Minerva Francesca
Camb Q Healthc Ethics. 2017 Jan;26(1):109-119. doi: 10.1017/S0963180116000682.
This article analyzes the problem of complicity in wrongdoing in the case of healthcare practitioners (and in particular Roman Catholic ones) who refuse to perform abortions, but who are nonetheless required to facilitate abortions by informing their patients about this option and by referring them to a willing colleague. Although this solution is widely supported in the literature and is also widely represented in much legislation, the argument here is that it fails to both (1) safeguard the well-being of the patients, and (2) protect the moral integrity of healthcare practitioners. Finally, the article proposes a new solution to this problem that is based on a desirable ratio of conscientious objectors to non-conscientious objectors in a hospital or in a given geographic area.
本文分析了医疗从业者(尤其是罗马天主教徒)拒绝实施堕胎手术,但却被要求通过告知患者有堕胎这一选择并将患者转介给愿意实施手术的同事来协助堕胎的情况下的同谋 wrongdoing 问题。尽管这种解决方案在文献中得到广泛支持,并且在许多立法中也有广泛体现,但本文认为它未能同时做到:(1)保障患者的福祉;(2)保护医疗从业者的道德完整性。最后,本文提出了一个针对该问题的新解决方案,该方案基于医院或特定地理区域内出于良心拒服兵役者与非出于良心拒服兵役者的理想比例。