{"id":5614,"date":"2015-02-20T21:57:19","date_gmt":"2015-02-21T05:57:19","guid":{"rendered":"https:\/\/news.consciencelaws.org\/?p=5614"},"modified":"2018-03-06T15:01:31","modified_gmt":"2018-03-06T23:01:31","slug":"project-submission-to-the-college-of-physicians-and-surgeons-of-ontario","status":"publish","type":"post","link":"https:\/\/news.consciencelaws.org\/?p=5614","title":{"rendered":"Project Submission to the College of Physicians and Surgeons of Ontario"},"content":{"rendered":"<h1>\u00a0<strong><em><i>Re: <\/i><\/em>Professional Obligations and Human Rights<\/strong><\/h1>\n<hr \/>\n<p><strong>Abstract<\/strong><\/p>\n<p>The focus of this submission about <em><em>Professional Obligations and Human Rights <\/em><\/em>(POHR) is its demand for &#8220;effective referral&#8221; &#8211; the demand that physicians do what they believe to be wrong &#8211; even gravely wrong &#8211; even arranging homicide or suicide &#8211; and the implied threat that they will be punished if they refuse.<\/p>\n<p>This is a dangerous and extraordinarily authoritarian policy, completely at odds with liberal democratic aspirations and our national traditions. The burden of proof is on the working group to prove beyond doubt that it is justified and that no reasonable alternatives are available. The working group has not done so.<\/p>\n<p>The working group provided no evidence that such a policy is necessary, and there is evidence that it is <em><em>not<\/em><\/em>. The briefing materials supplied to Council in support of POHR were not only seriously deficient, but erroneous and seriously misleading. &#8220;Public sentiment&#8221; captured by a random poll does not justify the suppression of fundamental freedoms, and the results of consultation, when carefully considered, suggest that a policy of &#8220;effective referral&#8221; is highly controversial.<\/p>\n<p>An example of a reasonable alternative is available from the Australian Medical Association &#8211; an example not offered to Council members by the working group, which, instead, completely misrepresented AMA policy.<\/p>\n<p>This submission, supported by detailed analysis in the appendices, provides good reason for Council members to doubt that the requirement for effective referral in POHR is necessary or justifiable, or prudent policy. It also provides reason for them to believe that reasonable alternatives can be developed.<\/p>\n<p>Council members unpersuaded by the working group or left in doubt about POHR should give the benefit of doubt to freedom of conscience and refuse to approve the draft policy in its present form. They should direct the working group to collaborate with those opposed to the present draft to produce a broadly acceptable text. If the <em><em>real<\/em><\/em> goal is to ensure access &#8211; not ideologically driven ethical cleansing &#8211; there is no reason to demand that physicians do what they believe to be wrong. If the College&#8217;s <em><em>real<\/em><\/em> goal is to ensure access to services &#8211; not to punish objecting physicians, or drive them out of family practice, or out of the profession &#8211; that goal is best served by connecting patients with physicians willing to help them.<\/p>\n<h2><strong>Contents<\/strong><\/h2>\n<ol>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-001-cpso.aspx#I.\"><strong><strong><span style=\"text-decoration: underline;\"> Introduction<\/span><\/strong><\/strong><\/a><\/li>\n<\/ol>\n<ul>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-001-cpso.aspx#Focus\"><span style=\"text-decoration: underline;\">Focus of the submission<\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-001-cpso.aspx#What\"><span style=\"text-decoration: underline;\">What the working group seeks<\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-001-cpso.aspx#Burden\"><span style=\"text-decoration: underline;\">Burden of proof<\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-001-cpso.aspx#Responsibility\"><span style=\"text-decoration: underline;\">Responsibility of Council members<\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-001-cpso.aspx#Project\"><span style=\"text-decoration: underline;\">Project submission<\/span><\/a><\/li>\n<\/ul>\n<ol>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-001-cpso.aspx#II.\"><strong><strong><span style=\"text-decoration: underline;\"> Reasons for doubt<\/span><\/strong><\/strong><\/a><\/li>\n<\/ol>\n<ul>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-001-cpso.aspx#No\"><span style=\"text-decoration: underline;\">No evidence of necessity<\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-001-cpso.aspx#Questionable\"><span style=\"text-decoration: underline;\">Questionable justification<\/span><\/a>\n<ul>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-001-cpso.aspx#II.6\"><span style=\"text-decoration: underline;\">Public Polling<\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-001-cpso.aspx#II.9\"><span style=\"text-decoration: underline;\">On-line Survey<\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-001-cpso.aspx#II.16\"><span style=\"text-decoration: underline;\">Research<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-001-cpso.aspx#Deficient\"><span style=\"text-decoration: underline;\">Deficient, erroneous and misleading briefing materials<\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-001-cpso.aspx#Examples\"><span style=\"text-decoration: underline;\">Examples of more reasonable policies<\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-001-cpso.aspx#Policies\"><span style=\"text-decoration: underline;\">Policies forthcoming in 2015<\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-001-cpso.aspx#Neglect\"><span style=\"text-decoration: underline;\">Neglect of relevant significant Canadian documents<\/span><\/a><\/li>\n<\/ul>\n<p><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-001-cpso.aspx#III.\"><strong><strong><span style=\"text-decoration: underline;\">III.\u00a0\u00a0\u00a0 POHR in practice<\/span><\/strong><\/strong><\/a><\/p>\n<ol>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-001-cpso.aspx#IV.\"><strong><strong><span style=\"text-decoration: underline;\"> Giving freedom of conscience the benefit of the doubt<\/span><\/strong><\/strong><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-001-cpso.aspx#V.\"><strong><strong><span style=\"text-decoration: underline;\"> Conclusion<\/span><\/strong><\/strong><\/a><\/li>\n<\/ol>\n<p><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-002-cpso.aspx\"><span style=\"text-decoration: underline;\"><strong><strong>Appendix &#8220;A&#8221;:<\/strong><\/strong>\u00a0 The Review Process<\/span><\/a><\/p>\n<p><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-003-cpso.aspx\"><span style=\"text-decoration: underline;\"><strong><strong>Appendix &#8220;B&#8221;:<\/strong><\/strong>\u00a0 Unreliability of Jurisdictional Review by College Working Group<\/span><\/a><\/p>\n<p><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-004-cpso.aspx\"><span style=\"text-decoration: underline;\"><strong><strong>Appendix &#8220;C&#8221;:<\/strong><\/strong>\u00a0 Consultation on <em><em>Physicians and the Human Rights Code <\/em><\/em><\/span><\/a><\/p>\n<p><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-005-cpso.aspx\"><span style=\"text-decoration: underline;\"><strong><strong>Appendix &#8220;D&#8221;: <\/strong><\/strong>A Case for Evidence-based Policy Making<\/span><\/a><\/p>\n<p><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-006-cpso.aspx\"><span style=\"text-decoration: underline;\"><strong><strong>Appendix &#8220;E&#8221;:<\/strong><\/strong> Legal Criticism<\/span><\/a><\/p>\n<p><strong>Full text available on line at<\/strong> <a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-001-cpso.aspx\"><span style=\"text-decoration: underline;\">https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-013-001-cpso.aspx<\/span><\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0Re: Professional Obligations and Human Rights Abstract The focus of this submission about Professional Obligations and Human Rights (POHR) is its demand for &#8220;effective referral&#8221; &#8211; the demand that physicians do what they believe to be wrong &#8211; even gravely wrong &#8211; even arranging homicide or suicide &#8211; and the implied threat that they will &hellip; <a href=\"https:\/\/news.consciencelaws.org\/?p=5614\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Project Submission to the College of Physicians and Surgeons of Ontario&#8221;<\/span><\/a><\/p>\n","protected":false},"author":5432,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[383,287,17],"tags":[385,1529,293],"post_folder":[],"class_list":["post-5614","post","type-post","status-publish","format-standard","hentry","category-submissions","category-protection-of-conscience-project","category-publications","tag-college-of-physicians-and-surgeons-of-ontario","tag-professional-obligations-and-human-rights","tag-referral"],"yoast_head":"\r\n<title>Project Submission to the College of Physicians and Surgeons of Ontario - Protection of Conscience Project News<\/title>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"https:\/\/news.consciencelaws.org\/?p=5614\" \/>\r\n<meta property=\"og:locale\" content=\"en_US\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"Project Submission to the College of Physicians and Surgeons of Ontario - Protection of Conscience Project News\" \/>\r\n<meta property=\"og:description\" content=\"\u00a0Re: Professional Obligations and Human Rights Abstract The focus of this submission about Professional Obligations and Human Rights (POHR) is its demand for &#8220;effective referral&#8221; &#8211; the demand that physicians do what they believe to be wrong &#8211; even gravely wrong &#8211; even arranging homicide or suicide &#8211; and the implied threat that they will &hellip; Continue reading &quot;Project Submission to the College of Physicians and Surgeons of Ontario&quot;\" \/>\r\n<meta property=\"og:url\" content=\"https:\/\/news.consciencelaws.org\/?p=5614\" \/>\r\n<meta property=\"og:site_name\" content=\"Protection of Conscience Project News\" \/>\r\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ConscienceProject\" \/>\r\n<meta property=\"article:published_time\" content=\"2015-02-21T05:57:19+00:00\" \/>\r\n<meta property=\"article:modified_time\" content=\"2018-03-06T23:01:31+00:00\" \/>\r\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\r\n<meta name=\"twitter:creator\" content=\"@consciencepro\" \/>\r\n<meta name=\"twitter:site\" content=\"@consciencepro\" \/>\r\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\r\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/news.consciencelaws.org\\\/?p=5614#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/news.consciencelaws.org\\\/?p=5614\"},\"author\":{\"name\":\"\",\"@id\":\"\"},\"headline\":\"Project Submission to the College of Physicians and Surgeons of Ontario\",\"datePublished\":\"2015-02-21T05:57:19+00:00\",\"dateModified\":\"2018-03-06T23:01:31+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/news.consciencelaws.org\\\/?p=5614\"},\"wordCount\":521,\"commentCount\":1,\"publisher\":{\"@id\":\"https:\\\/\\\/news.consciencelaws.org\\\/#organization\"},\"keywords\":[\"College of Physicians and Surgeons of Ontario\",\"Professional Obligations and Human Rights\",\"referral\"],\"articleSection\":[\"Project Submissions\",\"Protection of Conscience Project\",\"Publications\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/news.consciencelaws.org\\\/?p=5614#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/news.consciencelaws.org\\\/?p=5614\",\"url\":\"https:\\\/\\\/news.consciencelaws.org\\\/?p=5614\",\"name\":\"Project Submission to the College of Physicians and Surgeons of Ontario - Protection of Conscience Project News\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/news.consciencelaws.org\\\/#website\"},\"datePublished\":\"2015-02-21T05:57:19+00:00\",\"dateModified\":\"2018-03-06T23:01:31+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/news.consciencelaws.org\\\/?p=5614#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/news.consciencelaws.org\\\/?p=5614\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/news.consciencelaws.org\\\/?p=5614#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/news.consciencelaws.org\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Project Submission to the College of Physicians and Surgeons of Ontario\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/news.consciencelaws.org\\\/#website\",\"url\":\"https:\\\/\\\/news.consciencelaws.org\\\/\",\"name\":\"Protection of Conscience Project News\",\"description\":\"Service, not Servitude\",\"publisher\":{\"@id\":\"https:\\\/\\\/news.consciencelaws.org\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/news.consciencelaws.org\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/news.consciencelaws.org\\\/#organization\",\"name\":\"Protection of Conscience Project\",\"url\":\"https:\\\/\\\/news.consciencelaws.org\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/news.consciencelaws.org\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"\",\"contentUrl\":\"\",\"caption\":\"Protection of Conscience Project\"},\"image\":{\"@id\":\"https:\\\/\\\/news.consciencelaws.org\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/ConscienceProject\",\"https:\\\/\\\/x.com\\\/consciencepro\",\"https:\\\/\\\/www.youtube.com\\\/user\\\/consciencepro\"]},{\"@type\":\"Person\",\"@id\":\"\"}]}<\/script>\r\n","yoast_head_json":{"title":"Project Submission to the College of Physicians and Surgeons of Ontario - Protection of Conscience Project News","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/news.consciencelaws.org\/?p=5614","og_locale":"en_US","og_type":"article","og_title":"Project Submission to the College of Physicians and Surgeons of Ontario - Protection of Conscience Project News","og_description":"\u00a0Re: Professional Obligations and Human Rights Abstract The focus of this submission about Professional Obligations and Human Rights (POHR) is its demand for &#8220;effective referral&#8221; &#8211; the demand that physicians do what they believe to be wrong &#8211; even gravely wrong &#8211; even arranging homicide or suicide &#8211; and the implied threat that they will &hellip; Continue reading \"Project Submission to the College of Physicians and Surgeons of Ontario\"","og_url":"https:\/\/news.consciencelaws.org\/?p=5614","og_site_name":"Protection of Conscience Project News","article_publisher":"https:\/\/www.facebook.com\/ConscienceProject","article_published_time":"2015-02-21T05:57:19+00:00","article_modified_time":"2018-03-06T23:01:31+00:00","twitter_card":"summary_large_image","twitter_creator":"@consciencepro","twitter_site":"@consciencepro","twitter_misc":{"Written by":"","Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/news.consciencelaws.org\/?p=5614#article","isPartOf":{"@id":"https:\/\/news.consciencelaws.org\/?p=5614"},"author":{"name":"","@id":""},"headline":"Project Submission to the College of Physicians and Surgeons of Ontario","datePublished":"2015-02-21T05:57:19+00:00","dateModified":"2018-03-06T23:01:31+00:00","mainEntityOfPage":{"@id":"https:\/\/news.consciencelaws.org\/?p=5614"},"wordCount":521,"commentCount":1,"publisher":{"@id":"https:\/\/news.consciencelaws.org\/#organization"},"keywords":["College of Physicians and Surgeons of Ontario","Professional Obligations and Human Rights","referral"],"articleSection":["Project Submissions","Protection of Conscience Project","Publications"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/news.consciencelaws.org\/?p=5614#respond"]}]},{"@type":"WebPage","@id":"https:\/\/news.consciencelaws.org\/?p=5614","url":"https:\/\/news.consciencelaws.org\/?p=5614","name":"Project Submission to the College of Physicians and Surgeons of Ontario - Protection of Conscience Project News","isPartOf":{"@id":"https:\/\/news.consciencelaws.org\/#website"},"datePublished":"2015-02-21T05:57:19+00:00","dateModified":"2018-03-06T23:01:31+00:00","breadcrumb":{"@id":"https:\/\/news.consciencelaws.org\/?p=5614#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/news.consciencelaws.org\/?p=5614"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/news.consciencelaws.org\/?p=5614#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/news.consciencelaws.org\/"},{"@type":"ListItem","position":2,"name":"Project Submission to the College of Physicians and Surgeons of Ontario"}]},{"@type":"WebSite","@id":"https:\/\/news.consciencelaws.org\/#website","url":"https:\/\/news.consciencelaws.org\/","name":"Protection of Conscience Project News","description":"Service, not Servitude","publisher":{"@id":"https:\/\/news.consciencelaws.org\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/news.consciencelaws.org\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/news.consciencelaws.org\/#organization","name":"Protection of Conscience Project","url":"https:\/\/news.consciencelaws.org\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/news.consciencelaws.org\/#\/schema\/logo\/image\/","url":"","contentUrl":"","caption":"Protection of Conscience Project"},"image":{"@id":"https:\/\/news.consciencelaws.org\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/ConscienceProject","https:\/\/x.com\/consciencepro","https:\/\/www.youtube.com\/user\/consciencepro"]},{"@type":"Person","@id":""}]}},"_links":{"self":[{"href":"https:\/\/news.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/posts\/5614","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/news.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/news.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/news.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/users\/5432"}],"replies":[{"embeddable":true,"href":"https:\/\/news.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5614"}],"version-history":[{"count":5,"href":"https:\/\/news.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/posts\/5614\/revisions"}],"predecessor-version":[{"id":5619,"href":"https:\/\/news.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/posts\/5614\/revisions\/5619"}],"wp:attachment":[{"href":"https:\/\/news.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5614"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/news.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5614"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/news.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5614"},{"taxonomy":"post_folder","embeddable":true,"href":"https:\/\/news.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Fpost_folder&post=5614"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}