[Pflienews] PharmFacts E-News Update: Abortion pill worries Canadian pharms; MT to introduce conscience clause sparked by PP persecution

PFLI PharmAid Center pfli at pfli.org
Thu Apr 24 06:05:28 MDT 2008



*PharmFacts E-News Update -- 24 Apr 2008 AD

*http://www.nationalpost.com/story.html?id=461845


    Plan B pill proposal worries pharmacists

*Tom Blackwell, National Post  * Published: Monday, April 21, 2008

The "morning-after" contraceptive, Plan B.
The eupehmistically named "morning-after" abortion pill, Plan B.

Canadians could have the most liberal access to the morning-after pill 
in the Western world, according to critics of proposed changes to how 
the drug is sold here.

An expert advisory committee has urged that the single-dose version of 
Plan B be available off the shelf at pharmacies, without women having to 
consult a pharmacist first. The recommendation would mean people could 
buy emergency contraceptives much the way they can Aspirin or vitamins.

A women's group has applauded the recommendation as a way to increase 
access to the pill, but pharmacists are objecting, saying Plan B 
customers would miss out on the invaluable information and advice 
druggists currently provide.

"Emergency contraceptives would be more readily available here [under 
the proposal] than in any developed country," said Janet Cooper of the 
Canadian Pharmacists Association.

"I'm not sure how comfortable the general public might be if a 
14-year-old could just walk in, pick it up off the shelf, buy it, not 
have any interaction with anybody and come back a month later and do the 
same thing. That's not in that girl's best interests."

Ms. Cooper said pharmacists now counsel Plan B consumers on obtaining 
regular contraceptives and practising safe sex and sometimes refer them 
to sexual-health clinics. Pharmacists also find that about a third of 
potential customers do not need the pill because their regular 
birth-control would have protected them, or they are too late for it to 
work, Ms. Cooper said.

Others, though, say easier access would get the pill to more women who 
need it. Advocacy groups have long complained that some pharmacists are 
effectively scaring off women by asking overly intimate questions of 
Plan B buyers.

The proposed change would remove barriers for women uncomfortable 
discussing personal matters with a druggist, said Abby Lippman, a McGill 
University epidemiologist and prominent member of the Canadian Women's 
Health Network.

"I would just as soon that it be sold anywhere," said Dr. Lippman.

Emergency contraceptives, costing about $30 a treatment, contain an 
enhanced dose of the hormone progestin, used in some regular 
birth-control medication. It prevents pregnancy 89% of the time if taken 
within 72 hours of unprotected sex.

The federal government allowed the pill to be sold without a doctor's 
prescription as of early 2005. Since then, the number of tablets ordered 
by pharmacies has more than doubled, hitting 638,000 units in the year 
that ended last September, according to IMS Health Canada, which tracks 
drug sales.

It is up to the National Association of Pharmacy Regulatory Authorities 
(NAPRA) to decide how such drugs can be sold within pharmacies. Another 
body, the National Drug Scheduling Advisory Committee, recommended the 
association change the rules for Plan B recently after an application 
from the drug's manufacturer, Paladin Labs Inc.

NAPRA will make the final ruling by about May 14. Although the 
organization is soliciting input from interested parties, it usually 
accepts the expert panel's advice on such matters, said Sandra Carey, a 
Newfoundland pharmacist and the association's president.

Three other countries -- Norway, Sweden and the Netherlands -- allow the 
morning-after pill to be sold "in front of the counter" as the advisory 
committee is recommending, said Ms. Cooper of the pharmacists' association.

In practice, though, the drugs are sold in those jurisdictions much the 
way they are now in Canada, requiring the consumer to talk to a 
pharmacist or pharmacy assistant, she said.

Dr. Judith Soon, a University of British Columbia pharmacology professor 
who has studied the topic extensively, said the recommended change 
"could be a very positive move for access."

However, she said there is no evidence yet that requiring women to talk 
to a pharmacist before buying the pill does, in fact, deter some from 
taking advantage of the drug. And pharmacists provide important 
counselling on birth control and sexually transmitted disease to women 
who come in for the pill, said Dr. Soon.

In fact, the most important benefit of Plan B may be in introducing 
women to the health-care system, she said. No research has yet shown the 
pill reduces the number of abortions or teen pregnancies, as advocates 
have long hoped, she said.

/National Post/

/tblackwell at nationalpost.com
/

------------------------------------------------------------------------

/
http://www.greatfallstribune.com/apps/pbcs.dll/article?AID=/20080423/NEWS01/80423020
/

*Pharmacy board cites lack of law in "birth-control" case*
By KATIE OYAN
Associated Press Writer

HELENA (AP) --- The Montana Board of Pharmacy took no action Wednesday 
after hearing comment on the issue of pharmacists who refuse to dispense 
[so-called] "contraceptives" because of religious beliefs.

*Montana currently has no rule or statute that requires pharmacies to 
stock every drug on the market, and "we decided to leave it at that," 
board President Jim Cloud of Stevensville said.*


	

 Board member Mark Meredith of Helena added that a decision on whether 
new regulations are necessary should come fromstate lawmakers, not the 
six-member pharmacy board.

"I think we should wait and see what happens in the Legislature," he said.

Planned Parenthood of Montana [which has begun a campaign pf persecuting 
pharmacists of conscience] requested time on the board's agenda in 
response to recent incidents in which pharmacists in Great Falls and 
Broadus refused to fill patients' prescriptions for [so-called] "birth 
control" and "morning-after" [abortifacient] pills because of their 
religious beliefs.

Stacey Anderson, the organization's director of public affairs, urged 
the board Wednesday to establish a rule that protects women's access to 
birth control. She asked board members to be proactive in addressing the 
issue to "prevent future personal refusals and to clearly define the 
standard of care expected of licensed pharmacies."

"Passively allowing pharmacies to refuse service to patients because an 
alternative exists in that community does not address the issue at hand 
--- that patients' medical needs are being denied because of another 
individual's personal beliefs," Anderson said. "As the state's agent, 
the Montana Board of Pharmacy has a legitimate interest in ensuring that 
pharmacists' personal beliefs do not impede access to legally prescribed 
medication."

After the meeting, Anderson said her organization will continue to look 
for ways to make its case through "administrative and legal avenues." 
She added that she doesn't agree that the issue should be decided by the 
state's lawmakers.

"Politics in Montana changes every two years, and that's not how health 
care should be regulated," Anderson said.

Jeff Laszloffy, president and CEO of the Montana Family Foundation, said 
he was glad the board decided not to "usurp the authority of the 
Legislature."

Laszloffy told the board that the people's elected representatives are 
the ones who should be wrestling with such "gut-wrenching moral and 
ethical issues."

"Planned Parenthood is famous for saying that government should never be 
allowed to come between a woman and her physician, yet they're asking 
you to do something even more egregious," he said. "They're asking you 
to place government squarely between a pharmacist and God."

*Laszloffy said his group will be backing a "physician's conscience 
clause" during the upcoming legislative session that protects 
physicians, pharmacists and other health care professionals from being 
forced to participate in any act that violates their conscience. Similar 
bills have passed in nine other states, he said. *

Others who spoke to the board Wednesday included Scott Crichton, 
executive director of the American Civil Liberties Union of Montana; and 
John Lane, the Broadus pharmacist who made headlines in the fall when he 
announced he would stop dispensing contraceptives.

Lane told the board he doesn't believe a person's beliefs should be 
legislated against.

Lane, a Roman Catholic, believes human life should be both recognized 
and protected from conception. He stopped dispensing contraceptives in 
January and said he doesn't believe residents in his rural southeastern 
Montana town have had much difficulty accessing them elsewhere.

Crichton, meanwhile, said pharmacies are state-regulated businesses that 
have a responsibility to supply medication to patients. They serve the 
general public, including people of diverse backgrounds and faith, he said.

"Because of this, a pharmacy operates in the public world and should 
play by public rules," Crichton said. "If an individual pharmacist has a 
religious objection to selling birth control, that objection should be 
honored so long as the pharmacy ensures that the patient remains able to 
purchase birth control onsite in a timely manner."


------------------------------------------------------------------------

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