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Conscientious objection, emergency contraception, and public policy.

Robert F Card¹

¹Department of Philosophy, State University of New York at Oswego, Oswego, USA. robert.card@oswego.edu

The Journal of Medicine and Philosophy

|January 19, 2011

Summary

Medical professionals

Area of Science:

Medical Ethics
Bioethics
Public Health Policy

Background:

Medical professionals' rights to conscientious objection (CO) regarding emergency contraception (EC) are debated.
Arguments for CO in healthcare often draw parallels to military CO.
Concerns exist regarding the potential impact of EC on zygotic life.

Purpose of the Study:

To analyze the consistency of conscientious objection claims regarding emergency contraception.
To evaluate the validity of the analogy between military CO and healthcare CO.
To examine the ethical and legal implications of conscientious objection in dispensing EC.

Main Methods:

Legal precedent analysis of conscientious objection in analogous fields.
Ethical framework application to conscientious objection claims.

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Consistency evaluation of objectors' moral stances on related reproductive practices.

Main Results:

The analogy to military CO, when applied rigorously, undermines claims for CO in EC dispensing.
Objectors face inconsistencies if they do not also oppose morally innocuous practices preventing post-fertilization pregnancy.
The ethical and legal basis for refusing EC on grounds of conscience is questioned.

Conclusions:

Conscientious objection claims regarding EC may lack logical consistency.
The analogy to military CO is not directly applicable to healthcare settings for EC refusal.
Existing justifications for refusing EC based on scruples require re-evaluation.