Hec Forum最新文献_第10页

Conscientious Objection in Medicine: Making it Public. 医学中的良心反对:公开。

IF 1.5 4区哲学

Hec Forum Pub Date : 2021-09-01 DOI: 10.1007/s10730-020-09401-z

Nir Ben-Moshe

{"title":"Conscientious Objection in Medicine: Making it Public.","authors":"Nir Ben-Moshe","doi":"10.1007/s10730-020-09401-z","DOIUrl":"https://doi.org/10.1007/s10730-020-09401-z","url":null,"abstract":"The literature on conscientious objection in medicine presents two key problems that remain unresolved: (a) Which conscientious objections in medicine are justified, if it is not feasible for individual medical practitioners to conclusively demonstrate the genuineness or reasonableness of their objections (\"the justification problem\")? (b) How does one respect both medical practitioners' claims of conscience and patients' interests, without leaving practitioners complicit in perceived or actual wrongdoing (\"the complicity problem\")? My aim in this paper is to offer a new framework for conscientious objections in medicine, which, by bringing medical professionals' conscientious objection into the public realm, solves the justification and complicity problems. In particular, I will argue that: (a) an \"Uber Conscientious Objection in Medicine Committee\" (\"UCOM Committee\")-which includes representatives from the medical community and from other professions, as well as from various religions and from the patient population-should assess various well-known conscientious objections in medicine in terms of public reason and decide which conscientious objections should be permitted, without hearing out individual conscientious objectors; (b) medical practitioners should advertise their (UCOM Committee preapproved) conscientious objections, ahead of time, in an online database that would be easily accessible to the public, without being required, in most cases, to refer patients to non-objecting practitioners.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":"33 3","pages":"269-289"},"PeriodicalIF":1.5,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10730-020-09401-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37779397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Considerations of Conscience. 良心的考虑。

IF 1.5 4区哲学

Hec Forum Pub Date : 2021-09-01 Epub Date: 2021-07-15 DOI: 10.1007/s10730-021-09457-5

Bryan Pilkington

{"title":"Considerations of Conscience.","authors":"Bryan Pilkington","doi":"10.1007/s10730-021-09457-5","DOIUrl":"https://doi.org/10.1007/s10730-021-09457-5","url":null,"abstract":"The proper role of conscience in healthcare continues to be a topic of deep interest for bioethicists, healthcare professionals, and health policy experts. This issue of HEC Forum brings together a collection of articles about features of these ongoing discussions of conscience, advancing the conversations about conscience in healthcare from a variety of perspectives and on a variety of fronts. Some articles in this issue take up particularly challenging cases of conscientious objection in practice, such as Fleming, Frith, and Ramsayer's contextually rich piece on midwives in Scotland or Harter's professionally grounded analysis; others engage the changing institutional landscapes which impact considerations of conscience, such as Cummins' work on the role of employers in institutional policies about conscience and Ben Moshe's discussion of publicity and institutional committees. Pieces by Howard and Pilkington both raise conceptual considerations about how we think about the role of conscience in medicine, questioning the use of \"conscientious objection\" in these discussions, and Byrnes pushes back on the most influential work in this area by Mark Wicclair. The issue concludes with a piece by Wicclair, which engages each of these distinct offerings, further extending the discussions of conscience in healthcare and helpfully connecting key themes discussed by authors in this issue to his contributions and to the longer tradition of discussions of conscience in medicine. This issue challenges readers to engage different arguments from different perspectives and asks them-in some cases-to be open to revising how they think about the role of conscience and the existence of and justification for conscientious objection in the dynamic, interdisciplinary fields of healthcare.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":"33 3","pages":"165-174"},"PeriodicalIF":1.5,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10730-021-09457-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39190352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Civil Disobedience, Not Merely Conscientious Objection, In Medicine. 医学中的公民不服从，而不仅仅是出于良心的反对。

IF 1.5 4区哲学

Hec Forum Pub Date : 2021-09-01 DOI: 10.1007/s10730-020-09417-5

Dana Howard

{"title":"Civil Disobedience, Not Merely Conscientious Objection, In Medicine.","authors":"Dana Howard","doi":"10.1007/s10730-020-09417-5","DOIUrl":"https://doi.org/10.1007/s10730-020-09417-5","url":null,"abstract":"Those arguing that conscientious objection in medicine should be declared unethical by professional societies face the following challenge: conscientious objection can function as an important reforming mechanism when it involves health care workers refusing to participate in certain medical interventions deemed standard of care and legally sanctioned but which undermine patients' rights. In such cases, the argument goes, far from being unethical, conscientious objection may actually be a professional duty. I examine this sort of challenge and ultimately argue that these acts of conscience done in the interest of reforming professional norms or medical regulations are best understood as episodes of civil disobedience rather than episodes of conscientious objection. In contrast to the private, exempting nature of conscientious objection, civil disobedience is a public breach of a norm or law undertaken with the aim of bringing about a change in governmental policies or professional standards. Consequently, clinicians may have a duty to engage in civil disobedience even while professional societies are right to declare limitations on the ethical appropriateness of conscientious objection.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":"33 3","pages":"215-232"},"PeriodicalIF":1.5,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10730-020-09417-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38286796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Commentary: Special Issue on Conscientious Objection. 评论:良心拒服兵役特刊。

IF 1.5 4区哲学

Hec Forum Pub Date : 2021-09-01 Epub Date: 2021-08-20 DOI: 10.1007/s10730-021-09458-4

Mark R Wicclair

引用次数: 1

Conscience Dissenters and Disagreement: Professions are Only as Good as Their Practitioners. 良心异议和分歧:职业的好坏取决于从业人员。

IF 1.5 4区哲学

Hec Forum Pub Date : 2021-09-01 DOI: 10.1007/s10730-020-09395-8

Bryan C Pilkington

{"title":"Conscience Dissenters and Disagreement: Professions are Only as Good as Their Practitioners.","authors":"Bryan C Pilkington","doi":"10.1007/s10730-020-09395-8","DOIUrl":"https://doi.org/10.1007/s10730-020-09395-8","url":null,"abstract":"In this paper, I consider the role of conscience in medical practice. If the conscientious practice of individual practitioners cannot be defended or is incoherent or unreasonable on its own merits, then there is little reason to support conscience protection and to argue about its place in the current medical landscape. If this is the case, conscience protection should be abandoned. To the contrary, I argue that conscience protection should not be abandoned. My argument takes the form of an analysis of an essential feature of the conscience dissenter's argument, the role of disagreement within \"the medical profession.\" Conscience dissenters make certain assumptions within their arguments about the profession, disagreements within the professions, and how such disagreement should be adjudicated. If it is the case that these assumptions are accurate reflections of the current medical landscape, then the advocate of conscience protection has one less leg to stand on. I aim to show that this is not the case and that the assumptions of the conscience dissenter are not only mistaken but are mistakes of significant magnitude, so significant as to raise serious questions about the merit of their position. If the argument in this paper is sound, then, at the very least, the conversation over conscience protection in medicine, in particular, and health care, in general, must continue.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":"33 3","pages":"233-245"},"PeriodicalIF":1.5,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10730-020-09395-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37689496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

The Cost of Safety During a Pandemic. 大流行期间的安全成本。

IF 1.5 4区哲学

Hec Forum Pub Date : 2021-06-01 Epub Date: 2021-03-06 DOI: 10.1007/s10730-020-09438-0

Rachel M B Greiner

引用次数: 1

A Journal of the COVID-19 (Plague) Year. 2019冠状病毒病(鼠疫)年杂志

IF 1.5 4区哲学

Hec Forum Pub Date : 2021-06-01 Epub Date: 2021-03-23 DOI: 10.1007/s10730-021-09448-6

Brian H Childs, Laura Vearrier

{"title":"A Journal of the COVID-19 (Plague) Year.","authors":"Brian H Childs, Laura Vearrier","doi":"10.1007/s10730-021-09448-6","DOIUrl":"https://doi.org/10.1007/s10730-021-09448-6","url":null,"abstract":"The essays in this special issue of HEC Forum provide reflections that make explicit the implicit anthropology that our current pandemic has brought but which in the medical ethics literature around COVID-19 has to a great extent ignored. Three of the essays are clearly \"journalistic\" as a literary genre: one by a hospital chaplain, one by a medical student in her pre-clinical years, and one by a fourth-year medical student who reports her experience as she completed her undergraduate clerkships and applied for positions in graduate medical education. Other essays explore the pandemic from historical, sociological, and economic perspectives, particularly how triage policies have been found to be largely blind to structural healthcare disparities, while simultaneously unable to appropriately address those disparities. Central issues that need to be addressed in triage are not just whether a utilitarian response is the most just response, but what exactly is the greatest good for the greatest number? Together, the essays in this special issue of HEC Forum create a call for a more anthropological approach to understanding health and healthcare. The narrow approach of viewing health as resulting primarily from healthcare will continue to hinder advances and perpetuate disparities. Health outcomes result from a complex interaction of various social, economic, cultural, historical, and political factors. Advancing healthcare requires contextualizing the health of populations amongst these factors. The COVID-19 pandemic has made us keenly aware of how interdependent our health as a society can be.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":"33 1-2","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10730-021-09448-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25507984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction to: A Tale of Two Crises: Addressing Covid‑19 Vaccine Hesitancy as Promoting Racial Justice. 更正:两个危机的故事:解决Covid - 19疫苗犹豫作为促进种族正义。

IF 1.5 4区哲学

Hec Forum Pub Date : 2021-06-01 DOI: 10.1007/s10730-021-09446-8

Lauren Bunch

引用次数: 1

Academic During a Pandemic: Reflections from a Medical Student on Learning During SARS-CoVid-2. 大流行时期的学术:一位医学生对SARS-CoVid-2期间学习的思考。

IF 1.5 4区哲学

Hec Forum Pub Date : 2021-06-01 Epub Date: 2021-01-13 DOI: 10.1007/s10730-021-09439-7

Vivian Anderson

引用次数: 1

Oral Health Matters: The Ethics of Providing Oral Health During COVID-19. 口腔健康问题：在 COVID-19 期间提供口腔保健服务的道德规范。