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	<title>Compassion &#38; Choices &#187; physician assisted suicide</title>
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	<description>End-of-Life Choice, Palliative Care and Counseling</description>
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		<title>For Palm Springs man, grief and anger over an end-of-life decision</title>
		<link>http://www.compassionandchoices.org/2012/07/23/for-palm-springs-man-grief-and-anger-over-an-end-of-life-decision/</link>
		<comments>http://www.compassionandchoices.org/2012/07/23/for-palm-springs-man-grief-and-anger-over-an-end-of-life-decision/#comments</comments>
		<pubDate>Mon, 23 Jul 2012 19:51:07 +0000</pubDate>
		<dc:creator>Jay</dc:creator>
				<category><![CDATA[Advance Directive]]></category>
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		<category><![CDATA[California]]></category>
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		<category><![CDATA[Oregon]]></category>
		<category><![CDATA[Washington State]]></category>
		<category><![CDATA[advance healthcare directive]]></category>
		<category><![CDATA[Compassion & Choices]]></category>
		<category><![CDATA[end-pf-life choices]]></category>
		<category><![CDATA[Palm Springs]]></category>
		<category><![CDATA[physician assisted suicide]]></category>
		<category><![CDATA[Riverside County]]></category>
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		<guid isPermaLink="false">http://blog.compassionandchoices.org/?p=2826</guid>
		<description><![CDATA[By Steve Lopez Los Angeles Times July 21, 2012 On the evening of July 2, Bill Bentinck, 87, was led from his Palm Springs home in handcuffs, in mourning and in shock. The body of his wife of 25 years, Lynda, was still in the house, but there was no time to grieve. After telling<span style="white-space:nowrap;">... <a href="http://www.compassionandchoices.org/2012/07/23/for-palm-springs-man-grief-and-anger-over-an-end-of-life-decision/" class="bn">more</a></span>]]></description>
			<content:encoded><![CDATA[<p>By Steve Lopez<br />
<a href="http://www.latimes.com/news/local/la-me-0722-lopez-murder-20120722,0,2438578.column">Los Angeles Times</a><br />
July 21, 2012</p>
<p>On the evening of July 2, Bill Bentinck, 87, was led from his Palm Springs home in handcuffs, in mourning and in shock.</p>
<p>The body of his wife of 25 years, Lynda, was still in the house, but  there was no time to grieve. After telling police that his terminally  ill wife had chosen to disconnect her oxygen supply and put an end to  her suffering from emphysema, he was arrested on suspicion of murder.</p>
<p>Bentinck, a straight-talking man in the <a id="PECLB003777" class="taxInlineTagLink" title="James Stewart" href="http://www.latimes.com/topic/entertainment/movies/james-stewart-PECLB003777.topic">Jimmy Stewart</a> mold, felt that he had made a difficult but compassionate choice in  honoring his wife&#8217;s last wish and not reconnecting the oxygen. But  police saw it differently, and Bentinck, a retired entomologist and  medical equipment designer, was about to endure a nightmarish three-day  ordeal.<span id="more-2901"></span></p>
<p>Bentinck was marched with other inmates late one night through a Banning  jail compound in a jumpsuit and slippers that kept falling off. His  pleas for help with a medical condition were repeatedly ignored, he  said, and it took 24 hours before he was taken to a hospital for a  catheterization, which is the only way he can empty his bladder. At the  county jail in Banning, another inmate schooled him on racial divisions,  explaining which toilets were for whites. And during one jail transfer,  he was in leg irons.</p>
<p>Maybe, he joked, they thought a man of nearly 90 would break out and terrorize half of Riverside County.</p>
<p>And then, on July 5, the Twilight Zone experience came to an abrupt end.  After spending time in three different jails, Bentinck was released  when the Riverside County district attorney&#8217;s office decided there was  insufficient evidence to try him for murder or for aiding, encouraging  or advising his wife to commit suicide.</p>
<p>And so Bentinck went home to an empty house to deal with both his grief  about his wife&#8217;s death and his anger at the way he was treated. There  have been no apologies from police, nor any explanations of why he was  arrested.</p>
<p>Sgt. Mike Kovaleff, a Palm Springs police spokesman, told me the case is  technically still open pending toxicology results. He said the arrest  was made because of unspecified &#8220;statements&#8221; and &#8220;evidence,&#8221; but he  added that, barring unexpected developments, police do not expect to  re-arrest Bentinck.</p>
<p>The mere possibility of new charges has Bentinck terrified of speaking  out against police. But he did tell me, in great detail, what happened  on July 2 and in the days leading up to the death of Lynda, 77, who had  worked in real estate and as a legal secretary and legislative aide  before her retirement.</p>
<p>&#8220;The last few weeks, it had become unbearable for her,&#8221; Bentinck said of  his wife&#8217;s breathing problems and general decline. &#8220;She&#8217;d wake up and  say to herself, &#8216;Oh my God, another day to go through like yesterday,  only worse.&#8217; And she wanted to end it all. She kept asking hospice how  long it was going to take and they couldn&#8217;t tell her, of course, so she  finally took things into her own hands.&#8221;</p>
<p>He&#8217;d been in the kitchen on the morning of July 2, then entered the  bedroom to see that Lynda had removed her nasal oxygen catheter. And he  knew she was ready. They&#8217;d discussed moving to Oregon, where  physician-assisted suicide is legal, and she had considered ways in  which she could take her own life without his being complicit.</p>
<p>&#8220;I said, &#8216;Are you sure you want to do this? It&#8217;s probably not too late  to stop without any kind of serious damage.&#8217; And she said, &#8216;Oh, yes.  Please, don&#8217;t resuscitate. And don&#8217;t let anyone in here resuscitate  me.&#8217;&#8221;</p>
<p>She asked him to post her advance healthcare directive not to  resuscitate on the bedroom mirror for any paramedics to see. Bentinck  said he and his wife then held hands and professed their love for each  other. After a while, she stopped breathing.</p>
<p>&#8220;It was a very peaceful death,&#8221; Bentinck said. &#8220;She didn&#8217;t struggle at all. She just went to sleep.&#8221;</p>
<p>After Lynda stopped breathing, Bentinck waited a long time to call  hospice. Maybe two hours or longer, he said, telling me he wanted to  make sure paramedics couldn&#8217;t revive her. She had made clear she didn&#8217;t  want to end up &#8220;half brain-dead,&#8221; he said.</p>
<p>That may have been one factor in the arrest of Bentinck. Another was  that he told police he had given his wife three or four shots of vodka  the morning of her death, per her request. The alcohol gave her some  relief in her final weeks, he said, and hospice workers didn&#8217;t talk him  out of the practice.</p>
<p>After the death, the hospice agency notified the coroner, and as a  matter of routine, the coroner called the police. Soon, Bentinck had  several officers in his home. They obtained a search warrant after some  questioning, and according to Bentinck, police took a shot glass and  vodka bottle as evidence, along with his wife&#8217;s medication.</p>
<p>Bentinck&#8217;s son and daughter, outraged at their father&#8217;s treatment, told  me they believe his honesty worked against him; he could have just said  he had entered her room and discovered his wife had died. Lynda  Bentinck&#8217;s grieving daughter by a previous marriage said her mother was a  good and loving woman who had told her recently that when her life  became unbearable she would end it. And David Duffner, one of Lynda  Bentinck&#8217;s physicians, suggested that what happened was neither a case  of suicide nor murder.</p>
<p>&#8220;If she said, &#8216;Stand back, I&#8217;m going to turn off my oxygen,&#8217; in my  opinion, it would be immoral to interfere with that,&#8221; said Duffner. In  general, he said, &#8220;we hang on too long,&#8221; and the cost of extending the  lives of terminally ill patients who are ready to die could &#8220;bankrupt  this country.&#8221;</p>
<p>Bentinck has been in touch with Compassion &amp; Choices, which  advocated for the Death With Dignity acts in Oregon and Washington, and  said he supports more end-of-life choices for California patients and  their loved ones.</p>
<p>&#8220;A terminal patient died. What did they expect was going to happen?&#8221;  Bentinck asked of police, saying his wife&#8217;s oxygen support was an  intervention she had a right to refuse.</p>
<p>&#8220;Why should anyone have control over what a person wants to do with their own body when they&#8217;re suffering?&#8221;</p>
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		<title>The Evolving State of Physician-Assisted Suicide</title>
		<link>http://www.compassionandchoices.org/2012/07/16/the-evolving-state-of-physician-assisted-suicide/</link>
		<comments>http://www.compassionandchoices.org/2012/07/16/the-evolving-state-of-physician-assisted-suicide/#comments</comments>
		<pubDate>Mon, 16 Jul 2012 22:47:31 +0000</pubDate>
		<dc:creator>Jay</dc:creator>
				<category><![CDATA[All News]]></category>
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		<category><![CDATA[Montana]]></category>
		<category><![CDATA[Oregon]]></category>
		<category><![CDATA[Washington State]]></category>
		<category><![CDATA[Catholic Church]]></category>
		<category><![CDATA[Death with Dignity Act]]></category>
		<category><![CDATA[Massachusetts]]></category>
		<category><![CDATA[Massachusetts Medical Society]]></category>
		<category><![CDATA[Oregon Public Health Division]]></category>
		<category><![CDATA[physician assisted suicide]]></category>
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		<category><![CDATA[Western New England Polling Institute]]></category>

		<guid isPermaLink="false">http://blog.compassionandchoices.org/?p=2808</guid>
		<description><![CDATA[By Jaime Joyce The Atlantic July 16, 2012 Should terminally ill patients have the right to kill themselves? Voters in Massachusetts will soon decide. Last Wednesday, the Secretary of the Commonwealth announced that on November 6, 2012, when Bay State voters go to the polls to pick the next President, they will also have their<span style="white-space:nowrap;">... <a href="http://www.compassionandchoices.org/2012/07/16/the-evolving-state-of-physician-assisted-suicide/" class="bn">more</a></span>]]></description>
			<content:encoded><![CDATA[<p>By Jaime Joyce<br />
<a href="http://www.theatlantic.com/health/archive/2012/07/the-evolving-state-of-physician-assisted-suicide/259862/">The Atlantic</a><br />
July 16, 2012</p>
<p>Should terminally ill patients have the right to kill themselves?  Voters in Massachusetts will soon decide. Last Wednesday, the Secretary  of the Commonwealth     announced that on November 6, 2012, when Bay State voters go to the  polls to pick the next President, they will also have their say on a  ballot measure     called the <a href="http://www.dignity2012.org">Death with Dignity Act</a>. If passed, the law would make Massachusetts the third state to give adults diagnosed with six months or less to live the     option to end their lives using a lethal dose of doctor-prescribed medication.</p>
<p>Last year, volunteers from across the state began a petition drive  to collect the 68,911 signatures needed to introduce the act for  consideration by the     state legislature; by the time they were done, they&#8217;d gotten more  than 86,000 voters to sign on to show their support. Lawmakers had until  the beginning of     May to address the issue, but they declined to do so. In response,  volunteers fanned out for a second wave of signature gathering. An  additional 21,000     people from the state&#8217;s 14 counties signed on to support the Act.  That&#8217;s nearly double the number needed to bypass the statehouse and  bring the issue     directly to voters via ballot measure.</p>
<p>Oregon and Washington were the first states to enact Death with  Dignity laws. (In Montana, the state&#8217;s Supreme Court ruled in 2009 that  physician-assisted     suicide was legal, but Montana has no guidelines in place to  regulate and monitor the practice.) Since 1997, when Oregon&#8217;s Death with  Dignity Act went into     effect, more than 900 people have received prescriptions to their  end their lives. Not all have used the drugs. The Oregon Public Heath  Division reports     that more than 600 individuals have taken the dose, while the  remainder either decided against using the prescription, or succumbed to  their diagnosed     illness.</p>
<p>In Oregon and Washington, patients must first make two requests of  their doctor for medication, fifteen days apart. The patient then has to  make the     request in writing. In order to prevent potential abuses, patients  are required to sign consent forms in the presence of two witnesses to  whom they are not     related. Once approved, patients must self-administer the drugs.  Typically, it&#8217;s a deadly dose of Seconal, a barbiturate often prescribed  by doctors to     treat insomnia or to calm patients before surgery. The contents of  the capsules are stirred into a glass of water or a serving of  applesauce, to dull the     taste. Statistics compiled and released annually by the Oregon  Department of Health show that in the majority of cases, people lose  consciousness within     five minutes of swallowing the drugs. It can take anywhere between  one minute and four days to die, but for most people death comes in just  25 minutes.</p>
<p>Ninety-eight percent of people who have made use of the law in  Oregon are white. Eighty-one percent had cancer. Fifty-two percent were  men. The median age     of those who died using the law was 71. Most patients were enrolled  in hospice and privately insured. They cited loss of autonomy, loss of  dignity and the     fact that they were &#8220;less able to engage in activities making life  enjoyable&#8221; as the top three end-of-life concerns. In Washington State,  where a Death     with Dignity Act was approved by ballot initiative in 2008, and went  into effect the following year, patients fit a similar profile.  According to the     latest figures released by the state, 135 people have died from the  lethal prescription. The Death with Dignity Act that will go before  Massachusetts&#8217;s     voters this fall is modeled after laws in place in Oregon and  Washington.</p>
<p>A survey conducted in May by Western New England Polling Institute  showed that 60 percent of Massachusetts&#8217;s voters supported the rights of  terminally ill     patients to legally obtain and ingest life-ending drugs. Still, the  measure faces tough challenges from powerful factions within and beyond  the state. The     Massachusetts Medical Society opposes the Act. The American Medical  Association does too. &#8220;Physician-assisted suicide is fundamentally  incompatible with     the physician&#8217;s role as a healer,&#8221; the AMA states in its Code of  Medical Ethics. &#8220;Patients should not be abandoned once it is determined  that cure is     impossible.&#8221;</p>
<p>Disability-rights activists have also spoken out against  physician-assisted suicide. So has the Catholic Church. Noting a  resurgence of interest in the     topic and a renewed push by advocates of physician-assisted suicide  to extend the practice beyond Oregon and Washington, the United States  Conference of     Catholic Bishops last year issued an impassioned statement against  the practice. In Massachusetts, the Roman Catholic Archdiocese of  Boston, anticipating     the ballot measure, created a website, <em><a href="http://suicideisalwaysatragedy.org" target="_blank">suicideisalwaysatragedy.org</a></em>.  &#8220;Our society     will be judged by how we treat those who are ill and infirm,&#8221;  Archbishop of Boston, Cardinal Sean O&#8217;Malley, says in a video address  that appears on the     site. &#8220;They need our care and protection, not lethal drugs.&#8221;</p>
<p>But it&#8217;s the people of Massachusetts who will ultimately decide the  law&#8217;s fate, not religious leaders, lawmakers or medical professionals.  Dr. Marcia     Angell, former editor of Massachusetts Medical Society&#8217;s <em>New England Journal of Medicine</em>, and one of the Act&#8217;s lead sponsors, puts little stock in what     physicians have to say about the matter.</p>
<p>&#8220;I am less concerned with what doctors want than with what patients  want,&#8221; Angell said in an interview that aired on WGBH, in Boston. She  continued, &#8220;I     think doctors sometimes have a too-narrow idea of what their own  obligations are. They feel they have an obligation to extend life even  when it can&#8217;t be     extended significantly. And even if you have that situation, then it  seems to me they have two obligations. One is to support the autonomy,  the     self-determination of their patients. And the other is to relieve  suffering. If you can&#8217;t extend life significantly, then you must relieve  suffering.&#8221;</p>
<p>A study released by the Health Research and Education Trust shows  that Americans are living longer lives than ever before. As a result,  more individuals     and families will face difficult questions about end-of-life care.  In 2011, the oldest Baby Boomers turned 65. By 2030, the number of  Boomers between 66     and 84 years old will climb to 61 million, and six out of 10 will be  managing chronic health conditions. For the elderly and others facing  terminal     illness, doctors have numerous ways to prolong life. Palliative and  hospice care are available to help patients find peace and comfort in  their final days.     But there are some people who want another option, which is the  right to end suffering by taking their own life at a time and place of  their choosing.</p>
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		<title>Where’s our right to die?</title>
		<link>http://www.compassionandchoices.org/2012/07/05/wheres-our-right-to-die/</link>
		<comments>http://www.compassionandchoices.org/2012/07/05/wheres-our-right-to-die/#comments</comments>
		<pubDate>Fri, 06 Jul 2012 01:08:32 +0000</pubDate>
		<dc:creator>Jay</dc:creator>
				<category><![CDATA[Aid in Dying]]></category>
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		<guid isPermaLink="false">http://blog.compassionandchoices.org/?p=2750</guid>
		<description><![CDATA[By Santiago Wills Salon July 3, 2012 Just a couple of weeks ago, the British Columbia Supreme Court fired the latest volley in North America’s long and dramatic debate about physician-assisted suicide. In a 395-page ruling, Justice Lynn Smith claimed that the Canadian constitution didn’t prevent doctors from aiding suffering patients who wished to end<span style="white-space:nowrap;">... <a href="http://www.compassionandchoices.org/2012/07/05/wheres-our-right-to-die/" class="bn">more</a></span>]]></description>
			<content:encoded><![CDATA[<p>By Santiago Wills<br />
<a href="http://www.salon.com/2012/07/03/wheres_our_right_to_die/">Salon</a><br />
July 3, 2012</p>
<p>Just a couple of weeks ago, the British Columbia Supreme Court fired the latest <a href="http://www.cbc.ca/news/canada/british-columbia/story/2012/06/18/bc-gloria-taylor-assisted-suicide.html">volley</a> in North America’s long and dramatic debate about physician-assisted suicide. In a 395-page ruling, Justice Lynn Smith claimed that the Canadian constitution didn’t prevent doctors from aiding suffering patients who wished to end their lives — a position that kicked up <a href="http://www.washingtonpost.com/world/the_americas/canada-court-says-laws-banning-assisted-suicide-are-unconstitutional/2012/06/15/gJQAGzh1fV_story.html">attention</a> south of the border as well.</p>
<p>During  the past two decades, similar contested rulings have opened the way for  physician-assisted death in the United States. Despite strong  opposition from religious organizations and groups representing  handicapped and disabled people, Oregon and Washington state legalized  physician-assisted suicide in 1997 and 2008, respectively. In fact,  since 1997, more than 900 people in Oregon have received a <a id="_GPLITA_4" style="text-decoration: underline;" title="Powered by Text-Enhance" href="http://www.salon.com/2012/07/03/wheres_our_right_to_die/#">prescription</a> to commit suicide, while in Washington, nearly 300 people have requested a similar death in the last four years.</p>
<p>Assisted suicide,  to put it mildly, is a controversial subject — and one that continues  to be fought over vociferously by both right-to-die activists and  religious groups. But according to Howard Ball, a professor emeritus of  political science at the University of Vermont, the legalization of  physician-assisted death is a gesture of human compassion. As he details  in his new book, <a href="http://www.amazon.com/At-Liberty-Die-Dignity-America/dp/0814791042/?tag=saloncom08-20">“At Liberty to Die: The Battle for Death With Dignity in America,”</a> the issue goes to the heart of bigger questions about the <a id="_GPLITA_0" style="text-decoration: underline;" title="Powered by Text-Enhance" href="http://www.salon.com/2012/07/03/wheres_our_right_to_die/#">American</a> soul — from the meaning of personal liberty to the importance of constitutional law.</p>
<p>Salon spoke to Ball over the <a id="_GPLITA_1" style="text-decoration: underline;" title="Powered by Text-Enhance" href="http://www.salon.com/2012/07/03/wheres_our_right_to_die/#">phone</a> about the evolution of death, Jack Kevorkian and the right-to-die movement’s legal hopes.</p>
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		<title>A License to Do Whatever a &#8220;Health Care&#8221; Worker Feels Like Doing Act</title>
		<link>http://www.compassionandchoices.org/2009/01/30/a-license-to-do-whatever-a-health-care-worker-feels-like-doing-act/</link>
		<comments>http://www.compassionandchoices.org/2009/01/30/a-license-to-do-whatever-a-health-care-worker-feels-like-doing-act/#comments</comments>
		<pubDate>Fri, 30 Jan 2009 20:03:05 +0000</pubDate>
		<dc:creator>Pat Tucker</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Montana]]></category>
		<category><![CDATA[abortion rights]]></category>
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		<guid isPermaLink="false">http://compassionandchoices.org/blog/?p=187</guid>
		<description><![CDATA[A bill mislabeled the “Health Care Freedom of Conscience Act” began its journey through the Montana legislature January 23rd. This is a bad bill, with the same malevolent repercussions as the so-called “Conscience” regulations put into effect at a federal level in the waning days of the Bush administration . If  House Bill 351  introduced<span style="white-space:nowrap;">... <a href="http://www.compassionandchoices.org/2009/01/30/a-license-to-do-whatever-a-health-care-worker-feels-like-doing-act/" class="bn">more</a></span>]]></description>
			<content:encoded><![CDATA[<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;">A bill mislabeled the “Health Care Freedom of Conscience Act” began its journey through the Montana legislature January 23rd. This is a bad bill, with the same malevolent repercussions as the so-called <a href="http://www.huffingtonpost.com/barbara-coombs-lee/what-are-they-thinking_b_161004.html">“Conscience” regulations </a>put into effect at a federal level in the waning days of the Bush administration . </span></span></p>
<p class="MsoNormal" style="margin: 12pt 0in 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;">If  <a href="http://data.opi.mt.gov/bills/2009/billhtml/HB0351.htm">House Bill 351 </a> introduced by Wendy Warburton of Havre, is enacted it won’t matter to Montanans if the federal regulation is eventually reversed, we’ll have our own law “protecting” health care workers and facilities from any legal or disciplinary action if they refuse to perform a procedure or administer drugs based on their conscience. “Conscience” is defined in the bill “as <span style="color: #000000;">the religious, moral, or ethical principles held by a health care provider or health care institution.”</span></span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="color: #000000;"><span style="font-size: small; font-family: Times New Roman;"> </span></span></p>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="color: #000000;"><span style="font-size: small;"><span style="font-family: Times New Roman;">We all know what this bill is really aimed at: limiting and complicating access to health care services of the most private and personal kinds. Section 2, Number 3 states, “The purpose is to protect as a basic civil right the right of all health care providers and health care institutions to decline to counsel, advise, prescribe, provide, perform, or assist in counseling, advising, prescribing, providing, or performing a health care service that violates their consciences. Health care services may include but are not limited to abortion, abortifacients, artificial birth control, artificial insemination, assisted reproduction, human cloning, euthanasia, human embryonic stem-cell research, fetal experimentation, physician-assisted suicide, and sterilization.”</span></span></span></p>
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<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="color: #000000;"><span style="font-size: small;"><span style="font-family: Times New Roman;">The possibility for mayhem this bill opens up is endless. Is a health care worker a vegetarian for ethical reasons? If this bill passes he can refuse to serve patients meals that include meat. The worker is completely within his “rights.”<span style="mso-spacerun: yes;">  </span>Rushed to an emergency room needing an immediate blood transfusion? Oops! The doctor on duty is a Jehovah’s Witness. This bill would protect her “right” to refuse to order a life-saving transfusion based on her religious beliefs. Want a job at Planned Parenthood but don’t believe minors should have access to birth control? Planned Parenthood can’t use that “excuse” not to hire you. Discrimination in hiring based on “conscience” would be specifically prohibited.</span></span></span></p>
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<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="color: #000000;"><span style="font-size: small;"><span style="font-family: Times New Roman;">HB 351 is nonsense. The fact that an elected official dreamed it up and it’s getting a hearing is scary. The highest calling for health care workers and facilities is to provide the best care legally possible. If a worker does not wish to be involved in contraceptive or end of life issues then they have no business working for a facility that does. End of story….I wish.</span></span></span></p>
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