{"id":6168,"date":"2015-06-05T10:00:38","date_gmt":"2015-06-05T17:00:38","guid":{"rendered":"https:\/\/news.consciencelaws.org\/?p=6168"},"modified":"2018-03-09T09:24:33","modified_gmt":"2018-03-09T17:24:33","slug":"submission-to-cpss","status":"publish","type":"post","link":"https:\/\/news.consciencelaws.org\/?p=6168","title":{"rendered":"Protection of Conscience Project sees progress, room for improvement in draft Saskatchewan policy"},"content":{"rendered":"<h2>Draft\u00a0 policy no longer demands referral by objecting physicians<\/h2>\n<p><strong>Project &#8211;\u00a0 <em>Prohibiting communication with patients\u00a0by objecting physicians &#8220;unsound&#8221;; disclaimer\u00a0re:<\/em><\/strong><em><strong> euthanasia and assisted suicide &#8220;misleading and ill advised&#8221;<\/strong><\/em><\/p>\n<p><strong>News Release<\/strong><\/p>\n<p class=\"author\">Protection of Conscience Project<\/p>\n<p>A committee of the College of Physicians and Surgeons of Saskatchewan has revised a controversial draft policy after a public consultation\u00a0yielded\u00a0&#8220;a very significant return&#8221; of\u00a0over 4,400 responses, almost all of which opposed it.\u00a0 The consultation appears to have produced no evidence that anyone in Saskatchewan has ever been unable to access medical services because a physician has declined to provide or refer for a procedure for reasons of conscience, or that the health of anyone in Saskatchewan has ever been adversely affected by conscientious objection by a physician.<\/p>\n<p>The committee concluded\u00a0that objecting physicians &#8220;should not be obligated to provide a referral to a physician who will ultimately potentially provide the service.&#8221;\u00a0 The requirement was deleted from the <a href=\"https:\/\/www.consciencelaws.org\/archive\/documents\/cpss\/2015-03-20-73_15.pdf\" target=\"_blank\">revised draft<\/a>.<\/p>\n<p>In a <a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-001-cpss.aspx\" target=\"_blank\">submission to the College<\/a>, the Protection of Conscience describes\u00a0the deletion as as\u00a0&#8220;entirely satisfactory&#8221; and &#8220;a tacit admission that such a policy would be an unacceptable assault on freedom of conscience &#8211; not a compromise.&#8221;<\/p>\n<p>However, the revised draft\u00a0effectively prohibits objecting physicians\u00a0from communicating with\u00a0patients about morally contested procedures, requiring them\u00a0to refer patients to a non-objecting colleague.\u00a0 The assumption underlying the recommendation is that a physician who has a moral viewpoint is incapable of properly communicating with a patient because of &#8216;bias&#8217;.<\/p>\n<p>In its submission, the Project points out that\u00a0all physicians have moral viewpoints. If the proposed policy\u00a0is to be applied fairly and consistently, the &#8216;bias&#8217; of physicians who do <em>not<\/em> object to a procedure should be nullified in the same way.<\/p>\n<p>This\u00a0proposal is unsound.\u00a0 If applied as now written, it would simply exchange one kind of alleged &#8216;bias&#8217; for another.\u00a0 If applied fairly and consistently to all physicians,\u00a0it would\u00a0inconvenience patients, delay treatments, provide no better outcomes, double the costs of providing health care and antagonize physicians on all sides of any issue.<\/p>\n<p>Instead, the Project recommends that all physicians should be required to provide patients with sufficient information to satisfy the requirements of informed medical decision making, and<\/p>\n<ul>\n<li>advise patients at the earliest reasonable opportunity of services or procedures they decline to recommend or provide for reasons of conscience, and<\/li>\n<li>advise affected patients that they may seek the services elsewhere, and ensure that they have sufficient information to approach other physicians, heath care workers or community organizations<\/li>\n<\/ul>\n<p>After\u00a0the public consultation, the drafting committee\u00a0added\u00a0a disclaimer to the revised draft stating that the policy will not apply to physician administered euthanasia and physician assisted suicide.\u00a0 Among the ostensible reasons offered for this are that the issue is &#8220;in a state of development,&#8221; ethical implications have not been fully explored, legislation is lacking and there is &#8220;considerable uncertainty&#8221; about it.<\/p>\n<p>The Project submission describes this as\u00a0&#8220;misleading and ill-advised.&#8221;\u00a0\u00a0It\u00a0reminds the College that,\u00a0when the associate registrar <a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-014-003-cpss.aspx#BV.\" target=\"_blank\">proposed<\/a> the coercive policy in July, 2014, it was well known that the Supreme Court of Canada might well legalize physician assisted suicide, and he specifically\u00a0referred to that.\u00a0 <em>After<\/em> the Supreme Court of Canada issued its judgement in <em>Carter<\/em>, the associate registrar <a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-014-004-cpss.aspx\" target=\"_blank\">defended<\/a> the proposition that physicians should be disciplined or fired if they refused to at least refer patients for euthanasia and physician assisted suicide. He did not then urge caution because the ethical implications of the ruling were unclear or there was considerable uncertainty about it.<\/p>\n<p>&#8220;It is unrealistic to believe that <em>Conscientious Refusal <\/em>as revised will not be applied to physician administered euthanasia and physician assisted suicide,&#8221; states the Project submission, &#8220;either directly, after a certain length of time, or indirectly, as a paradigm for further policy development.&#8221;<\/p>\n<p>It recommends that, if\u00a0the College is determined to enact a policy on conscientious refusal, it should ensure that the policy adopted is sufficiently flexible to accommodate physicians with respect to all procedures or services. Otherwise, Council should reject <em>Conscientious Refusal <\/em>as revised and postpone policy development until after the <em>Carter<\/em> decision comes into force in 2016.<\/p>\n<p>The revised policy, <em>Conscientious Refusal<\/em>, may again be considered by Council on 19 June, 2015.<\/p>\n<p><strong>Contact:\u00a0 <\/strong><br \/>\nSean Murphy, Administrator<br \/>\nProtection of Conscience Project<br \/>\nEmail: protection@consciencelaws.org<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Draft\u00a0 policy no longer demands referral by objecting physicians Project &#8211;\u00a0 Prohibiting communication with patients\u00a0by objecting physicians &#8220;unsound&#8221;; disclaimer\u00a0re: euthanasia and assisted suicide &#8220;misleading and ill advised&#8221; News Release Protection of Conscience Project A committee of the College of Physicians and Surgeons of Saskatchewan has revised a controversial draft policy after a public consultation\u00a0yielded\u00a0&#8220;a very &hellip; <a href=\"https:\/\/news.consciencelaws.org\/?p=6168\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Protection of Conscience Project sees progress, room for improvement in draft Saskatchewan policy&#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":[32,10,3403,287],"tags":[1525],"post_folder":[],"class_list":["post-6168","post","type-post","status-publish","format-standard","hentry","category-canada","category-news-releases","category-project-news-releases","category-protection-of-conscience-project","tag-college-of-physicians-and-surgeons-of-saskatchewan"],"yoast_head":"\r\n<title>Protection of Conscience Project sees progress, room for improvement in draft Saskatchewan policy - 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