Why the Post-Roe Era Requires Protecting Conscientious Provision as We Protect Conscientious Refusal in Health Care

• DOI: 10.1001/amajethics.2022.906
• Publication Date: 2023-01-09T16:15:24Z
• Authors: Isa, Ryan; Ashish, Premkumar; Katie, Watson
• Keywords: Pregnancy; Abortion, Legal; Humans; Female; Refusal to Treat; Health Facilities; Delivery of Health Care; Conscience

The US Supreme Court overturned Roe v Wade in June 2022, and now each state's legislature will decide if and when its citizens will have legal access to abortion care and if and when its physicians will be criminalized for providing what is considered to be the standard of care by multiple health-related organizations. This extraordinary change in the medico-legal landscape requires reevaluation of health profession codes of ethics related to clinician conscience. This article argues that these codes must now be expanded to address 2 newly critical areas: physician advocacy to make abortion illegal and affirmative protection for "conscientious provision" in hostile environments on par with protection of conscientious refusal.