Manitoba lesbian couple says doctor refused them because of sexual orientation

Canadian Press: 2009 January 27

WINNIPEG — A Manitoba lesbian couple rejected by a family doctor from Egypt for religious reasons says Canada must better educate foreign-trained physicians.

Andrea Markowski said she and her partner Ginette were stunned when the Winnipeg doctor told them during a "meet-and-greet" appointment she was uncomfortable accepting them as patients and had never treated "people like you" before.

The doctor said she only treated "husbands and wives," said Markowski, who is legally married to her partner of 18 years.

"It was like a kick in the stomach," said Markowski, who just moved to the city from the Northwest Territories. "It was definitely a traumatic and unexpected experience ... She is a doctor who is paid with public funds.

"I have a really hard time understanding how her religion affects her ability to care for me as a human being."

The couple have lodged a complaint with the province's human rights commission and the Manitoba College of Physicians and Surgeons.

The Charter of Rights and Freedoms ensures no one can be denied health care on the grounds of sexual orientation, Markowski pointed out. The bodies regulating doctors in Canada must therefore take more responsibility to ensure foreign-trained physicians are ready to practise here, she added.

"We've stumbled upon a pretty serious problem and we want to make sure that it gets fixed. In some ways you feel a bit like a prisoner. There are so few doctors, it's hard to see one, but they still are accountable to provide good service," Markowski said.

"The College of Physicians and Surgeons in Manitoba and other places in Canada has to broaden the way that it assesses the skills - particularly of foreign doctors who may be coming from places where beliefs and norms are quite different - to make sure that they really are able to practise the physical, mental and emotional care of patients."

Dr. Kamelia Elias did not return phone calls seeking comment. But she told the Winnipeg Free Press that she has no experience treating gays and lesbians who have "sexual problems" and "a lot of diseases and infections."

"I said it's better to find someone who has experience and will take this type of patients," she told the newspaper.

Gay-rights organizations are calling for better programs specifically aimed at nipping prejudice in the bud.

The registrar of Manitoba's physicians college said foreign-trained doctors do undergo an orientation before they can practise in the province. Bill Pope said doctors coming from other countries suffer from culture shock when they come to Canada. Some of them have never done a pelvic exam on a woman or put on a plastic cast, he said.

"How much of a change do you think it would be if you or I were put down somewhere in a Muslim Arabic country or Uzbekistan? It would be a shock," Pope said. "We would hope that we would be forewarned about areas where we could potentially create problems without our knowing it."

The province's college has recently extended its orientation for foreign-trained doctors from one week to a month, he said. There is also some discussion of holding a session with the Manitoba Human Rights Commission so doctors get a briefing of the expectations of them under the charter.

The head of Canada's gay-rights organization said transgendered people are sometimes denied health care. But Helen Kennedy with EGALE said this is the first instance she's heard of involving a lesbian.

As the number of foreign-trained doctors in Canada increases, it's incumbent upon colleges and the country's Immigration Department to ensure they accept gay, lesbian and transgendered patients, she said.

"This is really sad. It really shows a bigger problem with people who are medically trained coming to Canada from other cultures. There is nothing in place to assist them to make the adjustment and to get the training that they need when they come here."

Still others say all doctors would benefit from a better understanding of gay and lesbian health issues.

"All physicians need to get more training on this," said Gens Hellquist, executive director of the Canadian Rainbow Health Coalition. "What little they get tends to be focused on HIV and AIDS, which is only one of the range of health issues."

Hi all,

At our last session we discussed the future for support for lesbians living with cancer here at the Cancer Agency. It seems to me that the world is changing and perhaps we can look at a different kind of support. Our numbers are quite low and I am stretched beyond my limits but still want to offer something for our community.

We discussed perhaps a peer support program. This would mean at least there would be a visual presence in the form of a poster etc for lesbian support. At this time Vancouver Centre is piloting a navigational program for Chinese speaking people. Through this process our volunteer co-ordinator has developed a training program for those wishing to volunteer. This could be adapted for women wishing to volunteer for lesbians beginning their journey with cancer.

I am wondering if this could work for us. Ie. Having a peer support/outreach program through volunteer services with me being a consultant to the program.

In addition perhaps the odd special educational program for lesbians.

Another option for future is an on-line support group.

I would like feedback on this as there were just three of us involved in this discussion. AT this point I have not cancelled the group yet. I will go ahead with the FEB group for now.

Sarah

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A CONVERSATION WITH/Kate O'Hanlan; Promising Judgments That Are Purely Medical (New York Times: 2006 June 2)

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Health Policy Considerations for Our Sexual Minority Patients (Obstetrics and Gynecology: 2006 March)