10 healthcare

8/8/2019 10 Healthcare

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Defending Life 2010

463

HalthcarigHTS Of COnSCienCe


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Americans United for Life


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Defending Life 2010

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L

Halthca

rhts o Coscc

egal protection for healthcare rights of conscience afrms the need pvid qualiy ca pais, bu als ackwldgs ha cai

dads f pais, usually f pcdus ha a lif-dsuciv ad

lif-savig, us b blidly accdad h di f h ighs

f halhca pvids. Idividuals ad isiuis d ls hi igh

xcis hi al ad ligius blifs ad cscics c hy dcid

h halhca pfssi.

ths wh pps laws pcig ighs f cscic, piaily p-ab-

i advcas, icasigly cuch hi agus wih fcs w-

s igh halhca accss (icludig accss cacpi) ad sk cpl pvids ac i vilai f hi cscics. Hwv, h

us f h accss is a d hig, as h is al pbl, wh

a csciius bjci is ad, wih a pai gig ah (willig)

halhca pvid f svic.

Hwv, pcig ighs f cscic is cssay avid addd sss

a alady vaxd halhca sys. exps pjc ha cu

shags f physicias, uss, ad h halhca pfssials will

ws, failig fuu quis. Lgal aci ad h pssu

cpl halhca pvids paicipa i pcdus which hycsciiusly bjc ha ak a alady dagus siuai di-

sasus. By fcig halhca pfssials chs bw cscic

ad ca, w will ls dcs, uss, ad h halhca pfssials

wh a alady i sh supply, spcially i ual pas f h cuy.

W will als ffcivly ba cp yug ad w, dspaly

dd, f ig hs vial pfssis. Wihu a dub, h halh f

h ai dads pcig idividual ighs f cscic.

may sas hav adpd cscic laws ha giv piva hspials, physi-

cias, ad uss h igh csciiusly bjc ly paicipaig iabi. Hwv, wha is ugly dd a laws ha cgiz a af-

rmative civil right for all healthcare providers, including individuals (who

ay wk f a piva public halhca faciliy); isiuis (whh

hs isiuis a public piva); ad pays (such as isuac c-


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pais) fus paicipa i ay halhca svic which hy c-

sciiusly bjc.

this Sci pvids ifai h icasig ha halhca ighs

f cscic by gups ad idividuals wh bliv ha halhca pvid-

s wh pps abi, cacpi, ad ial uss f bichlgyshuld g u f h pfssi. A ky cp f his cciv agda

is lgislai cpllig idividual phaaciss ad phaacis sck ad

disps gcy cacpi gadlss f cscic h bjc-

is. this Sci als sks pvid h cssay sucs ac

ugly-dd ad cphsiv pci f all halhca pvids.


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Defending Life 2010

467

Much of the debate focused on strategy, with

participants wondering whether it was better

to work toward improving and narrowing con-

science clauses or to ght to eliminate them

altogether. Although reproductive rights ac-

tivists should still work to improve conscien-

tious objections, their ultimate goal should be

getting rid of them.

-th-ACLU excuiv Dic Ia Glass,2002 excuiv Suay, Csciius ob-

jcis ad rpduciv righs1

h ha halhca ighs f cscic

is al ad gwig. Culy, fdal law

ad h laws f 47 sas pvid pci

halhca pvids ad isiuis wh b-

jc paicipaig i abis. Hwv,

h sad gal f ay p-abi aciviss

ad gups is ablish hs pcis ad fc halhca pvids paicipa i

abis wihu gad f hi dply-hld

ligius, al, hical blifs. much f

h p-abi sagy i c yas has

b fcusd disig, wakig, ad

ulialy liiaig fdal laws ad gula-

is ha pc ighs f cscic.

Overview o Federal Conscience

Protections

Fdal law culy pvids liid sau-

y pci f halhca ighs f c-

science. Congress rst addressed the issue of

cscic pcis jus wks af h U.S.

Sup Cu hadd dwRoe v. Wade. I

1973, Congress passed the rst of the Church

Ads (ad f is sps, Sa

Fak Chuch). th Ad pvids ha

h cip f fudig hugh h fdal

pgas ca b usd as a basis c-

pl a hspial idividual paicipa i a

abi silizai pcdu which h

hspial idividual has a al ligiusbjci.

tak gh, h igial ad subsqu

Chuch Ads pc halhca p-

vids f disciiai by cipis f h

U.S. Dpa f Halh ad Hua S-

vics (HHS) fuds h basis f hi fusal,

bcaus f ligius blif al cvici,

pf paicipa i ay lawful halh

svic sach aciviy.

I 1995, wh h Accdiai Cucil f

Gadua mdical educai ppsd a-

daig abi aiig i all bsics ad

gyclgy sidcy pgas, Cgss -

spdd by acig a asu2 pvidig ha

ay sa lcal gv ha civs fd-

eral nancial assistance may not discriminate

agais halhca iis ha fus ai,

pf, f f, ak aags fabis.

La, i 1996, Sci 245 f h Public Halh

Svic Ac was acd phibi h fdal

gv ad sa lcal gvs ha

Halthca rhts o Coscc:A survey of federal and state laws

By Ds M. Buk

Vice President o Legal Aairs, Americans United or Lie

T


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receive federal nancial assistance from dis-

ciiaig agais idividual ad isiuial

halhca pvids, icludig paicipas i

dical aiig pgas, wh fusd ,

ag h higs, civ aiig i ab-

is; qui pvid such aiig; pfabis; pvid fals f, ak a-

ags f, such aiig abis.3

th s c fdal cscic pci,

the Hyde-Weldon Amendment, was rst enact-

d i 2005 ad pvids ha fdal, sa,

lcal gv agcy pga ha

civs fuds i h Lab/Halh ad Hu-

a Svics (HHS) apppiais bill ay

disciia agais a halhca pvid b-caus h pvid fuss pvid, pay f,

pvid cvag f, f f abi. th

Ad is subjc aual wal ad

has suvivd ulipl lgal challgs bugh

piaily by p-abi gups.

Recent Actions by HHS

o Augus 26, 2008, HHS publishd ad s-

licid public c a ppsd gula-i4 ha wuld ipl ad sgh h

fc f xisig fdal cscic

protections. Specically, the regulation would

qui ha cipis f HHS fudig pvid

written certication of their compliance with

fdal cscic pcis.

The regulation was specically developed in

sps icasig has f ad aacks

by p-abi gups ad hs h ighsf cscic f halhca pvids wh d-

cli pvid, paicipa i, f f ab-

tions. Specically, in early 2008, the American

Cllg f obsicias ad Gyclgiss

(ACoG) issud a hics pii ha, wh

ak i cjuci wih h Aica Bad

f obsics ad Gyclgys (ABoG) sa-

dards for physician certication, has the poten-

ial fc physicias ih vila hi

cscics by fig pais f abis

or risk losing their board certication.

[th] ppsd gulai is abu h lgal

igh f a halhca pfssial pacic ac-

cdig [his h] cscic, h-HHS

Scay mik Lavi said. Dcs ad h-

halhca pvids shuld b fcd

chs bw gd pfssial sadig

ad vilaig hi cscic. Fd f x-

pssi ad aci shuld b sudd

up h issuac f a halhca dg.5

I his pss las, Scay Lavi als -

d ha h ppsd gulai wuld:

Claify ha disciiai pc-

is apply isiuial halhca

pvids as wll as idividual -

plys wkig f cipis f c-

ai fuds f HHS;

rqui cipis f cai HHSfuds cify hi cpliac wih

laws pcig pvid cscic

ighs;

Designate the HHS Ofce for Civil

righs as h iy civ c-

plais f disciiai addssd by

h xisig saus ad h ppsd

gulai; ad

Charge HHS ofcials to work with any

sa lcal gv iy haay b i vilai f xisig saus

ad h ppsd gulai cu-

ag vluay sps big ha gv-

iy i cpliac wih

h law.6


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Defending Life 2010

469

If compliance is not achieved, HHS ofcials

will csid all lgal pis, icludig i-

ai f fudig ad h u f fuds paid

u i vilai f h disciiai pvi-

sis.7

I a pdicabl ad vwugh sps,

p-abi gups lauchd a assiv is-

ifai capaig, allgig ha HHS was

yig ipd ws accss halhca

i gal ad cacpivs i paicula.

Hwv, i aliy, i is h abi adv-

cas capaig agais cscic pcis

ha is dagig accss halhca f all

Aicas by haig div pvids

f h pfssi.8 Af viwig publiccs, HHS adpd h gulai i D-

cb 2008.

Ufualy, h abi advcas ca-

paig appas hav wkd. o Fbuay 27,

2009, h obaa Adiisai aucd is

i scid hs uls.

Protections or

Military Healthcare Providers

nably, fdal law als pvids pcis

f iliay halhca pvids. Pusua

Dpa f Dfs (DoD) ad idividual

svic dicivs, iliay halhca pvid-

s ay fus paicipa, dicly i-

directly, in medical procedures that they nd

ally ligiusly bjciabl. As wih

h ighs f ligius accdai, his

igh will b balacd agais iliay cs-siy ad h pial advs affc ui

adiss, idividual adiss, ui chsi,

al, discipli, safy, halh. Ay fus-

als pvid dical ca basd ligius

bjcis shuld b disclsd i advac

h pvids chai f cad ad pa-

is as h d aiss.

DoD Diciv (DoDD) 6000.14, Pai Bill

f righs ad rspsibiliis i h miliay

Halh Sys, dad 30 July 1998, pvids,i pi pa, ha:

A pvid wh disags wih a pa-(1)

is wishs [as a a], as a

a f cscic, shuld aag

for transfer of care to another qualied

pvid willig pcd accdig

h pais wishs wihi h liis

f h law ad dical hics.

miliay a faciliis ad ti-(2)

ca [halh isuac sys f ili-

ay dpds ad is ad hi

dpds] wk pvids ad

faciliis shall discls pais

as f cscic ha culd

inuence medical advice or treatment

dcisis.

Whil idividual halhca pvids ay

fus paicipa i cai dical p-

cdus, hs pcdus will sill gally

b pvidd by h iliay a faciliy

(MTF) or an afliated civilian facility or pro-

vid. elciv abi is h ly xcpi

his ul. Abis a pfd i

mtFs ulss h hs lif is dagd

by a ciud pgacy h pgacy -

suls f ap ics.

miliay a faciliis, bh i h ci-al Uid Sas ad a vsas lcais,

pvid a ag f cacpiv pis

iliay bs ad hi dpds, iclud-

ig silizai. I Apil 2002, DoD issud a


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diciv quiig gcy cacpi

b caid a all mtFs ad iliay phaacis.

Hwv, his ada was scidd i may

2002 ad idividual hspials, cliics, ad/

phaacis us w dcid f hslvs

whh cay h cvsial dug.

Sadly, halhca pfssials svig i h

iliay a iu f h adical ag-

da f p-abi advcas. o f h p

bjcivs f abi aciviss is qui

ha mtFs (bh i h U.S. ad vsas) p-

vid lciv abis (paid f a axpay

xps as is all iliay dical ca). t

achiv his bjciv, hy wuld als d

cicuv DoD pcis f halhcaighs f cscic as a ajiy f iliay

physicias wuld likly fus pvid

paicipa i h abis.

Overview o State Conscience Protections

th bal v halhca ighs f cscic

is big wagd piaily i h 50 sas. Cu-

ly, 47 sas pvid s dg f pc-

i f cai halhca pvids dcli pvid paicipa i abis. Hw-

v, ly w sasLuisiaa ad missis-

sippipvid cphsiv pcis f

all halhca pvids ad f all halhca

pcdus ad svics. Fuh, ly h

sasAlabaa, nw Hapshi, ad V-

pvid pci f halhca

ighs f cscic.

Hwv, a icasig ub f sas acsidig asus cpl cscic

ad fc pvidspiaily phaaciss

pvid svics i vilai f hi c-

scics. ths asus a igiaig f

h Gvs asi, h sa lgislau,

ad sa dical gvig ad licsig

agcis. F xapl, i 2005 h Illiis

Gv rd Blagjvich sigd a excu-

iv od quiig phaaciss ad phaa-

cies to ll prescriptions for contraceptives, in-

cludig gcy cacpi, wihudlay. I Washig i 2007, h Sa Bad

f Phaacy issud a ul quiig phaa-

cies to ll, regardless of conscience or other

bjcis, pscipis f ay dug iclud-

ig cacpivs , if h paicula dug is

i sck, facilia h pais accss

ha dug.

Endnotes1 See hp://www.usccb.g/plif/issus/abi/tHreAt.

PDF (las visid Augus 19, 2009). Glass was pig a

2002 aial ig ivlvig h ACLU rpduciv F-

d Pjc, h P-Chic rsuc C, ad h Gg

Gud Fudai.2 42 U.S.C. 238 (2008).3 See hp://www.hhs.gv/ws/pss/2008ps/08/20080821a.

hl (las visid Augus 19, 2009).4See Federal Register, Vl. 73, n. 155, 50274-85.5 See hp://www.hhs.gv/ws/pss/2008ps/08/20080821a.

hl (las visid Augus 19, 2009).6Id.7Id.8

See Primer on Protecting Healthcare Rights of Conscience,infra.


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Defending Life 2010

471

In the ongoing debate over healthcare rights of conscience, misinformation and hyperbole

abound (especially from those seeking to coerce conscience). However, a full and fair debate of

the issue requires an understanding that:

Health care is not a commodity, it is service. Those in the eld are not clerks or automa-

s, bu sius pfssials aid pvid spcializd ca. As pfssials, hy

gag i dcisi-akig ha is ifd by hi illcs ad hi cscics.

Conscience is subjective but not relative, and is dened by the individual through his/her

ligius faih, aliy, hics. Cscic is applid all acis ad dcisis ad

ca b igd cpaalizd.

Fd f cscic is a Aica idal. tha is, cscic is h fd f

cci (by h gv h idividuals) ac agais s will.

Cscic is a chck ad balac i a halhca pvids dcisi-akig pcss.

In the rapidly developing medical eld, ethical challenges abound. We want our medi-

cal pfssials xcis hical bhavi (i.e., bhavi i accd wih hi c-

scic).

Right of conscience protections afrm the need to provide quality care to patients and

d if wih xisig dical alpacic sadads. thy ly ackwldg

ha cai dads f pais, usually f pcdus ha a lif-dsuciv ad

lif-savig, us b blidly accdad h di f h ighs f halh-

ca pvids.

Idividuals ad isiuis d ls hi igh xcis hi al ad ligius

blifs ad cscic c hy dcid bc halhca pvids.

nhig i h laws pcig halhca ighs f cscic pvs hs f p-

vidig h halhca svic which a csciius bjci has b ad.

Ipaly, csciius bjcis a s f aisd ccig lciv svics,

such as abi, cacpi, silizai, physicia-assisd suicid, ad wihdawal

f uii ad hydai, ah ha cssay lifsavig svics. thf, h

lack f paicipai i hs pacics by a halhca pvid isiui will

dag h livs halh f pais.

Halthca rhts o Coscc Talk Pots


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Hwv, pcig h ighs f cscic f halhca pvids ad isiuis

is cssay avid addd sss a alady vaxd halhca sys. exps

pjc ha cu shags f physicias, uss, ad h halhca pfssials

will ws, failig fuu quis.

mv, lgal aci ad h pssu cpl halhca pvids paicipai pcdus which hy csciiusly bjc ha ak h alady dag-

us siuai disasus. By fcig halhca pfssials chs bw c-

scic ad ca, w will ls dcs, uss, ad h halhca pfssials wh

a alady i sh supply, spcially i ual pas f h cuy. W will als ffc-

ivly ba cp yug ad w, dspaly dd, f ig hs

vial pfssis.

th sagy big usd by abi advcas ad hs cpl cscic is bh

clv ad chillig. If hy ca ca lgal pcd cpl vilai f cscic

f pcdu (e.g., dispsig cacpivs) gup f halhca pvids (e.g.,phaaciss), hy will hav sablishd h lgal pcd cssay cpl dcs

paicipa i sugical abi ad cpl all halhca pvids paicipa i

h bjciabl pcdus ad svics.

effs xpad lgal cci a wll udway ad hy iclud aday fal

f pais. F xapl, Augus 30, 2005, michal mui, h Psid f Ai-

ca Cllg f obsics ad Gyclgy (ACoG), w h U.S. Cgss, saig

the ofcial position of ACOG: Doctors who morally object to abortion should be re-

quid f pais h physicias wh will pvid h apppia ca. r-

c acis by ACoG ad h Aica Bad f obsics ad Gyclgy (ABoG)to make board certication or recertication dependent on compliance with ACOGs

psii fals f abi fuhs his cciv ff.

Such efforts by ACOG and ABOG are only the rst steps. After forcing complicity, the

x sp will b h cci f aciv paicipai i abi ad h bjciabl

svics ad pcdus by ally-bjcig pvids.

opps f ighs f cscic agu ha ly idividuals ca shuld hav (li-

id) ighs f cscic. this is sh-sighd ad pupsly isudsads h i

ha h issi f a gaizai isiui (such as a public piva hspial a halhca isu) is ifd by h idividuals cllig ha gaizai

isiui.


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Defending Life 2010

473

rhts o Coscc Ovvw

tw sas pc h civil ighs f all halhca pvids, whh idividuals,

isiuis, pays (public piva) wh csciiusly bjc paicipaig iay halhca pcdu svic: LA ad mS

Forty-ve states protect the civil rights of only certain healthcare professionals

and/or institutions from participating in specic procedures (usually abortion only):

AK, AZ, Ar, CA, Co, Ct, De, FL, GA, HI, ID, IL, In, IA, KS, KY, me, mD, mA,

mI, mn, mo, mt, ne, nV, nJ, nm, nY, nC, nD, oH, oK, or, PA, rI, SC, SD,

tn, tX, Ut, VA, WA, WI, WV, ad WY.

th sas pvid pci f h civil ighs f halhca pvids,

isiuis, pays: AL, nH, ad Vt.


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Ten states provide some specic protection for civil rights of pharmacists andphaacis: AZ, Ar, CA, GA, KS, LA, me, mS, nC, ad SD.

Potcto o Phamacsts


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Defending Life 2010

475

v h las fw dcads, abi ad-

vcas ad hi allis hav lauchd

a ccd capaig fc hspials,

halhca isiuis, halh isus, ad i-

dividual halhca pvids pvid, f,

pay f abis. thi did ffs

visca h ccp f cscic ad

h fd fllw s ligius, al, hical blifs f h dical pfssi

hav suld i h fllwig:

Cahlic Chaiis i nw Yk ad

Califia big fcd by hi sa

sup cus fac h uviabl

chic f ffig halhca cvag

f cacpivs (v hugh h

use of articial contraception violates

lg-sadig Cahlic achigs) ,alaivly, liia is pscip-

tion drug benets for its employees

(i cavi f Cahlic Chuch

achigs ccig h pvisi f

just wages and benets).

A abulac div i Illiis big

red for refusing to take a woman to

a abi cliic.

I 2004, nw mxic fusig ap-

pv a cuiy-wd hspiallas bcaus f h hspials fusal

pf lciv abis.

A piva hspial i txas big sud

f disgadig paal bjcis

ad pvidig lif-susaiig ca

a ifa b af 23 wks f gsa-

i.

th Washig Bad f Phaacy

dicaig ha phaaciss us, -

gadlss f cscic h bjc-

tions, ll all prescriptions including

hs f cacpivs ad -

gcy cacpivs.

Sadly, his pss ly a sall saplig f

h uig aacks h ighs f halhca

pfssials pvid dical ca wihu

vilaig hi ligius, al, hical b-

lifs.

I c yas, abi advcas ad hi

allis hav pily agd p-lif pha-

aciss. thi gal is qui phaaciss disps cacpivs (icludig -

gcy cacpivs), fcig h chs

bw hi livlihd ad hi dply-hld

ligius, al, hical blifs. Alhugh

h U.S. Csiui pcs h f xcis

f ligi, allwig fllw wha his

h cscic ally dicas, h abi

lbby is uig h dba i a fdu

allgd fusals pvid w accss

cvsial pduciv pcdus.

ths gups cgiz ha if hy ca sab-

lish lgal pcd cc s vi-

la hi cscic gadig cacpivs,

hy ca h asily xd ha lgal pcd

A Pm o Potct Halthca

rhts o Coscc

By Ds M. Buk


O


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476


cc halhca pvids adiis

rU-486 (h s-calld abi pill), c-

c dical suds paicipa i abi

aiig, ad fc dcs paicipa i

sugical abi.

of hugh f as a cpay pbl,

h issu f ighs f cscic was fcd

ad csidd by u Fudig Fahs. F

xapl, thas Jffs w, n p-

visi i u Csiui ugh b da

a ha ha which pcs h ighs f

cscic agais h piss f h civ-

il auhiy. mv, adiial ws

hugh has udsd idividual cscic

b a guid f aci ad idispsabl apppia aci.

KEY TERMS

Right of conscience protection :

Shilds physicias ad h halh-

ca pvids f liabiliy, advs

adiisaiv, ad/ h gaiv

csqucs f fusig paici-

pa i ay halhca pcdu svic ha wuld vila hi al

cscic, hical sadads, li-

gius blifs.

Conscience: mal sadads ha a

idividual has accpd ad ha gu-

la his/h acis ad bhavi.

Achbishp Jh mys (culy h

Achbishp f nwak), i a pasalletter, has stated, By denition, con-

scic is h illcual ac f judg-

f wha is igh ad wg d

d. I is h las bs judg

f wha ugh chs. thus,

cscic us b fd hugh

ducai ad pay, ad b ifd

by [ligius faih]. Siply, c-

scic is a h ha f all dcisi-

akig.

Healthcare providers : A bad

usd dscib idividuals wkig

in the healthcare eld. This includes

dcs, uss, dical suds,

phaaciss, dical assisas, pha-

acis assisas, dical sachs,

ad hs. All wks gag hi

cscic i hi wk; i a paicu-

la way, halhca wks gag

hi cscic i caig f pais.t pvid h fulls pssibl pc-

i f idividual fd, his

shuld als b csud iclud

isiuis such as public ad piva

hspials ad halh isuac cpa-

is ad h pays.

Healthcare procedures : Ay pc-

du svic pfd i a halh-

ca sig. All halhca pc-dussuch as sugy, upai

a, cliical ca, ad di-

cal sacha acs duig which

halhca pvids gag hi c-

scics.

MYTHS & FACTS

Myth: I is ucsiuial f halhca

pvids fus pvid abi bcausw hav a lgal igh bai a ab-

i.

Fact: Fis, h is igh f accss

abortion. In fact, the abortion right rst an-

ucd iRoe v. Wade, 410 U.S. 113 (1973),


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Defending Life 2010

477

and reafrmed inPlanned Parenthood v. Casey ,

404 U.S. 833 (1992), is h igh f a wa

chs whh ia a pgacy

wihu ifc f h gv.

ths cass ca b ad giv ay pai,

l al h gv, h auhiy vi-la h fudaal fd f cscic

by fcig a halhca pvid pf a

abi ay h cvsial pcdu.

Laws ha pc h civil ighs f halhca

pvids d fbid w f baiig

abis. thy ly pc halhca p-

vids f acig cay hi cscics

by pvidig h a igh

fai f paicipa-ig i a abi.

I fac, h U.S. Sup

Cu has xpssly c-

gizd ha (fdal

sa) gvs a

quid facili-

a abis by fud-

ig h. I Harris v. McRae, 448 U.S. 297

(1980), h Cu uphld a fdal ba hus f fdal mdicaid fuds pay f lc-

iv abis. I is asig, h Cu -

d ha h abi igh cad iRoe did

sablish a il abi. rah,

h Cu said, Roe ly cad liis

sa aci. Siilaly, i Webster v. Repro-

ductive Health Services, 492 U.S. 490 (1989),

h Cu uphld a sa sau ha phibid

sa-u dical cs f pvidig lc-

iv abis. thf, lgislai pc-ig h ighs f halhca pvids fai

f paicipaig i faciliaig abi

ds plac a ipissibl bud a

was igh abi, bcaus w d

hav a igh fc a idividual i-

siui, icludig h gv, pvid

i.

Myth: Addiial igh f cscic pc-

i is ucssay bcaus y sa alady

has a cscic law.Fact: oly w sasLuisiaa ad mis-

sissippipc h ighs f cscic f all

halhca pvids, isiuis, ad pays

(e.g., halh isuac cpais) wh fus

pvid ay halhca svic basd a -

ligius, al, hical bjci. Alhugh

45 h sas ad h fdal gv

hav adpd cscic laws, hs laws a

iadqua bcaus hy

usually pc h igh bjc ly paici-

paig i abi ad d

not offer any afrmative

pcis. mv

ay f h cu laws

d pc all halh-

ca pvids. F x-

apl, phaaciss a

f xcludd f cvag i hs saus

and, therefore, are lacking afrmative protec-i f hi igh dcli pvid abi-

facis dugs ha ay usd i a assisd

suicid.

Myth: Cscic pci is a v

f h ligius igh ad is dsigd p-

ligius viwpi.

Fact: Cscic is a h ha f h Ai-

ca xpic. ms Aicas cgiz h

ligius fd fud i h Fis Ad- f h Uid Sas Csiui. I

ads: Cgss shall ak law spcig

a sablish f ligi, phibiig h

f xcis hf; abidgig h fd

f spch, f h pss; h igh f h


16/26

478


ppl pacably assbl, ad pii

h gv f a dss f givacs.

Wha Aicas ay aliz is ha a a-

ly daf f h Ad wi by Jas

madis icludd h fllwig: th Civilrighs f shall b abidgd accu f

ligius blif wship, shall ay a-

ial ligi b sablishd, shall h full

ad qual ighs f cscic b i ay a-

, ay px ifigd.

obviusly, cscic pcis did

spig up clysay, duig h Via

Wa abu a a lg-sadig pa f h

ais baic. I is als a plualisic igh, bacd by Chisias ad -Chisias

alik. I is basd spcig faih

bu spcig h igiy f all idividuals.

Myth: th lgal pci f halhca p-

vids ighs f cscic will dag h

livs f pais bcaus i will allw halh-

ca pvids dcli pvid halhca

svics ad hby dy accss pais.

Fact: righs f cscic pcis af-rm the need to provide quality care to patients

ad d if wih xisig dical al-

pacic sadads. thy ly ackwldg

ha cai dads f pais, usually f

pcdus ha a lif-dsuciv ad

lif-savig, us b blidly accdad

h di f h ighs f halhca p-

vids

Idividuals ad isiuis d ls hiigh xcis hi al ad ligius b-

lifs ad cscic c hy dcid b-

c halhca pvids. nhig i h

laws pcig halhca ighs f cscic

pvs hs f pvidig h halhca

svic which a csciius bjci

has b ad. Csciius bjcis a

s f aisd ccig lciv svics,

such as abi, cacpi, silizai,

physicia-assisd suicid, ad wihdawal f

uii ad hydai, ah ha cssay lifsavig svics. thf, h lack f

paicipai i hs pacics by a halhca

pvid isiui will dag h

livs f pais.

Fuh, abi pps a icasigly

cuchig hi agus wih h laguag

f ws ighs halhca accss. I is

wh ig ha h is fudaal igh

halhca ad, hf, vidig duy pvid i agais yu cscic. Als, h

accss is a d hig, as h is

al pbl wih a pai gig ah

halhca pvid f svic.

Protecting Conscience Avoids

Aggravating Existing Healthcare Crisis

Pcig h fd f cscic f halh-

ca pvids ad isiuis is cssay avid addd sss a alady vaxd

halhca sys. exps pjc ha cu-

shags f physicias, uss, ad h

halhca pfssials will ws, failig

fuu quis.

Lgal aci ad h pssu cpl

halhca pvids paicipa i pc-

dus which hy csciiusly bjc

ha ak h alady dagus siu-ai disasus. By fcig halhca p-

fssials chs bw cscic ad

ca, w will ls dcs, uss, ad h

halhca pvids wh a alady i sh

supply, spcially i ual pas f h cuy.


17/26

Defending Life 2010

479

W will als ffcivly ba cp yug

ad w, dspaly dd, f -

ig hs vial pfssis.

Many women have already experienced rst-

had h cu pvid shag, havig ahard time nding obstetricians to deliver their

babis. I 2006, 14 pc f ACoG bs

pd hy had sppd dlivig babis.1

Fuh, h Aica Assciai f mdical

Cllgs (AAmC) pjcs a aicipad phy-

sicia shfall f 70,000 by 2025.2

As ublig as hs pdicis a, h us-

ig shag is v ws. S sudis p-

dic h shag f gisd uss i hU.S. will ach 500,000 by 2025.3 Halh r-

sucs ad Svics Adiisai (HrSA)

ofcials have projected the nations nursing

shag will gw ha illi

uss by 2020, ad aalyss shw ha all 50

sas will xpic a shag f uss

vayig dgs by h ya 2015jus a fw

yas f w.4

Accdig a July 2007 p lasd by hAica Hspial Assciai, U.S. hspials

need approximately 116,000 RNs to ll current

vaca psiis aiwid.5 mv, v

half f h suvyd uss pd ha hy

idd i bw 2011 ad 2020.6 th

Cucil Physicia ad nus Supply7 has

did ha 30,000 addiial uss us

gadua aually h ais g-

ig halhca ds, a xpasi f 30% f

h cu ub f aual us gaduas.

Insufcient stafng raises stress levels, im-

pacs jb saisfaci, ad is divig ay

lav usig.8 may c sudis als pi

to the connection between adequate stafng

ad saf pai ca.9 Icass i gisd

nurse stafng was associated with reductions

i hspial-lad aliy ad failu s-

cu, as wll as ducd lgh f says; c-

versely, in settings with inadequate stafng, pa-

i safy was cpisd.10 ms hspialrns (93%) p aj pbls wih havig

ugh i aiai pai safy, dc

cplicais aly, ad cllaba wih h

halhca a bs.11

m uss a h bdsid culd sav hu-

sads f pai livs ach ya.12 Pais wh

hav c sugis i hspials wih high

pai--us ais hav a up 31% i-

casd chac f dyig.13 evy addiialpai i a avag hspial uss wklad

icasd h isk f dah i sugical pais

by 7%.14 Havig fw uss ay acually

cs y giv h high css f -

placig bu-u uss ad caig f pais

wih p ucs.

t slwad xacbahs shags,

h is a d f cphsiv cscic

pcis ad pp fc f xisigfdal ad sa laws.15 mdl lgislai p-

vidig such cphsiv pci is c-

aid i AULs Halhca Fd f C-

scic Ac, which has alady b acd

i mississippi ad pvids pci f all

halhca pvids ad all pcdus.

Pcig ighs f cscic ds ba ay

pcdu pscipi ad ds ada

ay paicula blif aliy. Fd fcscic siply pvids Aica ad

w h guaas ha his cuy was

buil up: h igh b f f cci.

Pcig cscic hlps su pvids

ad ai i h halhca pfssis,


18/26

480


hlpig h isig dad f qualiy

halhca. Failig d s will cpis

basic halhca f h i ai.

Endnotes1 Vic f Aica , US Faces Obstetrician Shortage, Au-

gus 2006, availabl a: hp://www.vaws.c/glish/

achiv/2006-08/2006-08-07-va51.cf (las visid Augus 19,

2009).2 myl Casdal, Medical Schools on Target to Reach Enroll-

ment Goals, Ju 23/30, 2008, availabl a: hp://adws.

c (las visid Augus 19, 2009).3 rp lasd by D. P Buhaus i mach 2003. The Fu-

ture of the Nursing Workforce in the United States: Data, Trends

and Implications. th p siad dad f rns gw-

ig 2% 3% p ya.4See HrSA p, What is Behind HRSAs Projected Supply,

Demand, and Shortage of Registered Nurses? Addiially, ac-

cdig h las pjcis f h U.S. Buau f LabSaisics publishd i h nvb 2007 Monthly Labor

Review, ha illi w ad plac uss will

b dd by 2016. Gv aalyss pjc ha ha

587,000 w usig psiis will b cad hugh 2016 (a

23.5% icas), akig usig h ais p pfssi i

s f pjcd jb gwh. Availabl a: www.bls.gv/pub/

l/2007/11/a5full.pdf (las visid Augus 19, 2009).5See The 2007 State of Americas Hospitals Taking the Pulse

availabl a hp://www.aha.g/aha/c/2007/PwPi/

SafHspialsChaPack2007.pp (las visid Augus 19,

2009).6 Bad Hds Gup July 2006 sudy, Nursing Management

Aging Workforce Survey, availabl a hp://www.hds.c/i-

dusis/halhca/sucs/sach/agigwkfc.asp (lasvisid Augus 19, 2009).7 mach 2008 sa lasd by a idpd halhca

gup sudy basd a h Uivsiy f Psylvaia, th Cu-

cil Physicia ad nus Supply.8 I h mach-Apil 2005 issu fNursing Economic$ , D. P

Buhaus ad cllagus fud ha ha 75% f rns b-

liv h usig shag pss a aj pbl f h qual-

iy f hi wk lif, h qualiy f pai ca, ad h au

f i uss ca spd wih pais. Als all suvyd

uss s fuu shags as a caalys f icasig sss

uss (98%), lwig pai ca qualiy (93%), ad causig

uss lav h pfssi (93%). Accdig a sudy i

h ocb 2002Journal of the American Medical Association,

uss pd ga jb dissaisfaci ad ial xhaus-

i wh hy w spsibl f pais ha hy ca

safly ca f. rsach D. Lida Aik ccludd ha fail-

u ai uss cibus avidabl pai dahs.9 I mach 2007, a cphsiv p iiiad by h Agcy

f Halhca rsach ad Qualiy was lasd Nursing

Stafng and Quality of Patient Care. thugh a-aalysis,

h auhs fud h shag f gisd uss, i cbia-

i wih a icasd wklad, pss a pial ha h

qualiy f ca.10 Publishd i h mach 2006 issu fNursing Economic$,

a cphsiv aalysis f sval aial suvys h

usig wkfc fud a ajiy f uss pig h rn

shag is gaivly ipacig pai ca ad udiig

h qualiy f ca gals s by h Isiu f mdici ad hnaial Qualiy Fu.11 I a aicl publishd i h Spb/ocb 2005 issu

fNursing Economic$, D. P Buhaus ad asscias fud

the majority of RNs (79%) and Chief Nursing Ofcers (68%)

bliv h usig shag is affcig h vall qualiy f

pai ca i hspials ad h sigs, icludig lg-

ca faciliis, abulay ca sigs, ad sud halh c-

s.12 Accdig a sudy publishd i h ocb 23/30, 2002

issu f h Journal of the American Medical Association. C-

ducd by us sachs a h Uivsiy f Psylvaia

ad fudd by h naial Isiu f nusig rsach.13Id.14Id.15 Fy-sv sas pvid s pcis f halhca

fd f cscic. oly Alabaa, nw Hapshi, ad

V a wihu pciv laws.


19/26

Defending Life 2010

481

c yas, phaaciss hav facd a

icasigly sid ad public aack

hi ighs f cscic.1 n supisigly,

his aack dicly las h gig bal

v abi. FllwigRoe v. Wade,2 h is-

su f halhca ighs f cscic fcusd

h fd f physicias, uss, ad h

halhca pvids absai f paicipa-

ig i sugical abis. Alhugh his f-d is gally accpd by sciy, i h

pas dcad p-abi gups hav xpad-

d hi aacks cscic, spcially wih

gad phaaciss l i dispsig Pla

B (als kw as gcy cacpi),3

h abifaci rU-486, ad al cacp-

ivs. th gwig d is dad accss

hs dugs f pais a h xps f h

fd f cscic f halhca pvid-

s.4 Had pliical bals a akig placi sa lgislaus acss h cuy as pli-

icias ap pass laws ih pc

phaaciss igh absai f paicipaig

i ally bjciabl pacics, fc

h ac i vilai f hi cscics

isk lsig hi jbs.

Fd f cscic is a lg-spcd a-

dii i u ai, paiculaly f dical

pfssials. I fac, u ais fudigfahs cgizd ha ighs f cscic

ad h f xcis f ligi w ssial

h fudai f a dcaic ai. As

Jas madis sad:

th rligi h f vy a us

b lf h cvici ad cscic

f vy a; ad i is h igh f v-

y a xcis i as hs ay

dica . . . . I is h duy f vy a

d h Ca such hag,

ad such ly, as h blivs b ac-

cpabl hi.5

Ufualy, s cas hav

slippd i h habi f usig h laguag f

lac ad accdai ah ha fa-

ig his dba f wha i uly isa suggl

valida ad pc h ighs f cscic

f idividuals. I h wds f h Aica

Phaaciss Assciai: W d hav a

pfssi f bs. W hav a pfssi f

huas. W hav ackwldg ha pha-

aciss hav idividual blifs.6 nhlss,isad f havig hi idividual blifs ac-

kwldgd ad spcd, phaaciss a

icasigly facd wih scial dads g

alg wih dispsig chicals ad dvics

ha hy kw will b usd dsy hua

lif.

Abi pps cgiz h paau

ipac f h issu f cscic g-

ally ad phaaciss ighs f cscic sp-cically. NARAL Pro-Choice America (NAR-

AL) ad is allis a gagd i a capaig

ac lgislai ha wuld fc phaaciss

to ll prescriptions for birth control and abor-

ifacis gadlss f a idividual phaa-

Th Tp o th Spa:Defending pharmacists rights of conscience

By elzabth ros

2006 AUL Summer fellow

i


20/26

482


ciss csciius bjci. nArAL has

chaacizd hs csciius bjcs as

renegade pharmacists . . . refusing to ll safe,

lgal pscipis f bih cl ad isiss

phaacis hav a duy disps ad hav

a hical bligai dag hi pa-is [sic] halh by wihhldig basic halh-

ca.7 Claly, hs ispsais us

b cfd, ad a accua udsadig

f his aial cisis f cscic us b

bugh h ff.

As h pssu us phaaciss c-

f scial dads, cai idividu-

als fac h disssig dcisi f whh

abad hi cas hi cvicis.Phaaciss f isk disissal h disci-

pliay aci f sadig up f hi blifs.

Luk Vad Blk, a phaacis ad phaa-

cy w, facd xacly his siuai. I 1997,

Vad Blk, wih his wif Ja, bca h

w f a sall w phaacy i mis,

Illiis. ov h x sv yas, Vad

Blk pd acquid h h phaa-

cis i sall Illiis cuiis, pvidig

phaacuical svics ha wuld hwis b availabl i hs udsvd aks.

Vad Blk sablishd hislf as a wll-

kw, wll-spcd busissa wh v-

dispsd Pla B bcaus f his cscic

ad ligius faih.

I Apil 2005, h-Illiis Gv rd

Blagjvich jpadizd Vad Blks abiliy

ciu ffig his svics i hs sall

towns. Blagojevich, through executive at andwihu lgislaiv appval, issud a -

gcy excuiv od ha quid cu-

iy phaacis licsd i Illiis pcu

ad disps all fs f cacpivs wih-

u dlay.8 th egcy odad

pa Augus 16, 2005dicly c-

adicd a xisig law, h Illiis Halh

Ca righ f Cscic Ac,9 which p-

vidd bad cscic pci f halh-

ca wks i all halhca sigs. Vad

Blk cgizd ha h culd , i gdcscic, fllw h Gvs d ad

wuld b fcd lav his lif-lg pfs-

si as a phaacis ah ha sck ad dis-

ps pducs ha [h] bliv[d] b ha-

ful hua lif. riskig his livlihd ad

his puai, Vad Blk ad h laudabl

dcisi ak a sad agais h Gvs

coercive order and, on June 8, 2005, led a

lawsui challgig h Gvs d.10

Luk Vad Blk is jus f husads

f idividuals wh hav b fcd ak

siila dcisis bw fllwig hi c-

scics aiaiig hi cas ad p-

cig hi failis livlihd. may pha-

aciss viw hi pfssi as f halig

ad pps h us f dicai d hu-

a lif. I Vad Blks w wds: I

hav sp y i pfssi i phaacy

cid asig suffig, cuig, ad di-agsig disas, ad ipvig h qualiy f

hua lif . . . . I will pacic i a -

vi, [i] which w a lgally bligd

b ivlvd i h dsuci f hua

lif.11

espcially wh sciy ca ach a c-

ssus abu h aliy f a pcdu, h

law us pc phaaciss whs dp -

al cvicis dica hy ca paicipa ibhavi ha is haful hua lif. F h

csciius bjc, his h al, hi-

cal, ad ligius cvicis a isu-

s f slvig pbls bu f pa f his

h idiy ad vy slf. Psal hics


21/26

Defending Life 2010

483

ca b bifucad f pfssial hics.

Ay law ha fcs phaaciss ac cay

hi cvicis ad suppss hi c-

scics ipss s f valu judgs

v ah.

opps f fd f cscic cd

ha a phaaciss igh csciius b-

jci us b sub-

diad h ds f

pais; hwv, c-

sciius bjci ds

pv pais f

baiig cacpivs

f h sucs. Jus

as h xcis f f-d f spch ds

fc hs ag wih

h spak, h xcis

f fd f cscic

ds fc hs ag wih a bjc-

. objcs ac piaily psv hi

w al igiy, blck accss s-

vics puish cl pais.12 thi

ai cc is avid big iplicad i

wha hy udsad b a ial acad, ud h vas ajiy f cicusacs,

a pai wh is did a pscipi f

phaacis phaacy ca cvily b-

ai i lswh. I is iapppia duc

hua pss h saus f ls higs

ud ay cicusac, bu i is paiculaly

phsibl i h halhca sig wh

halhca pfssials a s valuabl b-

caus f hi kwldg ad judg. t

demand the sacrice of individual religiousad psal ighs f cscic i fav f

pai cvic ly das a idi-

vidual phaacis bu als h dical pfs-

si as a whl.

I d pc h piclss ighs f c-

scic f phaaciss, sa lgislaus us

bc paciv i passig aigful

lgislai. Alhugh 47 sas allw physi-

cias ad h halhca pvids fus

pf paicipa i abis,13 hissa pci is widly gad pha-

aciss ad phaacy ws. Alhugh

sas culy hav

a law ha pcs

phaaciss ighs

cscic s

dg,14 pps f

ighs f cscic

ciu agia f

laws ha wuld fc a phaacis disps

pscipis dsp

his h csciius

bjci.

For example, in 2008 approximately 70 mea-

sures related to healthcare rights of conscience

were considered in state legislatures. Alarming-

ly, measures seeking to compel conscience and

to force providers to act in opposition to theirpersonal beliefs outpaced protective measures.

this alaig icas i ffs cpl

cscic us b addssd ad ay sas

alady hav h ls d s. nably, AUL

has dvlpd h Phaaciss Fd

f Cscic Ac, which cphsivly

pcs h cscic ighs f idividual

phaaciss, phaacis, ad iis such as

isuac cpais ha pay f pscipidugs.

Fuh, f xapl, s sas ff pc-

i f h halhca ighs f cscic f

public plys. ths pvisis xplic-


22/26

484


ily pvid ha sa h public ply-

s ca b quid paicipa i faily

plaig bih cl svics.15 I hs

sas, lawaks ly d xd h p-

ci giv public plys phaa-

ciss wh d hav h backig f sa gv-. t adqualy pc phaaciss

ad phaacy ws, i is ssial ha vy

sa ac cphsiv ighs f cscic

lgislai.

As his aial dba v h l ad ighs

f phaaciss bcs sali ag

sa lgislaus, i is f paau ipac

ha sa lgislas ad public plicy gups

a appisd f h d ac cph-siv lgislai ha spcs phaaciss

ighs f cscic ad pcs h f

cciv aci ha cadics hi sicly-

hld al ad ligius blifs.

Endnotes1 F a xapl f a phaaciss cscic bjci sul-

ig i h lss f ply, see J mais, Pill Dispu

H Css Phaacis H Jb, St. Louis Post-Dispatch, Ja.

27, 2006, A1.2 410 U.S. 113 (1973).3 Alhugh Pla B is als cly fd as h ig-

af pill, such a dscipi is isladig bcaus h dug ac-

ually fucis as a abifaci.4 Accss is h fa pd by p-abi gups. See

e.g. Illiis ruls Accss, Plad Pahd f Aica,

availabl a: hp://www.pladpahd.g/pp2/pal/

les/portal/media/pressreleases/pr-050816-pharmacist.xml (last

visid Augus 19, 2009).5 Jas madis, mial ad rsac Agais rli-

gius Asssss, 15, pid iEverson v. Bd. of Ed., 330

U.S. 1, 65-66 (ruldg, J., dissig).6 Susa C. Wickl, Aica Phaaciss Assciai, Vic

Psid f Plicy Cuicais7 Sas availabl a hp://www.pchicaica.g/as-

sets/les/Birth-Control-Pharmacy-Access.pdf (last visited Au-

gus 19, 2009).8 68 iLL. aDMin. coDe 1330.91 (2005)9 745 iLL. coMP. stat. ann. 70/1 et seq. (2005)10 o Dcb 18, 2008, h Illiis Sup Cu vsd a

lw cus disissal f his cas ad u h cas h ial

cu. th ial cu has sic d a ijuci phibiig

h Sa f fcig h ul whil liigai cius.11 Sas ad bf h Uid Sas Hus f rps-

aivs Sall Busiss Ci July 25, 2005, availabl

a: hp://wwwc.hus.gv/sbiz/haigs/daabasDiv-

HaigsSys/displaytsiy.asp?haigIdDaFa=0

50725&siyId=377 (las visid Augus 19, 2009).

12 F a xplai f s f h phaaciss ivai,seeDug m, Illiis Duggiss Pldg Dfy rul, St. Louis

Post-Dispatch, Aug. 21, 2005, B1.13 Alabaa, nw Hapshi, ad V ff pci

f halhca ighs f cscic.14 Aiza, Akasas, Califia, Ggia, Kasas, Luisiaa,

mai, mississippi, nh Calia, ad Suh Daka i s

way pc phaaciss csciius bjcis.15 Clad, Ggia, og, Ws Vigiia, Wiscsi, ad

Wyig xplicily ff pci a public ply wh

wishs absai f disibuig cacpi ad/ faily

plaig svics. Clad xds his pci ly ciy

ad cuy plys, whil og liis i hs wh a

plys f h og Dpa f Hua Svics.


23/26

Defending Life 2010

485

The conict between social pressure and the

demands of conscience can lead to the dilemma

either of abandoning the medical profession or

of compromising ones convictions There is

a middle path It is the path of conscientious

objection, which ought to be respected by all,

especially legislators.

- Pope John Paul II, Rome (18 July 2001)

igh csciiusly bjc us

b a cphsiv civil igh f ay

halhca pvid fus paicipa i

ay halhca pcdu svic basd

ligius al cvicis. All idividuals,

icludig halhca pvids, hav a fuda-

al igh xcis hi ligius blifs

ad cscic. Ufualy, fquly

h is iadqua pci f h civil ighs

f halhca pvids wh csciiuslybjc paicipaig i cai cvsial

halhca pcdus ad svics.

Cu saus ha addss his issu a

lagly iadqua bcaus, f h s pa,

all hy pvid is a igh f physicias, uss,

ad piva hspials fus paicipa i

abis. thy f fail addss disps-

ig cacpivs ad abifacis, dcisis

gadig assisd suicid ad uhaasia, adivlv i bichlgis ad cai -

sach icludig hua clig ad dsuc-

iv fs f s cll sach. mv,

hs saus f awly csu h wd

paicipa xclud such aciviis as -

fal ad pay f h cvsial s-

vic ad ppaai f h pai pi ha

svic.

As public pii has shifd wad a

p-lif hic, abi advcas ad, a lss-

x, advcas f dsuciv ad ial

sach hua lif a is alis sags hav

gw icasigly sid i hi aps fc p-lif halhca pvids ad hspi-

als ih cpis hi cvicis

lav h dical pfssis. F xapl, i

h a f suig pduciv fd,

abi advcas a acivly capaigig

cc cscic. thy a lbbyig f lg-

islai, pssuig dical schls ad di-

cal suds, ad skig fc isuac

cpais supp hi agda.

Appxialy 35 asus lad halh-

ca ighs f cscic w csidd i 20

sas i 2009a dcas f ha 50%

f 2008 aciviy lvls. Hwv, f h

rst time in several years, protective measures

upacd asus skig vila c-

pl cscic by ha a 2 1 agi.

Comprehensive Protection or

Rights o Conscience

A las sasAlabaa, Hawaii, Lui-

siaa, maa, nw Yk, rhd Islad,

tss, txas, Washig, ad Ws Vi-

giiacsidd asus pvidig c-

2009 Stat Lslatv Sssos rvw:Rights of Conscience

By Ds M. Buk


A


24/26

486


phsiv lgal pci halhca p-

vids.

Luisiaa acd a asu pcig bh

idividual pvids ad halhca isiuis

ad piig h dcli paicipa iay halhca svic ha vilas hi c-

scic.

th michiga Sa passd a slui c-

dig h pfssd ii f h obaa

Administration, specically the U.S. Depart-

f Halh ad Hua Svics (HHS),

scid h cscic uls appvd i

Dcb 2008 by h Bush Adiisai.

ths uls sk pvid ffciv fc- chaiss f xisig fdal laws

pcig cscic.

nably, txas iducd a csiuial

ad pvidig bad pci f

cscic.

Abortion-Specifc Protections

A las sas, icludig nw Yk adWs Vigiia, iducd asus pc-

ig h igh f idividual halhca pvids

ad/ halhca faciliis fus pvid

paicipa i abis.

Aiza acd a asu xpadig is x-

isig pci f cscic. th asu

pis idividual pvids, hspials, ad

hspial plys dcli facilia a

abi.

Pharmacist-Specifc Protection

A las 12 sasicludig Idah, missui,

maa, nh Calia, ad Ws Vigiia

considered measures to specically protect

phaaciss ad phaacis f big c-

plld disps hwis pvid dugs

and devices, specically abortifacient drugs

ad cacpivs, which vila hi c-

scics.

Luisiaas w cphsiv cscic

law specically permits anyone to decline to

pvid abifacis.

Protection or Health Insurers and Payers

At least ve states introduced legislation in-

tended to specically protect insurance com-

pais ad h halhca pays f bigfcd vila hi cscic by ffig

bjciabl cvag.

Compulsion Measures

A las 12 sasicludig Califia, Fl-

ida, Idiaa, nw Yk, missui, oklaha,

rhd Islad, Vigiia, ad Wiscsic-

sidd asus skig cpl idividual

phaaciss ad phaacis vila hicscics by dispsig cacpivs ad

abifacis.

As pa f h sa budg, Wiscsi acd

a qui ha a phaacy, wh psd

wih a valid pscipi, us disps c-

acpivsicludig gcy ca-

cpi ( Pla B) wihi h sa i-

fa as hy wuld disps h dugs.

I Illiis, wh liigai cius v

a 2005 rule requiring pharmacists to ll pre-

scipis (icludig hs f cvsial

gcy cacpi) wihu dlay,

h lgislau csidd a ad h


25/26

Defending Life 2010

487

Phaacy Pacic Ac phibiig h Sa

f xpdig ay fuds fc ay ul

ha quis a ps phaacy disps

gcy cacpi.


26/26

488

10 healthcare

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