Spanish physicians urged to disobey law on treating immigrants

According to a law that went into effect on 1 September, Spanish physicians may not provide health care for undocumented migrants except in cases of emergency, pregnancy, or delivery. The Spanish Society of Family and Community Medicine (SEMFyC), supported by the Spanish Medical Colleges, holds that the law is contrary to medical ethics and is advising physicians to become “conscientious objectors” to the law.  [Hastings Center Bioethics Forum]

Prominent Masschusetts physicians advocate civil disobedience

A former editor of the New England Journal of Medicine and a professor at Harvard Medical school are urging that American physicians practice civil disobedience by refusing to obey laws that block access to abortion and contraception.  “The unspoken assumption by state legislators seems to be that doctors will,” write Marcia Angell and Michael Greene,”. . . acquiesce with these new laws, that they are simply neutral agents who will comply with whatever the state orders.”  They argue that physicians “have ethical commitments to patients that they cannot and should not be required by state law to set aside.” [USA Today]

UNESCO official suggests mandatory registration of physicians who object to abortion

The UNESCO Chair in Bioethics at the University of Barcelona held a seminar on  “Abortion and conscientious objection” in early February.  The Chair’s director, Maria Casado, told the press that Spain should establish a national registry of physicians who object to abortion as a method of ensuring access to the procedure.  While she claimed to support a right to conscientious objection, she said that “When [it] is transformed into a collective stance for ideological reasons, it turns into civil disobedience.”  [ELN]

 

Ethical misconduct by abuse of conscientious objection laws

Med Law. 2006 Sep;25(3):513-22. PubMed PMID: 17078524

Bernard M. Dickens

Abstract:

This paper addresses laws and practices urged by conservative religious organizations that invoke conscientious objection in order to deny patients access to lawful procedures. Many are reproductive health services, such as contraception, sterilization and abortion, on which women’s health depends. Religious institutions that historically served a mission to provide healthcare are now perverting this commitment in order to deny care. Physicians who followed their calling honourably in a spirit of self-sacrifice are being urged to sacrifice patients’ interests to promote their own, compromising their professional ethics by conflict of interest. The shield tolerant societies allowed to protect religious conscience is abused by religiously-influenced agencies that beat it into a sword to compel patients, particularly women, to comply with religious values they do not share. This is unethical unless accompanied by objectors’ duty of referral to non-objecting practitioners, and  governmental responsibility to ensure supply of and patients’ access to such practitioners. [Full Text]

Christians and civil disobedience

Evangelical Fellowship of Canada

Background Paper

John H. Redekop*

Introduction

A basic requirement for the functioning of civil society, especially in a democracy, is that citizens, generally speaking, should obey the laws of the land.  Christians and most, if not all, other religious groups accept that principle as an over-arching reality.  The logic is compelling. If citizens, in substantial numbers, would take the law into their own hands and individually decide which laws to obey and which to disobey, then anarchy might result rather quickly.  The theory is clear and essentially true but the practical situation is sometimes more complicated.

What is to be done by responsible and highly moral citizens if certain laws are inherently evil?  What should citizens do if the government of the day pressures them to violate their conscience on a fundamental principle?  What should they do if their government suddenly denies them the most basic of freedoms?  We know from history as well as from the present global situation that Christians often encounter laws which are unjust and simply wrong.  The Christian response is clear. . . [Read on]