Pharmacists refusing to fill orders for The Pill

Nurses Activism

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 Public Health, DEI.
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.

Thank you for acknowledging the thread's topic, and posting something relevant to that topic. Had you done so in the first place, the debate that you haven't enjoyed would have been avoided completely.

Specializes in LTC,Hospice/palliative care,acute care.
...............he should not be persecuted for his beliefs any more than someone who has ideas different than his.
But why not? He(the pharmacist) is "persecuting"someone for THEIR beliefs...Remember we are only speaking about birth control pills in this situation-preventing conception ...I stated earlier that the pharmacist is only the middle man and in no way responsible for the patient taking the med... I really don't think pharmacists should be permitted to refuse to fill scripts for them---I also think that physicians themselves should dispense the abortion pill-not the pharmacist.....That also will protect the patients privacy...
Specializes in Public Health, DEI.
But why not? He(the pharmacist) is "persecuting"someone for THEIR beliefs...Remember we are only speaking about birth control pills in this situation-preventing conception ...I stated earlier that the pharmacist is only the middle man and in no way responsible for the patient taking the med... I really don't think pharmacists should be permitted to refuse to fill scripts for them---I also think that physicians themselves should dispense the abortion pill-not the pharmacist.....That also will protect the patients privacy...

I like the fact that you put the word persecute in quotations, because this man isn't being persecuted for anything. The objection isn't against his beliefs- it is against the fact that he is using his position to violate this woman's right to make her own healthcare decisions. I do think that he should be prosecuted for his actions- by refusing to return the script, he committed theft, as far as I'm concerned.

Specializes in Addictions/rehab, mental health, hospice.

Condoms are probably fine, because they involve MALE control of fertility, which is really what it's all about. As someone once said, "If men could have babies, abortion would be a sacrament". Women in control of their fertility is a threat to the patricarchy.

--Kal

angie wrote: >>>>What I don't get is that while they don't feel right about selling BC pills, it's still OK to sell prophylactics in the store? After all, using them could interfere with causing a viable fetus as a result of sex.

I agree that everybody is entitled to thier own opinion and I would never judge someone for having a different view than me. BUT, we are taught in school to use contraceptives if we're going to be sexually active and don't want children yet. Are these pharmacists the same people voting for abstinence only being taught in schools, because we all know how well that works? :uhoh3: And again, who are you to tell me what to do with my body???? Leave my sexual decisions out of your personal views because that's exactly what it is, MY sexual and medical decision. :angryfire

Specializes in Clinical Research, Outpt Women's Health.

As nurses we take care of whoever shows up whether there actions are in line with our beliefs or not. I believe pharmacists need to be held to that same standard. Whether contaception is right or wrong according to your beliefs should not be part of the equation. Is this a problem? Get a different job. We are not even talking about abortion, but doing the responsible thing to prevent abortion. Of course, I live in Texas where we don't teach sex ed in the schools and have the highest teen birth rate.:o

Assuming by your login name that you are male, I have one thing to say to you, Check back to this thread when you become a woman and have to make these decisions! :angryfire I will never judge you on your opinion of abortion, but to say that an unwanted pregnancy is poor planning is APPALLING! A woman who is on birth control to prevent UNWANTED pregnancy is not a poor planner. Besides, when did it become solely the woman's responsibilty to plan pregnancy?? I think you missed the entire piont of this thread like you missed the other X chromosome.

Yes I am am a male. And as long as the vast majority of abortions are being used as an after the fact contraceptive I stand by my statements. I had a question for you but I just did not feel like getting another estrogen-induced lecture. Just be happy with the fact that chances are no one will ever ask my permission for an abortion. AGAIN, I feel the pharmacist should fill the prescription unless it is his personal pharmacy business. And he should give back the prescription regardless. I gather from your x-chromosome remark that you feel I am genetically pre-disposed to think like I do? :confused:

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.

(Can we close this thread already??)

Specializes in Clinical Research, Outpt Women's Health.

Wow - Mercyteapot & Guy (sorry, can't remember the whole name) - actually sound a lot alike although on opposite sides . I respect both your opinions, but my "estrogen" must me making me agree with Mercy:chuckle.

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
Yes I am am a male. And as long as the vast majority of abortions are being used as an after the fact contraceptive I stand by my statements. I had a question for you but I just did not feel like getting another estrogen-induced lecture. Just be happy with the fact that chances are no one will ever ask my permission for an abortion. AGAIN, I feel the pharmacist should fill the prescription unless it is his personal pharmacy business. And he should give back the prescription regardless. I gather from your x-chromosome remark that you feel I am genetically pre-disposed to think like I do? :confused:

You know what, it's due to posts like this that threads get locked up. Check TOS and then please quit with the sexist insults---- and stick to the subject please?

--signed,

another "estrogen-challenged RN" (or would that be estrogen-laden?)

....I do not belive that these decisions need to be made by anyone without a uterus.....

OMG, I've said that many times! :rotfl:

Specializes in Gerontological, cardiac, med-surg, peds.

i know this is an emotional topic. just a gentle reminder to please keep to the topic at hand and avoid personal attacks and inflammatory statements (yes, i am referring specifically to the "estrogen" remark).

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