Protection of Conscience Project
Protection of Conscience Project
www.consciencelaws.org
Service, not Servitude

Service, not Servitude

Submission to the Alberta College of Pharmacists
Re: Draft Code of Ethics

Appendix "B"

The Exercise of Freedom of Conscience in Pharmacy

Professional and Regulatory Responses

Summary - February, 2009

Note: For the purpose of this table, the most recent statement of an entity is taken to be its position on the issue. Details are found in Appendix "C".


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  • (NA) - Not Addressed
    • The issue of conscientious objection is not addressed.
  • (P) - Provide
    • Conscientious objection is prohibited. The objecting pharmacist is required to provide the controversial drug or service.
  • (PPA) - Provide or Personally Act
    • The objecting pharmacist is required to facilitate or arrange access to the controversial drug or service by referral to a specific person or entity, or by some other act, and to provide the controversial drug or service if this is not possible.
  • (PA) - Personal Action
    • The objecting pharmacist is required to facilitate or arrange access to the controversial drug or service by referral to a specific person or entity, or by some other act.
  • (SC) - Systemic Cooperation
    • The objecting pharmacist is not required to directly assist in the delivery of a drug or service, but is to work cooperatively within a system that allows patients to access controversial drugs and services through other sources.
  • (PA/SC) - Personal Action or Systemic Cooperation
    • An objecting pharmacist may directly assist in the delivery of a drug or service by referral to a specific person or entity, or by some other act, OR work cooperatively within a system that allows patients to access controversial drugs and services through other sources.
  • (ND) - No Duty
    • No duty is imposed upon an objecting pharmacist.
  • (EAS) - Includes consideration of pharmacist involvement in execution
  • (EX) - Includes consideration of pharmacist involvement in euthanasia or assisted suicide
  • * - Required by statute

AUSTRALIA
Pharmaceutical Society of Australia
  • Code of Professional Conduct 1998 ..........................PA
  • Ethical Issues in Declining to Supply ................... .PA/SC
Society of Hospital Pharmacists of Australia
  • Code of Ethics.......................................................NA
New South Wales
  • Pharmacy Board of New South Wales
    • Pharmacy Practice Act ...................................NA
Australian Capital Territory
  • Pharmacy Board of the ACT................................................NA
Northern Territory
  • Pharmacy Board of the Northern Territory
    • As per APhS and SHPhA
      Practice Standards ....................................PA/SC
Queensland
  • Pharmacy Board of Queensland
    • As per PhSA .............................................PA/SC
Tasmania
  • Pharmacy Board of Tasmania
    • As per APhS and SHPhA
      via Pharmacy Code .................................. PA/SC
Victoria
  • Pharmacy Board of Victoria
    • As per APhS via Guidelines 2005 ..................PA/SC
CANADA
National Association of Pharmacy Regulatory Authorities (NAPRA)
  • Model Statement Regarding Pharmacists' Refusal
    to Provide Products or Services
    for Moral or Religious Reasons ..................................PA
  • Model Standards of Practice
    for Canadian Pharmacists ........................................NA
  • Emergency Contraception ........................................PA
Canadian Pharmacists Association
  • Brief to Senate Committee 1994 ...........................PA/EA
British Columbia
  • College of Pharmacists of British Columbia
    • Ethics Committee ..............................PPA/EAS/EX
    • Code of Ethics .............................................PPA
Alberta
  • College of Pharmacists of Alberta
    • Code of Ethics 2008 .................................PA/ SC
    • Draft Code 2009 ............................................NA
Saskatchewan
  • Saskatchewan College of Pharmacists
    • Statement Regarding Pharmacists'
      Refusalto Provide Products or Services
      for Moral or Religious Reasons ......................PA/SC
Nova Scotia
  • Nova Scotia Pharmaceutical Society (Nova Scotia College of Pharmacists)
    • Code of Ethics 2002 .......................................SC
    • Code of Ethics 2003 .......................................SC
    • Code of Ethics 2007 .......................................SC
Manitoba
  • Manitoba Pharmaceutical Association
    • Emergency Contraception "Controversy" ............SC
    • Emergency Contraception (EC) Care ..................SC
    • Standards of Practice: Community ....................SC
Ontario
  • Ontario College of Pharmacists
    • Code of Ethics 1996 .......................................PA
    • Position Statement on
      "Refusal to Fill for Moral
      or Religious Reasons" .................................PA/SC
    • Code of Ethics, Draft 3 ..............................NA (?)
    • Code of Ethics ..............................................PA
New Brunswick
  • New Brunswick Pharmaceutical Society
    • Model Statement Regarding
      Pharmacists' Refusal to Provide
      Products or Services for
      Moral or Religious Reasons ....................PA/SC/EAS
    • Code of Ethics - Interpretation Document ..........SC
Prince Edward Island
  • Prince Edward Island Pharmacy Board
    • Statement Regarding Pharmacists' Refusal
      to Provide Products or Services
      for Moral or Religious Reasons ...............PA/SC/EAS
    • Code of Ethics Guidelines
      for Interpretations .........................................SC
Newfoundland and Labrador
  • Newfoundland and Labrador Pharmacy Board
    • Code of Ethics ..............................................SC
IRELAND
Pharmaceutical Society of Ireland
  • Code of Conduct for Pharmacists 2008 ......................NA
KENYA
Pharmaceutical Society of Kenya
  • The Code of Ethics and Standards
    for Pharmacy Practice in Kenya (2nd Ed) ....................PA
NEW ZEALAND
Pharmacy Council of New Zealand
  • Code of Ethics 2004 ...............................................SC
UNITED KINGDOM
Royal Pharmaceutical Society of Great Britain
  • Code of Ethics for Pharmacists
    & Pharmacist Technicians ........................................PA
UNITED STATES
American Pharmacists Association
  • Code of Ethics ......................................................NA
  • Pharmacist Conscience Clause..................................SC
  • FAQ About Plan B OTC SC
    Letter to the editor 2006-08-24 ...............................SC
Arkansas
  • Arkansas State Board of Pharmacy
    • Conscience Clause .......................................ND*
California
  • Business and Professions Code Sections .............................SC
  • Board of Pharmacy Regulations ..........................................PA
Colorado
  • Colorado Board of Pharmacy
    • Rules of Professional Conduct...........................NA
  • Colorado Pharmacists Society
    • (APhA) ........................................................SC
Georgia
  • Georgia State Board of Pharmacy
    • Rules .........................................................ND*
Iowa
  • Iowa Pharmacy Association
    • Code of Ethics ..............................................NA
Kansas
  • Kansas Pharmacists Association
    • Code of Ethics ..............................................NA
Michigan
  • Michigan Pharmacists Association
    • Code of Ethics ..............................................NA
Nebraska
  • Nebraska Pharmacy Association
    • Regulations ..................................................SC
New York
  • Pharmacists Society of the State of New York
    • Code of Ethics ..............................................NA
North Carolina
  • North Carolina Board of Pharmacy (APhA)
    • Frequently Asked Questions..............................SC
Oregon
  • Oregon State Board of Pharmacy
    • Considering Moral and Ethical Objections ............SC
  • Oregon State Pharmacy Association
    • Considering Moral and Ethical Objections ............SC
Pennsylvania
  • Pennsylvania State Board of Pharmacy
    • Statement of policy .......................................SC
South Dakota
  • South Dakota Pharmacists Association
    • Code of Ethics ..............................................NA

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