Savulescu Julian, Schuklenk Udo
Bioethics. 2018 Sep;32(7):473-476. doi: 10.1111/bioe.12459. Epub 2018 Jun 19.
Hughes offers a consequentialist response to our rejection of accommodation of conscientious objection in medicine. We argue here that his compromise proposition has been tried in many jurisdictions and has failed to deliver unimpeded access to care for eligible patients. The compromise position, entailing an accommodation of conscientious objection provided there is unimpeded access, fails to grasp that the objectors are both determined not to provide services they object to as well as to subvert patient access to the objected to services. Unpredictable future developments in drug R&D and resulting treatment and prevention options in medicine make the compromise position unrealistic.
休斯针对我们反对在医学中迁就出于良心拒服兵役者的观点给出了一种结果主义的回应。我们在此论证，他的折衷提议已在许多司法管辖区试行过，但未能为符合条件的患者提供畅通无阻的医疗服务。这种折衷立场，即在确保畅通无阻的情况下迁就出于良心拒服兵役者，没有认识到反对者既坚决不愿提供他们反对的服务，也试图破坏患者获得这些被反对服务的机会。药物研发未来不可预测的发展以及由此产生的医学治疗和预防选择使得这种折衷立场不切实际。
