Pharmacists refusing to fill orders for The Pill

Nurses Activism

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(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."

I agree that the pharmacist should not withhold a person's valid prescription which would stop them from filling it elsewhere BUT neither should that pharmacist be FORCED to dispense medication that goes against his/her personal beliefs. Pro-choice advocates forget that the doctor-nurse-pharmacist should also have the choice not to participate in something they believe is wrong.

Specializes in Public Health, DEI.

As a pro-choice advocate, I have forgotten nothing. The pharmacist absolutely has the right not to fill a valid prescription. This right can be exercised by working someplace where customers won't be bringing in said valid prescriptions. They can't have it both ways- the right to work in a retail environment that solicits customers and then the right to tell those customers, yes, we want your business, but not for that particular perfectly legal, perfectly valid prescription.

As a pro-choice advocate, I have forgotten nothing. The pharmacist absolutely has the right not to fill a valid prescription. This right can be exercised by working someplace where customers won't be bringing in said valid prescriptions. They can't have it both ways- the right to work in a retail environment that solicits customers and then the right to tell those customers, yes, we want your business, but not for that particular perfectly legal, perfectly valid prescription.

For the sake of this discussion I am referring to a pharmacy that is owned by the pharmacist and not a chain. Just because a person decides to work in a chosen field does not mean that person has to give up their beliefs. What would you say to a pharmacist that refused to sell condoms? If you had a Muslim working for you would you give them the time to pray 5 times a day or would you tell them to go somewhere else and work? And if I may inquire, why are you pro-choice?

Specializes in Public Health, DEI.
For the sake of this discussion I am referring to a pharmacy that is owned by the pharmacist and not a chain. Just because a person decides to work in a chosen field does not mean that person has to give up their beliefs. What would you say to a pharmacist that refused to sell condoms? If you had a Muslim working for you would you give them the time to pray 5 times a day or would you tell them to go somewhere else and work? And if I may inquire, why are you pro-choice?

You should have specified that you were talking about something different than the information given in the OP. This happened at a CVS pharmacy. The customer had every reason to believe that her prescription would be filled, given that CVS advertises for people to bring their prescriptions in to be filled! Condoms aren't sold by prescription, so if a person needs condoms and one pharmacy doesn't sell them, they are certainly free to go to another and purchase them. The Muslim analogy is irrelevant. That would denying the pharmacist his constitutionally protected right to practice his religion. Thank God for all of us there is no constitutionally protected right to steal a prescription. I have no intention of telling you why I am pro-choice, it is none of your business.

You should have specified that you were talking about something different than the information given in the OP. This happened at a CVS pharmacy. The customer had every reason to believe that her prescription would be filled, given that CVS advertises for people to bring their prescriptions in to be filled! And as far as not returning it, that is theft, IMO. He may be following his idea of God's law, but I hope that man's law comes after him for denying this woman her right to make her own da** health care decisions.

Have a little "mercy..." I am a new student and new to the rules of posting. The CVS pharmacy has the right to decide their own rules. In a case such as this I agree that the pharmacist should either follow the rules of the company or work elsewhere. And said pharmacist should give the prescription back.

You should have specified that you were talking about something different than the information given in the OP. This happened at a CVS pharmacy. The customer had every reason to believe that her prescription would be filled, given that CVS advertises for people to bring their prescriptions in to be filled! Condoms aren't sold by prescription, so if a person needs condoms and one pharmacy doesn't sell them, they are certainly free to go to another and purchase them. The Muslim analogy is irrelevant. That would denying the pharmacist his constitutionally protected right to practice his religion. Thank God for all of us there is no constitutionally protected right to steal a prescription. I have no intention of telling you why I am pro-choice, it is none of your business.

Just curious as to "why". For the record I have found that when a person has no logical argument they say "none of your business". Have a nice day! :)

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.
Just curious as to "why". For the record I have found that when a person has no logical argument they say "none of your business". Have a nice day! :)

It might have something to do with the fact that they choose not to air that part of their life out on a public board?

No logical arguement? Shame! :nono:

It might have something to do with the fact that they choose not to air that part of their life out on a public board?

No logical arguement? Shame! :nono:

Having read a lot of the posts in this thread that were decidedly one way and on a public board I decided to offer a different opinion of why someone might choose to do what they do. I have my opinions and will share specific opinions if asked. Or if not asked I will not share them. However, I will try to do it without being rude.

Specializes in Public Health, DEI.
Just curious as to "why". For the record I have found that when a person has no logical argument they say "none of your business". Have a nice day! :)

It is being suggested that I'm not logical by a person who posted a response that didn't pertain to the discussion at hand and then seemed surprised that I didn't realize that "for the sake of discussion" he was talking about something else entirely? Does that seem logical to you? Tsk tsk. It also strikes me as illogical that you would think it is appropriate to ask such a question, but since you won't let it go here is your answer. I am pro-choice because in this country we have the right to privacy, and that right extends to making medical decisions. Not so says me, so says the Supreme Court, and thank God for that! There have been numerous attempts to overturn Roe v Wade in the past thirty one years and thus far none have been successful, despite a pretty conservative set of judges. You call me illogical, you're also calling six of the nine currently seated justices illogical, and like them, I will get over it!

It is being suggested that I'm not logical by a person who posted a response that didn't pertain to the discussion at hand and then seemed surprised that I didn't realize that "for the sake of discussion" he was talking about something else entirely? Does that seem logical to you? Tsk tsk. It also strikes me as illogical that you would think it is appropriate to ask such a question, but since you won't let it go here is your answer. I am pro-choice because in this country we have the right to privacy, and that right extends to making medical decisions. Not so says me, so says the Supreme Court, and thank God for that! There have been numerous attempts to overturn Roe v Wade in the past thirty one years and thus far none have been successful, despite a pretty conservative set of judges. You call me illogical, you're also calling six of the nine currently seated justices illogical, and like them, I will get over it!

Actually all I did was to ascertain that there appear to be people who post here that are a little bit to a lot emotional in their responses.

Specializes in LTC,Hospice/palliative care,acute care.

yeah,well-the very LAST thing I want to discuss with a MAN (be he a supreme court judge or a fellow member of this board) is my right to CHOOSE...all due respect dood-sorry....I do not belive that these decisions need to be made by anyone without a uterus.....

yeah,well-the very LAST thing I want to discuss with a MAN (be he a supreme court judge or a fellow member of this board) is my right to CHOOSE...all due respect dood-sorry....I do not belive that these decisions need to be made by anyone without a uterus.....

I respect your opinion. However, it is dude. :)

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