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Conscience Works
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Conscience Works grows out of twenty years of collaboration, research, writing and teaching begun by Dr. Barbara Stilwell and Dr. Matthew Galvin, both Child and Adolescent Psychiatrists, and Dr. Mark Kopta, a psychologist at the University of Evansville. As can be discerned from the Acknowledgements to the offering which
comprises our first volume, many others have contributed time and scholarship.
The Indiana University Conscience Project has grown over the years, and currently actively engages in several areas of inquiry and research. This community is meant to serve several purposes, including: publication of original scholarly work not available elsewhere, expansion of our special needs electronic library dedicated to conscience sensitive moral educational books for children, the teachers, parents and others who undertake their moral education, information dissemination, and other items of interest. Also see the associated website at https://conscienceworks.iu.edu.
You can support the Conscience Works digital archive with your donation to the University Library Conscience Works Fund.
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Item A Conscience Sensitive Approach To Ethics and Teaching Caring Attitudes (presentation)(2005-11-18T16:01:17Z) Gaffney, Margaret M.; Litzelman, D; Galvin, Matthew R.; Stilwell, B; Cottingham, AAn I.U. Conscience Project and HELP Collaboration. The presentation describes models for teaching ethics and caring attitudes to undergraduate medical students in both formal and informal medical education curriculum. Competency based curriculum is discussed.Item A Conscience Sensitive Approach To Ethics and Teaching Caring Attitudes(2005-10) Gaffney, Margaret M.; Galvin, Matthew R.; Stilwell, BAn I.U. Conscience Project and HELP Collaboration. The article describes models for teaching ethics and caring attitudes to undergraduate medical students in both formal and informal medical education curriculum. Competency based curriculum is discussed.Item Strange bedfellows: torture and medical professionals(2008-05-28) Gaffney, Margaret M.The lecture, sponsored by the Charles Warren Fairbanks Center for Medical Ethics, outlines the history of physician participation in torture, identifies professional, international and military codes that are relevant to torture, and describes current controversies related to medical personnel and treatment of prisoners.Item What is conscience and why is respect for it so important?(The final version is available from www.springerlink.com., 2008) Sulmasy, Daniel P.The literature on conscience in medicine has paid little attention to what is meant by the word 'conscience.' This article distinguishes between retrospective and prospective conscience, distinguishes synderesis from conscience, and argues against intuitionist views of conscience. Conscience is defined as having two interrelated parts: (1) a commitment to morality itself; to acting and choosing morally according to the best of one's ability, and (2) the activity of judging that an act one has done or about which one is deliberating would violate that commitment. Tolerance is defined as mutual respect for conscience. A set of boundary conditions for justifiable respect for conscientious objection in medicine is proposed.Item Mandatory Vaccinations: Precedent and Current Laws(Congressional Research Service, 2011-03-10) Swendiman, Kathleen SHistorically, the preservation of the public health has been the primary responsibility of state and local governments, and the authority to enact laws relevant to the protection of the public health derives from the state’s general police powers. With regard to communicable disease outbreaks, these powers may include the enactment of mandatory vaccination laws. This report provides an overview of the legal precedent for mandatory vaccination laws, and of state laws that require certain individuals or populations, including school-aged children and health care workers, to be vaccinated against various communicable diseases. Also discussed are state laws providing for mandatory vaccinations during a public health emergency or outbreak of a communicable disease. --- Federal jurisdiction over public health matters derives from the Commerce Clause of the United States Constitution, which states that Congress shall have the power “[t]o regulate Commerce with foreign Nations, and among the several States ... ” Congress has enacted requirements regarding vaccination of immigrants seeking entry into the United States, and military regulations require American troops to be immunized against a number of diseases. The Secretary of Health and Human Services has authority under the Public Health Service Act to issue regulations necessary to prevent the introduction, transmission, or spread of communicable diseases from foreign countries into the states or from state to state. Current federal regulations do not include any mandatory vaccination programs; rather, when compulsory measures are needed, measures such as quarantine and isolation are generally utilized to halt the spread of communicable diseases.Item Church Amendments, 42 U.S.C. § 300a-7(http://www.hhs.gov/ocr/civilrights/understanding/ConscienceProtect/, 1973) U.S. Department of Health & Human ServicesNo individual shall be required to perform or assist in the performance of any part of a health service program or research activity funded in whole or in part under a program administered by the Secretary of Health and Human Services if his performance or assistance in the performance of such part of such program or activity would be contrary to his religious beliefs or moral convictions.Item Danforth Amendment to the Civil Rights Restoration Act, 20 USC § 1688. Neutrality with respect to abortion(http://www.justice.gov/crt/about/cor/coord/titleixstat.php#Sec.%201688.%20Neutrality%20with%20respect%20to%20abortion, 1988)Nothing in this chapter shall be construed to require or prohibit any person, or public or private entity, to provide or pay for any benefit or service, including the use of facilities, related to an abortion. Nothing in this section shall be construed to permit a penalty to be imposed on any person or individual because such person or individual is seeking or has received any benefit or service related to a legal abortion.Item Public Health Service Act, 42 U.S.C. § 238n. Abortion-related discrimination in governmental activities regarding training and licensing of physicians(http://www.hhs.gov/ocr/civilrights/understanding/ConscienceProtect/, 1996) U.S. Department of Health & Human ServicesThe Federal Government, and any State or local government that receives Federal financial assistance, may not subject any health care entity to discrimination on the basis that-- (1) the entity refuses to undergo training in the performance of induced abortions, to require or provide such training, to perform such abortions, or to provide referrals for such training or such abortions; (2) the entity refuses to make arrangements for any of the activities specified in paragraph (1); or (3) the entity attends (or attended) a post-graduate physician training program, or any other program of training in the health professions, that does not (or did not) perform induced abortions or require, provide or refer for training in the performance of induced abortions, or make arrangements for the provision of such training.Item Balanced Budget Act, 42 U.S.C. § 1395w-22(j)(3). Prohibiting interference with provider advice to enrollees(http://www.gpo.gov/fdsys/pkg/USCODE-2010-title42/pdf/USCODE-2010-title42-chap7-subchapXVIII-partC-sec1395w-22.pdf, 1997)Subparagraph (A) shall not be construed as requiring a Medicare Choice plan to provide, reimburse for, or provide coverage of a counseling or referral service if the Medicare Choice organization offering the plan— (i) objects to the provision of such service on moral or religious grounds; and (ii) in the manner and through the written instrumentalities such Medicare Choice organization deems appropriate, makes available information on its policies regarding such service to prospective enrollees before or during enrollment and to enrollees within 90 days after the date that the organization or plan adopts a change in policy regarding such a counseling or referral service.Item Ensuring That Department of Health and Human Services Funds Do Not Support Coercive or Discriminatory Policies or Practices in Violation of Federal Law(http://www.gpo.gov/fdsys/pkg/FR-2008-12-19/pdf/E8-30134.pdf, 2008-12-19) U.S. Department of Health & Human ServicesSUMMARY: The Department of Health and Human Services (HHS) is issuing a final rule to ensure that Department funds do not support morally coercive or discriminatory practices or policies in violation of federal law, pursuant to the Church Amendments (42 U.S.C. 300a– 7), Public Health Service (PHS) Act § 245 (42 U.S.C. 238n), and the Weldon Amendment (Consolidated Appropriations Act, 2008, Public Law 110–161, Div. G, § 508(d), 121 Stat. 1844, 2209). This final rule defines certain key terms. In order to ensure that recipients of Department funds know about their legal obligations under these federal health care conscience protection laws, the Department is requiring written certification by certain recipients that they will comply with all three statutes, as applicable. Finally, this final rule assigns responsibility for complaint handling and investigation among the Department’s Office for Civil Rights and Department program offices.