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‘Most Disturbing’: Doctors in Quebec Forced to Vaccinate to Keep Practising

Quebec Premier Francois Legault speaks at a news conference at the legislature in Quebec City on Sept. 23, 2021.  province has postponed mandatory vaccination for health-care workers until Nov. 15 due to the impact it will have on services. Meanwhile, Quebec’s College of physicians says all doctors must be vaccinated or have their licences suspended. ( Canadian Press/Jacques Boissinot)

Quebec doctors who are not vaccinated for COVID-19 will be prohibited from practising, the province’s college of physicians has announced, leading some doctors to decry the move as going too far.

On Sept. 29, the day prior to the announcement, Collège des médecins du Québec (CMQ) published an “important” notice on its website to remind its members that “no examination, treatment or medical intervention, required or not by the health status of the individual, can be accomplished without the free and informed consent of that individual.”

next day, the CMQ decreed that COVID-19 vaccination is mandatory for physicians. “For the Collège des médecins, vaccination is an ethical duty and social obligation,” it said in its announcement. “It’s the scientifically tested method to protect the entire population.”

Doctors who haven’t complied by Oct. 15 will see their licences suspended and won’t be allowed to perform remote consultations or do follow-ups on exam or lab results. According to the CMQ, 97 percent of Quebec physicians are vaccinated.

Quebec government’s initial mandate was for all health-care workers to get vaccinated before Oct. 15, but that deadline has now been extended to Nov. 15, as an already overstretched health system cannot withstand losing an estimated 22,000 workers who are either unvaccinated or not fully vaccinated.

Dr. Paul Saba, family physician in Quebec who says he’s a strong proponent of vaccination, believes there needs to be some form of accommodation for those who don’t wish to be vaccinated to avoid the health system’s collapse, leading to preventable deaths.

“re’s even talk of some hospitals being shut down—this is very distressing,” Saba told Pezou, noting that he’s been writing articles to “sound the alarm” about the situation.

“I’ve heard comments from different people that these people [unvaccinated health-care workers] are the cause of all our problems. y’re not the cause of our problems—they’re heroes who’ve been working in the health-care system, often without even personal protective equipment.”

Saba says it “doesn’t make any sense” for doctors not to even be able to do remote consultations. Another accommodation he suggests is for the unvaccinated working in health-care facilities to be regularly tested.

Pezou contacted the CMQ with a number of questions related to ethical issues raised by critics, but didn’t hear back.

Pushback

Patrick Phillips, a doctor in Ontario, took to Twitter to criticize the CMQ’s decree, saying it is “violating the most basic principles of patient safety and autonomy they were created to protect: Free, uncoerced, fully informed consent.”

Phillips then added a thread where he posted a notice of liability issued to the CMQ by Dr. Roland Léger, who practises in Ottawa but is also licensed in Quebec. Pezou has confirmed the authenticity of the notice.

Léger writes that he has practised almost 40 years but now feels that he has been “plunged into a global institutional betrayal of monstrous proportions.” He notes that the global recovery rate from the virus SARS-Cov2 is over 99 percent and that he and his wife, also a doctor, have a “fundamental human right to refuse the vaccine.”

“Our experience and conscience is telling both me and my wife that we should definitively not take this vaccine,” he writes. He outlines a number of demands and questions, and adds that if someone at the CMQ—whom he doesn’t identify—will be liable in case of adverse effects, he will receive the COVID vaccine.

Phillips, who tweeted Léger’s notice at the latter’s request, told Pezou that Quebec’s mandate is one of the most stringent among all the provinces.

“[ CMQ] goes far beyond Ontario, where a lot of individual hospitals or long-term care homes are mandating the vaccine but you can still practise in the province, you’re not losing your license,” he said.

“What’s most disturbing about this is that medical colleges … are created for patient safety, they’re created to protect individual patients from what exactly what they’re doing right now. To force somebody into a medical treatment—especially a novel one with no long-term safety studies—is kind of unthinkable,” he said.

Leger said he’s heard from his contacts in Quebec that, as things stand, as many as 600 doctors may lose their licences.

Saba points out that by going with the approach of reasonable accommodation, “we’ll do more benefit to our health-care system than harm.”

“We have vaccinations, and in Quebec we have herd immunity of our health-care professionals,” he said. “So to get the roughly 5 percent of people who are not vaccinated—you’re throwing out the baby with the bathwater.”

With reporting by Andrew Chen.

Pezou : ‘Most Disturbing’: Doctors in Quebec Forced to Vaccinate to Keep Practising