choose what services they perform

Toronto Sun
Reproduced with permission

John Carpay

Should the government be able to force a person to do something that she or he considers to be fundamentally wrong?

Dictatorships say yes, but free countries like Canada have always said no.

For example, those who believe that killing another person is never justified, not even in a war against an invading foreign power, are exempted from mandatory military service.

Ontario’s Superior Court of Justice is considering freedom of conscience this week, in a court action brought by the Christian Medical and Dental Society (CMDS) against the College of Physicians and Surgeons of Ontario (CPSO).

The college has adopted policies that require doctors to assist patients who want to commit suicide, and to provide abortions, even if those services conflict with a doctor’s conscience or ethics. The CPSO requires doctors to provide these services themselves, or provide an “effective referral” to another doctor.

There is no shortage of doctors who are willing to do abortions, and doctors willing to assist people who want to commit suicide. So these college policies are driven by ideology, not by any practical need.

The CPSO argues that it’s no big deal for doctors to refer patients for a service that the doctor sees as wrong, and that this is a fair compromise for objecting doctors. However, when the college prohibits doctors from mutilating the genitals of young girls (called “female circumcision” in some cultures), the college also bans referring for this medical service. Why? Because referring a patient (or the parents of a young girl) to another doctor amounts to active participation. It’s like saying, “I won’t take part in robbing the bank, but I will provide the robber with information as to where he can get his gun.”

The college argues that the rights of patients are in conflict with doctors’ freedom of conscience, and that patients’ interests should prevail over constitutional rights. But in fact, Canadian courts have repeatedly ruled that patients do not have a constitutional right to any particular medical procedure. In one Ontario case, a man with liver cancer was told he had eight months to live. Adolfo Flora then spent $450,000 in the U.K. for a living-related liver transplantation, which saved his life.

The government refused to reimburse the $450,000, insisting that the government has the sole right to determine what services would or would not be provided by its health-care monopoly. The court agreed, and ruled against Flora.

In Ontario and other provinces, it’s illegal for patients to buy private health insurance and private medical services. When Canadians have no right to access essential health services outside of the government’s monopoly, it makes no sense to argue that patients have a “right” to force unwilling doctors to do what those doctors consider to be wrong.

But even if the Canadian Charter of Rights and Freedoms provided patients with a right to health care, this would still not justify violating the Charter-protected freedom of conscience that doctors — and all citizens of a free society — enjoy.



Legal group fights policy forcing pro-life doctors to refer for abortion, euthanasia

Lifesite News

Steve Weatherbe

TORONTO, February 13, 2017 (LifeSiteNews) – A Calgary conscience rights group has joined Ontario Christian doctors in fighting a requirement that they refer patients for euthanasia and abortion — and perform both procedures in emergencies.

The Justice Centre for Constitutional Freedoms (JCCF) was granted intervenor status in a legal action launched by five Ontario Christian doctors, the Christian Medical and Dental Society of Canada (CMDS), and other doctors’ groups.

Their target is the College of Physicians and Surgeons of Ontario, which controls the profession with the power to licence and de-licence doctors. In June, the Christian doctors will go to court in an attempt to have two new college policies ruled unconstitutional. . . .[Full text]


Assisted dying: Parliament must let doctors practise with a clear conscience

Globe and Mail
Reproduced with permission

John Carpay

Since the Supreme Court legalized physician-assisted dying last year, some have argued that physicians should be required to help patients kill themselves, even if this violates their Charter-protected conscience freedoms.

As Parliament creates new legislation to respond to this court ruling, some insist that doctors must simply provide whatever a patient may want, or else refer the patient to another doctor who will. This claim trivializes the freedom of conscience of all Canadians, and the role of ethics and morality in medicine.

For more than 2,000 years, physicians have been guided by ethics and morality, not science alone, through the foundational principles embodied in the Hippocratic Oath and its modern incarnations.

In deciding what is best for their patients, doctors are not mindless dispensaries for medication. Science can inform us about what quantity of which drug is required to end a patient’s life, but science cannot tell us whether it is right to end a patient’s life through assisted suicide or other means of deliberate death.


Physicians routinely refuse to provide  –  and offer referrals for  –  drugs and procedures that the physician considers contrary to a patient’s best interest. From the patient’s standpoint, this produces inconvenience and possibly hardship. But the patient is not prevented from finding another doctor, whereas the doctor cannot go and find another conscience. She has only her own.

To refer for something is to participate actively. If a man asks me to sell him a gun to rob a convenience store, and I respond by refusing to sell the gun, but nevertheless provide him with the name and contact information of someone who will, I am complicit in the resulting robbery. This is why the provincial Colleges of Physicians and Surgeons, when they prohibit a doctor from performing female “circumcision” (genital mutilation), they also prohibit doctors from referring for that service.

Opponents of conscience protection denounce the prospect of a patient having to face a delay because her physician could not, in good conscience, provide a referral to another physician. Yet thousands of Canadians suffer in pain while waiting for months (and sometimes years) for medically necessary diagnosis and surgery. The law prevents these suffering patients from accessing private treatment outside of the government’s monopoly over health care.

With the exceptions of Canada, Cuba and North Korea, every other country in the world gives patients the right to choose between private and government-run health care. France, Japan and Australia are among the dozens of countries where patients count their wait times in days and weeks, not in months and years as Canadian patients do. If our goal is truly to get rid of delays in accessing medical services, then legalizing private health insurance would do far more than attacking the conscience rights of physicians, nurses, pharmacists and other health-care providers.

To protect the integrity of the medical profession, Parliament, as well as the provincial Colleges of Physicians, should promote and encourage the ability of physicians to practise medicine knowing that their freedom of conscience is being respected.