Canada’s medical totalitarians

Doctors are at risk of killing against their consciences or of losing their jobs.
Sean Murphy | Jan 21 2015 | comment  



An Ontario College of Physicians official, Dr Marc Gabel, says that physicians unwilling to provide or facilitate abortion for reasons of conscience should not be family physicians. The working group Dr Gabel chairs wants the College to approve this policy. If it does, ethical cleansing of Ontario’s medical profession will begin this year, ridding it of practitioners unwilling to do what they believe to be wrong. Dr Gabel claims that this is required by professional practice and human rights legislation.

It is not clear that the Ontario Medical Association (OMA) will agree. After all, it requires some effort to maintain that physicians are ethically or morally obligated to do what they believe to be unethical or immoral. Moreover, last August, the OMA’s General and Family Practice Section warned Dr Gabel’s working group that the quality of medical care would suffer if only students willing to sacrifice their personal integrity were accepted in medical school. Moreover, “What about remote areas of practice?” the Section asked. “Will more prescriptive policies drive physicians to feel that they will have no choice but to practice in more urban settings?”

In other words, is it really better that a pregnant woman in Gravel Roads Only should have no local obstetrical care rather than the help of a rural physician unwilling to recommend or refer for abortion?

The concern expressed by the OMA is understandable, but actually beside the point. In truth, concern about access to services is not really what is behind the drive for ethical cleansing. That was made abundantly clear in Ottawa last year, after it was learned that an Ottawa physician was refusing to prescribe or refer for contraceptives. The story hit the front page of the Ottawa Citizen.

The Citizen did not report the mere facts: that a young woman had to drive around the block to get The Pill. That might have been dismissed as a first world problem. No: the Citizen had more ominous news. It had discovered, lurking in the nation’s capital, not just one, but three physicians who would not prescribe or refer for contraceptives or abortion. There was pandemonium. An activist group began preaching a crusade against the dissenters, a vitriolic feeding frenzy erupted on Facebook, vehement denunciations appeared elsewhere and the story became the subject of a province-wide CBC broadcast.

One of the Facebookers helpfully suggested that the objecting physicians should move elsewhere, “maybe Dubai,” where they could be among their “own kind,” while others raged that they had “no business practicing family medicine”  and “[did] not deserve to practice in Canada. PERIOD.”

To find such comments on Facebook is not surprising. But it is surprising – and regrettable – that the comments offered by Dr Gabel reflect the same attitude.

Now, there are about 4,000 physicians practising in the Ottawa area, and contraceptives and abortion referrals are so widely available in the city that the Medical Officer of Health says that it is cause for celebration*. Thus, the wildly disproportionate reaction to news that 0.08% of Ottawa area physicians do not prescribe or refer for contraceptives cannot be explained as a rational response to a problem of supply and demand.

The crusade against the three physicians, now expanded by Dr Gabel and his working group to a crusade for the ethical cleansing of the entire medical profession, is not driven by merely practical concerns about access to services. It is driven by an a markedly intolerant ideology masquerading as enlightened objectivity.

That is why the OMA’s concern that objecting physicians might be restricted to practising in urban centres is understandable, but misplaced. Ontario physicians must come to grips with the fact that, once ethical cleansing gets underway, dissenting physicians will have no refuge in big cities, even if it takes the crusaders longer to find them there.

Nor, if assisted suicide and euthanasia are legalized, will there be refuge for physicians who don’t want to participate in killing patients. The College’s draft policy on end of life care “requires physicians to sensitively respond to a patients wishes or requests to hasten death” and insists that physicians who “limit their practice on the basis of moral and/or religious grounds” must comply with College policy on human rights. If the law is changed, and Dr Gabel and his working group get their way, this policy will require physicians who refuse to kill patients to help them find someone who will.

Physicians will be expected to prescribe, abort or refer, to lethally inject or refer, or get out of medicine – or get out of the country.≈

Sean Murphy is the administrator of the Protection of Conscience Project. The Protection of Conscience Project supports health care workers who want to provide the best care for their patients without violating their own personal and professional integrity. This has been republished from its blog.

An Ontario College of Physicians official, Dr Marc Gabel, says that physicians unwilling to provide or facilitate abortion for reasons of conscience should not be family physicians. The working group Dr Gabel chairs wants the College to approve this policy. If it does, ethical cleansing of Ontario’s medical profession will begin this year, ridding it of practitioners unwilling to do what they believe to be wrong. Dr Gabel claims that this is required by professional practice and human rights legislation.

It is not clear that the Ontario Medical Association (OMA) will agree. After all, it requires some effort to maintain that physicians are ethically or morally obligated to do what they believe to be unethical or immoral. Moreover, last August, the OMA’s General and Family Practice Section warned Dr Gabel’s working group that the quality of medical care would suffer if only students willing to sacrifice their personal integrity were accepted in medical school. Moreover, “What about remote areas of practice?” the Section asked. “Will more prescriptive policies drive physicians to feel that they will have no choice but to practice in more urban settings?”

In other words, is it really better that a pregnant woman in Gravel Roads Only should have no local obstetrical care rather than the help of a rural physician unwilling to recommend or refer for abortion?

The concern expressed by the OMA is understandable, but actually beside the point. In truth, concern about access to services is not really what is behind the drive for ethical cleansing. That was made abundantly clear in Ottawa last year, after it was learned that an Ottawa physician was refusing to prescribe or refer for contraceptives. The story hit the front page of the Ottawa Citizen.

The Citizen did not report the mere facts: that a young woman had to drive around the block to get The Pill. That might have been dismissed as a first world problem. No: the Citizen had more ominous news. It had discovered, lurking in the nation’s capital, not just one, but three physicians who would not prescribe or refer for contraceptives or abortion. There was pandemonium. An activist group began preaching a crusade against the dissenters, a vitriolic feeding frenzy erupted on Facebook, vehement denunciations appeared elsewhere and the story became the subject of a province-wide CBC broadcast.

One of the Facebookers helpfully suggested that the objecting physicians should move elsewhere, “maybe Dubai,” where they could be among their “own kind,” while others raged that they had “no business practicing family medicine”  and “[did] not deserve to practice in Canada. PERIOD.”

To find such comments on Facebook is not surprising. But it is surprising – and regrettable – that the comments offered by Dr Gabel reflect the same attitude.

Now, there are about 4,000 physicians practising in the Ottawa area, and contraceptives and abortion referrals are so widely available in the city that the Medical Officer of Health says that it is cause for celebration*. Thus, the wildly disproportionate reaction to news that 0.08% of Ottawa area physicians do not prescribe or refer for contraceptives cannot be explained as a rational response to a problem of supply and demand.

The crusade against the three physicians, now expanded by Dr Gabel and his working group to a crusade for the ethical cleansing of the entire medical profession, is not driven by merely practical concerns about access to services. It is driven by an a markedly intolerant ideology masquerading as enlightened objectivity.

That is why the OMA’s concern that objecting physicians might be restricted to practising in urban centres is understandable, but misplaced. Ontario physicians must come to grips with the fact that, once ethical cleansing gets underway, dissenting physicians will have no refuge in big cities, even if it takes the crusaders longer to find them there.

Nor, if assisted suicide and euthanasia are legalized, will there be refuge for physicians who don’t want to participate in killing patients. The College’s draft policy on end of life care “requires physicians to sensitively respond to a patients wishes or requests to hasten death” and insists that physicians who “limit their practice on the basis of moral and/or religious grounds” must comply with College policy on human rights. If the law is changed, and Dr Gabel and his working group get their way, this policy will require physicians who refuse to kill patients to help them find someone who will.

Physicians will be expected to prescribe, abort or refer, to lethally inject or refer, or get out of medicine – or get out of the country.

Sean Murphy is the administrator of the Protection of Conscience Project. The Protection of Conscience Project supports health care workers who want to provide the best care for their patients without violating their own personal and professional integrity. This has been republished from its blog.

Note

* Levy I. (Medical Officer of Health, Ottawa) and Abdullah A. (President, Academy of Medicine, Ottawa), Letter to the Ottawa Citizen, 1 February, 2014.


 




This article is published by Sean Murphy and MercatorNet.com under a Creative Commons licence. You may republish it or translate it free of charge with attribution for non-commercial purposes following these guidelines. If you teach at a university we ask that your department make a donation. Commercial media must contact us for permission and fees. Some articles on this site are published under different terms.

comments powered by Disqus
Follow MercatorNet
Facebook
Twitter
MercatorNet RSS feed
subscribe to newsletter
Sections and Blogs
Harambee
PopCorn
Conjugality
Careful!
Family Edge
Sheila Reports
Reading Matters
Demography Is Destiny
Bioedge
Conniptions
Connecting
Above
Vent
From the Editor
Information
contact us
our ideals
our People
our contributors
Mercator who?
partner sites
audited accounts
donate
advice for writers
privacy policy
New Media Foundation
Level 1, Unit 7,
11 Lord Street,
Botany Australia 2019

editor@mercatornet.com
+61 2 8005 8605
skype: mercatornet

© New Media Foundation