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  1. Liberal utilitarianism – yes, but for whom?Joona Räsänen - 2021 - Cambridge Quarterly of Healthcare Ethics 30 (2):368-375.
    The aim of this commentary is to critically examine Matti Häyry’s article ‘Just Better Utilitarianism’, where he argues that liberal utilitarianism can offer a basis for moral and political choices in bioethics and thus could be helpful in decision-making. This commentary, while generally sympathetic to Häyry’s perspective, argues that Häyry should expand on who belongs to our moral community because, to solve practical ethical issues, we need to determine who (and what) deserves our moral consideration. Challenging Häyry’s principle of actual (...)
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  • The Unthinkable Conclusion: Derek Parfit’s Budding Antinatalism.Matti Häyry - forthcoming - Cambridge Quarterly of Healthcare Ethics:1-10.
    Derek Parfit famously opined that causing a person to exist with a life barely worth living can be wrong, although it is not wrong for that person. This conundrum is known as the nonidentity problem. Parfit also held that persons can, in a morally relevant sense, be caused to exist in the distant future by actions that make the agent a necessary condition for a person’s existence. When these views are combined, which he did, and applied explicitly to persons with (...)
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  • Imposing a Lifestyle: A New Argument for Antinatalism.Matti Häyry & Amanda Sukenick - 2024 - Cambridge Quarterly of Healthcare Ethics 33 (2):238-259.
    Antinatalism is an emerging philosophy and practice that challenges pronatalism, the prevailing philosophy and practice in reproductive matters. We explore justifications of antinatalism—the arguments from the quality of life, the risk of an intolerable life, the lack of consent, and the asymmetry of good and bad—and argue that none of them supports a concrete, understandable, and convincing moral case for not having children. We identify concentration on possible future individuals who may or may not come to be as the main (...)
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  • Justainability.Tuija Takala & Matti Häyry - forthcoming - Cambridge Quarterly of Healthcare Ethics:1-11.
    Sustainability, properly understood, is an existential moral ideal. The United Nations, however, defines it in terms of 17 indivisible sustainable development goals. This definition changes the core idea of the concept. It turns sustainability from a moral ideal into a set of economy-based political aspirations. The European Union’s bioeconomy strategy demonstrates the shift aptly and reveals its main problem. When economy is prioritized, social and ecological concerns become secondary. This has been the United Nations line since the Brundtland Commission’s report, (...)
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  • The Role of Philosophers in Bioethics.Joona Räsänen & Matti Häyry - 2022 - American Journal of Bioethics 22 (12):58-60.
    Blumenthal-Barby et al. (2022) present a nuanced and convincing case for the continued presence of moral and political philosophers in bioethics. We agree with the authors that philosophers should have a role in bioethical inquiry. However, we partly disagree on what that role should be. We assess the case taking our clues from a concern the authors mention – and another one that they do not directly address.
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  • Establishing and Defining an Approach to Climate Conscious Clinical Medical Ethics.Andrew Hantel, Jonathan M. Marron & Gregory A. Abel - forthcoming - American Journal of Bioethics:1-14.
    An anthropocentric scope for clinical medical ethics (CME) has largely separated this area of bioethics from environmental concerns. In this article, we first identify and reconcile the ethical issues imposed on CME by climate change including the dispersion of related causes and effects, the transdisciplinary and transhuman nature of climate change, and the historic divorce of CME from the environment. We then establish how several moral theories undergirding modern CME, such as virtue ethics, feminist ethics, and several theories of justice, (...)
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  • Exit Duty Generator.Matti Häyry - 2024 - Cambridge Quarterly of Healthcare Ethics 33 (2):217-231.
    This article presents a revised version of negative utilitarianism. Previous versions have relied on a hedonistic theory of value and stated that suffering should be minimized. The traditional rebuttal is that the doctrine in this form morally requires us to end all sentient life. To avoid this, a need-based theory of value is introduced. The frustration of the needs not to suffer and not to have one’s autonomy dwarfed should,prima facie, be decreased. When decreasing the need frustration of some would (...)
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  • Scarcity, Justice, and Health Crisis Leadership.Matti Häyry - 2022 - Philosophies 7 (3):48.
    The COVID-19 pandemic has created or revealed scarcities in many domains: medical, civic, economic, and ideological. Responses to these are analyzed in the framework of a map of justice and an imperative of openness. The main argument is that whatever the view of justice chosen by public health authorities, they should be able and willing to disclose it to the citizens. Objections are considered and qualifications added, but the general conclusion is that in liberal democracies, truth-telling by those in power, (...)
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  • Confessions of an Antinatalist Philosopher.Matti Häyry - forthcoming - Cambridge Quarterly of Healthcare Ethics:1-19.
    Antinatalism assigns reproduction a negative value. There should be fewer or no births. Those who say that there should be fewer births have been called conditional antinatalists. A better name for their view would be selective pronatalism. Those who say that there should be no births face two challenges. They must define the scope of their no-birth policy. Does it apply only to human or sentient beings or can it also be extended to all organic life, perhaps even to machine (...)
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  • If You Must Give Them a Gift, Then Give Them the Gift of Nonexistence.Matti Häyry - 2024 - Cambridge Quarterly of Healthcare Ethics 33 (1):48-59.
    I present a qualified new defense of antinatalism. It is intended to empower potential parents who worry about their possible children’s life quality in a world threatened by environmental degradation, climate change, and the like. The main elements of the defense are an understanding of antinatalism’s historical nature and contemporary varieties, a positional theory of value based on Epicurean hedonism and Schopenhauerian pessimism, and a sensitive guide for reproductive decision-making in the light of different views on life’s value and risk-taking. (...)
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  • Bioethics and the Value of Human Life.Matti Häyry - forthcoming - Cambridge Quarterly of Healthcare Ethics:1-11.
    Bioethics as a philosophical discipline deals with matters of life and death. How it deals with them, however, depends on the kind of life particular bioethicists focus on and the kind of value they assign to it. Natural-law ethicists and conservative Kantians emphasize biological human life regardless of its developmental stage. Integrative bioethicists also embrace nonhuman life if it can be protected without harming humans. Liberal and utilitarian moralists concentrate on life that is sentient and aware of itself, to the (...)
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  • COVID-19 and Beyond: The Need for Copathy and Impartial Advisers.Matti Häyry - 2022 - Cambridge Quarterly of Healthcare Ethics 31 (2):220-229.
    When humanity has either suppressed coronavirus disease 2019 or learned to come to terms with its continued existence, governments and corporations probably return to their prepandemic stances. Solutions to the world’s problems are sought from technology and business innovations, not from considerations of equality and well-being for all. This is in stark contrast with the pandemic-time situation. Many governments, at least initially, listened to the recommendations of expert advisers, most notably public health authorities, who proceeded from considerations of equality and (...)
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  • Universal Credit, Lone Mothers and Poverty: Some Ethical Challenges for Social Work with Children and Families.Malcolm Carey & Sophie Bell - 2022 - Ethics and Social Welfare 16 (1):3-18.
    This article critically evaluates and contests the flagship benefit delivery system Universal Credit for lone mothers by focusing on some of the ethical challenges it poses, as well as some key implications it holds for social work with lone mothers and their children. Universal Credit was first introduced in the United Kingdom (UK) in 2008, and echoes conditionality-based welfare policies adopted by neoliberal governments internationally on the assumption that paid employment offers a route out of poverty for citizens. However, research (...)
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  • From Justice to the Good? Liberal Utilitarianism, Climate Change and the Coronavirus Crisis.Henrik Rydenfelt - 2021 - Cambridge Quarterly of Healthcare Ethics 30 (2):376-383.
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  • Theories or No Theories—Is Anything Evolving?Matti Häyry & Tuija Takala - 2024 - Cambridge Quarterly of Healthcare Ethics 33 (2):151-157.
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