QUOTE(Jack22 @ Apr 10 2005, 08:47 PM)
I am reminded of a similar situation here in Texas concerning "dry" counties. Beer runs can take two or three hours driving across several dry counties.
For starters, I would point out that prescription medications and beer are two rather different things. Prescription drugs serve a valid medical purpose; beer merely serves a recreational purpose. In other words, you can do without beer, but you cannot necessarily do without prescription drugs. Moreover, in "dry" counties, the prohibition is at least based on an electoral mandate, rather than on a unilateral declaration of perhaps 0.1% of the population (a cursory study of numbers of licensed physicians on my part indicates that states tend to have approximately 1 pharmacist for every 1,000 inhabitants).
QUOTE(Jack22 @ Apr 10 2005, 08:47 PM)
The question becomes for such a worst-case scenario, how far can you drive in 24 to 72 hours?
What if the patient can't get the time it would take (to get that far before closing time) off work? What if the patient doesn't have a car or a driver's license?
QUOTE(Jack22 @ Apr 10 2005, 08:47 PM)
The military allows conscientious objectors, and yet we still have an army.
I've never heard of conscientious objector voluntarily enlisting in the armed forces, especially not an all-volunteer force like the American one. And once you
have voluntarily enlisted in the armed forces, you're going to have to present an awfully convincing case if you want to prove you've developed conscientious objections since enlisting. Ask Jeremy Hinzman.
QUOTE(Jack22 @ Apr 10 2005, 08:47 PM)
Pharmacies already refer prescriptions when they don't have a particular drug on hand, and it is almost never a problem.
Well, of course not, because in this instance, the purpose of the referral is to
provide the service pharmacies exist to provide, not to
avoid providing it.
As I acknowledged in an earlier post, the scenario that all pharmacists in the country will refuse to sell a particular (type of) medication is supremely unlikely. However, my problem with it is not that it
will happen, but that in the rush to pass "conscience clauses" in various jurisdictions, nobody is stopping to think of instituting safeguards to prevent it from occurring, especially in areas where pharmacies may be thin on the ground. There are already plenty of places where the only pharmacy in town is the local Wal-Mart, which already refuses to stock ECPs as a matter of company policy (ostensibly for economic reasons, but who are we kidding?).
Take this scenario as for instance, Jack: let's say, hypothetically speaking, that you live and work in a sparsely populated area, suffer from erectile dysfunction, and that your GP has prescribed Viagra or Cialis or somesuch. One lunch hour, you nip out to your usual pharmacy to get your prescription refilled, only to find that there's a substitute pharmacist on duty, who states that he is opposed to erection-inducing drugs on religious grounds, and therefore refuses to fill your script. However, from the goodness of his heart, he's willing to transfer the script to the nearest other pharmacy, which is in the next town over, an hour's drive away. You're no fool, so you call ahead to check that they will actually fill your script; the pharmacist you speak to says, yes, no problem, so you go ahead and have the script transferred. Unfortunately, you're due back at work, so you're going to have to postpone your trip to the other pharmacy until after work. By the time you get there, however, the pharmacist you spoke to at lunchtime is no longer on duty, and there is now another pharmacist, who demands that you provide proof of your being married before he deigns to fill your script. Somewhat annoyed by now, you tell him--not unreasonably--that you don't see why this is any of his business. He tells you that he is opposed to extramarital sex on religious grounds, and since erection inducing drugs serve one purpose only, he would like to see proof that you are married before he fills your script. You show him your wedding ring; he says that's not enough, and that he needs to see a marriage certificate. Which you do not have on you; it's at home, an hour's drive away. Exasperated, you point out that you do not intend to have sex with his mother, wife and/or any daughters he may happen to have, so why doesn't he mind his own damn business and fill your script? He continues to refuse, so you see yourself forced to declare this excursion a washout and ask him to transfer the script back to your own pharmacy. He refuses, again citing his religious beliefs, and lack of proof of your marital status.
If you tell me that, by this point, you're not inclined to tell the guy to go forth and multiply (though not in those exact words) and call the cops, I would say you'd be lying.
In actual fact, in one of the first cases which sparked this brouhaha, Neil Noesen not only refused to fill a script for BCPs, but refused to transfer it to another pharamacy, stating that he was opposed to artificial contraception on religious grounds. Now, I don't consider even vaguely acceptable behavior; by doing so, he forcibly imposed his own religious beliefs on the customer. Seeing as how you, Jack, have focused almost exclusively on how it isn't a problem to let pharmacies transfer scripts, I'm guessing that you don't want to go so far as to state that you find this acceptable either (but feel free to correct me if I'm wrong).
The judge certainly thought Noesen's behavior was unacceptable. Assuming for the sake of the argument, Jack, that I have correctly divined your stance on this matter, it strikes me that we have then established that there are, in fact, limits to how far a pharmacist can go in exercising his religious "rights"; a pharmacist may reasonably be compelled to transfer the script, even if doing so were to "violate his conscience." And if we've gone that far (though I don't think it's exactly going far to expect someone to mind his own business and do his job), it's not taking it much further to expect a pharmacist to just belt up and fill the damn script himself. We're not talking forced conversions here, or prohibiting him from attending whatever church he wants, or keeping to whatever dietary requirements his religion demands; those would
actually violate his freedom of religion. Some of us haven't forgotten the observation of Emilian Yaroslavsky (head of the Soviet League of Militant Atheists) that "religion is like a nail; the harder you pouint it, the deeper it embeds itself." But that's no reason to tolerate patients' rights being trampled.
It's interesting to note, incidentally, that for some strange reason, the "conscience clause" being proposed in Wisconsin (Senate Bill 21) in the wake of the Noesen affair only applies to religious objections to oral contraceptives. Strangely, its proponents don't seem to find it necessary to include any other types of medication, regardless of the possibility that anyone might have supposedly valid religious objections to dispensing those, including the aforementioned anti-erectile dysfunction drugs. Anybody want to tell me there isn't some rank hypocrisy at work here?
Moreover, Senate Bill 21 does not actually require the pharmacist's belief regarding the abortifacient properties of an oral contrceptive to be factually accurate, nor does it provide any guarantees to the patient that her prescription will actually be filled. This is one awful piece of legislation. If it passes, I think it would be excellent if every pharmacist in Madison refused to fill
any prescription on the grounds they
believe it might have abortifacient properties, even in men.
Oh, and by the way, I reported the "atheo-fascist" remark to the moderators. That was well out of order, if you ask me.