Institutional Conscientious Objection is Not the Answer.

This article critically examines the justification for recognizing institutional conscience rights—claims based on deeply held moral values—specifically for secular healthcare institutions refusing treatment requests for neurologically devastated patients, defined as those permanently unconscious or...

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Published in:American Journal of Bioethics Vol. 26; no. 7; pp. 59 - 63
Main Author: Wicclair, Mark
Format: commentary questions and answers Journal Article
Published: Taylor & Francis Ltd Jul2026
Online Access:View this record in EBSCOhost
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      dt: Jul2026
      vid: 26
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        atl: Institutional Conscientious Objection is Not the Answer.
      aug:
        au: Wicclair, Mark
        affil: University of Pittsburgh
      sug:
        subj:
          Conscience
          Hospitals
          Ethics, Organizational
          Philosophy, Medical
          Ethics, Medical
          Brain Death
          Persistent Vegetative State
          Medical Futility
      ab: This article critically examines the justification for recognizing institutional conscience rights—claims based on deeply held moral values—specifically for secular healthcare institutions refusing treatment requests for neurologically devastated patients, defined as those permanently unconscious or declared dead by neurological criteria. The authors argue that secular institutions, like religious ones, can experience a form of moral harm analogous to individual clinicians’ conscience-based distress, warranting accommodation of their refusals. However, the article raises concerns about whether institutional conscience claims provide clear, consistent standards, potentially deny surrogates a fair hearing, and risk limiting patient access to legally accepted care. It also highlights the broader implications of legitimizing institutional conscientious objection, which could complicate healthcare delivery and patient access, emphasizing the need for carefully defined constraints to balance institutional conscience with patient rights.
      pubtype: Academic Journal
      doctype:
        commentary
        questions and answers
        Journal Article
      ougenre: Article
    language: English
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