Pharmacists refusing to fill orders for The Pill

Published

(Sorry in advance if not supposed to post articles...haven't been on the site in a while and can't find the rules about this.)

Thought you all would want to know about this.

-K.

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From http://story.news.yahoo.com/news?tmpl=story&cid=710&e=1&u=/usatoday/druggistsrefusetogiveoutpill

Druggists Refuse to Give Out Pill

By Charisse Jones, USA TODAY

For a year, Julee Lacey stopped in a CVS pharmacy near her home in a Fort Worth suburb to get refills of her birth-control pills. Then one day last March, the pharmacist refused to fill Lacey's prescription because she did not believe in birth control.

"I was shocked," says Lacey, 33, who was not able to get her prescription until the next day and missed taking one of her pills. "Their job is not to regulate what people take or do. It's just to fill the prescription that was ordered by my physician."

Some pharmacists, however, disagree and refuse on moral grounds to fill prescriptions for contraceptives. And states from Rhode Island to Washington have proposed laws that would protect such decisions.

Mississippi enacted a sweeping statute that went into effect in July that allows health care providers, including pharmacists, to not participate in procedures that go against their conscience. South Dakota and Arkansas already had laws that protect a pharmacist's right to refuse to dispense medicines. Ten other states considered similar bills this year.

The American Pharmacists Association, with 50,000 members, has a policy that says druggists can refuse to fill prescriptions if they object on moral grounds, but they must make arrangements so a patient can still get the pills. Yet some pharmacists have refused to hand the prescription to another druggist to fill.

In Madison, Wis., a pharmacist faces possible disciplinary action by the state pharmacy board for refusing to transfer a woman's prescription for birth-control pills to another druggist or to give the slip back to her. He would not refill it because of his religious views.

Some advocates for women's reproductive rights are worried that such actions by pharmacists and legislatures are gaining momentum.

The U.S. House of Representatives passed a provision in September that would block federal funds from local, state and federal authorities if they make health care workers perform, pay for or make referrals for abortions.

"We have always understood that the battles about abortion were just the tip of a larger ideological iceberg, and that it's really birth control that they're after also," says Gloria Feldt, president of Planned Parenthood (news - web sites) Federation of America.

"The explosion in the number of legislative initiatives and the number of individuals who are just saying, 'We're not going to fill that prescription for you because we don't believe in it' is astonishing," she said.

Pharmacists have moved to the front of the debate because of such drugs as the "morning-after" pill, which is emergency contraception that can prevent fertilization if taken within 120 hours of unprotected intercourse.

While some pharmacists cite religious reasons for opposing birth control, others believe life begins with fertilization and see hormonal contraceptives, and the morning-after pill in particular, as capable of causing an abortion.

"I refuse to dispense a drug with a significant mechanism to stop human life," says Karen Brauer, president of the 1,500-member Pharmacists for Life International. Brauer was fired in 1996 after she refused to refill a prescription for birth-control pills at a Kmart in the Cincinnati suburb of Delhi Township.

Lacey, of North Richland Hills, Texas, filed a complaint with the Texas Board of Pharmacy after her prescription was refused in March. In February, another Texas pharmacist at an Eckerd drug store in Denton wouldn't give contraceptives to a woman who was said to be a rape victim.

In the Madison case, pharmacist Neil Noesen, 30, after refusing to refill a birth-control prescription, did not transfer it to another pharmacist or return it to the woman. She was able to get her prescription refilled two days later at the same pharmacy, but she missed a pill because of the delay.

She filed a complaint after the incident occurred in the summer of 2002 in Menomonie, Wis. Christopher Klein, spokesman for Wisconsin's Department of Regulation and Licensing, says the issue is that Noesen didn't transfer or return the prescription. A hearing was held in October. The most severe punishment would be revoking Noesen's pharmacist license, but Klein says that is unlikely.

Susan Winckler, spokeswoman and staff counsel for the American Pharmacists Association, says it is rare that pharmacists refuse to fill a prescription for moral reasons. She says it is even less common for a pharmacist to refuse to provide a referral.

"The reality is every one of those instances is one too many," Winckler says. "Our policy supports stepping away but not obstructing."

In the 1970s, because of abortion and sterilization, some states adopted refusal clauses to allow certain health care professionals to opt out of providing those services. The issue re-emerged in the 1990s, says Adam Sonfield of the Alan Guttmacher Institute, which researches reproductive issues.

Sonfield says medical workers, insurers and employers increasingly want the right to refuse certain services because of medical developments, such as the "morning-after" pill, embryonic stem-cell research and assisted suicide.

"The more health care items you have that people feel are controversial, some people are going to object and want to opt out of being a part of that," he says.

In Wisconsin, a petition drive is underway to revive a proposed law that would protect pharmacists who refuse to prescribe drugs they believe could cause an abortion or be used for assisted suicide.

"It just recognizes that pharmacists should not be forced to choose between their consciences and their livelihoods," says Matt Sande of Pro-Life Wisconsin. "They should not be compelled to become parties to abortion."

Dood! I don't think anyone wants to put you away in a corner...I do believe that religion does NOT belong in the workplace (obvious exceptions there but we make the choice to work in those settings)--nor does sex or politics ......You have the right to your beliefs as do others-but NOT if they infinge on the rights of people that don't share those beliefs....

Dude, or is it dudette?, I have the right to have my faith and to proclaim it within reason. How? I can wear religious artifacts on my person, I can have my bible in plain sight on my personal space, if someone asks me about my faith I can explain it to them without affecting my job or theirs. To me these are all reasonable accomodations but they have been attacked as being an infringement on the rights of others. I will not preach to you or "bother" you but I will say "bless you" when you sneeze even though it has to do with superstition and not religion. Fair enough? :)

Dood! I don't think anyone wants to put you away in a corner...I do believe that religion does NOT belong in the workplace (obvious exceptions there but we make the choice to work in those settings)--nor does sex or politics ......You have the right to your beliefs as do others-but NOT if they infinge on the rights of people that don't share those beliefs....

Dude, or is it dudette?, I have the right to have my faith and to proclaim it within reason. How? I can wear religious artifacts on my person, I can have my bible in plain sight on my personal space, if someone asks me about my faith I can explain it to them without affecting my job or theirs. To me these are all reasonable accomodations but they have been attacked as being an infringement on the rights of others. I will not preach to you or "bother" you but I will say "bless you" when you sneeze even though it has to do with superstition and not religion. Fair enough? :)

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
Please re-read the posts. A lot of the posts have addressed the pharmacist's faith as either being the evil reason for his actions or have slammed religion in the workplace alltogether. I am not going to preach on these posts but neither will I hide my beliefs or be ashamed of the way I believe. I, as a person of faith and of the Christian belief, will not be put away into a corner and hidden away either. I said the pharmacist was wrong not to give the prescription back but the store should make reasonable accomodations for his belief system. That has been the mantra of the non-believers for years, reasonable accomodations. Merry Christmas! :)

I don't need to re-read, but you may. The problem is not w/religion and his beliefs, but the UNETHICAL way he IMPOSED them on his PAYING and TRUSTING customers!!! He has NO right to do this and yes, should have his licensure revoked for it IMO.

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
Please re-read the posts. A lot of the posts have addressed the pharmacist's faith as either being the evil reason for his actions or have slammed religion in the workplace alltogether. I am not going to preach on these posts but neither will I hide my beliefs or be ashamed of the way I believe. I, as a person of faith and of the Christian belief, will not be put away into a corner and hidden away either. I said the pharmacist was wrong not to give the prescription back but the store should make reasonable accomodations for his belief system. That has been the mantra of the non-believers for years, reasonable accomodations. Merry Christmas! :)

I don't need to re-read, but you may. The problem is not w/religion and his beliefs, but the UNETHICAL way he IMPOSED them on his PAYING and TRUSTING customers!!! He has NO right to do this and yes, should have his licensure revoked for it IMO.

I don't need to re-read, but you may. The problem is not w/religion and his beliefs, but the UNETHICAL way he IMPOSED them on his PAYING and TRUSTING customers!!! He has NO right to do this and yes, should have his licensure revoked for it IMO.
Sometimes, though, folks do have to make a stand for what is right, even though people are acting within the law. Case in point would be the Civil rights movement, esp in the Southern U.S. where it was absolutely legal for bus companies to tell folks where to sit based on their race, etc and so forth.

So, just because something is legal, doesn't make it morally right. Of course, everyone has a different concept of right and wrong, which creates all this confusion, which is why a reasonable accomodation is so vital. Obviously, some on this thread think, for example, that abortion is a right. Others might say it is a grave moral wrong and it would be a sin for them to participate in any way.

The birth control pill, esp the low dose one, acts as an abortifecient, that is a fact. For those who are against abortion in the strictest sense, then having anything to do with the distribution of this drug would be like making an Orthodox Jew eat pork.

Now, this guy, it sounds like, didn't handle the whole situation very diplomatically. That's another issue. People are human and sometimes don't gauge their emotions well, or handle situations awkwardly. I have certainly erred in this way. But in principle I do believe that pharmacies need to address this issue with respect to minority views, whether they are religious in origin or not.

I don't need to re-read, but you may. The problem is not w/religion and his beliefs, but the UNETHICAL way he IMPOSED them on his PAYING and TRUSTING customers!!! He has NO right to do this and yes, should have his licensure revoked for it IMO.
Sometimes, though, folks do have to make a stand for what is right, even though people are acting within the law. Case in point would be the Civil rights movement, esp in the Southern U.S. where it was absolutely legal for bus companies to tell folks where to sit based on their race, etc and so forth.

So, just because something is legal, doesn't make it morally right. Of course, everyone has a different concept of right and wrong, which creates all this confusion, which is why a reasonable accomodation is so vital. Obviously, some on this thread think, for example, that abortion is a right. Others might say it is a grave moral wrong and it would be a sin for them to participate in any way.

The birth control pill, esp the low dose one, acts as an abortifecient, that is a fact. For those who are against abortion in the strictest sense, then having anything to do with the distribution of this drug would be like making an Orthodox Jew eat pork.

Now, this guy, it sounds like, didn't handle the whole situation very diplomatically. That's another issue. People are human and sometimes don't gauge their emotions well, or handle situations awkwardly. I have certainly erred in this way. But in principle I do believe that pharmacies need to address this issue with respect to minority views, whether they are religious in origin or not.

Specializes in Oncology/Haemetology/HIV.

For those who are against abortion in the strictest sense, then having anything to do with the distribution of this drug would be like making an Orthodox Jew eat pork.

That is an incorrect analogy.

It would be more appropriate to say "would be like making an Orthodox Jew sell/cook pork".

Either way, the point is moot as I know of no Orthodox Jews that would involve themselves in a career choice/company that would require handling pork. I'm sure that there are some out there, but I am not familiar with sych. In our religion, we are required to have the common sense to know what our earthly jobs entail. If we have moral issues, we solve them or we do not take the job.

Regretfully, the Pharmacist in question does not have that common sense.

Specializes in Oncology/Haemetology/HIV.

For those who are against abortion in the strictest sense, then having anything to do with the distribution of this drug would be like making an Orthodox Jew eat pork.

That is an incorrect analogy.

It would be more appropriate to say "would be like making an Orthodox Jew sell/cook pork".

Either way, the point is moot as I know of no Orthodox Jews that would involve themselves in a career choice/company that would require handling pork. I'm sure that there are some out there, but I am not familiar with sych. In our religion, we are required to have the common sense to know what our earthly jobs entail. If we have moral issues, we solve them or we do not take the job.

Regretfully, the Pharmacist in question does not have that common sense.

Specializes in Public Health, DEI.
Sometimes, though, folks do have to make a stand for what is right, even though people are acting within the law. Case in point would be the Civil rights movement, esp in the Southern U.S. where it was absolutely legal for bus companies to tell folks where to sit based on their race, etc and so forth.

So, just because something is legal, doesn't make it morally right. Of course, everyone has a different concept of right and wrong, which creates all this confusion, which is why a reasonable accomodation is so vital. Obviously, some on this thread think, for example, that abortion is a right. Others might say it is a grave moral wrong and it would be a sin for them to participate in any way.

The birth control pill, esp the low dose one, acts as an abortifecient, that is a fact. For those who are against abortion in the strictest sense, then having anything to do with the distribution of this drug would be like making an Orthodox Jew eat pork.

Now, this guy, it sounds like, didn't handle the whole situation very diplomatically. That's another issue. People are human and sometimes don't gauge their emotions well, or handle situations awkwardly. I have certainly erred in this way. But in principle I do believe that pharmacies need to address this issue with respect to minority views, whether they are religious in origin or not.

No one is making this guy take the pill, which is what would have to happen to make it be like forcing an Orthodox Jew to eat pork. No one apparently was even making him fill the prescription, or hand it to a colleague to fill. She wanted the script back so that *she* could find someone else to fill it. The Orthodox Jew does not in fact have to eat pork and may even be able to get a job in a place that offers it but doesn't make him sell or cook it, he can't insist that paying customers don't purchase it! (And you'd have to question his motives in choosing to work in a place that sells it, just as you have to question the motives of this pharmacist for taking a job in a retail pharmacy). In another post, you said that not returning the script was just a small part of this. I couldn't disagree more. By not giving the script back, it made it impossible for this woman to take her pills on schedule until she was able to obtain another script. That denied her her right to healthcare. By what stretch of the imagination can that action be considered professional, ethical, moral or conscienable? This guy needs to get out of the healthcare profession!

Specializes in Public Health, DEI.
Sometimes, though, folks do have to make a stand for what is right, even though people are acting within the law. Case in point would be the Civil rights movement, esp in the Southern U.S. where it was absolutely legal for bus companies to tell folks where to sit based on their race, etc and so forth.

So, just because something is legal, doesn't make it morally right. Of course, everyone has a different concept of right and wrong, which creates all this confusion, which is why a reasonable accomodation is so vital. Obviously, some on this thread think, for example, that abortion is a right. Others might say it is a grave moral wrong and it would be a sin for them to participate in any way.

The birth control pill, esp the low dose one, acts as an abortifecient, that is a fact. For those who are against abortion in the strictest sense, then having anything to do with the distribution of this drug would be like making an Orthodox Jew eat pork.

Now, this guy, it sounds like, didn't handle the whole situation very diplomatically. That's another issue. People are human and sometimes don't gauge their emotions well, or handle situations awkwardly. I have certainly erred in this way. But in principle I do believe that pharmacies need to address this issue with respect to minority views, whether they are religious in origin or not.

No one is making this guy take the pill, which is what would have to happen to make it be like forcing an Orthodox Jew to eat pork. No one apparently was even making him fill the prescription, or hand it to a colleague to fill. She wanted the script back so that *she* could find someone else to fill it. The Orthodox Jew does not in fact have to eat pork and may even be able to get a job in a place that offers it but doesn't make him sell or cook it, he can't insist that paying customers don't purchase it! (And you'd have to question his motives in choosing to work in a place that sells it, just as you have to question the motives of this pharmacist for taking a job in a retail pharmacy). In another post, you said that not returning the script was just a small part of this. I couldn't disagree more. By not giving the script back, it made it impossible for this woman to take her pills on schedule until she was able to obtain another script. That denied her her right to healthcare. By what stretch of the imagination can that action be considered professional, ethical, moral or conscienable? This guy needs to get out of the healthcare profession!

No one is making this guy take the pill, which is what would have to happen to make it be like forcing an Orthodox Jew to eat pork. No one apparently was even making him fill the prescription, or hand it to a colleague to fill. She wanted the script back so that *she* could find someone else to fill it. The Orthodox Jew does not in fact have to eat pork and may even be able to get a job in a place that offers it but doesn't make him sell or cook it, he can't insist that paying customers don't purchase it! (And you'd have to question his motives in choosing to work in a place that sells it, just as you have to question the motives of this pharmacist for taking a job in a retail pharmacy). In another post, you said that not returning the script was just a small part of this. I couldn't disagree more. By not giving the script back, it made it impossible for this woman to take her pills on schedule until she was able to obtain another script. That denied her her right to healthcare. By what stretch of the imagination can that action be considered professional, ethical, moral or conscienable? This guy needs to get out of the healthcare profession!
If the BCP causes an abortion, then forcing him to fill the prescription would be forcing him to coopererate with an abortion, which he is opposed to.

Right, the orthodox Jew should not be forced to cook pork, good analogy. Very parallel to a pharmacist being forced to fill a prescription for the BCP.

But obviously we aren't going to change one another's minds, so we'll have to respectfully disagree on this one...

No one is making this guy take the pill, which is what would have to happen to make it be like forcing an Orthodox Jew to eat pork. No one apparently was even making him fill the prescription, or hand it to a colleague to fill. She wanted the script back so that *she* could find someone else to fill it. The Orthodox Jew does not in fact have to eat pork and may even be able to get a job in a place that offers it but doesn't make him sell or cook it, he can't insist that paying customers don't purchase it! (And you'd have to question his motives in choosing to work in a place that sells it, just as you have to question the motives of this pharmacist for taking a job in a retail pharmacy). In another post, you said that not returning the script was just a small part of this. I couldn't disagree more. By not giving the script back, it made it impossible for this woman to take her pills on schedule until she was able to obtain another script. That denied her her right to healthcare. By what stretch of the imagination can that action be considered professional, ethical, moral or conscienable? This guy needs to get out of the healthcare profession!
If the BCP causes an abortion, then forcing him to fill the prescription would be forcing him to coopererate with an abortion, which he is opposed to.

Right, the orthodox Jew should not be forced to cook pork, good analogy. Very parallel to a pharmacist being forced to fill a prescription for the BCP.

But obviously we aren't going to change one another's minds, so we'll have to respectfully disagree on this one...

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