Service, not Servitude
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“Let those nurses who oppose abortion and choice dedicate their energies to the development of a societal system that truly cares for women and will support their decisions – no matter what they are.”
Barnard LC. (Correspondence) Readers Advocate Pro-conscience, Not Pro-choice (Author reply). Nurse Pract. 1992;17(10):8
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Termination of pregnancy is the act of a powerful person (the pregnant woman) against a voiceless, innocent and powerless person. How does the misuse of power by women in this situation prove that their androgynous and gynocentric approaches to the use of power are different or better? . . . I agree with McEvoy that we must determine what abortion means over time to those most affected by it – women. However, she has failed to do that analysis.
Jones G. (Correspondence) Responsibility and abortion. Can Med Assoc J. 1992 Sep 15;147(6):840-842.
Abstract
This article sets out a descriptive typology of religious perspectives on legalized euthanasia — political advocacy, individual conscience, silence, embedded opposition, and formal public opposition — and then examines the normative basis for these perspectives through the themes of sovereignty, stewardship, and the self. It also explores the public relevance of these religious perspectives for debates over legalized euthanasia, particularly in the realm of public policy. Ironically, the moral discourse of religious traditions on euthanasia may gain public relevance at the expense of its religious content. Nonetheless, religious traditions can provide a context of ultimacy and meaning to this debate, which is a condition for genuine pluralism.
Campbell CS. Religious Ethics and Active Euthanasia in a Pluralistic Society. Kennedy Inst Ethics J. 1992;2(3):253-277.
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Exploring the question of a woman’s responsibility in becoming pregnant in order to decide on the permissibility of terminating that pregnancy is flawed, because the woman does not answer the first question: Am I killing another human being? If the answer is No, then perhaps McEvoy’s exercise of looking at specific examples of women seeking terminations may be useful. . . . If the answer is Yes, then all other considerations, compelling as they may be, will not have any greater value than that of the life of an unborn child. The woman’s degree of responsibility in becoming pregnant should not decide the value or fate of human life, which remains inviolable.
Jansen DG. (Correspondence) Responsibility and abortion. Can Med Assoc J. 1992 Sep 15;147(6):840.
Abstract
In a morally fragmented society there is no good reason for ethics committees to assume any particular point of view, yet failure to do so compromises their ability to function in either a case-review or an educational capacity. A casuist methodology might enable committees to fulfill both roles.
Blake DC. The Hospital Ethics Committee: Health Care’s Moral Conscience or White Elephant?. Hastings Cent Rep. 1992;22(1):6-11.
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Torture probably ended a long time ago in my country, but now we have more sophisticated ways of abusing human rights – in the way we deliver health care. The falsification of morbidity and mortality figures; not paying attention to the so-called ‘Capitalist’ diseases like drug abuse and even AIDS; not talking about the hazards of environmental pollution – all this has prevented us from taking ameliorating and protective measures.
Ternák G. Abusing human rights in the health care service under a soft dictatorship in Hungary. J Med Ethics. 1991;17(Supplement):40.
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We reaffirm . . . our most categorical rejection of torture. Likewise, we reiterate our resolute support of the diverse initiatives aimed at investigating the participation of doctors in these unacceptable and condemnable practices, and the sanctioning of these activities within the medical profession and scientific organisations. . . There exists irrefutable proof that, during the 16 years of dictatorship, doctors and other members of the health care professions caused brutal suffering to their peers. Doctors involved in acts of torture are, for the most part, members of the armed forces. The conduct of these professionals is the result of the displacement of their medical vocation by the doctrine of ‘national security’, which conceives of the masses and their social and political organisations as the ‘internal enemy’.
Seelman G. The position of the Chilean Medical Association with respect to torture as an instrument of political repression. J Med Ethics. 1991 Dec; 17(Supplement):33-34.
(Notes that no doctors in private practice were known to have been involved in torture in Turkey. Those involved were working part-time or full-time for the government, or in the military.)
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. . . Government pressure, on full or part-time employees, emerges in various forms. Doctors who refuse to participate in the act of torture can be accused of not obeying the orders of their immediate superiors and can be either dismissed from government service, or relocated to other posts with highly unfavourable working/living conditions. Material considerations, fear of being removed from family, and the obvious threat of coming under suspicion of ‘secretly collaborating with public enemies’, etc, exerts such emotional pressure that doctors are forced to participate, directly or indirectly, in the act of torture.
Cilasun U. Torture and the participation of doctors. J Med Ethics. 1991 Dec;17(1):S21-S22.
Extract
Fulfilling the universal code of medical ethics is the ‘conditio sine qua non’ and we should prevent all attempts to change the basic document of European and world medicine, the Hippocratic Oath. Pross’s paper about the total failure of the German Medical Association to acknowledge and deal with war crimes perpetrated by doctors reinforces the need to adhere to the Hippocratic Oath.
Bojar M. Remarks on medical ethics. J Med Ethics. 1991;17(Supplement):39.
Abstract
Background: Approximately 1.5 million abortions are performed each year in the United States. Little information has been published on the abortion attitudes and practices of family physicians. The object of this investigation was to assess the abortion attitudes and practices of family and general practice physicians in Kansas.
Methods: A 19-item self-administered survey questionnaire was designed and mailed to 856 family and general practice physicians in Kansas.
Results: A 63% survey response rate was obtained. Seventy-eight percent of the physicians reported that abortion should be legal, but only 56% of the respondents classified themselves as pro-choice. Conversely, only 8% reported that legal abortion should not be available, even though 33% classified themselves as pro-life. The majority of physicians reported that abortion is an appropriate option to save the life of the mother, in cases of rape or incest, and when a fetal anomaly is diagnosed. Only three respondents (0.5%) had performed abortions during the previous year. In general, female physicians and physicians over the age of 40 years (regardless of sex) were more likely to be pro-choice and to view a women’s personal decision as a circumstance in which abortion may be appropriate.
Conclusions: Physician’s views about abortion and their practice patterns are important components of health care for thousands of women each day.
Westfall JM, Kallail KJ, Walling AD. Abortion attitudes and practices of family and general practice physicians. J Fam Pract. 1991 Aug;33(1):47-51.