Gawd, why do you women have to keep being such whores? If you weren't, then these fine Christian doctors and pharmacists wouldn't have to put you in your place.
Here's my beef: I think that as an owner of a business, you should be able to decide what to sell. If, as the owner of Rite Aid or Local Pharmacy or whatever, if you don't want to sell Plan B, you shouldn't have to carry it. It could be a money sink, you could have moral problems, whatever. I am a Free Market Capitalist (tm) and think that you should be able to make business decisions.
However, I DO NOT think that individual pharmacist should be able to invoke conscience justifications (unless they happen to own the joint). Your boss tells you to do a job, and you either do it or quit. The end. Your job should not be safe because you have this conscience issue.
Permit me an analogy: you are a vegetarian. You get a job at a steakhouse and promptly refuse to serve anyone who orders a slab o' meat, because it's against your conscience to do so. You are fired. That's ok.
But you know what you can do? You can open a vegan steakhouse that serves nothing but tofu and tempeh, and you can lecture and cajole any unwitting carnivore who stumbles into your cafe.
@babyruthless: Generally I would and do agree with you. But what if everybody bailed ship for vegan steakhouses, which are less controversial? I don't think people should be forced to provide services with which they disagree, but it's also important that women have access to necessary services. (And Plan B is not an abortion, deal, haters.) I think this is a really complicated question.
@babyruthless: If you don't believe in certain drugs, maybe you shouldn't open a pharmacy....there are a lot of other stores you can open that don't sell birth control or Plan B (and it is not just Plan B, it is also birth control that some pharmacists don't fill)
@Lymed: This is an excellent point. It takes away no one's choice to say that they should have to provide the full range of services and/or medical drugs if they were to open a pharmacy or become a pharmacist. They can do something else or own a different kind of business. @babyruthless: If you truly believe in so-called Free Market Capitalism, then you must agree that these business-owners and pharmacists have full autonomy to choose other professions and livelihoods. Women who are facing the possibility of an unplanned pregnancy and need access to medical services and/or drugs who are denied that access DO find their choices limited or even eliminated, especially for those women who cannot easily access other service-providers (such as those who live in very small towns or rural areas).
There are many doctors who refuse to treat Lyme disease patients and there are many doctors who refuse to treat patients with chronic pain. It isn't limited to reproductive choices.
@Laulau: For the long story? See the movie Under Our Skin www.underourskin.org.
There is a rift in the medical community about Lyme disease. A number of research doctors who have patents related to the organism itself and to a failed vaccine, claim that Lyme can never become a chronic infection. Doctors show practice is primarily Lyme patients sometimes are taken before the medical review board, and the complaints are often brought by the insurance companies who are not happy with the high cost of treatment - for a person with serious neurological Lyme, the treatment is often IV antibiotics which can cost tens of thousands of dollars.
@Lymed: Yeah but I think it's fair to say that one can presume that their reasons for nottreating Lyme disease or chronic pain are pragmatic and based on science and connected to whether this is the most appropriate treatment for the patient, which is a completely different thing from refusing to offer BC or emergency BC because of moral, rather than pragmatic considerations. See the story in another comment thread on this post about the commenter who had a doctor refuse to give her an IUD not for reasons to do with counter-indications based on the patients age or whatever, but because the doctor basically thinks it's like abortion.
@schmerd: Actually, no it isn't always connected to the most appropriate treatment for the patient. Lyme treatment is often decided on the doctor's own monetary interests. And many doctors refuse to treat chronic pain patients because they don't believe in giving narcotic pain meds even to people who need it. I'm not belittling the issue of this post, I'm trying to educate that this is an issue that is broader than many people think.
Does anyone know if the concept of "Provider conscience" for pharmacists exist in Canada? This concept is mind-boggling to me, and I had never heard of it till now.
@bibomaco: One big thing to keep in mind is the the US does not fund healthcare or the training of healthcare professionals the way most other developed nations do.
If you pay to train a gynecologist and then pay him out of taxpayer funds, it is a lot easier to mandate that gynecologist provide specific services. But when people paid for their own education and are not paid by the government, its a lot harder to mandate that they do anything.
There are a lot of things that aren't so hot about living on the south side of Chicago, but one that is pretty fucking great is Illinois' law that all pharmacists must dispense legally prescribed birth control to anyone who comes in with a prescription without delay. If the prescription is not in stock, the pharmacist must ask the patient if she prefers that the pharmacist order it or be redirected to a nearby pharmacy with the drug or device in stock.
We had a discussion in my pharmacy class at my Catholic college about Plan-B and I just wanted to scream. I think I was a little naive to think that everyone is as liberal as me. I can only hope and maybe try to persuade these student that they should honor the patients rights to getting Plan-B or any other medication.
@sequined: What if the cops in the pharmacy's area are against helping stupid douchebags? Pretty sure I wouldn't weep if their pharmacies were robbed a few times and the police refused to step in. Because of um, conscience, yes...that.
@greengrey (raidersofthelostSTAR): My conscience is opposed to assholes inflicting their stupid beliefs on me, so I take that as license to kick them in the shins and run away whenever our paths may cross. Now that I understand the rules, I get to make them work in my favor!
...a false belief about science or the promotion of ambiguity where things can be disambiguated is not ethical.
I think the thing that really gets me about the "conscience provision" for pharmacists is that their moral objections to Plan B are absolute BS. They believe it does something that it simply does not do (i.e. cause abortions). The whole basis for their moral stance is predicated upon something that is clearly disproved by science.
Though I am passionately pro-choice, I understand how some may view (particularly late-term) abotion as morally objectionable. It, after all, does terminate a pregnancy and the existence of a fetus. And one may or may not have a moral opposition to that termination. Plan B does not do this and for educated, trained medical professionals to willfully deny this fact BOGGLES MY MIND. It just vividly exposes their real motivations, which is controlling the sexual activity and health of women.
@Cerridwen: Is it just about abortion with Plan B, though? I always thought this was sort of letting their slip show about the ultimate goal being no birth control for anyone (i.e. controlling the sexual activity of women).
If pharmacies are allowed to refuse to give out Plan B, can there at least be some sort of law that forces them to identify themselves? That way at least people looking for Plan B can avoid getting slut-shamed (which seems like something they should have the right to do...) and the rest of us can refuse to ever give them our business?
@BuffySummers: I said something of a similar vein in a comment above. I'd love to just whisk past them and find someone else to do business with, even for sundries.
This makes me so angry. I recently went to my p.a. to discuss/arrange for an IUD only to find out that she doesn't believe in them. There goes $70 and now I have to make another appointment with someone that does "believe" in them. The laws should be repealed but until then those physicians/pharmacists/etc should have to clearly identify themselves. Where's a good atheist doctor when you need one?
@mrsmead: Just to make sure--my doctor wouldn't recommend an IUD for me, but I didn't get the impression she was against them for everyone. Generally for an IUD they want you to be in a monogamous relationship due to the increased risk of infections traveling into your uterus. (If a provider tries to tell you they're only good for women who have already had children, that's bullshit, because not only have they been prescribed to childless women for 35+ years, but the FDA recently approved them for childless women, so don't let a doc tell you otherwise.)
But if your doctor just won't give you one because she doesn't like them, that's a really good reason to find a different doctor.
@sequined: My p.a. didn't "believe" in them because there is a chance that an egg could be fertilized before being zapped by the mighty powers of the IUD and thus it's like an abortion. I'd already done my research and weighed the pros and cons (perforation yikes!)and was ready to argue that childless women can have one too so I was pretty pissed when instead of some scientific/medical reason for not prescribing an IUD she dismissed it as baby killing.
@haguenite: Even if you're not in a major city. I've had to buy it twice, once in a North Carolina (quite conservative, really) suburb and once in a rural NC area. Both times I was able to get it easily from CVS (although the rural time the pharmacy tech freaked out and wouldn't sell it to me, but the pharmacist did). Target also sells it, but they were out the time I went (the pharmacist there was quite friendly about it and explained that she'd sold the last box the day before and the new shipment hadn't come in).
Honestly, unless you're in the boondock backwoods you shouldn't have any problem finding someone within a short drive to sell it. Just make sure you have your ID ready.
Note: I know I've been lucky having only had a mild negative experience acquiring it, but in general if you stay out of the very rural areas and go to a chain store (not Wal-Mart!) it shouldn't take you more than one or two tries to get a box of it.
@morninggloria: I hear the condoms are made of pigskin, too!
@Zombie MissSkittles is not your kind of lady: Yeah, and even if the US was a neo-con minefield (which I know it isn't), I'd sooner pay 900 euros for a quickie abortion return flight back home than have a baby.
@Zombie MissSkittles is not your kind of lady: "but they were out the time I went (the pharmacist there was quite friendly about it and explained that she'd sold the last box the day before and the new shipment hadn't come in)" I can't verify how much truth there is to this, but I've heard stories of people who don't want to sell it using that excuse just to put it off until it's no longer effective
If I was still incarcerated in Big Chain Bookstore management, I'd be fighting this out every time some asshole wanted to buy Ann Coulter's or Rush Limbaugh's latest.
This is just the most fucking ridiculous thing I've even heard of. I'm way to the left of my pharmacist, but I cannot imagine her denying me Plan B. Where are these people graduating from? Will I then have a right to know what school my pharmacist came from, so I can leave the CVS that has "Jane Doe, Liberty University Class of 2010" behind the counter?
@Sunflowercat: I think I remember someone pushing for "conscience"-stricken pharmacies to be required to post a notice saying as such in plain sight on the door of the store and by the pharmacy counter. Instead of wasting your time going inside and (possibly) being humiliated and hassled by a judgmental pharmacist, you can just breeze right past that store to another, more progressive one.
Now I can fulfill my dream of becomming a doctor and only treating people who don't have annoying high pitched voices. I HATE annoying high pitched voices. Also, I don't like - fatties - skinnies - regularies - tallies - shorties - averageies
I refuse to treat all of you fucking jerks. My conscience forbids it.
@greengrey (raidersofthelostSTAR): I can discriminate against the people I'm supposed to be helping, but my employer cannot discriminate against me because I am an asshole.
"A Christian scientist physician cannot refuse a cancer patient chemo - is it really reasonable to allow a gynecologist to refuse a woman a legal abortion?"
I think what fuels a lot of this is the self-righteous assumption that, NO DUH, Christian Science is not a legitimate reason to invoke the 'conscience clause', but anti-choice beliefs are just common sense--there is no need to validate it because everyone agrees with you.
I'm not sure I'm articulating this well--do you get what I mean?
But the people who get all defensive and say that these conscience clauses are necessary. They defend the Christian Scientist analogy as silly, because OF COURSE no one should deny chemo to anyone, but that abortion and birth control are different, and people should be able to deny service.
@colormeroutine: No, I think that part was sarcasm -- speaking for Cafezinha. I think what Cafe is trying to say is that anti-choicers would not respond to that particular line of reasoning (do they respond to any is another question) because they think their beliefs are "better", "more right" or whatever than what those whacky Christian Scientists (or insert any religion or denomination that is not their own) think.
@Cafezinha: Ignorant question alert: are there physicians who are also (practicing) Christian Scientists? Are they limited to diagnostic procedures/lifestyle change recommendations only? How does this work? Please teach me.
@queenieinmanhattan: I actually don't know and wouldn't mind finding out more myself--I was just using the example that Anna used in her story. How would they even be able to work? O.o
@queenieinmanhattan: My aunt is a Christian Science "nurse", which means that she provides eldercare/end of life services. Changing bedpans, turning people so that they don't get bedsores, keeping people company, etc. I can't imagine they have doctors; I don't talk to her much, but I've never heard any mentioned. In order to even go to a CS hospice-type thing, you have to refuse medicine and buy into the praying-for-healing system.
@queenieinmanhattan: I was raised christian scientist, and I can't imagine any *practicing* christian scientist would become a doctor, because the basis of the religion is that modern medicine is basically making people sicker by affirming a belief in disease. I mean, if a doctor wanted to call themselves a christain sscientist and go to church, I guess no one could stop them (there's no hierarchy in the christain science church, so no one're really "in charge," and there's no belief in hell, so it's hard to threaten people for being bad christian scientists). But, I can't imagine why someone who wanted to be a doctor would want to be a christian scientist, or why someone who wanted to be a christian scientist would want to be a doctor.
@samethingwedoeverynightpinky: To be more clear: Christian Scientists believe that God (the judeo christian God of the Bible) is inherently good, and wouldn't subject humans to cruelty, pain or disease. They've essentially solved the problem of evil by saying it doesn't exist. Since God is loving, God would never create a disease. In order to get better, you have to truly know that the disease wasn't real in the first place, and you can't do that if you're treating the disease medically.
Science and Health, the secondary text for Christian Science was written in the 1800's, and since there aren't any priests or preachers or sermons, all of the church teachings come from either the bible or science and health, which means obviously there are a lot of elements of medicine that there's no direct church advice on-- I've heard people say it's OK to treat symptoms, but not causes, so like advil or nyquil would be OK, but antibiotics or chemo wouldn't. In any case, the threat is not one of church punishment, but that if you truly believe in the religion, you're making yourself sicker by treating the illness. It just seems very unlikely that someone who believed any of this would become a doctor.
@samethingwedoeverynightpinky: One more random question: what happens in serious, severe accident situations? I'm guessing since they're injuries rather than illnesses (man-made as opposed to a spiritual sickness), that Christian Scientists can be treated? Or would some opt out? So fascinating...
@queenieinmanhattan: BTW, the reason I ask is that I had a friend in college who was a TERRIBLE, dangerous driver and a Christian Scientist. I once asked what I should do if we were ever in a bad car accident (we were, actually, but luckily no one was hurt), and he ignored my question. He wasn't a terribly introspective person, so I'm guessing he'd never thought about it, which is why he wouldn't answer.
@queenieinmanhattan: The thing is you always *can* be treated (you're 'allowed" to seek treatment for anything you feel is beyond your ability to work in prayer at the time), but God is supposed to heal accident damage too. The founder of Christian Science began the religion after she recovered from a terrible fall, and found prayer more effective than medicine, and according to her writing, any treatment affirms the reality of the injury. The only sunday school teacher I interrogated about that specific question gave me an example of burning himself with oil, and immediately praying about it instead of running it under water, because you had to know in that instant that God will never hurt you.
There are a lot of examples of people being cured through prayer, whether you want to call them miracles or anomolies or some kind of placebo effect, but I was never able to get a satisfactory explanation for why some people had these miracale recoveries and others didn't, which is one of many reasons why I grew up to be an agnostic. I should ask my little cousins, who go to christian science boarding school, if there's any non religious accident protocol at the school. In daily life, I think most of the christian scientists I know would go to a hospital in an emergency situation, but I don't know if they would say, call an ambulance, if a kid got injured at the school.
@samethingwedoeverynightpinky: Ah, cool. I didn't realize Mary Baker Eddy had been in an accident...makes it even more interesting. Thanks for all the info!
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However, I DO NOT think that individual pharmacist should be able to invoke conscience justifications (unless they happen to own the joint). Your boss tells you to do a job, and you either do it or quit. The end. Your job should not be safe because you have this conscience issue.
Permit me an analogy: you are a vegetarian. You get a job at a steakhouse and promptly refuse to serve anyone who orders a slab o' meat, because it's against your conscience to do so. You are fired. That's ok.
But you know what you can do? You can open a vegan steakhouse that serves nothing but tofu and tempeh, and you can lecture and cajole any unwitting carnivore who stumbles into your cafe.
That's my $0.02
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@babyruthless: If you truly believe in so-called Free Market Capitalism, then you must agree that these business-owners and pharmacists have full autonomy to choose other professions and livelihoods. Women who are facing the possibility of an unplanned pregnancy and need access to medical services and/or drugs who are denied that access DO find their choices limited or even eliminated, especially for those women who cannot easily access other service-providers (such as those who live in very small towns or rural areas).
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There is a rift in the medical community about Lyme disease. A number of research doctors who have patents related to the organism itself and to a failed vaccine, claim that Lyme can never become a chronic infection. Doctors show practice is primarily Lyme patients sometimes are taken before the medical review board, and the complaints are often brought by the insurance companies who are not happy with the high cost of treatment - for a person with serious neurological Lyme, the treatment is often IV antibiotics which can cost tens of thousands of dollars.
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And here are some excerpts about the controversy:
+ Watch video
+ Watch video
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If you pay to train a gynecologist and then pay him out of taxpayer funds, it is a lot easier to mandate that gynecologist provide specific services. But when people paid for their own education and are not paid by the government, its a lot harder to mandate that they do anything.
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And similarly, it is their right not to get punched in the face by a stranger, and I disagree with that.
Fairness! I think I finally understand!
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I think the thing that really gets me about the "conscience provision" for pharmacists is that their moral objections to Plan B are absolute BS. They believe it does something that it simply does not do (i.e. cause abortions). The whole basis for their moral stance is predicated upon something that is clearly disproved by science.
Though I am passionately pro-choice, I understand how some may view (particularly late-term) abotion as morally objectionable. It, after all, does terminate a pregnancy and the existence of a fetus. And one may or may not have a moral opposition to that termination. Plan B does not do this and for educated, trained medical professionals to willfully deny this fact BOGGLES MY MIND. It just vividly exposes their real motivations, which is controlling the sexual activity and health of women.
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But if your doctor just won't give you one because she doesn't like them, that's a really good reason to find a different doctor.
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Honestly, unless you're in the boondock backwoods you shouldn't have any problem finding someone within a short drive to sell it. Just make sure you have your ID ready.
Note: I know I've been lucky having only had a mild negative experience acquiring it, but in general if you stay out of the very rural areas and go to a chain store (not Wal-Mart!) it shouldn't take you more than one or two tries to get a box of it.
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And thanks, to both you and Zombie-lady up in there.
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@Zombie MissSkittles is not your kind of lady: Yeah, and even if the US was a neo-con minefield (which I know it isn't), I'd sooner pay 900 euros for a quickie abortion return flight back home than have a baby.
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This is just the most fucking ridiculous thing I've even heard of. I'm way to the left of my pharmacist, but I cannot imagine her denying me Plan B. Where are these people graduating from? Will I then have a right to know what school my pharmacist came from, so I can leave the CVS that has "Jane Doe, Liberty University Class of 2010" behind the counter?
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- fatties
- skinnies
- regularies
- tallies
- shorties
- averageies
I refuse to treat all of you fucking jerks. My conscience forbids it.
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It's Carrie Prejean logic.
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I think what fuels a lot of this is the self-righteous assumption that, NO DUH, Christian Science is not a legitimate reason to invoke the 'conscience clause', but anti-choice beliefs are just common sense--there is no need to validate it because everyone agrees with you.
I'm not sure I'm articulating this well--do you get what I mean?
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But the people who get all defensive and say that these conscience clauses are necessary. They defend the Christian Scientist analogy as silly, because OF COURSE no one should deny chemo to anyone, but that abortion and birth control are different, and people should be able to deny service.
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@queenieinmanhattan: I guess they could do orthopedics? I think that'd be about it though
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Sorry that's mostly more speculation....
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Science and Health, the secondary text for Christian Science was written in the 1800's, and since there aren't any priests or preachers or sermons, all of the church teachings come from either the bible or science and health, which means obviously there are a lot of elements of medicine that there's no direct church advice on-- I've heard people say it's OK to treat symptoms, but not causes, so like advil or nyquil would be OK, but antibiotics or chemo wouldn't. In any case, the threat is not one of church punishment, but that if you truly believe in the religion, you're making yourself sicker by treating the illness. It just seems very unlikely that someone who believed any of this would become a doctor.
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There are a lot of examples of people being cured through prayer, whether you want to call them miracles or anomolies or some kind of placebo effect, but I was never able to get a satisfactory explanation for why some people had these miracale recoveries and others didn't, which is one of many reasons why I grew up to be an agnostic. I should ask my little cousins, who go to christian science boarding school, if there's any non religious accident protocol at the school. In daily life, I think most of the christian scientists I know would go to a hospital in an emergency situation, but I don't know if they would say, call an ambulance, if a kid got injured at the school.
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