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Conscientious Objection in Healthcare: The Requirement of Justification, The Moral Threshold, and Military Refusals.
J Relig Ethics
March 2024
Institute of Philosophy at Jagiellonian University in Kraków (Poland) and head of the Interdisciplinary Centre for Ethics at Jagiellonian University, where he leads the project BIOUNCERTAINTY funded by a European Research Council (ERC) Starting Grant.
A dogma accepted in many ethical, religious, and legal frameworks is that the reasons behind conscientious objection (CO) in healthcare cannot be evaluated or judged by any institution because conscience is individual and autonomous. This paper shows that this background view is mistaken: the requirement to reveal and explain the reasons for conscientious objection in healthcare is ethically justified and legally desirable. Referring to real healthcare cases and legal regulations, this paper argues that these reasons should be evaluated either ex ante or ex post and defends novel conceptual claims that have not been analyzed in the debates on CO.
View Article and Find Full Text PDF"To Be or Not to Be" a Conscientious Objector to Voluntary Abortion: An Italian Web-Survey of Healthcare Workers.
Medicina (Kaunas)
December 2024
Department of Translational Medicine, University of Piemonte Orientale, Gynecology and Obstetrics, 'Maggiore della Carità' Hospital, 28100 Novara, Italy.
: Conscientious objection to voluntary abortion remains a hot debate topic. This could affect the accessibility to pregnancy termination. Our aim is to evaluate the possible aspects related to an operators' choice about objection for voluntary abortion, such as the following: the abolition of the time limit, the instruction of a multi-collegiate commission, the introduction of pharmacological rather than surgical procedures, the fetal/maternal illness and the case of sexual violence.
View Article and Find Full Text PDFAssisted dying: safety and access are not balanced in practice.
BMJ
December 2024
University of Toronto, Toronto, ON, Canada.
Positive and Negative Rights of Conscience: Balancing When Rights Conflict.
Linacre Q
November 2024
Independent Researcher, USA.
Conscientious objection (CO) in medicine has been seen as a negative right, the right to be free from the intervention of others, so as not to be coerced into doing a medical intervention that the objector thinks is immoral. Arguments are now becoming more common calling for protection for the positive right of conscience, the right to perform interventions by the healthcare provider (HCP) even when it goes against the policy of the healthcare institution (HCI) or the law. Rights create obligations.
View Article and Find Full Text PDFConscientious Objection to Gender-Affirming Surgery: A Cross-Sectional Analysis of Plastic Surgery and Urology Residency Programs.
J Surg Educ
November 2024
Division of Plastic Surgery, Seattle Children's Hospital, Seattle, Washington; Division of Plastic Surgery, Department of Surgery, University of Washington, Seattle, Washington; Department of Urology, University of Washington, Seattle, Washington. Electronic address:
Objective: Medical conscientious objection is a federally protected right of physicians to refuse participation in medically indicated services or research activities that are incompatible with their ethical, moral, or religious beliefs. Individual provider objections to gender-affirming surgery have been documented, however the prevalence of such objections is unknown. Our study aimed to characterize physician objections to gender-affirming surgery in plastic surgery and urology residencies and to assess related institutional policies.
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