Baystate Medical Center in Massachusetts adopted a policy requiring all employees to either get a flu shot or wear a facemask over their nose and mouth while on duty. Clarke refused the vaccination on the basis of her religious beliefs. When she failed to wear a mask, she was suspended.

Who are the stakeholders in this situation? What are the health and safety implications to the employee, the patients and the medical center? Did Baystate act ethically? What are the conflicting legal interests at stake? How should they be resolved?