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The contentious, topical debate about whether faith-based health care organizationsshould be granted accommodation on the basis of institutional conscientious objection tomedical assistance is dying (MAiD) is addressed through a comparative analysis of argumentson both sides of the issue that references such relevant considerations as: claimed‘moral-authority’, competing rights-based claims, obligations arising from patient welfareprinciples, formal justice, dissimilarity in consequences, and two illustrative argumentsfrom analogy. The analysis leads to the conclusion that nonconditional accommodation on thebasis of institutional conscientious objection to MAiD is not ethically acceptable inCanada. A compromise mechanism, consisting of a suggested set of pragmatic conditions, isproposed that could effectively balance the competing moral responsibilities that arise fromthis conclusion and a core assumption of the paper, i.e., that some dominant faith-basedhealth institutions can legitimately request, and expect, that provincial/territorialgovernments pay them a measure of respect in their operational, health-care-deliverydecision making because of these institutions’ long history of providing high quality,health care in Canada. It is further suggested that provincial/territorial governments onlyallow large, publicly funded, faith-based health care organizations to enact a conditionalversion of accommodation on the basis of institutional conscientious objection to MAiD incircumstances where the organization has entered into a formal agreement with the relevanthealth department to meet the proposed, compromise conditions (or a relevantly-similar setof conditions).

Should Institutional Conscientious Objection to Assisted Dying be Accommodated?