{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:44:00Z","timestamp":1786977840368,"version":"build-2736575974"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T00:00:00Z","timestamp":1723075200000},"content-version":"vor","delay-in-days":38,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hastings Center Report"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:italic>\u201cConscientious provision\u201d refers to situations in which clinicians wish to provide legal and professionally accepted treatments prohibited within their (usually Catholic) health care institutions. It mirrors \u201cconscientious objection,\u201d which refers to situations in which clinicians refuse to provide legal and professionally accepted treatments offered within their (usually secular) health care institutions. Conscientious provision is not protected by law, but conscientious objection is. In practice, this asymmetry privileges conservative religious or moral values (usually associated with objection) over secular moral values (usually associated with provision). In this article, we first argue for a legal right to one kind of conscientious provision: referral for procedures prohibited at Catholic hospitals. We then argue that a premise in that argument\u2014the<\/jats:italic>\n                    principle of comparably trivial institutional burdens\u2014\n                    <jats:italic>justifies legal protections for some additional forms of conscientious provision that include, for example, writing prescriptions for contraception or medical abortions. However, this principle cannot justify legal protections for other forms of conscientious provision, for instance, the right to perform surgical abortions or gender\u2010affirming hysterectomies at Catholic hospitals<\/jats:italic>\n                    .\n                  <\/jats:p>","DOI":"10.1002\/hast.4902","type":"journal-article","created":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T13:44:02Z","timestamp":1723124642000},"page":"3-10","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Principled Conscientious Provision: Referral Symmetry and Its Implications for Protecting Secular Conscience"],"prefix":"10.1002","volume":"54","author":[{"given":"Abram L.","family":"Brummett","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanner","family":"Hafen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark C.","family":"Navin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,8]]},"reference":[{"issue":"4","key":"e_1_2_7_2_1","first-page":"1030","article-title":"Medical Disobedience","volume":"136","author":"Fox D.","year":"2023","journal-title":"Harvard Law Review"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11017-019-09513-9"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/15265161.2020.1863514"},{"key":"e_1_2_7_5_1","doi-asserted-by":"crossref","unstructured":"A.Giubiliniet al. \u201cConscientious Commitment Professional Obligations and Abortion Provision after the Reversal ofRoe v. Wade \u201dJournal of Medical Ethics(2023[epub ahead of print]): doi:10.1136\/jme-2022-108731; M. K. Wynia \u201cProfessional Civil Disobedience\u2014Medical-Society Responsibilities after Dobbs \u201dNew England Journal of Medicine387 no. 11 (2022): 959-61.","DOI":"10.1056\/NEJMp2210192"},{"key":"e_1_2_7_6_1","volume-title":"Ethical and Religious Directives for Catholic Health Care Services","author":"United States Conference of Catholic Bishops","year":"2018"},{"key":"e_1_2_7_7_1","volume-title":"Growth of Catholic Hospitals and Health Systems: 2016 Update of the Miscarriage of Medicine Report","author":"Uttley L.","year":"2016"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.20053"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.04.023"},{"key":"e_1_2_7_10_1","first-page":"465","volume-title":"Political Liberalism","author":"Rawls J.","year":"2005"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.5840\/ncbq201212254"},{"key":"e_1_2_7_12_1","unstructured":"United States Conference of Catholic Bishops Ethical and Religious Directives for Catholic Health Care Services 26(emphasis added)."},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.0133"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511973727"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1353\/ken.1997.0042"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.5840\/ncbq201616223"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/bioe.13046"},{"key":"e_1_2_7_18_1","volume-title":"Catechism of the Catholic Church: Revised in Accordance with the Official Latin Text Promulgated by Pope John Paul II","author":"Canadian Conference of Catholic Bishops","year":"2006"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197501092920206"},{"key":"e_1_2_7_20_1","unstructured":"American Medical Association Code of Medical Ethics Opinion 1.1.2 Prospective Patients accessed October 9 2023 https:\/\/code-medical-ethics.ama-assn.org\/ethics-opinions\/prospective-patients."},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/S096318010809004X"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1086\/JCE2020312136"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-018-0323-0"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-114-4-325"},{"key":"e_1_2_7_25_1","doi-asserted-by":"crossref","unstructured":"Wicclair Conscientious Objection in Health Care; A. Brummett and J. Eberl \u201cThe Reasonable Content of Conscience in Public Bioethics \u201dCambridge Quarterly of Healthcare Ethics(March 12 2024[epub ahead of print]): doi:10.1017\/S0963180124000070.","DOI":"10.1017\/S0963180124000070"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1086\/JCE2021323265"},{"key":"e_1_2_7_27_1","unstructured":"M.Ayi \u201cDoctors Fired for Prescribing Birth Control Returning to Region \u201dNorthwest Indiana Times January 27 2005 https:\/\/www.nwitimes.com\/news\/local\/doctors-fired-for-prescribing-birth-control-returning-to-region\/article_49984f5a-a773-5576-98b2-2f828e17a8fd.html; T. Law \u201cColorado Doctor Fired after Suing to Provide Patient with Aid-in-Dying Medication \u201dTime September 3 2019."},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1086\/JCE2020312143"}],"container-title":["Hastings Center Report"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hast.4902","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T15:54:11Z","timestamp":1724342051000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hast.4902"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":27,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1002\/hast.4902"],"URL":"https:\/\/doi.org\/10.1002\/hast.4902","archive":["Portico"],"relation":{},"ISSN":["0093-0334","1552-146X"],"issn-type":[{"value":"0093-0334","type":"print"},{"value":"1552-146X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7]]},"assertion":[{"value":"2024-08-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}