A very late act of the Bush administration was a regulation to prevent employers from disciplining health care workers who refuse to participate in medical procedures that offend their ethical, moral, or religious beliefs. It's scheduled to go into effect Tuesday, January 20. Bravo to the seven states and two organizations that have filed in court to block this regulation; it's totally nonsensical.
I'm all for freedom of religion but it's a matter of individual conscience, and should remain in the personal sphere. No one should be able to impose his/her beliefs on others who may not share them, especially in a field like health care, where it might be dangerous or fatal to do so. David Stevens, of the Christian Medical and Dental Association, claims the proposed regulation protects patients who have religious reservations about certain medical procedures, but the patients whom society really needs to be concerned about are the ones who might want these procedures and who consider them completely acceptable. How would such people be protected from mistreatment or neglect at the hands of medical caregivers who might refuse to provide the treatment or even suggest it? Mr. Stevens doesn't seem to worry about them..
In politics, the usual solution would be some compromise for religiously-correct health care workers. We are already familiar with options such as private practice and denominational hospitals. One seemingly viable suggestion: Any physician who opposes a practice on religious grounds should be required to inform his patient of the existence of this conflict of interest. Stockbrokers are required to do this; should we expect less in the medical care field, where lives are at stake?
Even so, I'm doubtful that there is any middle path that can protect everyone. One example: What about emergency care when the religiously motivated physician is the only doctor around? All in all, the proposed regulation attempts to codify individualist views about abortion or other procedures into generic "rules" affecting us all. It is a camel's nose that could threaten to bring down the tent of our civil society.
The concept of professionalism posits the existence of a common set of standards independent of the individual's personal preference. People who won't offer a client a full range of options aren't living up to their professional responsibilities, and those who refrain from performing elements of their work out of moral repugnance define themselves automatically as amateurs. A professional soldier might have moral qualms about killing, but if he finds he can't do it, then he needs another line of work. It's the same in health care. Hospitals and other public institutions don't have the option of employing people who might refuse to do parts of the work they were hired for; they'd be rightfully subject to lawsuits (and the non-performers should be accountable).
I also have difficulty justifying the opt-out approach ethically. Most religions preach tolerance and understanding for the views of others. I'm not a doctor (I don't play one on TV, either, if you were about to ask); but if I were, I'd find it difficult to refuse a certain treatment to another human being only because it offended my sensibilities. That would be dishonest and immoral.
The CMDA website says its goal is 'to motivate, educate, and equip its members to...glorify God.' (Not to practice medicine!) I'd prefer that CMDA members glorify God by giving up their own lives or health, not mine. My radical but inescapable conclusion: These are "dangerous docs" who really shouldn't practice medicine at all. There may be openings in the ministry, where they could do less harm.