Treatment FAQ

cases where patients were refused treatment in religious hospitals

by Kennith Greenholt MD Published 3 years ago Updated 2 years ago
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Among the special cases considered are: the competent adult patient who refuses treatment on religious or privacy grounds; the incompetent patient whose own wishes were never expressed, but whose family refuses treatment; the incompetent patient who expressed the wish not to be treated before becoming incompetent; and parents who refuse treatment on behalf of their child.

Full Answer

Should religiously affiliated hospitals be allowed to refuse treatment?

Religiously affiliated hospitals already rarely face consequences for refusing to provide treatments. Under former President Barack Obama, the Department of Health and Human Services made a brief and perfunctory threat to suspend St. John’s right to participate in Medicare, but dropped it once St. John took “corrective action.”

Can a minor decline medical treatment due to religious reasons?

Several states have passed laws recognizing the right of patients, including minors to decline treatment that conflicts with their religious beliefs and practices (a review of Connecticut's law follows below). Courts usually draw a distinction between children requiring immediate attention and those needing remedial or elective care.

Is your closest hospital refusing to treat you?

That means for many Americans, the closest hospital is one that might refuse to treat them. That’s what happened on Oct. 25, 2012, when a woman arrived at St. John Hospital and Medical Center of Detroit in an ambulance.

What medical treatments are forbidden according to different religions?

Each religion has their different view for which medical treatments are forbidden according to their beliefs. One religion may see blood related procedures as dishonorable. While another religion may see abortion and sterilization as an unforgiveable because their religious beliefs see that any way of harming a living being is not justifiable.

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Can you refuse medical treatment based on religion?

Simply, if an adult under your care is mentally competent and refuses a treatment, including blood transfusions, surgery, or standard medical care, based on a held religious or cultural belief, the law generally grants this right of choice—even if the consequences of refusal are dire.

What religion rejects medical treatment?

Jehovah's Witnesses refuse blood transfusion. Christian Scientists refuse most medical treatment. Instead they rely on the healing prayers of Christian Scientist Practitioners. The Faith Tabernacle Congregation in Altoona, PA believes that disease is caused by the devil.

Can a nurse refuse to care for a patient due to religious beliefs?

Under the new protections doctors, nurses and other medical professionals are permitted to refuse care or deny certain procedures that go against their moral or religious beliefs.

How does religion affect medical treatment?

Patients often turn to their religious and spiritual beliefs when making medical decisions. Religion and spirituality can impact decisions regarding diet, medicines based on animal products, modesty, and the preferred gender of their health providers.

Why do Jehovah's Witnesses refuse medical treatment?

They believe that taking blood into the body through the mouth or veins violates God's laws. Witnesses view the above verses as ruling out transfusion with whole blood, packed red blood cells (RBCs), and plasma, as well as white blood cell (WBCs) and platelet administration.

What religion does not allow the flu shot?

Jehovah's Witnesses condemned the practice of vaccination in 1931 as "a direct violation of the everlasting covenant that God made with Noah after the flood", but reversed that policy in 1952. The decision of whether to vaccinate themselves or their family is left to individuals.

What is a religious refusal?

Page 1. Author: Krause, Matt. “Religious Refusal” legislation would allow businesses, state agencies and organizations to refuse to provide services if providing that service conflicts with their “sincerely held religious belief”.

What should a doctor do if a patient refuses life saving treatment for religious reasons?

Three physician experts suggest that to discern when to accommodate a patient's refusal of treatment on religious grounds, doctors should embrace medicine's traditional orientation toward preserving and restoring health.

Can a Jehovah Witness nurse refuse to administer blood?

A small group of people belonging to a certain religion, called Jehovah's witness do not accept blood transfusion or blood products, based on biblical readings.

Are there religious issues that might influence clinical decisions?

Abstract. Religion and spirituality have always played a major and intervening role in a person's life and health matters. With the influential development of patient autonomy and the right to self-determination, a patient's religious affiliation constitutes a key component in medical decision making.

How does Christianity affect medical care?

The church does not dictate individual health care choices. Christian Scientists generally choose spiritual means for preventing and healing disease. Christian Science practitioners offer spiritual healing support. They would not interfere in matters of specific medical treatment.

How does spiritual beliefs affect healthcare?

Patients who are spiritual may utilize their beliefs in coping with illness, pain, and life stresses. Some studies indicate that those who are spiritual tend to have a more positive outlook and a better quality of life.

Does religious restrict the treatments?

The court held that the First Amendment protects religious belief, but the state may impose restrictions on practice. Thus, a religious practice jeopardizing the health, safety, or welfare of the person can be limited (see Rozovsky, p. 338).

Do Seventh Day Adventist believe in medical treatment?

Generally Adventists favor rational, scientific approaches to health care over pseudoscientific ones because “laws of the natural world are of divine origin.” Adventists accept the concept that there are natural remedies that may be ben- eficial for the treatment of disease, particularly in the home situation.

What do Seventh Day Adventist believe?

Beliefs and practices Seventh-day Adventists share many of the basic beliefs of Protestant Christianity, including acceptance of the authority of the Bible, recognition of the existence of human sin and the need for salvation, and belief in the atoning work of Christ.

What is religious refusal?

Minton had experienced what’s known as “religious refusal,” a growing — and divisive — phenomenon in which health care is denied on the basis of religious beliefs. Catholic facilities argue that the directives are protected under religious liberty laws.

Which hospital refused to treat Evan Minton?

These issues became sticking points in a proposed collaboration between the University of California, a public entity, and the Catholic Dignity Health chain — the very one that refused to treat Evan Minton — which care providers and communities vigorously and successfully opposed, fearing religious imposition.

What are ethical and religious directives?

The Ethical and Religious Directives, for example, severely limit access to reproductive health care, including abortion, contraceptives, sterilization, and in-vitro fertilization (IVF). Care providers may even be barred from offering referrals or discussing issues like contraception.

Why did the couple ask for their last name to be withheld?

The couple, who asked that their last names be withheld for privacy reasons, say they felt like an unwelcome burden. They sought treatment elsewhere, but by that time she required general anesthesia and a surgical procedure, which came with increased risks including infection, infertility, and even death.

How far away are Catholic hospitals?

Researcher Lois Uttley of Community Catalyst, a health care advocacy organization, has identified nearly 50 Catholic institutions that are the sole community hospitals: They are at least 35 miles or 45 minutes away from the next hospital.

Why was Minton denied care?

Minton, who was unavailable for comment, felt he’d been denied care on the basis of his gender identity, making it a civil rights issue, and in September, a court agreed to let him continue a lawsuit against Dignity Health, which operated the hospital where he was denied care.

Is Evan Minton having a hysterectomy?

The hospital said no. In the summer of 2016, Evan Minton was prepar ing for his scheduled hysterectomy at Mercy San Juan Medical Center in Carmichael, California, just outside Sacramento. The procedure, part of his gender-affirming care, should have been routine. But the day before, the hospital abruptly canceled his surgery;

What did the trial court do to the baby?

The trial court, relying on the state's interests in preserving life and protecting innocent third parties such as the baby, granted the injunction. The hospital had claimed that the baby would have been abandoned had the defendant died and that the defendant's life would be saved by the transfusions.

What is the Supreme Court's role in the Reynolds case?

In the Reynolds case, the Supreme Court distinguished between religious beliefs and practices. The court held that the First Amendment protects religious belief, but the state may impose restrictions on practice.

Can a minor refuse blood transfusion?

There is no specific state statute addressing the refusal on religious grounds, by a parent or guardian, to allow a blood transfusion for a minor. There are a number of provisions of state law that allow parents or minors to refuse certain medical treatment or health screenings for religious purposes. A person 17 or older can donate blood without ...

Can I donate blood without parental consent?

A person 17 or older can donate blood without parental consent under state law. A recent Connecticut Supreme Court decision found that the administration by a hospital of blood transfusions over the objection of a patient who had just delivered a baby violated her common law right of bodily self-determination.

Why did the hospital turn Tamesha away?

But because of hospital rules called the Ethical and Religious Directives for Catholic Health Care, the hospital turned her away three times over two days when the proper course would have been to end the doomed pregnancy. Tamesha was developing a life-threatening infection, although the doctors never told her that.

Did Rebecca Chamorro have a tubal ligation?

Similarly, Rebecca Chamorro was denied a tubal ligation at the time she delivered her baby in a Catholic hospital. Even for women that don’t have an underlying health condition, a tubal ligation at the time of delivery is the safest for the woman and results in the most effective procedure.

Why is refusing medical treatment a problem?

Refusal of Medical Treatment due to Religious beliefs in a cross-culture perspective in the Jehovah’s Witness and Catholic traditions. Refusal of Medical Treatment because of Religious beliefs is a continuing problem in America. It’s not just one particular culture in American, but almost all cultures ranging from Christianity, Islamic, ...

What is carefully limited intrusion?

This is known as “carefully limited intrusion”, than what is compared to the past in Nazi, Germany in which the medical establishments took away any choice in the matter of medical treatment. [viii] The people were forced to accept every medical treatment, which turned the healthcare system into a weapon.

Why is the situation unstable?

The situation becomes unstable due to an increased conflict over if laws that are enacted to protect against refusal of medical treatment can’t be enforced because of “freedom of religion”. In another instance a pastor was bitten by a snake and did not want to receive medical treatment because he thought that god would save him.

Is religion intrusive in medicine?

Also this statement shows that religion can be intrusive on the practice of medicine without much consequence. In conclusion, refusal of medical treatment due to religious beliefs is recurring issue for both children and adults in America. The problem stems from both personal choice and paternalism of children.

Why are women accused of withholding emergency medicine?

And at hospitals controlled by Trinity Health, a network that manages nearly 100 care centers around the Midwest, multiple women have accused doctors of withholding emergency medicine because it violated their prohibitions on certain kinds of reproductive health care.

Who owns the largest Catholic hospital network in the country?

Advertisement. At a hospital owned by Ascension, the largest Catholic hospital network in the country and a staunch proponent of a rule that would give nearly any health care worker the right to refuse care, doctors refused to intervene as a woman was undergoing a life-threatening miscarriage because they believed that doing so would be ...

How long was the woman hospitalized at Hutzel?

The woman had to be hospitalized for three days. Several weeks later, a staff member at Hutzel filed a complaint about the woman’s treatment with ...

What happened in 2012?

That’s what happened on Oct. 25, 2012, when a woman arrived at St. John Hospital and Medical Center of Detroit in an ambulance. The woman was between 17 and 23 weeks pregnant — a point where an infant would not survive outside the womb — and in the midst ...

Did Trinity Health get a citation?

Trinity Health did not receive any major citations for breaking any laws after federal investigators received the complaints about Mercy. And courts have dismissed a string of lawsuits against Catholic hospitals for refusing reproductive health care. With the new rules in place, they could enjoy even more protection.

Can't help you since you're having an abortion?

We can’t help you since you’re having an abortion. A doctor at a Detroit hospital to a woman in need of emergency treatment, according to a filed complaint. Doctors at St. John recognized they would not be able to prevent the death of the woman’s fetus. But they refused to offer her emergency intervention.

Can a Catholic hospital perform abortions?

But in practice, many Catholic hospitals place a blanket ban on any procedure they consider an abortion.

How does the rise in Catholic health systems hurt patients?

The rise in Catholic health systems hurts patients, particularly as patients are often unaware of the restrictions until they find themselves in urgent need of care. Hospitals must be required to clearly state what services they provide or deny.

Why do women refuse tubal ligations?

The refusal to do tubal ligations during childbirth also means that a mother with a new baby has to have a second, unnecessary surgery and anesthetic risk , as well as the added recovery times, stresses and expense. Women often don’t have the option to go to another hospital.

What is the CMA's objection to tubal ligation?

The CMA appropriately objected to the religious restrictions, noting that prohibiting tubal ligation forces "substandard care" on women and interferes with a doctor-patient relationship. They also assert that the restrictions violate a California legal doctrine that bars corporate interference with medical decisions.

Why was Savita Halappanavar killed?

Savita Halappanavar died of sepsis in Ireland because her physicians would neither terminate her doomed pregnancy to save her life, nor transfer her to a facility that would care of her.

What did the ACLU and CMA say about Dignity Health?

In fact, the ACLU, along with the California Medical Association (CMA), filed suit against Dignity Health in California, “alleging that the health systems violated a federal law requiring hospitals to provide emergency care and discriminated against women.”.

Does Swedish Medical Center have abortions?

Washington’s Swedish Medical Center stopped doing abortions and closed its hospice after making a similar affiliation. While these reports focused on restricted access to reproductive care, the Catholic directives also may interfere with end-of-life decision-making.

Can women go to another hospital?

Women often don’t have the option to go to another hospital. Sometimes they are limited by distance, or insurance restricts their choices. Leaving your home town to deliver your baby at an unfamiliar, distant secular hospital is prohibitively expensive, stressful and burdensome.

What does it mean when a parent refuses to consent to treatment?

When parents refuse to consent to treatment on behalf of their child which is deemed by healthcare professionals to be in the child’s best interests, particularly where that refusal places the child at significant risk of harm or even death. When there is a disagreement between parents as to whether consent to a proposed medical treatment should be ...

What should a doctor do if a child refuses treatment?

Where the child, young person or their parents refuse treatment which is deemed by healthcare professionals to be in their best interests, a suitably qualified doctor should provide advice on the proposed treatment and explain the risks and consequences of the refusal as well as any alternative treatments.

Can a 16 year old refuse life sustaining treatment?

Where, even though parental consent has been obtained, a young person aged 16/17 or a Gillick competent child refuses life sustaining treatment, it is always recommended to make an application to the court for a best interests determination if time permits. Practical advice to healthcare professionals – adults.

Can a parent refuse medical treatment?

Where parental consent is required, a parent has no absolute right to refuse consent to medical treatment on behalf of their child on religious (or any other) grounds where the treatment is deemed to be in the child’s best interests. Parental refusal of life sustaining treatment deemed by health professionals to be in the child’s best interests ...

When should healthcare professionals assess the validity of a decision?

If there is clear evidence of a relevant advance decision, healthcare professionals should, as soon as possible, assess its validity and applicability, although sometimes the urgency of treatment is such that this will prove difficult to do in advance.

Can you get consent from a Jehovah Witness?

If parental consent is not forthcoming (which is often the case with parents who are Jehovah’s Witnesses) consent can be obtained from the court. Emergency life sustaining treatment should not be delayed pending parental consent or court order if it is deemed to be in the child’s best interests.

Can you refuse treatment on religious grounds?

It is not uncommon for healthcare professionals to encounter patients who refuse certain forms of treatment on religious grounds. Where that refusal carries with it a significant risk of harm or even death, it can be an extremely distressing for those treating and caring for the patient.

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