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."

My opinion is that the dude (or dood) should be fired. She had her B/C filled there in the past and then, all of a sudden with no prior notification, she was denied her scrip.

The method I use to voice my opinion on these matters is to make it a policy NOT to do business with companies that tolerate this type of behavior. A CVS just opened here a few days ago - they won't be getting my business!

My sincere apologies if any of my remarks offended anyone. Sometimes a lively debate can get a little out of hand. :chair:

I apologize for the direct attack on an individual forum member. It was unfair. I just want people to understand how (obviously from the heat being generated) important this topic is to women. Again, my deepest apologies if I offended or mislead anybody. I am no one to judge.

Specializes in Happily semi-retired; excited for the whole whammy.
Wow - my "estrogen" must me making me agree with Mercy:chuckle.

Either that or your good common sense...

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

I think the pharmacist needs to be canned and his license revoked. That is really the only thing that would satisfy me.

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

Thing of it is, if he owned his own pharmacy, then that would be his choice. However, a national chain, that he just works for, he should keep his personal opinions at home.

Thing of it is, if it were he owned his own pharmacy, then that would be his choice. However, a national chain, that he just works for, he should keep his personal opinions at home.

I agree.

Isn't that what everyone basically says too? That if he owned the pharmacy, he has the right to refuse service but if he is an employee he does not? If he is an employee and went to work knowing he would be dispersing BCP, then he needs to find another job. And he should not have kept the Rx, whether he is the owner or not.

I haven't read any disagreements with that.

So, what are we arguing for? :)

steph

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.
Isn't that what everyone basically says too? That if he owned the pharmacy, he has the right to refuse service but if he is an employee he does not? If he is an employee and went to work knowing he would be dispersing BCP, then he needs to find another job. And he should not have kept the Rx, whether he is the owner or not.

I haven't read any disagreements with that.

So, what are we arguing for? :)

steph

Because there are people that disagree with that.

Because there are people that disagree with that.

It appears to me also that some of the posters say he should be required to fill the prescription under any and all possible circumstances.

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

He acted unethically. I don't care his personal or religious beliefs. I can respect he does not desire to dispense BC based on his beliefs. He has that right, just as a nurse who can't participate in abortion refuses to do so. That is not the problem I have with this guy.

In this case, he acted unethically. He should be notifying his paying and trusting customers of his policy not to dispense BC pills at the time they request them, not withholding meds or keeping the Rx. He could find another pharmacist to fill the Rx in his stead and keep to his beliefs just fine. He did not bother or deliberately and willfully withheld the meds.That was blantantly wrong and dishonest.

Therefore, the man should not be licensed any longer in my opinion. He lacks ethics! Sorry, that is a strong opinion, but I feel that strongly about it!

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
It appears to me also that some of the posters say he should be required to fill the prescription under any and all possible circumstances.

nope. read my post above for what I believe should have happened.

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