In hard-right ideology, professional ethics are replaced by religious or paternalistic belief. Though done in the name of choice or moral integrity, it has more to do with the right's longed-for disintegration of "secular humanist" society. The refusal to go along with anything with which you disagree may indeed be a principled individual choice, but it should not be allowed legally to displace collectively reviewed scientific findings, or to substitute for the codes of behavior we demand as a condition of handing out professional licenses.