Author Topic: Survey: Doctors' personal beliefs can hinder care
Kimball_Kinnison 
Registered: Oct '01
6249_Veers
Date Posted: 7/31/07 6:23pm Subject: RE: Survey: Doctors' personal beliefs can hinder care
Vaderize03 posted:
A pharmacist refusing to fill a prescription because they have a problem with birth control is in reality, no different.
Except that most of this has focused on emergency contraceptives, specifically "Plan B", which is an OTC medicine. We aren't talking about a pharmacist refusing to provide an emergency prescription. No prescription is required, and no pharmacist needs to get involved.

Which is what brings me back to my original point in this latest round. Are there any other medications that a pharmacy is required (by law) to keep in stock? If not, then what is the basis for insisting that a pharmacy stock an OTC emergency contraceptive? Why not force them to stock pseudoephedrine, or some other OTC drug? Or should they be forced to stock other contraceptives (such as condoms)?

The only reason for a pharmacy owner to be involved in the lawsuit is if the pharmacy is required under that law to carry the contraceptive. Where is the precedent for that sort of requirement with an OTC medication? Are pharmacies, drug stores, supermarkets, etc required to stock cough syrup, tylenol, immodium, or something along those lines? Are they required to stock condoms or spermicide creams?

As I said before, there is no reason to single out just the contraceptives except to force ideology onto others. If I go into WalMart and they don't have the OTC medicine I'm looking for, I go over to Target, CVS, or another store in my area. Why should it be any different for any other OTC medicine?

Kimball Kinnison

 

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Vaderize03 
Title: Manager Emeritus
Registered: Oct '99
14744_Darth Vader
Date Posted: 8/1/07 9:24am Subject: RE: Survey: Doctors' personal beliefs can hinder care - Date Edited: 8/1/07 9:33am (1 edits total) Edited By: Vaderize03
I can't answer your question, Kimball, because I don't know enough about outpatient pharmaceuticals.

What about the rest of my post? Emergencies may be just that, but they are examples of valid situations which do arise in the real world.

DarthOverlord-

Every hospital should have EC's, it is the expectation that a hospital be equipped to deal with the spectrum of medical problems, from outpatient to emergency. Now, some things, like cardiac catherization, require larger hospitals, and it is not realistic to expect that every hospital in the US have a cath lab. However, it is reasonable to expect that every hospital be required to stock female hormones that have been around for decades and are used by millions of women.

In other words, I do not for an instant as a physician "feel bad" about forcing all hospitals to carry EC's (emergency contraceptives). The idea that a hospital can refuse to carry a common medication is absurd. That's what the hospital's for.

Peace,

V-03

 

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Kimball_Kinnison 
Registered: Oct '01
6249_Veers
Date Posted: 8/1/07 11:17am Subject: RE: Survey: Doctors' personal beliefs can hinder care
Vaderize03 posted:
I can't answer your question, Kimball, because I don't know enough about outpatient pharmaceuticals.

What about the rest of my post? Emergencies may be just that, but they are examples of valid situations which do arise in the real world.
But does the potential for emergencies warrant forcing private pharmacies (i.e. the typical outpatient ones) to carry an OTC drug "just in case"? The pharmacy owner in the suit owns a chain of grocery stores that include pharmacies (according to the article).

It's one thing to expect that a hospital maintain a supply of common OTC drugs covering a wide spectrum. It's another thing to make that demand of a private pharmacy, especially one that is part of a larger, unrelated business (such as a grocery store).

And all of that ignores my central point, which is that by making such an exception only for OTC contraceptives, it demonstrates that it isn't really about the health of the patient, but is instead about forcing ideology. If it were about the health of the patient, why would you limit it to only contraceptives?

Kimball Kinnison

 

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Obi-Wan McCartney 
Registered: Aug '99
13616_Obi-Wan Kenobi
Date Posted: 8/1/07 11:48am Subject: RE: Survey: Doctors' personal beliefs can hinder care
Everything is about forcing ideology of some kind. That's a silly argument.

 

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dizfactor 
Registered: Aug '02
6896_Obi-Wan<br>LEGO
Date Posted: 8/1/07 11:51am Subject: RE: Survey: Doctors' personal beliefs can hinder care - Date Edited: 8/1/07 11:56am (2 edits total) Edited By: dizfactor
Kimball_Kinnison posted:
As I said before, there is no reason to single out just the contraceptives except to force ideology onto others.


Look, your side uses the state to force your ideology on me all the damn time.

If you're so opposed to the government trying to effect culture through policy, why is it that (presumably) monogamous heterosexual couples get special legal rights and tax breaks in the name of encouraging a specific family model? If you're so opposed to the government interfering in private transactions, why is buying and selling marijuana (or sex) illegal? If you're so opposed to interfering in the practice of medicine, why are there so many restrictions on abortion? If you're so concerned about tyranny, why am we all subject to all sorts of dubious surveillance programs and why is it that people can be thrown in a hole somewhere, tortured, and held indefinitely without charges? If you're so concerned about respecting the rights of employees and employers to work on whatever terms they choose, why are we criminalizing migrant workers?

Of course, all those things are for the greater good, right? And this is different from my argument how? Other than the fact that things you think are good are things I think are bad, and vice versa, I mean?

If you were willing to seriously talk about restricting the power of government over people's private lives - restoring civil liberties and severely rolling back the power of the "security state," ending the War on Drugs, decriminalizing prostitution and gambling, respecting the right to privacy with regard to medicine and the biosciences (abortion, cloning, etc), getting government out of the marriage business entirely, etc - I would be more than willing to put gun control, school vouchers, affirmative action, and laws like the one in question in this thread on the table.

Until that happens, though, you can't affect a tone of moral outrage about government interference in the lives of its citizens when it suits you, and then beat the drum for the need to take action to "preserve the moral order of traditional society" (or however you'd like to phrase it) when it's the kind of government intervention you like.

I'll put down my regulatory gun if you do, but somehow I don't think that's going to happen. I'd love to be proven wrong, though. Under current conditions, though, I'm going to use whatever tool I have to stop you, suppress your culture, keep you out of government, and basically destroy everything you stand for, because you've been doing the same to me for decades at least. If you insist on having a culture war, I'll give you a culture war and I will damn sure win it.

 

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Master_SweetPea 
Registered: Nov '02
6289_A-Wing
Date Posted: 8/1/07 2:23pm Subject: RE: Survey: Doctors' personal beliefs can hinder care - Date Edited: 8/1/07 2:28pm (1 edits total) Edited By: Master_SweetPea
dizfactor posted:

Look, your side uses the state to force your ideology on me all the damn time .



that's not a correct statement, because you are ASSUMING that there is only the right and left.


I've clearly stated that I have sold Plan B several times, someone comes in, shows their ID and pays the $41.99 and they are on thier way.

It's no big deal, if someone doesn't want to sell it they get someone else to do it for them.

so, WHAT'S the Problem?

 

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dizfactor 
Registered: Aug '02
6896_Obi-Wan<br>LEGO
Date Posted: 8/1/07 3:07pm Subject: RE: Survey: Doctors' personal beliefs can hinder care - Date Edited: 8/1/07 3:08pm (2 edits total) Edited By: dizfactor
Master_SweetPea posted:
that's not a correct statement, because you are ASSUMING that there is only the right and left.


I'm not assuming that right and left (or even more specifically, the American definitions of same) represent the entire political spectrum*, but those are the two sides that dominate the current landscape in the US, and which will unfortunately continue to do so for the foreseeable future. If that's the game I have to play, I'm going to play it.

* Even the word "spectrum" implies a bipolar model, which is a pain.

 

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Kimball_Kinnison 
Registered: Oct '01
6249_Veers
Date Posted: 8/1/07 4:02pm Subject: RE: Survey: Doctors' personal beliefs can hinder care - Date Edited: 8/1/07 4:12pm (2 edits total) Edited By: Kimball_Kinnison
dizfactor posted:
Look, your side uses the state to force your ideology on me all the damn time.
You make a lot of unwarranted assumptions about me. Let's look at them one by one.

dizfactor posted:
If you're so opposed to the government trying to effect culture through policy, why is it that (presumably) monogamous heterosexual couples get special legal rights and tax breaks in the name of encouraging a specific family model?
I've said for years that my problems with same-sex marriage are twofold: first that there are those who have expressed the desire to force those who disagree with same-sex unions to perform them (or face legal repercussions for discrimination), and second because of the methods being used to enact it (i.e. through the courts, not through the legislature by the voice of the people). As long as it is done in the proper method and is not used to compel churches to perform such unions when it is against their beliefs, I have no problem with it.

For example, I didn't have a single bad word to say about Vermont enacting civil unions in 2000, because it was done through the legislature, not by the courts.

dizfactor posted:
If you're so opposed to the government interfering in private transactions, why is buying and selling marijuana (or sex) illegal?
I've actually never expressed support for making (or keeping) marijuana or prostitution illegal.

dizfactor posted:
If you're so opposed to interfering in the practice of medicine, why are there so many restrictions on abortion?
I've actually never expressed support for restrictions on abortion. I have, however, stated that it is a matter that should be left to the individual states to handle, as it is not a constitutional issue.

dizfactor posted:
If you're so concerned about tyranny, why am we all subject to all sorts of dubious surveillance programs and why is it that people can be thrown in a hole somewhere, tortured, and held indefinitely without charges?
The only surveillance programs that I've expressed any support for are those involving foreign communications (i.e. at least one end of the communication takes place in a foreign country). That sort of surveillance is justifiable just like any other espionage program targeted at a foreign country or organization. I haven't expressed any support for throwing anyone "in a hole somewhere", torturing them, nor for holding them indefinitely without charges (although you should remember that prisoners of war are held for the duration of a conflict without charges, so the lack of charges is not in and of itself a bad thing in all cases).

dizfactor posted:
If you're so concerned about respecting the rights of employees and employers to work on whatever terms they choose, why are we criminalizing migrant workers?
Um, I've never supported criminalizing migrant workers. I have expressed support for blocking illegal immigration, but I have also been a big supporter of making legal immigration far easier. On my mission, I got to be very good friends with many families that were here illegally but who should have been able to come legally if not for the US's messed up immigration policies. In fact, I was even able to convince my brother to change his opinion on immigration, to the point that my brother was won over to supporting more permissive immigration.

dizfactor posted:
Of course, all those things are for the greater good, right? And this is different from my argument how? Other than the fact that things you think are good are things I think are bad, and vice versa, I mean?
Seeing as you have been completely wrong on my positions on all of those, I'd have to say that you know nothing about what you speak.

dizfactor posted:
If you were willing to seriously talk about restricting the power of government over people's private lives - restoring civil liberties and severely rolling back the power of the "security state," ending the War on Drugs, decriminalizing prostitution and gambling, respecting the right to privacy with regard to medicine and the biosciences (abortion, cloning, etc), getting government out of the marriage business entirely, etc - I would be more than willing to put gun control, school vouchers, affirmative action, and laws like the one in question in this thread on the table.
I've never expressed support for the "War on Drugs", I haven't supported any real civil liberty violations (and if the Patriot Act, for example, actually said what people claim it says, I wouldn't support the parts of it that I do support). I have advocated getting government out of marriage entirely (as OWM, among others, can attest), and I have always advocated that abortion and similar matters be handled by the individual states. Prostitution, gambling, and so forth I have no problem with either way, but I consider them matters that should be handled by the states individually.

You see, you don't know a thing about what I actually believe or think, because you keep trying to identify my by your stereotypes. I'm not a conservative (and I've been saying that for years on this board). I am a classical liberal (similar to a libertarian) and a Federalist. I think that the federal government should be limited to only the powers specifically granted to it in the Constitution (namely the outward functions of a government like diplomacy, defense, and so forth, and regulating interaction between the states), and that the states should regulate their own internal affairs in accordance with their individual constitutions.

I have no problem with a state making prostitution illegal, as long as the People of that state grant that power to the state through their constitution. The same goes for any other internal matter relating to a state.

Why? Because ultimately government is by the consent of the governed, and all government power derives from the People. You have to allow people to make their own choices about how they will be governed. I don't have a problem with a country having a monarchy, if that is what the People decide, nor even with a dictatorship, as long as it is done with the consent of the People.

dizfactor posted:
Until that happens, though, you can't affect a tone of moral outrage about government interference in the lives of its citizens when it suits you, and then beat the drum for the need to take action to "preserve the moral order of traditional society" (or however you'd like to phrase it) when it's the kind of government intervention you like.

I'll put down my regulatory gun if you do, but somehow I don't think that's going to happen. I'd love to be proven wrong, though. Under current conditions, though, I'm going to use whatever tool I have to stop you, suppress your culture, keep you out of government, and basically destroy everything you stand for, because you've been doing the same to me for decades at least. If you insist on having a culture war, I'll give you a culture war and I will damn sure win it.
I haven't been doing any of that to you, and I haven't advocated doing any of that to you. You don't know what I really stand for because you've never listened to me say what I stand for. If I say "I am opposed to Roe v. Wade because it is not a constitutional matter", you read that as "I oppose abortion and so I want to force that belief on everyone." The opposite of Roe isn't a ban on abortion, it's allowing individual states to decide. I oppose a federal ban on abortion just as much as I oppose Roe. It's a power retained by the People on a federal level, but one that they are fully capable of granting to the states on the state level. The same goes for gambling, prostitution, or pretty much any other "moral" issue you could name.

Your problem is that you see everything in a binary manner: if people don't agree with you, they must all oppose you for the same reasons. That's no better than Bush's "If you are not with us you are against us" attitude. There are far more shades of gray (not to mention all of the other colors in the spectrum) that you refuse to see.

You see, if everyone took my attitude, regardless of their positions on individual "moral" issues, we wouldn't have to have any "culture war". The individual states are supposed to be "laboratories of democracy", which means that we have 50 different places that can customize their individual laws to match the culture of the people who live there. If you want to live in a place that permits unrestricted drug use, abortion, prostitution, gambling, etc, then you can move someplace that allows all that, or else you only have to find enough like-minded people willing to move someplace to change it to be that way. If someone else wants to live in a place that prohibits gambling and prostitution, limits abortion, and so forth, then they can do likewise and move someplace that will pass laws to their liking.

Let me give you an example of this, using two hypothetical towns of 100 voting citizens each. Both towns have votes to determine whether smoking will be allowed in their towns. Town A votes 60 to 40 against a ban. Town B votes 70 to 30 in favor of the ban. If both towns were to vote together, you would have a total of 110 to 90 in favor of a ban. That means that 90 people will not get their desired outcome.

However, if you let each town decide for itself, you end up with only 70 people who don't get their desired outcome. By allowing each town to decide for themselves, as opposed to forcing the overall vote on everyone, you decrease the number of people who are unhappy with the results. When you take into account that people are not blocked from moving from Town A to Town B (and vice versa), you end up with even less unhappy people.

I remember when they abolished the federal speed limit and allowed each state to set their own limit. My Uncle Bob was visiting us, and cried out "Yes, I'm moving to Montana!" because of their "no limit" policy. That is the sort of attitude that federalism encourages.

We're a big country, and we aren't one single culture. If we stop trying to force one culture on everyone, we can all get along a lot better.

Kimball Kinnison

 

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Darth_Overlord 
Registered: Jul '01
24202_Palpatine
Date Posted: 8/3/07 6:59am Subject: RE: Survey: Doctors' personal beliefs can hinder care
Vaderize03 posted:
DarthOverlord-

Every hospital should have EC's, it is the expectation that a hospital be equipped to deal with the spectrum of medical problems, from outpatient to emergency. Now, some things, like cardiac catherization, require larger hospitals, and it is not realistic to expect that every hospital in the US have a cath lab. However, it is reasonable to expect that every hospital be required to stock female hormones that have been around for decades and are used by millions of women.

In other words, I do not for an instant as a physician "feel bad" about forcing all hospitals to carry EC's (emergency contraceptives). The idea that a hospital can refuse to carry a common medication is absurd. That's what the hospital's for.


There's nothing wrong with having them in stock, per se, but it's kind of pointless if they are never used. The larger issue is that you think all hospitals should have to dispense emergency contraceptives, but if you look at the other side's point of view for a minute, you'd see how completely unjustifiable that is. A Catholic hospital is of course going to treat anyone who comes to them but obviously it is going to be done in the Catholic way. Some people prefer that way (even among rape victims some refuse to take ECs).

 

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Vaderize03 
Title: Manager Emeritus
Registered: Oct '99
14744_Darth Vader
Date Posted: 8/3/07 10:29am Subject: RE: Survey: Doctors' personal beliefs can hinder care
A Catholic hospital is of course going to treat anyone who comes to them but obviously it is going to be done in the Catholic way. Some people prefer that way (even among rape victims some refuse to take ECs).

Treating someone in the "Catholic way" is not treating them if it goes against the standard of care. If someone doesn't want an EC after a rape, fine, that's their decision.

I have a BIG problem with a catholic hospital forcing a rape victim to go elsewhere for emergency contraceptives, however. It is a time sensitive issue and adds to the trauma of the rape to force them to another ER.

Before certain individuals start banging the drum on forcing idealogy, religious freedom, or the easy availability of other hospitals across the US, I will point out that not everyone is able to get to another facility in a timely fashion, and even if they do, it may be hours before they are seen. I do not personally feel that Catholic hospitals should be allowed to refuse to give out emergency contraception, especially for rape victims. Elective BCP's are another story, but not emergency ones.

Peace,

V-03

 

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Darth_Overlord 
Registered: Jul '01
24202_Palpatine
Date Posted: 8/3/07 11:47am Subject: RE: Survey: Doctors' personal beliefs can hinder care
If it really came down to that, all the Catholic hospitals would have to close down their emergency rooms, putting a greater burden on everyone else.

 

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Kimball_Kinnison 
Registered: Oct '01
6249_Veers
Date Posted: 8/3/07 12:19pm Subject: RE: Survey: Doctors' personal beliefs can hinder care
Vaderize03 posted:
Before certain individuals start banging the drum on forcing idealogy, religious freedom, or the easy availability of other hospitals across the US, I will point out that not everyone is able to get to another facility in a timely fashion, and even if they do, it may be hours before they are seen. I do not personally feel that Catholic hospitals should be allowed to refuse to give out emergency contraception, especially for rape victims. Elective BCP's are another story, but not emergency ones.
There are other options, you know.

For example, you could have the police keep a supply of Plan B and have them give it to a rape victim when they report the rape instead of the hospital. (Remember, it's OTC, so it should be no different than having them keep a little Tylenol or Motrin in their first aid kit.)

Kimball Kinnison

 

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Master_SweetPea 
Registered: Nov '02
6289_A-Wing
Date Posted: 8/3/07 6:33pm Subject: RE: Survey: Doctors' personal beliefs can hinder care
Kimball_Kinnison posted:
For example, you could have the police keep a supply of Plan B and have them give it to a rape victim when they report the rape instead of the hospital. (Remember, it's OTC, so it should be no different than having them keep a little Tylenol or Motrin in their first aid kit.)

Kimball Kinnison


I've been thinking the same thing myself, just make it a part of the rape kits.

that takes care of the rape angle.

As for the whole "ooops we got caught up in the heat of the moment" angle, the couple can just call around and buy it from whoever sells it. The Patient sheet says you have over 48 hours to take it after...well you know.

 

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malkieD2 
Title: EuroMod™-JCC - FFUK-RSA Emeritus
Registered: Jun '02
6241_R2-D2
Date Posted: 8/4/07 2:43am Subject: RE: Survey: Doctors' personal beliefs can hinder care
Sorry but if you get Pharmacists who refuse to issue contraceptives you'll get police officers with exactly the same stance.
You keep telling us that PlanB is OTC, but only to over 18s so isn't available to a significant number of people who will require it.

 

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Master_SweetPea 
Registered: Nov '02
6289_A-Wing
Date Posted: 8/4/07 6:08am Subject: RE: Survey: Doctors' personal beliefs can hinder care - Date Edited: 8/4/07 6:09am (1 edits total) Edited By: Master_SweetPea
I can't sell someone cough syrup if they are under 18.
They FDA just needs to lift the restrictions and let Police officers dispense it as a part of a rape investigation.

My viewpoint is to fix problems by removing government regulation, not by adding it.
(about 90% of the time anyways)


and i've sold it to guys who were over 18 too, and we both know they aren't taking it themselves.

 

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