Trigg Roger
Camb Q Healthc Ethics. 2017 Jan;26(1):32-43. doi: 10.1017/S0963180116000633.
Complicity in an immoral, and even criminal, activity, such as robbery or murder, is itself regarded as involving responsibility for those acts. What should the position be of health professionals who are expected to participate in actions that they believe are morally wrong? Professional responsibilities may clash with private conscience. Even referring a patient to someone else, when what is in question may be assisted suicide, or euthanasia, seems to involve some complicity. This is a live issue in Canada, but similar dilemmas occur elsewhere. Physicians and others should not be coerced into involvement of any kind in what they regard as wrong. Such coercion goes against the very principles of liberal democracy. Conscience matters. Reasonable accommodation should be given to those whose moral judgment may be at variance with prevailing professional norms. Moral questions should still be given weight within medicine, and disagreements respected. Dedication to the promotion of human welfare should be paramount, but it should be recognized that there may be different visions of what such welfare consists of.
参与不道德甚至犯罪活动，如抢劫或谋杀，本身就被视为要对这些行为负责。对于那些被期望参与他们认为在道德上错误的行为的医疗专业人员，情况应该如何呢？职业责任可能与个人良知发生冲突。即使是在可能涉及协助自杀或安乐死的问题上，将患者转介给其他人似乎也涉及某种共谋。这在加拿大是一个现实问题，但类似的困境在其他地方也会出现。医生和其他人不应被强迫参与他们认为是错误的任何事情。这种强迫违背了自由民主的基本原则。良知很重要。对于那些道德判断可能与现行职业规范不同的人，应该给予合理的迁就。道德问题在医学领域仍然应该受到重视，分歧应该得到尊重。致力于促进人类福祉应该是首要的，但应该认识到，对于这种福祉包括什么可能有不同的看法。
