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Quotas: Enabling Conscientious Objection to Coexist with Abortion Access

The debate regarding the role of conscientious objection in healthcare has been protracted, with increasing demands for curbs on conscientious objection. There is a growing body of evidence that indicates that in some cases, high rates of conscientious objection can affect access to legal medical se...

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Autores principales: Rodger, Daniel, Blackshaw, Bruce P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8106580/
https://www.ncbi.nlm.nih.gov/pubmed/33211218
http://dx.doi.org/10.1007/s10728-020-00419-5
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author Rodger, Daniel
Blackshaw, Bruce P.
author_facet Rodger, Daniel
Blackshaw, Bruce P.
author_sort Rodger, Daniel
collection PubMed
description The debate regarding the role of conscientious objection in healthcare has been protracted, with increasing demands for curbs on conscientious objection. There is a growing body of evidence that indicates that in some cases, high rates of conscientious objection can affect access to legal medical services such as abortion—a major concern of critics of conscientious objection. Moreover, few solutions have been put forward that aim to satisfy both this concern and that of defenders of conscientious objection—being expected to participate in the provision of services that compromise their moral integrity. Here we attempt to bring some resolution to the debate by proposing a pragmatic, long-term solution offering what we believe to be an acceptable compromise—a quota system for medical trainees in specialties where a conscientious objection can be exercised, and is known to cause conflict. We envisage two main objectives of the quota system we propose. First, as a means to introduce conscientious objection into countries where this is not presently permitted. Second, to minimise or eliminate the effects of high rates of conscientious objection in countries such as Italy, where access to legal abortion provision can be negatively affected.
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spelling pubmed-81065802021-05-24 Quotas: Enabling Conscientious Objection to Coexist with Abortion Access Rodger, Daniel Blackshaw, Bruce P. Health Care Anal Original Article The debate regarding the role of conscientious objection in healthcare has been protracted, with increasing demands for curbs on conscientious objection. There is a growing body of evidence that indicates that in some cases, high rates of conscientious objection can affect access to legal medical services such as abortion—a major concern of critics of conscientious objection. Moreover, few solutions have been put forward that aim to satisfy both this concern and that of defenders of conscientious objection—being expected to participate in the provision of services that compromise their moral integrity. Here we attempt to bring some resolution to the debate by proposing a pragmatic, long-term solution offering what we believe to be an acceptable compromise—a quota system for medical trainees in specialties where a conscientious objection can be exercised, and is known to cause conflict. We envisage two main objectives of the quota system we propose. First, as a means to introduce conscientious objection into countries where this is not presently permitted. Second, to minimise or eliminate the effects of high rates of conscientious objection in countries such as Italy, where access to legal abortion provision can be negatively affected. Springer US 2020-11-19 2021 /pmc/articles/PMC8106580/ /pubmed/33211218 http://dx.doi.org/10.1007/s10728-020-00419-5 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Rodger, Daniel
Blackshaw, Bruce P.
Quotas: Enabling Conscientious Objection to Coexist with Abortion Access
title Quotas: Enabling Conscientious Objection to Coexist with Abortion Access
title_full Quotas: Enabling Conscientious Objection to Coexist with Abortion Access
title_fullStr Quotas: Enabling Conscientious Objection to Coexist with Abortion Access
title_full_unstemmed Quotas: Enabling Conscientious Objection to Coexist with Abortion Access
title_short Quotas: Enabling Conscientious Objection to Coexist with Abortion Access
title_sort quotas: enabling conscientious objection to coexist with abortion access
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8106580/
https://www.ncbi.nlm.nih.gov/pubmed/33211218
http://dx.doi.org/10.1007/s10728-020-00419-5
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