Dáil debates

Wednesday, 5 December 2018

Health (Regulation of Termination of Pregnancy) Bill 2018: Report Stage (Resumed)

 

6:15 pm

Photo of Eugene MurphyEugene Murphy (Roscommon-Galway, Fianna Fail) | Oireachtas source

This is probably one of the areas on which I have received most representations. I remind Deputies that these representations have been made by eminent doctors, nurses and midwives. It is not simply a question of me asking a "What if?" question and setting out what I believe. I know many of these people personally. They are eminent people who have looked after people very well for many years.

The Minister has explained a good deal to us about this amendment but we should explore the implications for doctors, nurses and all other healthcare professionals if their right of conscience is not respected in law. Every person has a right to freedom of conscience. No person can be compelled to perform or facilitate an action that he or she believes to be morally wrong. The right to freedom of conscience acknowledges that we are responsible for our free actions and the associated consequences inasmuch as we can foresee them. It acknowledges that we cannot disclaim responsibility for our free actions simply because we are obeying the will of another person. Freedom of conscience is respected in a democratic society. There is the right to refuse to perform or participate in an action with which the person in question does not agree. We must accept that many doctors have profoundly held convictions about the right to life, and we must acknowledge that. It goes very much against their conscience to be involved in the practice of abortion.

It is disingenuous to imply that because a doctor, midwife or nurse does not wish to participate in abortion, he or she is a blocker or some type of obstructer. The Minister did not imply as much but maybe others have done so. It is a matter of conscience for the person.

Abortion information should be in the public domain and perhaps not restricted to medical personnel. Deputy Breathnach spoke about information helplines being available and people being aware of them. As healthcare professionals, doctors, nurses and others, as far as I can establish, wish to provide compassionate care for all patients. Often, they try to give positive alternatives to abortion. We cannot claim to be a pluralist society if professionals believe they are being coerced into facilitating something they do not believe in.

Has the Minister considered the implications for the health service if a high number of GPs and nurses believe they are unable to practise and leave the profession? That suggestion has been made clear to me. I am not being alarmist. I have spoken to a husband and wife GP team who are abroad at the moment. They were talking about coming back to the west of Ireland in the coming months to practise there and raise their young family. Given elements of this particular legislation, however, they are having second thoughts.

What will the Minister do for patients who are left behind without a GP? That is an important question as well. We must understand the situation for many doctors. We must have freedom of conscience. It is a fundamental part of living in a democratic society. Routine general practice is not an appropriate place for this service if it could be easily provided by family planning groups instead. Doctors should be afforded the choice to opt in or opt out. That approach works well in New Zealand.

I hope the Minister can clarify some of those points for me and take on board the points I have made. By the way, many of these points have been made to me by female professionals. Fewer representations were made by male professionals.

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