The Effect of Integrity on Conscientious Objections in Healthcare

Abstract

This thesis contributes to the discussion of integrity in the context of conscientious objections to abortion and physician assisted suicide in Canada. An evaluation of Cheshire Calhoun’s 1995 theory of social integrity is provided and arguments in support of this theory are outlined. Consideration is given to the arguments in favour of the right of physicians to conscientiously object, including the harm that is experienced by physicians made to act against their will and the value of fostering integrity among healthcare professionals. An examination of the harms experienced by women and healthcare institutions as the result of conscientious objections is unpacked. This includes discussion of oppressive social structures which encourage and amplify harm to pregnant women who are denied access to abortions. Finally, it is made clear that, in light of these harms, and in understanding integrity as a social virtue, Canadian lawmakers ought to remove the right of physicians to conscientiously object to abortions and physician assisted suicide.