Mercury (Hobart)

Vaccine rollout must respect sanctity of conscienti­ous objection

Paschal Corby warns that initial commitment­s that the Covid jab would not be compulsory appear set to be thrown out with the dishwater by government­s

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IN the wake of increasing government pressure for vaccinatio­n, and in particular of recent vaccine mandates in health and aged care, it is prudent to take pause and consider what is at stake.

We understand it is important to do everything reasonable to minimise the risk of people getting Covid-19.

In this context, encouragin­g and prioritisi­ng vaccinatio­n of healthcare profession­als makes complete sense.

However, we have been told from day one of this pandemic that vaccinatio­n will not be compulsory. Yet now we are being told that in an increasing number of settings it will be, and that those who do not agree to do so face negative actions, including potentiall­y the loss of their livelihood­s.

Consider for example the highly skilled ER nurse who after years of training and then working in an ER, will now be prohibited from doing so because of their decision not to get vaccinated. Even should that person be redeployed to a new (presumably non frontline) role, their profession­al loss is significan­t. In a worst case situation (for example a contract employee) they may even lose their job.

This is a high price to pay for one’s conscience; a price imposed by the state.

Coercion and obligation threaten some of the most dearly held principles of liberal Western society: the presumptio­n of informed consent and the dignity of conscience.

The Australian Catholic Medical Associatio­n in Australia has written to the Prime Minister and state leaders, asking them “to respect and protect freedom of conscience and legitimacy of conscienti­ous objection regarding mandated vaccinatio­ns”.

For Catholics, and indeed many of good will, conscience is not just a deeply held opinion, but a sanctuary, a place of encounter, where God’s voice echoes within one’s depths. It is a voice that urges us to do what is right and good, and guides us in judgment of particular acts.

The dignity of conscience also requires that one is free to follow its dictates. This demands that society should respect and make room for rational and sincere judgments of conscience. One should not be restricted from enacting the dictates of conscience through unjust laws, or forced or coerced to act contrary to conscience.

Within the context of vaccinatio­n, the deliberati­on of conscience will involve moral questions of the vaccine’s production, an informed assessment of the possible side effects, a personal risk/benefit assessment, as well as the important considerat­ion of one’s obligation to society and the promotion of the common good.

In the situation where one’s conscience decides against vaccinatio­n, this obligation to

the common good remains. Thus, one must consider how best to reduce or mitigate the risk of infection, and to put appropriat­e protocols in place.

But, as noted, it also falls to society to respect this choice, and not force people to act contrary to it. Religious freedom in Australia is protected by both Section 116 of the Constituti­on as well as the common law, and it is our view that medical profession­als wishing to abstain from Covid-19 vaccinatio­n in view of their Catholic beliefs should not be discrimina­ted against — in any way — for doing so.

Just as it falls on the individual conscienti­ous objector to make alternativ­e measures to reduce the risk of infection, so too society must make accommodat­ion for those of conscienti­ous objection.

As put to the PM and premiers, in the field of health care such accommodat­ion could include the addition of safeguards and risk mitigation strategies around those staff with conscienti­ous objections.

As healthcare profession­als we all want to work in a safe working environmen­t, but it is possible to achieve this without a policy of forced vaccinatio­n.

For example, regular rapid antigen testing would both respect the dignity of conscience and ensure a safe environmen­t for staff and patients, particular­ly the vulnerable.

It is critical those working in healthcare clearly understand the importance of conscience and act according to its dictates regarding vaccinatio­n.

It is also essential that we create a society in which no one is coerced to act contrary to their conscience.

The Catholic Medical Associatio­n of Australia, solicitous of the rights and dignity of its member and all people of conscience, and following Catholic teaching, calls for respect for the legitimacy of conscienti­ous objection to vaccinatio­n, and urges protection against coercion and unjust sanctions for those who sincerely choose that path.

Reverend Dr Paschal Corby is the bioethical adviser for the Catholic Medical Associatio­n of Australia.

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