The idea of a patient's best interests raises issues in prudential value theory–the study of what makes up an individual's ultimate (nonmoral) good or well‐being. While this connection may strike a philosopher as obvious, the literature on the best interests standard reveals almost no engagement of recent work in value theory. There seems to be a growing sentiment among bioethicists that their work is independent of philosophical theorizing. Is this sentiment wrong in the present case? Does value theory make a (...) significant difference in interpreting best interests? In pursuing this question, I begin with a quick sketch of broad kinds of value theories, identifying representatives that are plausible enough to count as contenders. I then explore what each account suggests in (1) neonatal treatment decisions, and (2) decisions for patients in persistent vegetative states. I conclude that while these accounts converge somewhat in their interpretations of best interests, they also have importantly different implications. (shrink)

Many philosophers deny that happiness can be equated with pleasurable experiences. Nozick introduced an experience machine thought experiment to support the idea that happiness requires pleasurable experiences that are “in contact with reality.” In this thought experiment, people can choose to plug into a machine that induces exclusively pleasurable experiences. We test Nozick’s hypothesis that people will reject this offer. We also contrast Nozick’s experience machine scenario with scenarios that are less artificial, and offer options which are less invasive or (...) disruptive than being connected to a machine, specifically scenarios in which people are offered an experience pill or a pill that improves overall functioning. (shrink)