An obligation to provide abortion services: What happens when physicians refuse?

An obligation to provide abortion services: What happens when physicians refuse?
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DOI:
10.1136/jme.22.2.115
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发表时间:
1996-04-01
影响因子:
4.1
通讯作者:
Woods, RD
Woods, RD
中科院分区:
人文科学1区
文献类型:
--
作者:
Meyers, C;Woods, RD

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在美国,获得堕胎服务的机会持续下降。这样做并不是因为立法或法院裁决发生重大变化,而是因为越来越少的医生希望进行堕胎,而且大多数州现在都有“良心拒绝”立法,使医生很容易拒绝堕胎。我们在本文中认为,医生有义务提供所有社会认可的医疗服务,包括堕胎,因此,辩护的责任落在那些希望免除该义务的人身上。也就是说,这些人必须表明要求他们堕胎将如何对其基本道德或宗教信仰构成严重威胁。我们以加州现行法律为例,立法没有考虑医生的义务,因此允许他们轻易宣布出于良心拒服兵役。
Access to abortion services in the United States continues to decline. It does so not because of significant changes in legislation or court rulings but because fewer and fewer physicians wish to perform abortions and because most states now have ''conscientious objection'' legislation that makes it easy for physicians to refuse to do so. We argue in this paper that physicians have an obligation to perform all socially sanctioned medical services, including abortions, and thus that the burden of justification lies upon those who wish to be excused from that obligation. That is, such persons should have to show how requiring them to perform abortions would represent a serious threat to their fundamental moral or religious beliefs. We use current California law as an example of legislation that does not take physicians' obligations into account and thus allows them too easily to declare conscientious objection.