Home | Contact Us | FAQ | Search & Site Map | Link to Us
Sign In | Join | Other 45 Sites in Network
Home
Discussion Groups
General
GeneralCardiologyVisionDentistryPharmacyLaboratoryNutritionAlternative
Diseases and Disorders
AIDSAlzheimer'sArthritisAsthmaCancerBreast CancerDiabetesEpilepsyGlaucomaHepatitisHerpesLupusProstate BPHProstate CancerProstatitisSinusitisTinnitus

Medical Forum / General / Pharmacy / February 2004

Tip: Looking for answers? Try searching our database.

Re Eckerd and Day- After Pill.

Thread view: 
Enable EMail Alerts  Start New Thread
Thread rating: 
- 13 Feb 2004 22:40 GMT
Posted on Home Shopping Bulletin Board:
DENTON, Texas (AP) -- Eckerd Corp. has fired three pharmacists who declined
to fill an emergency contraception prescr`ip`tion for a woman who had been
raped, one of the pharmacists said. Gene Herr said Wednesday he and two
co-workers were fired January 29, six days after refusing to fill the
prescr`ip`tion. He said his own refusal was based on religious grounds.
Eckerd has declined to comment on their employment status. Joan Gallagher,
the vice president of communications for Largo, Florida-based Eckerd would
say only that the company has taken appropriate disciplinary action. Herr,
33, of Denton, said he declined to fill the prescr`ip`tion for the so-called
"morning-after pill" because he believes it could have killed the embryo if
the woman already had conceived. Though he had declined five or six times in
the past to fill such presc`ri`ptions, it was the first time he had been
handed one for a rape victim, he said. "I went in the back room and briefly
prayed about it," said Herr, who had worked for Eckerd for five years. "I
actually called my pastor ... and asked him what he thought about it." The
two other pharmacists who were present also declined to fill the
presc`rip`tion. Herr would not name them. The rape victim had the
prescri`ption filled at a nearby pharmacy. Gallagher said Eckerd's
employment manual says pharmacists are not allowed to opt out of filling a
prescri`pt`ion for religious, moral or ethical reasons. Herr said he did not
know about that policy until his supervisors questioned him about it shortly
before he was fired. "In my mind if I agree to work for someone knowing that
that's their policy, then I should submit to that policy. But I didn't even
know about it," he said. Morning-after pills are higher doses of the
hormones in regular birth control pills and have been sold under the brand
names Plan B and Preven since 1998. Taken within 72 hours of se`xual
intercourse, the pills are at least 75 percent effective at preventing
pregnancy.

My thoughts as a pharmacist:
Everyone must act in accordance with their conscience. If a pharmacist
feels it is immoral to dispense a drug which is perfectly legal in  that
state, then perhaps that pharmacist should contemplate practicing in a
different setting, such as manufacturing or research......

As a discussion point, is this the same issue as was previously discussed
on this group in regard to filling prescriptions legally written in some
states
for suicide pills?

What do pharmacists think on this?
Is there a different obligation of the part of an employee in carrying out
the policy of his employer from that of an owner-proprietor who can
chose their clients?
Nigel - 14 Feb 2004 11:31 GMT
>"I went
> in the back room and briefly prayed about it," said Herr, who had
> worked for Eckerd for five years. "I actually called my pastor ... and
> asked him what he thought about it."

There are so many lapses of judgement here, but this one is quite
disturbing.  Rather than calling his boss (they guy that fired him) to
get advice on company policy, he phones his pastor.

If he really needed the guidance of a pastor, would it not have been more
appropriate for him to consult the patient's pastor?

It would be intersting to know what the pastor told him.  It would also
be intersting if the patient sued not only the pharmacist but he
pastor...

> My thoughts as a pharmacist:
> Everyone must act in accordance with their conscience. If a pharmacist
> feels it is immoral to dispense a drug which is perfectly legal in
> that state, then perhaps that pharmacist should contemplate practicing
> in a different setting, such as manufacturing or research......

Since the drug wuld have had to pass ethical reviews during testing
(passing institutional ethical reviews for studies), if a pharmacist has
a problem with the morality of dispensing a drug, then perhaps the
pharmacist needs to examine their own moral standard to see if it is
reasonable and defensible.  If the pharmacist finds their own morals to
be intact, tehn I think they have an obligation to inform their meloyer
beforehand that there are prescriptions that they will not dispense on
moral grounds.

> As a discussion point, is this the same issue as was previously
> discussed on this group in regard to filling prescriptions legally
> written in some states
> for suicide pills?

I think so.
Eppefour - 14 Feb 2004 13:20 GMT
I work for Eckerd and did not  know that rule existed. However I was hired
by Thrift Drug when they bought my store and ended up at Eckerd due to
merger with Eckerd. I guess there may be a lot I don't know.

I feel people have to make their own moral decisions. It is not up to me to
force my feelings on them.
Nobody Special - 14 Feb 2004 18:29 GMT
> >"I went
> > in the back room and briefly prayed about it," said Herr, who had
[quoted text clipped - 26 lines]
> beforehand that there are prescriptions that they will not dispense on
> moral grounds.

I would certainly agree with the need to inform your employer if you
disagree with their policy.  However, I think you attach too much importance
to the ethical considerations of IRBs.  They're typically more concerned
with safety and liability than actual ethics.  Then again, the indications
of most drug approvals do not normally enter the realm of ethics so this
isn't usually a problem.
Bruce Wade Hughes - 16 Feb 2004 14:46 GMT
If they (the staff) have such an ethical problem dispensing it, then why was
it even in stock?
If he has such strong feelings about this then why would he even work at a
store that stocks it?
I guess he and his pastor aren't bothered by all the deaths and disease
caused by the cigarettes they sell.

BSW
CaptainKrunch - 14 Feb 2004 18:49 GMT
I am glad they fired those jack-offs.  If they want to run their own damn
business and refuse service then that is one thing, but when they are hired
by a company to perform a duty or service and fail to do that then they
should be canned.  PERIOD!

CaptainKrunch
> Posted on Home Shopping Bulletin Board:
> DENTON, Texas (AP) -- Eckerd Corp. has fired three pharmacists who declined
[quoted text clipped - 41 lines]
> the policy of his employer from that of an owner-proprietor who can
> chose their clients?
Paul Trusten - 16 Feb 2004 23:27 GMT
IMHO, such pharmacists, in the process of courageously exercising their
beliefs in one area of their practice, ought to be exercising some gumption
in other areas as well. Do they fill every antibiotic Rx without regard to
the disease state or ultimate effect upon resistant strains? Do they revolt
at the occasional prescriber who, when queried about a prescription, rails
"Just shup and fill it."?  With regard to employee pharmacists, do they ever
refuse to fill a prescription drug product foisted upon them by upper
management to be placed in stock, refusal being because they just think the
product STINKS as drug therapy, i.e., why can't they refuse as pharmacists
and not just as parishioners?

In many endeavors, there is the caveat "choose your battles carefully."
But, to my colleagues I say, if you are going to choose battles, choose more
than just one. Be consistent.

Signature

Paul Trusten, R.Ph.
3609 Caldera Boulevard Apartment 122
Midland TX 79707-2872 USA
home 432-694-6208
work  432-685-1549
cell    432-349-4688
fax     501-665-5366
ptrusten@cox.net

"There are two cardinal sins, from which
all the others spring: impatience and laziness."

                                         ---Franz Kafka

> I am glad they fired those jack-offs.  If they want to run their own damn
> business and refuse service then that is one thing, but when they are hired
[quoted text clipped - 57 lines]
> > the policy of his employer from that of an owner-proprietor who can
> > chose their clients?
Darryl - 17 Feb 2004 00:02 GMT
I know several doctors that will not prescribe birth control pills
nevermind a morning after pill; however, they will refer the patient
to one that will provide the *therapy*.  Once this hurdle has been
overcome, the patient, IMO, should not have to overcome yet another
moral hurdle at the pharmacy.  The key to this article is the fact
that 3 pharmacists refused to fill a Rx.  Until pharmacists attend med
school, thank God they cannot refuse to fill an Rx based on their
belief system.  It'd be interesting to know whether these same
pharmacists refuse to fill Rx's for birth control pills.  You'd never
think the simple process of implantation would become such a
complicated one.  

>Posted on Home Shopping Bulletin Board:
>DENTON, Texas (AP) -- Eckerd Corp. has fired three pharmacists who declined
[quoted text clipped - 41 lines]
>the policy of his employer from that of an owner-proprietor who can
>chose their clients?
Nobody Special - 17 Feb 2004 00:32 GMT
(enormous snippage)
>  Until pharmacists attend med
> school, thank God they cannot refuse to fill an Rx based on their
> belief system.  

Not true- many states have laws to protect pharmacists when they do this.
Darryl - 17 Feb 2004 00:56 GMT
>(enormous snippage)
>>  Until pharmacists attend med
>> school, thank God they cannot refuse to fill an Rx based on their
>> belief system.  
>
>Not true- many states have laws to protect pharmacists when they do this.

I was not clear.  I was referring to the pharmacists in the article
although I didn't know this about the other states (not American).
Can a pharmacist refuse to prescribe antibiotics?  If so, on what
basis (other than today's ex-embargoed JAMA article on the breast
cancer/antibiotic link)?
rxempress - 17 Feb 2004 07:14 GMT
First off I would have dispensed the drug. I have  dispensed the drug.  I
don't feel it is an acceptable form of birth control but  sometimes
circumstances happen.

I had a doctor call in Plan B for a woman.  I dispensed it.  Same doctor
calls in another Plan B for the same woman a month later.    Before I
dispensed it I call the doc and said... "Okay... are you going to talk to
her about proper birth control measures or am I?"  Doctor thanked me for
calling and assured me he had given her the lecture.

While I have no problems dispensing plan B... I  do have a problem with it
going OTC.  Why??? The patient is supposed to do a pregnancy test first.  A
lot of irresponsible women are not going to  do this.  Instead they are
going to be taking a high dose of estrogen and possibly exposing a fetus to
it.  Another group of women are just going to forget about birth control and
just use this stuff. They will not receive the information from a healthcare
provider about safe sex and will increase their chances of getting a STD.

Education prevents unwanted pregnancies and STDs.  By making Plan B OTC we
would eliminate the most effective part of birth control.
HankG - 17 Feb 2004 14:11 GMT
> First off I would have dispensed the drug. I have  dispensed the drug.  I
> don't feel it is an acceptable form of birth control but  sometimes
[quoted text clipped - 18 lines]
>
> WELL SAID.

HankG
 
Sign In
Join
My Latest Posts
My Monitored Threads
My Blog
My Photo Gallery
My Profile
My Homepage

Start New Thread
Enable EMail Alerts
Rate this Thread



©2008 Advenet LLC   Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.