Alberto Giubilini’s Posts

Against Conscientious Objection In Health Care: A Counterdeclaration And Reply To Oderberg

by Alberto Giubilini
October 11, 2018October 12, 2018

Alberto Giubilini (Wellcome Centre for Ethics and Humanities, University of Oxford) and

Julian Savulescu (Uehiro Centre for Practical Ethics, University of Oxford)

Conscientious objection in health care – that is, healthcare practitioners objecting to performing certain legal, safe, and beneficial medical procedures (e.g. abortion) that a patient requests by appealing to their personal moral values – is one of the most debated topics in medical ethics at present time. Although at the moment doctors’ private conscience enjoys a lot of legal protection – most laws that make abortion legal contain clauses that exempt doctors from performing the procedure if they so wish. We have provided reasons, both in this forum and in our academic work, for why we think that conscientious objection in health care is not morally permissible and should not be allowed in the case of procedures that are legal, safe, beneficial, autonomously requested by patients and, more generally, consistent with the standards of good medical practice (see e.g. Savulescu 2006, Savulescu and Schuklenk 2017, Giubilini 2014, Giubilini 2017). Some people disagree and advance reasons for the opposite view. One of the scholars who has more clearly and straightforwardly articulated the principles and reasons in support of conscientious objection in health care is Professor Oderberg of Reading University. Prof Oderberg was recently invited to debate the issue with Julian Savulescu at the Masters Course in Practical Ethics run by the Uehiro Centre here at the University of Oxford. On that occasion, Prof Oderberg’s defense of conscientious objection centred around a series of principles and considerations that he very effectively formulated in the 17 main points that constitute his “Declaration in support of conscientious objection in health care”, published on the University of Reading website and which is available for people who agree with him to sign.Read More »Against Conscientious Objection In Health Care: A Counterdeclaration And Reply To Oderberg

Should Abortion be a Matter of Referendum?

by admin
May 26, 2018

Alberto Giubilini
Wellcome Centre for Ethics and Humanities and Oxford Martin School, University of Oxford

I am writing this post on the 25^th of May, as the Irish abortion referendum is taking place. However, you will probably be reading it once the results are already known. I am not going to write in support of either side of the debate here anyway. I want to write about the appropriateness (from an ethical point of view) of this referendum itself. I want to suggest that a referendum is not the appropriate way to solve the dispute at stake.

Irish people have been asked whether they wanted to repeal the Eight Amendment of the Irish Constitution, which gives foetuses and pregnant women an “equal right to life”. It is commonly assumed that the Eight Amendment was preventing the Irish Government from legalizing abortion, except in extreme and very rare circumstances in which abortion is necessary to save the life of a pregnant woman. If the majority of Irish people votes “yes”, abortion can become legal in the country. If the majority votes “no”, abortion will remain a crime in the country, with the exception of a few extreme and very rare circumstances. More specifically, voting “no” means voting in favour of the idea that in Ireland a foetus does have a right to life equal to the right to life of the woman. Voting “yes” means voting in favour of the idea that in Ireland the foetus does not have a right to life comparable to the right to life of a woman; in other words, that it can be considered merely as part of the woman’s body for the purpose of attributing it a right to life (though not necessarily for other purposes), and therefore something that a woman can permissibly decide not to keep alive as a matter of bodily autonomy or, in many cases, and depending on what definition of “health” we adopt, as a matter of basic healthcare.

Bigotry and the Academic Abortion Debate

by admin
December 28, 2017January 30, 2018

By Alberto Giubilini
Oxford Martin School and Wellcome Centre for Ethics and Humanitites, University of Oxford

For further discussion on this topic by Dr Giubilini see his oped in The Irish Times

Last month I was invited by Oxford’s Students for Life (OSFL), the pro-life student organisation at the University of Oxford, to take part in a public debate where I was asked to argue against their motion that “Conscientious objection in healthcare, concerning beginning and end of life issues, benefits society as a whole.” Having worked on conscientious objection in healthcare (e.g., doctors not being willing to perform abortions for personal moral or religious reasons) in the past, I thought (and still think) I had some very strong arguments against conscientious objection in healthcare in general, and conscientious objection by religious doctors in particular. I was very keen on challenging the pro-life position on this topic. I therefore accepted the invitation, although I was a bit surprised by it, given that OSFL were presumably aware of my positions on topics that for the pro-life are very sensitive, such as the ethics of abortion or of infanticide.

But I was curious to see and test to what extent the pro-life community was really committed to freedom of speech and would allow me to defend my views, so diametrically opposite to theirs. During the event, I therefore tried to push my arguments to their most extreme conclusions and to be as provocative as possible; for example, at some point I suggested that an unwanted pregnancy is comparable to a disease and that therefore doctors have a duty to medically treat it by performing an abortion. I have to say I saw many people in the audience jolt in their chairs, which I did expect. Nonetheless, after my talk there was a very civil and calm discussion: the pro-life defenders debated my arguments, allowed me to reply, and thanked me at the end of the debate for my participation and what they considered challenging views.

Vaccine Refusal Is Like Tax Evasion

by admin
October 31, 2017

Written by Alberto Giubilini:

Oxford Martin School and Wellcome Centre for Ethics and the Humanities, University of Oxford

Vaccination has received a lot of media attention over the past few months following recent measles outbreaks and the introduction of rigid vaccination policies in some countries. Amid this discussion, a rather strange story hit the headlines a few weeks ago. According to reports, a woman in Michigan was sentenced to 7 days in jail because she refused to vaccinate her child, adducing personal religious reasons. Newspapers reported the story with somewhat misleading – though factually correct – titles, such as “Michigan mother jailed for refusing to vaccinate her son” or “Michigan mother sent to prison for failing to vaccinate her son.”Read More »Vaccine Refusal Is Like Tax Evasion

Why Vegetarians Should Be Prepared to Bend Their Own Rules

by admin
August 7, 2017September 21, 2017

Alberto Giubilini
Republished from Aeon Magazine

It’s a common enough scenario. A vegetarian has been invited to a friend’s place for dinner. The host forgets that the guest is a vegetarian, and places a pork chop in front of her. What is she to do? Probably her initial feelings will be disgust and repulsion. Vegetarians often develop these sorts of attitudes towards meat-based food, making it easier for them to be absolutists about shunning meat.

Suppose, though, that the vegetarian overcomes her feelings of distaste, and decides to eat the chop, perhaps out of politeness to her host. Has she done something morally reprehensible? Chances are that what she has been served won’t be the kind of humanely raised meat that some (but not all) ethical vegetarians find permissible to consume. More likely, it would be the product of cruel, intensive factory farming. Eating the meat under these circumstances couldn’t then be an act of what the philosopher Jeff McMahan calls ‘benign carnivorism’. Would the vegetarian guest have done something wrong by breaking her own moral code?

Most vegetarians are concerned about animal suffering caused by meat consumption, or about the impact of factory farming on the environment. For simplicity’s sake, I will consider only the case of animal suffering, but the same argument could be applied to the other bad consequences of today’s practices of factory farming, including, for example, greenhouse gas emissions, inefficient use of land, and use of pesticides, fertiliser, fuel, feed and water, as well as the use of antibiotics causing antibiotic resistance in livestock’s bacteria which is then passed on to humans.

Cross Post: Italy has introduced mandatory vaccinations – other countries should follow its lead

by admin
June 6, 2017

Written by Alberto Giubilini

This article was originally published on The Conversation

In the first four months of this year, around 1,500 cases of measles were reported in Italy. As a response to the outbreak, the Italian government introduced a law making 12 vaccinations mandatory for preschool and school-age children.

Parents will have to provide proof of vaccination when they enroll their children in nursery or preschool. In this respect, the Italian policy follows the example of vaccination policies in the US. But there’s one crucial difference: the Italian law doesn’t allow parents to opt out on the grounds of “conscientious objection”.Read More »Cross Post: Italy has introduced mandatory vaccinations – other countries should follow its lead

Cross Post: Why we should tax meat that contains antibiotics

by admin
April 5, 2017April 5, 2017

Alberto Giubilini, University of Oxford

The use of antibiotics in meat production is a major contributor to one of the biggest threats facing human health in the 21st century: antibiotic resistance. Finding a solution to this requires us to start taking responsibility for our actions. While one person eating meat has an imperceptible effect on antibiotic resistance, multiply that by millions of people around the world and you have a global crisis.Read More »Cross Post: Why we should tax meat that contains antibiotics

Cross Post: Next time you ask the doctor for some antibiotics – consider whether you’re being immoral

by admin
June 29, 2016

Written by Alberto Giubilini, Postdoctoral Research Fellow, Oxford Uehiro Centre for Practical Ethics

This article was originally published in The Conversation

Antimicrobial resistance is the ability of microorganisms causing infections to survive exposure to antimicrobial drugs such as antibiotics. This is considered by some to be a slowly emerging disaster. According to the recently released Review on Antimicrobial Resistance commissioned by the UK government, by 2050 some 10m lives a year will be at risk because of drug resistant infections.