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Conscientious objection: a global health perspective.

BMJ Glob Health

December 2024

Global Bioethics Collaborative, Los Angeles, California, USA.

Conscientious objection is a critical topic that has been sparsely discussed from a global health perspective, despite its special relevance to our inherently diverse field. In this Analysis paper, we argue that blanket prohibitions of a specific type of non-discriminatory conscientious objection are unjustified in the global health context. We begin both by introducing a nuanced account of conscience that is grounded in moral psychology and by providing an overview of discriminatory and non-discriminatory forms of objection.

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The rapid pace of development and application of digital technology and data science, including artificial intelligence (AI), is transforming our world. In this chapter, we address the question: "Is bioethics relevant to how we should develop, govern, and use AI in healthcare, specifically in neurosurgery?" We recognize that medical decision-making involves uncertainty and is complex, and predicting potential outcomes is difficult. We conclude that the use of AI in neurosurgery is not inherently unethical.

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Background: Uncertainty in medical decision-making is a significant challenge influenced by various patient- and physician-related factors. They include physicians' clinical reasoning skills and their tolerance for uncertainty. Medical students are trained in clinical reasoning and have to learn to manage uncertainty.

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Younger adults, aged 18-39 years, exhibit low COVID-19 additional vaccine (i.e., vaccination beyond the original 2-dose series) uptake recommended in Canada.

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Article Synopsis
  • Children face moral dilemmas that involve conflicts between competing actions and start to appreciate the complexity of these dilemmas as they grow older.
  • In a study, younger children tended to prefer a reasoner who was uncertain about their moral choice, viewing them as nicer and more trustworthy compared to a confident decision-maker.
  • Older children showed a shift in preference, with 5-year-olds favoring confident decisions, while 6- and 7-year-olds began to value the acknowledgment of uncertainty, indicating evolving moral reasoning capabilities.
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