Much of the wording is still troublesome. “ effective referral “ ( open to interpretation) using phrases like “ must not impede”? Again open to interpretation and therefore not protecting conscience rights. There are so many pitfalls in our healthcare system and using words that could be misconstrued or twisted to suit etc not a good idea. Physicians should be able to use their conscience rights like everyone else and not be left open to recrimination because of “ wording”!