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Conscientious Objection in Health Care: Pinning down the Reasonability View.

Doug McConnell1

  • 1University of Oxford, Oxford, United Kingdom.

The Journal of Medicine and Philosophy
|December 29, 2020
PubMed
Summary

This study critiques Robert Card's "Reasonability View" on conscientious objection in healthcare, finding his proposed standards for accommodating objections inconsistent and either too permissive or overly restrictive. It advocates for a standard based on minimal professional healthcare ethics.

Keywords:
conscienceconscientious objectionhealth careprofessional standardspublic reasonreasonability

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Area of Science:

  • Bioethics
  • Medical Ethics
  • Healthcare Policy

Background:

  • Conscientious objection is a complex issue in healthcare, raising questions about balancing individual beliefs with professional duties.
  • Robert Card's "Reasonability View" proposes a standard for accommodating conscientious objections based on reasonability.
  • Existing frameworks for conscientious objection in healthcare require critical evaluation to ensure ethical and practical application.

Purpose of the Study:

  • To analyze and critique Robert Card's "Reasonability View" on conscientious objection in healthcare.
  • To identify and address inconsistencies and limitations within Card's proposed reasonability standards.
  • To propose an alternative standard for accommodating conscientious objections in healthcare.

Main Methods:

  • Critical analysis of Robert Card's "Reasonability View" and its proposed criteria.
  • Examination of Rawlsian public reason and its implications for healthcare ethics.
  • Comparative evaluation of different reasonability standards for conscientious objection.

Main Results:

  • Card's frequently cited reasonability criteria lack clear principles and are overly permissive of potentially immoral objections.
  • Applying Rawlsian public reason creates a principled but overly restrictive standard.
  • A standard based on Rawls' more lenient reasonableness is too permissive, conflicting with professional healthcare standards.

Conclusions:

  • Robert Card's "Reasonability View" presents an unsatisfactory framework for conscientious objection in healthcare.
  • A reasonability standard for conscientious objection must be carefully calibrated to avoid being too permissive or restrictive.
  • The proposed favored solution bases the reasonability standard on minimal professional healthcare standards, offering a more balanced approach.