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英国的良心拒服兵役与医疗保健:为何法庭不是解决之道。

Conscientious objection and healthcare in the UK: why tribunals are not the answer.

作者信息

Cowley Christopher

出版信息

J Med Ethics. 2016 Feb;42(2):69-72. doi: 10.1136/medethics-2015-102692. Epub 2015 Apr 17.

DOI:10.1136/medethics-2015-102692
PMID:25887516
Abstract

A recent issue of the journal Bioethics discussed whether conscientious objectors within the healthcare context should be required to give their reasons to a specially convened tribunal, who would have the power to reject the objection. This is modeled on the context of military conscription. Advocates for such a tribunal offer two different justifications, one based on determining the genuineness of the applicant's beliefs, the other based on determining their reasonableness. I limit my discussion to a doctor's objection to abortion in the UK, and argue against both justifications: I thereby defend the status quo, where such doctors are not formally required to defend their beliefs. My argument has to do with the particular nature of the abortion debate in the UK, and the more general nature of ethical disagreement.

摘要

最近一期的《生物伦理学》杂志讨论了医疗领域中的出于良心拒服兵役者是否应被要求向专门召集的法庭陈述理由,该法庭有权驳回异议。这是以征兵背景为蓝本的。支持设立这样一个法庭的人提出了两种不同的理由,一种基于确定申请人信仰的真实性,另一种基于确定其合理性。我将讨论范围限定在英国医生对堕胎的反对意见上,并对这两种理由都提出反对:由此我捍卫了现状,即这类医生在形式上无需为自己的信仰辩护。我的论点与英国堕胎辩论的特殊性质以及伦理分歧的更普遍性质有关。

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引用本文的文献

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Conscientious Objection in Healthcare: The Requirement of Justification, The Moral Threshold, and Military Refusals.医疗保健中的良心拒斥:正当理由的要求、道德门槛与军事拒服兵役
J Relig Ethics. 2024 Mar;52(1):133-155. doi: 10.1111/jore.12451.
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The Association Between Religion and Healthcare Professionals' Attitudes Towards the Conscience Clause. A Preliminary Study From Poland.宗教与医疗保健专业人员对良心条款态度之间的关联。来自波兰的初步研究。
Int J Public Health. 2023 Dec 1;68:1606526. doi: 10.3389/ijph.2023.1606526. eCollection 2023.
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Conscientious Objection in Health Care: Pinning down the Reasonability View.
医疗保健中的良心拒绝:确定合理性观点。
J Med Philos. 2021 Jan 25;46(1):37-57. doi: 10.1093/jmp/jhaa029.
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Quotas: Enabling Conscientious Objection to Coexist with Abortion Access.配额制:使出于良心拒行堕胎与堕胎可及性共存。
Health Care Anal. 2021 Jun;29(2):154-169. doi: 10.1007/s10728-020-00419-5. Epub 2020 Nov 19.
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Protecting reasonable conscientious refusals in health care.保护医疗保健中的合理凭良心拒绝。
Theor Med Bioeth. 2019 Dec;40(6):565-581. doi: 10.1007/s11017-019-09512-w.
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Conscientious objection in healthcare, referral and the military analogy.医疗保健中的良心拒斥、转诊与军事类比。
J Med Ethics. 2017 Apr;43(4):218-221. doi: 10.1136/medethics-2016-103777. Epub 2016 Sep 29.