PT - JOURNAL ARTICLE AU - Robert F Card TI - Reasons, reasonability and establishing conscientious objector status in medicine AID - 10.1136/medethics-2016-103792 DP - 2017 Apr 01 TA - Journal of Medical Ethics PG - 222--225 VI - 43 IP - 4 4099 - http://jme.bmj.com/content/43/4/222.short 4100 - http://jme.bmj.com/content/43/4/222.full SO - J Med Ethics2017 Apr 01; 43 AB - This paper builds upon previous work in which I argue that we should assess a provider's reasons for his or her objection before granting a conscientious exemption. For instance, if the medical professional's reasoned basis involves an empirical mistake, an accommodation is not warranted. This article poses and begins to address several deep questions about the workings of what I call a reason-giving view: What standard should we use to assess reasons? What policy should we adopt in order to evaluate the reasons offered by medical practitioners in support of their objections? I argue for a reasonability standard to perform the essential function of assessing reasons, and I offer considerations in support of a policy establishing conscientious objector status in medicine.