26 June 2024

Doctors no longer the only avenue to receive abortion medication scripts in Canberra

| Claire Fenwicke
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Woman speaking into microphone

Health Minister Rachel Stephen-Smith said the law change was about ensuring abortion services were safe and accessible in Canberra. Photo: Michelle Kroll.

Nurse practitioners and authorised midwives will be able to prescribe abortion medication under changes to ACT law.

Currently in Canberra only doctors can write a script for abortion medication.

The Health (Improved Abortion Access) Amendment Act 2024 keeps the Territory in step with changes made by the Therapeutic Goods Administration (TGA) in 2023 to remove restrictions on health practitioners who prescribe and dispense the abortion medication MS-2 Step (mifepristone and misoprostol).

Health Minister Rachel Stephen-Smith said allowing nurse practitioners and authorised midwives (with the relevant training and qualifications) to prescribe the medication would help reduce barriers to timely access.

“Improved access to abortion services will allow Canberra women to obtain appropriate, safe care, and to avoid potentially detrimental impacts to their mental and physical health and wellbeing,” she said.

“This change also supports the government’s ongoing work to ensure that Canberra’s highly skilled nurse practitioners and authorised midwives can work to their full scope of practice.”

READ ALSO ACT Budget: Community paediatric team moves to Molonglo as part of $57.6 million boost to children’s health services

Changes have also been made to require health practitioners who decline to provide abortion services on religious or other conscientious grounds to either refer individuals to another practitioner or facility, or to give information to their patients on how to find such a provider.

Previously there had been no legal requirement for a practitioner to go any further than to inform a patient that they had a conscientious objection.

Ms Stephen-Smith said this brought the ACT into line with all other states and territories when it came to a health practitioner who had a conscientious objection to abortion care.

“Women and people who can become pregnant should be able to make decisions about their healthcare based on what is best for them and their body,” she said.

“Referrals [if a practitioner has a conscientious objection] are best practice.”

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The upcoming October election also got a mention during the debate on the law change.

The Canberra Liberals were able to take a conscience vote on the bill, with Ginninderra MLAs Peter Cain and Elizabeth Kikkert, Murrumbidgee MLA Ed Cocks and Yerrabi MLA James Milligan voting against the amendments.

Murrumbidgee MLA Jeremy Hanson was not present for the vote.

Ms Stephen-Smith said this showed the right to accessible abortion care in the Territory couldn’t be taken for granted.

“As the election approaches, ACT women will be wondering whether they can trust the conservative Canberra Liberals with their reproductive rights,” she said.

“[The] vote shows they can’t.”

She also said she was “surprised” Shadow Health Minister Leanne Castley chose not to speak during the debate.

“I think that in itself speaks volumes.”

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What a surprise that liberty above all (which lacks the mechanism for justifying itself, and which only provides for its complete self-destruction) would end up in the religion of mere utility and convenience, where abortions will be offered for sale in a gum ball machine.

@Vasily M
As seen through your usual “objective glasses”. You are seriously deluded.

It will be amusing when the proponents of this come to the realisation that the people not getting abortions are the ones who are very religious, and then act all surprised when they are the majority and we end up a theocracy.

George Hastings8:21 pm 30 Jun 24

“Women and people who can become pregnant”???? Mind virus

@Ken M
“… unqualified people …”
And you base that assessment on your extensive medical experience? Oh wait, your a salesman – aren’t you? Perhaps you sell pharmaceuticals?

“… an imaginary problem”
Again, you based that asserion on your experience in the ‘ease’ of accessing abortion medication?

Are you perhaps doing some of your own self medicating?

They are unqualified because nurses and midwives don’t have the authority to prescribe anything usually.

The imaginary problem would be because I haven’t ever heard of anybody being unable to see a doctor to get a prescription.

@Ken M
“They are unqualified because nurses and midwives don’t have the authority to prescribe anything usually.”
Wrong! Both nurse practitioners and endorsed midwives are already authorised to prescribe medication in the ACT:
https://www.act.gov.au/health/topics/health-services/nurse-practitioners-and-what-they-do and
https://www.parliament.act.gov.au/__data/assets/pdf_file/0003/2266527/Exhibit-A-Briefing-Nurse-and-Midwifery-Prescribing-Australian-Nursing-and-Midwifery-Federation-ACT.pdf
So, no “self medicating” on my part just referencing the facts – which is something you continually demonstrate you are unable to do.

“The imaginary problem would be because I haven’t ever heard …”
So it’s your imaginary problem then based on your supposition. Have you actually spoken to any women about their ease, or otherwise, of accessing abortion medication?

“In the ACT”
Ah, well in the place that allows people to self medicate with heroin and ice, that’s hardly a surprise. In the rest of the sane world, probably not so much.

I’ve spoken to plenty of women on their ability to access a doctor. It’s really not hard. Call the surgery and make an appointment. We have several medical centers where you can just walk in and wait to see a doctor. So, yes, it’s an imaginary problem.

@Ken M
Yes, I mentioned “In the ACT” because it is the subject of the article.

In your (in)sane world it probably doesn’t happen. However, out there in the real world, nurse practitioners are legally able to prescribe medications in every state and territory in Australia. That’s a fact – although, sadly for you, facts are something with which you have difficulty dealing.

And you are obviously suffering from a severe lack of comprehension skills. Answer the question which I specifically put to you:
“Have you actually spoken to any women about their ease, or otherwise, of accessing abortion medication?”
Note, I am pointedly referring to ‘abortion medication’ – again because it’s the subject of the article.

Was there even a need to allow unqualified people to be giving out prescriptions? Or is this just another Labor virtue signal addressing an imaginary problem?

They are not unqualified people. It is about nurse practitioners and authorised midwives. These are people who have mandatory qualifications; have undergone accredited training and who are subject to strict registration requirements. It is also not an imaginary problem. Some women may not feel comfortable discussing this problem with a doctor (such as a pregnant teenager or someone, for their own reasons, does not want to approach their family doctor).

They are qualified to be nurses and midwives. They are unqualified to prescribe medications. This should not be a difficult thing to understand.

And so yes, an imaginary problem. Being “uncomfortable” does not create an actual need.

Oh to live in your comfortable and privileged world. The people this change will help most are teenagers, the mentally ill and women who are at risk of family violence and/or coercion – ie some of the most vulnerable members of our community. It is better that these people access some sort of qualified medical assistance than to take desperate measures through unqualified means.

Oh here we go. Use the old sob story and use the “privelege” clain to justify addressing a problem that didn’t exist. Those same people can walk into one of several medical centres and wait to see a doctor. It’s not hard.

When you experience the medical world through the eyes of a white middle class male, you have no idea of the challenges faced by someone from a non dominant group. So, yes, you are privileged, even if you don’t like to recognise it.

It is not easy for every one to walk into a medical centre. Just for a moment, image if you are a terrified teenager with no access to family support or from a family who will reject you if they suspected you were pregnant; who may be the pregnant because of rape or coercion and had no access to contraception. Do you really want them to resort to more desperate measures?

LOL
You have no idea what colour I am, if I’m really male, or what social class I occupy, so your play on emotion is as irrelevant as it is dishonest. Quite racist as well.

The rest of your scenario makes it no more difficult to walk into a medical center to see a doctor than it does to see a nurse or midwife. Get a grip.

“You have no idea what colour I am, if I’m really male, or what social class I occupy, so your play on emotion is as irrelevant as it is dishonest. Quite racist as well.”

I agree with this comment, Ken M. Where those facts fall is not a basis for any estimate of a person’s inability to make sensible comment.

The answer to your second question is “Wrong.” but who cares? See justSaying’s vivisection of your factual errors around prescription above.

LOL
Weren’t you repeatedly threatening to stop replying to me, byline? Seems you can’t be truthful about anything.

Your claim it is “no more difficult to walk into a medical center to see a doctor than it does to see a nurse or midwife” doesn’t take into account someone’s ability to pay for a doctor – it is difficult to find a bulk billing doctor in Canberra. What if you are a teenager too scared to tell your parents; or someone with a mental illness and homeless; or someone who is under the financial control of another person (many women in abusive relationships have their finances monitored)? Life is not as simple as you seem to think it is.

Labor further facilitating the murder of unborn babies. Truly disgusting.

Utter nonsense. It is a private decision, that neither you, me, the state, whatever religious zealots are out there, or anyone else should have anything to do with. It is actually the state doing what it should do – and trying to get out of the way (within reason of course) – and for once is a decision that should actually be lauded.

But no, the projecting zealots out there want to keep their sticky fingers in the ‘I must tell others what they should do’ pie….

Quite the amusing rant from the “Ban everything I don’t like” supporter. 🤣

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