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Rationing conscience.

Dominic Wilkinson1,2

  • 1Faculty of Philosophy, Oxford Uehiro Centre for Practical Ethics, University of Oxford, Oxford, UK.

Journal of Medical Ethics
|October 14, 2016
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Summary
This summary is machine-generated.

Healthcare resource allocation decisions involve ethical considerations and value judgments. While conscientious objection is possible, objections to resource allocation decisions are generally inappropriate.

Keywords:
Conscientious ObjectionResource Allocation

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Area of Science:

  • Bioethics
  • Health Policy
  • Medical Ethics

Background:

  • Healthcare resource allocation decisions are often controversial, involving medical, scientific, and economic evidence alongside value judgments.
  • Disagreements among healthcare professionals regarding resource allocation can arise from differing professional or personal views.

Purpose of the Study:

  • To assess whether resource allocation can be considered a matter of conscience.
  • To analyze conceptual and normative models of conscientious objection in healthcare.
  • To identify challenges specific to conscientious objections concerning resource allocation.

Main Methods:

  • Conceptual analysis of conscientious objection models.
  • Normative ethical analysis applied to healthcare resource allocation.
  • Distinction between negative (non-treatment) and positive (treatment) conscientious objection.

Main Results:

  • Resource allocation decisions can, in principle, be a matter of conscience.
  • Conscientious objections to existing resource allocation decisions present unique challenges.
  • Such objections are typically deemed inappropriate in the context of resource allocation.

Conclusions:

  • While resource allocation can involve conscience, conscientious objections to established allocation frameworks are generally unsuitable.
  • Distinguishing between conscientious non-treatment and conscientious treatment is crucial.
  • The ethical permissibility of accommodating conscientious objections in resource allocation requires careful consideration of specific contexts and potential harms.