This paper aims to outline a counterfactual theory of divine atemporal causation that avoids problems of preemption. As a result, the presentation of the analysis is structured such that my counterfactual analysis directly addresses preemption issues. If these problems can be avoided, the theist is well on her way to proposing a usable metaphysical concept of atemporal divine causation. In the first section, I outline Lewis' original counterfactual analysis as well as how these cases of preemption cause problems for his analysis. In particular, two cases of preemption have proven problematic for counterfactual analyses: late preemption and trumping preemption. In the second section, I propose a counterfactual analysis of divine causation that is not subject to these problems of preemption. I present a counterfactual analysis of timeless divine causation, supplemented by a definition of what it means for God to allow an event to happen. In the third section, I argue this analysis is not prey to problems of preemption.
Schuklenk, Smalling, and Savulescu put forth four conditions that delineate when conscientious objection is impermissible. Roughly, they argue for the following claim: if some practice is legal, standard, expected of a profession, and in the patient's interest, then medical professionals cannot refuse to perform the practice. In this essay, I argue that these conditions are not jointly sufficient to deny medical professionals the ability to refuse to perform procedures that detract from a patient's health. They are insufficient to bar medical refusals to perform certain practices because, even when these conditions are met, non-health conducive practices would not be open to refusal by the physician.I provide an example of a non-health conducive practice female genital mutilation, which meets all of the proposed conditions but, intuitively, should be open to medical refusals. As a result, I conclude that the proposed conditions are insufficient to determine when conscientious objection is impermissible.
That a standard of medical care must outline services that benefit the patient is relatively uncontroversial. However, one must determine how the practices outlined in a medical standard of care should benefit the patient. I will argue that practices outlined in a standard of medical care must not detract from the patient's well-functioning and that clinicians can refuse to provide services that do. This paper, therefore, will advance the following two claims: (1) a standard of medical care must not cause dysfunction, and (2) if a physician is medically rational to not provide some service which fails to meet the above condition (i.e. fails to be a standard of medical care), then she may refuse to do so. I then apply my thesis to the prescription of puberty blockers to children with gender dysphoria.
In her paper, “The cost of conscience: Kant on conscience and conscientious objection,” Jeanette Kennette argues that a Kantian view of conscientious objection in medicine would bar physicians from refusing to perform certain practices based on conscience. I offer a response in the following manner: First, I reconstruct her main argument; second, I present a more accurate picture of Kant’s view of conscience. I conclude that, given a Kantian framework, a physician should be allowed to refuse to perform practices that break the moral law and, thus, refuse practices that violate her conscience.
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