Making Moral Judgments: The Emergency Contraception Request
Analyzing the Consequences of a Ethical or Moral Decision.
In making an ethical or moral judgment, always assume you have a variety of options. Consider the range of both positive and negative consequences connected with the decision. Ask yourself these questions:
Who will be helped by what you do?
Who will be hurt?
What kinds of benefits and harms are involved? For example, factors such as a person’s health and well-being are more valuable than any other material things that may be gained.
How does the issue affect the long run and the short run?
Mary Joe is an 18-year-old college student at University of New Mexico. She presents a prescription for four Ovral® tablets. The instructions are to take two immediately and two in twelve hours. Ovral® contains ethinyl estradiol and norgestrel and is used as a contraceptive when taken one tablet per day.
When taken in the manner prescribed to Mary Joe it is intended as a morning-after-pill - emergency post-coital contraception, to inhibit or delay ovulation or to prohibit implantation of a fertilized egg within 72 hours of intercourse.
The only pharmacist on duty, Phil, has strong pro-life beliefs. Firm in his beliefs, Phil refuses to dispense the prescription believing that the prescription is being used as an abortifacient. Mary Joe explains that she needs to have the prescription filled soon, because it is very close to 72 hours since intercourse. She begins crying and pleads with Phil to fill the prescriptions and explains that she can not have the prescription filled at another pharmacy because this is the only one that allows her to charge, and her financial aid has not come in yet.
Phil advises Mary Joe that she should seek counseling and shares his religious belief with her. Mary Joe explains that she was walking home three nights before from her volunteer job at the children's hospital when she was attacked and raped. Mary Joe leaves the pharmacy very upset, without the prescription. Later she calls the pharmacy, explains the situation to the pharmacy manager, and demands that Phil be fired.
Does Phil have a right to refuse to dispense the drug?
What duty does Phil have to Mary Joe?
What are the implications to the patient, the employer, co-workers, the profession, and society?
What can be done to minimize the effects of this volatile issue?
As the host of the post, I will not be making comments on this volatile and controversial topic. I am merely providing a forum in which participants may discuss and defend their viewpoints. I do request, however, that those participating in the forum treat those views with which they do not agree with tolerance and equanimity. Please remember that we all arrive at our opinions through our individual backgrounds and life experiences.

