{"id":886,"date":"2015-04-02T07:21:51","date_gmt":"2015-04-02T11:21:51","guid":{"rendered":"http:\/\/collectif.lesartsmartial.com\/?p=886"},"modified":"2015-04-02T07:21:51","modified_gmt":"2015-04-02T11:21:51","slug":"protect-the-freedom-of-conscience-of-physicians-to-protect-patients","status":"publish","type":"post","link":"https:\/\/collectifmedecins.org\/en\/protect-the-freedom-of-conscience-of-physicians-to-protect-patients\/","title":{"rendered":"Protect the freedom of conscience of physicians to protect patients"},"content":{"rendered":"<p>For the Physicians&#8217; Alliance against Euthanasia, it is  particularly important in the current context to ensure the right of physicians  not only to refuse to commit acts of euthanasia or assisted suicide themselves,  but also to ensure the right to refuse to become actors in a  chain leading to such acts, if they consider them harmful both to patients  directly affected and to vulnerable populations.<\/p>\n<p><!--more--><\/p>\n<p> On the one hand, the committing  an indirect act rather than a direct one would not solve the medical problem of  conscience for physicians for whom euthanasia is unacceptable. Dr. Catherine  Ferrier, the Alliance&#8217;s President, recently <a href=\"http:\/\/www.theglobeandmail.com\/news\/national\/canadian-doctors-drafting-new-rules-in-case-doors-open-to-assisted-suicide\/article22798448\/\">reported the Globe and Mail<\/a> that  she would never agree to refer a patient to a colleague for euthanasia. &quot;Basically,  you&#8217;re sending someone to their death,&quot; she summed up.  <\/p>\n<p>On the other hand, the requirement to refer a request  for death, found in Quebec&#8217;s Act respecting end-of-life care (Bill 52),  undermines the physician&#8217;s right to freedom of judgment in the exercise of  their profession. It may be that the physician&#8217;s clinical observation is not  consistent with the patient&#8217;s judgment on the intensity and irremediable nature  of their suffering, which is an eligibility criteria for &quot;medical aid in  dying&quot; found both in Bill 52 and the recent judgment of the Supreme Court  in the Carter case. The patient cannot legitimately force the doctor to follow  their will. Such a balance of power would erode the precious doctor-patient  consultation environment necessary for good medical practice, <a href=\"Http:\/\/collectifmedecins.org\/le-projet-de-loi-52-et-lexercice-de-la-medecine-en-fin-de-vie\/\">as argued by Dr.  Patrick Vinay in a conference last spring<\/a>. <\/p>\n<p>We are pleased that our position is that of the  Canadian Medical Association: no Canadian doctor should be forced to play any  role whatsoever in the killing of a patient, the president of the CMA, Dr.  Chris Simpson, said recently. And for him, the right to conscientious objection  includes the right to refuse to refer the patient\u2019s request for death to a  colleague.<\/p>\n<p>&quot;We simply cannot accept a system that compels  physicians to go against their conscience as individuals on something as  profound as this,&quot;<a href=\"http:\/\/news.nationalpost.com\/2015\/03\/05\/unacceptable-to-force-doctors-to-participate-in-assisted-dying-against-their-conscience-cma-head\/\">says Dr. Simpson in a recent interview with the  National Post.<\/a><\/p>\n<p>Several doctors opposed to euthanasia believe that  simply referring their patient&#8217;s request for death to a willing  colleague is already &quot;contrary to their personal ethics or moral or  religious beliefs,&quot; says Dr. Simpson.<\/p>\n<p>Let&#8217;s remember that at the Annual Meeting of the  Canadian Medical Association in August 2014, a resolution supporting the right  of doctors to follow their conscience in cases of assisted suicide or  euthanasia requests was adopted by 91% of the voters.<\/p>\n<p><a href=\"https:\/\/scc-csc.lexum.com\/scc-csc\/scc-csc\/en\/item\/14637\/index.do\">In its judgment of 6 February in the Carter case<\/a>,  the Supreme Court considered that its declaration of invalidity of the  prohibition of assisted suicide does not force doctors &quot;to provide medical  assistance to die.&quot; But it is less clear on the issue of mandatory  referral (or not) of death requests. &quot;The Charter rights of patients and  physicians will need to be reconciled in any legislative and regulatory  response to this judgment,&quot; the Court wrote. <\/p>\n<p>In this context, it is essential for us to  defend the freedom of conscience of doctors in its entirety.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>For the Physicians&#8217; Alliance against Euthanasia, it is particularly important in the current context to ensure the right of physicians not only to refuse to commit acts of euthanasia or assisted suicide themselves, but also to ensure the right to refuse to become actors in a chain leading to such acts, if they consider them [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_oasis_is_in_workflow":0,"_oasis_original":0,"footnotes":""},"categories":[88],"tags":[],"class_list":["post-886","post","type-post","status-publish","format-standard","hentry","category-blog"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - 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