Abortion restrictions: the case for conscientious non-compliance on the part of providers.

IF 3.3 2区 哲学 Q1 ETHICS Journal of Medical Ethics Pub Date : 2024-02-20 DOI:10.1136/jme-2023-108964
Pierce Randall, Jacob Mago
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Abstract

This paper offers a qualified defence of physician non-compliance with antiabortion legislation in the wake of the Supreme Court's decision in Dobbs v. Jackson Women's Health Organization. The paper examines two ethically troubling trends of post-Dobbs legislation: narrow and vague maternal health exemption clauses and mandatory reporting of miscarriages in jurisdictions where patients may criminal prosecution for medically induced abortions. It then examines and defends a professional obligation on the part of physicians to comply with the law. This obligation, however, is defeasible. The paper then argues that physicians' obligations to comply with the law is defeated when the law is illegitimate and following the law would constitute bad medical practice. Finally, it argues that the ethically troubling trends in post-Dobbs antiabortion legislation may meet these criteria.

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堕胎限制:服务提供者出于良心不遵守规定的理由。
在最高法院对 "多布斯诉杰克逊妇女健康组织 "一案做出判决后,本文对医生不遵守反堕胎立法的行为进行了有条件的辩护。本文探讨了多布斯案后立法中两个令人担忧的伦理趋势:狭隘而模糊的产妇健康豁免条款,以及在患者可能因医学堕胎而被刑事起诉的司法管辖区强制报告流产。随后,报告对医生遵守法律的职业义务进行了研究和辩护。然而,这一义务是可以推翻的。然后,本文论证了当法律不合法且遵守法律会构成不良医疗行为时,医生遵守法律的义务就会落空。最后,本文认为,后多布斯时代反堕胎立法在伦理方面令人不安的趋势可能符合这些标准。
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来源期刊
Journal of Medical Ethics
Journal of Medical Ethics 医学-医学:伦理
CiteScore
7.80
自引率
9.80%
发文量
164
审稿时长
4-8 weeks
期刊介绍: Journal of Medical Ethics is a leading international journal that reflects the whole field of medical ethics. The journal seeks to promote ethical reflection and conduct in scientific research and medical practice. It features articles on various ethical aspects of health care relevant to health care professionals, members of clinical ethics committees, medical ethics professionals, researchers and bioscientists, policy makers and patients. Subscribers to the Journal of Medical Ethics also receive Medical Humanities journal at no extra cost. JME is the official journal of the Institute of Medical Ethics.
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