Doctor, multiple pregnancy care centers file federal suit over Illinois mandate to promote abortion

SB 1564 violates federal law, Constitution

News Release

Alliance Defending Freedom

ROCKFORD, Ill. – Alliance Defending Freedom attorneys representing multiple pregnancy care centers, a pregnancy care center network, and a doctor and her medical practice filed suit Thursday in federal court against Gov. Bruce Rauner after he recently signed a bill into law that forces them to promote abortion regardless of their ethical or moral views. The lawsuit also names Bryan Schneider, secretary of the Illinois Department of Financial and Professional Regulation.

ADF sent a letter to Rauner in May on behalf of numerous pro-life physicians, pregnancy care centers, and pregnancy care center network organizations advising him that the bill, SB 1564, would violate federal law and therefore place federal funding, including Medicaid reimbursements, in jeopardy. ADF also warned legislators about the problems with the bill last year. The lawsuit claims the new law, which is actually an amendment to the existing Illinois Healthcare Right of Conscience Act, violates federal law and the U.S. Constitution.

“No state should attempt to rob women of the freedom to choose a pro-life doctor, but that is the choice that Illinois is eliminating by mandating that pro-life physicians and entities make or arrange abortion referrals. To make matters worse, the state did this by amending a law designed specifically to protect freedom of conscience,” said ADF Senior Counsel Matt Bowman. “As our lawsuit explains, the law is incompatible with the U.S. Constitution and both federal and state law, which protect citizens from being forced by the government to live and act in a way contrary to their faith and conscience.”

The new law forces pregnancy care centers, medical facilities, and physicians who conscientiously object to involvement in abortions to adopt policies that provide women who ask for abortions with a list of providers “they reasonably believe may offer” them. Both federal and state law prohibit the government from placing burdens on religious conscience without a compelling interest for doing so. Additionally, the Illinois Constitution protects “liberty of conscience,” saying that “no person shall be denied any civil or political right, privilege or capacity, on account of his religious opinions.” Both the Illinois Constitution and the U.S. Constitution protect free speech, which includes the right not to be compelled by government to speak a message contrary to one’s own conscience.

“Medical professionals and pregnancy care centers shouldn’t be forced to speak a message completely at odds with their mission and ethics,” explained ADF Senior Counsel Kevin Theriot. “The centers offer women free information and services and do so at no cost to the government. They empower women who are or think they may be pregnant to give birth in circumstances where they may want to but don’t feel they have the necessary resources or social support. All SB 1564 accomplishes is to eliminate this choice for the women who need it most.”

Mauck & Baker LLC attorneys Noel Sterett and Whitman Briskey, two of nearly 3,100 private attorneys allied with ADF, are co-counsel in the case, National Institute of Family and Life Advocates v. Rauner, filed in the U.S. District Court for the Northern District of Illinois. ADF attorneys filed a similar lawsuit in state court last month.

  • Pronunciation guide: Bowman (BOH’-min)

Alliance Defending Freedom is an alliance-building, non-profit legal organization that advocates for the right of people to freely live out their faith.

Conscientious objection in healthcare, referral and the military analogy

journal-medical-ethicsAbstract:  An analogy is sometimes drawn between the proper treatment of conscientious objectors in healthcare and in military contexts. In this paper, I consider an aspect of this analogy that has not, to my knowledge, been considered in debates about conscientious objection in healthcare. In the USA and elsewhere, tribunals have been tasked with the responsibility of recommending particular forms of alternative service for conscientious objectors. Military conscripts who have a conscientious objection to active military service, and whose objections are deemed acceptable, are required either to serve the military in a non-combat role, or assigned some form of community service that does not contribute to the effectiveness of the military. I argue that consideration of the role that military tribunals have played in determining the appropriate form of alternative service for conscripts who are conscientious objectors can help us to understand how conscientious objectors in healthcare ought to be treated. Additionally, I show that it helps us to address the vexed issue of whether or not conscientious objectors who refuse to provide a service requested by a patient should be required to refer that patient to another healthcare professional.

Clarke S.  Conscientious objection in healthcare, referral and the military analogy. J Med Ethics 2016;0:1–4. doi:10.1136/medethics-2016-103777

Doctors needed. Leave your conscience at home

 National Post

Marni Soupcoff

In a new paper, two prominent bioethicists suggest that all doctors should be required to see to it personally that any medical procedure — including abortions and assisted suicides — be performed for patients who request and qualify for them.

This should be the case, the authors argue, despite any personal moral or religious qualms the doctors may have about the operations or prescriptions in question. Sadly for devout Catholics, evangelical Protestants or others with deep religious or moral convictions, the prospect of medical school itself would be completely off the table if co-authors Udo Schuklenk and Julian Savulescu had their way; they argue that medical students should be screened for over-active consciences when it comes to things like contraception, abortion and euthanasia. Apparently those for whom these issues are anything but no-brainers shouldn’t be considered acceptable physician material at all. . . [Full text]

 

Reasons, reasonability and establishing conscientious objector status in medicine.

journal-medical-ethicsAbstract:  This paper builds upon previous work in which I argue that we should assess a provider’s reasons for his or her objection before granting a conscientious exemption. For instance, if the medical professional’s reasoned basis involves an empirical mistake, an accommodation is not warranted. This article poses and begins to address several deep questions about the workings of what I call a reason-giving view: What standard should we use to assess reasons? What policy should we adopt in order to evaluate the reasons offered by medical practitioners in support of their objections? I argue for a reasonability standard to perform the essential function of assessing reasons, and I offer considerations in support of a policy establishing conscientious objector status in medicine.

Card RF.  Reasons, reasonability and establishing conscientious objector status in medicine.  J Med Ethics doi:10.1136/medethics-2016-103792

B.C. man faced excruciating transfer after Catholic hospital refused assisted-death request

National Post

Tom Blackwell

Ian Shearer had had enough of the pain and wanted a quick, peaceful end, his life marred by multiple afflictions.

But the Vancouver man’s family says his last day alive became an excruciating ordeal after the Catholic-run hospital caring for him rebuffed his request for a doctor-assisted death, forcing him to transfer to another hospital.

The combination of the cross-town trip and inadequate pain control left Shearer, 84, in agony through most of his final hours, says daughter Jan Lackie.

“To hear him crying out, screaming … was just horrible,” said Lackie, breaking into tears as she recalled the day in late August. “That’s what keeps me from sleeping at night … I don’t want any other person to go through what he did.”

Shearer’s experience at St. Paul’s Hospital highlights one of the thorniest issues concerning assisted death: the decision of most faith-based —  but taxpayer-funded — health-care facilities to play no part in a practice made legal by the Supreme Court of Canada and federal legislation. . . [Full text]

 

Doctors Have no Right to Refuse Medical Assistance in Dying, Abortion or Contraception

bioethicsAbstract:  In an article in this journal, Christopher Cowley argues that we have ‘misunderstood the special nature of medicine, and have misunderstood the motivations of the conscientious objectors’. We have not. It is Cowley who has misunderstood the role of personal values in the profession of medicine. We argue that there should be better protections for patients from doctors’ personal values and there should be more severe restrictions on the right to conscientious objection, particularly in relation to assisted dying. We argue that eligible patients could be guaranteed access to medical services that are subject to conscientious objections by: (1) removing a right to conscientious objection; (2) selecting candidates into relevant medical specialities or general practice who do not have objections; (3) demonopolizing the provision of these services away from the medical profession.

Savulescu J, Schuklenk U.  (2016) Doctors Have no Right to Refuse Medical Assistance in Dying, Abortion or Contraception. Bioethics. doi:10.1111/bioe.12288

Ban conscientious objection by Canadian doctors, urge ethicists in volatile commentary

National Post

Tom Blackwell

Authorities should bar doctors from refusing to provide such services as abortion and assisted death on moral grounds, and screen out potential medical students who might impose their values on patients, leading Canadian and British bioethicists argue in a provocative new commentary.

The paper by professors at Queen’s and Oxford universities, who are also editors of two major bioethics journals, throws rocket fuel onto a debate already inflamed by the new law allowing assisted death.

They argue that physicians have no right to opt out of lawful medical services — from abortion to prescribing contraceptives — that are requested by a patient and in the person’s interest.

Those who let conscientious objection affect patient care are clearly unprofessional, say Udo Schuklenk and Julian Savulescu.

“Doctors must put patients’ interests ahead of their own integrity,” they write in the journal Bioethics. . . [Full text]

    

Developments in the Practice of Physician-Assisted Death Since Its Legalization in the Netherlands

Jacob J.E. Koopman, MD, PhD*

Public prostitution, freely available marijuana, conventional same-sex marriage—yet the Netherlands is, perhaps, best known around the world for pioneering physician-assisted death. Outside of the country, its reputation is easily misconceived and sometimes blown out of proportion. For example, in 2012 the Dutch were astonished to hear this assertion of former U.S. Senator and presidential candidate Rick Santorum . . .  Full Text

The Physician and Community of Faithful in the Integrated Care of the Mentally Ill: An Orthodox Christian Discussion of the Physician’s Moral and Professional Obligations.

christian-bioethicsAbstract:  This article presents the case of a Romanian Orthodox Christian patient in the United States suffering from bipolar disorder. The patient had no family in the United States, and a community of parishioners from the Romanian Orthodox Church, including one of the authors, Mariana Cuceu (MC), cared for him after he was discharged from a psychiatric ward. The case serves as a starting point for exploring the duty of physicians not only to avoid harm but to do good, the importance of coordinating care for such patients and attending to their religious and spiritual needs, as well as the role of the community of Orthodox Christian faithful in responding to the command that we love one another.

 Cuceu M,  PontikesT.  The Physician and Community of Faithful in the Integrated Care of the Mentally Ill: An Orthodox Christian Discussion of the Physician’s Moral and Professional Obligations. Christ Bioeth (2016) 22 (3): 301-314 doi:10.1093/cb/cbw010

Therapeutic Homicide and Suicide in Canada:Collaboration, Conscription, Coercion and Conscience

Presented at the Central Oregon Right to Life Conference
Redmond, Oregon
10 September, 2016

Sean Murphy*

Preface

Thank you for the invitation to make this presentation on behalf of the Protection of Conscience Project.

Rather than use our time to talk about the Project, I have made background information and materials available in the display. After the presentation, I can answer questions or speak privately with people who would like to know more.

The presentation today is about therapeutic homicide and suicide in Canada. More specifically it is about expectations of collaboration, conscription of health care workers, and ongoing attempts to compel participation in morally contested services. [Full text]