Tag: Conscientious objection

  • The Pope has addressed healthcare workers: any “medical intervention on human beings” must be evaluated in terms of respect for “life and human dignity”

    The Pope has addressed healthcare workers: any “medical intervention on human beings” must be evaluated in terms of respect for “life and human dignity”

    Pope Francis today addressed some 300 members of the Italian Catholic Association of Healthcare Workers at the Vatican. The Holy Father recalled that any “medical intervention on human beings” must first be evaluated in terms of respect for “human life and dignity“. He also observed that conscientious objection “in extreme cases where the integrity of human life is endangered” is based on the “personal need not to act differently from one’s own ethical conviction“. Pope Francis then stressed the importance of “treating the sick as people and not as numbers” in these times of “cost cutting” and “rationalization of services“. Sick people cannot be treated “like a machine” and the health system, whether public or private, cannot “be thought of as an assembly line“.

     

    Finally, the pope told caregivers: “The care you give the sick, who are so demanding and overwhelming, requires that you too be cared for“, including by provision of “adequate safeguards”. He emphasized the need to offer training that pays “special attention to spirituality, often neglected in our time but so important, especially for those who live with illness or are close to those who suffer. Keep your mind always alive,” he told his audience.

    Zenit, Deborah Castellano Lubov (17/05/19) – ‘May You Be Inspired by the Example and Dedication of the Saints,’ Pope Tells Healthcare Workers

     

  • Donald Trump defends the right of conscientious objection for all health care workers

    Donald Trump defends the right of conscientious objection for all health care workers

    “Just today we finalized new protections of conscience rights for physicians, pharmacists, nurses, teachers, students and faith-based charities”,Trump told an interfaith audience in the White House Rose Garden. The objective is to protect all health professionals when, “for moral or religious reasons”, they do not wish to participate in procedures such as abortion, sterilization”, or euthanasia. According to Roger Severino, Head of the U.S. Department of Health responsible for enforcing the new regulations, this will make it “so that people do not have to shed their religious beliefs to participate in health care”. This regulation on conscientious objection was a priority for the government and is a “key element of Trump’s political base”.

     

    Current laws already guarantee the right to conscientious objection. Yet the US Department of Health reported that in 2018 alone, “more than 1,300 complaints alleging discrimination in a health care setting on account of religious beliefs or conscience issues” were received, a figure which is rising sharply. This Regulation is therefore complementary to existing legislation in order to ensure its effective application. “We are giving these laws life with this regulation”,  said Roger Severino. “It makes sure Congress’ protections are not merely empty words on paper”.

     

    The new regulations outline the requirements over more than 400 pages: “hospitals, universities, clinics, and other institutions that receive funding from federal programs such as Medicare and Medicaid to certify that they comply with some 25 federal laws protecting conscience and religious rights”. The ultimate penalty already established can be loss of federal funding for establishments which violate conscience or religious rights.

     

    The rule takes effect 60 days after publication in the Federal Register.

     

    For further reading:

    Abortion: Indiana extends the right of conscientious objection to all health professionals

    United States: President Trump commits to freedom of conscience

    Washingon Times, Trump defends clinicians’ right to refuse to do abortions

  • Abortion: Indiana extends the right of conscientious objection to all health professionals

    Abortion: Indiana extends the right of conscientious objection to all health professionals

    Indiana has just passed a new law extending the right of conscientious objection to abortion. Doctors and employees of hospitals and clinics already had the right – for “ethical, moral, or religious reasons” – to not “perform an abortion or participate in a procedure leading to an abortion, including the prescription, administration, or delivery of a abortifacient drugs”.  With this new law, the right to conscientious objection will also be granted to all other healthcare professionals, including nurses, medical assistants, and pharmacists, regardless of their role in the abortion process.

     

    Indiana lawmakers had already approved the law with a vote of 69 to 25. The Senate voted Monday 38 to 8. It must still be signed by Governor Eric Holcomb, who is unlikely to present any objections.

    Washington Times (02/04/2019)

  • Irish Bishops warn against an attack on doctors’ freedom of conscience

    Irish Bishops warn against an attack on doctors’ freedom of conscience

    At their annual general meeting in Maynooth, the Irish Catholic Bishops reacted to last month’s announcement made by the National Maternity Hospital. The hospital said it will only accept doctors willing to perform abortions as it seeks to recruit an anaesthetist and an obstetrician/gynaecologist (see Irish hospital posts not open to doctors who are conscientious objectors). In a statement issued on Wednesday evening, the bishops accused the hospital of violating freedom of conscience, a constitutional right guaranteed by Irish law. They claim that this precondition for recruiting doctors will compromise the quality of candidates selected.

     

    A spokesperson for the National Maternity Hospital replied that “the conscientious objection guidelines for staff remain unchanged,” and that this recruitment only concerns posts for which the hospital receives specific funding to carry out abortions.

    Irish Independent, Sarah MacDonald (14/03/19) – Abortions: Bishops hit out over ads for doctors at hospital

     

  • Abortion in Ireland: limited conscientious objection

    Abortion in Ireland: limited conscientious objection

    Irish general practitioners will have the right not to perform abortions if they do not wish to, but they will be required to provide all the information patients need to access abortion elsewhere, said Harris Simon, Irish Minister of Health. “No doctor, no nurse, no midwife is obligated to provide this abortion if they conscientiously object,” he explained.

     

    An extraordinary general meeting of the Irish College of General Practitioners (ICGP) was held this week to discuss the practical conditions for the provision of abortion services in the country, scheduled for January 2019. ICGP wants abortion services to be provided on a voluntary basis by physicians.

     

    Disappointed not to have been heard regarding the right to object completely, about thirty doctors walked out before the end of the general meeting (see Abortion in Ireland: doctors ask to include their right to conscientious objection in proposed legislation).

     

     

    For further reading:

    “Removal of the conscience clause in the case of abortion – tantamount to forcing doctors to carry out this procedure”

    President of the Gynaecologists’ Syndicate: “We are not here to take away lives”

    Abortion conscience clause? To revoke it would be unconstitutional

    BreakingNews.ie (02/12/2018)

  • Norway – victory in favour of conscientious objection

    Norway – victory in favour of conscientious objection

    The Norwegian Supreme Court has ruled in favour of conscientious objection and freedom of conscience for doctors. It held that Dr Katarzyna Jachimowicz had acted within her rights by refusing to insert intrauterine devices in women on the grounds of moral objections. The Court called for governmental health authorities to respect the right of health professionals to exercise conscientious objection. In its ruling, it cited the European Court of Human Rights. “…in accordance with article 9, freedom of thought, conscience and religion, it is one of the fundamental rights of a ‘democratic society’ in terms of the Convention”.

     

    In 2015, Dr Jachimowicz, who was a practising physician for the district of Sauherad, was fired. However when she had been hired in 2011, the district was aware of her objections. Although a lower court supported the doctor, the health authorities appealed against the decision (see IUD: first case in Norway regarding the right to conscientious objection). The case was then heard by the Norwegian Supreme Court in late August 2018.

     

    For Dr Jachimowicz’s lawyer, Håkon Bleken, “today’s decision taken by the Supreme Court marks an important step in the right direction, not only for doctors but also for trusted persons in all professions. This decision protects one of the most basic rights—the right to act in accordance with one’s deepest beliefs. Dr Jachimowicz takes her professional duties seriously. She has promised to protect life and is opposed to the taking of life in any form. Today, the Court has established that she was perfectly within her rights to do so”.

    Bioedge, Michael Cook (21/10/2018)

  • Abortion: World Medical Association restricts doctors’ right to conscientious objection

    Abortion: World Medical Association restricts doctors’ right to conscientious objection

    “Statement on medically indicated termination of pregnancy”[1]: the World Medical Association (WMA) adopted new statement on abortion or “therapeutic abortion” during its recent General Meeting held in Reykjavik in October 2018. The WMA, an international organisation for physicians, works primarily with the WHO (World Health Organisation), and the “positions” it adopts have a significant impact on international law.

     

    The latest position has just amended the August 1970 Declaration of Oslo and constitutes “a real setback in terms of respect for doctors’ rights and those of unborn children”. In fact, all references to the “unborn child” have been omitted and there is no longer any reference to the child’s health or life, only to those of its mother. The duty of physicians to “maintain the greatest respect for human life right from conception” has also disappeared.

     

    Although the right to conscientious objection remains, it is considerably restricted since it now goes hand in hand with the obligation to refer a patient to a “qualified colleague” and to collaborate with institutions in an attempt to ensure that all women have access to abortion, without fail.

     

    Grégor Puppinck is alarmed at this backward step in terms of the rights of doctors and children. He points out that, although doctors are still entitled to exercise the conscience clause, the legislation per se remains highly ambiguous and could, in fact, be used against any physicians refusing to perform an abortion. For instance, the law obliges doctors to perform an abortion if “the mother’s life or health is in danger” but does not go into any more detail. “This text is problematic in that it gives a very broad definition of health. We would have liked it to specify: public health. From now on, a mental health problem can be viewed as a sufficiently serious condition to oblige a doctor to carry out an abortion. This ambiguity is worrying because the vague definition currently surrounding health makes it possible to extend the scope of the obligation to perform an abortion”.

     

    Conscientious objection is “the be-all and end-all of freedom. The former in terms of significance and the latter in terms of resistance. If freedom of conscience is lost, all other forms of freedom will also disappear. “ points out Grégor Puppinck. To suppress it “would be a very serious violation of people’s conscience and dictatorial in nature”.

     

    Further reading:

    World Medical Association to issue statement on abortion: conscience clause under new threat

    Draft “Statement on medically indicated termination of pregnancy” to limit conscientious objection?

    “Removal of the conscience clause in the case of abortion – tantamount to forcing doctors to carry out this procedure”

     


    [1] https://www.wma.net/policies-post/wma-declaration-on-therapeutic-abortion/

    ECLJ (17/10/2018)

  • Abortion conscience clause? To revoke it would be unconstitutional

    Abortion conscience clause? To revoke it would be unconstitutional

    Whilst Senator Laurence Rossignol calls for suppression of the conscience clause claimed by health professionals refusing to carry out abortions (see Laurence Rossignol in favour of revoking conscience clause for abortion), Jérôme Roux, Associate Professor of Law and Professor of Public Law at Montpellier University, believes that such a measure “would be unconstitutional and would destroy freedom”.

     

    In fact, for him, abolition of the conscience clause “would, in no uncertain terms, be tantamount to total disregard of the freedom of conscience, which has been protected for many years by the Constitutional Council (decision dated 23 December 1977)”, which constitutes “a legal guarantee to respect the freedom of conscience of health professionals”. He adds that: “The same also applies to other conscience clauses invoked by scientists who do not wish to contribute to human embryo research or by medical personnel to avoid participation in contraceptive sterilisation procedures.

     

    Although, in law, “the freedom of the pregnant woman” provides the basis for the “right to abortion” (decision dated 16 March 2017), it “cannot be exercised to the detriment of the freedom of the practitioner whose conscience dictates that he/she should not perform this act”, emphasises the lawyer. The firm stance taken by the Constitutional Council in terms of the conscience clause is even more remarkable “in that it is always very favourable in decisions regarding abortion”.

     

    To justify the omission of this clause, the senator argues that it “duplicates” another more general provision, which authorises it: “‘barring emergencies or cases where the health professional would be failing to do his/her duty for humanity’, the principle of non-discrimination in access to care ‘does not preclude refusal of care based on a crucial, essential personal or professional requirement in terms of quality, safety or effectiveness of care’ (Art. L. 1110-3 of the French Public Health Code)”. For Jérôme Roux, “this argument is, however, inadmissible because, while the specific clause like all those of the same kind, fully guarantee the doctor’s freedom of conscience by assuring doctors that they will ‘never be forced’ to carry out an abortion, the general clause has only a vary relative scope, due to the dual restriction in terms of ’emergency’ on the one hand,” and the vague notion of “humanitarian duties” on the other hand.

    To those who believe that abortion is “no longer and never has been a matter of conscience” and that “invoking freedom of conscience is now irrelevant“, the professor argues that “the embryo or foetus involved in an abortion cannot be assimilated to a bodily organ that has to be removed to cure a disease. Only ideological blindness results in failure to comprehend that abortion terminates a developing human life, the fate of which constitutes an issue of conscience par excellence”.

    Le Figaro (02/10/2018)

  • President of the Gynaecologists’ Syndicate: “We are not here to take away lives”

    President of the Gynaecologists’ Syndicate: “We are not here to take away lives”

    Interviewed about abortion by a TMC journalist, the President of the French Syndicate of Gynaecologists, Bertrand de Rochambeau, has clarified his position:

    “You have to put your heart and soul into the job. I get up at any time of night. I carry out highly complex operations, based on my gut instinct – I only do what I believe in. We are not here to take away lives”.

    In response to the journalist’s comment that “as a general rule, women do not class the embryo they are carrying in their womb as a living person,” he retorted with: “That’s their opinion. As a doctor, I’m not obliged to share their opinion. And, if I don’t, both the law and my conscience will protect me”.

    Huffington Post (12/09/2018)

  • Sentenced in France, pharmacist turns to the European Court of Human Rights to defend conscientious objection

    Sentenced in France, pharmacist turns to the European Court of Human Rights to defend conscientious objection

    Sentenced in 2016 for refusing to sell an intrauterine device because of the product’s potential abortive effects, pharmacist Bruno Pichon has just submitted a request to the European Court of Human Rights (ECHR) “to respect freedom of conscience”.

     

    In France, contrary to legislation governing other medical professionals, pharmacists have no right to conscientious objection despite the fact that they are “first in line when it comes to delivering products that could lead to an abortion” and possibly euthanasia in the future. Having refused to sell the product, the pharmacist was put on leave for one week. Despite his various appeals, including an appeal to the Court of Cassation, which refused to examine his case, the decision could not be lifted. And although, as emphasised by the ECLJ[1], which has supported the pharmacist’s efforts vis-a-vis the European institution, “the prohibition to practice pharmacy for one week may seem like a light sentence, the true significance of this sentence is that it obliges Mr Pichon to sell IUDs and other similar products (such as the morning-after pill) in the future, i.e. this sentence forces him to go against his conscience or leave the profession”.

     

    “Worn out by these ordeals and unable to practice his profession with peace of mind in accordance with his moral convictions”, Bruno Pichon sold his pharmacy and is no longer a registered pharmacist. He is now turning to the ECHR because he is “thinking primarily of young colleagues who are forced to leave their chosen profession, and of all those practising pharmacists who want to follow their convictions but have no right to do so”.

     

    In accordance with case law, the ECHR could condemn France and side in favour of the pharmacist. In fact, in 2011 it confirmed that it was up to the States to “guarantee […] the effective exercise of the freedom of conscience of health care professionals”. Resolutions passed by the Parliamentary Assembly of the Council of Europe have confirmed “the right to conscientious objection in the context of legal medical care”. And as the ECLJ points out, “protecting the freedom of conscience of medical professionals, especially pharmacists, implies guaranteeing their right not to take part in any action likely to harm human life”.

     

    For further reading:

    Pharmacists’ conscientious objection still threatened by abortion

    Three steps to understanding conscientious objection

    What has happened to conscientious objection?

    The conscience clause for pharmacists is a human right

     

    [1] European Centre for Law and Justice.

    Famille Chrétienne ((11/07/2018) – ECLJ (12/07/2018) – Recours de M. Pichon à la CEDH : Pour la liberté de conscience des pharmaciens

  • Abortion in Ireland: doctors ask to include their right to conscientious objection in proposed legislation

    Abortion in Ireland: doctors ask to include their right to conscientious objection in proposed legislation

    Under the current abortion bill, refusing to refer patients to doctors willing to perform abortions would “be a breach of the law“. While the law allows conscientious objection and allows doctors to refuse to perform abortions, it obliges them to “ make such arrangements for the transfer of care of the pregnant woman concerned as may be necessary to enable the woman to avail of the termination of pregnancy concerned”[1].

     

    Medical Alliance for the Eighth, representing health professionals who oppose abortion, called on the government to “extend protections for conscientious objectors to doctors who refuse referrals“. “If medical practitioners, nurses and midwives were opposed abortion, then they would be unwilling to be involved in the process“, explained Dr O’Regan, who is based in Killarney, considering that abortion “goes against [his] entire conscience and […] everything that [he] understand[s] as good healthcare“. The doctor also added: “The big buzz word during the campaign was choice. What about the choice of the doctors who say this isn’t what we signed up for? “

     

    Doctors for Life, another group of doctors who campaigned for the No vote, said that if the government agreed to expand rights to contentious objection, it would be “a clear voice for those healthcare professionals who do not wish to use their skills against the weakest members of society, of any age“. “We will not perform any action to deliberately end the life of any of our patients“, communicated the group.

     

    [1] Head 15, General Scheme of a Bill to Regulate Termination of Pregnancy

    Irish Times, Simon Carswell (28/05/2018)

  • United States: President Trump commits to freedom of conscience

    United States: President Trump commits to freedom of conscience

    On Thursday, 18 January, the United States Federal Government announced the creation of a new ministerial division within the Ministry of Health and Social Services, “dedicated to freedom of conscience and religious freedom”. It will support “doctors, nurses and other medical personnel who refuse to carry out certain procedures that they deem to be contrary to their beliefs“, especially acts of abortion and the treatment of transgender individuals.

     

    During the campaign, the President promised “that his government would vigorously defend rights relating to freedom of conscience and religious freedom,” explained the Minister. “This promise has been upheld to this day. “

    AFP (18/01/2018)

  • In Chile, conscientious objection to abortion extends to institutions

    In Chile, conscientious objection to abortion extends to institutions

    Following the vote on the bill to decriminalise abortion in Chile at the end of August (see Chile decriminalises abortion in some cases), the Constitutional Court extended conscientious objection to institutions. This clause, which was originally applicable only to doctors, has since been extended to the entire medical team (see abortion in Chile: the medical team may benefit from the right to conscientious objection).

     

     Institutions linked to the Catholic University will transfer women who present for abortion to another establishment where abortions are carried out. A register “of objecting physicians” will also be kept.

     

    The balance remains precarious“, especially with regard to the public funding of these institutions with ties to the Catholic University. In return for funding, the institutions must “strike a fair balance between rights and the necessary concessions in keeping with the spirit of the times“.

    Objection! (30/09/2017)

  • Euthanasia: the conscience clause of Belgian doctors under threat

    Euthanasia: the conscience clause of Belgian doctors under threat

    The National Council of the Belgian Medical Association issued a statement on 6 May 2017 challenging the law on conscientious objection. It is devising an ethical obligation on the part of doctors to inform patients and to “direct them to a medical establishment likely to treat them” in accordance with their wishes.

     

     In the case of a patient requesting euthanasia, this involves “an ethical obligation to direct the patient to another doctor in the case of doctors refusing to practise euthanasia“, bringing the principle of conscientious objection back to square one.

     

     The Belgian law of 28 May 2002 included a conscience clause stating that “no doctor is obliged to practise euthanasia” and “at the request of the patient or the patient’s representative, the doctor must forward the patient’s medical records to the doctor appointed by the patient or the patient’s representative“, without having to direct the patient to another practitioner. Several draft bills have been proposed including the bill of 13 May 2016 which sought to legally impose on doctors what the Medical Association has just imposed from an ethical perspective.

     

     The European Institute of Bioethics is surprised: “either [the doctor] directs the patient to a doctor or an establishment not in favour of euthanasia and the patient’s wishes will not be granted, or the patient is directed to an establishment or doctor in favour of euthanasia and the original doctor’s conscientious objection is totally devoid of substance“.

    Institut Européen de Bioéthique (27/09/2017)

  • Abortion in Chile: Medical teams may benefit from the right to conscientious objection

    Abortion in Chile: Medical teams may benefit from the right to conscientious objection

    In Chile, the draft bill to decriminalise abortion, which included a conscience clause only for the surgeon carrying out the abortion, is currently being revised by the Senate (see Abortion in Chile: medical teams deprived of conscientious objection except for the surgeon). Medical teams involved in abortion will finally have the same right to object as doctors. Conscientious objection will remain a personal issue. It does not address institutions that remain constrained by law.

    Objection ! (05/07/2017)

  • Abortion in Chile: apart from the surgeon, the medical team is not allowed to exercise conscientious objection

    Abortion in Chile: apart from the surgeon, the medical team is not allowed to exercise conscientious objection

    In Chile, the Senate is about to finalise the voting of a draft bill which would decriminalise abortion in three situations (see Chile authorises abortion for three reasons: risk to the mother, rape and foetal malformation  and Chile: senators approved a draft bill to decriminalise abortion). Last week, Parliament discussed “a programme to help women who decide to keep their child and conscientious objection for carers”.

     

    The draft decriminalisation bill initially included a conscience clause, but only for the surgeon responsible for carrying out the abortion. The rest of the medical team would be obliged to carry out such procedures. And abortion, which is deemed to be “a legitimate health service”,could then be practised in all health establishments, regardless of their values.

     

    Some senators have suggested that health establishments should exercise their own discretion when it comes to performing abortions: “We are in the process of infringing freedom of conscience, which is entrenched in our Constitution”. This is an argument that Women’s Minister, Claudia Pascual, refuses to take into consideration.

    Institut Européen de Bioéthique (22/06/2017)

  • United states: religious congregations exempt from Obamacare

    United states: religious congregations exempt from Obamacare

    In the United States, Obamacare, which was adopted in 2010, obliged employees to provide social cover for their employees with particular focus on sterilisation, abortion and contraception. This measure was attacked by religious congregations who did not wish to participate in this type of expenditure, which goes against their convictions. The Trump administration has just drafted a bill, which would allow religious employers to be exempt from this provision. For the Congregation of the Little Sisters of the Poor who appealed to the Supreme Court for this type of authorisation, this is seen as a victory (see Obamacare: Religious institutions file an appeal to the Supreme CourtThe US Supreme Court is divided on the financing of contraception;The US Supreme Court can no longer pass judgment on the financing of contraception).  

    Washington post, Ariana Eunjung Cha (30/05/2017)

  • Conscientious objection : Swedish court sentences midwife

    Conscientious objection : Swedish court sentences midwife

    Ellinor Grimmark, a midwife in Sweden, has failed at several attempts to get a job because she refuses to participate in abortions. On Wednesday, the Swedish Court of Appeal confirmed the first judgment stating that this midwife had “not been the victim of discrimination because of her refusal to participate in abortions”. It had “found no reason to suspect that Ellinor Grimmark’s freedom of opinion and expression had been violated”.

     

    Furthermore, the midwife was ordered to pay damages and refund legal costs to the Jönköping County Council.

     

    She is considering taking her case to the European Court of Human Rights.

     

    ABC news (12/04/2017)

  • Health care professionals’ conscience clause undermined by the European Parliament

    Health care professionals’ conscience clause undermined by the European Parliament

    On 14 March 2017, the European Parliament adopted the Ernest Urtasun report which focuses on “equality between men and women within the European Union”. This document includes “an obvious obstacle to conscientious objection”in paragraph 47. Noting the “difficulties in accessing sexual health and genetics services”, it calls on ‘Member States to ensure that conscientious objection clauses do not prevent patients from accessing legal medical care’, including contraception and abortion mentioned in paragraphs 46 and 48″.

     

    The report qualifies increasing recourse to the fundamental right of conscientious objection as  “excessive”, implying “that there should be limits to exercising this right”. This recommendation “undermines the conscientious objection clause of health professionals and their freedom to exercise it”.

     

    The Urtasun report has no restrictive impact in the European Union but Parliament and the Commission can “produce a legislative report that could affect a restrictive legislative procedure”.

    Institut Européen de Bioéthique (30/03/2017)

  • Pharmacists’ conscience clause undermined in England

    Pharmacists’ conscience clause undermined in England

    In England, pharmacists can no longer refuse to dispense contraceptives, the morning-after pill, fertility treatment or hormone therapies on the grounds of conscientious objection. The conscience clause which, up until now, allowed them to direct these patients to a colleague has been deemed “incompatible” with “person-centred care”. Following consultations, the General Pharmaceutical Council in fact declared that pharmacists were obliged to dispense all products requested, regardless of their personal values or beliefs. According to the Council, pharmacists must “ensure that person-centred care is not compromised”.

     

    This announcement has alarmed Christians and health professionals “mindful of upholding the right to allow pharmacists to workconscientiously”, according to their ethical and religious values. They agree that the movement discriminates against those with minority ethical beliefs. Catholic Bishops have also published an announcement, emphasising their opposition to this approach,“The Council seems to imply that conscientious objection, whether motivated by religious or other concerns, is an obstacle to ensuring patient-centred care. It appears to suggest that having a moral conscience and patient-centred care are not compatible facets of a pharmacist’s profession. However, we contend that being a person of conscience is, in fact, a requirement of any health professional”.

    Daily Mail, Steve Doughty (11/03/2017)