I can say that in my experience, this is not true. I've had a perinatologist look right over the drape during a case and disparage providers like me (radical, nut jobs) who recuse themselves from just providing anesthesia services for, leave alone doing, the actual termination.
A perinatologist "disparaging" you (if this actually happened) would be grounds for reporting them to HR. Two "wrongs" don't make a "right". And, you are clearly wrong for not providing care... follow me here...
Say that a Plastic Surgeon, who limits his practice to only doing reconstructions on people deformed by cancer or other accidental injuries, decides that perfectly normal and fine breasts don't need artificial inserts because "God made you that way" and it's immoral to mess with God's work. A woman, with low self-esteem and feeling that she can't be attractive without implants, goes to this plastic surgeon for a consult. She's not aware in advance that he doesn't perform implants on otherwise normal, healthy people.
She fills out the paperwork. Sits in the waiting room. Finally sees him in his examination room. She tells him that this has been a lifelong problem for her. She's gotten counseling in the past. She's decided, after much serious thought, that breast implants will help her get over this lifetime of embarrassment and lack of sexual confidence.
Instead of a receiving consultation, she's met with a lecture about how breast implants aren't "natural" for women with perfectly normal breasts, albeit small and maybe misshapen, and that he will not perform the surgery for her, despite being fully capable of performing this surgery and it being approved for this indication by the American Board of Plastic Surgery. At the end, she's sent a bill for the consultation.
Damn right I'd sue that doctor!
So, the question is: where do you draw the line, drmwvr? If the patients are willing to pay for the service (i.e. you're not doing it for free or on someone else's dime), and you aren't willing to provide it, how should you disclose this to patients in advance so they can avoid wasting both of your time? In my opinion, you have a duty to
before you enter into a fiduciary relationship with the patient.
And, carrying this to the logical conclusion... Are you going to refuse care to a convicted rapist? How about a child molester that was shot by an angry father? What about someone in the trauma bay who's drunk and just killed a teenager with his car? What about the guy who just shot and killed a cop?
If you are unwilling to perform anesthesia for abortions, you should - at the very least - inform your practice and "recuse" yourself from the care of those patients in advance. This would have completely prevented your being in the situation of being "disparaged" in the first place. But, I
still think that this is the wrong attitude.
There are a lot of cases I'm involved in that I do not
personally agree with the parties actions that led them to me, but I provide for them because I don't believe it is my
right or
responsibility to judge patients for whatever they did to themselves or to others that got them under my medical care. My providing care
is not about me or my values, and
if you cannot divorce yourself from that
you should not be involved in patient care. Period.
Sure, I bitch and moan about providing care to society's dirtbags. But, that is only because they don't pay... and have no plan to pay. I absolutely have
never refused to provide care to anyone, though. And, as much as I bemoan the freeloaders, I will
always give them the best of my ability as a provider because, when it comes down to it,
I know that I have a lot of power and I
absolutely take that responsibility selflessly and without personal bias in giving the best care that I'm charged with giving.
Otherwise and despite what many of you believe, I'd not actually be following some Higher Power's wishes, but instead
pretending that I know the will of that Higher Power and
arbitrarily and willfully acting as his surrogate.
Some people might simply call that playing God, which is apparently what a lot of you are quite comfortably doing on a regular basis.
-copro