Understanding Conscience as Integrity: Why Some Physicians Will Not Refer Patients for Ethically Controversial Practices

Perspectives in Biology and Medicine 62 (3):383-400 (2019)
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Abstract

Given the moral pluralism that characterizes Western democratic societies and their health professions, it should be expected that there will be ethical differences among citizens and health professionals, due to contrasts between the foundational beliefs and values on which their ethical convictions rest. It should also be expected that some of these differences will have practical implications for the way professionals are willing to practice, and the way patients are willing to receive, health care. These practical implications include our responses to ethically controversial practices and the ways in which we maintain or compromise our individual integrity, that quality of the moral life that refers to...

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