RT Journal Article SR Electronic T1 The need for feasible compromises on conscientious objection: response to Card JF Journal of Medical Ethics JO J Med Ethics FD BMJ Publishing Group Ltd and Institute of Medical Ethics SP 560 OP 561 DO 10.1136/medethics-2019-105425 VO 45 IS 8 A1 Aaron J Ancell A1 Walter Sinnott-Armstrong YR 2019 UL http://jme.bmj.com/content/45/8/560.abstract AB Robert Card criticises our proposal for managing some conscientious objections in medicine. Unfortunately, he severely mischaracterises the nature of our proposal, its scope and its implications. He also overlooks the fact that our proposal is a compromise designed for a particular political context. We correct Card’s mischaracterisations, explain why we believe compromise is necessary and explain how we think proposed compromises should be evaluated.