Podcast
Questions and Answers
Dr. Messe believes that contraceptives are morally acceptable.
Dr. Messe believes that contraceptives are morally acceptable.
False
The birth control advocate argues that the person providing service should have their conscience prioritized over the patient's interest.
The birth control advocate argues that the person providing service should have their conscience prioritized over the patient's interest.
False
The retired senior navy medical officer quoted the Hippocratic oath's injunction to perform abortions.
The retired senior navy medical officer quoted the Hippocratic oath's injunction to perform abortions.
False
The American Board of Internal Medicine emphasizes the importance of maintaining the interest of the healthcare provider over the patient's interest.
The American Board of Internal Medicine emphasizes the importance of maintaining the interest of the healthcare provider over the patient's interest.
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Dr. Messe's beliefs align with those of the birth control advocate regarding contraceptive use.
Dr. Messe's beliefs align with those of the birth control advocate regarding contraceptive use.
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The birth control advocate argues that the interest of the patient should be superior to the person providing service.
The birth control advocate argues that the interest of the patient should be superior to the person providing service.
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Dr. Messe prescribes artificial contraception for personal reasons.
Dr. Messe prescribes artificial contraception for personal reasons.
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The Naval Ambulatory Care Center serves only active duty members and their families.
The Naval Ambulatory Care Center serves only active duty members and their families.
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Most patients accepted the situation with Dr. Messe's views on contraception.
Most patients accepted the situation with Dr. Messe's views on contraception.
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Dr. Messe worked at the clinic for two years.
Dr. Messe worked at the clinic for two years.
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Patients always had to wait to get a birth control prescription from Dr. Messe.
Patients always had to wait to get a birth control prescription from Dr. Messe.
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All doctors and nurses at the clinic disagreed with Dr. Messe's views on contraception.
All doctors and nurses at the clinic disagreed with Dr. Messe's views on contraception.
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Passing good news up the hierarchy is a challenging task.
Passing good news up the hierarchy is a challenging task.
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Passing bad news up the hierarchy is an easy task.
Passing bad news up the hierarchy is an easy task.
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The only issue related to passing bad news is courage.
The only issue related to passing bad news is courage.
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The former assistant to President Carter mentioned a humorous anecdote about bad news.
The former assistant to President Carter mentioned a humorous anecdote about bad news.
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The local volunteer emergency service was well-equipped and trained for the specific hazard in the scenario.
The local volunteer emergency service was well-equipped and trained for the specific hazard in the scenario.
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The local chief at the inquiry stated that the successful rescue was reckless and irresponsible.
The local chief at the inquiry stated that the successful rescue was reckless and irresponsible.
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Charnette Messe was diagnosed with breast cancer before finding out she was pregnant with her second child.
Charnette Messe was diagnosed with breast cancer before finding out she was pregnant with her second child.
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Charnette Messe's cancer had not spread to her lymph nodes when she had a mammogram.
Charnette Messe's cancer had not spread to her lymph nodes when she had a mammogram.
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Charnette Messe had her son Christian in 2002 before battling breast cancer.
Charnette Messe had her son Christian in 2002 before battling breast cancer.
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Charnette Messe believes her cancer at an early age is linked to her use of contraceptives.
Charnette Messe believes her cancer at an early age is linked to her use of contraceptives.
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Charnette Messe's cancer is currently not in remission.
Charnette Messe's cancer is currently not in remission.
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Charnette Messe appeared on 'The Oprah Winfrey Show' following her battle with breast cancer.
Charnette Messe appeared on 'The Oprah Winfrey Show' following her battle with breast cancer.
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Physicians are required to prescribe birth control regardless of any moral or religious concerns.
Physicians are required to prescribe birth control regardless of any moral or religious concerns.
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According to Navy guidelines, medical personnel who object on moral or religious grounds are obligated to assist in family planning procedures.
According to Navy guidelines, medical personnel who object on moral or religious grounds are obligated to assist in family planning procedures.
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The word 'referring' is a stumbling block for some practitioners when it comes to providing services required.
The word 'referring' is a stumbling block for some practitioners when it comes to providing services required.
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Captain Jane F. Vieira commented directly on the case involving the refusal to prescribe birth control.
Captain Jane F. Vieira commented directly on the case involving the refusal to prescribe birth control.
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Religious accommodation requests often involve issues related to worship, dietary requirements, and religious apparel.
Religious accommodation requests often involve issues related to worship, dietary requirements, and religious apparel.
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Thomas Messe believes there is no link between contraception and breast cancer based on his wife's experience.
Thomas Messe believes there is no link between contraception and breast cancer based on his wife's experience.
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Study Notes
Birth Control and Conscience
- A birth control advocate argues that the patient's conscience should take precedence over the provider's conscience, considering the patient's interest as superior.
- A retired senior navy medical officer asserts that the Hippocratic oath's injunction to do no harm should be prioritized, and the American Board of Internal Medicine's professionalism guidelines emphasize maintaining the patient's interest above one's own self-interest.
Dr. Thomas Messe's Case
- Dr. Messe, a devout Catholic and primary care doctor at the U.S. Naval Submarine Base in Groton, refuses to provide birth control due to his religious beliefs.
- Under the Navy Bureau of Medicine and Surgery's guidelines, physicians with moral or religious concerns can opt-out of providing contraception, but are responsible for referring patients to other services.
- Dr. Messe's objection to referring patients is the stumbling block in his case.
The Naval Ambulatory Care Center in Groton
- The center serves over 12,000 active duty members, families, reservists, and military retirees.
- Dr. Messe had previously arranged for patients to receive birth control prescriptions from a nurse after their exam, but this accommodation was no longer acceptable.
Personal Experience and Beliefs
- Dr. Messe's wife, Charnette, was diagnosed with breast cancer at a young age, which they attribute to her use of contraceptives in her teens and 20s.
- Charnette's cancer is now in remission, but she is tearful recalling the experience, and believes that women are unaware of the risks associated with contraception.
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