Conscience and Conscientious Objection in Health Care

An ARC Discovery Project, running from 2015 to 2017

Summary of project

Conscientious objection is a central topic in bioethics and is becoming more ever important. This is hardly surprising if we consider the liberal trend in developments of policies about abortion and other bioethical issues worldwide. In recent decades the right to abortion has been granted by many countries, and increasingly many conservative and/or religious doctors are being asked to perform an activity that clashes with their deepest moral and/or religious values.

Debates about conscientious objection are set to become more intense given the increase in medical options which are becoming available or may well be available soon (e.g. embryonic stem cell therapies, genetic selection, human bio-enhancement, sex modification), and given the increasingly multicultural and multi-faith character of Australian society. Not only will doctors conscientiously object to abortion, and to practices commonly acknowledged as morally controversial, but some of them may also object to a wide range of new and even established practices that conflict with their personal values for example, Muslim doctors refusing to examine patients of the opposite sex.

Defining conscientious objection and identifying reliable markers for it, as well as setting the boundaries of legitimate conscientious objection through clear and justifiable principles, are difficult but pressing tasks.

This project advances bioethical debate by producing a philosophically and psychologically informed analysis of conscience, and by applying this to discussions about the legitimate limits to conscientious objection in health care.

 Personnel

Chief Investigator Dr Steve Clarke, Charles Sturt University

Chief Investigator Prof. Jeanette Kennett, Macquarie University

Partner Investigator Prof. Julian Savulescu, University of Oxford

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Faith-based hospitals in Winnipeg ban medically assisted deaths

St. Boniface General Hospital and Concordia Hospital conscientiously object to legal practice

CBC News

Laura Glowacki

Two faith-based hospitals in Winnipeg say they will not be providing doctor-assisted deaths to their patients.

Both Concordia Hospital (Anabaptist-Mennonite) and St. Boniface Hospital (Catholic) say they will not offer the legal service to patients.

In June, the federal government amended the criminal code with Bill C-14 to allow doctors and nurse practitioners to help patients with “grievous and irremediable” illnesses to die. Manitoba introduced its own policy to implement medical assistance in dying, commonly called MAID, that same month. . . [Full text]

Sacrificing hospitals, and freedom of conscience along with it

National Post

Douglas Farrow, Will Johnston

In 1639 three nuns got off the boat from France and began to build Hotel Dieu in Montreal, the first hospital in Canada. Over time, some 275 hospitals were built across our country by self-sacrificing Catholics who faithfully served the sick and dying out of love and compassion, without regard to their patients’ faith or lack of faith. Succeeding generations of Canadians have been grateful for the spiritual and physical care they have received at such places.

St. Paul’s Hospital in Vancouver is one of those Catholic hospitals. In keeping with its faith-based principles, it respects the Catholic sense of human dignity — meaning, among other things, that it does not perform abortions or participate in assisted suicide or euthanasia.

Ellen Wiebe, a physician who is also an abortion and euthanasia activist, together with a lawyer, Richard Owens, recently criticized St. Paul’s because it would not euthanize one of its dying patients, Ian Shearer. . .  [Full text]

 

 

Ontario adds wording to legislation recognizing conscience rights of hospitals

Toronto Sun

Liz Payne

The Ontario government has quietly amended its proposed Patients First Act with wording that appears to strengthen the rights of faith-based hospitals to opt out of assisted death.

The proposed amendment, which was not originally in the act, appeared when it was re-tabled last month after the legislature was prorogued. The act, according to the province, is aimed at improving health care for patients and their families. . . [Full text]

‘Freedom of conscience’ a must, says doctor

Catholic Register

Michael Swan

TORONTO – It’s rare for an hour-long, academic lecture to get a standing ovation, but Dr. Ewan Goligher earned thunderous applause from about 100 people who turned up on a cold, rainy night to hear his defence of medical conscience.

The Toronto intensive care physician and researcher has become one of the leading voices opposing efforts to force doctors to make an “effective referral” for assisted suicide.

Goligher maintains that for the sake of medicine and democratic society, doctors must have a right to conscientious objection — not just for abortion but also for assisted killing.

“Freedom of conscience in the practice of medicine has been seriously eroded in recent years,” Goligher warned at the second annual deVeber Institute lecture delivered at the University of Toronto’s Wycliffe College on Oct. 27. . . [Full text]