Abstract

Casey and Salzmann’s application of the Rule of Double Effect (RDE) to the therapeutic and prophylactic uses of combined oral contraceptives (COC) has a limited sphere of influence. Its use is confined to communities that possess a certain degree of consensus about the approval and disproval of certain acts. This article discusses why it is important to identify the community or communities to whom Casey and Salzman’s (2014) arguments are directed and for whom their conclusions are intended. Furthermore two questions arise in response to Carey and Salzmann’s conclusion: Does RDE function identically with respect to both the therapeutic and prophylactic uses of COC? And second does the appeal to RDE function identically with respect to both prescribers and users of COC?

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