En contra del supuesto derecho a la objeción de conciencia
DOI:
https://doi.org/10.5347/62/2025/746Keywords:
conscientious objection, freedom of conscience, medical ethics, laicism, conscienceAbstract
Against an alleged right to conscientious objection
Contemporary debates on a possible right to conscientious objection presuppose that such a right follows from freedom of conscience, which is the freedom to affirm, and to live according to, ethical, philosophical or religious convictions. The right to conscientious objection would be a general right to be exempt from complying with institutional obligations when the latter are contrary to one’s own convictions of conscience. The main thesis I defend is that the alleged right to conscientious objection cannot be derived from the constitutional protection of freedom of conscience. This alleged right goes beyond the latter in demanding the removal of institutional obstacles to the individual aim of living by one’s own convictions of conscience. After explaining why the constitutional protection of freedom of conscience does not require such a removal, I conclude that instead of a general right to conscientious objection, there can be only requests for exemption from complying with legal requirements from considerations of conscience. I explain that such requests can only be granted when exemptions do not affect he rights of third parties, do not frustrate purposes of public interest that demand strict compliance with the law, and do not entail discriminatory actions forbidden by law.
References
Arneson, Richard, 2010: “Against Freedom of Conscience”. San Diego Law Review, 47, pp. 1015-2010.
Capdevielle, Pauline, 2015: La libertad de conciencia frente al Estado laico. México, Instituto de Investigaciones Jurídicas, Universidad Nacional Autónoma de México.
Casas, Lidia, 2009: “Invoking conscientious objection in reproductive health care: evolving issues in Peru, Mexico and Chile”. Reproductive Health Matters, vol. 17 núm. 34, pp. 78-87.
Charo, R. Alta, 2005: “The Celestial Fire of Conscience. Refusing to Deliver Medical Care”. The New England Journal of Medicine, 352, pp. 2471-3.
Chavkin, Wendy; Leitman, Liddy; Polin, Kate; for Global Doctors for Choice, 2013: “Conscientious objection and refusal to provide reproductive healthcare: a White Paper examining prevalence, health consequences, and policy responses”. International Journal of Gynaecology and Obstetetrics, 123, supl. 3, pp. S41-56.
Fiala, Christian; Gemzell Danielsson, Kristina; Heikinheimo, Oskari; Guðmundsson, Jens A.; Arthur, Joyce H., 2016: “Yes we can! Successful examples of disallowing ‘conscientious objection’ in reproductive health care”. The European Journal of Contraception and Reproductive Healthcare, 21, núm. 3, pp. 201-6.
Fiala, Christian y Arthur, Joyce H., 2017: “There is no defense for ‘Conscientious objection’ in reproductive health care”. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 216, pp. 254-258.
________, 2014: “‘Dishonourable disobedience’ Why refusal to treat in reproductive healthcare is not conscientious objection”. Woman-Psychosomatic Gynaecology and Obstetrics, Vol 1, pp. 1-12.
Gómez Abeja, Laura, 2017: “Una consideración actual sobre el deber de obediencia al derecho. La justificación de su incumplimiento por razones éticas”. Revista de Estudios Políticos, 177, julio-septiembre, pp. 89-111.
Giubilini, Alberto, 2014: “The Paradox of Conscientious Objection and the Anemic Concept of ‘Conscience’: Downplaying the Role of Moral Integrity in Health Care”. Kennedy Institute of Ethics Journal, 24, núm. 2, pp. 159-185.
Laborde, Cécile, 2017: Liberalism’s Religion. Cambridge, Mass., Harvard University Press.
________, 2018: “Egalitarian justice and religious exemptions”, en Mancini Susana y Rosenfeld Michel (eds.), The Conscience Wars. Rethinking the Balance Between Religion, Identity, and Equality. pp. 109-126.
Mancini, Susana y Rosenfeld, Michel (eds.). 2018: The Conscience Wars. Rethinking the Balance Between Religion, Identity, and Equality. Cambridge, Cambridge University Press.
NeJaime Douglas y Siegel, Reva, 2018: “Conscience Wars in Transnational Perspective: Religious Liberty, Third-Party Harm, and Pluralism”, en Mancini Susana y Rosenfeld Michel (eds.), pp. 187-219.
Patten, Alan, 2012: “Liberal neutrality: A reinterpretation and defense”. Journal of political philosophy, vol. 20, núm. 3, pp. 249-272.
Ramon Michel, Agustina y Repka, Dana, 2021: Mapa global de normas sobre objeción de conciencia en aborto. Buenos Aires, Redaas (Red de acceso al aborto seguro) e Ipas, Argentina, actualizado en 2024. https://redaas.org.ar/objecion-de-conciencia/mapa-global-sobre-objecion-de-conciencia/
Rawls, John, 1993: Political Liberalism. Nueva York, Columbia University Press.
________, 1971: A Theory of Justice. Cambridge, Mass., Harvard University Press. Citado por la traducción de María Dolores González: Teoría de la justicia, México, Fondo de Cultura Económica, 1979.
________, 1999a: A Theory of Justice. Cambridge, Mass., Harvard University Press, edición revisada.
________, 1999b: “The Law of Peoples”, en Freeman, Samuel (ed.), Collected Papers. Cambridge, Mass., Harvard University Press.
Rivera Castro, Faviola, 2013: “¿Qué significa la neutralidad del Estado laico? Una interpretación y defensa de la neutralidad laica”. México, Instituto de Investigaciones Jurídicas, Universidad Nacional Autónoma de México.
Savulescu, Julian, 2006: “Conscientious objection in medicine”. British Medical Journal, vol. 332, pp. 294-297.
Schuklenk, Udo, 2018: “Conscientious objection in medicine: accommodation versus professionalism and the public good”. British Medical Bulletin, vol. 126, núm. 1, pp. 47-56.
Schuklenk, Udo y Ricardo Smalling, 2018: “Why Medical Professionals Have No Moral Claim to Conscientious Objection Accommodation in Liberal Democracies”, en Johnna Fisher, Alister Browne, John Russell, Leslie Burkholder (eds.), Biomedical Ethics. A Canadian Focus. Oxford, Oxford University Press, 3a. ed., pp. 191-200.
Wicclair, Mark, 2011: Conscientious Objection in Healthcare: An Ethical Analysis. Cambridge, Cambridge University Press.
________, 2000: “Conscientious objection in medicine”. Bioethics, 14, pp. 205-27.
________, 2019: “Preventing conscientious objection in medicine from running amok: a defense of reasonable accommodation”. Theoretical Medicine and Bioethics, 40, pp. 539–564.
Zampas, Christina, 2013: “Legal and ethical standards for protecting women's human rights and the practice of conscientious objection in reproductive healthcare settings”. International Journal of Gynaecology and Obstetetrics, 123, supl. 3, pp. S63-5.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Isonomía - Revista de teoría y filosofía del derecho

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
ITAM, the publisher, has the copyright of published articles and remaining types of publications. Publications are in open access and licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. That means, among other things, that authors can freely share their articles, once published in Isonomía, on their personal web pages, Academia.edu, etc.. Between formal acceptance and online publication, authors can share the final drafts of their articles. In contrast, authors must seek permission to reproduce or reprint work, and mention, in the first footnote, "previously published in Isonomía, year, n. x, pp. xx-xx"..