PT - JOURNAL ARTICLE AU - Toni C Saad TI - Conscientious objection: unmasking the impartial spectator AID - 10.1136/medethics-2019-105698 DP - 2019 Oct 01 TA - Journal of Medical Ethics PG - 677--678 VI - 45 IP - 10 4099 - http://jme.bmj.com/content/45/10/677.short 4100 - http://jme.bmj.com/content/45/10/677.full SO - J Med Ethics2019 Oct 01; 45 AB - Hoping to bring some objectivity to the debate, Ben-Moshe has argued that conscientious objection in medicine should be accommodated based on its concordance with the ‘impartial spectator’, a metaphor for conscience drawn from the writings of Adam Smith. This response finds fault with this account on two fronts: first, that its claim to objectivity is unsubstantiated; second, that it implicitly relies on moral absolutes, despite claiming that conscience is a social construct, thereby calling its coherence and claims into question. Briefly, a traditional account of conscience is then described, before ending with a related thesis for future discussion.