{"id":3169,"date":"2017-07-16T20:23:27","date_gmt":"2017-07-17T00:23:27","guid":{"rendered":"http:\/\/collectif.lesartsmartial.com\/en\/?p=3169"},"modified":"2017-07-17T17:36:25","modified_gmt":"2017-07-17T21:36:25","slug":"conscience-and-canadian-doctors","status":"publish","type":"post","link":"https:\/\/collectifmedecins.org\/en\/conscience-and-canadian-doctors\/","title":{"rendered":"Conscience and Canadian doctors"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">In the year since euthanasia became legal, we have witnessed a powerful political push to normalize it as part of medicine in Canada. Yet many doctors remain opposed to the practice. Most would like to see it rigorously limited. And some, for reasons of personal and\/or professional conscience, refuse categorically to be part of it. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Unfortunately, our politicians have made it perfectly clear that they intend to ignore the judgement of opposing doctors and to stifle their dissent. In fact, the worst of these politicians are to be found within our own profession. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Consider, as a case in point, the new (2015) College of Physicians and Surgeons of Ontario <\/span><a href=\"http:\/\/www.cpso.on.ca\/CPSO\/media\/documents\/Policies\/Policy-Items\/Human-Rights.pdf?ext=.pdf\"><span style=\"font-weight: 400;\">policy<\/span><\/a><span style=\"font-weight: 400;\"> on doctors\u2019 conscience rights. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">This CPSO policy is identified as a mere \u201crevised update\u201d, but it actually bears little resemblance to the <\/span><a href=\"https:\/\/www.cpso.on.ca\/uploadedFiles\/downloads\/cpsodocuments\/policies\/policies\/human_rights.pdf\"><span style=\"font-weight: 400;\">earlier version<\/span><\/a><span style=\"font-weight: 400;\"> (2008).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">And it is obvious why this is so: Without ever honestly mentioning euthanasia, assisted suicide, or even MAID, the new policy was designed from the start to facilitate a radical new Orwellian redefinition of \u201ceuthanasia\u201d, from homicide to medical treatment. It effectively obliges all Ontario physicians and surgeons to participate in the euthanasia program. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">In practical terms:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cWhere physicians are unwilling to provide certain elements of care for reasons of conscience or religion, an effective referral to another health-care provider must be provided to the patient.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This, of course, is the main sticking point for many doctors, who consider referring their patient to any agency of death to be an act just as abhorrent as performing the euthanasia themselves. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">But \u201ceffective referral\u201d is by no means all. There is also the \u201cduty to inform\u201d:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cPhysicians must provide information about all clinical options that may be <\/span><i><span style=\"font-weight: 400;\">available or appropriate<\/span><\/i><span style=\"font-weight: 400;\"> to meet patients\u2019 clinical needs or concerns.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cPhysicians must not withhold information about the existence of any procedure or treatment because it conflicts with their conscience or religious beliefs.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Please note the italics: The physician apparently has a duty to inform his patients of <\/span><i><span style=\"font-weight: 400;\">all<\/span><\/i><span style=\"font-weight: 400;\"> options legally available even if they are <\/span><i><span style=\"font-weight: 400;\">in<\/span><\/i><span style=\"font-weight: 400;\">appropriate! And this obligation shall override any moral or professional convictions that physician might hold.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The violence of the obligation to \u201cinform\u201d goes even beyond that of \u201ceffective referral\u201d itself. Every patient who fits the criteria for euthanasia must be subjected to the terrible stress and doubt of learning that he or she belongs to that select group of people for whom medically-inflicted death has become an option. And no objection of judgement or of conscience can free the doctor from delivering that terrible message and its implicit suggestion.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In Ontario, then, by proclamation of the CPSO, the doctor\u2019s role is reduced to that of an automatic vending machine which simply displays state-mandated euthanasia options and passively offers corresponding buttons for the patient to push.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Obviously, the scope and impact of such a policy is astounding. Professional judgement is the bedrock of medical practice. Freedom of conscience is the underpinning for our entire system of secular democracy. Both are set aside. \u00a0The scale of the emergency must be colossal to require such draconian measures!<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But, of course, there is no such urgency.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Let us remember that the original euthanasia program was sold to us as an imperative response to a hypothetical terminally ill patient in unbearable and untreatable pain. \u00a0Let us recall how that extreme, no, that virtually <\/span><i><span style=\"font-weight: 400;\">mythical <\/span><\/i><span style=\"font-weight: 400;\">case, was leveraged into all of the totally unrelated deaths that we now apprehend. Once again, a similar strategy is at work. This time, the absolute need for all doctors to promote euthanasia (all the time and to all of their most vulnerable patients), is presented as a required response to the hypothetical possibility of even one patient, desirous to die, but who is frustrated in her wish. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">We are asked to believe that any real burden whatsoever, financial, professional, or moral, can be justified in the interest of allowing that one sacred voluntary death. It is a sort of grotesque inversion of the proposition that \u201cno price is too high\u201d provided that \u201conly one child be saved\u2026\u201d. \u00a0Which becomes in this case: \u201cif only one person might die\u2026\u201d.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other jurisdictions, no less respectable than Ontario have taken an opposite stance, and there is no evidence that anybody has suffered or will suffer. <\/span><\/p>\n<p><a href=\"http:\/\/web2.gov.mb.ca\/bills\/41-2\/pdf\/b034.pdf\"><span style=\"font-weight: 400;\">Manitoba is in the process<\/span><\/a><span style=\"font-weight: 400;\"> of explicitly recognizing the right of non-participation and non-referral of all health professionals and others working in health care. Major hospitals in Winnipeg have announced their refusal to euthanize patients. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">In the State of Vermont a judicial battle over similar issues has resulted in an unambiguous <\/span><a href=\"http:\/\/www.adflegal.org\/detailspages\/press-release-details\/victory-for-vermont-health-professionals-after-pro-suicide-group-drops-appeal\"><span style=\"font-weight: 400;\">victory for doctors\u2019 rights<\/span><\/a><span style=\"font-weight: 400;\">. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">And in Ontario, a group of dedicated and courageous doctors launched a <\/span><a href=\"http:\/\/policyoptions.irpp.org\/magazines\/may-2017\/mandating-physicians-to-participate-in-assisted-suicide\/\"><span style=\"font-weight: 400;\">court challenge in defense of doctors\u2019 conscience<\/span><\/a><span style=\"font-weight: 400;\">, which was heard June 13-15, 2017. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">That judgement will be rendered later this year. \u00a0Let\u2019s hope our courts get it right this time!<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But regardless of that outcome, regardless of the timeframe, and regardless of expense; regardless of the legislative efforts that may ultimately be required: This authoritarian policy of the College of Physicians and Surgeons of Ontario is neither necessary nor justified. It is not desirable. It is not even reasonably defensible. It is extreme. And it is irrational. Above all, it is profoundly harmful to individual doctors and patients and to the whole medical profession. It constitutes both an injustice and an embarrassment which cannot be allowed to stand.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In the year since euthanasia became legal, we have witnessed a powerful political push to normalize it as part of medicine in Canada. Yet many doctors remain opposed to the practice. Most would like to see it rigorously limited. And some, for reasons of personal and\/or professional conscience, refuse categorically to be part of it. [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_oasis_is_in_workflow":0,"_oasis_original":0,"footnotes":""},"categories":[88],"tags":[],"class_list":["post-3169","post","type-post","status-publish","format-standard","hentry","category-blog"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Conscience and Canadian doctors - Physicians\u2019 Alliance against Euthanasia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/collectifmedecins.org\/la-conscience-et-les-medecins-canadiens\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Conscience and Canadian doctors - Physicians\u2019 Alliance against Euthanasia\" \/>\n<meta property=\"og:description\" content=\"In the year since euthanasia became legal, we have witnessed a powerful political push to normalize it as part of medicine in Canada. Yet many doctors remain opposed to the practice. Most would like to see it rigorously limited. And some, for reasons of personal and\/or professional conscience, refuse categorically to be part of it. 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