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Updated: Mar 10, 2026

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The Cost of Conscience.

Jeanette Kennett

    Cambridge Quarterly of Healthcare Ethics : CQ : the International Journal of Healthcare Ethics Committees
    |December 10, 2016
    PubMed
    Summary
    This summary is machine-generated.

    Healthcare providers

    Keywords:
    Kantcivil disobedienceconscienceconscientious objectioncritical conscience

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    Area of Science:

    • Medical Ethics
    • Healthcare Law
    • Philosophy of Medicine

    Background:

    • Growing demands from healthcare professionals for accommodation of ethical objections.
    • Need for re-evaluation of conscientious objection policies in healthcare.
    • Ethical objections often stem from religiously based beliefs.

    Purpose of the Study:

    • To re-evaluate the regulation of conscientious objection in healthcare.
    • To explore the compatibility of protecting freedom of conscience with stringent limitations.
    • To propose a new conceptualization of conscientious objection in medicine.

    Main Methods:

    • Kantian ethical framework analysis.
    • Legal and ethical policy review.
    • Analogical reasoning comparing conscientious objection to civil disobedience.

    Main Results:

    • Respect for conscience can coexist with strict regulations on service refusal.
    • Protection of freedom of conscience does not exempt objectors from consequences.
    • Conscientious objection can be regulated without infringing on fundamental rights.

    Conclusions:

    • Conscientious objection in medicine should be regulated similarly to civil disobedience.
    • Stringent limitations on refusal of care are compatible with respecting conscience.
    • A balanced approach is needed to protect both patient access to care and provider conscience.