Physicians' primary obligations are to their patients, without a doubt.
They have other obligations, of course, including to wider society, to their professional colleagues, both physicians and other health care professionals, to their employing institutions, and to their own ethical codes (which may or may not accord completely with their personal religious convictions.) We know that many physicians have strong moral objections to carrying out certain procedures for religious reasons-- e.g. Catholics and abortion. But they must tell their patients that that is the case, and be honest with them. And they must advise them to go elsewhere if the patients hold other and differing religious views. To pretend that physicians' own religious views trump those of their patients or wider society is both arrogant and wrong headed.
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