Contenuti per la categoria: Obiezioni di coscienza

SOMMARIO: 1. - Il “caso Oneda” - 2. -Evoluzione successiva e stato attuale - 3. - La violenza medica - 4. Conclusioni - Appendice.

Freedom of choice of therapy and medical violence. Brief Considerations on the Refusal of Blood Transfusions by Jehovah's Witnesses

ABSTRACT: This short essay considers the change in the jurisprudential orientation on the matter in the light of the recent regulatory and healthcare evolution. In Italy the debate began with the Oneda case, which saw the conviction of two parents who opposed the transfusions of their daughter - at the time the only known therapy to combat a severe form of anemia. Nowadays, this question must be contextualized in the light both of the principle of health self-determination and the possibility of the "bloodless" treatment. Therefore, the Court of Tivoli (the sentence is attached in appendix) recently convicted a doctor who transfused a dissenting patient for “private violence”.

SOMMARIO: 1. Introduzione - 2. La tutela della salute nell’emergenza sanitaria: le raccomandazioni e linee guida delle società scientifiche quali sintomi della crisi delle fonti del diritto - 3. Il concetto di vulnerabilità - 4. Le Raccomandazioni di etica clinica della SIAARTI del 6 marzo 2020: criticità - 5. Le linee guida SIAARTI-SIMLA: nulla di nuovo nelle scelte di triage – 6. Conclusioni.

The problem of vulnerability in the SIAARTI Recommendations and in the SIAARTI-SIMLA guidelines

ABSTRACT: During the health emergency from Covid-19 a situation of scarcity of health resources has been realized that has induced the SIAARTI to elaborate of the recommendations of clinical ethics. The latter are subject to multiple criticism because of the choice of criteria for allocation of resources because one of the criteria used is the chronological criteria. From this it was decided to analyze the condition of a category of vulnerable people, namely the elderly, during the health emergency. Subsequently, the position these subjects possess within the recommendations of clinical ethics of SIAARTI and the guidelines elaborated by SIAARTI and SIMLA was analyzed.

Sommario: PARTE I: LE INTERAZIONI CLASSICHE - 1. Salute e religione, un tema tradizionale in evoluzione - 2. La “religione” come cura. Santoni e guaritori - 3. Libertà religiosa versus tutela della salute. Le pratiche di mutilazione genitale femminile - 4. (segue) La circoncisione maschile - PARTE II: LE INTERAZIONI EMERGENTI - 5. Il dissenso religioso al trattamento sanitario. Il caso dei testimoni di Geova, e non solo - 6. Le nuove frontiere di tutela della salute nella legge n. 219 del 2017. Gli effetti sull’identità religiosa del paziente-fedele - 7. (segue) Gli spazi di obiezione di coscienza del personale medico sanitario.

Religious identity and right to health. Classic and emerging interactions

ABSTRACT: The relationship existing between health and religion is innate. Legal systems started dealing with it since the first formulations about freedom of religion and right to health, in order to take care of the individual and collective needs. Taking this premise into account, the first part of the essay analyzes the classic interactions between health and religion, in which the latter replaces official medicine or prescribes harmful conduct. Consequently, legal systems have developed resolutive dialectics which can be applied to new specific cases brought by multiculturalism, like infibulation. In the second part, the essay examines the emerging interactions caused by a third party - the medical health personnel - owner of the duty of care and freedom of conscience, recreating the solutions offered by doctrine and law. Lastly, it focuses on the objections which can be moved by the medical health personnel, which are connected to early end-of-life dispositions (law n. 219/2017), proposing solutions to the lack of regulation left by the law.

SOMMARIO: 1. Premessa - 2. La strategia elvetica per fare fronte alla pandemia e le osservazioni da parte della Conferenza Episcopale Svizzera - 3. La situazione italiana di fronte alla pandemia e le scelte in campo medico. I limiti all’autodeterminazione attraverso la proposta di introdurre l’obiezione di coscienza - 4. Conclusioni.

Switzerland and Italy: triage and intensive medicine solutions in comparison

ABSTRACT: Italy and Switzerland are two very different countries. This diversity is particularly evident in the health sector, not only in terms of its organization and management, but above all in the different approach that each country has with regard to the health of its members. The exaltation of therapeutic self-determination by Switzerland clashes with the medical paternalism to which Italy remains nostalgically linked, despite the fact that the needs of Italian society have changed profoundly. However, the dramatic choices to which the spread of Covid-19 has led have created the conditions for an inevitable reversal of the trend on the part of Italy and its approach to Swiss policies in terms of defending the freedom of choice of the individual.

SOMMARIO: 1. Il dilemma etico ai tempi della pandemia da Covid-19 -2. Le Raccomandazioni di etica clinica della SIIARTI del 6 marzo 2020 - 3. I criteri selettivi di accesso ai reparti di terapia intensiva in Svizzera, Quebec (Canada) e Alabama (USA) - 4. Triage in emergenza pandemica. Possibile contrasto di alcuni criteri selettivi con i valori religiosi ed etici del personale sanitario -5. Emergenza sanitaria e “clausola di coscienza” in Italia.

Science and conscience at the time of the Covid-19 health emergency

ABASTRACT: The Covid-19 pandemic crisis and the saturation of the intensive care wards have made it necessary to prepare patient selection criteria in case of lack of available places. The spread of various "selective criteria", in different regulatory realities, starting in Italy from the Ethical Recommendations of the SIIARTI (Italian Society of Anaesthesia, Analgesia, Resuscitation and Intensive Care) of March 6, 2020, as well as for reasons of distributive justice and appropriate allocation of limited health resources, was also necessary to relieve medical staff from part of the responsibility in the choices to be made, sometimes particularly onerous. The rationale behind the "medicine of catastrophes" documents, however, may conflict with the ethical values of medical personnel, undoubtedly capable of influencing their professional choices. The present contribution aims to verify the configurability of a space within which to give prominence, even in emergency conditions, to the ethical-religious beliefs of health personnel, in accordance with the rules of medical and nursing ethics that allow the individual operator to invoke the "conscience clause" to justify the refusal of services considered contrary to their conscience or their technical-scientific beliefs, even in cases not recognized by laws that expressly provide for "conscientious objection".

SOMMARIO: 1. Introduzione - 2. Il frammentato quadro normativo in materia di LGBT rights - 3. Il caso Bostock v. Clayton County, Georgia - 4. L’impatto della pronunzia Bostock sulle istituzioni religiose - 5. La tutela offerta dal Title VII all’esercizio della libertà religiosa - 6. La Section 702(a) del Title VII e le questioni interpretative irrisolte - 7. Nuove letture giurisprudenziali della Section 702(a) - 8. L’interazione fra esenzioni religiose ex Section 702(a) e sex discrimination: possibili futuri scenari alla luce del caso Bostock - 9. La specificità delle istituzioni impegnate nel settore dell’istruzione - 10. La ministerial exception e i limiti della sua applicabilità - 11. Il RFRA - 12. I rischi derivanti da un utilizzo over-expansive del RFRA - 13. La Free Exercise Clause - 14. Le vie percorribili per recepire nuove prospettive valoriali - 15. Il mancato intervento del Congresso - 16. Principio di non discriminazione ed esercizio della libertà religiosa: un binomio incompatibile? - 17. L’esempio della legislazione sui same-sex marriages - 18. La tutela dell’istituzionalismo religioso e i suoi “ragionevoli” limiti - 19. Conclusioni.

The interplay between religious exemptions and LGBT rights in the workplace: new judicial trajectories at the crossroads of plural narratives

ABSTRACT: A recent U.S. Supreme Court judgement found that Title VII of the Civil Rights Act covers discriminations founded on gender identity and sexual orientation. The present paper analyses the effect of this judgement on the exercise of religious freedom of faith-based organizations and investigates the possibility of finding ways to reconcile competing interests.

SOMMARIO: 1. Le “nuove” obiezioni di coscienza nelle società multiculturali. Il rifiuto dell’obbligo vaccinale - 2. Religioni e vaccini - 3. La situazione negli altri Paesi, in particolare il caso degli USA - 4. L’obbligo vaccinale in Italia - 5. È configurabile il diritto all’obiezione di coscienza rispetto alle vaccinazioni obbligatorie?

The Refusal of Mandatory Vaccinations for Conscientious Reasons. A Comparative Overlook

ABSTRACT: The paper analyzes the possibility to design a new shape of conscientious objection : the refusal of mandatory vaccinations due to religious or ideological reasons. Some religions are against vaccines because of the ingredients they contain. In other cases the refusal to be vaccinated is based on the idea that only God can protect health. The legislatures of some Countries recognize the conscientious objection to mandatory vaccinations. The paper focuses the topic in a comparative perspective, paying attention to the italian and european context.

SOMMARIO: 1. Introduzione - 2. Tra free speech e free exercise clauses: la libertà di coscienza nella giurisprudenza della Corte suprema (cenni) - 3. Una discriminazione nella discriminazione? Una decisione che non risolve il dilemma - 4. Kicking the can down the road: l’arte di non decidere e le dissenting/concurring opinions del caso Masterpiece Cakeshop - 5. (segue) a) l’opinion del giudice Thomas - 6. (segue) b) uno sguardo sul futuro: due (ipotetici) orientamenti prevalenti - 7. Dal saluto alla bandiera alle torte nuziali: libertà e tolleranza nella società plurale contemporanea.

ABSTRACT: The paper examines the clash between public accommodations laws and freedoms of speech and religion in America at the light of the recent decision of the U.S. Supreme Court Masterpiece Cakeshop Ltd., v. Colorado Civil Rights Commission. The case deals with the refusal of a Colorado’s bakery to provide a wedding cake to a gay couple based on the owner's religious beliefs. After explaining the decision of the Court and the position of the U.S. Supreme Court Justices in their dissenting and concurring opinions, the paper addresses the claim of freedom of speech and of the tolerance principle in the pluralistic age.

SOMMARIO: 1. Cittadinanza e identità religiosa - 2. Cittadinanza e pluralismo religioso - 3. “Cittadinanza integrativa” e libertà religiosa - 4. La Risoluzione 2076 (2015) e la Raccomandazione 2080 (2015).

Religious Freedom and Integrative Citizenship. Some Notes on 'Living Together' in a Plural Society

ABSTRACT: Circumcision concerns the religious identity of Jews and Muslims. In addition to these circumcisions which can be defined as "confessional-religious" there are also those related to local customs. These types deserve renewed attention after Resolution 1952 (2013) and Recommendation 2023 (2013) of the Parliamentary Assembly of the Council of Europe, both concerning "the right of children to physical integrity", and subsequent resolutions 2076 (2015) and Recommendation 2080 (2015) devoted to "(R) Religion and Living together in a Democratic Society". Citizenship is, in fact, the much broader horizon to be found behind circumcision. While the first two documents tend to consider non-therapeutic circumcision as a possible assault to the physical integrity of children without, therefore, focusing on the profiles inherent the right to religious freedom and the possible inclusive value of its "recognition" for the purposes of universal citizenship, the latter two, focusing on the freedom of 'living together' according to the practices of each religion, seem to be more aware of the need to move towards the realization of a European, inclusive and plural citizenship. However, the category of 'living together', evanescent and ambiguous for its correlation with the principle of majority (as is evident from the most recent case law of the ECHR), requires a new approach that gives it greater objectivity. Concepts such as those of pluralism and plural citizenship, in which civic belonging and religious affiliation can live together, help to go in that direction, renewing, in the end, the membership of a Europe of peoples and not just of economies.

SOMMARIO: 1. Premessa - 2. Valori e principi: une necessaria distinzione - 3. La “supremazia” del metodo laico. Il problema del valore - 4. La laicità come mezzo e come fine: alcune considerazioni - 5. Dalla laicità dello Stato alla laicità per lo Stato - Segue: il caso dell’obiezione di coscienza nell’IVG. Le assolutezze dei fini alla prova dell’indipendenza etica - 6. Il valore della laicità come principio per la libertà.

From the secular State to secularism for the State. The lay paradigm between principle and value.

ABSTRACT: In the essay, the concept of secularity is examined both as a legal paradigm and as a value. The identified legal and philosophical perspectives represent potential reading keys that can guide the interpretative and implementing paradigm of laicity in a more coherent way with its historical-value reason.