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医学中出于良知拒服兵役的理由、合理性及相关地位确立

Reasons, reasonability and establishing conscientious objector status in medicine.

作者信息

Card Robert F

出版信息

J Med Ethics. 2017 Apr;43(4):222-225. doi: 10.1136/medethics-2016-103792. Epub 2016 Sep 28.

Abstract

This paper builds upon previous work in which I argue that we should assess a provider's reasons for his or her objection before granting a conscientious exemption. For instance, if the medical professional's reasoned basis involves an empirical mistake, an accommodation is not warranted. This article poses and begins to address several deep questions about the workings of what I call a reason-giving view: What standard should we use to assess reasons? What policy should we adopt in order to evaluate the reasons offered by medical practitioners in support of their objections? I argue for a reasonability standard to perform the essential function of assessing reasons, and I offer considerations in support of a policy establishing conscientious objector status in medicine.

摘要

本文建立在我之前的研究基础之上,在之前的研究中我主张,在给予出于良心拒服兵役的豁免之前,我们应该评估提供者提出反对意见的理由。例如,如果医学专业人员提出的合理依据涉及经验性错误,那么给予通融就没有必要。本文提出并开始探讨几个关于我所称的“给出理由观点”的运作的深层次问题:我们应该用什么标准来评估理由?我们应该采取什么政策来评估医生提出的支持其反对意见的理由?我主张采用合理性标准来履行评估理由的基本职能,并且我提出了一些考虑因素来支持一项在医学领域确立出于良心拒服兵役者地位的政策。

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