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Protecting reasonable conscientious refusals in health care.
Theoretical Medicine and Bioethics ( IF 1.1 ) Pub Date : 2019-11-26 , DOI: 10.1007/s11017-019-09512-w
Jason T Eberl 1
Affiliation  

Recently, debate over whether health care providers should have a protected right to conscientiously refuse to offer legal health care services—such as abortion, elective sterilization, aid in dying, or treatments for transgender patients—has grown exponentially. I advance a modified compromise view that bases respect for claims of conscientious refusal to provide specific health care services on a publicly defensible rationale. This view requires health care providers who refuse such services to disclose their availability by other providers, as well as to arrange for referrals or facilitate transfers of care. This requirement raises the question of whether providers are being forced to be complicit in the provision of services they deem to be morally objectionable. I conclude by showing how this modified compromise view answers the most significant objections mounted by critics of the right to conscientious refusal and safeguards providers from having to offer services that most directly threaten their moral integrity.

中文翻译:

在医疗保健中保护合理的拒服兵役。

最近,关于医疗保健提供者是否应享有受保护的权利,以认真地拒绝提供法律医疗保健服务(例如流产,择期绝育,协助死亡或对变性患者的治疗)的争论已成倍增长。我提出一种经过修改的折衷观点,该观点基于尊重公众出于可辩护的理由而拒绝提供特定医疗保健服务的主张。这种观点要求拒绝此类服务的医疗保健提供者披露其他提供者的可用性,并安排转诊或促进医疗转移。这项要求提出了一个问题,即是否迫使提供者在提供他们认为在道德上令人反感的服务中成为同谋。
更新日期:2019-11-26
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