(Correspondence) A question of conscience

R Salm

British Medical Journal, BMJ
British Medical Journal

Extract
R Walley’s article (12 June, p 1456) makes sad reading, for he is both illogical and, if I may say so, a little selfish. The will of the people, as expressed through Parliament, now lays down that certain abortion facilities shall be provided in the NHS, and the area health authorities have the duty to see that this regulation is implemented. In all fairness, it is wrong of Mr Walley to object if the authorities prefer to engage staff who are willing to comply with the current service requirements.


Salm R. (Correspondence) A question of conscience. Br Med J. 1976;1(6025):1593b.


A question of conscience

Robert L Walley

British Medical Journal, BMJ
British Medical Journal

Extract
It was indeed a surprise to be informed by an eminent professor, after a hospital interview, that as a Roman Catholic gynaecologist “there is no place for you to practise within the National Health Service.” One had always assumed, quite naively it seems, that the British “system” is based on fair play and, above all, respect for the individual conscience. It soon became quite obvious that in order to stay in the specialty in Britain I would have had to change a conscientiously held abhorrence to the direct taking of human life. I chose to leave country, home, and family in order to practise medicine in full freedom of conscience.


Walley R. A question of conscience. Br. Med. J.. 1976;1(6023):1456-1458.


(Correspondence) The Canadian abortion law

Wendell W Watters, May Cohen, Linda Rapson

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
It is obvious even to the federal government that there is a paucity of information on how the Canadian abortion law is working. . . .From the Statistics Canada figures, only one third of eligible hospitals in Canada have therapeutic abortion committees – on paper. In fact, the figures are even lower. . . .an estimated 78 hospitals out of the 258 were essentially nonoperational as far as abortions were concerned. . . Many hospitals place unofficial quotas on the number of abortions performed . . .Physicians on the staffs of many hospitals have little input into hospital policy regarding abortion. . .a large number of Canadian women are unable to obtain this type of medical care in their own communities and are forced to travel great distances in Canada or go to the United States at their own expense. The law clearly discriminates against women who are poor, the group most often in need of this kind of help.


Watters WW, Cohen M, Rapson L. (Correspondence) The Canadian abortion law. Can Med Assoc J. 1976 Apr 03;114(7):593.

(Correspondence) The Morgentaler case

George Carruthers

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
Why should an unreasonable jury have the unchecked power to make decisions against the law and the evidence? In my view the court’s power to order a new trial may be inadequate to control a perverse jury. Would justice be served by the unchecked power of juries in Eire refusing to convict IRA murderers, or of all-white juries in the southern United States refusing to convict whites of murdering blacks, or of juries in Sicily regularly discharging members of the Mafia? . . . Morgentaler, I believe, has been justly imprisoned.


Carruthers G. (Correspondence) The Morgentaler case. Can Med Assoc J. 1975 Nov 08;113(9):818.

(Correspondence) Therapeutic abortion

R Halliday

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
Dr. Ough correctly points out that “the abortion controversy is essentially a conflict of ethical systems” and acknowledges that one may practise within either a “traditional” or “utilitarian” ethic. . . . A utilitarian ethic, or a social ethic, may lead to legalization of abortion on demand . . . However, I do not believe the medical ethic embraces the concept of abortion (or hysterectomy, or providing narcotics, or commitment to a mental hospital) on demand. We are medical practitioners, not agents or practitioners for a theory of social engineering…


Halliday R. (Correspondence) Therapeutic abortion. Can Med Assoc J. 1975 November 8;113(9):821.

Alberta Medical Association votes to opt out of medicare, bill direct

Andy Imlach

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
. . . This year’s abortion debate departed from tradition by ignoring the ethics of the procedure in favour of a call for steps to ensure the safety of Alberta women. The association passed a series of resolutions aimed at urging women to avoid unwanted pregnancies or, if that fails, to seek abortion counselling as soon as possible to reduce the number of more dangerous late abortions. . .


Imlach A. Alberta Medical Association votes to opt out of medicare, bill direct. Can Med Assoc J. 1975 Oct 18;113(8):771-772.

(Correspondence) Therapeutic abortion

Robert Halliday

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
As a psychiatrist I have examined many patients who were referred for emotional or psychological assessment and, where appropriate, I have recommended that the pregnancy be terminated. . . While I am prepared to agree that in this area there may be dispute, nevertheless it is quite different from the so-called “abortion on demand”, which has no ethical medical basis. . . The solution would be to train and legalize abortionists, who would not be physicians, to perform abortion on demand, a procedure that has nothing to do with the ethical practice of medicine..


Halliday R. (Correspondence) Therapeutic abortion. Can Med Assoc J. 1975 August 23;113(4):276-278.

(Correspondence) The Morgentaler case

Peter N Coles

Canadian Medical Association Journal, CMAJ
Canadian Medical Association Journal

Extract
I believe that the statement authorized by the Board of Directors after the meeting of General Council regarding our colleague Dr. Henry Morgentaler shows professional bias and unclear thinking tempered with extreme conservatism. . . .The fact that anyone, for whatever charge, can be acquitted twice by a jury and still be in jail is hard to comprehend. The fact that the appeal courts overturned the jury’s verdict and passed sentence without ordering a new trial is a threat to everyone’s liberty.


Coles PN. (Correspondence) The Morgentaler case. Can Med Assoc J. 1975 Aug 09;113(3):181.

(Points from Letters) Abortion (Amendment) Bill

JB Clarke

British Medical Journal, BMJ
British Medical Journal

Extract
Medical ethics are the collective conscience of the profession. It is axiomatic of a profession that its ethical standards are decided by its members. A profession sets a standard of conduct for its members and the essence of professional freedom for a doctor is his right to act in professional matters uninfluenced by any consideration other than the judgement of his fellows.


Clarke J. (Points from Letters) Abortion (Amendment) Bill. Br Med J. 1975 Aug 09;3(5979):373.

(Correspondence) Abortion and Promiscuity

RG Wilkins

British Medical Journal, BMJ
British Medical Journal

Extract
To refuse to terminate a pregnancy on a matter of conscience is both legally and ethically acceptable, as is a refusal in the absence of the requisite medical, psychiatric, and social indications. But to refuse a termination because the continuation of the pregnancy is held to be a valid means of managing a behavioural disorder, “promiscuity,” is a more questionable matter. In such circumstances the continuation of the pregnancy becomes a therapeutic procedure for which valid consent must surely be obtained.

Keywords:

Wilkins R. (Correspondence) Abortion and Promiscuity. Br Med J. 1975 Jul 26;3(5977):233.