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Rebeginning again and reading

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I have read less of the history of medical libraries that I had planned. I have read less of everything than I had planned, but that is a fact of life. I am 3 pages deep (and months stalled) into Gertrude L. Annan’s “The Medical Library Association in Retrospect, 1937-1967” (Bull Med Libr Assoc. 1998 Apr;86(2):270-8.). I vaguely recall an impression that the beginnings of the profession were inauspicious, born of print-based indexes, and (later) necessitated by unfriendly databases. And the whole thing leads one to wonder, what would be the state of medical libraries were it not for the creation of the NLM? But I’ll return to that train later.

Now I am reading “ethics.” And the saddest sentences of the day (after noting that physicians making “justice-based” refusals may be said to be acting on conscience only if they meet three criteria: 1. they have a core set of moral beliefs; 2. justice is one of those beliefs; 3. providing care would conflict with the doctor’s concept of justice), Mark Wicclair writes:

Without questioning the sincerity of physicians with justice-based objections to providing medical treatment, it is unlikely that many will satisfy the second condition. If a person’s conception of justice is among her core moral beliefs, she is likely to experience guilt, remorse, loss of self-respect, and/or shame if her actions are incompatible with her conception of justice. Regrettably, however, injustice is something that many physicians and non-physicians alike have learned to tolerate and live with.

Wicclair, M. R. (2011). Conscientious objection in health care: An ethical analysis. Cambridge: Cambridge University Press. p.8.


Written by Jere

May 1, 2012 at 11:20 am

Posted in Conscience, Ethics, Libraries

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