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Conscientious Objections and Two Ways of Reconciliation
1Centre for Bioethics, The Chinese University of Hong Kong, Hong Kong, China.
The Journal of Medicine and Philosophy
|August 14, 2026
Summary
This study examines conscientious objection in bioethics, proposing a justified right to object based on virtue-related wrongdoing. It argues against a duty to refer, favoring the all-things-considered right to conscientious objection.
Area of Science:
- Bioethics
- Moral Philosophy
Background:
- Conscientious objection in bioethics is often framed by absolutism, the incompatibility thesis, or the compromise account.
- The compromise account seeks to reconcile absolutism and the incompatibility thesis, with two interpretations: prima facie and all-things-considered rights to conscientious objection.
Purpose of the Study:
- To differentiate between virtue-related and impermissible wrongdoings in the context of conscientious objection.
- To advocate for a justified conscientious objection grounded in the right to commit virtue-related wrongdoings.
- To challenge existing frameworks of conscientious objection and the associated duty to refer.
Main Methods:
- Philosophical analysis of existing bioethical frameworks for conscientious objection.
- Argumentative exploration of the concepts of prima facie and all-things-considered rights.
- Ethical reasoning to distinguish between types of wrongdoing.
Main Results:
- The article rejects both absolutism and the incompatibility thesis.
- It posits that the all-things-considered right to conscientious objection is superior to the prima facie right.
- It concludes that a duty to refer is not necessitated by conscientious objection.
Conclusions:
- Conscientious objection can be justified based on practitioners' right to commit virtue-related wrongdoings.
- The all-things-considered right to conscientious objection provides a more robust framework than the prima facie right.
- The duty to refer following conscientious objection should be eliminated.
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