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The truth behind conscientious objection in medicine.

Nir Ben-Moshe1

  • 1Department of Philosophy, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA.

Journal of Medical Ethics
|June 22, 2019
PubMed
Summary

This study introduces a new framework for conscientious objection in medicine, grounding it in the idea that conscience reflects moral truth. It proposes respecting medical professionals' objections when they adopt an impartial spectator viewpoint.

Keywords:
conscientious objectionethicsmoral psychologyphilosophical ethicsphilosophy of medicine

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Area of Science:

  • Medical Ethics
  • Moral Philosophy
  • Healthcare Policy

Background:

  • Conscientious objection in medicine lacks clear justification and criteria for respect.
  • Existing debates focus on integrity and toleration, but lack a definitive framework.

Purpose of the Study:

  • To develop a novel framework for understanding and justifying conscientious objection in medicine.
  • To establish criteria for respecting medical professionals' objections based on moral truth.

Main Methods:

  • Drawing on Adam Smith's "impartial spectator" concept from moral philosophy.
  • Applying the impartial spectator standard to evaluate the moral claims of conscientious objectors in medicine.

Main Results:

  • Conscientious objections are deemed true or approximating moral truth when derived from an impartial spectator standpoint.
  • The framework clarifies the boundaries for appeals to moral integrity and toleration.
  • It offers a basis for public deliberation and acceptance of conscientious objections in liberal democracies.

Conclusions:

  • The impartial spectator framework provides a robust justification for conscientious objection in medicine.
  • This approach enhances the debate on integrity and toleration, offering a standard for shared deliberation.
  • It aligns with the principles of liberal democracies by grounding objections in public reason.