That rat bastard is at it now. Last minute changes that reflect his agenda.

This opens the door to all sorts of conscience objections.

Health providers' 'conscience' rule to take effect
The last-minute Bush administration declaration lets doctors, clinics, receptionists and others refuse to give care they find morally objectionable.
By David G. Savage
December 19, 2008
Reporting from Washington -- The Bush administration announced its "conscience protection" rule for the healthcare industry Thursday, giving doctors, hospitals, and even receptionists and volunteers in medical experiments the right to refuse to participate in medical care they find morally objectionable.

"This rule protects the right of medical providers to care for their patients in accord with their conscience," said outgoing Health and Human Services Secretary Mike Leavitt.

The right-to-refuse rule includes abortion and other aspects of healthcare where moral concerns could arise, Leavitt's office said, such as birth control, emergency contraception, in vitro fertilization, stem cell research and assisted suicide.

The rule, to be published today in the Federal Register, takes effect the day before President Bush leaves office.

It sets the stage for conflict in Barack Obama's incoming administration. In August, Obama criticized the rule proposal and said he was "committed to ensuring that the health and reproductive rights of women are protected."

The rule says providers -- including hospitals, clinics, universities, pharmacies and doctor's offices -- can be charged with discrimination if an employee is pressured to participate in care that is "contrary to their religious beliefs or moral convictions." Violators would lose their federal funds.

Critics of the rule said it was too broad and threatened the rights of patients.

They said they were particularly worried that patients would not be given full and complete information about their medical options. For example, they said, an antiabortion doctor in a federally funded clinic might refuse to tell a pregnant patient that her fetus had a severe abnormality. Or an emergency room worker might withhold from rape victims information about emergency contraception.

"This gives an open invitation to any doctor, nurse, receptionist, insurance plan or even hospital to refuse to provide information about birth control on the grounds that they believe contraception amounts to abortion," said lawyers for the National Women's Law Center.

Critics also cited the timing of the change.

"We are shocked that the Bush administration chose to finalize its midnight regulation and to take this parting shot at women's health and ignore patients' rights to receive critical healthcare services and information they deserve," said Cecile Richards, president of the Planned Parenthood Federation of America, in a statement. "We look forward to working with President-elect Obama and leaders in Congress to repeal this disastrous rule and expand patients' access to full healthcare information and services, not limit it."

An Obama spokesman, asked Thursday about the rule, said Obama "will review all 11th-hour regulations and will address them once he is president."

The Obama administration could revise the rule after he takes office Jan. 20, but the process would probably be months long.

A speedier option would be a congressional resolution rejecting the Bush administration's late rules. Democratic Reps. Louise M. Slaughter of New York and Diana DeGette of Colorado said Thursday that they would lead such an effort.

Decades ago -- shortly after the Supreme Court in 1973 established a right to abortion -- Congress adopted laws clarifying that no one was required to perform an abortion. Later laws declared that "no individual shall be required to perform or assist" in any medical research or procedure "contrary to his religious beliefs or moral convictions."

The new rule is needed to enforce the laws, Secretary Leavitt said. In a preamble to the rule, he expressed concern about "an environment in sectors of the healthcare field that is intolerant of individual objections to abortion or individual religious beliefs or moral convictions."

He said that the "doctor- patient relationship requires a balancing of interests" and that doctors have a duty only "to provide care that they are comfortable providing."

Health and Human Services said in its regulation: "To avoid potential conflicts from occurring, we strongly encourage early, open and respectful communications between providers and patients surrounding sensitive issues of healthcare, including issues of conscience."

The U.S. Conference of Catholic Bishops, the Christian Medical Assn. and Americans United for Life praised the new rules. "Individuals and institutions committed to healing should not be required to take the very human life that they are dedicated to protecting," said conference spokeswoman Deirdre McQuade.

Abortion-rights lawyers agreed that no doctor could be required to perform abortions, but they said Health and Human Services should require doctors and medical clinics either to give patients full medical information or to refer patients to someone who does.

"We are concerned because this involves low-income folks who rely on federally funded clinics. They don't have the option of shopping around for providers when they seek medical care," said lawyer Jennifer Dalvin of the ACLU Reproductive Freedom Project.

david.savage@latimes.com

8 YEARS IN OFFICE A BUSH FINALLY DOES SOMETHING.....

such doctors just wouldn't get much business is all.

what about doctors who won't perform surgery because they think cutting people is wrong?

or gynaecologists who are married?

heck, let religious doctors refuse care to homosexuals while we're at it...

Good thing I am rarely sick. We gay are already used to being denied this or that, won't be a suprise here. Bush was up there today pretending to be concerned that Obama not have to face the auto bailout first thing in office.. Ya, Bush, we really believe that....

That sounds like Bush to exploite the poor....If you agree with this you are crazy!!! Do you think it will just stop at abortions!!!!!!

HERE GOES BUSH,,,,HERE COMES OBAMA............

So, you are in the doctors office and you ask what your options are. He leaves out a treatment option because it may conflict with his personal beliefs. It seems to me that you have been denied the opportunity to make an informed choice about your own health care.

I wonder if there's law that could be used to challenge this on that basis. Time to do some research...

One would certainly hope so, other wise some twisted religious nutcase is going to decide that headaches are God's way of attonement for sin and pain relief is against god..