Conscientious objection
A global health perspective
Bibliographic Data
| ID | 21880046 |
|---|---|
| Authors | Karel‐Bart Celie (0000-0002-9630-1988, Keck Hospital of USC), Xavier Symons (0000-0002-9495-4395, Harvard University Press), Makayla Kochheiser (0009-0003-2480-2614, Cornell University), Ruben Ayala (0000-0001-7475-6386, Operation PAR), Kokila Lakhoo (0000-0003-1840-708X, University of Oxford) |
| Year | 2024 |
| Volume | 9 |
| Issue | 12 |
| Pages | e017555 |
| Publication date | 2024-12-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | BMJ Global Health (JOURNAL) |
| Journal identifiers | ISSN: 2059-7908 • E-ISSN: 2059-7908 |
| Publisher | BMJ (PUBLISHER • GB) |
| DOI | 10.1136/bmjgh-2024-017555 |
| PMID | 39732477 |
| OpenAlex | W4405877429 |
| Language | EN |
| References cited | 49 |
Conscientious objection is a critical topic that has been sparsely discussed from a global health perspective, despite its special relevance to our inherently diverse field. In this Analysis paper, we argue that blanket prohibitions of a specific type of non-discriminatory conscientious objection are unjustified in the global health context. We begin both by introducing a nuanced account of conscience that is grounded in moral psychology and by providing an overview of discriminatory and non-discriminatory forms of objection. Next, we point to the frequently neglected but ubiquitous presence of moral uncertainty, which entails a need for epistemic humility—that is, an attitude that acknowledges the possibility one might be wrong. We build two arguments on moral uncertainty. First, if epistemic humility is necessary when dealing with values in theory (as appears to be the consensus in bioethics), then it will be even more necessary when these values are applied in the real world. Second, the emergence of global health from its colonial past requires special awareness of, and resistance to, moral imperialism. Absolutist attitudes towards disagreement are thus incompatible with global health’s dual aims of reducing inequity and emerging from colonialism. Indeed, the possibility of global bioethics (which balances respect for plurality with the goal of collective moral progress) hinges on appropriately acknowledging moral uncertainty when faced with inevitable disagreement. This is incompatible with blanket prohibitions of conscientious objection. As a brief final note, we distinguish conscientious objection from the problem of equitable access to care. We note that conflating the two may actually lead to a less equitable picture on the whole. We conclude by recommending that international consensus documents, such as the Universal Declaration on Bioethics and Human Rights, be amended to include nuanced guidelines regarding conscientious objection that can then be used as a template by regional and national policymaking bodies
Bioethics · Conscience · Conscientious objector · Environmental ethics · Epistemology · Health care · Humility · Law and economics · Political science · Sociology · Computer Science · Ethics and Legal Issues in Pediatric Healthcare · Ethics in medical practice · Law · Philosophy · Torture, Ethics, and Law
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Will global health survive its decolonisation?
Occupational moral injury and mental health
Most people are not Weird
The Oxford Handbook of Distributive Justice
Reconciliation Through the Public use of Reason
Ethical considerations in global surgery
Global bioethics and respect for cultural diversity
Moral Uncertainty and Our Relationships with Unknown Minds
Physician moral injury in the context of moral, ethical and legal codes
Moral uncertainty, noncognitivism, and the multi‐objective story
Conscientious Objection in Health Care
Conscientious objection to abortion in the developing world
Rethinking Medical Ethics
Why Conscience Matters
Outline of a Decision Procedure for Ethics
Moral uncertainty
| Citation velocity | historical |
|---|---|
| Highly cited | No |