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Remember Evil: Remaining Assumptions In Autonomy-based Accounts Of Conscience Protection
1Seton Hall University, Nutley, NJ, USA. bryan.pilkington@shu.edu.
Journal of Bioethical Inquiry
|December 4, 2019
Summary
This paper examines the ethical justification for conscience protection in medicine, specifically focusing on autonomy-based arguments. It clarifies a critique of existing arguments and corrects misinterpretations.
Area of Science:
- Medical Ethics
- Philosophy of Medicine
- Professional Autonomy
Background:
- Discussions on conscience and practitioner judgment in medicine are increasing due to potential risks like patient abandonment and malpractice.
- Concerns arise amid societal polarization, impacting professions historically seeking protected spaces.
Purpose of the Study:
- To address the justification of conscience protection rooted in autonomy.
- To respond to Greenblum and Kasperbaur's (2018) argument and clarify a prior critique (2016).
Main Methods:
- Recap of the central contention of an autonomy-based conscience protection argument.
- Analysis of Greenblum and Kasperbaur's interpretation of autonomy and the critique.
- Correction of misinterpretations regarding the author's work and autonomy-based defenses.
Main Results:
- Identifies and corrects a misinterpretation of the author's critique of autonomy-based conscience protection.
- Clarifies the application of autonomy principles in justifying medical conscience protections.
- Highlights potential flaws in Greenblum and Kasperbaur's defense and interpretation.
Conclusions:
- Autonomy-based justifications for medical conscience protection require careful articulation to avoid misinterpretation.
- The paper contributes to the ongoing debate on balancing practitioner conscience with patient welfare and professional integrity.
- Accurate interpretation of philosophical arguments is crucial for advancing ethical discussions in medicine.
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