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"Conscience clauses" define conscience as "religious beliefs" or "moral convictions," and they come up, therefore, usually in relation to women's reproductive rights. This article argues that conscience is better understood as a feeling of integrity, rightness, and self, and that we need it especially now, as huge corporations take over health care. After an illustrative story, the author reviews the history of patients' rights and also the health-care consumer movement, which introduced the idea that health care is a commodity, and the doctor, therefore, simply a tradesman, whose duty is to provide what his patient wants.

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This article argues that Kant's essay on enlightenment responds to Moses Mendelssohn's defense of the freedom of conscience in Jerusalem. While Mendelssohn holds that the freedom of conscience as an inalienable right, Kant argues that the use of one's reason may be constrained by oaths. Kant calls such a constrained use of reason the private use of reason.

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