this post was submitted on 24 Jun 2023
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United States | News & Politics

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For nearly three years, Roscoe Rike has been picking up his hormone-replacement therapy prescriptions at the same Walgreens in Oakland without a hitch.

That changed on Monday when the 30-year transgender man said he was denied his medication because of the pharmacist’s religious beliefs.

“It was just really surreal,” said Rike, who recorded part of the exchange at the pharmacy. “I know that transphobia and transphobic people exist, but that was my first experience of a perfect stranger doing something like that to my face.”

The exchange occurred Monday morning at the Walgreens in the 5000 block of Telegraph Avenue.

In a statement, a Walgreens spokesperson said the company was unable to discuss specific patients but said policies were in place to assure all patients are helped even in the “very rare” situation when employees have a religious belief that prevents them from helping the customer.

“In an instance where a team member has a religious or moral conviction that prevents them from meeting a patient’s need, we require the team member to refer the patient to another employee or manager on duty who can complete the transaction,” the statement read. “These instances, however, are very rare.”

The spokesperson confirmed that the company was reviewing the Oakland incident.

On Monday, Rike said he’d spoken to a Walgreens employee earlier that day to make sure his medication was ready for pickup but sensed something was awry when the pharmacist behind the counter unexpectedly asked him why he was taking the medication.

“I was like, ‘I don’t think that’s any of your business, really,’” Rike said. “I was initially confused for a second, but right away I could sense that, OK, we’re doing this.”

The pharmacist then told Rike he would have to call his doctor to find out what the medication was for. When Rike pushed back, the pharmacist told him that he wouldn’t give him the prescription because of his religious beliefs.

That’s when Rike said he decided to record the encounter on his phone.

“So right now, you’re going to tell me you’re going to deny me my medication because of your personal religion?” Rike is heard saying in the video. “You’re not my [expletive] doctor.”

The pharmacists is seen looking at a computer screen and clicking on a mouse silently for a few seconds.

“So you think you know better than my doctor? Is that what’s going on?” Rike asked.

“I just need to know your diagnosis,” the pharmacist responded.

“Why? That’s none of your [expletive] business!” Rike said. “It’s always the religious people that have the most [expletive] hate in their hearts. You’re disgusting.”

During the incident, Rike said the pharmacist told him he could return to the store after noon, but that seemed unfair to him.

“Why should I have to wait two hours for something that’s ready?” he said. “Only thing that is keeping me from getting my medicine, that my doctor prescribed me, is this dude not doing his job.”

When Rike asked to speak with the manager, he said, the pharmacist ignored him.

Another employee contacted a manager, who apologized for the incident and gave Rike his medication.

Rike said he’s aware that pharmacists are allowed to refer patients to someone else if they have a religious objection but that doesn’t make sense.

“If you follow a religion that is going to prevent you from doing your job and provide medical care to people, then you need to not be in the medical profession dealing with the public,” he said.

Since Monday, Rike has considered changing pharmacies, or signing up for a home delivery service. He said he doesn’t want to deal with a similar situation again.

He hesitates to make any changes just yet, though.

“There’s a part of me that’s like, why do I have to change how I do things? I didn’t do anything wrong,” he said. “I should just be able to go to my local pharmacy and get my medication like everyone else.”

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[–] [email protected] 43 points 1 year ago (1 children)

“If you follow a religion that is going to prevent you from doing your job and provide medical care to people, then you need to not be in the medical profession dealing with the public,” he said.

Any field that deals with the public really.

[–] [email protected] 20 points 1 year ago

Or, you know, anything science-based at all? Had anyone ever heard of a respected pro geologist being a devout flat-earther? Maybe an astronomer that is resolutely confident the moon is made of cheese? Or, perhaps someone's heard of that heart surgeon that consults a patient's aura for pre-op guidance. 😬

"If you follow a religion..." Good for you, kiddo. I hope it helps you feel better. Now, STFU about it.

[–] [email protected] 41 points 1 year ago (1 children)

I'd really love it if one of these shit for brains could point out the passage in the bible that mandates withholding medication to trans people

[–] [email protected] 3 points 1 year ago (1 children)

Unfortunately, these rotten sewer fuck pieces of human garbage have never read the Bible, only heard what pastor Steve has to say about it.

[–] [email protected] 3 points 1 year ago

The pharmacist may or may not be Christian, the articles do not specify what religion Malik Tahir, the pharmacist at this location, follows.

Absolutely terrible practice either way

[–] [email protected] 38 points 1 year ago (1 children)

By allowing this, Walgreens just emboldens other religious extremists. I’m on a hormone blocker to hopefully avoid a breast cancer recurrence; should I be prepared to ‘prove’ my diagnosis to Walgreens pharmacists before getting my medication?

My dad and grandfather were both pharmacists — and both Southern Baptists. They’d never have compromised the level of patient care they provided to make a religious/political point.

[–] [email protected] 4 points 1 year ago

Yeah you absolutely are in danger of people denying you the hormone blockers out of transphobia. Hopefully you are in a place where this isn't tolerated.

[–] [email protected] 27 points 1 year ago (1 children)

This should be grounds for immediate revocation of his license.

[–] [email protected] 20 points 1 year ago* (last edited 1 year ago) (1 children)

I hope the patient lodged a formal complaint with the California State Board of Pharmacy (have seen a lot of folks just go to the media, forgetting that there are authorizing bodies involved in any medical service). As per the 2023 Lawbook for Pharmacy:

  1. Dispensing Prescription Drugs and Devices (a) A licentiate shall not obstruct a patient in obtaining a prescription drug or device that has been legally prescribed or ordered for that patient. A violation of this section constitutes unprofessional conduct by the licentiate and shall subject the licentiate to disciplinary or administrative action by his or her licensing agency. (b) Notwithstanding any other law, a licentiate shall dispense drugs and devices, as described in subdivision (a) of Section 4024, pursuant to a lawful order or prescription unless one of the following circumstances exists: [...] (3) The licentiate refuses on ethical, moral, or religious grounds to dispense a drug or device pursuant to an order or prescription. A licentiate may decline to dispense a prescription drug or device on this basis only if the licentiate has previously notified his or her employer, in writing, of the drug or class of drugs to which he or she objects, and the licentiate’s employer can, without creating undue hardship, provide a reasonable accommodation of the licentiate’s objection. The licentiate’s employer shall establish protocols that ensure that the patient has timely access to the prescribed drug or device despite the licentiate’s refusal to dispense the prescription or order. For purposes of this section, “reasonable accommodation” and “undue hardship” shall have the same meaning as applied to those terms pursuant to subdivision (l) of Section 12940 of the Government Code.

If the pharmacist in question did NOT previously inform Walgreen's of their religious objection to hormone treatments for trans people, in writing, before this incident, they are in violation of this. At minimum, Walgreen's should discipline or can the guy, as even assuming the general objection was documented the pharmacist violated Walgreen's policy. I do not know what disciplinary or administrative actions re: the board would apply here if the pharmacist didn't register the specific objection and drug class, but I don't think suspension of license or fines are off the table (there's details on disciplinary stuff in the document, but like all such documents it's lengthy and I didn't dig further).

That said, commenting from another country, so idk.

Source: https://www.pharmacy.ca.gov/laws_regs/lawbook.pdf - Page 373-374

[–] [email protected] 5 points 1 year ago

This is the way.

[–] [email protected] 22 points 1 year ago

Ah yes because religious text clearly states to deny trans people their meds

[–] [email protected] 18 points 1 year ago (2 children)

People who refuse to do their jobs should be fired. If I work tech support I don't get to tell Windows users I won't help them because I like MacOS better. Do your job, or get another. If your moral conflict is that great, dealing directly with the public is the wrong line of work.

[–] [email protected] 6 points 1 year ago

I completely agree with you, if you're going to have moral conflicts then it's not the job for you. That transaction could've gone so easily but they chose to make a big deal about it.

[–] [email protected] 3 points 1 year ago

Omg so true!

[–] [email protected] 17 points 1 year ago

Imagine going up to the counter and buying some chips, only to be told by the person at the register that they won't sell it to you because you're too fat, and it says in the Bible that your body is a temple. I mean, you could make that argument to prevent me from buying some Doritos, or any of the unhealthy products they sell at Walgreens (ostensibly a health care facility), but maybe you're better off shrugging your shoulders, letting the chonker have his tortilla chips, and letting the line advance so everyone can get what they came to buy and just go home.

We have things to do. You want to hit me with a sermon, you can use the local church for that. Walgreens isn't the place for it.

[–] [email protected] 17 points 1 year ago (1 children)

My religion requires me to punch you in the face. Are we both going to observe, or are we both going to be sensible?

[–] [email protected] 3 points 1 year ago (1 children)

I'd observe that...violence isn't the answer but it sounds so good sometimes

[–] [email protected] 3 points 1 year ago

Someone it is the answer, unfortunately. We cannot tolerate the intolerant.

[–] [email protected] 16 points 1 year ago

I think it's one thing if the pharmacist just quietly handed off the task of providing the prescription to someone else who was there to keep things moving, but what seems like the attempt to deliberately obstruct was well over the line.

[–] [email protected] 15 points 1 year ago

As a pharmacist myself, this shit pisses me off to no end. While we have a right to refuse, it should be used to save lives and mitigate problems (drug interactions, disease interactions, etc) ... not CAUSE more problems.

Fortunately most pharmacists I know don't give 2 shits about birth control or HRT or plan B... but those very very few ruin the profession for the rest of us. It is why I got out of retail and went hospital, plus I can have more direct impact on patient health than sitting behind a counter arguing with insurance all day long.

TLDR: Fuck this guy

[–] [email protected] 13 points 1 year ago

Do your fucking job, pharmacist. Or GTFO.

[–] [email protected] 11 points 1 year ago (3 children)

Join me in boycotting Walgreens

[–] [email protected] 6 points 1 year ago

My wife and I have already moved our prescriptions away from Walgreens and we never set foot in their stores over their repeated history of bullshit like this. I highly recommend everyone do the same because this is far from an isolated incident.

[–] [email protected] 4 points 1 year ago (1 children)

Walgreens bought out my small local friendly pharmacy and immediately closed it without telling any customers or staff ahead of time, meaning I had to scramble to get important medication... Oh, and Walgreens didn't tell any customers about this, the staff spent a full day (including after hours) calling people and making sure they got their meds. Apparently this is a common tactic of theirs. Walgreens is a vile company.

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[–] [email protected] 9 points 1 year ago (2 children)

Religious people are against my belief, but I'm not going to irrationally fuck them over or do shit like this because what they do is against my belief.

This type of behavior that the pharmacist did should 100% be illegal in all parts of the world. Why is it not? Going against established systems to patients or endusers like this as a peon (not trying to change the soc, but instead acting against them against also the patient's will) should be an imprisonable action that also results in loss of any license or certifications. You just can't do stuff like this, it's hugely immoral.

Even if you're the prescribing doctor, religion is not a medical reason to influence a decision for care. It undermines the integrity of the entire system and does nothing but harass and cause unnecessary and irrational harm on real people.

Like, if the doctor said "this is what you should do for that, medically, but my religion believes it's wrong", THAT would be horrible enough. But to outright refuse on religious grounds? Outrageous. I'm blown away that such an important and previously respected profession allows people like this.

We gotta ask ourselves: why is this type of thing where it is in society? We all know and can prove it's wrong and should be illegal. So why the fuck isn't it? It's not some kids getting high at home, it's not people choosing to be in a cult - it's literal medicine. Imagine if it was a heart attack and that just up and said "mmm, nope you're against my religion." I'm gonna go be a fucking paramedic and research people before I help them and be their fucking life judge, and if anybody tries to cross me, I'll beat them down because helping them is so against my belief. Like.... That's super messed up.

[–] [email protected] 4 points 1 year ago (1 children)

Religious people are against my belief, but I'm not going to irrationally fuck them over or do shit like this because what they do is against my belief.

maybe we should start actively shunning christians until they clean up their motherfucking act

[–] [email protected] 6 points 1 year ago (1 children)

Shit they already think they're fucking persecuted. Can you imagine?

[–] [email protected] 4 points 1 year ago

Might as well make it true 🤷

[–] [email protected] 4 points 1 year ago

paramedic

Imagine a paramedic that just says whatever happens to someone is God's will and it's against their religion to intervene in that. So they just watch people die.

[–] [email protected] 9 points 1 year ago (1 children)

I know christians (or any religion) find interpretations of their religious texts to confirm their biases, but I can't for the life of me think of a bible passage that can be interpreted as anti-trans.

It's like the "religious" rejection of COVID vaccines. Conservatives complain about the "race card", but this "religion card" is some bullshit.

[–] [email protected] 9 points 1 year ago (1 children)

Jesus: love thy neighbor
Conservatives: but what if they're trans?
Jesus: Did I stutter?

[–] [email protected] 3 points 1 year ago (1 children)

Can I speak to your manager? You're not the tanned, Swedish Christ I saw in the church brochure!

[–] [email protected] 2 points 1 year ago
[–] [email protected] 7 points 1 year ago

How can medical professionals be allowed this and maintain a license how about that hippocratic oath?

[–] [email protected] 7 points 1 year ago

Walgreens allows this shit for birth control and abortion pills also. Don't go there if you actually want your meds

[–] [email protected] 7 points 1 year ago

Your Right to "Freedom of Religion" ends where it infringes upon others'.

That's right: Other people with different views exist and they have Rights too...

[–] [email protected] 5 points 1 year ago (2 children)

How long until pharmacists are replaced by machines and automation? Feel like they do have value, but from a certain standpoint, having a machine that can confirm and distribute medications seems a hell of a lot easier.

[–] [email protected] 7 points 1 year ago (1 children)

Give Americans Universal Basic Income, healthcare, education etc and lives will improve in so many ways. Once this is done, automate as much as possible.

[–] [email protected] 2 points 1 year ago (1 children)

Yes however they will do the second bit first, and the first bit after 15 years of argument.

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[–] [email protected] 5 points 1 year ago

sad that this is still happening so much

[–] [email protected] 4 points 1 year ago

Fuck Walgreens. Had they pulled that shit with me then they would no longer get my money. That employee should be fired.

[–] [email protected] 4 points 1 year ago* (last edited 1 year ago) (1 children)

It’s good that religious beliefs are protected. BUT, if your religious beliefs prevent you from doing your job, then you’re not qualified for the job. Nobody has the right to interfere with another person’s medical decisions because of their “beliefs”.

Insisting on knowing the patients diagnosis was none of the pharmacist’s business. Even asking was way out of line. They were completely inappropriate, and I’d be amazed if the pharmacists behavior wasn’t a major violation of company policy. That, by itself, should get them fired.

[–] [email protected] 4 points 1 year ago* (last edited 1 year ago)

Also they told the patient to come back 2 hours later when there was already someone else available (the manager) to dispense the medication. This is a clear violation of Walgreen's stated policy.

[–] [email protected] 3 points 1 year ago

Imagine working at McDonald's and telling a customer you won't give him his cheeseburger because of your religious beliefs.

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