Controversy Over New 'Conscience' Rule (for health services)

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ike
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26 Dec 2008, 3:42 pm

Kara_h wrote:
ike wrote:
Without statistics, it doesn't matter how hard you laugh, that's still just an unsupported anecdote.

As is the statement that I was laughing at.


Actually it wasn't. It was based on science I've read on the subject (which I mentioned before). I just didn't link any of the science. I can if you'd like. It's not hard to find though.


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LKL
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26 Dec 2008, 5:15 pm

ike wrote:
LKL wrote:
ike wrote:
Kara_h wrote:
ike wrote:
Crime is a lot less common in small towns in general


As someone who grew up in a small town and knows the level of crime there .... can I stop laughing now? :)

BTW, a lot of hate crimes are committed in small towns.


Without statistics, it doesn't matter how hard you laugh, that's still just an unsupported anecdote.


You didn't provide any stats either, Ike.


Given that the majority of the arguments on the other side have been either completely wrong or just plain excuses, I don't really feel like the burden of proof is on me here. As I mentioned before.


In other words, you are not interested in a rational debate. I notice that you still have failed to counter any of the examples I have posted - did you even bother to read any of them?

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LKL wrote:
Quote:
Give me an example of an affected population and then maybe you've got a case, but as of yet you really haven't given me that.


Unmarried people. If you had been reading any of the links I have posted, you would notice that a lot of pharmacists feel that it is against their religion to dispense birth control to unmarried women, regardless of whether or not their doctor thinks it's justifiable. Not only do they refuse to fill the scrip, but they will neither release it nor refer the patient to another pharmacist, and they often give the patient a lecture on what a 'tramp' they are to need birth control anyway (note that birth control is sometimes prescribed to sexually inactive women to control the blood flow in their periods).


Then you've just solved that problem yourself. Tell the pharmacist that the doctor prescribed it for your period. It's not legal for the pharmacist to ask the dr. about the purpose of the prescription as far as I know (patient confidentiality), and even if it is, it would likely still fall under the category of illegal discrimination on the basis of the person rather than on the basis of the product in question. The law allows them to object to birth control as a whole - as far as I can tell it doesn't allow them to legally decide who they think should have it. However - even if they do - as I've already pointed out before - call the doctor who prescribed it, tell him the pharmacist is being a jerk and have him write a new prescription or call it in to a different pharmacy. And if a pharmacist gives you a lecture, tell him he's an as*hole.
[/quote]

For one thing, a patient should not have to get into the details of her medical history with a strange pharmacist. The PHARMACIST'S JOB is to fill the MEDICALLY PRESCRIBED chemicals the DOCTOR ordered. This law was specifically created with the intent to allow pharmacists to deny medication such as birth control to anyone they consider to 'violate' their morals. Read the examples I have posted. A woman shouldn't have to be without her prescription all weekend because she can't reach the doctor for a new scrip, and a doctor shouldn't have to send out multiple copies of the same order to a moralistic pharmacy that is fronting as a medical establishment. Stop being deliberately obtuse.



LKL
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26 Dec 2008, 5:19 pm

ike wrote:
Kara_h wrote:
ike wrote:
Without statistics, it doesn't matter how hard you laugh, that's still just an unsupported anecdote.

As is the statement that I was laughing at.


Yes, but the burden of proof is really on you, since most of the arguments on your side have been proven flatly wrong.


You mean the examples you won't even bother to read? How do you know that they're wrong, if you don't bother to read them?

...Oh, yeah: you don't care about evidence.



LKL
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26 Dec 2008, 8:00 pm

I just lost another response due to an internet interruption.

the gist:

Women should not have to face some as*hole chewing them out when they get their prescriptions.
Going without a prescription, especially for EC, is significantly worse than the inconvenience of finding a different deli for one's roast beef sandwiches.
Pharmacists should not be able to violate their contracts with impunity, and a pharmacist who is limiting service to to squeamishness should not be able to advertise as a full-service part of the medical community.

I have provided copious evidence for all of these things; providing more evidence that will not be read is pointless.

fin.



Kara_h
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26 Dec 2008, 10:03 pm

Heya Ike, I thought the icon looked familiar from free-association.


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Ancalagon
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27 Dec 2008, 10:14 am

LKL wrote:
Force can also be used in preventing someone from doing what they would otherwise do. Blocking someone's egress, for example, is just as much assault as is forcing them to go somewhere else.
I'm not sure what you're getting at here.

Quote:
Random House Webster's Unabridged Dictionary:
impose:
1. to lay or set on as something to be borne, endured, obeyed, fulfilled, paid, etc.
{The pharmacist imposed celibacy on the unmarried woman by denying her birth control.}

8O "Imposed celibacy"? You have got to be kidding. Did condoms miraculously cease to exist while my back was turned? Did all the other pharmacists at the pharmacy have sudden, fatal heart attacks? And where did all the other pharmacies go?

Quote:
2. to put or set by or as if by authority: to impose one's personal preference on others.
{The pharmacist imposed his religious views on the patients he was supposed to serve.}

The new rule doesn't protect people trying to evangelize in inappropriate situations.

Quote:
4. to pass or palm off fraudulently or deceptively.
{The pharmacist imposed his incomplete services on the medical community.}

This is just silly. No deception is involved.

Quote:
10. To obtrude oneself or one's requirements on others.

No requirements are being imposed.

Quote:
11. to presume, as upon patience or good nature.
{see: imposter.}

This wouldn't happen unless someone were rude, which isn't protected by the new rule.

Quote:
there are special 'christian' pharmacies that are not full-service, and advertise as such. They are the equivalent of the kosher deli mentioned above. For a fundie pharmacist to deliberately choose to work in a pharmacy that advertises itself as a normal, full service medical facility and then attempt to change it into something else is the equivalent of an observant jew getting a job in a regular deli and then refusing to handle non-kosher items. Or a vegetarian choosing to work in that same deli and refusing to handle meat - and not only refusing to handle meat, but berating and belittling anyone who orders a meat sandwich as a 'murderer.'
Most delis would fire someone who did something like that. Bush's law makes it illegal to fire a pharmacist who does the same.

1. That there may be Christian pharmacies is no answer. What if you don't want to work in a Christian pharmacy? What if you object because you are Jewish? Or Muslim? Or you're an atheist who objects for non-religious reasons? Ghettoizing pharmacies is not the answer.

2. Please stop with the ad-hominem arguments. "Fundie" is a pejorative term that you use for no reason. If you must refer to them, call them "Fundamentalists", which is what they are. Also, given Bush's extreme unpopularity, trying to tie him more closely to this rule than is warranted by the facts is simply an ad-hominem attack. Granted, this came from the Bush administration. We are all aware of that, and there is no reason to repeat it over and over again.

3. Nothing that I or anyone else on this thread have said, nor the new rule itself, authorize anyone to be rude to customers. IMHO, anyone who acts like a jerk to customers, barring exceptional circumstances, should be immediately fired.

4. Nothing that I've said or in the new rule implies that a single individual would be given new powers to fundamentally shift the nature or course of whatever institution they work at. They only have authority over themselves and their own decisions, not anybody else or their decisions.


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Ancalagon
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27 Dec 2008, 10:40 am

Kara_h wrote:
ike wrote:
That's only true if they prevent you from getting what you need or want, which isn't happening here, so therefore, it's not being imposed.

Umm .... yes it is. The whole debate is if it is within their power to do something (ie, they have the meds there for anyone to buy, assuming a script) and their religion prevents them from selling it to you.

You're trying to impose your interpretation of what is right -- your morals -- on pharmacists. Birth control isn't something that is undeniably right or wrong -- like theft or murder -- it's something that some people feel is right and others feel is wrong. Forcing a pharmacist to dispense a specific medication that that pharmacist has a strong moral objection to is stepping on that pharmacist's conscience. If anyone is being imposed on, it's in the opposite direction than you think.

If there is any danger of inaccesibility of medications, there are plenty of other ways to solve this problem without stepping on anyone's conscience on the way. Given the arguments so far, I can't see that as a particularly strong possibility.


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Kara_h
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27 Dec 2008, 10:56 am

Ancalagon wrote:
Kara_h wrote:
ike wrote:
That's only true if they prevent you from getting what you need or want, which isn't happening here, so therefore, it's not being imposed.

Umm .... yes it is. The whole debate is if it is within their power to do something (ie, they have the meds there for anyone to buy, assuming a script) and their religion prevents them from selling it to you.

You're trying to impose your interpretation of what is right -- your morals -- on pharmacists. Birth control isn't something that is undeniably right or wrong -- like theft or murder -- it's something that some people feel is right and others feel is wrong. Forcing a pharmacist to dispense a specific medication that that pharmacist has a strong moral objection to is stepping on that pharmacist's conscience. If anyone is being imposed on, it's in the opposite direction than you think.

If there is any danger of inaccesibility of medications, there are plenty of other ways to solve this problem without stepping on anyone's conscience on the way. Given the arguments so far, I can't see that as a particularly strong possibility.


It seems like the argument is going in circles.

Assume I have a prescription for the medicine. Also that I am willing and able to give the pharmacy my money for the medicine.

How in the world is their not doing their job (dispensing the medicine) now my imposing morals on them? If the pharmacy (not the employee, the store) has a problem with a medicine they can stop carrying it and have a written policy not to order it for anyone.

Can't do your job because of your morals? Work somewhere else where what you want to do not want to do is not a job requirement.


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0_equals_true
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27 Dec 2008, 11:20 am

Banning stem cell research in public facilities has got the US precisely nowhere, whereas the UK and Spain collaborated to give a woman a new wind pipe in a ground breaking procedure.



Ancalagon
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27 Dec 2008, 11:20 am

Kara_h wrote:
It seems like the argument is going in circles.

Finally something we can agree on! :lol:

Quote:
Assume I have a prescription for the medicine. Also that I am willing and able to give the pharmacy my money for the medicine.

How in the world is their not doing their job (dispensing the medicine) now my imposing morals on them?

Sorry I wasn't clear -- I mean 'you' as in someone opposed to the idea of conscience rights, not 'you' as in someone just trying to fill a prescription.

I was more trying to describe my point of view in general, rather than respond to your post point-by-point.

Quote:
If the pharmacy (not the employee, the store) has a problem with a medicine they can stop carrying it and have a written policy not to order it for anyone.

Can't do your job because of your morals? Work somewhere else where what you want to do not want to do is not a job requirement.

Why should the organization get that privilege, but not the individual? I would think the organization having that right would be a bigger problem from your point of view, since that would tend to increase the difficulty of obtaining whatever you are trying to obtain.


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