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I think the Navy offered him some reasonable options: "Messe said his superior officers told him if he refused to prescribe birth control routinely, the Navy might have to limit his practice to people over the age of 40, send him to a Marine combat unit where he would not have to treat women, or discharge him from the service."
Maybe none of those is ideal for either side, but it seems like the Navy is at least trying to be flexible while Messe is not.
And I think it's outrageous that he is using his position to impose his religious beliefs on patients: "'I will prescribe the pill for medical reasons,' Messe said. 'But I counsel my patients that natural family planning is healthiest. And in that way you're not interfering with God's plan for you.' From 2000 until last year, if a female patient told him she wanted birth control, he would counsel her to talk to the nurse and arrange an appointment with another doctor."
The issue about birth control being dangerous just muddies the water. Does Messe object to prescribing it on religious grounds or medical grounds? There's quite a big difference. If he objects on medical grounds, I think he actually has less standing. The Navy ought to be able to impose basic medical policy that its doctors must adhere to.
In general, though, I do have some sympathy for doctors and other healthcare professionals whose religious beliefs conflict with certain areas of their job. If a reasonable accomodation can be made that does not unnecessarily inconvenience patients, I don't have a real big problem with that, as long as patients are made aware beforehand in a manner that is respectful to the patient and that provides an alternative. For example, a doctor who does not wish to perform abortions can simply say, "I don't perform abortions, but I will refer you to a nearby doctor that does," - it may be for religious reasons, personal reasons, insurance reasons, medical/facility reasons -- who knows? But in the Navy it's different because there aren't as many alternatives and because the doctor accepted a responsibility to do so.
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