Abstract:Moralism in bioethics and elsewhere means going beyond accepted moral principles, either by exaggerating good ethical concerns, by applying them to areas where they do not belong, or simply by assuming anything else than concrete physical or mental harm as normative guides. This paper explores the conceptual background of moralism especially in the consequentialist tradition, presents cases of allegedly bad moralism in the light of this exploration, introduces six approaches to justice, and argues that these approaches question our prevailing views (...) on the goodness and badness of moralism in its various forms. (shrink)

In many Western jurisdictions cannabis, unlike most other psychoactive drugs, cannot be prescribed to patients even in cases where medical professionals believe that it would ease the patient’s pain or anxiety. The reasons for this prohibition are mostly ideological, although medical and moral arguments have been formulated to support it. In this paper, it is argued that freedom, properly understood, provides a sound ethical reason to allow the use of cannabis in medicine. Scientific facts, appeals to harm and autonomy, and (...) considerations of symbolic value cannot consistently justify prohibitions. (shrink)

If I promise to pick you up at the airport, I thereby become obligated to do so. But this is not the only way I could undertake this obligation. If I offer to pick you up, and you accept my offer, I become obligated to pick you up in much the same way. I would also undertake similar obligations if you asked me to pick you up and I accepted your request, or if we made an agreement that I will (...) pick you up at the airport and in exchange you’ll buy me dinner. Why are the normative effects of accepted offers, accepted requests, and agreements so similar to those of promises? I argue that theorists of promising need to answer this question, and so they need to pay attention to offers, requests, and agreements. On the theory I defend, promises, offers, requests, and agreements have such similar normative effects because they all result in joint decisions between the relevant parties. I argue that this ‘joint decision view’ provides an attractive explanation of the similarities and differences between promises, offers, requests, and agreements. (shrink)

It is commonly held that respect for autonomy is one of the most important principles in medical ethics. However, there are a number of interpretations as to what that respect actually entails in practice and a number of constraints have been suggested even on our self-regarding choices. These limits are often justified in the name of autonomy. In this paper, it is argued that these different interpretations can be explained and understood by looking at the discussion from the viewpoints of (...) positive and negative liberty and the various notions of a “person” that lay beneath. It will be shown how all the appeals to positive liberty presuppose a particular value system and are therefore problematic in multicultural societies. (shrink)