Roberts Adam James
J Med Ethics. 2016 Nov;42(11):698-700. doi: 10.1136/medethics-2016-103395. Epub 2016 May 20.
The first aim of this article is to offer a framework for constructive and rigorous discussions of the ethics of doctors' strikes, beginning with an in-principle distinction between the questions of how one should conduct oneself while working as a doctor and when and how one can suspend that work. The second is to explore how that framework applies to the contemporary British case of strikes by English junior doctors, with my suggestion being that those strikes do meet all of the criteria proposed. In closing, I gesture towards a further ethical dimension to strikes which is too often overlooked: namely, the responsibilities of employers and others not to misrepresent or demonise those doctors who are engaged in or considering taking industrial action.
本文的首要目的是提供一个框架,以便对医生罢工的伦理问题进行建设性且严谨的讨论,首先要在原则上区分作为医生工作时应如何行事的问题,以及何时以及如何能够暂停这项工作的问题。其次是探讨该框架如何适用于当代英国初级医生罢工的案例,我的观点是这些罢工确实符合所提出的所有标准。最后,我提及罢工中一个常被忽视的更深层次的伦理维度:即雇主和其他人有责任不歪曲或妖魔化那些正在进行或考虑采取工业行动的医生。