Your morality, my mortality: Conscientious objection and the standard of care

Ben A Rich

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)214-230
Number of pages17
JournalCambridge Quarterly of Healthcare Ethics
Issue number2
StatePublished - Feb 26 2015


  • abortion
  • Catholicism
  • law
  • medicine
  • professional ethics
  • religion

ASJC Scopus subject areas

  • Health Policy
  • Health(social science)
  • Issues, ethics and legal aspects


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