Conscientious objection in health care, an ethical analysis

Conscientious Objection in Health Care: An Ethical Analysis

Volumn , Issue , 2011, Pages 1-252

  Wicclair, Mark R ^a  

^a WEST VIRGINIA UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 84924111869     PISSN: None     EISSN: None     Source Type: Book    
DOI: 10.1017/CBO9780511973727     Document Type: Book

References (226)

1. Abbott, Jean (2005), ‘Emergency Contraception: What Should Our Patients Expect?’ Annals of Emergency Medicine, 46 (2), 111–13.
2. Abelson, Raziel (1982), ‘To Do or Let Happen’, American Philosophical Quarterly, 19 (3), 219–28.
3. Abelson, Reed and Singer, Natasha (2010), ‘In Health Shift, More Patients Get Pharmacist’s Appointment’, New York Times, August 14, sec. A, p. 1, 11.
4. Alexander, John K. (2005), ‘Promising, Professional Obligations, and the Refusal to Provide Service’, HEC Forum, 17 (3), 178–95.
5. Allen, Rebecca H. and Goldberg, Alisa B. (2007), ‘Emergency Contraception: A Clinical Review’, Clinical Obstetrics and Gynecology, 50 (4), 927–36.
6. Allmark, Peter (1995), ‘Can There be an Ethics of Care?’ Journal of Medical Ethics, 21, 19–24.
7. Almeling, Rene, Tews, Laureen and Dudley, Susan (2000), ‘Abortion Training in U.S. Obstetrics and Gynecology Residency Programs, 1998’, Family Planning Perspectives, 32, 268–71, 320.
8. American College of Obstetricians and Gynecologists Committee on Ethics (2007), ‘The Limits of Conscientious Refusal in Reproductive Medicine: ACOG Committee Opinion: No. 385’, Obstetrics and Gynecology, 110 (5), 1203–8.
9. American Medical Association Council on Ethical and Judicial Affairs (2010), Code of Medical Ethics: Current Opinions with Annotations 2010–11 (Chicago, IL: American Medical Association).
10. American Nurses Association (2003), Nursing’s Social Policy Statement (2nd edn; Silver Spring, MD: American Nurses Association).
11. American Society of Health-System Pharmacists (1999), ‘ASHP Statement on Pharmacist Decision-making on Assisted Suicide’, American Journal of Health-System Pharmacy, 56 (16), 1661–4.
12. American Thoracic Society (1991), ‘Withholding and Withdrawing Life-Sustaining Therapy’, Annals of Internal Medicine, 115 (6), 478–85.
13. Amey, Annette L. and Bishai, David (2002), ‘Measuring the Quality of Medical Care for Women Who Experience Sexual Assault With Data From the National Hospital Ambulatory Medical Care Survey’, Annals of Emergency Medicine, 39 (6), 631–8.
14. Annas, George J. (1987), ‘Transferring the Ethical Hot Potato’, The Hastings Center Report, 17 (1), 20–1.
15. Anonymous (1987), Guidelines on the Termination of Life-Sustaining Treatment and the Care of the Dying (Briarcliff Manor, NY: The Hastings Center).
16. Anonymous (1993), ‘University of Pittsburgh Medical Center Policy and Procedure Manual: Management of Terminally Ill Patients Who May Become Organ Donors after Death’, Kennedy Institute of Ethics Journal, 3 (2), A1–15.
17. Anonymous (1996), ‘The Goals of Medicine: Setting New Priorities’, The Hastings Center Report, 25, S1–27.
18. Anonymous (2002), ‘ACOG Practice Bulletin Emergency Oral Contraception’, International Journal of Gynecology & Obstetrics, 78, 191–8.
19. Anonymous (2005), ‘Moralists at the Pharmacy’, New York Times, April 3, p. 12.
20. Arnold, Robert M. and Youngner, Stuart J. (1993), ‘Back to the Future: Obtaining Organs from Non-Heart-Beating Cadavers’, Kennedy Institute of Ethics Journal, 3 (2), 103–11.
21. Arras, John D. (1988), ‘The Fragile Web of Responsibility: AIDS and the Duty to Treat’, The Hastings Center Report, 18 (2), 10–20.
22. Baier, Annette (1986), ‘Trust and Antitrust’, Ethics, 96 (2), 231–60.
23. Baker, Peter (2009), ‘Obama Reverses Rule On U.S. Abortion Aid’, New York Times, January 24, sec. A, p. 13.
24. Baker, Robert (1995), ‘Introduction’, in Robert Baker (ed.), The Codification of Medical Morality: Historical and Philosophical Studies of the Formalization of Western Medical Morality in the Eighteenth and Nineteenth Centuries (vol. II; Dordrecht: Kluwer Academic Publishers), 1–22.
25. Baker, Robert (2006), ‘Medical Ethics and Epidemics: AHistorical Perspective’, in John Balint et al. (eds.), Ethics and Epidemics (Advances in Bioethics; Oxford, UK: Elsevier Ltd.), 93–133.
26. Baker, Robert B. et al. (1999), The American Medical Ethics Revolution: How the AMA’s Code of Ethics Has Transformed Physicians’ Relationships to Patients, Professionals, and Society (Baltimore, MD: Johns Hopkins University Press).
27. Bastianelli, Carlo, Farris, Manuela and Benagiano, G. (2008), ‘Emergency Contraception: A Review’, The European Journal of Contraception and Reproductive Health Care, 13 (1), 9–16.
28. Bayles, Michael D. (1979), ‘A Problem of Clean Hands: Refusal to Provide Professional Services’, Social Theory and Practice, 5 (2), 165–81.
29. Beauchamp, Tom L. and Childress, James F. (2009), Principles of Biomedical Ethics (6th edn; New York, NY: Oxford University Press).
30. Bell, John (1995), ‘Introduction to the Code of Medical Ethics’, in Baker (ed.), The Codification of Medical Morality, 65–72.
31. Belliotti, Raymond A. (1981), ‘Negative and Positive Duties’, Theoria, 47, 82–92.
32. Benfield, G. D. et al. (1991), ‘Teaching Intubation Skills Using Newly Deceased Infants’, Journal of the American Medical Association, 265 (18), 2360–3.
33. Benjamin, Martin (1990), Splitting the Difference: Compromise and Integrity in Ethics and Politics (University of Kansas Press).
34. Benjamin, Martin (2004), ‘Conscience’, in StephenG. Post (ed.), Encyclopedia of Bioethics (3rd edn, vol. I; New York: Macmillan Reference), 513–17.
35. Blum, Lawrence A. (1988), ‘Gilligan and Kohlberg: Implications for Moral Theory’, Ethics, 98, 472–91.
36. Blustein, Jeffrey (1993), ‘Doing What the Patient Orders: Maintaining Integrity in the Doctor–Patient Relationship’, Bioethics, 7 (4), 289–314.
37. Borrego, Matthew E. et al. (2006), ‘New Mexico Pharmacists’ Knowledge, Attitudes, and Beliefs Toward Prescribing Oral Emergency Contraception’, Journal of the American Pharmacists Association, 46 (1), 33–43.
38. Bowman, Tom and Fishlock, Diana (2006), ‘Rape Victim Denied Morning-After Pill’, Patriot News, July 25, p. A-1.
39. British Medical Association (1999), Withholding and Withdrawing Life-prolonging Medical Treatment: Guidance for decision making (London: BMJ Books).
40. British Medical Association (2007), Withholding and Withdrawing Life-prolonging Medical Treatment: Guidance for decision making (3rd edn; Hoboken, NJ: John Wiley & Sons, Inc.).
41. Brock, Dan (2008), ‘Conscientious Refusal by Physicians and Pharmacists: Who is Obligated to do What, and Why?’ Theoretical Medicine and Bioethics, 29, 187–200.
42. Brock, Peter (2006), Against the Draft: Essays on Conscientious Objection from the Radical Reformation to the Second World War (University of Toronto Press).
43. Brodie, D. C., Parish, P. A. and Poston, J. W. (1980), ‘Societal Needs for Drugs and Drug Related Services’, American Journal of Pharmaceutical Education, 44, 276–8.
44. Brody, Howard (1994), ‘The Physician’s Role in Determining Futility’, Journal of the American Geriatrics Society, 42 (8), 875–8.
45. Brody, Howard and Miller, Franklin G. (1998), ‘The Internal Morality of Medicine: Explication and Application to Managed Care’, Journal of Medicine and Philosophy, 23 (4), 384–410.
46. Buchanan, Wyatt (2005), ‘Doctor and Patient Both Say Their Liberty Was Violated’, San Francisco Chronicle, July 29, sec. A.
47. Butler, Joseph (1827), Sermons (Cambridge, MA: Hilliard and Brown).
48. Canedy, Dana (1999), ‘Wal-Mart Decides Against Selling a Contraceptive’, New York Times, May 14, sec. C, p. 1.
49. Cantor, Julie (2009), ‘Conscientious Objection Gone Awry – Restoring Selfless Professionalism in Medicine’, New England Journal of Medicine, 360 (15), 1484–5.
50. Cantor, Julie and Baum, Ken (2004), ‘The Limits of Conscientious Objection – May Pharmacists Refuse to Fill Prescriptions for Emergency Contraception?’ New England Journal of Medicine, 351 (19), 2008–12.
51. Card, Robert F. (2007), ‘Conscientious Objection and Emergency Contraception’, The American Journal of Bioethics, 7 (6), 8–14.
52. Chervenak, Frank A. and McCullough, Laurence B. (2008), ‘The Ethics of Direct and Indirect Referral for Termination of Pregnancy’, American Journal of Obstetrics and Gynecology, 199, 232.e1–3.
53. Childress, James F. (1979), ‘Appeals to Conscience’, Ethics, 89 (4), 315–35.
54. Childress, James F. (1985), ‘Civil Disobedience, Conscientious Objection, and Evasive Noncompliance: A Framework for the Analysis and Assessment of Illegal Actions in Health Care’, Journal of Medicine and Philosophy, 10, 63–83.
55. Cohen, Susan A. (2001), ‘Global Gag Rule: Exporting Antiabortion Ideology at the Expense of American Values’, Guttmacher Report on Public Policy, 1–3.
56. Cooper, Mary Carolyn (1988), ‘Covenantal Relationships: Grounding for the Nursing Ethic’, Advances in Nursing Science, 10 (4), 48–59.
57. Corley, Mary C. (2002), ‘Nurse Moral Distress: A Proposed Theory and Research Agenda’, Nursing Ethics, 9 (6), 636–50.
58. Corley, Mary C. et al. (2001), ‘Development and Evaluation of a Moral Distress Scale’, Journal of Advanced Nursing, 33 (2), 250–6.
59. Corley, Mary C. (2002), ‘Performing Procedures on the Newly Deceased’, Academic Medicine, 77 (12), 212–16.
60. Curlin, Farr A. et al. (2007), ‘Religion, Conscience, and Controversial Clinical Practices’, New England Journal of Medicine, 356 (6), 593–600.
61. Curtin, Leah L. (1979), ‘The Nurse as Patient Advocate: a Philosophical Foundation for Nursing’, Advances in Nursing Science, 1 (3), 1–10.
62. D’Arcy, Eric (1977), ‘Conscience’, Journal of Medical Ethics, 3, 98–9.
63. Daar, J. F. (1993), ‘A Clash at the Bedside: Patient Autonomy v. A Physician’s Professional Conscience’, Hastings Law Journal, 44, 1241–89.
64. Daniels, Norman (1991), ‘Duty to Treat or Right to Refuse?’ The Hastings Center Report, 21 (2), 36–46.
65. Daniels, Norman (2008), Just Health: Meeting Health Needs Fairly (Cambridge University Press).
66. Davidoff, Frank and Trussell, James (2006), ‘Plan B and the Politics of Doubt’, Journal of the American Medical Association, 296 (14), 1775–8.
67. Davis, Bruce G. (1986), ‘Defining the Employment Rights of Medical Personnel within the Parameters of Personal Conscience’, Detroit College Law Review, 3, 847–78.
68. Davis, Nancy (1980), ‘The Priority of Avoiding Harm’, in Bonnie Steinbock (ed.), Killing and Letting Die (Englewood Cliffs, NJ: Prentice-Hall), 172–214.
69. Denny, Christopher J. and Kollek, Daniel (1999), ‘Practicing Procedures on the Recently Dead’, Journal of Emergency Medicine, 17 (6), 949–52.
70. Diekema, Douglas S. and Botkin, Jeffrey R. (2009), ‘Clinical Report – Forgoing Medically Provided Nutrition and Hydration in Children’, Pediatrics, 124 (2), 813–22.
71. Dodge, Susan (1989), ‘Under Pressure from Students, Medical Schools Offer Alternatives to Use of Live Animals in Experiments’, The Chronicle of Higher Education, A41, A43.
72. Dresser, Rebecca (2005), ‘Professionals, Conformity, and Conscience’, The Hastings Center Report, 35 (6), 9–10.
73. Durbach, Nadja (2005), Bodily Matters: The Anti-Vaccination Movement in England, 1853–1907 (Durham, NC: Duke University Press).
74. Dworkin, Ronald (1978), Taking Rights Seriously (Cambridge, MA: Harvard University Press).
75. Eastwood, Katherine L. et al. (2006), ‘U.S. Abortion Training’, Obstetrics and Gynecology, 108 (2), 303–8.
76. Engelhardt, H. Tristram, Jr. (1986), The Foundations of Bioethics (New York, NY: Oxford University Press).
77. Engelhardt, H. Tristram, (2001), ‘The DeChristianization of Christian Health Care Institutions, or, How the Pursuit of Social Justice and Excellence can Obscure the Pursuit of Holiness’, Christian Bioethics, 7 (1), 151–61.
78. Evans, Emily, Patel, Mallika and Stranton, Derek (2007), ‘Student Pharmacist Knowledge and Attitudes Regarding Oral Emergency Contraception’, Journal of the American Pharmacists Association, 47, 711–16.
79. Feudtner, Chris, Christakis, Dimitri A. and Christakis, Nicholas A. (1994), ‘Do Clinical Clerks Suffer Ethical Erosion? Students’ Perceptions of their Ethical Environment and Personal Development’, AcademicMedicine, 69 (8), 670–9.
80. Fine, Paul et al. (2010), ‘Ulipristal Acetate Taken 48–120 Hours After Intercourse for Emergency Contraception’, Obstetrics and Gynecology, 115 (2), 257–63.
81. Fitzgerald, P. J. (1967), ‘Acting and Refraining’, Analysis, 27 (4), 133–9.
82. Foster, Angel M., van Dis, Jane and Steinauer, Jody (2003), ‘Educational and Legislative Initiatives Affecting Residency Training in Abortion’, Journal of the American Medical Association, 290 (13), 1777–8.
83. Foster, Angel M., Jackson, Courtney B. and Martin, Sarah B. (2008), ‘Reproductive Health and Cyber (Mis)representations: A Content Analysis of Obstetrics and Gynecology Residency Program Websites’, Contraception, 78, 99–105.
84. Foster, Diana G. et al. (2004), ‘Knowledge of Emergency Contraception Among Women Aged 18 to 44 in California’, American Journal of Obstetrics and Gynecology, 191, 150–6.
85. Fourre, Mark W. (2002), ‘The Performance of Procedures on the Recently Deceased’, Academic Emergency Medicine, 9 (6), 595–8.
86. Fowler, Marsha Diane Mary (2008), Guide to the Code of Ethics for Nurses: Interpretation and Application (Silver Spring, MD: American Nurses Association).
87. Frader, Joel and Bosk, Charles L. (2009), ‘The Personal is Political, the Professional is Not: Conscientious Objection to Obtaining/Providing/Acting on Genetic Information’, American Journal of Medical Genetics Part C Seminars in Medical Genetics 151C, 62–7.
88. Freedman, Lori R., Landy, Uta and Steinauer, Jody (2008), ‘When There’s a Heartbeat: Miscarriage Management in Catholic-Owned Hospitals’, American Journal of Public Health, 98 (10), 1774–8.
89. Fry, Sara T. (1989), ‘Toward a Theory of Nursing Ethics’, Advances in Nursing Science, 11, 9–22.
90. Fry, Sara T. (2008), ‘Philosophical and Theoretical Issues in Nursing Ethics’, in Winifred J. Ellenchild Pinch and Amy M. Haddad (eds.), Nursing and Health Care Ethics: A Legacy and a Vision (Silver Spring, MD: American Nurses Association), 45–55.
91. Fry, Sara T. and Johnstone, Megan-Jane (2008), Ethics in Nursing Practice: A Guide to Ethical Decision Making (3rd edn; Oxford, UK: Wiley-Blackwell).
92. Fuss, Peter (1964), ‘Conscience’, Ethics, 74 (2), 111–20.
93. Gadow, Sally (1988), ‘Covenant without Cure: Letting Go and Holding on to Chronic Illness’, in Jean Watson and Marilyn A. Ray (eds.), The Ethics of Care and the Ethics of Cure: Synthesis in Chronicity (New York, NY: National League for Nursing), 5–14.
94. Gadow, Sally (1990), ‘Existential Advocacy: Philosophical Foundations of Nursing’, in T. Pence and J. Cantrall (eds), Ethics in Nursing: An Anthology (New York, NY: National League for Nursing), 40–51.
95. Gadow, Sally A. (1985), ‘Nurse and Patient: The Caring Relationship’, in Anne H. Bishop and John R. Scudder, Jr. (eds.), Caring, Curing, Coping: Nurse Physician Patient Relationships (University of Alabama Press), 31–43.
96. Gastmans, Chris (1999), ‘Care as a Moral Attitude in Nursing’, Nursing Ethics, 6 (3), 214–23.
97. Gease, Heidi Bell (2007), ‘Pharmacist’s Beliefs to Limit Birth-control Access: Next Closest Pharmacy 80 Miles Away’, Rapid City Journal, December 17.
98. Gorr, Michael (1985), ‘Some Reflections on the Difference Between Positive and Negative Duties’, Tulane Studies in Philosophy, XXXIII, 93–100.
99. Grace, Pamela J. (2001), ‘Professional Advocacy: Widening the Scope of Accountability’, Nursing Philosophy, 2, 151–62.
100. Green, O. H. (1980), ‘Killing and Letting Die’, American Philosophical Quarterly, 17, 195–204.
101. Hamric, Ann B. (2000), ‘Moral Distress in Everyday Ethics’, Nursing Outlook, 48, 199–201.
102. and Blackhall, Leslie J. (2007), ‘Nurse–Physician Perspectives on the Care of Dying Patients in Intensive Care Units: Collaboration, Moral Distress, and Ethical Climate’, Critical Care Medicine, 35 (2), 422–9.
103. Hansen, Laura B., Saseen, Joseph J. and Teal, Stephanie B. (2007), ‘Levonorgestrel-Only Dosing Strategies for Emergency Contraception’, Pharmacotherapy, 27 (2), 278–84.
104. Harman, Gilbert (1996), ‘Moral Relativism’, in Gilbert Harman and Judith Jarvis Thomson (eds.), Moral Relativism and Moral Objectivity (Cambridge, MA: Blackwell Publishers), 3–19.
105. Harris, Gardiner (2010), ‘U. S. Approves a Second Pill for After Sex’, New York Times, August 14, sec. A, p. 1, 3.
106. Harrison, Teresa (2005), ‘Availability of Emergency Contraception: A Survey of Hospital Emergency Department Staff’, Annals of Emergency Medicine, 46 (2), 105–10.
107. Hart, L. Gary, Norris, Thomas E. and Lishner, Denise M. (2003), ‘Attitudes of Family Physicians in Washington State Toward Physician-Assisted Suicide’, The Journal of Rural Health, 19 (4), 461–9.
108. Hays, Issac (1995), ‘Code of Ethics’, in Baker (ed.), The Codification of Medical Morality, 75–87.
109. Hepler, Charles D. (1979), ‘Professions in Modern Society: Contract vs. Covenant’, Pharmacy Management, 151 (3), 102–4.
110. Hepler, Charles D. (1985), ‘Pharmacy as a Clinical Profession’, American Journal of Hospital Pharmacy, 42, 1298–306.
111. Hepler, Charles D. (1987), ‘The Third Wave in Pharmaceutical Education: The Clinical Movement’, American Journal of Pharmaceutical Education, 51 (4), 369–85.
112. Hepler, Charles D. (1996), ‘Philosophical Issues Raised by Pharmaceutical Care’, in Amy Marie Haddad and Robert A. Buerki (eds.), Ethical Dimensions of Pharmaceutical Care (Binghamton, NY: Pharmaceutical Products Press), 19–47.
113. Hepler, Charles D. (2005), ‘Balancing Pharmacists’ Conscientious Objections with Their Duty to Serve’, Journal of the American Pharmacists Association, 45 (4), 434–6.
114. Hepler, Charles D. and Strand, Linda M. (1990), ‘Opportunities and Responsibilities in Pharmaceutical Care’, American Journal of Hospital Pharmacy, 47, 533–43.
115. Herbe, DonaldW. (2002), ‘The Right to Refuse: A Call for Adequate Protection of a Pharmacist’s Right to Refuse Facilitation of Abortion and Emergency Contraception’, Journal of Law and Health, 17 (1), 77–102.
116. Hicks, Lisa K. et al. (2001), ‘Understanding the Clinical Dilemmas that Shape Medical Students’ Ethical Development: Questionnaire Survey and Focus Group Study’, British Medical Journal, 322 (24), 709–10.
117. Ho, P. C. and Kwan, M. S.W. (1993), ‘A Prospective Randomized Comparison of Levonorgestrel with the Yuzpe Regimen in Post-Coital Contraception’, Human Reproduction, 8 (3), 389–92.
118. Hook, Sidney (1971), ‘Social Protest and Civil Obedience’, in Jeffrie G. Murphy (ed.), Civil Disobedience and Violence (Belmont, CA: Wadsworth Publishing Company, Inc.), 53–63.
119. Jameton, Andrew (1984), Nursing Practice: The Ethical Issues (Englewood Cliffs, NJ: Prentice Hall).
120. Jameton, Andrew (1993), ‘Dilemmas of Moral Distress: Moral Responsibility and Nursing Practice’, AWHONNS Clinical Issues in Perinatal and Women’s Health Nursing, 4 (4), 542–51.
121. Jansen, Lynn A. (2004), ‘No Safe Harbor: The Principle of Complicity and the Practice of Voluntarily Stopping of Eating and Drinking’, Journal of Medicine and Philosophy, 29 (1), 61–74.
122. Jones, Rachel K. et al. (2008), ‘Abortion in the United States: Incidence and Access to Services, 2005’, Perspectives on Sexual and Reproductive Health, 40 (1), 6–16.
123. Kadish, Sanford H. (1985), ‘Complicity, Cause and Blame: A Study in the Interpretation of Doctrine’, California Law Review, 73 (2), 323–410.
124. Kadish, Sanford H. (1997), ‘Reckless Complicity’, The Journal of Criminal Law and Criminology, 87 (2), 369–94.
125. Kagan, Shelly (1998), Normative Ethics (Boulder, CO: Westview Press).
126. Kaldjian, L.C. et al. (2004a), ‘Internists’ Attitudes Towards Terminal Sedation in End of Life’, Journal of Medical Ethics, 30, 499–503.
127. Kaldjian, Lauris C. et al. (2004b), ‘Medical House Officers’ Attitudes Toward Vigorous Analgesia, Terminal Sedation, and Physician-assisted Suicide’, American Journal of Hospice & Palliative Medicine (5), 381–7.
128. Kälvemark, S. et al. (2004), ‘Living with Conflicts – Ethical Dilemmas and Moral Distress in the Health Care System’, Social Science & Medicine, 58, 1075–84.
129. Kälvemark, Sporrong S., Höglund, A. and Arnetz, B. (2006), ‘Measuring Moral Distress in Pharmacy and Clinical Practice’, Nursing Ethics, 13, 416–27.
130. Knowlton, Brian (2010), ‘U.S. Job Site Bans Bias Over Gender Identity’, New York Times, January 6, sec. A, p. 15.
131. Kristof, Nicholas D. (2010), ‘Sister Margaret’s Choice’, New York Times, May 27, sec. A, p. 35.
132. Kroeger-Mappes, Joy (2001), ‘Ethical Dilemmas for Nurses: Physicians’ Orders versus Patients’ Rights’, in Thomas A. Mappes and David DeGrazia (eds.), Biomedical Ethics (5th edn; Boston: McGraw-Hill), 161–8.
133. LaFollette, Eva and LaFollette, Hugh (2007), ‘Private Conscience, Public Acts’, Journal of Medical Ethics, 33, 249–54.
134. Lawrence, Ryan E. and Curlin, Farr A. (2007), ‘Clash of Definitions: Controversies About Conscience in Medicine’, The American Journal of Bioethics, 7 (12), 10–14.
135. Liptak, Adam (2010), ‘Justices, 5–4, Reject Corporate Spending Limit’, New York Times, January 22, sec. A, p. 1.
136. Lumalcuri, James and Hale, Ralph W. (2010), ‘Medical Liability: An Ongoing Nemesis’, Obstetrics & Gynecology, 115 (2, Part 1), 223–8.
137. Lynch, Holly Fernandez (2008), Conflicts of Conscience in Health Care: An Institutional Compromise (Cambridge, MA: The MIT Press).
138. Macklin, Ruth (1998), ‘Ethical Relativism in a Multicultural Society’, Kennedy Institute of Ethics Journal, 8 (1), 1–22.
139. Malm, H. M. (1991), ‘Between the Horns of the Negative–Positive Duty Debate’, Philosophical Studies, 61, 187–210.
140. Malpass, Susie (1976), ‘Hospitals – a Current Analysis of the Right to Abortions and Sterilizations in the Fourth Circuit: State Action and the Church Amendment’, North Carolina Law Review, 54 (6), 1307–16.
141. May, William F. (1975), ‘Code, Covenant, Contract, or Philanthropy’, The Hastings Center Report, 5 (6), 29–38.
142. May, William F. (1983), The Physician’s Covenant: Images of the Healer in Medical Ethics (Philadelphia, PA: Westminster Press).
143. McLeod, Carolyn (2008), ‘Referral in the Wake of Conscientious Objection to Abortion’, Hypatia, 23 (4).
144. Medical School Objectives Project (1998), ‘Report I: Learning Objectives for Medical Student Education: Guidelines for Medical Schools’ (Washington, DC: American Association of Medical Colleges), 1–13.
145. Meisel, Alan and Cerminara, Kathy L. (2009), The Right to Die: The Law of End-of- Life Decisionmaking (3rd edn, 2009 Supplement edn; Austin:Wolters Kluwer).
146. Merchant, Roland C. et al. (2007), ‘Patients’ Emergency Contraception Comprehension, Usage, and View of the Emergency Department Role for Emergency Contraception’, The Journal of Emergency Medicine, 33 (4), 367–75.
147. Miller, Franklin G. and Brody, Howard (1995), ‘Professional Integrity and Physician-Assisted Death’, The Hastings Center Report, 25 (3), 8–16.
148. Miller, Franklin G. and Brody, Howard (2001), ‘The Internal Morality of Medicine: An Evolutionary Perspective’, Journal of Medicine and Philosophy, 26 (6), 581–99.
149. Miller, Franklin G. and Chung, Kevin C. (2000), ‘Cosmetic Surgery and the Internal Morality of Medicine’, Cambridge Quarterly of Healthcare Ethics, 9 (3), 353–64.
150. Mohl, Bruce (2006), ‘State Orders Wal-Mart to Sell Morning-After Pill’, Boston Globe, February 15, p. F1.
151. Moran, Greg (2005), ‘Maternal Wish, Doctors’ Faith at Odds in Court’, The San Diego Union-Tribune, August 7, sec. News, p. A-1.
152. Mullan, Kenneth, Allen, William L. and Brushwood, David B. (1996), ‘Conscientious Objection to Assisted Death: Can Pharmacy Address this in a Systematic Fashion?’ Annals of Pharmacology, 30, 1185–91.
153. Narveson, Jan (1985), ‘Positive/Negative: Why Bother?’ Tulane Studies in Philosophy, XXXIII, 51–65.
154. Noddings, Nel (1984), Caring: A Feminine Approach to Ethics & Moral Education. (Berkeley, CA: University of California Press).
155. Nunn, Amy et al. (2003), ‘Contraceptive Emergency: Catholic Hospitals Overwhelmingly Refuse to Provide EC’, Conscience, 38–41.
156. Nussbaum, Martha C. (2008), Liberty of Conscience: In Defense of America’s Tradition of Religious Equality (New York, NY: Basic Books).
157. O’Rourke, Kevin (2001), ‘Catholic Hospitals and Catholic Identity’, Christian Bioethics, 7 (1), 15–28.
158. Osnos, Evan (2002), ‘NYC Leads New Effort to Train MDs in Abortions’, Chicago Tribune, July 4, p. 1.
159. Pauly, Bernadette et al. (2009), ‘Registered Nurses’ Perceptions of Moral Distress and Ethical Climate’, Nursing Ethics, 16 (5), 561–73.
160. Pear, Robert (2008a), ‘Abortion Proposal Sets Condition on Aid’, New York Times, July 15, sec. A, p. 17.
161. Pear, Robert (2008b), ‘Protests Over a Rule to Protect Health Providers’, New York Times, November 18, sec. A, p. 14.
162. Pellegrino, Edmund D. (1993), The Virtues in Medical Practice (New York: Oxford University Press).
163. Pear, Robert (1994), ‘Patient and Physician Autonomy: Conflicting Rights and Obligations in the Physician–Patient Relationship’, Journal of Contemporary Health Law and Policy, 10, 47–68.
164. Pear, Robert (2001), ‘The Internal Morality of Clinical Medicine: A Paradigm for the Ethics of the Helping and Healing Professions’, Journal of Medicine and Philosophy, 26 (6), 559–79.
165. Pear, Robert (2002a), ‘Professionalism, Profession and the Virtues of the Good Physician’, Mount Sinai Journal of Medicine, 69 (6), 378–84.
166. Pear, Robert (2002b), ‘The Physician’s Conscience, Conscience Clauses, and Religious Beliefs: A Catholic Perspective’, Fordham Urban Law Journal, 30, 221–44.
167. Pear, Robert (2006), ‘Toward a Reconstruction of Medical Morality’, American Journal of Bioethics, 6 (2), 65–71.
168. Pear, Robert and Thomasma, David C. (1981), A Philosophical Basis of Medical Practice: Toward a Philosophy and Ethic of the Healing Professions (New York: Oxford University Press).
169. Pence, Gregory E. (2004), Classic Cases in Medical Ethics: Accounts of Cases that Have Shaped Medical Ethics, with Philosophical, Legal, and Historical Backgrounds (Boston: McGraw-Hill).
170. Phaneuf, Maria C. (1972), The Nursing Audit: Self-regulation in Nursing Practice (New York, NY: Appleton-Century-Crofts).
171. Pitts, Leonard, Jr. (2005), ‘Find Another Job; Pharmacists Who Refuse to Sell Contraceptives Should Take a Hike’, Pittsburgh Post-Gazette, April 22, sec. A, p. 13.
172. Polis, Chelsea, Schaffer, Kate and Harrison, Teresa (2005), ‘Accessibility of Emergency Contraception in California’s Catholic Hospitals’, Women’s Health Issues, 15, 174–8.
173. President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research (1983), Deciding to Forego Life- Sustaining Treatment: Ethical, Medical, and Legal Issues in Treatment Decisions (Washington, DC: US Government Printing Office).
174. Prine, Linda (2007), ‘Emergency Contraception, Myths and Facts’, Obstetrics and Gynecology Clinics of North America, 34, 127–36.
175. Ragland, Denise and West, Donna (2009), ‘Pharmacy Students’ Knowledge, Attitudes, and Behaviors Regarding Emergency Contraception’, American Journal of Pharmaceutical Education, 73 (2), 1–4.
176. Repenshek, Mark and Slosar, John Paul (2004), ‘Medically Assisted Nutrition and Hydration: A Contribution to the Dialogue’, The Hastings Center Report, 34 (6), 13–16.
177. Rhodes, Rosamond (2006), ‘The Ethical Standard of Care’, American Journal of Bioethics, 6 (2), 76–8.
178. Rietjens, Judith A. C. et al. (2007), ‘Having a Difficult Time Leaving: Experiences and Attitudes of Nurses with Palliative Sedation’, Palliative Medicine, 21, 643–9.
179. Ritter, Jim (2005), ‘Planned Parenthood Protests Over Morning-After Pill; Downtown Pharmacist Wouldn’t Sell Emergency Contraceptive’, Chicago Sun-Times, March 23, sec. News, p. 10.
180. Savulescu, Julian (2006), ‘Conscientious Objection in Medicine’, British Medical Journal, 332, 294–7.
181. Schlissel, Lillian (1968), Conscience in America: A DocumentaryHistory of Conscientious Objection in America, 1757–1967 (New York: E.P. Dutton & Co., Inc.).
182. Schneider, Jason S. and Levin, Saul (1999), ‘Uneasy Partners: The Lesbian and Gay Health Care Community and the AMA’, Journal of the American Medical Society, 282 (13), 1287–8.
183. Scolaro, Kelly L. (2007), ‘OTC Product: Plan B Emergency Contraception’, Journal of the American Pharmacists Association, 47 (2), e2–e3.
184. Shannon, Thomas A. (2001), ‘Living the Vision: Health Care, Social Justice and Institutional Identity’, Christian Bioethics 7(1), 49–65.
185. Shannon, Thomas A. (2005), ‘Nutrition and Hydration (letter)’, The Hastings Center Report, 35 (3), 4.
186. Shannon, Thomas A. and Walter, James J. (2004), ‘Implications of the Papal Allocution on Feeding Tubes’, Hastings Center Report, 34 (4), 18–20.
187. Sibley, Muford Q. and Jacob, Philip E. (1952), Conscription of Conscience: The American State and the Conscientious Objector, 1940–1947 (Ithaca, NY: Cornell University Press).
188. Singer, Marcus G. (1965), ‘Negative and Positive Duties’, The Philosophical Quarterly, 15 (59), 97–103.
189. Smith Iltis, Ana (2001), ‘Institutional Integrity in Roman Catholic Health Care Institutions’, Christian Bioethics, 7 (1), 95–103.
190. Smugar, Steven S., Spina, Bernadette J. and Merz, Jon F. (2000), ‘Informed Consent for Emergency Contraception: Variability in Hospital Care of Rape Victims’, American Journal of Public Health, 90 (9), 1372–6.
191. Stein, Rob (2005), ‘Pharmacists’ Rights at Front of New Debate: Because of Beliefs, Some Refuse to Fill Birth Control Prescriptions’, Washington Post, March 28, sec. A, p. 1.
192. Stein, Rob (2006), ‘FDA Approves Plan B’s Over-the-Counter Sale: No Prescription Will Be Required for Women 18 or Older’, Washington Post, August 25, sec. A.
193. Stein, Rob (2008a), ‘Protections Set for Antiabortion Health Workers’, Washington Post, August 21, sec. A, p. 1.
194. Stein, Rob (2008b), ‘“Pro-Life” Drugstores Market Beliefs: No Contraceptives For Chantilly Shop’, Washington Post, June 16, sec. A, p. 1.
195. Stein, Rob (2009a), ‘17-Year-Olds to Gain Access to Plan B Pill’, Washington Post, April 23, sec. A, p. 3.
196. Stein, Rob (2009b), ‘Government Approves Study Using Human Embryonic Stem Cells’, Washington Post, January 24, p. A06.
197. Stempsey, William E. (2001), ‘Institutional Identity and Roman Catholic Hospitals’, Christian Bioethics, 7 (1), 3–14.
198. Stenberg, Marjorie J. (1979), ‘The Search for a Conceptual Framework as a Philosophic Basis for Nursing Ethics: An Examination of Code, Contract, Context, and Covenant’, Military Medicine, 144 (1), 9–22.
199. Sulmasy, Daniel P. (2007), ‘Preserving Life? The Vatican & PVS’, Commonweal, CXXXIV (21), 16–18.
200. Sulmasy, Daniel P. (2008), ‘What is Conscience and Why is Respect for it so Important?’ Theoretical Medicine and Bioethics, 29, 135–49.
201. Tanne, Janice Hopkins (2005), ‘Emergency Contraception is Under Attack by US Pharmacists’, British Medical Journal, 330, 983.
202. Tanne, Janice Hopkins (2008), ‘US Health Groups Protest Against Proposed Government “Conscience Rule”’, British Medical Journal, 2008 (337), 7673.
203. Task Force on Postovulatory Methods of Fertility Regulation (1998), ‘Randomised Controlled Trial of Levonorgestrel Versus the Yuzpe Regimen of Combined Oral Contraceptives for Emergency Contraception’, Lancet, 352, 428–33.
204. Task Force to Develop the Care of Terminally-Ill Oregonians (1998), The Oregon Death With Dignity Act: A Guidebook for Health Care Providers (Portland, OR: Center for Ethics in Health Care).
205. Temin, Elizabeth et al. (2005), ‘Availability of Emergency Contraception in Massachusetts Emergency Departments’, Academic Emergency Medicine, 12 (10).
206. Trammell, Richard L. (1975), ‘Saving Life and Taking Life’, The Journal of Philosophy, 72 (5), 131–7.
207. Trammell, Richard Louis (1985), ‘A Criterion for Determining Negativity and Positivity’, Tulane Studies in Philosophy, XXXIII, 75–81.
208. United States Conference of Catholic Bishops (2009), Ethical and Religious Directives for Catholic Health Care Services, 5th edn (Washington, DC: USCCB Publishing).
209. Uustal, Diann B. (1987), ‘Values: The Cornerstone of Nursing’s Moral Art’, in Marsha D. M. Fowler and June Levine-Ariff (eds.), Ethics at the Bedside: A Source Book for the Critical Care Nurse (Philadelphia, PA: J. B. Lippincott Company), 136–53.
210. Van Riper, Kristi K. and Hellerstedt, Wendy L. (2005), ‘Emergency Contraceptive Pills: Dispensing Practices, Knowledge and Attitudes of South Dakota Pharmacists’, Perspectives on Sexual and Reproductive Health, 37 (1), 19–24.
211. Veatch, Robert M. (1981), A Theory of Medical Ethics (New York, NY: Basic Books, Inc.).
212. Wallace, Jennifer L. et al. (2004), ‘Emergency Contraception: Knowledge and Attitudes of Family Medicine Providers’, Family Medicine, 36 (6), 417–21.
213. Wardle, Lynn D. (1993), ‘Protecting the Rights of Conscience of Health Care Providers’, The Journal of Legal Medicine, 14, 177–230.
214. Wear, Stephen (1991), ‘The Moral Significance of Institutional Integrity’, The Journal of Medicine and Philosophy, 16, 225–30.
215. LaGaipa, Susan and Logue, Gerald (1994), ‘Toleration of Moral Diversity and the Conscientious Refusal by Physicians to Withdraw Life-Sustaining Treatments’, Journal of Medicine and Philosophy, 19 (2), 147–59.
216. Weier, Anita (2004), ‘Patient, Pharmacist Collide: Birth Control Pill Conflict Shows Dilemma’, Capital Times, March 16, sec. Front, p. A-1.
217. Wicclair, Mark R. (2000), ‘Conscientious Objection in Medicine’, Bioethics, 14 (3), 205–27.
218. Wicclair, Mark R. (2006), ‘Pharmacies, Pharmacists, and Conscientious Objection’, Kennedy Institute of Ethics Journal, 16 (3), 225–50.
219. Wicclair, Mark R. (2007), ‘Reasons and Healthcare Professionals’ Claims of Conscience’, American Journal of Bioethics, 7 (6), 21–2.
220. Wicclair, Mark R. (2008), ‘Is Conscientious Objection Incompatible with a Physician’s Professional Obligations?’ Theoretical Medicine and Bioethics, 29 (3), 171–85.
221. Wicclair, Mark R. (2009), ‘Negative and Positive Claims of Conscience’, Cambridge Quarterly of Healthcare Ethics, 18 (1), 14–22.
222. Wicclair, Mark R. (2010), ‘Conscience-Based Exemptions for Medical Students’, Cambridge Quarterly of Healthcare Ethics, 19 (1), 38–50.
223. Wildes, Kevin Wm. (1997), ‘Institutional Identity, Integrity, and Conscience’, Kennedy Institute of Ethics Journal, 7 (4), 413–19.
224. Wilson, Durr (2009), ‘Patching a Wound: Working to End Conflicts at Harvard Medical’, New York Times, March 3, sec. Business Day, p. B1, B6.
225. Winckler, Susan C. and Gans, John A. (2006), ‘Conscientious Objection and Collaborative Practice: Conflicting or Complementary Initiatives?’ Journal of the American Pharmacists Association, 46 (1), 12–13.
226. Wreen, Michael (1984), ‘Breathing a Little Life into a Distinction’, Philosophical Studies, 46, 395–402.