Quotas: Enabling Conscientious Objection to Coexist with Abortion Access

Journal article


Rodger, D and Blackshaw, B.P. (2020). Quotas: Enabling Conscientious Objection to Coexist with Abortion Access. Health Care Analysis. https://doi.org/10.1007/s10728-020-00419-5
AuthorsRodger, D and Blackshaw, B.P.
Abstract

The debate regarding the role of conscientious objection in healthcare has been protracted, with increasing demands for curbs on conscientious objection. There is a growing body of evidence that indicates that in some cases, high rates of conscientious objection can affect access to legal medical services such as abortion—a major concern of critics of conscientious objection. Moreover, few solutions have been put forward that aim to satisfy both this concern and that of defenders of conscientious objection—being expected to participate in the provision of services that compromise their moral integrity. Here we attempt to bring some resolution to the debate by proposing a pragmatic, long-term solution offering what we believe to be an acceptable compromise—a quota system for medical trainees in specialities where a conscientious objection can be exercised, and is known to cause conflict. We envisage two main objectives of the quota system we propose. First, as a means to introduce conscientious objection into countries where this is not presently permitted. Second, to minimise or eliminate the effects of high rates of conscientious objection in countries such as Italy, where access to legal abortion provision can be negatively affected.

KeywordsConscientious objection; Abortion; Rights; Quotas; Professional obligations; Pregnancy
Year2020
JournalHealth Care Analysis
PublisherSpringer Science and Business Media LLC
ISSN1065-3058
Digital Object Identifier (DOI)https://doi.org/10.1007/s10728-020-00419-5
Publication dates
Online19 Nov 2020
Publication process dates
Accepted11 Nov 2020
Deposited21 Nov 2020
Publisher's version
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File Access Level
Open
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