Conscience in Reproductive Health Care

Conscience in Reproductive Health Care
Author: Carolyn McLeod
Publisher:
Total Pages: 217
Release: 2020
Genre: Medical
ISBN: 0198732724

In Conscience in Reproductive Health Care, Carolyn McLeod responds to a growing worldwide trend of health care professionals conscientiously refusing to provide abortions and similar reproductive health services in countries where these services are legal and professionally accepted. She argues that conscientious objectors in health care should have to prioritize the interests of patients in receiving care over their own interest in acting on their conscience. McLeod defends this 'prioritizing approach' to conscientious objection over the more popular 'compromise approach' in bioethics--without downplaying the importance of health care professionals having a conscience or the moral complexity of their conscientious refusals. She begins with a description of what is at stake for the main parties to the conflicts generated by conscientious refusals in reproductive health care: the objector and the patient. Her central argument for the prioritizing approach is that health care professionals who are charged with gatekeeping access to services such as abortions are fiduciaries for their patients and for the public they are licensed to serve. As such, they have a duty of loyalty to these beneficiaries and must give primacy to their interests in gaining access to care. McLeod provides insights into ethical issues extending beyond the question of conscientious refusal, including the value of conscience and the fundamental moral nature of the relationships health care professionals have with current and prospective patients.

Conscientious Objection in Health Care

Conscientious Objection in Health Care
Author: Mark R. Wicclair
Publisher: Cambridge University Press
Total Pages: 267
Release: 2011-05-26
Genre: Philosophy
ISBN: 1139500198

Historically associated with military service, conscientious objection has become a significant phenomenon in health care. Mark Wicclair offers a comprehensive ethical analysis of conscientious objection in three representative health care professions: medicine, nursing and pharmacy. He critically examines two extreme positions: the 'incompatibility thesis', that it is contrary to the professional obligations of practitioners to refuse provision of any service within the scope of their professional competence; and 'conscience absolutism', that they should be exempted from performing any action contrary to their conscience. He argues for a compromise approach that accommodates conscience-based refusals within the limits of specified ethical constraints. He also explores conscientious objection by students in each of the three professions, discusses conscience protection legislation and conscience-based refusals by pharmacies and hospitals, and analyzes several cases. His book is a valuable resource for scholars, professionals, trainees, students, and anyone interested in this increasingly important aspect of health care.

Doctors of Conscience

Doctors of Conscience
Author: Carole E. Joffe
Publisher: Beacon Press
Total Pages: 272
Release: 1996-08-31
Genre: Social Science
ISBN: 9780807021019

The real story of the medical campaign against abortionthrough the eyes of pro-choice physicians. The real story of the medical campaign against abortionthrough the eyes of pro-choice physicians. Read more from Beacon Press author Carole Joffe on RHrealitycheck.org "Well-researched and clearly written. . . Provides a compelling narrative of the dedication of doctors who have braved society's continuing ambivalence toward women's right to choose." —K. Kaufmann, San Francisco Examiner-Chronicle A fabulous read. . . intense and absorbing. —Marge Berer, Women's Review of Books

Conscience and Catholic Health Care

Conscience and Catholic Health Care
Author: DeCosse, David E.
Publisher: Orbis Books
Total Pages: 217
Release: 2017-03-16
Genre: Religion
ISBN: 1608336778

Drawn from a two-day symposium at Santa Clara University, Conscience and Catholic Health Care provides a timely and up-to-date assessment of the Catholic understanding of conscience and how it relates to day-to-day issues in Catholic health care. The contributors explore a wide range of topics, including end-of-life care, abortion and sterilization, and the role of Catholic ethics particularly in hospital settings. With insights from key figures this book will serve as a useful text and reference for medical students and practitioners as well as a resource for ethics boards and chaplains in Catholic hospitals, most especially those merging with secular health institutions. In addition to the editors, contributors include Ron Hamel, Anne E. Patrick, Roberto Dell'Oro, Lisa Fullam, Kristin E. Heyer, John J. Paris, M. Patrick Moore, Jr., Cathleen Kaveny, Lawrence J. Nelson, Kevin T. FitzGerald, SJ, Gerald Coleman, Margaret R. McLean, Shawnee M. Daniels-Sykes, and Carol Taylor. (Publisher)

The Conscience Wars

The Conscience Wars
Author: Michel Rosenfeld
Publisher:
Total Pages: 515
Release: 2018-07-05
Genre: Law
ISBN: 1107173302

Explores the multifaceted debate on the interconnection between conscientious objections, religious liberty, and the equality of women and sexual minorities.

A New Theory of Conscientious Objection in Medicine

A New Theory of Conscientious Objection in Medicine
Author: Robert F. Card
Publisher: Routledge
Total Pages: 367
Release: 2020-04-19
Genre: Philosophy
ISBN: 1000066959

This book argues that a conscientiously objecting medical professional should receive an exemption only if the grounds of an objector’s refusal are reasonable. It defends a detailed, contextual account of public reasonability suited for healthcare, which builds from the overarching concept of Rawlsian public reason. The author analyzes the main competing positions and maintains that these other views fail precisely due to their systematic inattention to the grounding reasons behind a conscientious objection; he argues that any such view is plausible to the extent that it mimics the ‘reason-giving requirement’ for conscience objections defended in this work. Only reasonable objections can defeat the prior professional obligation to assign primacy to patient well-being, therefore one who refuses a patient’s request for a legally available, medically indicated, and safe service must be able to explain the grounds of their objection in terms understandable to other citizens within the public institutional structure of medicine. The book further offers a novel policy proposal to deploy the Reasonability View: establishing conscientious objector status in medicine. It concludes that the Reasonability View is a viable and attractive position in this debate. A New Theory of Conscientious Objection in Medicine: Justification and Reasonability will be of interest to researchers and advanced students working in bioethics, medical ethics, and philosophy of medicine, as well as thinkers interested in the intersections between law, medical humanities, and philosophy.

Self-trust and Reproductive Autonomy

Self-trust and Reproductive Autonomy
Author: Carolyn McLeod
Publisher: Mit Press
Total Pages: 199
Release: 2002
Genre: Medical
ISBN: 9780262134088

A study of the importance of self-trust for women's autonomy in reproductive health. The power of new medical technologies, the cultural authority of physicians, and the gendered power dynamics of many patient-physician relationships can all inhibit women's reproductive freedom. Often these factors interfere with women's ability to trust themselves to choose and act in ways that are consistent with their own goals and values. In this book Carolyn McLeod introduces to the reproductive ethics literature the idea that in reproductive health care women's self-trust can be undermined in ways that threaten their autonomy. Understanding the importance of self-trust for autonomy, McLeod argues, is crucial to understanding the limits on women's reproductive freedom. McLeod brings feminist insights in philosophical moral psychology to reproductive ethics, and to health-care ethics more broadly. She identifies the social environments in which self-trust is formed and encouraged. She also shows how women's experiences of reproductive health care can enrich our understanding of self-trust and autonomy as philosophical concepts. The book's theoretical components are grounded in women's concrete experiences. The cases discussed, which involve miscarriage, infertility treatment, and prenatal diagnosis, show that what many women feel toward themselves in reproductive contexts is analogous to what we feel toward others when we trust or distrust them. McLeod also discusses what health-care providers can do to minimize the barriers to women's self-trust in reproductive health care, and why they have a duty to do so as part of their larger duty to respect patient autonomy.

The Oxford Handbook of Reproductive Ethics

The Oxford Handbook of Reproductive Ethics
Author: Leslie Francis
Publisher: Oxford University Press
Total Pages: 681
Release: 2017
Genre: Medical
ISBN: 0199981876

Intimate and medicalized, natural and technological, reproduction poses some of the most challenging ethical dilemmas of our time. This volume brings together scholars from multiple perspectives to address both traditional and novel questions about the rights and responsibilities of human reproducers, their caregivers, and the societies in which they live.

The Moral Case for Abortion

The Moral Case for Abortion
Author: Ann Furedi
Publisher: Springer
Total Pages: 173
Release: 2016-07-27
Genre: Political Science
ISBN: 1137411198

This thought-provoking book sets out the ethical arguments for a woman’s right to choose. Drawing on the traditions of sociological thinking and moral philosophy, it maintains that there is a strong moral case for recognizing autonomy in personal decision-making about reproductive intentions. More than this, it argues that to prevent a woman from making her own choice to continue or end her pregnancy is to undermine the essence of her humanity. The author, a provider of abortion services in the UK, asserts that true respect for human life and true regard for individual conscience demand that we respect a woman’s right to decide, and that support for a woman’s right to a termination has moral foundations and ethical integrity. This fresh perspective on abortion will interest both pro- and anti-choice individuals and organizations, along with academics in the fields of gender studies, philosophy, ethics and religion.

Conflicts of Conscience in Health Care

Conflicts of Conscience in Health Care
Author: Holly Fernandez Lynch
Publisher: MIT Press
Total Pages: 363
Release: 2010-08-13
Genre: Science
ISBN: 0262263637

A balanced proposal that protects both a patient's access to care and a physician's ability to refuse to provide certain services for reasons of conscience. Physicians in the United States who refuse to perform a variety of legally permissible medical services because of their own moral objections are often protected by “conscience clauses.” These laws, on the books in nearly every state since the legalization of abortion by Roe v. Wade, shield physicians and other health professionals from such potential consequences of refusal as liability and dismissal. While some praise conscience clauses as protecting important freedoms, opponents, concerned with patient access to care, argue that professional refusals should be tolerated only when they are based on valid medical grounds. In Conflicts of Conscience in Health Care, Holly Fernandez Lynch finds a way around the polarizing rhetoric associated with this issue by proposing a compromise that protects both a patient's access to care and a physician's ability to refuse. This focus on compromise is crucial, as new uses of medical technology expand the controversy beyond abortion and contraception to reach an increasing number of doctors and patients. Lynch argues that doctor-patient matching on the basis of personal moral values would eliminate, or at least minimize, many conflicts of conscience, and suggests that state licensing boards facilitate this goal. Licensing boards would be responsible for balancing the interests of doctors and patients by ensuring a sufficient number of willing physicians such that no physician's refusal leaves a patient entirely without access to desired medical services. This proposed solution, Lynch argues, accommodates patients' freedoms while leaving important room in the profession for individuals who find some of the capabilities of medical technology to be ethically objectionable.