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Conscientious Objection in Medicine: Making it Public.

Nir Ben-Moshe1

  • 1Department of Philosophy, University of Illinois at Urbana-Champaign, 200 Gregory Hall, 810 South Wright Street, Urbana, IL, 61801, USA. nir@illinois.edu.

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|March 30, 2020
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Summary

This paper proposes a new framework for conscientious objections in medicine. An "Uber Conscientious Objection in Medicine Committee" (UCOM Committee) will publicly approve objections, resolving justification and complicity issues.

Keywords:
ComplicityConscientious objectionConstructivismGenuinenessPublic reasonReasonableness

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Area of Science:

  • Medical Ethics
  • Public Health Policy
  • Legal Medicine

Background:

  • Conscientious objection in medicine faces unresolved justification and complicity problems.
  • Existing frameworks struggle to balance medical practitioners' conscience claims with patients' interests.
  • Individual assessment of objections lacks objective criteria, leading to potential disputes.

Purpose of the Study:

  • To introduce a novel framework for managing conscientious objections in medicine.
  • To address the justification and complicity problems through public deliberation.
  • To enhance transparency and fairness in medical ethics.

Main Methods:

  • Establishment of an
  • Uber Conscientious Objection in Medicine Committee
  • (UCOM Committee) with diverse representation.
  • Public assessment of well-known conscientious objections based on public reason.
  • Creation of an accessible online database for pre-approved objections.

Main Results:

  • The proposed UCOM Committee framework aims to resolve the justification problem by public assessment.
  • The public advertising of approved objections addresses the complicity problem.
  • This model facilitates respect for both practitioners' conscience and patients' rights.

Conclusions:

  • A public, committee-based approach to conscientious objection in medicine offers a viable solution.
  • Transparency through an online database enhances patient trust and practitioner accountability.
  • This framework promotes ethical medical practice while upholding individual freedoms.