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Assessing Public Reason Approaches to Conscientious Objection in Healthcare.

Doug McConnell1

  • 1Philosophy Department, Macquarie University, Sydney, Australia.

Cambridge Quarterly of Healthcare Ethics : CQ : the International Journal of Healthcare Ethics Committees
|April 11, 2024
PubMed
Summary

Healthcare professionals

Keywords:
conscientious refusalfiduciary relationshiphealthcare professionalpublic justificationpublic reason

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Area of Science:

  • Bioethics
  • Medical Ethics
  • Professional Ethics

Background:

  • Conscientious refusal of treatment by healthcare professionals is a growing ethical concern.
  • Existing frameworks often lack clarity on accommodating such refusals while upholding patient care standards.

Purpose of the Study:

  • To critically evaluate different philosophical views on accommodating conscientious refusals in healthcare.
  • To propose a refined approach that balances professional conscience with patient well-being and healthcare integrity.

Main Methods:

  • Critical analysis of four prominent philosophical views on conscientious refusal: Robert Card, Massimo Reichlin, David Scott, and Doug McConnell.
  • Comparative assessment of these views based on their alignment with ethical principles and practical healthcare considerations.

Main Results:

  • Doug McConnell's view offers a superior framework for conscientious refusal.
  • McConnell's approach integrates public justification of refusal grounds with alignment to minimally decent healthcare standards.

Conclusions:

  • A principled yet restrictive approach to conscientious refusal is necessary.
  • This approach protects patient welfare, professional autonomy, and the integrity of healthcare relationships.