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McLeod's Conscience in Reproductive Health Care: Fiduciary Duties Beyond Reproductive Care, the Role of the Pharmacist, and the Harms and Wrongs of Conscientious Refusals

McLeod’s (2020) Conscience in Reproductive Health Care offers a number of valuable contributions to the literature, both within and beyond reproductive care. In this commentary, I begin by discussing two potential applications of her argument that healthcare professionals—specifically, those “who are charged with gatekeeping access to healthcare services” (178)—have a fiduciary duty of loyalty to prioritize the interests of their patients over their own. Then, I turn to a couple of concerns one might raise about extending this fiduciary duty to pharmacists who function as gatekeepers of reproductive services. Finally, I pose some questions about the ways in which McLeod conceives of the harms and wrongs of conscientious refusals.