Parker Joseph Clint
Department of Medical Humanities, The Brody School of Medicine, East Carolina University, 2S-17 Brody Medical Sciences Building, 600 Moye Boulevard, Greenville, NC 27834, USA.
J Med Philos. 2011 Feb;36(1):28-52. doi: 10.1093/jmp/jhq059. Epub 2011 Jan 10.
Recent debates have led some to question the legitimacy of physicians refusing to provide legally permissible services for reasons of conscience. In this paper, I will explore the question of whether medical professionals have a collective duty to ensure that their profession provides nondiscriminatory access to all medical services. I will argue that they do not. I will also argue for an approach to dealing with intractable moral disagreements between patients and physicians that gives both parties veto power with regards to participation. Finally, I will respond to three objections to allowing physicians broad freedom to act on their consciences: such allowances would violate the conscience of the patient, would lead to unfairness, and would thwart important societal goals.
最近的辩论使一些人质疑医生出于良心拒绝提供法律允许的服务的合法性。在本文中，我将探讨医疗专业人员是否有集体责任确保其职业提供对所有医疗服务的非歧视性获取这一问题。我将论证他们没有这种责任。我还将主张一种处理患者与医生之间棘手的道德分歧的方法，该方法赋予双方关于参与的否决权。最后，我将回应针对允许医生有广泛的良心行事自由的三个反对意见：这种允许会侵犯患者的良心，会导致不公平，并且会阻碍重要的社会目标。
