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."

Specializes in Oncology/Haemetology/HIV.
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...

This presupposes that:

- BCPs are always abortifacents. Many religious people disagree on this point. Women that are sexually active routinely have eggs that are fertilized (therefore = life) yet do not implant. So the Body routinely "aborts" many living things on the basis of this belief of life. Does this Pharmacist "ensure that all women avoid all things (common foods/herbs/meds/spices/activities) that might even mildly make implantation less likely. Does he refuse to watch sporting events, where athletes have taken meds/done practices that damage sperm/eggs and make them less likely to survive to a healthy birth.

- BCPs are always used to prevent conception. Then he needs to refuse to distribute Accutane. MDs will not distribute accutane without two forms of birth control in use. And most of those would entail BCPs or IUDs.

In women that are undergoing rigorous chemo regimens, especially for liquid tumors (leukemia/myeloma and lymphoma), we use hormonal BCs to stop their periods. THis is not only to prevent a pregnancy that may impair their life, and the life of the fetus, but also to prevent lifethreatening blood loss. What happens if one of these women dies of anemia, or develops HIV/HBV/CJD as a result of transfusions that may not have been needed, had the patient been on hormonal "abortifacient" birth control to stop menses. Maybe he should step up to face murder charges.

Women use BCPs to contol periods, and may or may not be even sexually activity. Let's just impair their health to force the prolife point, why don't we.

- Does this Pharmacist do pregnancy tests on every female customer purchasing meds that impair fertility or could inadvertantly cause an "abortion", including over the counter products? If not, he is a hypocrite of the first water.

- Does he sell Viagra? Current research indicates that use of Viagra has contributed to an upsurge in rates of STds, many of which damage fertility, and impair ability of women to carry a baby to term. Not to mention, the numbers of men that use viagra to facilitate function in affairs or unmarried sex where BCP is used to prevent consequences. Does he get a permission slip from the wives as well as assurance that they will not use BCPs? Somehow, I doubt it. So he, by selling these things, is contributing to those "abortions" that he so vehemently against.

Judaism is aware that involving Jews in an enterprise that might have some repercussions regarding sin/violation of mosiac law is fraight with complications. As such, we are to chose a lifestyle in agreement with our interpretation of those laws, yet not forcing them on others. This Pharmacist, on the other hand, is enforcing his belief, yet ignoring all the other aspects that might also be wrongdoing. If he wished to follow his beliefs, he could easily practice his trade by working with those in agreement with him, or practicing in an independant pharmacy.

No one is forcing him to do anything. He had the choice of where he wished to ply his trade. He should have picked more wisely. But he didn't and now has the option of learning from that error in the future.

Specializes in Happily semi-retired; excited for the whole whammy.
This presupposes that:

- BCPs are always abortifacents. Many religious people disagree on this point. Women that are sexually active routinely have eggs that are fertilized (therefore = life) yet do not implant. So the Body routinely "aborts" many living things on the basis of this belief of life. Does this Pharmacist "ensure that all women avoid all things (common foods/herbs/meds/spices/activities) that might even mildly make implantation less likely. Does he refuse to watch sporting events, where athletes have taken meds/done practices that damage sperm/eggs and make them less likely to survive to a healthy birth.

- BCPs are always used to prevent conception. Then he needs to refuse to distribute Accutane. MDs will not distribute accutane without two forms of birth control in use. And most of those would entail BCPs or IUDs.

In women that are undergoing rigorous chemo regimens, especially for liquid tumors (leukemia/myeloma and lymphoma), we use hormonal BCs to stop their periods. THis is not only to prevent a pregnancy that may impair their life, and the life of the fetus, but also to prevent lifethreatening blood loss. What happens if one of these women dies of anemia, or develops HIV/HBV/CJD as a result of transfusions that may not have been needed, had the patient been on hormonal "abortifacient" birth control to stop menses. Maybe he should step up to face murder charges.

Women use BCPs to contol periods, and may or may not be even sexually activity. Let's just impair their health to force the prolife point, why don't we.

- Does this Pharmacist do pregnancy tests on every female customer purchasing meds that impair fertility or could inadvertantly cause an "abortion", including over the counter products? If not, he is a hypocrite of the first water.

- Does he sell Viagra? Current research indicates that use of Viagra has contributed to an upsurge in rates of STds, many of which damage fertility, and impair ability of women to carry a baby to term. Not to mention, the numbers of men that use viagra to facilitate function in affairs or unmarried sex where BCP is used to prevent consequences. Does he get a permission slip from the wives as well as assurance that they will not use BCPs? Somehow, I doubt it. So he, by selling these things, is contributing to those "abortions" that he so vehemently against.

Judaism is aware that involving Jews in an enterprise that might have some repercussions regarding sin/violation of mosiac law is fraight with complications. As such, we are to chose a lifestyle in agreement with our interpretation of those laws, yet not forcing them on others. This Pharmacist, on the other hand, is enforcing his belief, yet ignoring all the other aspects that might also be wrongdoing. If he wished to follow his beliefs, he could easily practice his trade by working with those in agreement with him, or practicing in an independant pharmacy.

No one is forcing him to do anything. He had the choice of where he wished to ply his trade. He should have picked more wisely. But he didn't and now has the option of learning from that error in the future.

Excellent post, caroladybelle!

Specializes in Medical.
Excellent post, caroladybelle!

Seconded!

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.
Women use BCPs to contol periods, and may or may not be even sexually activity. Let's just impair their health to force the prolife point, why don't we.

Thank you!!

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

Like I have said over and over..... That man's ethics are certainly questionable. NO DOUBT he is aware of the various uses of the birth control pill in women's lives, besides as contraception. He, as a pharmacist, better than anyone, knows what the Pill's many uses include and mean to women in terms of helping them cope with problematic periods or deal with hormonal problems.

For me, the "Pill" was a lifesaver when I was in the military. The "Pill" was not used by ME as contraception at that point, but to stop endless and potentially life-altering bleeding for me. Were it not for the "Pill", when I was 19-25, I would have bled 2-3 weeks out of every month, heavily. I was continually anemic, as it was.

Like I said---This man makes me extremely angry. It is obvious he does not care he may be affecting the very WELL BEING of his clients; no, indeed, he chooses to be the "Moral Police": judge and jury, in order to deny women's rights to get legal medication. Simple as that. This anger I feel has NOTHING to do with attacking religion or Catholicsm. I just don't get how people can 't see why it upsets some of us.

And again, I say, he should not be licensed as a pharmacist based upon his actions. He knew perfectly well what wrong he was doing, but let his religious zeal get in the way of clinical and ethical judgement. Those of you who feel he is being "picked on" based on his religion, I have a question: How many NURSES would get away with this sort of action, with OUR licenses intact--- anyone care to hazard a guess????! What say you, nurse06? Still think this is just another attack on religion or Christianity?

Like I have said over and over..... That man's ethics are certainly questionable. NO DOUBT he is aware of the various uses of the birth control pill in women's lives, besides as contraception. He, as a pharmacist, better than anyone, knows what the Pill's many uses include and mean to women in terms of helping them cope with problematic periods or deal with hormonal problems.

For me, the "Pill" was a lifesaver when I was in the military. The "Pill" was not used by ME as contraception at that point, but to stop endless and potentially life-altering bleeding for me. Were it not for the "Pill", when I was 19-25, I would have bled 2-3 weeks out of every month, heavily. I was continually anemic, as it was.

Like I said---This man makes me extremely angry. It is obvious he does not care he may be affecting the very WELL BEING of his clients; no, indeed, he chooses to be the "Moral Police": judge and jury, in order to deny women's rights to get legal medication. Simple as that. This anger I feel has NOTHING to do with attacking religion or Catholicsm. I just don't get how people can 't see why it upsets some of us.

And again, I say, he should not be licensed as a pharmacist based upon his actions. He knew perfectly well what wrong he was doing, but let his religious zeal get in the way of clinical and ethical judgement. Those of you who feel he is being "picked on" based on his religion, I have a question: How many NURSES would get away with this sort of action, with OUR licenses intact--- anyone care to hazard a guess????! What say you, nurse06? Still think this is just another attack on religion or Christianity?

Since you asked me personally I thing YOU are a zealot. I think this is an attack from you and others like you on anything YOU do not agree with. I stated my opinions already. Do you really want to get into personal attacks? You act as if you hate this man. Do you hate him for what he did? I am sick of this thread and was not going to post here again but you asked me specifically. Unless any of you address me specifically again I am through with this thread.

I do not enjoy posting here anymore. It seems that the debate goes off course in a hurry. I was enjoying learning a lot for a while but it seems that there are only specific opinions that are wanted here. GOODBYE

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

I am the zealot? Interesting you see it that way, but I will accept it, as it's your opinion. I just will not agree. Now to answer your question.....

No, I don't hate the man; I hate his unethical actions, as a woman and a nurse. I think he is cheating people out of legitimate service and care, abusing his licensure in the name of his religious convictions. IF this is NOT illegal to do, it ought to be. It certainly is in the very least, unethical. No, I am not saying his beliefs should be illegal, but he need NOT be practicing as a registered pharmacist, certainly NOT where medicines dispensed LEGALLY are ones he cannot, due to his convictions. That would be HIS problem, not the clients'. He made it theirs, wrongly.

This would be no different than my going to work in an abortion clinic and then compromising the women's care there, but refusing to quit, despite my strong feelings about participating in abortion procedures. It would be wrong for me to accept a position where a service is performed, knowing such, and then refusing to do my job! That is why I brought up nurses and our licensure in this debate. Why you don't get that is way beyond me, but whatever. I give up.

Finally, the one compromising the debate here would be the one getting emotional and calling other members in this debate names. And that certainly is not me, nor the majority of persons posting here. I am not attacking you personally, nor your belief system. I am attacking this unethical man's actions. I do not believe that should upset you so; it's not about you. I did ask what you thought, but did NOT attack YOU. Yet you feel threatened. Sorry you do, but I won't change my position about this man and his wrongful actions. AH, I digress..... :rolleyes:

You may call me what you wish. It bothers me not in the least......and calling me a zealot does not make it so, NOR does it strenghten your position in your argument. In that light, I think you are right to take a break. Have a good week, now. And BREEEEEEEEEEEEEEEEEEEEEEEATHE. :) This is not worth your losing your cool head over.

"Separation of church and state"? What in the hell does that have to do with anything? Oh wait.... that's just a code for "not letting your faith influence anything you do outside of going to church".

I believe that this pharmacist has a right not to be complicit in something he feels to be immoral- just like I think physicians should not be required to perform elective abortions. I suppose the abortiphiles around here are just quivering with feminine fear because this will inevitably lead to coat hangers and alleys.

People are saying this man's actions were "unethical". I suppose that might be true if your ethos involves not valuing your beliefs enough to live by them. In these peoples' eyes, tolerance really means accepting anything that anyone else does as okay.

Specializes in Happily semi-retired; excited for the whole whammy.
"Separation of church and state"? What in the hell does that have to do with anything? Oh wait.... that's just a code for "not letting your faith influence anything you do outside of going to church".

I believe that this pharmacist has a right not to be complicit in something he feels to be immoral- just like I think physicians should not be required to perform elective abortions. I suppose the abortiphiles around here are just quivering with feminine fear because this will inevitably lead to coat hangers and alleys.

People are saying this man's actions were "unethical". I suppose that might be true if your ethos involves not valuing your beliefs enough to live by them. In these peoples' eyes, tolerance really means accepting anything that anyone else does as okay.

No, it does not mean that he has to accept birth control as okay. No one cares one whit what he believes. The problem here is his actions. He took a job where he would be expected to dispense birth control pills. He collects a salary from a company that everyone knows makes a profit from selling birth control pills. He chose not to dispense birth control pills, and then he decided that his beliefs count more than a woman's right to healthcare and stole her prescription- and made her miss a dose of medicine. Remind me again, what gives him the right to do that? His *beliefs*??? His beliefs protect him from having to practice birth control, they don't give him the right to deny other people that choice!

Specializes in Oncology/Haemetology/HIV.

I believe that this pharmacist has a right not to be complicit in something he feels to be immoral- just like I think physicians should not be required to perform elective abortions. I suppose the abortiphiles around here are just quivering with feminine fear because this will inevitably lead to coat hangers and alleys.

Yes, he has a right to not be complicit in immorality, but that entails the RESPONSIBILITY THAT "ETHICAL" INDIVIDUALS not take jobs that openly require an breach of their "ethics".

Their are thousands of independant pharmacies that can carry/not carry drugs of their choosing. There are also Catholic hospitals that do not carry prescribe birth control. This man had many choices of jobs that he could ply, where his "ethics" would not interfere with business.

This man made a choice to work at CVS, knowing what they carry. That is an unethical and irresponsible move. He has no right to complain, when his OWN irresponsibility caused his dilemma.

"feminine fear"????? - the irresponsible males in this Country would up to their ears in child support to unwed mothers not to mention in jail (stats demonstrate that most pregnant teens were impregnated by men that are in Adulthood - let's just charge them all with statutory rape of a minor with the baby as proof) if BCPs were not available. Men should have the "fear".

I note that neither of the last two opposing opinions commented on my previous post. I wonder why. I also wonder when we will start holding male customers with Viagra to the same high moral standards that we apply to female BCP users.

Specializes in Happily semi-retired; excited for the whole whammy.

I believe that this pharmacist has a right not to be complicit in something he feels to be immoral- just like I think physicians should not be required to perform elective abortions. I suppose the abortiphiles around here are just quivering with feminine fear because this will inevitably lead to coat hangers and alleys.

People are saying this man's actions were "unethical". I suppose that might be true if your ethos involves not valuing your beliefs enough to live by them. In these peoples' eyes, tolerance really means accepting anything that anyone else does as okay.

Funny thing about this guy's comfort level with "being complicit in something he considers immoral". He is drawing a salary from a corporation that profits from the activity he claims to find so repugnant. I guess his "morals" don't extend that far! And I must add, you are in no way qualified to judge other posters' ethos or tolerance, just as the rest of us are not qualifed to judge your's (but then... we didn't!)

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