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Conflicts of Conscience in Health Care: An Institutional Compromise

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In Conflicts of Conscience in Health Care, Holly Fernandez Lynch finds a way around the polarizing rhetoric associated with this issue by proposing a compromise that protects both a patient's access to care and a physician's ability to refuse. This focus on compromise is crucial as new uses of medical technology expand the controversy beyond abortion and contraception to reach an increasing number of doctors and patients.
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Editorial Reviews

From the Publisher

"[Lynch's] pragmatic approach is also innovative and refreshing in a policy arena that is often fraught with an overabundance of criticism with little substance on reform." Dhrubajyoti Bhattacharya The
Journal of Legal Medicine

The MIT Press

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Product Details

  • ISBN-13: 9780262123051
  • Publisher: MIT Press
  • Publication date: 10/31/2008
  • Series: Basic Bioethics
  • Pages: 368
  • Product dimensions: 6.10 (w) x 9.00 (h) x 1.10 (d)

Meet the Author

Holly Fernandez Lynch is Executive Director of the Petrie-Flom Center for Health
Law Policy, Biotechnology, and Bioethics and author of Conflicts of
Conscience in Health Care: An Institutional Compromise
(MIT Press).
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Table of Contents

I Conscience clauses and professionalism 17

1 A primer on conscience clauses 19

2 Defining medical professionalism 43

II Protecting doctors and patients : an institutional solution 77

3 Moral diversity in medicine and the ideal of doctor-patient matching 79

4 Which institution? : licensing boards bearing the burdens of conscience and access 99

III The details of the institutional solution 115

5 Measuring patient demand and determining which demands to meet 117

6 Measuring physician supply and limiting the grounds for physician refusal 145

7 Calibrating supply and demand 165

8 The "hard" cases : when the institutional solution fails 195

9 Physician obligations and sacrifices 215

10 Addressing skeptics, a model statute, and conclusions 241

App Statutes, regulations, and case law 259

Notes 263

References 317

Index 335

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  • Posted December 17, 2009

    Freedom of conscience in health care considered

    . . .As the subtitle of the book indicates, [the author] is seeking a compromise that will provide "maximal liberty for all parties." She believes that freedom of conscience for physicians and the provision of legal medical services are both important social goals, and that they are not incompatible. . . . quoting the Protection of Conscience Project, she affirms that all legitimate concerns can be met by "dialogue, prudent planning, and the exercise of tolerance, imagination and political will." . . .

    For the complete review, vist the Protection of Conscience Project.

    (Sean Murphy), Administrator
    Protection of Conscience Project

    Was this review helpful? Yes  No   Report this review
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