I don't know if anyone has linked -- in the context of our engaging back-and-forth about physicians, pharmacists, and conscience -- to this recent essay, from the Washington Post, by Dahlia Lithwick. In the piece, "Wal-Mart and the Death Penalty," she writes:
The similarities between the doctors and the pharmacists are striking: Both are refusing to participate in the performance of services acknowledged to be lawful -- capital punishment and abortion/contraception. Both cite as grounds for refusal their professional interest in promoting, as opposed to ending, human life. . . .
Are our varying, even conflicting, legislative responses to these professional choices ultimately about a distinction between abortion and the death penalty, or is there some principled difference between what doctors and pharmacists do? . . .
Physicians and pharmacists who refuse to participate in what they deem to be killing have more in common than many of us might like to admit. But the most important distinction between them has to do with their differing relationship with patients. The law recognizes that doctors' special relationship with their patients warrants a legal privilege: Their discussions are kept secret. You may like and trust your pharmacist. You may even trust him with intimate details about your yeast infection. But your pharmacist has neither the tools nor the right to probe details about rape and abuse, incest and health risks. Which is why pharmacists who interpose between decisions made by a doctor and her patient are overstepping not just moral but legal boundaries -- and undermining another professional relationship that is fundamentally different from their own.
The right of conscience is a subjective one. And no one disputes that a pharmacist's moral objection to dispensing certain drugs is as heartfelt or urgent as a physician's refusal to inject lethal doses of sodium thiopental. But as a legal or legislative matter, the inquiry should begin, not end, with that moral objection. Legal regimes that balance an individual's right to opt out against safeguards for patients (like making it the pharmacy's responsibility to provide timely alternatives) are good compromises. Similarly, if physicians cannot supervise executions consonant with their professional obligations, we may need to devise some new form of capital punishment that does not require a doctor's intervention to ensure against violent, painful death.
There should and will always be space in this country for conscientious objectors. But it cannot and should not follow that murder is murder is murder.
Thoughts? Is it the asserted lack of a special relationship between a pharmacist and her customer that justifies distinguishing in law between doctors' conscientious objection to participating in legal lethal injections and pharmacists' objections to participating in dispensing some legal products?