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Amy Anonymous wrote:

Hi, guys —

I work as a medical transcriptionist. My job involves transcribing medical dictation that physicians and providers dictate. I do type on:

  • vasectomy consultations
  • tubal ligation consultations
  • operative notes
  • as well as other various notes dealing with birth control methods, etc.

I am a Catholic and just want to be sure this is not a sin. I have never even thought of it as such but now am wondering.

Thank you,

Amy

  { Is transcribing medical dictation for physicians who do vasectomies and tubal ligations a sin? }

Mary Ann replied:

Dear Amy,

My first instinct is that your material cooperation in this evil is so remote, and after the fact,
as to not be morally evil. I gather you work for a contract transcriptionist service — If you work directly for doctors who specialize in immoral services such as these, I would say something different, depending on some circumstances:

  • What kind of practice is it; for instance, if it is an IVF practice, that would not be good
  • What sort of use is made of your work
  • What your personal circumstances are (i.e. would it be very difficult to get another job.)

I am presently working on a certification in health care ethics from the National Catholic Bioethics Commission, and forwarded your question to the group for comment.

A few days later I received the following reply from one of their ethicists.

Marie T. Hilliard, JCL, PhD, RN, Director of Bioethics and Public Policy, National Catholic Bioethics Center, offers this:

In responding to questions concerning cooperation in evil for medical transcriptionists who are recording information on procedures which already are completed, the key is whether the transcriptionist is working for a contracted agency.

If one were working directly for an OB/GYN or a Urologist who routinely engage in these procedures (but not a practice that regularly and routinely performed abortions, which would require another analysis due to formal intent questions), the question is, even if it is after the fact, whether the transcriptionist is making possible the morally illicit action (mediate material Cooperation), because of the need for ongoing accurate records in the practice. Even then, such cooperation could be remote and justifiable [if it can be] ascertained that there is a [good to be achieved or evil to be avoided]).

God bless,

Mary Ann

I hope this helps,

Mary Ann

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