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The misrepresentation of conscientious objection as a new strategy of resistance to abortion decriminalisation

Abstract:
In Latin America, a region where abortion is highly restricted, activism in sexual and reproductive rights has managed to advance a progressive agenda in various fields, although these conquests are receding in some contexts. In Chilean history, abortion for therapeutic reasons was allowed until 1989, when a complete ban on abortion was established at the end of the military regime. It was not until August 2017, 23 years after the return of democracy, that Congress decriminalised abortion on three grounds: risk to the life of the pregnant woman, rape, and cases where the foetus is non-viable. The law opened a strong debate about the scope and eligibility for the right to conscientious objection, not only for an individual, but also on an institutional basis. When initially approved by Congress, the bill only included the right to individual conscientious objection for the surgeon who would perform the abortion and the rest of the professional staff present in the surgical ward during the intervention. It prohibited institutional conscientious objection: “Conscientious objection is of a personal nature and in no case may it be invoked by an institution”. However, before publication of the law in 2017, the terms were modified by the Constitutional Court to recognise institutional conscientious objection. The right to object was also extended to non-professional health personnel working in the surgical ward. Moreover, the Constitutional Court eliminated, without explanation, the rule that prevented the objector from excusing himself or herself in cases of imminent expiration of the established deadline in the event of rape, and only maintained the exception in the event that the woman’s life was at risk and requiring imminent and unpostponable care. According to the Constitutional Court ruling, the invocation of conscientious objection by institutions is based not only on recognition of the confessional tenets of religious institutions or legal entities protected under the freedom of conscience and religion clause (Article 19 N°6 of the Constitution), but also on the freedom granted to educational establishments that hold those ideals (Article 19 N°11), on the right to freedom of association (Article 19 N°15), and on the protection of the autonomy of intermediate groups (Article 1 N°3). An intermediate group is any formal or informal association of individuals, the word “intermediate” alluding to the position these groups occupy between the individual and the State. The protection of intermediate groups under Article 1 has a history associated with the Chilean dictatorship, under which the Pinochet regime enacted a neoliberal Constitution in reaction to what was understood as the threat of a Marxist totalitarian State. The protection of intermediate groups, together with the doctrine of the subsidiary State, gave a strong guarantee of economic freedoms and the protection of property rights, which boosted the development of private medicine. This led to a radical change in the way of thinking about health in Chile, which is captured, to an important extent, by a market-oriented logic. A second decision of the Constitutional Court on conscientious objection, issued in January of 2019, made this explicit: “ ... the current Constitution does not give the State a ‘preferent’ role in the provision of health care services, but entrusts this operation COMMENTARY
Author Listing: Verónica Undurraga;Michelle Sadler
Volume: 27
Pages: 17 - 19
DOI: 10.1080/26410397.2019.1610280
Language: English
Journal: Sexual and Reproductive Health Matters

Sexual and Reproductive Health Matters

影响因子:2.6
是否综述期刊:否
是否OA:是
是否预警:不在预警名单内
发行时间:-
ISSN:2641-0397
发刊频率:-
收录数据库:Scopus收录/DOAJ开放期刊
出版国家/地区:United Kingdom
出版社:Taylor & Francis

期刊介绍

年发文量 17
国人发稿量 -
国人发文占比 0%
自引率 3.8%
平均录取率 -
平均审稿周期 16 Weeks
版面费 -
偏重研究方向 Medicine-Obstetrics and Gynecology
期刊官网 https://www.tandfonline.com/toc/zrhm21/current
投稿链接 -

质量指标占比

研究类文章占比 OA被引用占比 撤稿占比 出版后修正文章占比
94.12% 99.44% - -

相关指数

影响因子
影响因子
年发文量
自引率
Cite Score

预警情况

时间 预警情况
2025年03月发布的2025版 不在预警名单中
2024年02月发布的2024版 不在预警名单中
2023年01月发布的2023版 不在预警名单中
2021年12月发布的2021版 不在预警名单中
2020年12月发布的2020版 不在预警名单中

JCR分区 WOS分区等级:Q2区

版本 按学科 分区
WOS期刊SCI分区
(2021-2022年最新版)
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Q2

中科院分区

版本 大类学科 小类学科 Top期刊 综述期刊
医学
3区
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
公共卫生、环境卫生与职业卫生
2区
2021年12月
升级版
医学
3区
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
公共卫生、环境卫生与职业卫生
3区
2022年12月
最新升级版
医学
2区
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
公共卫生、环境卫生与职业卫生
2区