A New Theory of Conscientious Objection in Medicine: Justification and Reasonability

The Main ConsiderationsIntroductionWhat Matters: A Thought Experiment in the Real WorldSetting the Stage: What Are Conscience Objections?Conscience, Conscientious Objection Versus Civil Disobedience, and the Problem of Toleration and Public ReasonReasons, Reason-Giving, and the Reasonability ViewIntroduction to Professional ResponsibilityMoral ComplicityNotesBibliographyThe Inescapability of Reasons-AssessmentIntroductionPhilosophical Views: Genuineness ViewMatching ViewIncompatibility ViewReferral ViewThe Reasonability View and the Inescapability of Reasons-AssessmentSome Possible ResponsesIs Assessing Reasons Really Necessary?Reasons Not to Ask for Reasons: Is Assessing Providers’ Reasons Intolerant?ConclusionNotesBibliographyDeveloping the Reasonability ViewIntroductionThe Individual and Social Nature of Justificatory ReasonsReasonability in Medicine and Its Application to Some Core CasesNotesBibliographyFurther Developing the Reasonability ViewIntroductionObjections to the Reasonability StandardThe Reasonability View and Conscientious Objection by Medical StudentsThe Reasonability View and Institutional ConscienceNotesBibliographyFrom Objections to Exemptions: Establishing Conscientious Objector Status in MedicineIntroductionBackground on Military CO StatusMilitary and Medical CO: Why the Existence of One Does Not Necessarily Support the OtherThe Medical Conscientious Objector Board and the Duties of Providers Granted CO StatusWhy Is Establishing CO Status in Medicine an Attractive Policy Proposal?Is Establishing CO Status in Medicine Using a Reasonability Standard Workable? Is It an Impractical Policy?Is Utilizing CO Status as a Policy Irreparably Politically Tainted? Does This Policy Violate Rights?Does a Policy of Medical CO Status Establish a Positive Obligation to Provide Contested Services to Patients?NotesBibliographyAlternative Views, Objections, and RepliesThe Incompatibility View v2.0The Market View: Should We Allow Discriminatory Conscientious Objection?Integrity, the All-or-Nothing Problem, and the Moral Status of Medical PracticesHow Much Should Reasons Matter If We Value Toleration?Concluding NoteNotesBibliography
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