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	<title>Right to Life New Zealand &#187; Bioethics</title>
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	<description>Upholding the sanctity of life in New Zealand</description>
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		<title>Dying &#8220;Well&#8221;?</title>
		<link>http://righttolife.org.nz/2012/03/19/dying-well/</link>
		<comments>http://righttolife.org.nz/2012/03/19/dying-well/#comments</comments>
		<pubDate>Mon, 19 Mar 2012 09:25:30 +0000</pubDate>
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				<category><![CDATA[Bioethics]]></category>
		<category><![CDATA[Euthanasia]]></category>

		<guid isPermaLink="false">http://righttolife.org.nz/?p=2197</guid>
		<description><![CDATA[<p>The following article is the latest  press release on euthanasia from the Inter Church Bioethics Council.</p> <p>Whatever our religious outlook, most people would agree that two scenarios we greatly fear are those of suffering a painful drawn-out death, or watching someone we love suffering such a death. This is, in part, what drives the current [...]]]></description>
			<content:encoded><![CDATA[<p><img style="display: inline; float: left;" src="http://i.dailymail.co.uk/i/pix/2010/02/03/article-1248356-028966E1000004B0-763_468x330.jpg" alt="" width="272" height="192" align="left" />The following article is the latest  press release on euthanasia from the <a href="http://www.interchurchbioethics.org.nz/">Inter Church Bioethics Council.</a></p>
<p>Whatever<em> </em>our religious outlook, most people would agree that two scenarios we greatly fear are those of suffering a painful drawn-out death, or watching someone we love suffering such a death. This is, in part, what drives the current debate on euthanasia and the growing moves to decriminalise/legalise both physician-assisted suicide (where the doctor prescribes the drugs and the patient takes them) and active euthanasia (where the doctor administers a lethal dose of drugs).</p>
<p>The InterChurch Bioethics Council<a name="_ednref1" href="http://www.nathaniel.org.nz/press-releases/240-dying-well#_edn1"></a>[i] suggests there is more to be considered in this debate. Many different cultures and religions agree that life is a gift and see the individual in the context of wider relationships. In the face of suffering, the Christian response is to maximise care for those in most need.   For those with terminal illness this is now possible through palliative care which includes modern pain management and people trained to help the terminally ill die with dignity.</p>
<p>Ethically, there is a significant difference between actively/assisting in killing another person and withdrawing (or with-holding) treatment so that the person dies as a result of their illness.</p>
<p><span id="more-2197"></span></p>
<p>In both situations the intent of the action is critical. In forms of euthanasia, the intent is to relieve suffering by killing. By contrast, when treatment is futile and is stopped or withheld, palliative care given by skilled professionals who address the pain and suffering caused by terminal illness, provides the best means to respond compassionately to terminal illness and suffering. The intention here is to address the many needs of the suffering person and their family, and to enable a dignified pain-free death. Another ethical consideration is that health care professionals are trained and trusted to promote health and well being and provide appropriate treatment for the living and dying. They are trusted not to cause death.</p>
<p>Much of this current debate centres on a patient’s right to choose when and how to die in the face of severe suffering in a terminal illness. But the right to choose does not take place in a vacuum – no-one is completely free, we are embedded in family and society involving critical relationships that go beyond the care of those who are dying. Our personal freedom is always held alongside the rights of others, and from a Christian perspective, our personal rights have to be considered alongside our responsibilities to others that reflect our love of God as indicated in the command to love both God and neighbour (Mark 12:28-32). The importance of purpose or intent to end life along with our responsibility to others also resonates with traditional Maori customary practices where physician-assisted suicide or euthanasia have no equivalent in language or practice.</p>
<p>Beyond the desire to relieve individual suffering there are societal pressures which lead us to reflect on the reasons for this debate at this time. We recognise the escalating costs of health care (particularly in the last year of life)<em> </em>and ask whether this debate is convenient in the light of socio-economic concerns. This then raises the issue of justice where the Christian response is to ensure that people who are weak and vulnerable receive compassionate care. As international experience has shown, voluntary euthanasia quickly becomes non-voluntary euthanasia for conditions other than terminal illness (as in the Netherlands). The rights of vulnerable individuals are ignored when decisions are made without their input or consent, based on their perceived lack of value to, or burden on, society.</p>
<p>In light of this, the ICBC would not support legislation for decriminalising or legalising physician-assisted suicide or active euthanasia. Instead, we advocate recognising that death is a natural part of life, and that it is extremely important for skilled palliative care to be made freely available to all of those who suffer to enable them to die “well”.</p>
<p><code>[<em>snazzy-archive</em>]</code></p>
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		<title>THE WAR ON DOWN SYNDROME Enough of ethnic cleansing in the womb</title>
		<link>http://righttolife.org.nz/2010/12/16/the-war-on-down-syndrome-enough-of-ethnic-cleansing-in-the-womb/</link>
		<comments>http://righttolife.org.nz/2010/12/16/the-war-on-down-syndrome-enough-of-ethnic-cleansing-in-the-womb/#comments</comments>
		<pubDate>Thu, 16 Dec 2010 02:53:50 +0000</pubDate>
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				<category><![CDATA[Abortion]]></category>
		<category><![CDATA[Bioethics]]></category>
		<category><![CDATA[Eugenics]]></category>

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		<description><![CDATA[A group of New Zealanders are calling authorities to account for a genocidal campaign. <p>The Following article is written by Mike Sullivan of Whangarei, the father of a three year old girl with Down Syndrome. The article is&#160; a direct republication from the MercatorNet.com website under their Creative Commons copyright agreement.</p> <p>Every year, particularly in [...]]]></description>
			<content:encoded><![CDATA[<h4>A group of New Zealanders are calling authorities to account for a genocidal campaign. </h4>
<p>The Following article is written by Mike Sullivan of Whangarei, the father of a three year old girl with Down Syndrome. The article is&#160; a direct republication from the MercatorNet.com website under their <a href="http://www.mercatornet.com/info/copyright_and_syndication">Creative Commons copyright agreement</a>.</p>
<p><img align="right" src="http://lh5.ggpht.com/_JFgvtPMiWvs/SDFPn7HQtQI/AAAAAAAAAMI/R6XhU8cbHcQ/iStock_000003548057XSmall.jpg" width="264" height="299" />Every year, particularly in Asia, thousands of abortions of unborn girls are carried out, solely because they are girls. This is the sad phenomenon known as “gendercide”, a term that, taking into account other forms of violence against women, even the liberal Economist magazine <a href="http://www.economist.com/node/15606229">says</a> is no exaggeration. </p>
<p>The term echoes the word “genocide”, familiar to all of us as a description of Nazi campaign to eliminate the Jews, and of more recent murderous racial or ethnic cleansing campaigns such as that carried out in Rwanda in 1994. </p>
<p>In recent decades another campaign against a particular group of people has gathered momentum. These are unborn children around the world who have Down syndrome, a genetic disorder which gives the person certain well-known features, such as a rounder face and almond-shaped eyes, and involves varying degrees of intellectual and sometimes physical disability. </p>
<p>Government initiated and funded programmes of pre-natal genetic testing to detect this condition have resulted in around 90 per cent of these babies in some western countries having their lives terminated in utero. Surely, it is no exaggeration to see this pattern as a form of genocide &#8212; “geneticide”, perhaps. </p>
<p>New Zealand is no exception to the “rule” that says babies with this disorder should not be born. It is not a rule written in so many words, but the words that are used in official and research documents clearly have that intent, and there is plenty of anecdotal evidence that mothers with an unborn child diagnosed with Down syndrome are automatically offered an abortion. </p>
<p> <span id="more-1588"></span>
</p>
<p>When the national antenatal screening programme for Down syndrome was relaunched in this country with “quality improvements” in February, a number of people decided it was time to challenge the government on the validity of its commitment to screening. </p>
<p>Right to Life NZ lodged a formal complaint with the Prime Minister that the programme for Down syndrome is an instrument of genocide, a crime against humanity. The Health Minister wrote back blandly advising that the government has no plans to cease the screening programme. </p>
<p>A group of twelve concerned parents and Right to Life NZ have since approached the Director of Human Rights Proceedings, asking him to take our case to the Human Rights Review Tribunal. We believe that antenatal screening for Down syndrome violates not only New Zealand human rights law and abortion law, but also the United Nations Convention on the Prevention and Punishment of the Crime of Genocide. </p>
<p>Article 2 of the UN Convention defines genocide as any one of a number of acts “committed with intent to destroy, in whole or in part, a national, ethnical, racial or religious group, as such”. One of these actions is “imposing measures intended to prevent births within the group”. </p>
<p>Intent is legally established through the test of foresight of particular consequences and a desire to act so that those consequences occur; it is covered under Article 30 of the Rome Statute of the International Criminal Court. Although the government states that the reduction of births of people with Down syndrome is not the purpose of the programme it is clear that they had foresight that this would be a consequence, and this meets the test of intent under international law. They have proceeded to act on this basis without any attempts to mitigate a reduction in the number of births of people with Down syndrome. </p>
<p>Government documents confirm that the screening programme would prevent births of people with Down syndrome via selective abortion, leading to the destruction, in part, of that group through a significant reduction in the number of their births. In the Memorandum to Cabinet dated 23 October 2007, it is stated: </p>
<blockquote><p><em>There is the potential for activities associated with improving the quality of antenatal screening for Down syndrome to have a negative impact on people with disabilities, including&#8230;.decrease in the number of babies born with Down syndrome. International experience suggests that as a result of screening and diagnostic tests, up to 90 percent of women who receive an antenatal diagnosis of Down syndrome will choose to terminate their pregnancies. </em></p>
</blockquote>
<p>The memorandum also says: </p>
<blockquote><p><em>The purpose of screening is to provide women with information about their pregnancy to enable them to make informed choices. This information may help women to decide whether to continue with or terminate the pregnancy. </em></p>
</blockquote>
<p>People with Down syndrome are a stable and permanent group of people and fall within the status of a protected group under the UN Convention. The UN’s Akayesa judgement, relating to genocide in Rwanda states: </p>
<blockquote><p><em>The Chamber found that it was necessary, above all, to respect the intent of the drafters of the Genocide Convention which, according to the travaux préparatoires, was clearly to protect any stable and permanent group. </em></p>
</blockquote>
<p>People with Down syndrome are also genetically linked through their commonality in having a third 21st chromosome and share the same physical characteristics. They can be defined as both an ethnic group and a racial group, both of which relate to people distinguished on the basis of common genetically linked characteristics and physical characteristics. The screening programme is based on the premise that people with Down syndrome can be distinguished by their third 21st chromosome. Imposing measures intended to prevent births within the group is established through the use of selective abortion. </p>
<p>The Human Rights Review Tribunal has also been asked to determine whether the screening programme discriminates against people with Down syndrome. Part 1A of the (New Zealand) Human </p>
<p>Rights Act 1993 prevents the government from discrimination on the basis of disability. This issue has recently been raised with a formal complaint to the Health and Disability Commissioner, who concluded that “the option of screening should be presented in a way that is not discriminatory towards people with Down syndrome” and found that the NSU information sheets “could be more comprehensive and accessible”. He has written to the Director-General of Health suggesting improvements to the NSU’s information resources. </p>
<p>We consider that the commissioner’s response supports our view that the programme is not being managed in a balanced way. This raises serious concerns for us around the discriminatory nature of the policy for the screening programme. The presence, form, presentation and management of the programme sends a clear message to people with Down syndrome that their lives are not valued and reinforces discrimination towards them, clearly breaching the Human Rights Act. Simply by targeting a group of people for genetic screening distinguishes them as being less worthy than others. </p>
<p>The Human Rights Review Tribunal has also been asked to consider whether the programme is lawful in terms of the Crimes Act 1961. Under that Act abortions are excused for rare and serious reasons. In relation to foetal abnormalities, an abortion may be authorised where “there is a substantial risk that the child, if born, would be so physically or mentally abnormal as to be seriously handicapped”. Down syndrome is not a serious handicap. It is internationally recognised as a mild to moderate developmental delay. Our view is that aborting an unborn child based on a diagnosis of Down syndrome is a crime under the Crimes Act 1961. </p>
<p>Our desire is for the New Zealand Government to promote love and respect for those with Down syndrome and for them to be treated with the same human dignity and respect afforded to their fellow citizens. The Universal Declaration of Human Rights eloquently articulates “the equal and inalienable rights of all members of the human family”. The rights of the people with Down syndrome are sanctioned in law; we are asking that these be actualised in practice. </p>
<p>The government should promote a culture of life by ensuring that families who have unborn children with Down syndrome receive compassion and are given all the encouragement and support needed to bring their child to birth. After the birth of their child they should be provided with the services necessary to assist them in providing for the special needs of their child. </p>
<p><em>Mike Sullivan is the father of an almost three year old girl with Down syndrome. He is a chartered professional engineer who also advocates for people with Down syndrome to be treated with the same human dignity and respect afforded to their fellow citizens. If you are interested in the proceedings and would like more information please contact Mike Sullivan at <a href="mailto:mike.b.sullivan@xtra.co.nz">mike.b.sullivan@xtra.co.nz</a> </em></p>
<p><a href="http://www.mercatornet.com/articles/view/enough_of_ethnic_cleansing_in_the_womb/">To visit the MercatorNet.com website click here</a></p>
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		<title>Screening on slippery slope to eugenics</title>
		<link>http://righttolife.org.nz/2010/09/17/screening-on-slippery-slope-to-eugenics/</link>
		<comments>http://righttolife.org.nz/2010/09/17/screening-on-slippery-slope-to-eugenics/#comments</comments>
		<pubDate>Fri, 17 Sep 2010 11:51:00 +0000</pubDate>
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				<category><![CDATA[Abortion]]></category>
		<category><![CDATA[Bioethics]]></category>
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		<description><![CDATA[<p> It seems obvious to me that the basis of first-trimester screening is to enable women to have an abortion within the 20-week timeframe if an abnormality is detected, since other reasons for prenatal diagnoses are left until the later stages of pregnancy.</p> <p>Jane McEntee, manager of antenatal and newborn screening at the National Screening [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://righttolife.org.nz/wp-content/uploads/2010/09/image3.png"><img style="border-bottom: 0px; border-left: 0px; display: inline; margin-left: 0px; border-top: 0px; margin-right: 0px; border-right: 0px" title="image" border="0" alt="image" align="left" src="http://righttolife.org.nz/wp-content/uploads/2010/09/image_thumb3.png" width="131" height="159" /></a> It seems obvious to me that the basis of first-trimester screening is to enable women to have an abortion within the 20-week timeframe if an abnormality is detected, since other reasons for prenatal diagnoses are left until the later stages of pregnancy.</p>
<p>Jane McEntee, manager of antenatal and newborn screening at the National Screening Unit, was quoted in this newspaper in February as saying that the new system &quot;is about making sure the screening is safe and reliable and that women are fully informed around what screening means and what may follow screening and any decisions that they may need to make&quot;.</p>
<p>&#160;<a href="http://msn.nzherald.co.nz/health/news/article.cfm?c_id=204&amp;objectID=10673661&amp;pnum=2#cmnts_Start">Read on here from this article by Garth George in the NZ Herald Thursday September 16th edition</a></p>
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		<title>Letter to Tony Ryall Minister of Health on Embryonic Stem Cell Research</title>
		<link>http://righttolife.org.nz/2010/07/29/letter-to-tony-ryall-minister-of-health-on-embryonic-stem-cell-research/</link>
		<comments>http://righttolife.org.nz/2010/07/29/letter-to-tony-ryall-minister-of-health-on-embryonic-stem-cell-research/#comments</comments>
		<pubDate>Thu, 29 Jul 2010 05:58:52 +0000</pubDate>
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				<category><![CDATA[Abortion]]></category>
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		<description><![CDATA[<p> Hon Tony Ryall,</p> <p>Minister of Health,</p> <p>Parliament Building,</p> <p>Wellington.</p> <p>Dear Mr Ryall</p> <p>Re: Official Information Act Request – Embryonic Stem Cell Research</p> <p></p> <p>I wish to request under the Official Information Act a copy of the recommendations if any from the Ministry of Health to you on the recommendation of the Advisory Committee on [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://righttolife.org.nz/wp-content/uploads/2010/07/image13.png"><img style="border-bottom: 0px; border-left: 0px; display: inline; margin-left: 0px; border-top: 0px; margin-right: 0px; border-right: 0px" title="image" border="0" alt="image" align="left" src="http://righttolife.org.nz/wp-content/uploads/2010/07/image_thumb13.png" width="244" height="195" /></a> Hon Tony Ryall,</p>
<p>Minister of Health,</p>
<p>Parliament Building,</p>
<p>Wellington.</p>
<p>Dear Mr Ryall</p>
<p><b>Re: Official Information Act Request – Embryonic Stem Cell Research</b></p>
<p><b></b></p>
<p>I wish to request under the Official Information Act a copy of the recommendations if any from the Ministry of Health to you on the recommendation of the Advisory Committee on Assisted Reproductive Technology [ACART] to allow for the experimentation on spare embryos stored in IVF clinics in New Zealand.</p>
<p> <span id="more-1394"></span>
</p>
<p>In your letter of 23 June 2009 to this Society you advised that you had not made a decision on this matter. I would be grateful if you would advise if you have now made a decision in response to the above recommendation of ACART. Our Society continues to be opposed to&#160; experimentation on human embryos.</p>
<p>Yours sincerely</p>
<p>Ken Orr</p>
<p>Secretary</p>
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		<title>International Down Syndrome for Life Letter</title>
		<link>http://righttolife.org.nz/2010/02/28/international-down-syndrome-for-life-letter/</link>
		<comments>http://righttolife.org.nz/2010/02/28/international-down-syndrome-for-life-letter/#comments</comments>
		<pubDate>Sun, 28 Feb 2010 08:19:00 +0000</pubDate>
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		<guid isPermaLink="false">http://righttolife.org.nz/2010/international-down-syndrome-for-life-letter/</guid>
		<description><![CDATA[<p>Dear NZ Right to Life,</p> <p>Each year at the annual March for Life in Washington, DC the International Down Syndrome Coalition for Life joins the march and members carry large laminated photos of our precious kids.&#160; I received the photo below from the IDSC to let me know that Chloe participated in this year&#8217;s March [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://righttolife.org.nz/wp-content/uploads/2010/02/clip_image001.jpg"><img title="clip_image001" style="border-right: 0px; border-top: 0px; display: inline; margin-left: 0px; border-left: 0px; margin-right: 0px; border-bottom: 0px" height="144" alt="clip_image001" src="http://righttolife.org.nz/wp-content/uploads/2010/02/clip_image001_thumb.jpg" width="98" align="left" border="0" /></a><strong>Dear NZ Right to Life,</strong></p>
<p><strong>Each year at the annual March for Life in Washington, DC the International Down Syndrome Coalition for Life joins the march and members carry large laminated photos of our precious kids.&#160; I received the photo below from the IDSC to let me know that Chloe participated in this year&#8217;s March &#8211; the smallest voice can have the largest impact!&#160; Please check out my site (Stop Aborting Down Syndrome Individuals Now)&#160; <a href="http://sadsin.blogspot.com/">http://sadsin.blogspot.com/</a></strong></p>
<p><strong>Blessings,</strong></p>
<p><strong>Kurt Kondrich</strong></p>
<p><strong>From the International Down syndrome Coalition for Life </strong><a href="http://idscforlife.wordpress.com/"><strong>http://idscforlife.wordpress.com/</strong></a></p>
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		<title>Action Alert Urgent &#8211; Embryonic Stem Cell Research</title>
		<link>http://righttolife.org.nz/2010/02/28/action-alert-urgent-embryonic-stem-cell-research/</link>
		<comments>http://righttolife.org.nz/2010/02/28/action-alert-urgent-embryonic-stem-cell-research/#comments</comments>
		<pubDate>Sun, 28 Feb 2010 08:15:42 +0000</pubDate>
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				<category><![CDATA[Bioethics]]></category>
		<category><![CDATA[Embryonic Stem Cell Research]]></category>
		<category><![CDATA[RTL Activities]]></category>

		<guid isPermaLink="false">http://righttolife.org.nz/2010/action-alert-urgent-embryonic-stem-cell-research/</guid>
		<description><![CDATA[<p> To the people of New Zealand. We ask you to write urgently to the Minister of Health, Hon Tony Ryall requesting that he decline the recommendation of the Advisory Committee on Assisted Reproductive Technology [ACART] to allow for embryonic stem cell research to be conducted on so- called “spare” human embryos stored in IVF [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://righttolife.org.nz/wp-content/uploads/2010/02/image8.png"><img title="image" style="border-right: 0px; border-top: 0px; display: inline; margin-left: 0px; border-left: 0px; margin-right: 0px; border-bottom: 0px" height="117" alt="image" src="http://righttolife.org.nz/wp-content/uploads/2010/02/image_thumb8.png" width="154" align="left" border="0" /></a> To the people of New Zealand. We ask you to write urgently to the Minister of Health, Hon Tony Ryall requesting that he decline the recommendation of the Advisory Committee on Assisted Reproductive Technology [ACART] to allow for embryonic stem cell research to be conducted on so- called “spare” human embryos stored in IVF clinics in New Zealand. Human embryos are members of the human family and are endowed by their Creator at conception with an inalienable right to life. The proposed research entails the destruction of these tiny human beings. It is estimated that there are an estimated 7,000 human embryos in storage in New Zealand. The recommendation was made to the Minister in 2008. Mr Ryall advised our Society in January 2010 that he had not yet made a decision on this important human rights issue. Research worldwide on human embryos has not produced any treatment that would benefit mankind, while research on ethically obtained stem cells from sources that do not entail the destruction of human life have produced many cures. In the event that the Minister approved the recommendation of ACART the next step would be to approve the creation of human embryos specifically for stem cell research. This is a further manifestation of a culture of death. Please speak up on behalf of those without a voice. The Ministers address is Parliament Building, Wellington, no stamp required.</p>
<p>Ken Orr</p>
<p>For Right to Life Executive</p>
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		<title>Medical Council of New Zealand &#8220;Draft&#8221;  Beliefs and Medical Practice</title>
		<link>http://righttolife.org.nz/2010/02/20/medical-council-of-new-zealand-draft-beliefs-and-medical-practice/</link>
		<comments>http://righttolife.org.nz/2010/02/20/medical-council-of-new-zealand-draft-beliefs-and-medical-practice/#comments</comments>
		<pubDate>Sat, 20 Feb 2010 08:14:06 +0000</pubDate>
		<dc:creator>Admin</dc:creator>
				<category><![CDATA[Bioethics]]></category>
		<category><![CDATA[Society Issues]]></category>

		<guid isPermaLink="false">http://righttolife.org.nz/2010/medical-council-of-new-zealand-draft-beliefs-and-medical-practice/</guid>
		<description><![CDATA[<p> Introduction 1. Beliefs and values, and cultural and religious practices are central to the lives of doctors and patients. All doctors have personal beliefs that affect their day-to-day practice. Some doctors’ personal beliefs may give rise to concerns about carrying out or recommending particular procedures for patients. Patients’ personal beliefs may be fundamental to [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://righttolife.org.nz/wp-content/uploads/2010/02/image7.png"><img title="image" style="border-right: 0px; border-top: 0px; display: inline; margin-left: 0px; border-left: 0px; margin-right: 0px; border-bottom: 0px" height="124" alt="image" src="http://righttolife.org.nz/wp-content/uploads/2010/02/image_thumb7.png" width="93" align="left" border="0" /></a> Introduction    <br />1. Beliefs and values, and cultural and religious practices are central to the lives    <br />of doctors and patients. All doctors have personal beliefs that affect their    <br />day-to-day practice. Some doctors’ personal beliefs may give rise to concerns    <br />about carrying out or recommending particular procedures for patients.    <br />Patients’ personal beliefs may be fundamental to their sense of well-being    <br />and could help them to cope with pain or other negative aspects of illness or    <br />treatment. Personal beliefs may also lead patients to ask for procedures that    <br />others may not feel are in their best clinical interests, or to refuse treatment.</p>
<p> <span id="more-1099"></span>
<p>2. This statement explores the ways the Council expects doctors to approach    <br />some of the issues arising from their personal beliefs and those of their    <br />patients. It attempts to balance doctors’ and patients’ rights – including the    <br />right to freedom of thought, conscience and religion, and the entitlement to    <br />care and treatment to meet clinical needs – and advises doctors on what to    <br />do when those rights conflict.    <br />3. While the Council does not impose unnecessary restrictions on doctors, we    <br />expect doctors to be prepared to set aside their own beliefs where this is    <br />necessary in order to provide care in line with the principles outlined in Good    <br />medical practice.    <br />Doctors’ personal beliefs and patient care    <br />4. Your first duty as a doctor is to make the care of the presenting patient your    <br />first concern, whatever their medical need. Patients are entitled to expect that    <br />you will offer them good quality care based on your clinical knowledge and in    <br />accordance with this statement.    <br />5. Investigations or treatment should be provided on the basis of the    <br />assessment you and the patient make of his or her needs and priorities, and    <br />on your clinical judgement about the likely effectiveness of the treatment    <br />options.1    <br />6. You must not allow any personal views that you hold about patients to    <br />prejudice your assessment of their clinical needs, negatively affect your    <br />relationship with them or delay or restrict their access to care. This includes    <br />where you believe that the patient’s actions have contributed to their condition    <br />as well as your views about their age, culture, disability, ethnic or national    <br />origin, gender, lifestyle, marital or parental status, race, religion or beliefs,    <br />sex, sexual orientation, or social or economic status.    <br />1 Good medical practice, clause 21    <br />7. You should not normally discuss your personal beliefs with patients. You    <br />must not impose your beliefs on patients, or cause distress by the    <br />inappropriate or insensitive expression of religious, political or other beliefs or    <br />views. Equally, you must not put pressure on patients to discuss or justify    <br />their beliefs (or the absence of them). Recognise when your actions might    <br />not be acceptable or might be offensive to patients2.    <br />8. However, you must advise patients &#8211; both in person and in printed materials    <br />such as practice leaflets &#8211; about any treatments or procedures that you    <br />choose not to provide or arrange because of your personal beliefs, but which    <br />are not otherwise prohibited.    <br />9. Challenge colleagues if their behaviour does not comply with this guidance.    <br />Ensure patients receive all the information they want or need    <br />10. Give patients all information they want or need to know about:    <br />• Their condition and its likely progression.    <br />• Treatment options, including expected risks, side effects, costs and    <br />benefits3.    <br />11. You must not withhold information about the existence of a procedure or    <br />treatment because carrying it out or giving advice about it conflicts with your    <br />personal beliefs.    <br />12. If you have an ethical concern about providing a service that is not prohibited    <br />by law or a statutory code of practice, you should be aware of who else in    <br />the area can provide this service. You should advise patients who request    <br />this service of the options available to access the service.    <br />13. In such cases you must tell patients of their right to see another doctor with    <br />whom they can discuss their situation and must ensure that they have    <br />sufficient information to exercise that right. In deciding whether the patient    <br />has sufficient information, you must explore with the patient what information    <br />they already have, and what information they may need.    <br />Making a referral    <br />14. If the patient cannot readily make their own arrangements to see another    <br />doctor you must ensure that arrangements are made, without delay, for    <br />another doctor to take over his or her care. You must not obstruct patients    <br />from accessing services or leave them with nowhere to turn. Ensure that your    <br />staff understand and comply with this guidance.    <br />15. Work with colleagues in ways that best serve the presenting patients’    <br />interests4.    <br />16. If you refer the patient, ensure that the practitioner you refer to has    <br />appropriate training, expertise and experience and is able to provide the    <br />services requested with appropriate care and skill in accordance with this    <br />guide.    <br />2 Statement on cultural competence, clause 15c    <br />3 Good medical practice, clause 13. For more information, refer to the Council’s statement on    <br />Information and consent.    <br />4 Good medical practice, foreword.    <br />17. Whatever your personal beliefs may be about the treatment or procedure in    <br />question, you must be respectful of the patient’s dignity and views.    <br />18. Take steps to ensure the patient’s privacy is respected and protected.    <br />19. The local funding agency should ensure that all the costs to the patient of    <br />travelling outside the area for services are met when there is no other    <br />practitioner in the area who can provide that service. Advise the patient    <br />about how to access that funding.    <br />20. If your role involves arranging treatment or carrying out procedures that    <br />conflict with your personal beliefs, you should explain your objection to your    <br />employer or contracting body. You should explore constructively with them    <br />how to resolve the difficulty without compromising patient care, and without    <br />placing an unreasonable burden on colleagues5.    <br />Advance directives    <br />21. Always respect a patient’s wishes expressed in an advance directive, unless    <br />the patient is being treated under specific legislation such as the Mental    <br />Health (Compulsory Assessment and Treatment) Amendment Act 1992.    <br />Advance directives have legal standing under the Code of Health and    <br />Disability Services Consumers’ Rights. If you hold a moral objection, you    <br />should transfer responsibility for the patient to another doctor6.    <br />Patients’ personal beliefs    <br />22. Trust and good communication are essential components of the doctorpatient    <br />relationship. You must respect patients’ rights to hold religious or    <br />other beliefs and should take those beliefs into account where they may be    <br />relevant to treatment options. However, if patients do not wish to discuss    <br />their personal beliefs with you, you must respect those wishes.    <br />23. Demonstrate the ability to work with the patient’s cultural beliefs, values and    <br />practices in developing a relevant management plan7. Work in partnership    <br />with patients by:    <br />• Listening to them and responding to their concerns and preferences.    <br />• Respecting their right to reach decisions with you about their    <br />treatment and care8.    <br />• Making sure the patient agrees before you provide treatment or    <br />investigate their condition.    <br />24. Respect the patient’s right to decline treatment9.    <br />25. Occasionally, when people are unable to comment or refuse to consent to    <br />treatment, a legal opinion should be sought whether to seek authority from    <br />the High Court. Such cases may include:    <br />5 Refer to the Council’s statement on A doctor’s duty to help in an emergency for guidance on    <br />what your responsibilities are when urgent care is required.    <br />6 Good medical practice, clause 24    <br />7 Statement on cultural competence, clause 15d    <br />8 Good medical practice, foreword    <br />9 Good medical practice, clause 15    <br />(a) a blood transfusion or caesarean section to save life; or    <br />(b) termination of treatment to allow the patient to die peacefully,    <br />for example patients in permanent vegetative states; or    <br />(c) sterilisation of a patient who is unable to consent but for whom    <br />the family and other carers, supported by medical opinion,    <br />request the operation to enhance the quality of life of the    <br />patient and prevent deterioration in his or her physical or    <br />mental health10; or    <br />(d) a dispute between parents about the treatment to be provided    <br />to a child.    <br />Specific requirements relating to contraception and abortion    <br />26. The Contraception, Sterilisation and Abortion Act 1977 sets out the    <br />procedures and requirements for an abortion as well as the responsibilities of    <br />medical practitioners. If you work in a field where you are likely to encounter    <br />patients requesting an abortion, you should make yourself familiar with this    <br />Act.    <br />27. While the Council recognises that you are entitled to hold your own beliefs, it    <br />remains your responsibility to ensure that a pregnant woman who comes to    <br />you for medical care and expresses doubt about continuing with the    <br />pregnancy is provided with or is offered access to objective information or    <br />assistance to enable her to make informed decisions on all available options    <br />for her pregnancy including termination.    <br />28. If you object on the grounds of conscience to providing advice or other    <br />services with respect to contraception, sterilisation, abortion or other    <br />reproductive health matters you are required, under section 174 of the Health    <br />Practitioners Competence Assurance Act 2003, to inform the person    <br />requesting the service that he or she may obtain that service from another    <br />health practitioner or a family planning clinic. In doing so, you must ensure    <br />that the referral is timely and complies with the guidance outlined in    <br />paragraphs 14-20 of this document.    <br />29. If a funder or employer decides to fund an abortion or contraception service,    <br />do not allow your personal beliefs to interfere in the implementation of that    <br />service.    <br />30. You have no legal or ethical right to refuse to provide medical care to a    <br />patient who is awaiting or has undergone a termination of pregnancy, on    <br />grounds of a conscientious objection to the procedure. The same principle    <br />applies to the care of patients before or following any other procedure from    <br />which you have withdrawn because of your beliefs.    <br />31. Access to abortion is not restricted on grounds of age11. The consent of a    <br />parent or guardian is not required in order for a child or young person to    <br />access abortion information or services. However, that young person must    <br />receive the same counselling and approval by a certifying consultant as any    <br />other woman seeking an abortion.    <br />10 Council’s statement on Information and consent, clause 18    <br />11 The Care of Children Act 2004.    <br />32. There is no restriction on a doctor giving contraceptive advice, or prescribing    <br />contraception to people under the age of 16, without consent from their    <br />parents. Minors have the same right to privacy as any other person.    <br />Male infant and pre-pubescent circumcision    <br />33. You should use your professional judgement when a request is made for    <br />routine infant and pre-pubescent male circumcision. While the preference of    <br />the parents and their cultural and religious beliefs are important, factors like    <br />the best available evidence regarding potential benefits and complications,    <br />alternatives to this intervention and the child’s best interest should be    <br />discussed with the parents.    <br />Female circumcision    <br />34. Female genital mutilation &#8211; sometimes referred to as female circumcision &#8211; is    <br />a serious crime and also a child protection issue, whether undertaken in the    <br />New Zealand or abroad. You must decline to perform these procedures and    <br />must refuse to refer the patient to any other person or the purpose of having    <br />these procedures performed. If you learn that such a procedure has been    <br />performed or is being contemplated you must notify appropriate child    <br />protection or law enforcement agencies. If you treat a patient who has    <br />undergone these procedures, treat them with sensitivity and compassion.    <br />Other relevant Council resources    <br />• Good medical practice    <br />• Statement on cultural competence    <br />• Information and consent    <br />• Cole’s Medical practice in New Zealand    <br />The Medical Council of New Zealand also acknowledges the work done by the    <br />General Medical Council in this area, particularly its resource booklet “Personal    <br />beliefs and medical practice”.    <br />March 2009    <br />This statement is scheduled for review by March 2014. Legislative changes may make this statement obsolete    <br />before this review date.</p>
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		<title>Investigate Magazine  Letter on Right to Debate</title>
		<link>http://righttolife.org.nz/2010/01/31/investigate-magazine-letter-on-right-to-debate/</link>
		<comments>http://righttolife.org.nz/2010/01/31/investigate-magazine-letter-on-right-to-debate/#comments</comments>
		<pubDate>Sun, 31 Jan 2010 07:07:00 +0000</pubDate>
		<dc:creator>Admin</dc:creator>
				<category><![CDATA[Abortion]]></category>
		<category><![CDATA[Bioethics]]></category>
		<category><![CDATA[Letters]]></category>

		<guid isPermaLink="false">http://righttolife.org.nz/2010/investigate-magazine-letter-on-right-to-debate/</guid>
		<description><![CDATA[<p> The Editor,</p> <p>Investigate Magazine.</p> <p>Dear Ian</p> <p>The Right to Debate</p> <p>In response to Judith Hill, February edition. Your correspondent propounds a hedonistic, secular and utilitarian quality of life ethic which proposes that only the fit have a right to life. This ethic is opposed to the sanctity of life ethic which respects the right [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://righttolife.org.nz/wp-content/uploads/2010/02/image.png"><img title="image" style="border-right: 0px; border-top: 0px; display: inline; margin-left: 0px; border-left: 0px; margin-right: 0px; border-bottom: 0px" height="86" alt="image" src="http://righttolife.org.nz/wp-content/uploads/2010/02/image_thumb.png" width="127" align="left" border="0" /></a> The Editor,</p>
<p>Investigate Magazine.</p>
<p>Dear Ian</p>
<p>The Right to Debate</p>
<p>In response to Judith Hill, February edition. Your correspondent propounds a hedonistic, secular and utilitarian quality of life ethic which proposes that only the fit have a right to life. This ethic is opposed to the sanctity of life ethic which respects the right to life of every human being from conception to natural death..The society that she proposes would sadly be selfish, uncaring and unloving. The message that she is giving to those with Down syndrome is that you are not welcome in society, you have nothing to contribute and you are a burden on the taxpayer. Every child is a gift from God that comes into this world to love and be loved. There is a more serious disability than Down syndrome and that is to fail to love. </p>
<p> <span id="more-1075"></span>
</p>
<p>The United Nations Declaration of Human Rights states that our human rights are inalienable and universal. Being inalienable they cannot be taken away from us and being universal they are conferred on every human being. She wrongfully claims that, &quot;the concept of the &quot;Right to life &quot;does not apply to the fetus, let alone a malformed fetus.&quot; This is untrue, the Crimes Act 1961, recognises the fetus as an unborn child and having a right to life. Section 182 “ killing unborn child” states that to kill an unborn child in New Zealand is a serious crime and on conviction, the person convicted may be imprisoned for a term of up to 14 years. The Contraception Sterilisation and Abortion Act 1977, states in the long title that &quot;abortions may be authorised after having full regard to the rights of the unborn child.&quot; Every unborn child including a child with Down syndrome is a unique and unrepeatable miracle of the Creators loving creation and should be accorded the respect due to the human person. Our human rights do not come from the state or from society. At conception the new human being is endowed by its Creator with human rights, the foundation of these rights is the right to life.&#160; The unborn child is the weakest and most defenceless member of the human family and deserves our respect and protection. We all have a duty to defend life and the first duty of the state is to provide effective legal protection for the right to life of every member of the human family especially the weak and the defenceless. The writer falsely claims that it is not the business of anybody else, including politicians, whether a couple decide to terminate the life of their unborn child. That is incorrect, the state has a compelling interest in protecting the lives of future citizens and therefore is obligated in justice to provide effective legal protection for unborn children. </p>
<p>The United States Centre for Disease Control in Atlanta, states that the classification for Down syndrome is a &quot;mild to moderate disability.&quot; Most children with Down syndrome participate in public and private educational programs. Educators and researchers are still discovering the full educational potential of people with Down syndrome. Today people with Down syndrome live at home with their families and are active participants in the educational, social and recreational activities of their community. People with Down syndrome are valued members of their families and their communities, contributing to society in a variety of ways. Women who have an unborn child diagnosed with Down syndrome need and deserve the support and compassion of the community to accept their child as a valued and loved member of the family and community. </p>
<p>Every abortion is the violation of the human rights of the unborn child. Abortions are excused for rare and serious reasons. under the Crimes Act. s 187A, [1] [aa], states that an abortion may be authorised on the following ground, “That there is a substantial risk that the child, if born, would be so physically or mentally abnormal as to be seriously handicapped…”This ground relates to a pregnancy of not more that 20 weeks gestation.</p>
<p>It is noted that the test for that section is that the handicap is serious. As the clinical definition for Down syndrome is a mild to moderate disability it is contended that Down syndrome does not meet the threshold of being serious.It is thus our Society&#8217;s opinion that; it is unlawful for certifying consultants to authorise an abortion, or for doctors to perform an abortion for Down syndrome, on the grounds of fetal abnormality as set out in the Crimes Act 1961, s [1] [aa].</p>
<p>Why then is the government promoting a culture of death by sanctioning and funding the unlawful killing of unborn children with Down syndrome?</p>
<p>Yours faithfully</p>
<p>Ken Orr</p>
<p>Spokesperson,</p>
<p>Right to Life New Zealand Inc.</p>
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		<title>Down Syndrome Search and Destroy National Programme</title>
		<link>http://righttolife.org.nz/2009/12/14/down-syndrome-search-and-destroy-national-programme/</link>
		<comments>http://righttolife.org.nz/2009/12/14/down-syndrome-search-and-destroy-national-programme/#comments</comments>
		<pubDate>Sun, 13 Dec 2009 11:00:00 +0000</pubDate>
		<dc:creator>Admin</dc:creator>
				<category><![CDATA[Abortion]]></category>
		<category><![CDATA[Bioethics]]></category>
		<category><![CDATA[Letters]]></category>

		<guid isPermaLink="false">http://righttolife.org.nz/2009/down-syndrome-search-and-destroy-national-programme/</guid>
		<description><![CDATA[<p> 14 December 2009</p> <p>Hon Tony Ryall,</p> <p>Minister of Health,</p> <p>Parliament Building,</p> <p>Wellington.</p> <p>Dear Mr Ryall</p> <p>Down Syndrome, Search and Destroy &#8211; National Programme</p> <p></p> <p>Our Society wishes to express its concern and opposition to the new screening programme for Down syndrome. We view the screening of unborn babies for Down syndrome with a new [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://righttolife.org.nz/wp-content/uploads/2009/12/image5.png"><img title="image" style="border-right: 0px; border-top: 0px; display: inline; margin-left: 0px; border-left: 0px; margin-right: 0px; border-bottom: 0px" height="117" alt="image" src="http://righttolife.org.nz/wp-content/uploads/2009/12/image_thumb5.png" width="154" align="left" border="0" /></a> 14 December 2009</p>
<p>Hon Tony Ryall,</p>
<p>Minister of Health,</p>
<p>Parliament Building,</p>
<p>Wellington.</p>
<p>Dear Mr Ryall</p>
<p><b>Down Syndrome, Search and Destroy &#8211; National Programme</b></p>
<p><b></b></p>
<p>Our Society wishes to express its concern and opposition to the new screening programme for Down syndrome. We view the screening of unborn babies for Down syndrome with a new national screening programme as a further manifestation of a culture of death. The screening is not for the benefit of the child, it is a search and destroy programme that has as its sole objective the termination of the lives of unborn children who have Down syndrome.</p>
<p> <span id="more-1006"></span>
</p>
<p>Human life begins at conception and at that point the newly conceived life is endowed by its Creator with inalienable human rights, the foundation right is a right to life. Our human rights are both inalienable and universal. The termination of the life of the unborn child is a violation of the human rights of the unborn child. A child does not forfeit its right to life because it has Down syndrome. The killing of an unborn child with Down syndrome is the ultimate discrimination against those with a disability.</p>
<p>This is eugenics which proclaims that only the perfect have a right to be born. The screening programme is a further major step on the slippery slope. The government seeks to conceal the true purpose of the programme by calling it a “quality improvement” rather than national screening programme. The government states that it is providing a service to families by giving them a choice whether to terminate the life of the child with Down syndrome or to allow the child to be born. We should be aware that this is part of a strategy of social conditioning. This important human rights issue raises several important questions.</p>
<ul>
<li>Has the government decided that children with Down syndrome are not valued or wanted in our community? </li>
<li>Is it the government’s intention to encourage families to abort children with Down syndrome? </li>
<li>This insidious option to terminate the life of the child will ultimately become a duty to kill the child before birth? </li>
<li>Should we expect that with the acceptance of eugenics ultimately it may be expected that with the rationing of diminishing health resources that health care for the disabled will be restricted.&#160; </li>
</ul>
<p>The screening programme denies that unborn children with Down syndrome have an important contribution to make to the family and society; they should be valued, loved and respected. </p>
<p>The government should withdraw the screening programme and promote a culture of life by ensuring that families that have unborn children with Down syndrome receive compassion and are given all the encouragement, support needed to bring their child to birth. After the birth of their child they should be provided with the services necessary to assist them in providing for the special needs of their child.&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160; </p>
<p>Yours sincerely</p>
<p>Ken Orr </p>
<p>Secretary</p>
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		<title>Pro-Life Talking Points</title>
		<link>http://righttolife.org.nz/2009/07/07/pro-life-talking-points/</link>
		<comments>http://righttolife.org.nz/2009/07/07/pro-life-talking-points/#comments</comments>
		<pubDate>Tue, 07 Jul 2009 07:35:15 +0000</pubDate>
		<dc:creator>Admin</dc:creator>
				<category><![CDATA[Abortion]]></category>
		<category><![CDATA[Bioethics]]></category>

		<guid isPermaLink="false">http://righttolife.org.nz/2009/pro-life-talking-points/</guid>
		<description><![CDATA[<p> The Pro-Life Talking Points series is meant to provide pro-life activists with clear and concise information with which to argue against common misinformation they will encounter while debating life issues. This is a Human Life International initiative and&#160; following the link will take you to a page on the HLI web site which consists [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.hli.org/index.php/component/content/248?task=view"><img style="border-right: 0px; border-top: 0px; border-left: 0px; border-bottom: 0px" height="81" alt="image" src="http://righttolife.org.nz/wp-content/uploads/2009/07/image1.png" width="163" align="left" border="0"></a> <a href="http://www.hli.org/index.php/component/content/248?task=view">The Pro-Life Talking Points series</a> is meant to provide pro-life activists with clear and concise information with which to argue against common misinformation they will encounter while debating life issues. This is a Human Life International initiative and&nbsp; following the link will take you to a page on the HLI web site which consists of a number of downloadable PDF file&nbsp; links which provide information on the following topics.</p>
<p><strong>Pro-Abortion Violence: Setting the Record Straight&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong><strong>Why Women Abort&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong><strong>The Abuse of Population Control&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong><strong>Negative Effects of the Pill&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong><strong>Does Welfare Reduce Abortion?&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong><strong>Condoms&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong><strong>Fetal Development&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong><strong>Men &amp; Abortion&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong><strong>Maternal Deaths&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong><strong>Obama v Life I: Before the Election</strong></p>
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