{"id":6205,"date":"2015-06-05T23:19:47","date_gmt":"2015-06-06T06:19:47","guid":{"rendered":"https:\/\/news.consciencelaws.org\/?p=6205"},"modified":"2018-03-06T14:56:39","modified_gmt":"2018-03-06T22:56:39","slug":"protection-of-conscience-project-submission-to-the-college-of-physicians-and-surgeons-of-saskatchewan","status":"publish","type":"post","link":"https:\/\/news.consciencelaws.org\/?p=6205","title":{"rendered":"Project Submission to the College of Physicians and Surgeons of Saskatchewan"},"content":{"rendered":"<h2>Re: <em>Conscientious Refusal (as revised)<\/em><\/h2>\n<p><strong>5 June, 2015<\/strong><\/p>\n<p><strong>Abstract<\/strong><\/p>\n<p>Council has been given no evidence that anyone in Saskatchewan has ever been unable to access medical services or that the health of anyone in Saskatchewan has ever been adversely affected because a physician has declined to provide or refer for a procedure for reasons of conscience.<\/p>\n<p>The conclusion that objecting physicians &#8220;should not be obligated to provide a referral to a physician who will ultimately potentially provide the service&#8221; is entirely satisfactory. It is a tacit admission that such a policy would be an unacceptable assault on freedom of conscience.<\/p>\n<p><em>Conscientious Refusal<\/em> as revised attempts to nullify the alleged &#8216;bias&#8217; of physicians who object to a procedure for reasons of conscience by requiring them to refer patients to a non-objecting colleague. This proposal is not sound, since, if it is 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. This would simply exchange one kind of alleged &#8216;bias&#8217; for another, inconvenience patients and provide them with no better care.<\/p>\n<p>The more sensible course is to require all physicians to provide patients with sufficient information to satisfy the requirements of informed medical decision making.\u00a0 Physicians must advise patients at the earliest reasonable opportunity of services or procedures they decline to recommend or provide for reasons of conscience, 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.\u00a0 They must not promote their own moral or religious beliefs when interacting with a patient.<\/p>\n<p>Physicians unwilling to abide by these requirements must promptly arrange for a patient to be seen by another physician or health care worker who is able to do so.<\/p>\n<p>If the 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 Carter decision comes into force in 2016.<\/p>\n<hr \/>\n<h2>Contents<\/h2>\n<p><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-001-cpss.aspx#I.\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\"><strong>I.\u00a0\u00a0\u00a0 Revision of draft policy &#8211; <\/strong> <em><strong>Conscientious Refusal<\/strong><\/em><\/span><\/span><\/a><\/p>\n<p><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-001-cpss.aspx#II.\"><strong><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">II.\u00a0\u00a0\u00a0 Focus of this submission<\/span><\/span><\/strong><\/a><\/p>\n<p><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-001-cpss.aspx#III.\"><strong><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">III.\u00a0\u00a0\u00a0 Section 5.3 <\/span><\/span><\/strong><\/a><\/p>\n<ul>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-001-cpss.aspx#III.1\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">III.1\u00a0\u00a0\u00a0 Deletion of requirement to refer for a morally contested service<\/span><\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-001-cpss.aspx#III.2\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">III.2\u00a0\u00a0\u00a0 Imposition of requirement to refer patients for information<\/span><\/span><\/a><\/li>\n<\/ul>\n<p><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-001-cpss.aspx#IV.\"><strong><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">IV.\u00a0\u00a0\u00a0 Section 5.3: Suggested modification<\/span><\/span><\/strong><\/a><\/p>\n<p><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-001-cpss.aspx#V.\"><strong><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">V.\u00a0\u00a0\u00a0 Section 2: Scope<\/span><\/span><\/strong><\/a><\/p>\n<ul>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-001-cpss.aspx#V.1\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">V.1\u00a0\u00a0\u00a0 Purported non-applicability of policy to assisted suicide and euthanasia<\/span><\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-001-cpss.aspx#V.2\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">V.2\u00a0\u00a0\u00a0 Disclaimer inconsistent with origin of policy and previous statements<\/span><\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-001-cpss.aspx#V.3\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">V.3\u00a0\u00a0\u00a0 Disclaimer inconsistent with association of abortion\/birth control and euthanasia\/assisted suicide <\/span><\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-001-cpss.aspx#V.4\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">V.4\u00a0\u00a0\u00a0 Dissecting the disclaimer<\/span><\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-001-cpss.aspx#V.5\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">V.5\u00a0\u00a0\u00a0 Explaining the disclaimer<\/span><\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-001-cpss.aspx#V.6\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">V.6\u00a0\u00a0\u00a0 Disposing of the disclaimer<\/span><\/span><\/a><\/li>\n<\/ul>\n<p><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-001-cpss.aspx#VI.\"><strong><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">VI.\u00a0\u00a0\u00a0 Summary<\/span><\/span><\/strong><\/a><\/p>\n<p><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-002-cpss.aspx\"><strong><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">Appendix &#8220;A&#8221; &#8211; Ontario College briefing materials<\/span><\/span><\/strong><\/a><\/p>\n<ul>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-002-cpss.aspx\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">A1.\u00a0\u00a0\u00a0 Introduction<\/span><\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-002-cpss.aspx#A2.\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">A2.\u00a0\u00a0\u00a0 Citation of Conscientious Refusal (<em>CR No.1<\/em>)<\/span><\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-002-cpss.aspx#A3.\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">A3.\u00a0\u00a0\u00a0 Reasonable apprehension of bias<\/span><\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-002-cpss.aspx#A4.\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">A4.\u00a0\u00a0\u00a0 Tunnel Vision at the College of Physicians<\/span><\/span><\/a><\/li>\n<\/ul>\n<p><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-003-cpss.aspx\"><strong><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">Appendix &#8220;B&#8221; &#8211; Providing Information<\/span><\/span><\/strong><\/a><\/p>\n<ul>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-003-cpss.aspx#Introduction\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">Introduction<\/span><\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-003-cpss.aspx#Clarifications\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">Clarifications<\/span><\/span><\/a>\n<ul>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-003-cpss.aspx#Sufficient_information\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">Sufficient information<\/span><\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-003-cpss.aspx#Relevant_options\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">Relevant options <\/span><\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-003-cpss.aspx#Disclosure\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">Disclosure<\/span><\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-003-cpss.aspx#Advance_notice\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">Advance notice <\/span><\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-003-cpss.aspx#Respectful\/non-demeaning_communication\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">Respectful\/non-demeaning communication <\/span><\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-004-cpss.aspx\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\"><strong>Appendix &#8220;C&#8221; &#8211; <\/strong> <em><strong>Conscientious Refusal<\/strong><\/em><strong> and assisted suicide\/euthanasia<\/strong><\/span><\/span><\/a><\/p>\n<ul>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-004-cpss.aspx\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">C1.\u00a0\u00a0\u00a0\u00a0\u00a0 Introduction<\/span><\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-004-cpss.aspx#C.2\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">C.2\u00a0\u00a0\u00a0\u00a0\u00a0 Euthanasia\/assisted suicide supported by principles<\/span><\/span><\/a>\n<ul>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-004-cpss.aspx#C2.2\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">C2.2\u00a0\u00a0\u00a0 Fiduciary duty <\/span><\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-004-cpss.aspx#C2.3\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">C2.3\u00a0\u00a0\u00a0 Patient autonomy <\/span><\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-004-cpss.aspx#C2.4\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">C2.4\u00a0\u00a0\u00a0 Continuity of care\/ left without appropriate care <\/span><\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-004-cpss.aspx#C2.5\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">C2.5\u00a0\u00a0\u00a0 Intentional or unintentional barriers to care\/disadvantage\/equitable access <\/span><\/span><\/a><\/li>\n<li><a href=\"https:\/\/news.consciencelaws.orgpublications\/submissions\/submissions-015-004-cpss.aspx#C2.6\"><span style=\"text-decoration: underline;\"><span style=\"color: #0066cc;\">C2.6\u00a0\u00a0\u00a0 Reasonable limits <\/span><\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Re: Conscientious Refusal (as revised) 5 June, 2015 Abstract Council has been given no evidence that anyone in Saskatchewan has ever been unable to access medical services or that the health of anyone in Saskatchewan has ever been adversely affected because a physician has declined to provide or refer for a procedure for reasons of &hellip; <a href=\"https:\/\/news.consciencelaws.org\/?p=6205\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Project Submission to the College of Physicians and Surgeons of Saskatchewan&#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":[32,383,287],"tags":[1525,566,293,314],"post_folder":[],"class_list":["post-6205","post","type-post","status-publish","format-standard","hentry","category-canada","category-submissions","category-protection-of-conscience-project","tag-college-of-physicians-and-surgeons-of-saskatchewan","tag-physicians","tag-referral","tag-saskatchewan"],"yoast_head":"\r\n<title>Project Submission to the College of Physicians and Surgeons of Saskatchewan - 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=6205\" \/>\r\n<meta property=\"og:locale\" content=\"en_US\" \/>\r\n<meta property=\"og:type\" 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