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Enhancing Evolution: The Ethical Case for Making Better People

Princeton University Press (2007)

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  1. The ethics of doing human enhancement ethics.Jon Rueda - 2023 - Futures 153:103236.
    Human enhancement is one of the leading research topics in contemporary applied ethics. Interestingly, the widespread attention to the ethical aspects of future enhancement applications has generated misgivings. Are researchers who spend their time investigating the ethics of futuristic human enhancement scenarios acting in an ethically suboptimal manner? Are the methods they use to analyze future technological developments appropriate? Are institutions wasting resources by funding such research? In this article, I address the ethics of doing human enhancement ethics focusing on (...)
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  • ¿Automatizando la mejora moral? La inteligencia artificial para la ética.Jon Rueda - 2023 - Daimon: Revista Internacional de Filosofía 89:199-209.
    ¿Puede la inteligencia artificial (IA) hacernos más morales o ayudarnos a tomar decisiones más éticas? El libro Más (que) humanos. Biotecnología, inteligencia artificial y ética de la mejora, editado por Francisco Lara y Julian Savulescu (2021), puede inspirarnos filosóficamente sobre este debate contemporáneo. En esta nota crítica, contextualizo la aportación general del volumen y analizo los dos últimos capítulos de Monasterio-Astobiza y de Lara y Deckers, quienes argumentan a favor del uso de la IA para hacernos mejores agentes morales. El (...)
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  • Modifying the Environment or Human Nature? What is the Right Choice for Space Travel and Mars Colonisation?Maurizio Balistreri & Steven Umbrello - 2023 - NanoEthics 17 (1):1-13.
    As space travel and intentions to colonise other planets are becoming the norm in public debate and scholarship, we must also confront the technical and survival challenges that emerge from these hostile environments. This paper aims to evaluate the various arguments proposed to meet the challenges of human space travel and extraterrestrial planetary colonisation. In particular, two primary solutions have been present in the literature as the most straightforward solutions to the rigours of extraterrestrial survival and flourishing: (1) geoengineering, where (...)
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  • (1 other version)Can ‘eugenics’ be defended?Walter Veit, J. Anomaly, N. Agar, P. Singer, D. Fleischman & F. Minerva - 2021 - Bioethics Review 39 (1):60–67.
    In recent years, bioethical discourse around the topic of ‘genetic enhancement’ has become increasingly politicized. We fear there is too much focus on the semantic question of whether we should call particular practices and emerging bio-technologies such as CRISPR ‘eugenics’, rather than the more important question of how we should view them from the perspective of ethics and policy. Here, we address the question of whether ‘eugenics’ can be defended and how proponents and critics of enhancement should engage with each (...)
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  • Language and Reality.Menno Lievers - 2021 - In Second Thoughts. Tilburg, Netherlands: pp. 261-277.
    An introduction to philosophy of language since Frege, focusing on the 20th century.
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  • (1 other version)Can ‘eugenics’ be defended?Francesca Minerva, Diana S. Fleischman, Peter Singer, Nicholas Agar, Jonathan Anomaly & Walter Veit - 2021 - Monash Bioethics Review 39 (1):60-67.
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  • Meaning and Medicine: An Underexplored Bioethical Value.Thaddeus Metz - 2021 - Ethik in der Medizin 33 (4):439-453.
    In this article, part of a special issue on meaning in life and medical ethics, I argue that several issues encountered in a bioethical context are not adequately addressed only with values such as morality and welfare. I maintain, more specifically, that the value of what makes a life meaningful is essential to being able to provide conclusive judgements about which decisions to make. After briefly indicating how meaningfulness differs from rightness and happiness, I point out how it is plausibly (...)
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  • Service and Status Competition May Help Explain Perceived Ethical Acceptability.Hugh Desmond - 2020 - American Journal of Bioethics Neuroscience 11 (4):258-260.
    The dominant view on the ethics of cognitive enhancement (CE) is that CE is beholden to the principle of autonomy. However, this principle does not seem to reflect commonly held ethical judgments about enhancement. Is the principle of autonomy at fault, or should common judgments be adjusted? Here I argue for the first, and show how common judgments can be justified as based on a principle of service.
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  • Post- i transhumanizm w kontekście wybranych zjawisk artystycznych technokultury.Przemysław Zawadzki & Agnieszka K. Adamczyk - 2019 - Avant: Trends in Interdisciplinary Studies 10 (3).
    Creations of many contemporary artists indicate the emergence of technoculture. Although artistic manifestations of technoculture may appear to be a provocation, they encourage fundamental ontological questions, such as whether a person has unchanging nature; what was and is our relationship to the Other, and what it should be; to what extent can body and mind be altered before they stop being “human”; what is the future of our species. To properly understand the works of technoculture artists, it appears necessary to (...)
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  • Transhumanism, Moral Perfection, and Those 76 Trombones.Tom Koch - 2020 - Journal of Medicine and Philosophy 45 (2):179-192.
    Transhumanism advances an ideology promising a positive human advance through the application of new and as yet unrealized technologies. Underlying the whole is a libertarian ethos married to a very Christian eschatology promising a miraculous transformation that will answer human needs and redress human failings. In this paper, the supposedly scientific basis on which transhumanist promises are built is critiqued as futurist imaginings with little likelihood of actualization. Transhumanists themselves are likened to the affable con man Professor Harold Hill who, (...)
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  • Habermas and the Question of Bioethics.Hille Haker - 2019 - European Journal for Philosophy of Religion 11 (4):61-86.
    In The Future of Human Nature, Jürgen Habermas raises the question of whether the embryonic genetic diagnosis and genetic modification threatens the foundations of the species ethics that underlies current understandings of morality. While morality, in the normative sense, is based on moral interactions enabling communicative action, justification, and reciprocal respect, the reification involved in the new technologies may preclude individuals to uphold a sense of the undisposability of human life and the inviolability of human beings that is necessary for (...)
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  • Moral and Fictional Discourses on Assisted Reproductive Technologies: Current Responses, Future Scenarios.Maurizio Balistreri & Solveig Lena Hansen - 2019 - NanoEthics 13 (3):199-207.
    This paper gives an introduction to the interdisciplinary special section. Against the historical and ethical background of reproductive technologies, it explores future scenarios of human reproduction and analyzes ways of mutual engagement between fictional and academic endeavors. The underlying idea is that we can make use of human reproduction scenarios in at least two ways: we can use them to critique technologies by imagining terrible consequences for humanity but also to defend positions that favor scientific and technological development.
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  • Genome editing: slipping down toward Eugenics?Davide Battisti - 2019 - Medicina Historica 3 (3):206-218.
    In this paper, I will present the empirical version of the slippery slope argument (SSA) in the field of genome editing. According to the SSA, if we adopt germline manipulation of embryos we will eventually end up performing or allowing something morally reprehensible, such as new coercive eugenics. I will investigate the actual possibility of sliding towards eugenics: thus, I will examine enhancement and eugenics both in the classical and liberal versions, through the lens of SSA. In the first part, (...)
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  • An evolutionary metaphysics of human enhancement technologies.Valentin Cheshko - manuscript
    The monograph is an English, expanded and revised version of the book Cheshko, V. T., Ivanitskaya, L.V., & Glazko, V.I. (2018). Anthropocene. Philosophy of Biotechnology. Moscow, Course. The manuscript was completed by me on November 15, 2019. It is a study devoted to the development of the concept of a stable evolutionary human strategy as a unique phenomenon of global evolution. The name “An Evolutionary Metaphysics (Cheshko, 2012; Glazko et al., 2016). With equal rights, this study could be entitled “Biotechnology (...)
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  • Begetting as Producing: Who Cares?Inmaculada de Melo-Martín - 2019 - American Journal of Bioethics 19 (7):18-20.
    Volume 19, Issue 7, July 2019, Page 18-20.
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  • Not Out of Date, But Out of Value.Bjorn Hofmann - 2019 - American Journal of Bioethics 19 (7):30-32.
    Volume 19, Issue 7, July 2019, Page 30-32.
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  • Toward Realism About Genetic Enhancement.G. Owen Schaefer - 2019 - American Journal of Bioethics 19 (7):28-30.
    Volume 19, Issue 7, July 2019, Page 28-30.
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  • Yesterday’s Child: How Gene Editing for Enhancement Will Produce Obsolescence—and Why It Matters.Robert Sparrow - 2019 - American Journal of Bioethics 19 (7):6-15.
    Despite the advent of CRISPR, safe and effective gene editing for human enhancement remains well beyond our current technological capabilities. For the discussion about enhancing human beings to be worth having, then, we must assume that gene-editing technology will improve rapidly. However, rapid progress in the development and application of any technology comes at a price: obsolescence. If the genetic enhancements we can provide children get better and better each year, then the enhancements granted to children born in any given (...)
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  • Looking into the shadow: The eugenics argument in debates on reproductive technologies and practices.Giulia Cavaliere - 2018 - Monash Bioethics Review 36 (1-4):1-22.
    Eugenics is often referred to in debates on the ethics of reproductive technologies and practices, in relation to the creation of moral boundaries between acceptable and unacceptable technologies, and acceptable and unacceptable uses of these technologies. Historians have argued that twentieth century eugenics cannot be reduced to a uniform set of practices, and that no simple lessons can be drawn from this complex history. Some authors stress the similarities between past eugenics and present reproductive technologies and practices (what I define (...)
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  • Retooling Techno-Moral Scenarios. A Revisited Technique for Exploring Alternative Regimes of Responsibility for Human Enhancement.Simone Arnaldi - 2018 - NanoEthics 12 (3):283-300.
    The techno-moral scenarios approach has been developed to explore the interplay between technology, society and morality. Focused on new and emerging sciences and technologies, techno-moral scenarios can be used to inform and enhance public deliberation on the desirability of socio-technical trajectories. The article presents an attempt to hybridise this scenario tool, complementing the focus on ethics with an explicit acknowledgement of the multiple meanings of responsibility and of the plurality of its regimes, i.e. the institutional arrangements presiding over the assumption (...)
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  • Responsibility and Human Enhancement.Simone Arnaldi - 2018 - NanoEthics 12 (3):251-255.
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  • Playing with the “Playing God”.Hossein Dabbagh & E. Andreeva - 2017 - In V. Menuz, J. Roduit, D. Roiz, A. Erler & N. Stepanovan (eds.), Future-Human. Life. neohumanitas. org. pp. 72-78.
    Some philosophers and theologians have argued against the idea of Human Enhancement, saying that human beings should not play God. A closer look, however, might reveal that the question of who is playing Whom is far from being so clear-cut. This chapter will address the idea of human enhancement from the standpoint of theistic theology, arguing that human enhancement and theistic theology may not be so very incompatible, after all.
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  • Is considerable life extension an enhancement?R. Rantanen - 2014 - Global Bioethics 25 (2):103-113.
    The purpose of this paper is to look into the question of whether considerable life extension should be seen as a form of human enhancement. Human enhancement, generally, refers to enhancing physical, psychological, and moral human capacities beyond the average or “normal” level. Much of the recent literature focusing on considerable life extension has been related to the human enhancement debate. I will examine whether considerable life extension and human enhancement are connected. I argue that they are not connected to (...)
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  • The story of humanity and the challenge of posthumanity.Zoltán Boldizsár Simon - 2019 - History of the Human Sciences 32 (2).
    Today’s technological-scientific prospect of posthumanity simultaneously evokes and defies historical understanding. On the one hand, it implies a historical claim of an epochal transformation concerning posthumanity as a new era. On the other, by postulating the birth of a novel, better-than-human subject for this new era, it eliminates the human subject of modern Western historical understanding. In this article, I attempt to understand posthumanity as measured against the story of humanity as the story of history itself. I examine the fate (...)
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  • Ethical Issues of Using CRISPR Technologies for Research on Military Enhancement.Marsha Greene & Zubin Master - 2018 - Journal of Bioethical Inquiry 15 (3):327-335.
    This paper presents an overview of the key ethical questions of performing gene editing research on military service members. The recent technological advance in gene editing capabilities provided by CRISPR/Cas9 and their path towards first-in-human trials has reinvigorated the debate on human enhancement for non-medical purposes. Human performance optimization has long been a priority of military research in order to close the gap between the advancement of warfare and the limitations of human actors. In spite of this focus on temporary (...)
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  • Genetic intervention and the parent-child relationship.Terrance McConnell - 2010 - Genomics, Society and Policy 6 (3):1-14.
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  • Tractatus practico-theoreticus.Nythamar De Oliveira - 2016 - Porto Alegre, Brazil: Editora Fi.
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  • Amélioration humaine.Carole Berset - 2015 - Swiss Philosophical Preprints.
    Ce dossier traite de l‘influence et de l‘impact de l‘amélioration humaine sur notre société ainsi que sur notre conception de ce que c‘est que d‘être humain. Quels enjeux les technosciences engendrent-elles ? D‘où vient ce besoin de vouloir s‘améliorer ? Quelles libertés a-t-on face à ces nouvelles technologies? Et quelle place tient l‘humain dans ce débat ?
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  • Genome editing and assisted reproduction: curing embryos, society or prospective parents?Giulia Cavaliere - 2018 - Medicine, Health Care and Philosophy 21 (2):215-225.
    This paper explores the ethics of introducing genome-editing technologies as a new reproductive option. In particular, it focuses on whether genome editing can be considered a morally valuable alternative to preimplantation genetic diagnosis (PGD). Two arguments against the use of genome editing in reproduction are analysed, namely safety concerns and germline modification. These arguments are then contrasted with arguments in favour of genome editing, in particular with the argument of the child’s welfare and the argument of parental reproductive autonomy. In (...)
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  • Bioconservatism, Partiality, and the Human-Nature Objection to Enhancement.Pugh Jonathan, Guy Kahane & Julian Savulescu - 2016 - The Monist 99 (4):406-422.
    “Bioconservatives” in the human enhancement debate endorse the conservative claim that we should reject the use of biotechnologies that enhance natural human capacities. However, they often ground their objections to enhancement with contestable claims about human nature that are also in tension with other common tenets of conservatism. We argue that bioconservatives could raise a more plausible objection to enhancement by invoking a strain of conservative thought developed by G.A. Cohen. Although Cohen’s conservatism is not sufficient to fully revive the (...)
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  • Moral Bio-enhancement, Freedom, Value and the Parity Principle.Jonathan Pugh - 2019 - Topoi 38 (1):73-86.
    A prominent objection to non-cognitive moral bio-enhancements is that they would compromise the recipient’s ‘freedom to fall’. I begin by discussing some ambiguities in this objection, before outlining an Aristotelian reading of it. I suggest that this reading may help to forestall Persson and Savulescu’s ‘God-Machine’ criticism; however, I suggest that the objection still faces the problem of explaining why the value of moral conformity is insufficient to outweigh the value of the freedom to fall itself. I also question whether (...)
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  • Artificial Intelligence as a Means to Moral Enhancement.Michał Klincewicz - 2016 - Studies in Logic, Grammar and Rhetoric 48 (1):171-187.
    This paper critically assesses the possibility of moral enhancement with ambient intelligence technologies and artificial intelligence presented in Savulescu and Maslen (2015). The main problem with their proposal is that it is not robust enough to play a normative role in users’ behavior. A more promising approach, and the one presented in the paper, relies on an artifi-cial moral reasoning engine, which is designed to present its users with moral arguments grounded in first-order normative theories, such as Kantianism or utilitarianism, (...)
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  • The Ethics of Genetic Intervention in Human Embryos: Assessing Jürgen Habermas's Approach.Fischer Enno - 2016 - Kriterion - Journal of Philosophy 30 (1):79-95.
    In the near future we may be able to manipulate human embryos through genetic intervention. Jürgen Habermas has argued against the development of technologies which could make such intervention possible. His argument has received widespread criticism among bioethicists. These critics argue that Habermas's argument relies on implausible assumptions about human nature. Moreover, they challenge Habermas's claim that genetic intervention adds something new to intergenerational relationships pointing out that parents have already strong control over their children through education. In this paper (...)
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  • What It’s Like to Be Good.John Harris - 2012 - Cambridge Quarterly of Healthcare Ethics 21 (3):293-305.
    In this issue of CQ we introduce a new feature, in which noted bioethicists are invited to reflect on vital current issues. Our first invitee, John Harris, will subsequently assume editorship of this section.
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  • From ‘Hard’ Neuro-Tools to ‘Soft’ Neuro-Toys? Refocussing the Neuro-Enhancement Debate.Jonna Brenninkmeijer & Hub Zwart - 2016 - Neuroethics 10 (3):337-348.
    Since the 1990’s, the debate concerning the ethical, legal and societal aspects of ‘neuro-enhancement’ has evolved into a massive discourse, both in the public realm and in the academic arena. This ethical debate, however, tends to repeat the same sets of arguments over and over again. Normative disagreements between transhumanists and bioconservatives on invasive or radical brain stimulators, and uncertainties regarding the use and effectivity of nootropic pharmaceuticals dominate the field. Building on the results of an extensive European project on (...)
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  • Parental genetic shaping and parental environmental shaping.Anca Gheaus - 2017 - Philosophical Quarterly 67 (267):20-31.
    Analytic philosophers tend to agree that intentional parental genetic shaping and intentional parental environmental shaping for the same feature are, normatively, on a par. I challenge this view by advancing a novel argument, grounded in the value of fair relationships between parents and children: Parental genetic shaping is morally objectionable because it unjustifiably exacerbates the asymmetry between parent and child with respect to the voluntariness of their entrance into the parent–child relationship. Parental genetic shaping is, for this reason, different from (...)
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  • Why Internal Moral Enhancement Might Be politically Better than External Moral Enhancement.John Danaher - 2016 - Neuroethics 12 (1):39-54.
    Technology could be used to improve morality but it could do so in different ways. Some technologies could augment and enhance moral behaviour externally by using external cues and signals to push and pull us towards morally appropriate behaviours. Other technologies could enhance moral behaviour internally by directly altering the way in which the brain captures and processes morally salient information or initiates moral action. The question is whether there is any reason to prefer one method over the other? In (...)
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  • Parental enhancement and symmetry of power in the parent–child relationship.Anca Gheaus - 2016 - Journal of Medical Ethics 42 (6):70-89.
    Many instances of parental enhancement are objectionable on egalitarian grounds because they unnecessarily amplify one kind of asymmetry of power between parents and children. Because children have full moral status, we ought to seek egalitarian relationships with them. Such relationships are compatible with asymmetries of power only to the extent to which the asymmetry is necessary for (1) advancing the child's level of advantage up to what justice requires or (2) instilling in the child morally required features. This is a (...)
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  • My Brain Made Me Moral: Moral Performance Enhancement for Realists.John R. Shook - 2016 - Neuroethics 9 (3):199-211.
    How should ethics help decide the morality of enhancing morality? The idea of morally enhancing the human brain quickly emerged when the promise of cognitive enhancement in general began to seem realizable. However, on reflection, achieving moral enhancement must be limited by the practical challenges to any sort of cognitive modification, along with obstacles particular to morality’s bases in social cognition. The objectivity offered by the brain sciences cannot ensure the technological achievement of moral bioenhancement for humanity-wide application. Additionally, any (...)
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  • An evaluative conservative case for biomedical enhancement.John Danaher - 2016 - Journal of Medical Ethics 42 (9):611-618.
    It is widely believed that a conservative moral outlook is opposed to biomedical forms of human enhancement. In this paper, I argue that this widespread belief is incorrect. Using Cohen’s evaluative conservatism as my starting point, I argue that there are strong conservative reasons to prioritise the development of biomedical enhancements. In particular, I suggest that biomedical enhancement may be essential if we are to maintain our current evaluative equilibrium (i.e. the set of values that undergird and permeate our current (...)
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  • Is Disability a Neutral Condition?Jeffrey M. Brown - 2016 - Journal of Social Philosophy 47 (2):188-210.
    The issue of whether biological and psychological properties associated with disability can be harmful, beneficial, or neutral brings up an important philosophical question about how we evaluate disability, and disability’s impact on well-being. The debate is usually characterized as between those who argue disability is intrinsically harmful, and disability rights advocates who argue that disability is just another way of being different, in part, because disability can also provide important benefits. I argue that this debate is a false one, as (...)
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  • Moral and social reasons to acknowledge the use of cognitive enhancers in competitive-selective contexts.Mirko D. Garasic & Andrea Lavazza - 2016 - BMC Medical Ethics 17 (1):1-12.
    BackgroundAlthough some of the most radical hypothesis related to the practical implementations of human enhancement have yet to become even close to reality, the use of cognitive enhancers is a very tangible phenomenon occurring with increasing popularity in university campuses as well as in other contexts. It is now well documented that the use of cognitive enhancers is not only increasingly common in Western countries, but also gradually accepted as a normal procedure by the media as well. In fact, its (...)
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  • Kultürlichkeit statt Natürlichkeit: Ein vernachlässigtes Argument in der bioethischen Debatte um Enhancement und Anthropotechnik.Dietmar Hübner - 2015 - Jahrbuch für Wissenschaft Und Ethik 19 (1):25-58.
    Natürlichkeitsargumente haben allgemein in der Bioethik und speziell in der Debatte um Enhancement und Anthropotechnik keinen guten Ruf. Neben dem formalen Vorwurf, einen naturalistischen Fehlschluss zu begehen, werden sie mit dem inhaltli-chen Einwand konfrontiert, eine falsche Auffassung von menschlicher Natur zugrunde zu legen: Recht verstanden definiere sich diese menschliche Natur nicht durch eine biologische Substanz, die durch biotechnische Eingriffe korrumpiert werden könnte, sondern durch kulturelle Vollzüge, zu denen gerade auch der Einsatz biotechnischer Verfahren zähle und die daher durch biotechnische Manipulationen (...)
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  • Parental Virtue and Prenatal Genetic Alteration Research.Ryan Tonkens - 2015 - Journal of Bioethical Inquiry 12 (4):651-664.
    Although the philosophical literature on the ethics of human prenatal genetic alteration purports to inform us about how to act, it rarely explicitly recognizes the perspective of those who will be making the PGA decision in practice. Here I approach the ethics of PGA from a distinctly virtue-based perspective, taking seriously what it means to be a good parent making this decision for one’s child. From this perspective, I generate a sound verdict on the moral standing of human PGA : (...)
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  • Imposing Genetic Diversity.Robert Sparrow - 2015 - American Journal of Bioethics 15 (6):2-10.
    The idea that a world in which everyone was born “perfect” would be a world in which something valuable was missing often comes up in debates about the ethics of technologies of prenatal testing and preimplantation genetic diagnosis . This thought plays an important role in the “disability critique” of prenatal testing. However, the idea that human genetic variation is an important good with significant benefits for society at large is also embraced by a wide range of figures writing in (...)
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  • Book Symposium on Human Nature in an Age of Biotechnology: the Case for Mediated Posthumanism By Tamar Sharon Springer, Dordrecht, 2014.Inmaculada de Melo-Martín, Michael Hauskeller, Sandra Braman, Xavier Guchet & Tamar Sharon - 2015 - Philosophy and Technology 28 (4):581-599.
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  • The Ethics of Human Enhancement.Alberto Giubilini & Sagar Sanyal - 2015 - Philosophy Compass 10 (4):233-243.
    Ethical debate surrounding human enhancement, especially by biotechnological means, has burgeoned since the turn of the century. Issues discussed include whether specific types of enhancement are permissible or even obligatory, whether they are likely to produce a net good for individuals and for society, and whether there is something intrinsically wrong in playing God with human nature. We characterize the main camps on the issue, identifying three main positions: permissive, restrictive and conservative positions. We present the major sub-debates and lines (...)
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  • Cognitive biases can affect moral intuitions about cognitive enhancement.Lucius Caviola, Adriano Mannino, Julian Savulescu & Nadira Faber - 2014 - Frontiers in Systems Neuroscience 8.
    Research into cognitive biases that impair human judgment has mostly been applied to the area of economic decision-making. Ethical decision-making has been comparatively neglected. Since ethical decisions often involve very high individual as well as collective stakes, analyzing how cognitive biases affect them can be expected to yield important results. In this theoretical article, we consider the ethical debate about cognitive enhancement and suggest a number of cognitive biases that are likely to affect moral intuitions and judgments about CE: status (...)
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  • Enhancement umano: un dibattito in corso.Boris Rähme, Lucia Galvagni & Alberto Bondolfi (eds.) - 2014 - L'Arco di Giano - Rivista di Medical Humanities.
    Non è un caso che l’enhancement umano, cioè il potenziamento di capacità fisiche, cognitive ed emotive degli esseri umani con l’ausilio di tecnologie, sia diventato un tema centrale nei dibattiti etico-applicativi e nei tentativi contemporanei di arrivare a una comprensione più adeguata della natura umana. In esso si incontrano quesiti decisamente ricchi e complessi, sia dal punto di vista tecnoscientifico e medico sia da quello filosofico – e lo fanno in un modo che ci permette di vedere questi quesiti sotto (...)
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  • Biotechnology, Justice and Health.Ruth Faden & Madison Powers - 2013 - Journal of Practical Ethics 1 (1):49-61.
    New biotechnologies have the potential to both dramatically improve human well-being and dramatically widen inequalities in well-being. This paper addresses a question that lies squarely on the fault line of these two claims: When as a matter of justice are societies obligated to include a new biotechnology in a national healthcare system? This question is approached from the standpoint of a twin aim theory of justice, in which social structures, including nation-states, have double-barreled theoretical objectives with regard to human well-being. (...)
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