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The Survival Lottery

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

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  1. 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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  • What is Wrong with Eliminating Genetically Based Disability?B. Brecher - 2011 - Public Health Ethics 4 (3):218-225.
    An argument often made against the genetic elimination of disability is that to prevent people with a particular genetic make-up being born is to disvalue, or even threaten, those people who actually have it. The thought is that the view that the world would be a better place without, say, Huntingdon’s Chorea, must imply that the world would be a better place without those people who currently have it. In opposition to this objection to the elimination of genetically based conditions, (...)
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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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  • 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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  • 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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  • 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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  • 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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  • 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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  • Reflective Ethology, Applied Philosophy, and the Moral Status of Animals.Marc Bekoff & Dale Jamieson - manuscript
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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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  • 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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  • No ethics settings for autonomous vehicles.Tomislav Bracanovic - 2019 - Hungarian Philosophical Review 63 (4):47-60.
    Autonomous vehicles (AVs) are expected to improve road traffic safety and save human lives. It is also expected that some AVs will encounter so-called dilemmatic situations, like choosing between saving two passengers by sacrificing one pedestrian or choosing between saving three pedestrians by sacrificing one passenger. These expectations fuel the extensive debate over the ethics settings of AVs: the way AVs should be programmed to act in dilemmatic situations and who should decide about the nature of this programming in the (...)
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  • The Priority of Liberty: An Argument from Social Equality.Devon Cass - 2020 - Law and Philosophy 40 (2):129-161.
    John Rawls’s thesis that a certain package of basic liberties should be given lexical priority is of great interest for legal and political philosophy, but it has received relatively little defense from Rawls or his supporters. In this paper, I examine three arguments for the thesis: the first is based on the two ‘moral powers’; the second, on the social bases of self-respect; and the third, on a Kantian notion of autonomy. I argue none of these accounts successfully establishes 1) (...)
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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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  • 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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  • Hedonistic Act Utilitarianism: Action Guidance and Moral intuitions.Simon Rosenqvist - 2020 - Dissertation, Uppsala University
    According to hedonistic act utilitarianism, an act is morally right if and only if, and because, it produces at least as much pleasure minus pain as any alternative act available to the agent. This dissertation gives a partial defense of utilitarianism against two types of objections: action guidance objections and intuitive objections. In Chapter 1, the main themes of the dissertation are introduced. The chapter also examines questions of how to understand utilitarianism, including (a) how to best formulate the moral (...)
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  • Kidney Sales and the Burden of Proof.Julian Koplin & Michael Selgelid - 2019 - Journal of Practical Ethics 7 (3):32-53.
    Janet Radcliffe Richards’ The Ethics of Transplants outlines a novel framework for moral inquiry in practical contexts and applies it to the topic of paid living kidney donation. In doing so, Radcliffe Richards makes two key claims: that opponents of organ markets bear the burden of proof, and that this burden has not yet been satisfied. This paper raises four related objections to Radcliffe Richards’ methodological framework, focusing largely on how Radcliffe Richards uses this framework in her discussion of kidney (...)
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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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  • 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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  • 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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  • Das Klonen von Menschen Eine alte Debatte – aber immer noch in den Kinderschuhen.Bert Gordijn - 1999 - Ethik in der Medizin 11 (1):12-34.
    Definition of the Problem: The ethical debate on the cloning of human beings is by no means new. Its history goes back to the middle of the 1960s. However, the theoretical level of the contents of this debate still doesn't seem to have got past its initial stages.Arguments and conclusion: First, a short overview will be given of these 30 years of history of ethical debate, and some central concepts will be explained. Subsequently a critical analysis will be made of (...)
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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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  • 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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  • Utilitarian Theories Reconsidered: Common Misconceptions, More Recent Developments, and Health Policy Implications.Afschin Gandjour & Karl Wilhelm Lauterbach - 2003 - Health Care Analysis 11 (3):229-244.
    Despite the prevalence of the terms utilitarianism and utilitarian in the health care and health policy literature, anecdotal evidence suggests that authors are often not fully aware of the diversity of utilitarian theories, their principles, and implications. Further, it seems that authors often categorically reject utilitarianism under the assumption that it violates individual rights. The tendency of act utilitarianism to neglect individual rights is attenuated, however, by the diminishing marginal utility of wealth and the disutility of a protest by those (...)
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  • On the Survival Lottery.J. G. Hanink - 1976 - Philosophy 51 (196):223 - 225.
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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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  • Pettit on consequentialism and universalizability.Andrew Gleeson - 2005 - Theoretical Medicine and Bioethics 26 (3):261-275.
    Philip Pettit has argued that universalizability entails consequentialism. I criticise the argument for relying on a question-begging reading of the impartiality of universalization. A revised form of the argument can be constructed by relying on preference-satisfaction rationality, rather than on impartiality. But this revised argument succumbs to an ambiguity in the notion of a preference (or desire). I compare the revised argument to an earlier argument of Pettit’s for consequentialism that appealed to the theoretical virtue of simplicity, and I raise (...)
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  • James Rachels’s Defense of Active Euthanasia: A Critical & Normative Study.Malik Mohammad Manzoor - 2008 - Dissertation, Graduate School of Philosophy and Religion Assumption University, Thailand
    The researcher believes that James Rachels’s defense of active euthanasia deserves a critical and normative analysis because of its dehumanizing consequences. The researcher demonstrates that Rachels’s position is conceptually, theoretically, practically, and normatively unjustifiable. The researcher supports his position by three steps.
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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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  • Introduction: controversial arguments in bioethics.Joona Räsänen, Matti Häyry & Tuija Takala - 2023 - Theoretical Medicine and Bioethics 44 (2):109-112.
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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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  • 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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  • We Should Not Use Randomization Procedures to Allocate Scarce Life-Saving Resources.Roberto Fumagalli - 2022 - Public Health Ethics 15 (1):87-103.
    In the recent literature across philosophy, medicine and public health policy, many influential arguments have been put forward to support the use of randomization procedures to allocate scarce life-saving resources. In this paper, I provide a systematic categorization and a critical evaluation of these arguments. I shall argue that those arguments justify using RAND to allocate SLSR in fewer cases than their proponents maintain and that the relevant decision-makers should typically allocate SLSR directly to the individuals with the strongest claims (...)
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  • Must I Benefit Myself?Michael Cholbi - 2020 - In Douglas W. Portmore (ed.), The Oxford Handbook of Consequentialism. New York, USA: Oup Usa. pp. 253-268.
    Morality seems to require us to attend to the good of others, but does not require that we assign any importance to our own good. Standard forms of consequentialism thus appear vulnerable to the compulsory self-benefit objection: they require agents to benefit themselves when doing so is entailed by the requirement of maximizing overall impersonal good. Attempts to address this objection by appealing to ideally motivated consequentialist agents; by rejecting maximization; by leveraging consequentialist responses to the more familiar special relationships (...)
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  • Killing by Autonomous Vehicles and the Legal Doctrine of Necessity.Filippo Santoni de Sio - 2017 - Ethical Theory and Moral Practice 20 (2):411-429.
    How should autonomous vehicles be programmed to behave in the event of an unavoidable accident in which the only choice open is one between causing different damages or losses to different objects or persons? This paper addresses this ethical question starting from the normative principles elaborated in the law to regulate difficult choices in other emergency scenarios. In particular, the paper offers a rational reconstruction of some major principles and norms embedded in the Anglo-American jurisprudence and case law on the (...)
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  • Quelques considérations sur le problème de la constitution de l’image dans la phénoménologie husserlienne/ Some considerations concerning the problem of the image constitution in Husserl’s Phenomenology.Victor Eugen Gelan - 2013 - STUDIA UBB. PHILOSOPHIA 58 (2):55-67.
    My aim in this paper is to analyze the way in which Edmund Husserl deals with the problem of the constitution of image in his writings. The difference between a common thing and a work of art lies in the fact that the ‘thing’ is submitted as an object to perception, while the work of art is the product of the human capacity called imagination or fantasy (Phantasie). Therefore, the difference between perception (which is an objectifying act) and imagination (which (...)
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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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  • As nossas mentes deontoutilitaristas.Cinara Nahra - 2013 - Filosofia Unisinos 14 (2).
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  • Best Interests, Public Interest, and the Power of the Medical Profession.John Coggon - 2008 - Health Care Analysis 16 (3):219-232.
    This article provides an understanding and defence of ‘best interests’. The analysis is performed in the context of, and is informed by, English law. The understanding that develops allows for differences in values, and is thus argued to be appropriate in a pluralist liberal system. When understood properly, it is argued, best interests provides the best means of decision-making for people deemed incompetent to decide for themselves. It is accepted that some commentators are cynical of best interests in practice. Following (...)
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  • Comparing harms: The lesser-evil defense and the trolley problem.Robert Hallborg - 1997 - Legal Theory 3 (4):291-316.
    “The Trolley Problem” is the name Judith Jarvis Thomson has given to a difficult problem in moral philosophy and legal theory. The problem arises by considering a series of cases, all of which involve a choice of evils. Many, but not all of these cases, involve an out-of-control trolley about to run over a group of five people. In each case we are asked for our intuitive judgment as to whether it would be permissible to save the five people at (...)
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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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  • 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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  • “Expert rationality” vs. “language communities”: The case of bioethics.Jenneth Parker - 1995 - Res Publica 1 (2):207-212.
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  • The Accidental Professor.John Harris - 2016 - Cambridge Quarterly of Healthcare Ethics 25 (4):574-582.
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  • How to Be Good: The Possibility of Moral Enhancement.John Harris - 2016 - Oxford: Oxford University Press UK.
    Knowing how to be good, or knowing how to go about trying to be good, is of immense theoretical and practical importance. And what goes for trying to be good oneself, goes also for trying to provide others with ways of being good, and for trying to make them good whether they like it or not. This is what is meant by 'moral enhancement'. John Harris explores the many proposed methodologies or technologies for moral enhancement: traditional ones like good parenting (...)
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  • Trust and Altruism--Organ Distribution Scandals: Do They Provide Good Reasons to Refuse Posthumous Donation?A. Dufner & J. Harris - 2015 - Journal of Medicine and Philosophy 40 (3):328-341.
    A recent organ distribution scandal in Germany raises questions of general importance on which many thousands of lives may well depend. The scandal in Germany has produced reactions that are likely to occur whenever and wherever distribution irregularities occur and become public knowledge. After it had become known that physicians in three German hospitals were in the habit of manipulating records in order to fast-track their patients’ cases, the country experienced a decrease of available organs by a staggering 40% in (...)
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  • Self-ownership and disgust: why compulsory body part redistribution gets under our skin.Christopher Freiman & Adam Lerner - 2015 - Philosophical Studies 172 (12):3167-3190.
    The self-ownership thesis asserts, roughly, that agents own their minds and bodies in the same way that they can own extra-personal property. One common strategy for defending the self-ownership thesis is to show that it accords with our intuitions about the wrongness of various acts involving the expropriation of body parts. We challenge this line of defense. We argue that disgust explains our resistance to these sorts of cases and present results from an original psychological experiment in support of this (...)
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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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