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http://ssrn.com/abstract=2194875
 
 

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Not Only the Doctor's Dilemma: The Complexity of Conscience in Medicine


Elizabeth Sepper


Washington University in Saint Louis - School of Law

December 30, 2012

Faulkner Law Review, 2013
Washington University in St. Louis Legal Studies Research Paper No. 13-03-02

Abstract:     
In recent years, conscience has become a national catch phrase, invoked regularly in health policy discussions. The word “conscience,” however, often stands in for refusal to deliver abortions or contraception or to remove or withhold life support.

In this talk, I argue that conscience is not so one-sided, nor medical decisionmaking so straightforward. First, medical decisions — especially those involving questions of life and death — inspire divergent moral convictions. Second, medical decisions do not simply implicate conscience for the provider. They should be thought of instead as involving, at minimum, three parties: patients, providers, and institutions. This three-sided relationship complicates moral decisionmaking, with each party asserting potentially conflicting claims.

I contend that in responding to conflicts over medical decisions, lawmakers have overlooked their complexity. As a result, existing legislation undermines conscience, risks harm to patients, and destabilizes ethical decisionmaking within medicine itself. The talk concludes with several proposals to improve the law’s approach to morality in medicine.

Number of Pages in PDF File: 31

Keywords: Medicine, conscientious objection, morality, conscience

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Date posted: December 30, 2012 ; Last revised: March 5, 2013

Suggested Citation

Sepper, Elizabeth, Not Only the Doctor's Dilemma: The Complexity of Conscience in Medicine (December 30, 2012). Faulkner Law Review, 2013; Washington University in St. Louis Legal Studies Research Paper No. 13-03-02. Available at SSRN: http://ssrn.com/abstract=2194875

Contact Information

Elizabeth Sepper (Contact Author)
Washington University in Saint Louis - School of Law ( email )
Campus Box 1120
St. Louis, MO 63130
United States
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