Abstract：
In the United States, healthcare providers have the federally protected right to conscientiously refuse to provide treatments or services that they feel violate their moral or religious values. This refusal of services is colloquially known as \"conscientious objection,\" which has become a polarizing topic in today\'s medical and ethical landscape. Typically, physicians exercising their right to conscientious objection do not represent a barrier in access to care for most patient populations. This dynamic shifts, however, in rural America, where there are relatively few providers. In this commentary, we discuss some of the unique ramifications that are likely to occur when rural providers invoke conscientious objection in their medical practice and how this can in turn establish conscientious monopolies for the members of their communities.
摘要：
在美国,医疗保健提供者有权受到联邦保护，自觉拒绝提供他们认为违反其道德或宗教价值观的治疗或服务。这种拒绝服务俗称“依良心拒服兵役，这已经成为当今医学和伦理领域的一个两极分化的话题。通常,行使依良心拒服兵役权利的医生并不构成大多数患者获得治疗的障碍。这种动态转变，然而,在美国农村，那里的供应商相对较少。在这篇评论中,我们讨论了农村提供者在医疗实践中援引出于良心拒服兵役时可能发生的一些独特后果，以及这如何反过来为其社区成员建立出于良心的垄断。
