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The Survival Lottery

Philosophy 50 (191):81 - 87 (1975)

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  1. Radiation Protection and Moral Theory.David Sumner & Peter Gilmour - 1995 - Environmental Values 4 (3):241-255.
    It seems likely that there is no threshold for the induction of cancer by ionising radiation. Hence even small radiation doses may result in a finite number of premature deaths if a large number of people are exposed. Various arguments are used to demonstrate that such deaths, if they occur, are acceptable; these arguments are shown to be flawed. Many of the arguments, and the ICRP's principle of justification, appear rooted in a utilitarian system of moral philosophy. Such a system (...)
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  • Against self-ownership: There are no fact-insensitive ownership rights over one's body.Kasper Lippert-Rasmussen - 2008 - Philosophy and Public Affairs 36 (1):86–118.
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  • Normative Virtue Ethics.Rosalind Hursthouse - 1996 - In Roger Crisp (ed.), How Should One Live?: Essays on the Virtues. Oxford: Oxford University Press. pp. 19-33.
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  • The ethics of pandemics: an introduction.Iwao Hirose - 2023 - New York, NY: Routledge.
    The recent Covid-19 pandemic has brought a broad range of ethical problems to the forefront, raising fundamental questions about the role of government in response to such outbreaks, the scarcity and allocation of health care resources, the unequal distribution of health risks and economic impacts, and the extent to which individual freedom can be restricted. In this clear introduction to the topic Iwao Hirose explores these ethical questions and analyzes the central issues in the ethics of pandemic response and preparedness (...)
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  • People in Suitcases.Kacper Kowalczyk - 2022 - Journal of Moral Philosophy 20 (1-2):3-30.
    Ex-ante deontology is an attempt to combine deontological constraints on doing or intending harm with the idea that one should act in everyone’s interest if possible. I argue that ex-ante deontology has serious problems in cases where multiple decisions are to be made over time. I then argue that these problems force us to choose between commonsense deontological morality and a more consequentialist morality. I suggest that we should choose the latter.
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  • Getting Machines to Do Your Dirty Work.Tomi Francis & Todd Karhu - forthcoming - Philosophical Studies:1-15.
    Autonomous systems are machines that can alter their behavior without direct human oversight or control. How ought we to program them to behave? A plausible starting point is given by the Reduction to Acts Thesis, according to which we ought to program autonomous systems to do whatever a human agent ought to do in the same circumstances. Although the Reduction to Acts Thesis is initially appealing, we argue that it is false: it is sometimes permissible to program a machine to (...)
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  • The end of humanity: Does circumventing "death" help the cause?Noam J. Zohar - 2003 - American Journal of Bioethics 3 (1):12 – 13.
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  • Towards a dialogue between utilitarianism and medicine.Y. Michael Barilan - 2004 - Medicine, Health Care and Philosophy 7 (2):163-173.
    Utilitarianism focuses on the optimization of personal well being in ways that seems to make the practice of medicine irrelevant to the well being of the practitioners, unless given external incentives such as money or honor. Care based on indirect incentives is considered inferior to care motivated internally. This leads to the paradox of utilitarian care. Following Nozick's conceptual Pleasure Machine it is argued that in addition to the promotion of personal well being, people care about fulfilling their well being (...)
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  • Would a Viable Consent App Create Headaches for Consequentialists?Scott Woodcock - 2024 - Philosophy 99 (1):73-98.
    Greater public awareness of the occurrence of sexual assault has led to the creation of mobile phone apps designed to facilitate consent between sexual partners. These apps exhibit serious practical shortcomings in realistic contexts; however, in this paper I consider the hypothetical case in which these practical shortcomings are absent. The prospect of this viable consent app creates an interesting challenge for consequentialism – one that is comparable to the objection that the theory justifies killing innocent persons to prevent large (...)
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  • On harm thresholds and living organ donation: must the living donor benefit, on balance, from his donation?Nicola Jane Williams - 2018 - Medicine, Health Care and Philosophy 21 (1):11-22.
    For the majority of scholars concerned with the ethics of living organ donation, inflicting moderate harms on competent volunteers in order to save the lives or increase the life chances of others is held to be justifiable provided certain conditions are met. These conditions tend to include one, or more commonly, some combination of the following: The living donor provides valid consent to donation. Living donation produces an overall positive balance of harm–benefit for donors and recipients which cannot be obtained (...)
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  • Heroism, self-abnegation and the liberal organization.Christopher Vasillopulos - 1988 - Journal of Business Ethics 7 (8):585 - 591.
    Chester Barnard's classic, The Functions of the Executive, is premised on an Aristotelean conception of human nature. This reliance ramifies throughout his analysis of the cooperative basis of human organizations. Perhaps its most important manifestation appears in his definition of willing cooperation as self-abnegation. For by so removing cooperation from its utilitarian and contractarian assumptions, he avoids the well known criticisms of those assumptions while retaining his fundamental liberalism. Put positively, self-abnegation informs Barnard's liberalism with an heroic dimension. This, in (...)
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  • Parfit und Kant über vernünftige Zustimmung ​.Martin Sticker - 2016 - Zeitschrift für Praktische Philosophie 3 (2):221-254.
    Nach Parfit konvergieren die systematisch stärksten Versionen von Kantianismus, Regel-Konsequentialismus und Kontraktualismus in einer Triple Theory. Ich konzentriere mich auf eine der zentralen Schwierigkeiten, Kantianismus und Konsequentialismus zusammenzubringen: die Rolle von Zustimmung, welche ihren deutlichsten Ausdruck in Kants Zweck-an-sich-Formel findet. Ich zeige zunächst, wie die Einführung unparteilicher, nichtmoralischer Gründe, auf der viel Gewicht in Parfits Zustimmungsprinzip liegt, in einigen Fällen die Zweck-an-sich-Formel zu dem intuitiv richtigen Ergebnis führen kann. Anschließend wende ich mich kritisch gegen Parfit. Ich diskutiere zwei Einwände gegen (...)
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  • The ethics of emergencies.Aksel Braanen Sterri & Ole Martin Moen - 2021 - Philosophical Studies 178 (8):2621-2634.
    Do we have stronger duties to assist in emergencies than in nonemergencies? According to Peter Singer and Peter Unger, we do not. Emergency situations, they suggest, merely serve to make more salient the very extensive duties to assist that we always have. This view, while theoretically simple, appears to imply that we must radically revise common-sense emergency norms. Resisting that implication, theorists like Frances Kamm, Jeremy Waldron, and Larry Temkin suggest that emergencies are indeed normatively exceptional. While their approach is (...)
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  • Guinea Pig Duties: 6. Non-Consensual Clinical Research.T. J. Steiner - 2006 - Research Ethics 2 (2):51-58.
    In the first five of these articles I have questioned the justice, and effectiveness, of total dependence in clinical research on willing volunteers. I have explored ways that might better and more equitably spread the burden of participating in clinical research as subjects of it. Here I consider this question: if consent is the barrier, must we regard consent as indispensable?
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  • Misfortune and Injustice: On Being Disadvantaged.Francis Snare - 1986 - Canadian Journal of Philosophy 16 (1):39-61.
    We can enjoy and suffer many kinds of human goods and evils. The goods include not only experiences and enjoyments but also the having and exercise of various talents and abilities, the receipt of recognitions and rewards, successes, employments, opportunities. The evils include not only pains and frustrations but also defects such as ugliness, disabilities such as paralysis or retardation, lack of standard opportunities such as unemployment, financial loss, failure, disgrace. It is tempting to say that wherever a person has (...)
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  • Whither Integrity II: Integrity and Impartial Morality.Greg Scherkoske - 2013 - Philosophy Compass 8 (1):40-52.
    The idea that impartial moral theories – consequentialism and Kantian ethics in particular – were objectionably hostile to a person’s integrity was famously championed by Bernard Williams nearly 40 years ago. That Williams’‘integrity objection’ has significantly shaped subsequent moral theorizing is widely acknowledged. It is less widely appreciated how this objection has helped shape recent thinking about the nature and value of integrity itself. This paper offers a critical survey of main lines of response to this objection.
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  • Integrity and Impartial Morality.Greg Scherkoske - 2012 - Dialogue 51 (2):289-312.
    ABSTRACT: Among recent criticisms of impartial moral theories, especially in consequentialist and deontological forms, Bernard Williams’ integrity objection is perhaps the most tantalizing. This objection is a complaint—at once both general and deep—that impartial moral theories are systematically incapable of finding room for integrity in human life and character. Kantians have made forceful responses to this integrity objection and have moved on. Consequentialists have found the objection more trying. I offer reasons to think that consequentialists too can safely move on. (...)
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  • The Market for Bodily Parts: Kant and duties to oneself.Ruth F. Chadwick - 1989 - Journal of Applied Philosophy 6 (2):129-140.
    The demand for bodily parts such as organs is increasing, and individuals in certain circumstances are responding by offering parts of their bodies for sale. Is there anything wrong in this? Kant had arguments to suggest that there is, namely that we have duties towards our own bodies, among which is the duty not to sell parts of them. Kant's reasons for holding this view are examined, and found to depend on a notion of what is intrinsically degrading. Rom Harré's (...)
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  • Abortion and the veil of ignorance: a response to Minehan.Joona Räsänen - 2022 - Journal of Medical Ethics 48 (6):411-412.
    In a recent JME paper, Matthew John Minehan applies John Rawls’ veil of ignorance against Judith Thomson’s famous violinist argument for the permissibility of abortion. Minehan asks readers to ‘imagine that one morning you are back to back in bed with another person. One of you is conscious and the other unconscious. You do not know which one you are’. Since from this position of ignorance, you have an equal chance of being the unconscious violinist and the conscious person attached (...)
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  • What Is So Wrong with Killing People?Robert Young - 1979 - Philosophy 54 (210):515-528.
    If killing another human being is morally wrong on at least some occasions, what precisely makes it wrong on those occasions? I have framed the question thus to indicate that I shall not be considering the view that killing another human being is always and everywhere morally wrong. I take it as read that there are at least some morally justifiable killings. Once it is clear what is wrong with killing on some occasions it should become possible to explain why (...)
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  • The Moral Murderer. A (More) Effective Counterexample to Consequentialism.Eduardo Rivera-López - 2012 - Ratio 25 (3):307-325.
    My aim in this paper is to provide an effective counterexample to consequentialism. I assume that traditional counterexamples, such as Transplant (A doctor should kill one person and transplant her organs to five terminal patients, thereby saving their lives) and Judge (A judge should sentence to death an innocent person if he knows that an outraged mob will otherwise kill many innocent persons), are not effective, for two reasons: first, they make unrealistic assumptions and, second, they do not pass the (...)
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  • Overcoming Conflicting Definitions of “Euthanasia,” and of “Assisted Suicide,” Through a Value-Neutral Taxonomy of “End-Of-Life Practices”.Thomas D. Riisfeldt - 2023 - Journal of Bioethical Inquiry 20 (1):51-70.
    The term “euthanasia” is used in conflicting ways in the bioethical literature, as is the term “assisted suicide,” resulting in definitional confusion, ambiguities, and biases which are counterproductive to ethical and legal discourse. I aim to rectify this problem in two parts. Firstly, I explore a range of conflicting definitions and identify six disputed definitional factors, based on distinctions between (1) killing versus letting die, (2) fully intended versus partially intended versus merely foreseen deaths, (3) voluntary versus nonvoluntary versus involuntary (...)
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  • Fairness, Utility and Survival.Richard L. Trammell & Thomas E. Wren - 1977 - Philosophy 52 (201):331 - 337.
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  • Utility and the Survival Lottery.Peter Singer - 1977 - Philosophy 52 (200):218 - 222.
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  • “Expert rationality” vs. “language communities”: The case of bioethics.Jenneth Parker - 1995 - Res Publica 1 (2):207-212.
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  • The inviolateness of life and equal protection: a defense of the dead-donor rule.Adam Omelianchuk - 2022 - Theoretical Medicine and Bioethics 43 (1):1-27.
    There are increasing calls for rejecting the ‘dead donor’ rule and permitting ‘organ donation euthanasia’ in organ transplantation. I argue that the fundamental problem with this proposal is that it would bestow more worth on the organs than the donor who has them. What is at stake is the basis of human equality, which, I argue, should be based on an ineliminable dignity that each of us has in virtue of having a rational nature. To allow mortal harvesting would be (...)
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  • Consequentialism, complacency, and slippery slope arguments.Justin Oakley & Dean Cocking - 2005 - Theoretical Medicine and Bioethics 26 (3):227-239.
    The standard problem with many slippery slope arguments is that they fail to provide us with the necessary evidence to warrant our believing that the significantly morally worse circumstances they predict will in fact come about. As such these arguments have widely been criticised as ‘scare-mongering’. Consequentialists have traditionally been at the forefront of such criticisms, demanding that we get serious about guiding our prescriptions for right action by a comprehensive appreciation of the empirical facts. This is not surprising, since (...)
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  • Instrumental Rationality in the Social Sciences.Katharina Nieswandt - 2023 - Philosophy of the Social Sciences (1):46-68.
    This paper draws some bold conclusions from modest premises. My topic is an old one, the Neohumean view of practical rationality. First, I show that this view consists of two independent claims, instrumentalism and subjectivism. Most critics run these together. Instrumentalism is entailed by many theories beyond Neohumeanism, viz. by any theory that says rational actions maximize something. Second, I give a new argument against instrumentalism, using simple counterexamples. This argument systematically undermines consequentialism and rational choice theory, I show, using (...)
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  • Gambling.Lisa Newton - 1993 - Business Ethics Quarterly 3 (4):405-418.
    In all the criticisms that have shadowed the financial industry in recent years, the burden seems to be, that the reckless (as opposed to malicious) bankers too often took money of which they were the appointed stewards, and used it for speculation, especially in junk bonds. AsShaheen Borna and James Lowry argue in their "Gambling and Speculation" (the only article on gambling that I was able to raise on my computer) business speculation is probably wrong, since it is very like (...)
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  • Gambling.Lisa Newton - 1993 - Business Ethics Quarterly 3 (4):405-418.
    In all the criticisms that have shadowed the financial industry in recent years, the burden seems to be, that the reckless (as opposed to malicious) bankers too often took money of which they were the appointed stewards, and used it for speculation, especially in junk bonds. AsShaheen Borna and James Lowry argue in their "Gambling and Speculation" (the only article on gambling that I was able to raise on my computer) business speculation is probably wrong, since it is very like (...)
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  • Y and Z Are Not Off the Hook: The Survival Lottery Made Fairer.Mark T. Nelson - 2010 - Journal of Medicine and Philosophy 35 (4):396-401.
    In this article I show that the argument in John Harris's famous "Survival Lottery" paper cannot be right. Even if we grant Harris's assumptions—of the justifiability of such a lottery, the correctness of maximizing consequentialism, the indistinguishability between killing and letting die, the practical and political feasibility of such a scheme—the argument still will not yield the conclusion that Harris wants. On his own terms, the medically needy should be less favored (and more vulnerable to being killed), than Harris suggests.
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  • Harming the dead and saving the living.James Lindemann Nelson - 2003 - American Journal of Bioethics 3 (1):13 – 15.
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  • As nossas mentes deontoutilitaristas.Cinara Nahra - 2013 - Filosofia Unisinos 14 (2).
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  • Harris's Modest Proposal.Michael B. Green - 1979 - Philosophy 54 (209):400 - 406.
    In ‘The Survival Lottery’ John Harris raises the following issue. Suppose it is possible for physicians to save the lives of two patients, Y and Z, otherwise doomed to die through no fault of their own, by taking the life of a third person, P, and using various of his organs appropriately for transplants. To provide a fair and impartial way of selecting the organ donor, a survival lottery is proposed for the society. This lottery randomly selects an organ donor (...)
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  • An unconnected Heap of duties?David McNaughton - 1996 - Philosophical Quarterly 46 (185):433-447.
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  • A commercial market for organs? Why not.Pranlal Manga - 1987 - Bioethics 1 (4):321–338.
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  • Veralltäglichung der Triage?: Überlegungen zu Ausmaß und Grenzen der Opportunitätskostenorientierung in der Katastrophenmedizin und ihrer Übertragbarkeit auf die Alltagsmedizin.Weyma Lübbe - 2001 - Ethik in der Medizin 13 (3):148-160.
    Zusammenfassung. Der Beitrag diskutiert die ethischen Grundlagen der sogenannten Triage (der Sortierung von Behandlungsbedürftigen in Dringlichkeitskategorien beim Massenanfall Verwundeter) und prüft, inwieweit eine Übertragung dieser Praxis auf eine unter Rationierungsdruck geratende Alltagsmedizin begründbar bzw. zu erwarten ist. Insbesondere wird der ethische Status der sog. Maximierungsregel („rette so viele Menschenleben wie möglich”) erläutert, und es werden die bereits in der katastrophenmedizinischen Praxis nicht ganz unwirksamen Grenzen der Orientierung an dieser Regel deutlich gemacht.
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  • Hanink on the Survival Lottery.John Harris - 1978 - Philosophy 53 (203):100-101.
    Mr. Hanink objects to my ‘Survival Lottery’ which would save Y and Z, who need new organs, by choosing and killing A at random to provide them. He believes the relevant difference between killing A and not saving Y and Z ‘might well be this: Y and Z can not have A killed without intentionally seeking A's death. But a physician can “not save” Y and Z without intentionally seeking their deaths’.
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  • On the Survival Lottery.J. G. Hanink - 1976 - Philosophy 51 (196):223 - 225.
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  • Killing and Starving to Death.James Rachels - 1979 - Philosophy 54 (208):159 - 171.
    Although we do not know exactly how many people die each year of malnutrition or related health problems, the number is very high, in the millions. By giving money to support famine relief efforts, each of us could save at least some of them. By not giving, we let them die.
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  • On Applying Moral Theories.Hugh Upton - 1993 - Journal of Applied Philosophy 10 (2):189-199.
    ABSTRACT This paper takes issue with the idea that there is a variety of moral theories available which can in some way usefully be applied to problems in ethics. The idea is reflected in the common view that those favouring a systematic approach would do well to abandon consequentialist thinking and turn to some alternative theory. It is argued here that this is not an option, since each of the usual supposed alternatives lacks the independent resources to meet the minimal (...)
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  • Incompetent organ donors.Howard Klepper - 1994 - Journal of Social Philosophy 25 (s1):241-255.
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  • Christian ethics--an irrelevance or the salvation of medicine?J. S. Horner - 1994 - Journal of Medical Ethics 20 (3):133-134.
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  • Tinkering with the Survival Lottery during a Public Health Crisis.C. Herrera - 2009 - Journal of Medicine and Philosophy 34 (2):181-194.
    A well-known thought experiment has us ponder a lottery system that selects one person as the source of transplantable organs for two others. The organs are forcibly harvested and the “donor” dies, whereas the other two patients live. The Survival Lottery is supposed to get at the distinction between killing and letting die, but it is also a challenge to beliefs about moral duties: what are my obligations if my life could be used to save yours and another person's as (...)
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  • Universal compulsory service in medical research.C. D. Herrera - 2003 - Theoretical Medicine and Bioethics 24 (3):215-231.
    Despite the prominence of healthcare-relatedconcerns in public debate, the ground remainsinfertile for the idea of conscripting citizensinto medical research. Reluctance to entertainthe thought of a system where nearly everyonecould be selected for service might reflectuncertainty about what the project wouldinvolve. There might also be a fear that themore crucial issue is how to protect researchsubjects within current, voluntary systems. Nodoubt reluctance to explore a system ofuniversal service results from the common hopethat each of us might avoid research in anycapacity besides (...)
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  • Crash Algorithms for Autonomous Cars: How the Trolley Problem Can Move Us Beyond Harm Minimisation.Dietmar Hübner & Lucie White - 2018 - Ethical Theory and Moral Practice 21 (3):685-698.
    The prospective introduction of autonomous cars into public traffic raises the question of how such systems should behave when an accident is inevitable. Due to concerns with self-interest and liberal legitimacy that have become paramount in the emerging debate, a contractarian framework seems to provide a particularly attractive means of approaching this problem. We examine one such attempt, which derives a harm minimisation rule from the assumptions of rational self-interest and ignorance of one’s position in a future accident. We contend, (...)
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  • Who Owns My Autonomous Vehicle? Ethics and Responsibility in Artificial and Human Intelligence.John Harris - 2018 - Cambridge Quarterly of Healthcare Ethics 27 (4):599-609.
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  • The Immoral Machine.John Harris - 2020 - Cambridge Quarterly of Healthcare Ethics 29 (1):71-79.
    :In a recent paper in Nature1 entitled The Moral Machine Experiment, Edmond Awad, et al. make a number of breathtakingly reckless assumptions, both about the decisionmaking capacities of current so-called “autonomous vehicles” and about the nature of morality and the law. Accepting their bizarre premise that the holy grail is to find out how to obtain cognizance of public morality and then program driverless vehicles accordingly, the following are the four steps to the Moral Machinists argument:1)Find out what “public morality” (...)
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  • The Accidental Professor.John Harris - 2016 - Cambridge Quarterly of Healthcare Ethics 25 (4):574-582.
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  • Neuroethics for Fantasyland or for the Clinic? The Limitations of Speculative Ethics.Sven Ove Hansson - 2020 - Cambridge Quarterly of Healthcare Ethics 29 (4):630-641.
    What purpose can be served by empirically unsubstantiated speculation in ethics? In answering that question, we need to distinguish between the major branches of ethics. In foundational moral philosophy, the use of speculative examples is warranted to the extent that ethical principles and theories are assumed to be applicable even under the extreme circumstances referred to in these examples. Such an assumption is in need of justification, and it cannot just be taken for granted. In applied ethics, the use of (...)
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