Law Archives - Page 15 of 43 - Protection of Conscience Project Library

Freedom of conscience. Biojuridical conflicts at multicultural societies

Marta Albert Márquez

Pub Med Abstract
The paper [in Spanish] analyzes the right of healthcare professionals to conscientious objection in multicultural societies. The ethical relativism characteristic of these societies abides with an apparently paradoxical reduction of the exercise of freedom of conscience. “Apparently” because, in the end, ethical relativism tends to adopt dogmatic attitudes. Special attention is paid to the situation of Spanish healthcare in relation to euthanasia and abortion. With regard to euthanasia, the “death with dignity” draft bill of Andalucía is considered. With regard to abortion, we will pay attention to the reform of the Penal Code in the context of a new regulation about “reproductive health” of women, which means the adoption of a system of time limits, and the characterization of abortion as a women’s right. It is concluded that freedom of conscience of healthcare professionals will probably be at risk if proposed legal policies don’t change.

Albert Márquez M. [Freedom of conscience. Biojuridical conflicts at multicultural societies]. Cuadernos de Bioetica : Revista Oficial de la Asociacion Espanola de Bioetica y Etica Medica. 2010 Jan-Apr;21(71):61-77. Spanish

Are there different spheres of conscience?

Erica J Sutton, Ross EG Upshur

Journal of Evaluation in Clinical Practice

Abstract
Interest in understanding the meaning of conscience and conscientious objection in medicine has recently emerged in the academic literature. We would like to contribute to this debate in four ways: (1) to underscore and challenge the existing hierarchy of conscientious objection in health care; (2) to highlight the importance of considering the lay public when discussing the role of conscientious objection in medicine; (3) to critique the numerous proposals put forth in favour of implementing review boards to assess whether appeals to conscience are justifiable, reasonable and sincere; and (4) to introduce the Universal Declaration of Human Rights and the Siracusa Principles into the dialogue around conscience and suggest that perhaps conscientious objection is a human right.

Sutton EJ, Upshur RE. Are there different spheres of conscience? J Eval Clin Pract. 2010;16(2):338-343.

(Thesis) Comparative Legal Analysis of Conscientious Objection in Health Care

Slavomíra Slovinská

Abstract
The purpose of this thesis is to demonstrate what would be an appropriate model of the regulation of conscientious objections in health care. These objections are regulated in many countries’ national legislation, however, some of them fail to provide safeguards which would secure proper balance between the two conflicting interests – the health care professional’s right to act in accordance with his conscience and individual’s right to access health care. Therefore, this thesis analyzes regulation of the conscientious objection in the legal systems of the USA, the UK and the Slovak Republic with respect to the appropriateness of such regulation and major differences which they include. The thesis suggests that the protection of conscientious objection in the USA can go too far and be too excessive, while the UK presents much more appropriate model of regulation of conscientious objection with certain limitations. Furthermore, it submits that regulation of conscientious objection in Slovakia consists in general but vague clause creating the possibilities for future controversies.The thesis also analyses different opinions on the acceptability of conscientious objection in health care and finally, it suggests conditions and limitations of conscientious objection that should be met in the regulation of national legislation in order to find appropriate balance between the competing interests of health care professionals and patient.

Slovinská S. (Thesis) Comparative Legal Analysis of Conscientious Objection in Health Care. Central European University, Budapest, Hungary. 2010 Mar 29.

Conscientious objection to assigned work tasks: A comment on relations of law and culture

Roger Cotterrell

Abstract
This paper considers how far a legal-cultural perspective may help to explain contrasts in approaches, in different jurisdictions, to a particular legal issue addressed by five national reports on which the paper comments. The issue is: how should law respond to employees’ objections, on grounds of conscience, to being required to perform particular work tasks assigned by their employers, or to being required to perform them in particular ways? The national reports discussed relate to Japan, the United States, Germany, Israel and Spain. The paper argues that cultural factors can influence not only law’s response but also the ways in which the issue of conscience is understood, contextualised and legally presented.

Cotterrell R. Conscientious objection to assigned work tasks: A comment on relations of law and culture. Queen Mary University of London, School of Law Legal Studies Research Paper No. 104/2012. Comparative Labor Law & Policy Journal, volume 31 (2010), 511-22

Physicians’ “right of conscience”- beyond politics

Asgad Gold

Extract
Introduction: Recently, the discussion regarding the physicians’ “Right of Conscience” (ROC) has been on the rise. This issue is often confined to the “reproductive health” arena (abortions, birth control, morning-after pills, fertility treatments, etc.) within the political context. The recent dispute of the Bush-Obama administrations regarding the legal protections of health workers who refuse to provide care that violates their personal beliefs is an example of the political aspects of this dispute.

Gold A. Physicians’ “right of conscience”- beyond politics. J Law Med Ethics. 2010 Spring;38(1):134-42. PubMed PMID: 20446991.

Access to Prescription Drugs: A Normative Economic Approach to Pharmacist Conscience Clause Legislation

Joanna K Sax

Abstract
Legal scholarship in this area debates the fairness of conscience clauses. The debate appears to be at an impasse and is, in any event, unsatisfying. This Article proposes the application of welfare economics as the guiding principle in policy determinations and presents an alternative approach to the current debate surrounding pharmacist conscience clauses. The theoretical application of welfare economics demonstrates that pharmacist conscience clause legislation may not maximize individuals’ well-being. A common law approach, whereby a pharmacist may be held liable for refusing to fill a prescription for a non-medical reason, most likely can reach the appropriate balance to minimize total social costs. If however, states refuse to repeal pharmacist conscience clause legislation or states continue to pass pharmacist conscience clause legislation, duty-to-fill legislation, which places a statutory duty on pharmacies or pharmacists to fill valid prescriptions, may be needed. If this is the case, duty-to-fill legislation should include a provision that pharmacies cannot refuse to carry any FDA approved medication due to any religious or personal objections. Importantly, duty-to-fill legislation does not alter any of the professional responsibilities and gatekeeper functions of a pharmacist. The pharmacist’s job to ensure the prescription is valid and legal remains. The expertise required for drug allergies or interactions is still a critical component of the profession. Interesting to note in this debate is that the word science is within the word conscience.

Sax JK. Access to Prescription Drugs: A Normative Economic Approach to Pharmacist Conscience Clause Legislation. Maine Law Review. 2010 Feb 17;63(1):90-129.

Medical Conscience and the Policing of Parenthood

Richard F Storrow

William & Mary Journal of Women and the Law

Abstract
As state and local anti-discrimination provisions become more and more comprehensive, physicians who refuse to treat patients for reasons of sexual orientation or marital status are beginning to face legal liability. Increasingly, physicians are invoking codes of medical ethics alongside more familiar constitutional law claims in support of their claim to insulation from legal liability. This Article explores what medical ethics has to say about physicians who, for sincerely held religious reasons, refuse to treat patients for reasons of sexual orientation or marital status. The issue is explored through the lens of a case recently decided by the California Supreme Court in which infertility physicians refused to help a lesbian couple have a child with the aid of artificial insemination. Through a close examination of the provisions of medical ethics codes and the arguments based on those codes raised in the California case, this Article concludes that medical societies should not support carving out an exception from anti-discrimination laws for physicians who, for reasons of religious conscience, want to express their class-based biases in the clinic.

Storrow RF. Medical Conscience and the Policing of Parenthood. William & Mary J Women Law. 2010;16(2):369-393.

(Thesis) Triangulation of Rights, Balancing of Interests: Exploring the Tensions between Freedom of Conscience and Freedom of Religion in Comparative Constitutional Law

Dia Dabby

Abstract
Freedom of religion, often recognised as “first freedom” in numerous legal traditions, also reflects the different conceptions of the place of the individual and the collectivity in society. Our study will analyse the Canadian, American and European constitutional models of freedom of religion and conscience. In a first chapter, we will examine the theoretical conceptions of religion in the social sciences as well as from the perspectives of legal approaches in order to discern the manner in which religion is conceived and to better understand its various influences. In this way, we hope to enhance our understanding of both identity and to a greater extent, culture, both in and out of law. In the second and third chapters, we will attempt to characterise the relationship between freedom of conscience and freedom of religion in Canada, as well as identify unresolved issues. In the final chapter, we will observe how freedom of conscience has been interpreted in the American legal setting as well as in the European Union, by way of the European Court of Human Rights (ECtHR). We hypothesise that a better understanding of the relationship between the freedoms of conscience and religion can be arrived at by clarifying the theoretical conceptions of religion and conscience in comparative constitutional law.

Dabby D. (Thesis) Triangulation of Rights, Balancing of Interests: Exploring the Tensions between Freedom of Conscience and Freedom of Religion in Comparative Constitutional Law. University of Montreal. 2010.

Cooperation with Securities Fraud

Ronald J Colombo

Abstract
Although “proximity” is itself an indefinite concept, we are not without tools in deciphering it. For we have at our disposal a well-developed, longtested method of analyzing proximity with an eye toward the just imposition of culpability: moral philosophy’s “principles of cooperation.” By turning to these principles, we have at our fingertips a ready-made set of factors to consider in assessing whether one’s conduct should be deemed proximate versus remote to another’s fraud. The principles of cooperation also provide a framework around which we can organize securities fraud jurisprudence in general. For the insights gleaned from the principles regarding moral culpability in many respects parallel the conclusions reached by courts and commentators construing liability under the securities laws. Perhaps, in addition to the assistance it provides us in resolving the difficult issue of proximity, this framework could serve as a useful aid in resolving other, and future, securities fraud questions..

Colombo RJ. Cooperation with Securities Fraud. Alabama University Law Review. 2009 Dec;61(1)-66.

Where conscience meets desire: refusal of health care providers to honor health care proxies for sexual minorities

Shawna S Baker

Women's Rights Law Reporter — Women’s Rights Law Reporter

Baker SS. Where conscience meets desire: refusal of health care providers to honor health care proxies for sexual minorities. Women’s Rights Law Reporter. 2009-2010;31(1):1-41.