Access-to-Care and Conscience: Conflicting or Coherent?. Issue 1 (8th February 2022)

• Record Type: Journal Article
• Authors: Gamble, Joel L; Gamble, Nathan K
• Is Part Of: Journal of medicine and philosophy. Volume 47:Issue 1(2022)
• Page Start: 54
• Page End: 71
• Publication Date: 2022-02-08
• Subjects: access-to-care -- autonomy -- beneficence -- conscientious objection -- physician–patient relationship; Medicine -- Philosophy -- Periodicals; Medical ethics -- Periodicals; Ethics, Medical -- Periodicals; Philosophy, Medical -- Periodicals; 616.001
• DOI: 10.1093/jmp/jhab034
• Languages: English
• ISSNs: 0360-5310

Abstract

Abstract: "Intervention" is not synonymous with "care." For an intervention to constitute care—which patients should have a right to access—it must be technically feasible and licit. Now these criteria do not prove sufficient; numerous archaic interventions remain feasible and legally permissible, yet are now bywords for spurious care. Therefore, we propound another necessary condition for an intervention to become care: the physician must rationally judge the intervention to be conducive to the patient's good. Consequently, the right of access-to-care relies on physicians being free to practice medicine in accord with their consciences, conscience being the rational faculty with which they judge the reasonableness of even mundane medical decisions. Since physicians operate as part of a community, it is further necessary to consider when central bodies may reasonably compel physicians to engage in interventions that the physician believes are not consistent with the patient's good and/or are not congruent with the purposes of medicine.