Do not harm: a minimal defense of conscientious objection in the medical profession.

Theoretical medicine and bioethics Pub Date : 2026-10-01 Epub Date: 2026-05-20 DOI:10.1007/s11017-026-09759-0
Darrin W Snyder Belousek
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Abstract

I defend conscientious objection (CO) in the medical profession by refuting the incompatibility thesis (IT). IT maintains that CO is incompatible with fulfilling the objectives and obligations of the medical profession and thus impermissible for medical professionals. To refute IT, I construct a case of conscience-based refusal in parallel with a case of profession-based refusal, such that both cases fulfill the primary objective and core obligation of the medical profession, thereby directly demonstrating the compatibility of CO with fulfilling obligations in the medical profession. I conclude that IT is false and thus that CO is permissible for medical professionals. I then defend my argument against potential objections. My argument strategy is two-fold. First, to avoid begging the question, I follow a neutral definition of CO that is compatible with IT. Second, to make the argument as logically strong as possible, I assume only minimal claims about the primary objective and core obligation of the medical profession that should be acceptable to (at least some) defenders of IT.

不伤害:医学界出于良心拒服兵役的最低限度辩护。
我通过反驳不相容论(IT)来为医学界的良心反对辩护。资讯科技署认为,原产地证书与履行医疗专业的目标和义务不相容,因此不允许医疗专业人员使用。为了反驳IT,我构建了一个基于良心的拒绝案例与基于职业的拒绝案例并行,这样两种情况都履行了医疗职业的主要目标和核心义务,从而直接证明了CO与履行医疗职业义务的兼容性。我的结论是,IT是假的,因此,允许医疗专业人员使用CO。然后,针对潜在的反对意见,我为我的论点辩护。我的论证策略是双重的。首先,为了避免回避这个问题,我遵循与IT兼容的CO的中立定义。其次,为了使论证在逻辑上尽可能有力,我只假设了最少的关于医疗职业的主要目标和核心义务的主张,这些主张应该被(至少一些)IT的捍卫者所接受。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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