xenologer: (end of the world)
The Bush administration has officially proposed a rule to the Dept. of Health and Human Services that doctors can refuse to treat patients if their consciences protest for any reason. Basically if they dunwanna, you don't get medical care.

Send an email to consciencecomment@hhs.gov, with the subject line "provider conscience regulation." They are publishing these comments right now, because it is in a 30-day public comment period. This is an absolute emergency. Don't let the misogynist religious whackos be the only voices DHHS hears. Say something. Just send an email. Otherwise, after thirty days, this rule goes into effect.

Really. It does. This is going to happen. Please tell them you are NOT falling for this bullshit, and that you are NOT going to let fundamentalists speak for you.

Here's what I'm saying.

Doctors do and always have had the freedom of conscience to choose not to provide certain kinds of medical care. This is the choice they make in medical school when they're investing tens of thousands of dollars to become educated and licensed. If they are not ready to fulfill the obligations of their chosen profession, then just like anyone else who doesn't want to do their job? They shouldn't be doing it. Doctors need to provide patients with medical care. End of line.

Here's the problem. Doctors should not be the ones to decide which patients "deserve" the standard of care they are coming to receive. Those who say that this ruling is not about denying women access to birth control are either gullible or lying. Here's how I know it's about denying women health care.

One: This is clearly about allowing doctors to refuse to perform abortions for patients who request them. Considering that 87% of counties in America don't have an abortion provider, this puts rural women at a serious disadvantage when they need medical care. Why does this statistic matter? Because if the one doctor within reasonable range of a woman in need refuses to treat her, she may not be able to find another, particularly considering that this proposed rule does not include provisions for women who have been refused. Not only can her doctor say no, but he is not obligated to refer her to a physician willing to provide her with an abortion.

Two: This becomes truly scary when you think about the fact that DHHS wants to change the definition of "life" to "at fertilization" rather than "at implantation." These are both pretty damned arbitrary classifications considering that a fertilized egg is less of an independent organism than the gut flora living in my large intestine (and which I am allowed to slaughter at will with every antibiotic treatment I undergo). Why is this scary? See point three.

Three: Non-barrier methods (basically anything but a diaphragm or condom) works at least partly by preventing implantation. It prevents the fertilized egg from sticking to the inside of your uterus so that it never has a chance to start getting nourishment from your body. It's flushed out like any unfertilized egg, and your body does this on its own. What this means is that any non-barrier method that interferes with implantation will be classified as an abortion, giving doctors a perfect airtight legal excuse to deny women these prescriptions because a moral imperative the patient obviously does not share (or she wouldn't be asking for contraceptives) dictates that she doesn't need contraceptives after all.

If you are not ready to provide the services of a physician, don't become one. If it's against my religion to dance in public, I should not dream of Broadway. If I believe that rum is the devil's poison and that Prohibition should be re-established, I should not aspire to become a bartender. If it's against my conscience to provide medical advice or procedures to certain people or for certain reasons, I should not dream of a medical career.

Medicine is about service. You are doing a disservice to half the population of this country by codifying an appalling belief: that women's LIVES are not as important as the FEELINGS of doctors who should never have gone into that practice in the first place.

And yes, this is about a woman's life versus the feelings of her doctor. If a woman cannot control her reproduction, she cannot control any aspect of her life. If a woman cannot delay pregnancy she is at a serious disadvantage compared to a man when it comes to getting an education, maintaining a career, and supporting herself. If at any time she could be railroaded into halting her life to bear a child at someone else's will, then her life as she know it can end at any time.

Anyone reading this, I'm begging you to think about this. Think about what effect having a child really has on women. In third world countries early pregnancy and single motherhood are one of the chief reasons that women and their children are economically and socially the biggest victims of poverty, disease, and hunger. Do you want that here? Are you ready for those consequences? Because that's where we're going.

If you love even a single woman in your life--mother, sister, daughter, friend, lover, anything--please protect her. Say no to this. Treat them like human beings, with wills and lives of their own. Let the women you love control their reproduction, instead of breeding on someone else's timeline and by someone else's rules. You owe them that much.

Date: 2008-08-23 03:07 pm (UTC)From: [identity profile] virginia-fell.livejournal.com
Part of the problem is that A: Like many pro-life positions it places the priority on a potential life over an actual woman. This goes against medical precedent because medical practitioners are currently taught that this isn't good medicine. If a cancer treatment is going to save the mother but cause her to abort her child, the mother takes priority because she is a living human sitting right in front of you asking you for medical care. Doctors who don't believe in abortion could quite literally kill her in such a case because women are less important than the children they carry. Which is interesting, because it technically means that once a woman is born (or at least once she hits her childrearing years) she actually becomes less important than she was when she was an embryo. At least by the pro-life perspective.

The other problem is that B: The conscience of the doctor performing the procedure is upheld above the conscience of the patient. For example, I believe that with 500,000 or so children in foster care in this country it is morally irresponsible to have children. Call it the Bob Barker school of population moderation: spay and neuter yourselves. Adopt a kid who needs a home instead of making new ones. This is why I would have an abortion if I became pregnant: when I can support kids I feel a strong moral imperative to adopt instead of making babies of my own. However, DHHS believes my doctor should have veto power over this life choice. My doctor's conscience and judgment takes precedent not just on medical matters but on moral ones as well. This is why feminists get pissed about this. It treats women like they're not qualified to set their own timeline for breeding, instead being forced to do it on someone else's behest and by someone else's rules.

And before you say it, yes it is going to be someone else's rules, because if the woman agreed with her protesting doctor she wouldn't be there for an abortion. This means that doctors are enforcing an unshared moral imperative on a patient because she is not qualified to decide when she has kids: but her doctor is? It's like the ad campaign against pharmacists who refuse to fill certain prescriptions states, "I didn't choose to have children. My pharmacist chose for me."

You want to talk about freedom in America? How about the freedom to decide for yourself when to have children? I honestly think that women in this situation will suffer far more than doctors who face the trauma of meeting the same professional standards and providing all patients the same standard of care no matter what religion the doctor follows. The doctor has always had freedom of choice. It's called, "Do I want to go to med school, can I handle being a doctor?" If they went through med school, took their oath, and went into practice, they have already made their choice. I don't go to a steakhouse to be lectured by a Hindu about how eating beef is bad, and I don't go to bars to be served alcohol by a vocal prohibitionist. I don't go to a doctor to be lectured about how I don't deserve the medical care I came for, just because someone else's God cares about a single-celled parasite more than it cares for women.

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