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Your Morality, My Mortality

Conscientious Objection and the Standard of Care

Published online by Cambridge University Press:  26 February 2015

BEN A. RICH
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Abstract:

Recently the scope of protections afforded those healthcare professionals and institutions that refuse to provide certain interventions on the grounds of conscience have expanded, in some instances insulating providers (institutional and individual) from any liability or sanction for harms that patients experience as a result. With the exponential increase in the penetration of Catholic-affiliated healthcare across the country, physicians and nurses who are not practicing Catholics are nevertheless required to execute documents pledging to conform their patient care to the Ethical and Religious Directives for Health Care Services as a condition of employment or medical staff privileges. In some instances, doing so may result in patient morbidity or mortality or violate professional standards for respecting advance directives or surrogate decisionmaking. This article challenges the ethical propriety of such institutional mandates and argues that legal protections for conscientious refusal must provide redress for patients who are harmed by care that falls below the prevailing clinical standards.

Keywords

abortionCatholicismlawmedicineprofessional ethicsreligion
Type
Departments and Columns
Information
Cambridge Quarterly of Healthcare Ethics , Volume 24 , Issue 2 , April 2015 , pp. 214 - 230
Copyright
Copyright © Cambridge University Press 2015 

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Notes

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