{"id":6043,"date":"2015-04-18T20:23:00","date_gmt":"2015-04-19T03:23:00","guid":{"rendered":"https:\/\/news.consciencelaws.org\/?p=6043"},"modified":"2023-01-22T16:02:03","modified_gmt":"2023-01-23T00:02:03","slug":"your-morality-my-mortality-conscientious-objection-and-the-standard-of-care","status":"publish","type":"post","link":"https:\/\/library.consciencelaws.org\/?p=6043","title":{"rendered":"Your morality, my mortality: conscientious objection and the standard of care"},"content":{"rendered":"\n

Ben A. Rich<\/h4>\n\n\n
\n
\"Cambridge
Cambridge Quarterly of Healthcare Ethics<\/figcaption><\/figure>\n<\/div>\n\n\n

Abstract<\/strong>
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.<\/p>\n\n\n\n

\n\n\n\n

Rich, B. (2015). Your Morality, My Mortality: Conscientious Objection and the Standard of Care.<\/a> Cambridge Quarterly of Healthcare Ethics,24(2), 214-230. doi:10.1017\/S0963180114000528<\/p>\n","protected":false},"excerpt":{"rendered":"

Ben A. Rich AbstractRecently 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 … Continue reading “Your morality, my mortality: conscientious objection and the standard of care”<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[554,2],"tags":[1145,644],"post_folder":[],"class_list":["post-6043","post","type-post","status-publish","format-standard","hentry","category-ethics","category-journal-article","tag-ben-a-rich","tag-standard-of-care"],"yoast_head":"\r\nYour morality, my mortality: conscientious objection and the standard of care - Protection of Conscience Project Library<\/title>\r\n<meta name=\"description\" content=\"Catholic health care directives may cause substandard clinical care or violate professional standards. Patients need legal redress for harm.\" \/>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"https:\/\/library.consciencelaws.org\/?p=6043\" \/>\r\n<meta property=\"og:locale\" content=\"en_GB\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"Your morality, my mortality: conscientious objection and the standard of care - Protection of Conscience Project Library\" \/>\r\n<meta property=\"og:description\" content=\"Catholic health care directives may cause substandard clinical care or violate professional standards. Patients need legal redress for harm.\" \/>\r\n<meta property=\"og:url\" content=\"https:\/\/library.consciencelaws.org\/?p=6043\" \/>\r\n<meta property=\"og:site_name\" content=\"Protection of Conscience Project Library\" \/>\r\n<meta property=\"article:publisher\" content=\"https:\/\/www.youtube.com\/user\/consciencepro\" \/>\r\n<meta property=\"article:published_time\" content=\"2015-04-19T03:23:00+00:00\" \/>\r\n<meta property=\"article:modified_time\" content=\"2023-01-23T00:02:03+00:00\" \/>\r\n<meta property=\"og:image\" content=\"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2021\/03\/camqhcethicsog.jpg\" \/>\r\n\t<meta property=\"og:image:width\" content=\"600\" \/>\r\n\t<meta property=\"og:image:height\" content=\"338\" \/>\r\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\r\n<meta name=\"author\" content=\"Project Administrator\" \/>\r\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\r\n<meta name=\"twitter:image\" content=\"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2021\/03\/camqhcethicsog.jpg\" \/>\r\n<meta name=\"twitter:creator\" content=\"@consciencpro\" \/>\r\n<meta name=\"twitter:site\" content=\"@consciencpro\" \/>\r\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Project Administrator\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\r\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=6043#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=6043\"},\"author\":{\"name\":\"Project Administrator\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#\\\/schema\\\/person\\\/263d102b35e3f7822db6d548b2555098\"},\"headline\":\"Your morality, my mortality: conscientious objection and the standard of care\",\"datePublished\":\"2015-04-19T03:23:00+00:00\",\"dateModified\":\"2023-01-23T00:02:03+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=6043\"},\"wordCount\":196,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=6043#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2021\\\/03\\\/cambridge-quarterly.jpg\",\"keywords\":[\"Ben A Rich\",\"standard of care\"],\"articleSection\":[\"Ethics\",\"Journal Articles\"],\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/library.consciencelaws.org\\\/?p=6043#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=6043\",\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=6043\",\"name\":\"Your morality, my mortality: conscientious objection and the standard of care - Protection of Conscience Project Library\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=6043#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=6043#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2021\\\/03\\\/cambridge-quarterly.jpg\",\"datePublished\":\"2015-04-19T03:23:00+00:00\",\"dateModified\":\"2023-01-23T00:02:03+00:00\",\"description\":\"Catholic health care directives may cause substandard clinical care or violate professional standards. Patients need legal redress for harm.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=6043#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/library.consciencelaws.org\\\/?p=6043\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=6043#primaryimage\",\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2021\\\/03\\\/cambridge-quarterly.jpg\",\"contentUrl\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2021\\\/03\\\/cambridge-quarterly.jpg\",\"width\":155,\"height\":230,\"caption\":\"Cambridge Quarterly of Healthcare Ethics\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=6043#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/library.consciencelaws.org\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Your morality, my mortality: conscientious objection and the standard of care\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#website\",\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/\",\"name\":\"Protection of Conscience Project Library\",\"description\":\"Service, not Servitude\",\"publisher\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/library.consciencelaws.org\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-GB\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#organization\",\"name\":\"Protecton of Conscience Project\",\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2020\\\/10\\\/projectlogo.jpg\",\"contentUrl\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2020\\\/10\\\/projectlogo.jpg\",\"width\":1123,\"height\":1376,\"caption\":\"Protecton of Conscience Project\"},\"image\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.youtube.com\\\/user\\\/consciencepro\",\"https:\\\/\\\/x.com\\\/consciencpro\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#\\\/schema\\\/person\\\/263d102b35e3f7822db6d548b2555098\",\"name\":\"Project Administrator\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g\",\"caption\":\"Project Administrator\"},\"sameAs\":[\"https:\\\/\\\/www.consciencelaws.org\"],\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/?author=1\"}]}<\/script>\r\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Your morality, my mortality: conscientious objection and the standard of care - Protection of Conscience Project Library","description":"Catholic health care directives may cause substandard clinical care or violate professional standards. Patients need legal redress for harm.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/library.consciencelaws.org\/?p=6043","og_locale":"en_GB","og_type":"article","og_title":"Your morality, my mortality: conscientious objection and the standard of care - Protection of Conscience Project Library","og_description":"Catholic health care directives may cause substandard clinical care or violate professional standards. Patients need legal redress for harm.","og_url":"https:\/\/library.consciencelaws.org\/?p=6043","og_site_name":"Protection of Conscience Project Library","article_publisher":"https:\/\/www.youtube.com\/user\/consciencepro","article_published_time":"2015-04-19T03:23:00+00:00","article_modified_time":"2023-01-23T00:02:03+00:00","og_image":[{"width":600,"height":338,"url":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2021\/03\/camqhcethicsog.jpg","type":"image\/jpeg"}],"author":"Project Administrator","twitter_card":"summary_large_image","twitter_image":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2021\/03\/camqhcethicsog.jpg","twitter_creator":"@consciencpro","twitter_site":"@consciencpro","twitter_misc":{"Written by":"Project Administrator","Estimated reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/library.consciencelaws.org\/?p=6043#article","isPartOf":{"@id":"https:\/\/library.consciencelaws.org\/?p=6043"},"author":{"name":"Project Administrator","@id":"https:\/\/library.consciencelaws.org\/#\/schema\/person\/263d102b35e3f7822db6d548b2555098"},"headline":"Your morality, my mortality: conscientious objection and the standard of care","datePublished":"2015-04-19T03:23:00+00:00","dateModified":"2023-01-23T00:02:03+00:00","mainEntityOfPage":{"@id":"https:\/\/library.consciencelaws.org\/?p=6043"},"wordCount":196,"commentCount":0,"publisher":{"@id":"https:\/\/library.consciencelaws.org\/#organization"},"image":{"@id":"https:\/\/library.consciencelaws.org\/?p=6043#primaryimage"},"thumbnailUrl":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2021\/03\/cambridge-quarterly.jpg","keywords":["Ben A Rich","standard of care"],"articleSection":["Ethics","Journal Articles"],"inLanguage":"en-GB","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/library.consciencelaws.org\/?p=6043#respond"]}]},{"@type":"WebPage","@id":"https:\/\/library.consciencelaws.org\/?p=6043","url":"https:\/\/library.consciencelaws.org\/?p=6043","name":"Your morality, my mortality: conscientious objection and the standard of care - Protection of Conscience Project Library","isPartOf":{"@id":"https:\/\/library.consciencelaws.org\/#website"},"primaryImageOfPage":{"@id":"https:\/\/library.consciencelaws.org\/?p=6043#primaryimage"},"image":{"@id":"https:\/\/library.consciencelaws.org\/?p=6043#primaryimage"},"thumbnailUrl":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2021\/03\/cambridge-quarterly.jpg","datePublished":"2015-04-19T03:23:00+00:00","dateModified":"2023-01-23T00:02:03+00:00","description":"Catholic health care directives may cause substandard clinical care or violate professional standards. Patients need legal redress for harm.","breadcrumb":{"@id":"https:\/\/library.consciencelaws.org\/?p=6043#breadcrumb"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/library.consciencelaws.org\/?p=6043"]}]},{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/library.consciencelaws.org\/?p=6043#primaryimage","url":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2021\/03\/cambridge-quarterly.jpg","contentUrl":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2021\/03\/cambridge-quarterly.jpg","width":155,"height":230,"caption":"Cambridge Quarterly of Healthcare Ethics"},{"@type":"BreadcrumbList","@id":"https:\/\/library.consciencelaws.org\/?p=6043#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/library.consciencelaws.org\/"},{"@type":"ListItem","position":2,"name":"Your morality, my mortality: conscientious objection and the standard of care"}]},{"@type":"WebSite","@id":"https:\/\/library.consciencelaws.org\/#website","url":"https:\/\/library.consciencelaws.org\/","name":"Protection of Conscience Project Library","description":"Service, not Servitude","publisher":{"@id":"https:\/\/library.consciencelaws.org\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/library.consciencelaws.org\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-GB"},{"@type":"Organization","@id":"https:\/\/library.consciencelaws.org\/#organization","name":"Protecton of Conscience Project","url":"https:\/\/library.consciencelaws.org\/","logo":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/library.consciencelaws.org\/#\/schema\/logo\/image\/","url":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2020\/10\/projectlogo.jpg","contentUrl":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2020\/10\/projectlogo.jpg","width":1123,"height":1376,"caption":"Protecton of Conscience Project"},"image":{"@id":"https:\/\/library.consciencelaws.org\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.youtube.com\/user\/consciencepro","https:\/\/x.com\/consciencpro"]},{"@type":"Person","@id":"https:\/\/library.consciencelaws.org\/#\/schema\/person\/263d102b35e3f7822db6d548b2555098","name":"Project Administrator","image":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/secure.gravatar.com\/avatar\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g","caption":"Project Administrator"},"sameAs":["https:\/\/www.consciencelaws.org"],"url":"https:\/\/library.consciencelaws.org\/?author=1"}]}},"_links":{"self":[{"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/posts\/6043","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6043"}],"version-history":[{"count":4,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/posts\/6043\/revisions"}],"predecessor-version":[{"id":14673,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/posts\/6043\/revisions\/14673"}],"wp:attachment":[{"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6043"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6043"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6043"},{"taxonomy":"post_folder","embeddable":true,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Fpost_folder&post=6043"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}