I do not think that doctors should be able to refer people against their own conscience for a few reasons. Firstly, especially in the case of mental health concerns, people may not be in their right mind to seek out MAID or an abortion. We know that mental health issues can skew ones ability to make knowledgeable choices, and thus it would be uncaring to condone such a drastic decision as murder when they are in such a state. Secondly, not only would this make many doctors leave their profession, it would also deter new doctors from coming to the practice. Finally, many patients themselves would feel uncomfortable with the idea that if they are in a state of distress, their health care provider is required to refer them to someone who can murder either them or their children.
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