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."

Specializes in LTC,Hospice/palliative care,acute care.
I respect your opinion. However, it is dude. :)

actually if you were here you would have heard me say DOOOOOD!.....and I respect yours,too.....

Specializes in Public Health, DEI.
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.

No, what you said (not ascertained) was that in your opinion people who tell you to mind your own business seem to do so because they have no logical rationale behind the way they feel. Given that you made this remark in response to me telling you that it was none of your business why I feel a certain way, the LOGICAL implication was that you were saying that I therefore must have no logical reason for feeling the way that I do. Nowhere did you mention emotional responses.

No, what you said (not ascertained) was that in your opinion people who tell you to mind your own business seem to do so because they have no logical rationale behind the way they feel. Given that you made this remark in response to me telling you that it was none of your business why I feel a certain way, the LOGICAL implication was that you were saying that I therefore must have no logical reason for feeling the way that I do. Nowhere did you mention emotional responses.

Given that you have 1800+posts you must be right. I, however, grow weary of this discussion.

Specializes in Public Health, DEI.

What having 1800 posts has to do with it is unclear, but then, that seems to be your way. I know someone that has 12,000 posts. Does that mean that I'm only right until she comes along and posts? Your words are right there in black and white for all to see. How you think you can claim to say something other than what you said and expect anyone to take it seriously is perplexing. I'm not surprised that you've grown weary of this discussion. It is easier to pack up your toys and go home then it is to consider the fact that what you have said might be inappropriate, offensive or just plain wrong.

What having 1800 posts has to do with it is unclear, but then, that seems to be your way. I know someone that has 12,000 posts. Does that mean that I'm only right until she comes along and posts? Your words are right there in black and white for all to see. How you think you can claim to say something other than what you said and expect anyone to take it seriously is perplexing. I'm not surprised that you've grown weary of this discussion. It is easier to pack up your toys and go home then it is to consider the fact that what you have said might be inappropriate, offensive or just plain wrong.

Since you won't leave it alone I will tell you my opinion, in black and white for all to see. Abortion is murder, plain and simple. After seeing so many anti-Bush and pro-choice posts on here that are offensive to me I don't see how you can say I am offensive. But again, you can rationalize it all you want but the only reason to have an abortion, save for rape, is as a contraceptive after the fact. Abortion is a catch-all for poor planning. Abortion is murder.

Specializes in Public Health, DEI.

I am sure you're mistaken. I didn't ask you for your opinion. But you go on ahead and post it. After all, I have the power of 1800 posts behind me, so it is obvious that I'm right.

I am sure you're mistaken. I didn't ask you for your opinion. But you go on ahead and post it. After all, I have the power of 1800 posts behind me, so it is obvious that I'm right.

For some reason my opinions set you off tonight. I am not, however, mistaken.

Specializes in Public Health, DEI.
For some reason my opinions set you off tonight. I am not, however, mistaken.

Actually, it isn't your opinons that set me off. The first thing was being called illogical by someone who himself didn't seem to be following the thread very well. The second thing was denying that you said something that you did say, and that anyone who is interested can ascertain (to use the word in proper context) that you said by simply reading your posts. Now you are claiming that I have expressed interest in your opinion, which I have not. I don't have to prove it, my posts do the job for me. Saaaaaaaaaaay, how many am I up to now, anyway?

REGARDLESS of what our personal opinions may be on this subject, aren't we supposed to treat each patient the same? There are so many races, religions, and belief systems in this country that we just can't 'pick-and-choose' what we will treat people for and what we won't. It's just wrong.

I don't believe in people putting others at risk by drinking, taking drugs, then getting in a major weapon (car) and hittin' the road. That doesn't mean that my care changes when I get a Trauma Patient in my ICU that was positive for alcohol and multi-drugs in his/her system. That care doesn't even change if someone was injured/killed in the accident caused by the careless individual. Yes, of course I'm not thinking great things about the patient and what they have done. I don't agree with their behavior morally, but, that doesn't entitle me to NOT treat the patient as I would any other.

Why should Pharmacists be able to alter their care according to their beliefs if I cannot?

Specializes in Geriatrics/Oncology/Psych/College Health.

As a moderator, let me state that I appreciate the efforts to NOT turn a thread that isn't about abortion into one. To those who tried to keep the thread on topic (the original topic being controversial enough, apparently) I thank you. However, if one sees the two issues as somehow analagous, I see the phramacist not only refusing to fill the script, but then also KEEPING the script, as being equivalent to refusing to assist in an abortion, then tying up the woman seeking one so she could not go elsewhere to get it.

The pharmacist needs to be fired.

Specializes in Clinical Research, Outpt Women's Health.

I just find it to be very scary when other people decide what a person can or cannot do. We never know what a person has gone through or is going through. If a woman is married to a man who beats and rapes her should I tell her she cannot have birth control or even an abortion? I hate abortion, but there are situations which are not my right to know that influence decisions women may need to make and unless I am a perfect person (impossible) I do not feel it is my right to deny them what they need to do. Birth control when it is not the right time to get pregnant is an intelligent and responsible behavior. If I am lucky enough to end up somewhere nice like "heaven" I sure hope people are not so judgemental, and if they are, I do not think that is a place I want to be. How can we allow people (pharmacists) in a position of power to act in this manner. If they feel so strongly then they need to start a chain that states flat out that they will not provide anything related to birth control so that people know up front what the situation is and can go elsewhere. Just my opinion, but this is not a perfect world and we all need to deal with the realities that are out there.

With the exception of one poster I have enjoyed the back and forth debate I have encountered here. Since this thread is about the pharmacist let me state my personal opinions: if he is working for someone else and cannot fulfill the requirements of his boss (fill the prescription) he should seek employment elsewhere, he should not keep another person's property (the prescription), and he should not be persecuted for his beliefs any more than someone who has ideas different than his.

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