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Another Moral Dilemma For You To Feast On

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Costa Fierro
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Another Moral Dilemma For You To Feast On

Postby Costa Fierro » Sat Feb 20, 2016 2:25 pm

A Wairoa pharmacist refuses to sell the emergency contraceptive pill over her counter because of personal beliefs.

Wairoa Pharmacy is the town's only dispensary.

To be eligible to sell the emergency contraceptive pill, commonly referred to as the morning-after pill, pharmacists have to complete a course.

Owner Elsa Norvil says she will not do this, for personal reasons.

"There are alternatives in place and it is an ethical right whether or not one chooses to stock or dispense the emergency contraceptive pill," she said.

"I am not prepared to supply the pill over the counter, as I see conception as a potential life, with a soul, so I will not sell it as I consider this as ending another's life.

"I am prepared to dispense it on doctors' instructions and believe this acknowledges other's rights to access this service."

Some residents are concerned that limited local access could be contributing to Wairoa's high teenage pregnancy rate.

Wairoa has no family planning facilities so the morning-after pill can be obtained only by doctor's prescription or from school-based health services.

The pill can be taken up to 72 hours, or three days, following unprotected intercourse to prevent a pregnancy from progressing.

Concerned locals say the Hawke's Bay District Health Board needs to make the pill more accessible. They point out it is available over the counter at pharmacies in other centres.

Wairoa people say they respect Miss Norvil's views but because hers is the only pharmacy in town, other options need to be offered.


Alright ladies and gentlesirs. As you have probably gleamed from the article, the only pharmacy in Wairoa (a town in the middle of nowhere in the North Island of New Zealand) is refusing to sell a contraceptive drug over the counter. Now this presents an interesting set of arguments: should she sell it as an over the counter drug?

Argument One is that she should sell the drug over the counter because it provides greater access to the pill not only for the teenagers that need it but also for others in the town that need it as well. She also is forcing her beliefs on others and this is wrong in the sense that she is providing an essential service to the town in the form of being a pharmacist and that she should be obligated to sell the drug regardless of her beliefs.

Argument Two is that she shouldn't sell the drug over the counter because legally speaking she isn't obligated to and she has stated that she will still stock the drug for doctor's prescriptions. And that because she is the owner of the pharmacy in question, she has the right to stock what drugs she wants and she has the right to refuse to sell a certain type of drug over the counter (which requires undergoing a course in New Zealand in order for this to do so).

Argument Three is that this is a non-issue, as the drug can still be obtained through a doctor or a school based health nurse (who also give out other contraceptives such as condoms) and that it would be better if it wasn't over the counter because then the drug is free, as opposed to being sold at around $40, money most teenagers wouldn't have to spend (and cost is a big reason factor in obtaining contraceptives) if it became an over the counter drug. In addition to this, because Wairoa has no family planning facilities, the District Health Board for wherever Wairoa is located should seriously invest in some of these facilities.

Personally I am heavily leaning towards the third argument, as it's most GP's would be willing to provide contraceptives to sexually active couples rather than deal with the aftermath of an unwanted pregnancy. In addition, most doctors would also provide STI tests when prescribing contraceptives.

What say you, NSG?
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The Matthew Islands
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Postby The Matthew Islands » Sat Feb 20, 2016 2:28 pm

Open another pharmacy that does offer the pill?
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Big Jim P
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Postby Big Jim P » Sat Feb 20, 2016 2:33 pm

The Matthew Islands wrote:Open another pharmacy that does offer the pill?


Indeed. Let the religious kooks boycott the new place. I doubt it would hurt them too much.
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Costa Fierro
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Postby Costa Fierro » Sat Feb 20, 2016 2:39 pm

The Matthew Islands wrote:Open another pharmacy that does offer the pill?


Well it's not that she's not stocking the pill (sorry if I might have not explained that clearly in the OP), it's that she's refusing to sell it as an over the counter pill rather than as a prescription only pill.

She still stocks it but it's only available through prescription.
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Big Jim P
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Postby Big Jim P » Sat Feb 20, 2016 2:41 pm

Costa Fierro wrote:
The Matthew Islands wrote:Open another pharmacy that does offer the pill?


Well it's not that she's not stocking the pill (sorry if I might have not explained that clearly in the OP), it's that she's refusing to sell it as an over the counter pill rather than as a prescription only pill.

She still stocks it but it's only available through prescription.


Here in the state, if the pill is OTC, then it is not by prescription (and vice-versa).
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Costa Fierro
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Postby Costa Fierro » Sat Feb 20, 2016 2:43 pm

Big Jim P wrote:
Costa Fierro wrote:
Well it's not that she's not stocking the pill (sorry if I might have not explained that clearly in the OP), it's that she's refusing to sell it as an over the counter pill rather than as a prescription only pill.

She still stocks it but it's only available through prescription.


Here in the state, if the pill is OTC, then it is not by prescription (and vice-versa).


I'm not sure how it works here but I have a feeling it's the same. The only difference being is that if it's OTC, you pay retail price. If it's through prescription, it's free.
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Geilinor
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Postby Geilinor » Sat Feb 20, 2016 2:45 pm

Costa Fierro wrote:
Big Jim P wrote:
Here in the state, if the pill is OTC, then it is not by prescription (and vice-versa).


I'm not sure how it works here but I have a feeling it's the same. The only difference being is that if it's OTC, you pay retail price. If it's through prescription, it's free.

If the drug is available over the counter, I don't think she has the right to demand a prescription for an OTC drug.
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Risottia
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Postby Risottia » Sat Feb 20, 2016 2:50 pm

The Matthew Islands wrote:Open another pharmacy that does offer the pill?

Just as a suggestion, here we have municipality-owned pharmacies alongside private ones.
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Costa Fierro
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Postby Costa Fierro » Sat Feb 20, 2016 2:51 pm

Geilinor wrote:
Costa Fierro wrote:
I'm not sure how it works here but I have a feeling it's the same. The only difference being is that if it's OTC, you pay retail price. If it's through prescription, it's free.

If the drug is available over the counter, I don't think she has the right to demand a prescription for an OTC drug.


Let me explain. In New Zealand, all the pharmacies are privately run meaning those who run them can chose what drugs they stock and whether or not they can be sold over the counter. The drug in question is available elsewhere OTC but not in her pharmacy, where a prescription is required.
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Dooom35796821595
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Postby Dooom35796821595 » Sat Feb 20, 2016 3:29 pm

Don't you have to pay for a doctors appointment in NZ? If so then the pharmacist has no right to force people to go through additional expenses unless she pays for their medical expenses and time spent.
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Postby Ifreann » Sat Feb 20, 2016 3:38 pm

All the other businesses in town should assert their right not to serve Norvil because doing so would violate their personal beliefs.
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Geilinor
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Postby Geilinor » Sat Feb 20, 2016 3:39 pm

Costa Fierro wrote:
Geilinor wrote:If the drug is available over the counter, I don't think she has the right to demand a prescription for an OTC drug.


Let me explain. In New Zealand, all the pharmacies are privately run meaning those who run them can chose what drugs they stock and whether or not they can be sold over the counter. The drug in question is available elsewhere OTC but not in her pharmacy, where a prescription is required.

So there's no unified regulation on which drugs are OTC and which are prescription? That's interesting.
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Costa Fierro
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Postby Costa Fierro » Sat Feb 20, 2016 3:58 pm

Geilinor wrote:So there's no unified regulation on which drugs are OTC and which are prescription? That's interesting.


Sort of. This drug is, essentially, both as any pharmacist who wishes to sell it over the counter has to go through a course before they're allowed to sell it.

Dooom35796821595 wrote:Don't you have to pay for a doctors appointment in NZ? If so then the pharmacist has no right to force people to go through additional expenses unless she pays for their medical expenses and time spent.


You do but it isn't an additional expense, as the drug becomes free if it's a prescription.
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Coalition of Minor Planets
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Postby Coalition of Minor Planets » Sat Feb 20, 2016 4:01 pm

Well, I would offer it over the counter. As it is their pharmacy, it is rightfully their choice about how and if to stock it

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We Couldnt Agree On A Name
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Postby We Couldnt Agree On A Name » Sat Feb 20, 2016 4:05 pm

Dooom35796821595 wrote:Don't you have to pay for a doctors appointment in NZ? If so then the pharmacist has no right to force people to go through additional expenses unless she pays for their medical expenses and time spent.

By the same argument people have no right to force the pharmacist to go through the expense of providing the pill OTC.
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Coalition of Minor Planets
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Postby Coalition of Minor Planets » Sat Feb 20, 2016 4:06 pm

Dooom35796821595 wrote:Don't you have to pay for a doctors appointment in NZ? If so then the pharmacist has no right to force people to go through additional expenses unless she pays for their medical expenses and time spent.


The pharmacist isn't forcing anyone to do anything. They are merely exercising their own right to decide what courses to take and services to provide.

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Geilinor
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Postby Geilinor » Sat Feb 20, 2016 4:06 pm

Costa Fierro wrote:
Geilinor wrote:So there's no unified regulation on which drugs are OTC and which are prescription? That's interesting.


Sort of. This drug is, essentially, both as any pharmacist who wishes to sell it over the counter has to go through a course before they're allowed to sell it.

Dooom35796821595 wrote:Don't you have to pay for a doctors appointment in NZ? If so then the pharmacist has no right to force people to go through additional expenses unless she pays for their medical expenses and time spent.


You do but it isn't an additional expense, as the drug becomes free if it's a prescription.

If there's an additional course for the pharmacist they don't want to take, then that's legitimate.
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Nanatsu no Tsuki
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Postby Nanatsu no Tsuki » Sat Feb 20, 2016 4:07 pm

Relieve her of her job. She's not there to question morality. She's there to offer a service. If she can't do that, she has no business in the pharmacy.

People can also stop going to her pharmacy.
Last edited by Nanatsu no Tsuki on Sat Feb 20, 2016 4:12 pm, edited 1 time in total.
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Grand African Union
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Postby Grand African Union » Sat Feb 20, 2016 4:10 pm

Should not be dispensed. It would be killing of an innocent

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The Matthew Islands
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Postby The Matthew Islands » Sat Feb 20, 2016 4:10 pm

Risottia wrote:
The Matthew Islands wrote:Open another pharmacy that does offer the pill?

Just as a suggestion, here we have municipality-owned pharmacies alongside private ones.

I am have no idea how pharmacies work in the UK in regards to private vs public, but I think we have a similar system.
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Diopolis
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Postby Diopolis » Sat Feb 20, 2016 4:12 pm

It's her pharmacy, she can do what she wants.
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Risottia
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Postby Risottia » Sat Feb 20, 2016 4:17 pm

Nanatsu no Tsuki wrote:Relieve her of her job. She's not there to question morality. She's there to offer a service. If she can't do that, she has no business in the pharmacy.

People can also stop going to her pharmacy.

The point is that it's the only pharmacy there. She holds the monopoly.
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Nanatsu no Tsuki
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Postby Nanatsu no Tsuki » Sat Feb 20, 2016 4:18 pm

Risottia wrote:
Nanatsu no Tsuki wrote:Relieve her of her job. She's not there to question morality. She's there to offer a service. If she can't do that, she has no business in the pharmacy.

People can also stop going to her pharmacy.

The point is that it's the only pharmacy there. She holds the monopoly.


Open a second pharmacy and bring in some competition.
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MERIZoC
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Postby MERIZoC » Sat Feb 20, 2016 4:21 pm

Non-chain pharmacies are still a thing? :blink:

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We Couldnt Agree On A Name
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Postby We Couldnt Agree On A Name » Sat Feb 20, 2016 4:22 pm

Nanatsu no Tsuki wrote:Relieve her of her job. She's not there to question morality. She's there to offer a service. If she can't do that, she has no business in the pharmacy.

People can also stop going to her pharmacy.

And now no one can get their pills
Good job.
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I'll use stats when you fix 443.3

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