RT Journal Article SR Electronic T1 Religion, secular medicine and utilitarianism: a response to Biggar JF Journal of Medical Ethics JO J Med Ethics FD BMJ Publishing Group Ltd and Institute of Medical Ethics SP 867 OP 869 DO 10.1136/medethics-2015-102786 VO 41 IS 11 A1 Kevin R Smith YR 2015 UL http://jme.bmj.com/content/41/11/867.abstract AB Nigel Biggar has argued that religion ought to be given a seat at the negotiating table of medical ethics. I respond in broadly utilitarian terms, arguing that the flawed empirical basis, lack of rationality and non-universality inherent in religion disqualify it from ethical discourse. I conclude that while it would be unacceptable to attempt to debar religious individuals from the negotiating table, an exclusively secular approach is required for ethical decision making in medicine.