In this paper, the concept of birth affirmation is clarified in both the psychological dimension and the philosophical dimension. In the psychological dimension, we propose two interpretations: 1) Possible world interpretation: Even if I could imagine a possible world in which my ideal was realized or my grave sufferings were resolved, I would never think, at the bottom of my heart, that it would have been better to have been born to that possible world. 2) Anti-antinatalistic interpretation: I would never (...) think, at the bottom of my heart, that it would have been better not to have been born. In the philosophical dimension, we propose the following interpretation: The comparison of betterness or worseness between the actual world and a possible world and between my having been born and my not having been born should be impossible. In the final part of this paper, the differences from other related concepts and frequently asked questions are discussed. (shrink)

Recent years have seen a surge of interest in the question of whether humans should reproduce. Some say human life is too punishing and cruel to impose upon an innocent. Others hold that such harms do not undermine the great and possibly unique value of human life. Tracing these outlooks historically in the debate has barely begun. What might philosophers have said, or what did they say, about human life itself and its value to merit reproduction? This article looks to (...) Kant, who wrote much on whether, by reproducing, humans do wrong or right morally. It assesses two main arguments: one examining whether perfect or imperfect duties condone reproduction, the other whether Kant’s teleological or, in the opposite sense, his eschatological outlooks can salvage reproduction. These two arguments are essential for building the entire argument. This article finds that, although Kant’s arguments against reproducing are strong, some of his writing seems to support reproduction as a good. Yet, must we must assume an author, even one who strove for systematicity, must be consistent over his entire oeuvre on every issue, especially if not handled directly in a single work? The article concludes that Kant does not sufficiently, systematically support anti-natalism as more moral than pro-natalism. It is best for the current debate to grapple with the very dilemma that daunted Kant. (shrink)

Pessimism is, roughly, the view that life is not worth living. In chapter 46 of the second volume of The World as Will and Representation, Arthur Schopenhauer provides an oft-neglected argument for this view. The argument is that a life is worth living only if it does not contain any uncompensated evils; but since all our lives happen to contain such evils, none of them are worth living. The now standard interpretation of this argument (endorsed by Kuno Fischer and Christopher (...) Janaway) proceeds from the claim that the value—or rather valuelessness—of life’s goods makes compensation impossible. But this interpretation is neither philosophically attractive nor faithful to the text. In this paper, I develop and defend an alternative interpretation (suggested by Wilhelm Windelband and Mark Migotti) according to which it is instead the actual temporal arrangement of life’s goods and evils that makes compensation impossible. (shrink)

According to asymmetric comparativism, it is worse for a person to exist with a miserable life than not to exist, but it is not better for a person to exist with a happy life than not to exist. My aim in this paper is to explain how asymmetric comparativism could possibly be true. My account of asymmetric comparativism begins with a different asymmetry, regarding the (dis)value of early death. I offer an account of this early death asymmetry, appealing to the (...) idea of conditional goods, and generalize it to explain how asymmetric comparativism could possibly be true. I also address the objection that asymmetric comparativism has unacceptably antinatalist implications. (shrink)

Most people are skeptical of the claim that the expectation that a person would have a life that would be well worth living provides a reason to cause that person to exist. In this essay I argue that to cause such a person to exist would be to confer a benefit of a noncomparative kind and that there is a moral reason to bestow benefits of this kind. But this conclusion raises many problems, among which is that it must be (...) determined how the benefits conferred on people by causing them to exist weigh against comparable benefits conferred on existing people. In particular, might the reason to cause people to exist ever outweigh the reason to save the lives of existing people? (shrink)

In this chapter, I consider the idea that physician-assisted death might come into question in the cases of psychiatric patients who are incapable of making autonomous choices about ending their lives. I maintain that the main arguments for physician-assisted death found in recent medical ethical literature support physician-assisted death in some of those cases. After assessing several possible criticisms of what I have argued, I conclude that the idea that physicianassisted death can be acceptable in some cases of psychiatric patients (...) who lack autonomy ought to be taken into account in assessing the moral and legal acceptability of physician-assisted death. (shrink)

The non-identity problem arises when an intervention or behavior changes the identity of those affected. Delaying pregnancy is an example of such a behavior. The problem is whether and in what ways such changes in identity affect moral considerations. While a great deal has been written about the non-identity problem, relatively little has been written about the implications for physicians and how they should understand their duties. We argue that the non-identity problem can make a crucial moral difference in some (...) circumstances, and that it has some interesting implications for when it is or is not right for a physician to refuse to accede to a patient's request. If a physician is asked to provide an intervention (identity preserving) that makes a person worse off, then such harm provides a good reason for the physician to refuse to provide the intervention. However, in cases where different (identity-altering) interventions result in different people having a better or worse life, physicians should normally respect patient choice. (shrink)

Effective altruism sounds so innocuous—who could possibly be opposed to doing good more effectively? Yet it has inspired significant backlash in recent years. This paper addresses some common misconceptions and argues that the core “beneficentric” ideas of effective altruism are both excellent and widely neglected. Reasonable people may disagree on details of implementation, but all should share the basic goals or values underlying effective altruism.

Might it be morally wrong to procreate? David Benatar answers affirmatively in Better Never to Have Been , arguing that coming into existence is always a great harm. I counter this view in several ways. First, I argue against Benatar’s asserted asymmetry between harm and benefit—which would support the claim that any amount of harm in a human life would make it not worth starting—while questioning the significance of his distinction between a life worth starting and one worth continuing. I (...) further contend that his understanding of hedonism and desire-fulfillment theories distorts their implications for the quality of human life; as for objective-list theories, I rebut his critique of their human-centered basis of evaluation. Notwithstanding this multi-tiered challenge to Benatar’s reasoning, I conclude with praise for his work and the intellectual virtues it embodies. (shrink)

In this paper, I offer a prolegomenon to the philosophy of harm reduction. I begin with an overview of the philosophical literature on both harm and harm reduction, and a brief summary of harm reduction scholarship outside of philosophy in order to make the case that philosophers have something to contribute to understanding harm reduction, and moreover that engagement with harm reduction would improve philosophical scholarship. I then proceed to survey and assess the nascent and still modest philosophy of harm (...) reduction literature that has begun to emerge. I pay particular attention to two Canadian philosophers who have called for the expansion of harm reduction beyond the realm of so-called “vice”. Finally, I sketch some of the most interesting and important philosophical issues that I think the philosophy of harm reduction must grapple with going forward. (shrink)

This article argues that the creation of artificial offspring could make our lives more meaningful. By ‘artificial offspring’ I mean beings that we construct, with a mix of human and non-human-like qualities. Robotic artificial intelligences are paradigmatic examples of the form. There are two reasons for thinking that the creation of such beings could make our lives more meaningful and valuable. The first is that the existence of a collective afterlife—i.e. a set of human-like lives that continue after we die—is (...) likely to be an important source and sustainer of meaning in our present lives. The second is that the creation of artificial offspring provides a plausible and potentially better pathway to a collective afterlife than the traditional biological pathway. Both of these arguments are defended from a variety of objections and misunderstandings. (shrink)

In engaging with the repugnant conclusion many contemporary philosophers, economists and social scientists make claims about what a minimally good life is like. For example, some claim that such a life is quite good by contemporary standards, and use this to defend classical utilitarianism, whereas others claim that it is not, and use this to uphold the challenge that the repugnant conclusion poses to classical utilitarianism. I argue that many of these claims—by both sides—are not well-founded. We have no sufficiently (...) clear sense of what a minimally good life is like. It is a result of this that the repugnant conclusion doesn’t license us in drawing any interesting conclusions. (shrink)

The debate over the value of pleasure among Eudoxus, Speusippus, and Aristotle is dramatically documented by the Nicomachean Ethics, particularly in the dialectical pros-and-cons concerning the so-called argument from contraries. Two similar versions of this argument are preserved at EN VII. 13, 1153b1–4, and X. 2, 1172b18–20. Many scholars believe that the argument at EN VII is either a report or an appropriation of the Eudoxean argument in EN X. This essay aims to revise this received view. It will explain (...) why these two arguments differ in premises, contents and purposes, and why these distinctions matter for a proper assessment of Aristotle’s understanding of pleasure and pain in general and his dialectical art in particular. (shrink)

The option of being ‘spiritual but not religious’ deserves much more philosophical attention. That is the aim here, taking the work of Robert Solomon as a starting point, with focus on the particular issues around viewing life as gift. This requires analysis of ‘existential gratitude’ to show that there can be gratitude for things without gratitude to someone for providing things, and also closer attention to the role that metaphor plays in cognition. I consider two main concerns with gift and (...) gratitude thinking, that the nonreligious justification is too instrumentalist in its approach and that viewing life as gift, whether in a religious or nonreligious way, is simply too optimistic. (shrink)

This paper aims at answering some of the objections to the NIP’s criticism of the idea of rights of future persons. Those objections usually adopt different perspectives depending on how they understand differently the nature of the correlativity between rights and duties – some adopt a present-rights-of-future-persons view, others a future-rights-of-future-persons view, others a transitive present-rights-of-present-persons view, and others still an eternalist view of rights and persons. The paper will try to show that only a non-transitive present-rights-of-present-persons view can survive (...) the challenges posed by the notion of correlativity inherent in the NIP, and thus preserve rights language when discussing the future. This view is proved also more suitable for the legal and political realms, where policies and law-making are usually more concerned with present addressees and short term effects. (shrink)

It is often said that while we have a strong reason not to create someone who will be badly off, we have no strong reason for creating someone who will be well off. In this paper I argue that this asymmetry is incompatible with a plausible principle of independence of irrelevant alternatives, and that a more general asymmetry between harming and benefiting is difficult to defend. I then argue that, contrary to what many have claimed, it is possible to harm (...) or benefit someone by bringing her into existence. (shrink)

A number of philosophers have resisted impersonal explanations of our obligation to mitigate climate change, and have developed accounts according to which these obligations are explained by human rights or harm-based considerations. In this paper I argue that several of these attempts to explain our mitigation obligations without appealing to impersonal factors fail, since they either cannot account for a plausibly robust obligation to mitigate, or have implausible implications in other cases. I conclude that despite the appeal of the motivations (...) for rejecting the appeal to impersonal factors, such factors must play a prominent role in explaining our mitigation obligations. (shrink)

Sami Pihlström argues in his “Ethical Unthinkabilities and Philosophical Seriousness” that there are some philosophical views that are so dangerous that we should not discuss them. He advances this argument with special reference to my (anti-natalist) view that being brought into existence is always a serious harm. In response I argue: (a) that there are major flaws in his argument for the conclusion that we should not think about (purportedly) unthinkable views; and (b) that my views about the harm of (...) coming into existence are in any event neither unthinkable nor dangerous. (shrink)

In Better Never to Have Been: The Harm of Coming into Existence, I argued that coming into existence is always a harm and that procreation is wrong. In this paper, I respond to those of my critics to whom I have not previously responded. More specifically, I engage the objections of Tim Bayne, Ben Bradley, Campbell Brown, David DeGrazia, Elizabeth Harman, Chris Kaposy, Joseph Packer and Saul Smilansky.

In her Why Have Children?, Christine Overall takes issue with my anti-natalist arguments that it is better never to come into existence. She provides three criticisms of my arguments and then, in a fourth criticism, suggests that my conclusions are bad for women. I respond to her criticisms, arguing that they fail.

Seth Baum suggests that my claim that it is better never to come into existence “can readily be rejected not just out of reflexive distaste for the claim but also out of sound ethical reasoning”. In my reply, I argue that Mr Baum fails to state accurately what my arguments are, and then attempts to refute them by association with other views that he dismisses perfunctorily. Where he does actually engage in my views, his response is effectively merely to assert (...) the opposite. (shrink)

A major approach to the ethics of artificial intelligence is to use social choice, in which the AI is designed to act according to the aggregate views of society. This is found in the AI ethics of “coherent extrapolated volition” and “bottom–up ethics”. This paper shows that the normative basis of AI social choice ethics is weak due to the fact that there is no one single aggregate ethical view of society. Instead, the design of social choice AI faces three (...) sets of decisions: standing, concerning whose ethics views are included; measurement, concerning how their views are identified; and aggregation, concerning how individual views are combined to a single view that will guide AI behavior. These decisions must be made up front in the initial AI design—designers cannot “let the AI figure it out”. Each set of decisions poses difficult ethical dilemmas with major consequences for AI behavior, with some decision options yielding pathological or even catastrophic results. Furthermore, non-social choice ethics face similar issues, such as whether to count future generations or the AI itself. These issues can be more important than the question of whether or not to use social choice ethics. Attention should focus on these issues, not on social choice. (shrink)

A recent exchange on Benatar’s book Better never to have been between Doyal and Benatar discusses Benatar’s bold claim that people should not be brought into existence. Here, I expand the discussion of original position that the exchange focused on. I also discuss the asymmetries, between benefit and harm and between existence and non-existence, upon which Benatar’s bold claim rests. In both discussions, I show how Benatar’s bold claim can be rejected.

A common intuition is that there is a moral difference between ‘making people happy’ and ‘making happy people.’ This intuition, often referred to as ‘the Asymmetry,’ has, however, been criticized on the grounds that it is incoherent. Why is there, for instance, not a corresponding difference between ‘making people unhappy’ and ‘making unhappy people’? I argue that the intuition faces several difficulties but that these can be met by introducing a certain kind of reason that is favouring but non-requiring. It (...) is argued that there are structural similarities between the asymmetry and moral options and that the asymmetry can be defended as an instance of a moral option. (shrink)

The Brain and the Meaning of Life Paul Thagard Princeton: Princeton University Press, 2010 274 pages, ISBN: 9780691142722 (hbk): $29.95 This paper criticizes central arguments in Paul Thagard's The Brain and the Meaning of Life, concluding, contrary to Thagard, that there is very little that we can learn from brain research about the meaning of life. The paper offers a critical review of Thagard's argument against nihilism and his argument that it is love, work, and play, rather than other activities, (...) that make life meaningful. Moreover, the paper argues that the rich neurological information Thagard presents throughout the book does not contribute at all to his arguments and, more generally, that neurological research is irrelevant also to almost all other aspects of meaning of life research. (shrink)

En teoría del valor y en teoría normativa, es común considerar que lo positivo y lo negativo tienen la misma importancia. Algunas rechazan esta idea y consideran que lo negativo tiene mayor importancia. Aquí se presentarán algunos de los argumentos en favor de la asimetría. Tras esto, daré cuenta de los diferentes tipos de posiciones asimétricas defendibles. Explicaré cuáles son las características de cada teoría y qué puntos a favor y en contra de estas posiciones se pueden postular. Por último, (...) consideraré que no hay razones para creer que haya una posición asimétrica claramente superior a las demás. (shrink)

When is it permissible to allow a newborn infant to die on the basis of their future quality of life? The prevailing official view is that treatment may be withdrawn only if the burdens in an infant's future life outweigh the benefits. In this paper I outline and defend an alternative view. On the Threshold View, treatment may be withdrawn from infants if their future well-being is below a threshold that is close to, but above the zero-point of well-being. I (...) present four arguments in favor of the Threshold View, and identify and respond to several counterarguments. I conclude that it is justifiable in some circumstances for parents and doctors to decide to allow an infant to die even though the infant's life would be worth living. The Threshold View provides a justification for treatment decisions that is more consistent, more robust, and potentially more practical than the standard view. (shrink)

The question I address in this paper is whether and under what conditions it is morally right to bring a person into existence. I defend the commonsensical thesis that, other things being equal, it is morally wrong to create a person who will be below some threshold of quality of life, even if the life of this potential person, once created, will nevertheless be worth living. However commonsensical this view might seem, it has shown to be problematic because of the (...) so-called 'Non-Identity Problem'. Both utilitarian and rights-based approaches have been unable to provide a solution to this problem. I rest my thesis on two premises: that causing a disability or impairment in a future person is prima facie wrong, so long as we can avoid causing such a disability to that very person; and that reproduction, under normal conditions, is prima facie morally indifferent. From these two premises, I conclude that it is prima facie wrong to bring into existence a person with a non-trivial disability or impairment (which might be, nonetheless, compatible with a worthwhile life), even if the only available alternative is to remain childless. (shrink)

The concept of antinatalism is now becoming popular on the Internet. Many online newspaper articles deal with this topic, and numerous academic papers on antinatalism have been published over the past ten years in the fields of philosophy and ethics. The word “antinatalism” was first used in the current meaning in 2006, when the two books that justify the universal negation of procreation were published: one by David Benatar and the other by Théophile de Giraud. However, we can find various (...) prototypes of antinatalistic thoughts in ancient Greece, ancient India, and modern Europe. You might recall the name Schopenhauer. In this paper, I briefly summarize the history of antinatalistic thoughts and propose a set of categories on antinatalism and related thoughts. (shrink)

This book is a collection of all the papers and the essay published in the special issue “Philosophy and Meaning in Life Vol.3,” Journal of Philosophy of Life, Vol.11, No.1, 2021, pp.1-154. We held the Third International Conference on Philosophy and Meaning in Life online at the University of Birmingham, Birmingham, UK, on July 21–23, 2020. This conference was co-hosted by the Birmingham Centre for Philosophy of Religion, and the Waseda Institute of Life and Death Studies. We accepted about 50 (...) presentations from around the world. Professor Lisa Bortolotti and I gave keynote lectures. After the conference, we called for papers for publication from the speakers, and we accepted seven papers and an essay for the special issue of the Journal of Philosophy of Life. We would like to give special thanks to the anonymous referees who kindly reviewed the submitted manuscripts. The accepted papers deal with a variety of topics, such as the subjective/objective debate, narrative meaning, Simone de Beauvoir, and Alain Badiou, and they are all discussed from the perspective of the philosophy of meaning in life. (shrink)

This book is a collection of essays on the philosophy of life’s meaning in contemporary society. Topics range from antinatalism, meaning of life, the trolley problem, to painless civilization. I am now writing a comprehensive philosophy book on those topics, but it will take several years to complete; hence, I decided to make a handy book to provide readers with an outline of the philosophical approaches to the meaning of life that I have in mind. -/- Chapter One discusses the (...) definition, history, and category of antinatalism. Antinatalism is the thought that all human beings or all sentient beings should not be born. Although I am not an antinatalist, I believe that antinatalism poses an important question about procreation and the meaning of our lives. This is why I presented an overview of antinatalistic thoughts in the past and the present and also performed an analytical examination of their arguments. -/- In Chapter Two, I take up Philosopher Thaddeus Metz’s argument on meaning in life, especially his fundamentality theory, and claim that “the heart of meaning in life,” which is the concept I propose in this chapter, cannot be compared with anything whatsoever. -/- Chapter Three deals with the concept of “birth affirmation,” which means that I can say “yes” to my having been born. I believe that birth affirmation is one of the most promising ideas that can contribute to contemporary philosophical discussions on meaning in life, and I call this approach “an affirmation-based approach to meaning in life.” The concept of birth affirmation has two dimensions: the psychological dimension and the philosophical dimension. I would like to show in this chapter that it is difficult to clarify what it actually means to say “yes” to my having been born. -/- Chapter Four discusses the relationship between the dropping of the atomic bombs and the trolley problem. I argue that the dropping of atomic bombs was a typical example of the events that contained the logic of the trolley problem in both their decision-making processes and justifications. I further argue that the trolley problem has its own unique problems, which I call “the problem of the trolley problem.” This problem has been overlooked in academic discussions of the trolley problem. I also refer to a religious aspect of this problem. -/- In Chapter Five, I talk about the “philosophy of life” as an academic discipline. We have the philosophy of language, the philosophy of religion, and the philosophy of history, but why don’t we have the philosophy of life in the field of philosophy? Of course, we have Lebensphilosophie, but it does not cover philosophical discourses in ancient worlds, nor current analytical approaches to the concepts of life and death. A new research field is required to advance contemporary philosophy. -/- In Chapter Six, I illustrate an outline of my “painless civilization” theory, a criticism of contemporary civilization that deprives us of a joy of life in exchange for eliminating pain and suffering. I also discuss the concept of “fundamental sense of security,” which is considered indispensable for us to be able to live a life without regret. (shrink)

This paper presents a critique of David Benatar’s arguments on the badness of all human lives. I argue that even if Benatar is right that there is an asymmetry between the good and the bad in life so that each “unit” of bad is indeed more effective than each “unit” of good, lives in which there is a lot of good and only little bad are still overall good. Even if there are more unfulfilled than fulfilled desires in life, a (...) distinction should be drawn between desires to fulfill important goals and desires to fulfill trivial ones, and Benatar’s claim is untrue of the former. Benatar’s claim that we cannot really know that the quality of our own lives is good is problematic, but even if it were true, it would not show that we cannot estimate correctly the quality of other people’s lives, which is the point at issue. (shrink)

In this paper, I show that David Benatar’s asymmetry argument for anti-natalism leads to a dilemma. In Chapter 2 of his book Better Never to Have Been, Benatar claims that there is an axiological asymmetry between harms and benefits that explains four prevalent asymmetries. Based on the axiological asymmetry, he defends the anti-natalist conclusion that we should not have children. The four prevalent asymmetries to be explained are moral duties, reasons, attitudes, or feelings concerning life as a whole. However, Benatar (...) explains them by applying the axiological asymmetry to parts of life, such as pains and pleasures. I find a serious gap here. While two ways are available to bridge this gap, a dilemma arises from Benatar’s asymmetry argument. The axiological asymmetry is not supported because it cannot explain the four prevalent asymmetries, or else it cannot lead to the anti-natalist conclusion. A number of philosophers have already criticized Benatar’s asymmetry argument, mainly questioning its assumptions. In this paper, I contend that there is no good reason to agree with his argument even if all its explicit assumptions are accepted. (shrink)

This paper is a defense of the view that existence is a perfection. Anselm’s First Ontological Argument is referred to throughout. Two major objections are advanced: the ‘perfect island’ objection and the ‘perfect devil’ objection. A rebuttal of both, based on Anselm’s reply to Gaunilo, is tendered, but itself faces a major objection. Two lines of defense against this objection are possible. The first is sympathetically explained but it is argued that it ultimately fails. The second, which focuses on the (...) idea of a perfection and a perfect being, is elaborated and defended against a seemingly powerful objection. It is concluded that there is a reasonable interpretation of the claim that existence is a perfection. (shrink)

In this paper, we explore three separate questions that are relevant to assessing the prudential value of life in infants with severe life-limiting illness. First, what is the value or disvalue of a short life? Is it in the interests of a child to save her life if she will nevertheless die in infancy or very early childhood? Second, how does profound cognitive impairment affect the balance of positives and negatives in a child’s future life? Third, if the life of (...) a child with life-limiting illness is prolonged, how much suffering will she experience and can any of it be alleviated? Is there a risk that negative experiences for such a child will remain despite the provision of palliative care? We argue that both the subjective and objective components of well-being for children could be greatly reduced if they are anticipated to have a short life that is affected by profound cognitive impairment. This does not mean that their overall well-being will be negative, but rather that there may be a higher risk of negative overall well-being if they are expected to experience pain, discomfort, or distress. Furthermore, we point to some of the practical limitations of therapies aimed at relieving suffering, such that there is a risk that suffering will go partially or completely unrelieved. Taken together, these considerations imply that some life-prolonging treatments are not in the best interests of infants with severe life-limiting illness. (shrink)

The development of gene-editing technologies, such as the clustered regularly interspaced short palindromic repeats and associated Cas9 endonuclease system, coincides with a rapidly expanding knowledge of the role of genes in the human ageing process. This raises the prospect that, in addition to the treatment of genetic diseases and disorders, it may become possible to use gene-editing technologies to alter the ageing process and significantly extend the maximum human lifespan. Germline editing poses distinctive problems due to its implications for individual (...) members of future, unborn generations. In this essay, I wish to home in, narrowly, on a single ethical objection to extending the lifespan of future generations by editing the human germline. The objection suggests that to extend lifespans is to unethically inflict the harm of loneliness on future people. I claim that the argument rests on assumptions that ought to be rejected. (shrink)

As reproductive genetic technologies advance, families have more options to choose what sort of child they want to have. Using preimplantation genetic diagnosis (PGD), for example, allows parents to evaluate several existing embryos before selecting which to implant via in vitro fertilization (IVF). One of the traits PGD can identify is genetic deafness, and hearing embryos are now preferentially selected around the globe using this method. Importantly, some Deaf families desire a deaf child, and PGD–IVF is also an option for (...) them. Selection for genetic deafness, however, encounters widespread disapproval in the hearing community, including mainstream philosophy and bioethics. In this paper I apply Elizabeth Barnes’ value-neutral model of disability as mere-difference to the case of selecting for deafness. I draw on evidence from Deaf Studies and Disability Studies to build an understanding of deafness, the Deaf community, and the circumstances relevant to reproductive choices that may obtain for some Deaf families. Selection for deafness, with deafness understood as mere-difference and valued for its cultural identity, need not necessitate impermissible moral harms. I thus advocate that it is sometimes morally permissible to select for deafness in one’s child. (shrink)

The aim of this commentary is to discuss the axiology of the cost–benefit approach assumed by Travis Rieder (2017) to analyze medical decision making in the case of extremely preterm infants.

David Benatar claims that everyone was seriously harmed by coming into existence. To spare future persons from this suffering, we should cease having children, Benatar argues, with the result that humanity would gradually go extinct. Benatar’s claim of universal serious harm is baseless. Each year, an estimated 94% of children born throughout the world do not have a serious birth defect. Furthermore, studies show that most people do not experience chronic pain. Although nearly everyone experiences acute pain and discomforts, such (...) as thirst, these experiences have instrumental value. For example, when a person picks up a hot object, in response to the pain, the person releases the object, thereby preventing serious harm. The standard that Benatar uses to evaluate the quality of our lives is arbitrary, as I will demonstrate. His proposal that we phase humanity out of existence by ceasing to have children is misguided and an overreaction to the problem of human suffering. The ‘threshold conception of harm’, which is a targeted approach for preventing future persons from suffering, is a more sensible approach. (shrink)

In a series of recent papers, Ben Bramble defends a version of hedonism which holds that purely repetitious pleasures add no value to one’s life (i.e. Non-Repeatable Hedonism). In this paper, we pose a dilemma for Non-Repeatable Hedonism. We argue that it is either committed both to a deeply implausible asymmetry between how pleasures and pains affect a person’s well-being and to deeply implausible claims about how to maximize well-being, or is committed to the claim that a life of eternal (...) pleasure for a person can be just as good for them as a life of eternal suffering. The only way out of this dilemma is for Bramble to reject the Non-Repetition Requirement. Yet, rejecting this requirement both forces Bramble to reject the wholly unique, core component, of his view and undermines his view’s ability to handle one of the most powerful objections to hedonism, viz., that a life with a larger quantity of so-called “base” (or lower) pleasures is better for a person than a life with a slightly smaller quantity of so-called higher pleasures. We conclude that Non-Repeatable Hedonism must be rejected in favor of standard forms of hedonism or some non-hedonic view of well-being. (shrink)

Value-based epistemology sees epistemic norms as explained by or grounded in distinctively epistemic values. This paper argues that, no matter what epistemic value is, credences or beliefs about some topics have at most infinitesimal amounts of this value. This makes it hard to explain why epistemic norms apply at all to credences or beliefs on these topics. My argument is inspired by a recent series of papers on epistemic versions of Parfit’s Repugnant Conclusion. The discussion in those papers parallels work (...) in ethics, because it focuses on an epistemic value—accuracy—that shares features with ethical values like well-being. I argue that, because of this focus, this discussion is inconclusive and only relevant to accounts of epistemic value that share those features. My argument is more general and more conclusive. It uses four types of problem cases that have no parallel in ethics. It applies to all extant accounts of the value of individual beliefs or credences and all extant accounts of the value of total doxastic states. (shrink)

The paper presents an account of suffering as a multi-level phenomenon based on concepts such as mood, being-in-the-world and core life value. This phenomenological account will better allow us to evaluate the hardships associated with dying and thereby assist health care professionals in helping persons to die in the best possible manner. Suffering consists not only in physical pain but in being unable to do basic things that are considered to bestow meaning on one’s life. The suffering can also be (...) related to no longer being able to be the person one wants to be in the eyes of others, to losing one’s dignity and identity. These three types of suffering become articulated by a narrative that holds together and bestows meaning on the whole life and identity of the dying person. In the encounter with the patient, the health-care professional attempts to understand the suffering-experience of the patient in an empathic and dialogic manner, in addition to exploring what has gone wrong in the patient’s body. Matters of physician assisted suicide and/or euthanasia—if it should be legalized and if so under which conditions—need to be addressed by understanding the different levels of human suffering and its positive counterpart, human flourishing, rather than stressing the respect for patient autonomy and no-harm principles, only. In this phenomenological analysis the notions of vulnerability and togetherness, ultimately connecting to the political-philosophical issues of how we live together and take care of each other in a community, need to be scrutinized. (shrink)

The ethics of biological procreation has received a great deal of attention in recent years. Yet, as I show in this paper, much of what has come to be called procreative ethics is conducted in a strangely abstract, impersonal mode, one which stands little chance of speaking to the practical perspectives of any prospective parent. In short, the field appears to be flirting with a strange sort of practical irrelevance, wherein its verdicts are answers to questions that no-one is asking. (...) I go on to articulate a theory of what I call existential grounding, a notion which explains the role that prospective children play in the lives of many would-be parents. Procreative ethicists who want their work to have real practical relevance must, I claim, start to engage with this markedly first-personal kind of practical consideration. (shrink)

A very common but untested assumption is that potential children would consent to be exposed to the harms of existence in order to experience its benefits. And so, would-be parents might appeal to the following view: Procreation is all-things-considered permissible, as it is morally acceptable for one to knowingly harm an unconsenting patient if one has good reasons for assuming her hypothetical consent—and procreators can indeed reasonably rely on some notion of hypothetical consent. I argue that this view is in (...) error. My argument appeals to a consent-based version of anti-natalism advanced by Seana Valentine Shiffrin. Anti-natalism is the view that it is always wrong to bring people into existence. While, like Shiffrin, I stop short of advocating a thoroughgoing anti-natalism, I nevertheless argue that procreators cannot appeal to hypothetical consent to justify exposing children to the harms of existence. I end by suggesting a more promising route by which this justification might be achieved. (shrink)