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天主教医院应允许医生为强奸受害者提供紧急避孕措施,作为一种出于良心的救助行为。

Catholic Hospitals Should Permit Physicians to Provide Emergency Contraception to Rape Victims as an Act of Conscientious Provision.

作者信息

Brummett Abram, Mason-Maready Marlee, Whiting Victoria

机构信息

Oakland University William Beaumont School of Medicine, Rochester, MI, USA.

Royal Oak Beaumont Hospital, Royal Oak, MI, USA.

出版信息

Linacre Q. 2023 Feb;90(1):24-34. doi: 10.1177/00243639221098227. Epub 2022 May 20.

Abstract

While many Catholic hospitals permit the prescription of the emergency contraception drug levonorgestrel for rape victims, some continue to prohibit this practice as a matter of institutional conscience. While the standard approach to this issue has been to offer an argument that levonorgestrel either is or is not morally permissible, we have taken a different tack. We begin by briefly describing and acknowledging that reasonable disagreement exists on this question (part one), and then arguing that the reasonable disagreement itself can serve as a compelling basis for Catholic leadership at hospitals that prohibit emergency contraception for rape victims to accommodate physicians who wish to provide levonorgestrel as a matter of conscience (part two). We end by anticipating and responding to some objections.

摘要

虽然许多天主教医院允许为强奸受害者开具紧急避孕药左炔诺孕酮,但一些医院出于机构良知仍继续禁止这种做法。虽然处理这个问题的标准方法是提出一种观点,即左炔诺孕酮在道德上是允许或不允许的,但我们采取了不同的策略。我们首先简要描述并承认在这个问题上存在合理的分歧(第一部分),然后论证这种合理的分歧本身可以成为一个令人信服的依据,促使那些禁止为强奸受害者提供紧急避孕药的天主教医院领导层,去迁就那些出于良知希望提供左炔诺孕酮的医生(第二部分)。最后,我们预想并回应一些反对意见。

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Protecting reasonable conscientious refusals in health care.保护医疗保健中的合理凭良心拒绝。
Theor Med Bioeth. 2019 Dec;40(6):565-581. doi: 10.1007/s11017-019-09512-w.
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UPA and LNG in emergency contraception: the information by EMA and the scientific evidences indicate a prevalent anti-implantation effect.
Eur J Contracept Reprod Health Care. 2019 Feb;24(1):4-10. doi: 10.1080/13625187.2018.1555662. Epub 2019 Jan 18.

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