(1) The natural and primary right and duty of parents in the rearing of the
youth and the development of moral character and the right of children to be
brought up in an atmosphere of morality and rectitude for the enrichment and
strengthening of character;
(2) The formation of a person's sexuality that affirms human dignity; and
(3) Ethical, legal, safe, and effective family planning methods including fertility
awareness.
As an afterthought, Asst. Solicitor General Hilbay eventually replied that the compelling state
interest was "Fifteen maternal deaths per day, hundreds of thousands of unintended
pregnancies, lives changed, x x x."235 He, however, failed to substantiate this point by
concrete facts and figures from reputable sources.
The undisputed fact, however, is that the World Health Organization reported that the
Filipino maternal mortality rate dropped to 48 percent from 1990 to 2008, 236 although there
was still no RH Law at that time. Despite such revelation, the proponents still insist that such
number of maternal deaths constitute a compelling state interest.
Granting that there are still deficiencies and flaws in the delivery of social healthcare
programs for Filipino women, they could not be solved by a measure that puts an
unwarrantable stranglehold on religious beliefs in exchange for blind conformity.
Exception: Life Threatening Cases
All this notwithstanding, the Court properly recognizes a valid exception set forth in the law.
While generally healthcare service providers cannot be forced to render reproductive health
care procedures if doing it would contravene their religious beliefs, an exception must be
made in life-threatening cases that require the performance of emergency procedures. In
these situations, the right to life of the mother should be given preference, considering that a
referral by a medical practitioner would amount to a denial of service, resulting to
unnecessarily placing the life of a mother in grave danger. Thus, during the oral arguments,
Atty. Liban, representing CFC, manifested: "the forced referral clause that we are objecting
on grounds of violation of freedom of religion does not contemplate an emergency." 237
In a conflict situation between the life of the mother and the life of a child, the doctor is
morally obliged always to try to save both lives. If, however, it is impossible, the resulting
death to one should not be deliberate. Atty. Noche explained:
Principle of Double-Effect. - May we please remind the principal author of the RH Bill in the
House of Representatives of the principle of double-effect wherein intentional harm on the
life of either the mother of the child is never justified to bring about a "good" effect. In a
conflict situation between the life of the child and the life of the mother, the doctor is
morally obliged always to try to save both lives. However, he can act in favor of one (not
necessarily the mother) when it is medically impossible to save both, provided that no direct
harm is intended to the other. If the above principles are observed, the loss of the child's life
or the mother's life is not intentional and, therefore, unavoidable. Hence, the doctor would
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