This paper argues that, if we are committed to a Pro-choice stance with regard to selective abortion for disability, we will be unable to justify the prohibition of sex-selective abortion (SSA), for two reasons. First, familiar Pro-choice arguments in favour of a woman’s right to select against fetal impairment also support, by parity of reasoning, a right to choose SSA. Second, rejection of the criticisms of selective abortion for disability levelled by disability theorists also disposes, by implication, of the key (...) objections to SSA, as developed, most notably, by feminists. The paper, then, consists of a conditional defence of SSA, under which SSA should be available, and protected by a right, if selective abortion for disability is. Opponents of SSA might respond by conceding additional restrictions on selection against disabled fetuses. It should become clear throughout the paper, however, that any such new restrictions would be unacceptably onerous for women. (shrink)

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 (...) such as: The general nature of pandemics and the ethics of preparedness Ethical questions about general goals of pandemic response and preparedness The distribution of scarce resources, e.g., ventilators, hospital beds, antiviral drugs and vaccines Restrictions on individual freedom Ethical questions in the wake of pandemics, including contact-tracing, vaccine passports and socioeconomic inequalities. With the use of real-life examples and a clear philosophical approach, The Ethics of Pandemics is a much-needed introduction to some of the most important ethical issues surrounding pandemics. It is essential reading for students of ethics, bioethics, and political philosophy and will also be of interest to those working in related areas such as public policy, public health, health law, nursing and life sciences. (shrink)

In this essay, I argue that a proper understanding of the historicity of love requires an appreciation of the irreplaceability of the beloved. I do this through a consideration of ideas that were first put forward by Robert Kraut in “Love De Re” (1986). I also evaluate Amelie Rorty's criticisms of Kraut's thesis in “The Historicity of Psychological Attitudes: Love is Not Love Which Alters Not When It Alteration Finds” (1986). I argue that Rorty fundamentally misunderstands Kraut's Kripkean analogy, and (...) I go on to criticize her claim that concern over the proper object of love should be best understood as a concern over constancy. This leads me to an elaboration of the distinct senses in which love can be seen as historical. I end with a further defense of the irreplaceability of the beloved and a discussion of the relevance of recent debates over the importance of personal identity for an adequate account of the historical dimension of love. (shrink)

This paper discusses the volenti non fit injuria maxim. The volenti maxim states that a person is not wronged by that to which she consents, provided her consent is valid. I will argue, however, that the volenti maxim does not apply to all instances of valid consent. In some cases the consenter is wronged even if his consent is valid. Valid consent can only release others from consent-sensitive duties, not from consent-insensitive duties. If the consentee flouts a consent-insensitive duty the (...) consentee wrongs the consenter and thereby commits a wrong. (shrink)

Animal rights positions face the ‘predator problem’: the suggestion that if the rights of nonhuman animals are to be protected, then we are obliged to interfere in natural ecosystems to protect prey from predators. Generally, rather than embracing this conclusion, animal ethicists have rejected it, basing this objection on a number of different arguments. This paper considers but challenges three such arguments, before defending a fourth possibility. Rejected are Peter Singer’s suggestion that interference will lead to more harm than good, (...) Sue Donaldson and Will Kymlicka’s suggestion that respect for nonhuman sovereignty necessitates non-interference in normal circumstances, and Alasdair Cochrane’s solution based on the claim that predators cannot survive without killing prey. The possibility defended builds upon Tom Regan’s suggestion that predators, as moral patients but not moral agents, cannot violate the rights of their prey, and so the rights of the prey, while they do exist, do not call for intervention. This idea is developed by a consideration of how moral agents can be more or less responsible for a given event, and defended against criticisms offered by thinkers including Alasdair Cochrane and Dale Jamieson. (shrink)

This collection features comprehensive overviews of the various ethical challenges in organ transplantation. International readings well-grounded in the latest developments in the life sciences are organized into systematic sections and engage with one another, offering complementary views. All core issues in the global ethical debate are covered: donating and procuring organs, allocating and receiving organs, as well as considering alternatives. Due to its systematic structure, the volume provides an excellent orientation for researchers, students, and practitioners alike to enable a deeper (...) understanding of some of the most controversial issues in modern medicine. (shrink)

The principle of equal consideration of interests is a very popular principle in animal ethics. Peter Singer employs it to ground equal treatment and solve the problem of the basis of equality, namely the problem of why we should grant equal treatment despite the variability of people’s features. In this paper, I challenge Singer’s argument because ECOI does not provide plausible grounds to presume that the interests of diverse individuals are actually equal. Analyzing the case of pain and the interest (...) in not suffering in particular, I contend that there are some insurmountable epistemic and axiological problems in accounting for the equality of interests. Besides criticizing ECOI as a basis of equality, I argue that we need to rely on an equality of moral status. I conclude by providing some considerations on the relation between equality and the principle of proportionality. (shrink)

The evaluation of whether an animal has a life worth living (LWL) has been suggested as a useful concept for farm animal policymaking. But there are a number of different ways in which the concept could be applied. This paper attempts to identify and evaluate candidate ethical principles based on the concept. It suggests that an appropriate principle by which to apply the concept is one that (1) is framed in terms of preventing an animal having a life worth avoiding (...) (LWA), rather than ensuring they have LWL, (2) is based on a prospective, rather than retrospective, concept of a life’s worth, and (3) relates to both the perpetuation and creation of an animal at all times during its life. The paper concludes by endorsing an overarching principle that no animal should be unreasonably caused to be, or allowed to remain, in a position of having a prospective LWA. (shrink)

Considerations of ethical questions regarding pets should take into account the nature of human-pet relationships, in particular the uniquely combined features of mutual companionship, quasi-family-membership, proximity, direct contact, privacy, dependence, and partiality. The approaches to ethical questions about pets should overlap with those of animal ethics and family ethics, and so need not represent an isolated field of enquiry, but rather the intersection of those more established fields. This intersection, and the questions of how we treat our pets, present several (...) unique concerns and approaches for focused examination. (shrink)

An important strand in the debate on abortion focuses on the moral status of fetuses. Knowledge of the moral value of fetuses is needed to assess fetuses’ moral status. As Errol Lord argues, acquaintance plays a key role in moral and aesthetic knowledge. Many pregnant persons have acquaintance with their fetus that provides privileged access to knowledge about that fetus’ moral value. This knowledge is (a) very difficult to acquire without being pregnant and (b) relevant for assessing the moral status (...) of fetuses. This has implications for public debate on abortion and the research methods of philosophers working on abortion. (shrink)

Viele Menschen halten Patientenverfügungen für ein geeignetes Mittel, um selbstbestimmt zu entscheiden, wie mit ihnen im Fall schwerer Demenz umgegangen werden soll. Die meisten Bioethiker stimmen ihnen zu: Demenzverfügungen seien Ausdruck der „verlängerten Autonomie“ der Patientin. Doch ob sie recht haben, ist unklar. Dem viel beachteten Identitätseinwand zufolge sind die Ausstellerin der Verfügung und ihre schwer demente Nachfolgerin numerisch verschieden: Sie sind zwei und nicht eins. Wenn das stimmt, kann die Ausstellerin nicht verfügen, wie mit ihr im Falle schwerer Demenz (...) umgegangen werden soll. Die Demenzverfügung ist ungültig. In meinem Aufsatz möchte ich eine neue Replik auf diesen Einwand vorstellen. Ihr Ansatzpunkt ist der menschliche Organismus, den wir sehen, wenn wir in den Spiegel blicken. Er kann schwer dement werden, und auch er hat die Patientenverfügung unterschrieben. Warum sollte sie dann ungültig sein? Auf den ersten Blick hat diese Replik eine Reihe von Vorzügen. Insbesondere akzeptiert sie die populären Annahmen, auf denen der Identitätseinwand basiert. Bei näherem Hinsehen zeigen sich jedoch Probleme, die so gravierend sind, dass wir von ihr Abstand nehmen sollten. (shrink)

According to theories of wrongful life (WL), the imposition upon a child of an existence of poor quality can constitute an act of harming, and a violation of the child’s rights. The idea that there can be WLs may seem intuitively compelling. But, as this paper argues, liberals who commit themselves to WL theories may have to compromise some of their other beliefs. For they will thereby become committed to the claim that some women are under a stringent moral duty (...) to have an abortion: a duty that could, without injustice, at least sometimes be enforced by the state. WL theories in other words imply that some women will lack a right to choose, under which both the decision to abort, and the decision to carry the fetus to term, are protected against interference. The paper exposes a dilemma, then, for liberals who are committed both to (a) the rights of future people not to be subjected to a harmful existence, and (b) the rights of women to refuse an abortion. (shrink)

This paper provides a new analysis and critique of Rawlsian public reason’s handling of the abortion question. It is often claimed that public reason is indeterminate on abortion, because it cannot say enough about prenatal moral status, or give content to the (allegedly) political value which Rawls calls ‘respect for human life’. I argue that public reason requires much greater argumentative restraint from citizens debating abortion than critics have acknowledged. Beyond the preliminary observation that fetuses do not meet the criteria (...) of political personhood, I contend, public reasoners may say nothing about prenatal moral status. Indeed, respect for human life (as distinct from respect for persons) is not, I show, a genuine political value, whose interpretation lies within public reason’s remit. This fact does not, however, prevent deliberators from drawing determinate conclusions regarding the law of abortion. Instead, I show, public reason has radically permissive implications for the legal regulation of feticide, inclining heavily towards the view that abortion should be allowed with little or no qualification, right until birth. I end by giving grounds for thinking that, even if the argumentative restraint which public reason enjoins over prenatal moral status does not generate indeterminacy, it is nonetheless objectionable. (shrink)

Cultured meat, or in vitro meat, is one of the ideas that are being proposed to help solve the problems associated with the ever-growing global meat consumption. The prospect may bring benefit for the environment, climate, and animal ethics, but has also generated doubts and criticism. A discussion of the possible environmental benefit and of animal ethics issues in relation to cultured meat production will be given. A perceived 'unnaturalness' of cultured meat may be one of the strongest barriers for (...) public acceptance. This will be discussed and rejected. As to our relations with nature and animals, it is plausible that cultured meat will lead to improvement rather than to deterioration. The issue of public acceptance and some of the problems of introducing this new product on the market will also be discussed. (shrink)

Epicurus argued that death can be neither good nor bad because it involves neither pleasure nor pain. This paper focuses on the deprivation account as a response to this Hedonist Argument. Proponents of the deprivation account hold that Epicurus’s argument fails even if death involves no painful or pleasurable experiences and even if the hedonist ethical system, which holds that pleasure and pain are all that matter ethically, is accepted. I discuss four objections that have been raised against the deprivation (...) account and argue that this response to Epicurus’s argument is successful once it has been sufficiently clarified. (shrink)

Should monkeys be used in painful and often deadly infectious disease research that may save many human lives? This is the challenging question that Anne Barnhill, Steven Joffe, and Franklin G. Miller take on in their carefully argued and compelling article “The Ethics of Infection Challenges in Primates.” The authors offer a nuanced and even-handed position that takes philosophical worries about nonhuman primate moral status seriously and still appreciates the very real value of such research for human welfare. Overall, they (...) argue for an extension and revision of the recommendations regarding chimpanzee research offered by the Institute of Medicine in 2011; the practical upshot of their argument would allow for infection challenge research for promising interventions for Ebola and Marburg virus diseases but not for smallpox or the common cold. The IOM recommendations regarding chimpanzee research put in motion an exceptionalist policy for this great ape population. Barnhill and colleagues’ proposal would enlarge the scope of that exceptionalism to embrace NHPs other than great apes. But is such exceptionalism warranted? It is not obvious to me either that the more sophisticated capacities of a species as a whole give it greater ethical protections or that less intellectually or socially sophisticated animals ought to therefore receive less protection when it comes to painful experimental interventions. (shrink)

Thought experiments that concoct bizarre possible world modalities are standard fare in debates on personal identity. Appealing to intuitions raised by such evocations is often taken to settle differences between conflicting theoretical views that, albeit, have practical implications for ethical controversies of personal identity in health care. Employing thought experiments that way is inadequate, I argue, since personhood is intrinsically linked to constraining facts about the actual world. I defend a moderate modal skepticism according to which intuiting across conceptually incongruent (...) worlds constitutes ‘invalid intuitioninferences’—i.e., carrying over intuitions gathered from facts about possible worlds that are at odds with facts about the actual world, for the purpose of making claims about real-life persons and their identity, leads to conceptual incongruences. Such a methodological fallout precludes accurate, informative judgments about personal identity in the actual world, calling into question the adequacy of thought experimental considerations for potential real world applications in medical ethics. (shrink)

There is a view that what we owe to other people is explained by the fact that they are human beings who share in a common human life. There are many ways of construing this explanatory idea, and I explore a few of these here; the aim is to look for constructions that contribute to an understanding of what we owe to people with profound and multiple learning difficulties and disabilities. In exploring the idea of sharing in a common life (...) I construe ‘sharing’ as ‘participating in’, and ‘common life’ as the social life characteristic of the environment that someone lives in. My principal purpose is to render the idea of sharing in a common life in terms that help explain its eligibility as a ground for establishing the moral status of people with PMLD. The participatory options I examine each make some call on agency, if only as something hoped for in the future, including when hope flies in the face of expectation. Accordingly I look at conceptions of actual and potential participation in social life, and at the idea of treating people as if they have the potential to participate, even when the existence of any such potential is unlikely. I conclude with some thoughts on the relation between participation and the moral status of profoundly disabled people, and about how much, and how little, the argument has achieved. (shrink)

In his paper “Eating Animals the Nice Way” McMahan : 66–76, 2008) explores whether there are ways of routinely using non-human animals for human consumption that are morally acceptable. He dismisses a practice of benign animal husbandry, in which animals are killed prematurely and believes that a practice in which animals were engineered to drop down dead instantaneously at the same age would be equally wrong, even though it would not involve killing. Yet, McMahan considers his intuition that both practices (...) are equally wrong with regard to our duties towards the involved animals hard to justify. This paper explains in more detail why this commonsensical intuition is indeed hard to justify and explores what it would take to justify it. It takes nothing less than a yet-to-be-specified plausible theory in population ethics and an account of welfare that deals in a plausible way with non-identity cases involving species- or breed-related differences in life expectancy. (shrink)

According to the thinking parts problem, any part sufficient for thought—e.g. a head—is a good candidate for being a thinker, and therefore being us. So we can’t assume that we—thinkers—are human beings rather than their proper parts. Many solutions to this problem have been proposed. However, I will show that the views currently on the market all face serious problems. I will then offer a new solution that avoids these problems. The thinking parts problem arises from considerations that seem to (...) be empirically substantiated. One virtue of my solution is that in addition to its theoretical apparatus it appeals to empirically substantiated considerations. (shrink)

Deprivationism cannot accommodate the common sense assumption that we should lament our death iff, and to the extent that, it is bad for us. Call this the Nothing Bad, Nothing to Lament Assumption. As such, either this assumption needs to be rejected or deprivationism does. I first argue that the Nothing Bad, Nothing to Lament Assumption is false. I then attempt to figure out which facts our attitudes concerning death should track. I suggest that each person should have two distinct (...) attitudes toward death: one determined by agent’s reasonable expectations about when she will die and one determined by the amount of metaphysically possible good one reasonably believes death precludes. (shrink)

Most philosophers in the death literature believe that death can be bad for the person who dies. The most popular view of death’s badness—namely, deprivationism—holds that death is bad for the person who dies because, and to the extent that, it deprives them of the net good that they would have accrued, had their actual death not occurred. Deprivationists thus face the challenge of locating the time that death is bad for a person. This is known as the Timing Problem, (...) which is thought to be one of the biggest challenges facing views holding that death can be bad for the person who dies. Every possible answer to this question has been defended in the literature, yet each answer can seemingly be shown to be subject to compelling objections. In this paper, I argue that the force of the Timing Problem is illusory. Specifically, I argue that the problem, as formulated in the literature, is underspecified. Any adequately precise form of the question ‘When is death bad for the person who dies?’ is one to which there is a clear, decisive, and unproblematic answer. (shrink)

I argue that ensouled animalism—the view that we are identical to animals that have immaterial souls as parts—has a pair of advantages over its two nearest rivals, materialistic animalism and pure dualism. Contra pure dualism, ensouled animalism can explain how physical predications can be literally true of us. Contra materialistic animalism, ensouled animalism can explain how animals can survive death. Furthermore, ensouled animalism has these advantages without creating any problems beyond those already faced by animalism and by belief in souls. (...) However, some animalists, including Eric Olson, think that animals cannot have immaterial parts. I present a sufficient condition for animal parthood that implies animals can have immaterial parts. Ensouled animalism is not only possible, but also doubly attractive. (shrink)

Francis Beckwith’s Defending life: a moral and legal case against abortion choice defends the pro-life position on moral, legal and political grounds. In this critical notice I consider three key issues and argue that Beckwith’s treatment of each of them is unpersuasive. The issues are: (1) whether abortion is politically justified by the principle that we should err on the side of liberty in the face of reasonable disagreement over the moral status of the fetus; (2) whether the fetus’s natural (...) capacity or genetic propensity to develop rationality and communication is sufficient to give it a moral right to life; and (3) whether abortion is morally justified on the basis of bodily rights. I also show that Beckwith’s book fails to consider several important issues and arguments. (shrink)

Derek Parfit famously argued that personal identity is not what matters for prudential concern about the future. Instead, he argues what matters is Relation R, a combination of psychological connectedness and continuity with any cause. This revisionary conclusion, Parfit argued, has profound implications for moral theory. It should lead us, among other things, to deny the importance of the separateness of persons as an important fact of morality. Instead, we should adopt impersonal consequentialism. In this paper, I argue that Parfit (...) is mistaken about this last step. His revisionary arguments about personal identity and rationality have no implications for moral theory. We need not decide whether Relation R or personal identity contain what matters if we want to retain the importance of the separateness of persons. (shrink)

English summary: Provocative Public Philosophy In 2017, I argued that people with Down syndrome cannot live full lives. This sparked a heated debated in the Norwegian public sphere. This gave rise to a debate over what academics should and should not say in public. A certain form of public philosophy, what I will call provocative public philosophy, was criticized for being harmful, imperialistic, for eroding trust in philosophers, and for creating too much noise. In this article I will, in light (...) of the Down syndrome debate, defend provocative public philosophy against these allegations. -/- Norsk sammendrag: En uttalelse om at personer med Downs syndrom ikke kan leve fullverdige liv, satte i gang en stor og opphetet debatt i den norske offentligheten i 2017. Denne ga opphav til en mer overordnet debatt om hva akademikere bør og ikke bør si i offentligheten. En viss form for offentlig filosofi, det jeg vil kalle provokativ offentlig filosofi, er blitt utpekt som synder. I denne artikkelen vil jeg, med utgangspunkt i debatten om fullverdige liv, forsvare provokativ offentlig filosofi mot både epistemiske og etiske innvendinger. (shrink)

David Benatar argues that being brought into existence is always a net harm and never a benefit. I disagree. I argue that if you bring someone into existence who lives a life worth living, then you have not all things considered wronged her. Lives are worth living if they are high in various objective goods and low in objective bads. These lives constitute a net benefit. In contrast, lives worth avoiding constitute a net harm. Lives worth avoiding are net high (...) in objective bads and low in objective goods. It is the prospect of a LWA that gives us good reason to not bring someone into existence. Happily, many lives are not worth avoiding. Contra Benatar, many are indeed worth living. Even if we grant Benatar his controversial asymmetry thesis, we have no reason to think that coming into existence is always a net harm. (shrink)

In this paper, we are concerned with the morality of killing human shields. Many moral philosophers seem to believe that knowingly killing human shields necessarily involves intentionally targeting human shields. If we assume that the distinction between intention and foresight is morally significant, then this view would entail that it is generally harder to justify a military operation in which human shields are knowingly killed than a military operation in which the same number of casualties result as a merely foreseen (...) side effect. We argue, however, that only some cases of knowingly killing human shields should be regarded as intentionally targeting human shields, and thus only those cases face higher bars of justification. We shall formulate different principles that help us to distinguish between cases where a military operation involves the deliberate harming of human shields and cases where it does not. As we shall see, these principles are relevant in scenarios that are all too realistic and common, such as the bombing of legitimate military targets located amid civilian populations. (shrink)

In my paper recently published in a collection of controversial arguments in this journal, I argued that the same principles that are behind ethical veganism also warrant antinatalist conclusions. I thus suggested that to be consistent in their ethical reasoning, moral vegans should not have children. William Bülow has kindly responded to my claims and offered a plausible reply, which, according to him, concludes that at least some moral vegans may resist antinatalism. In this short paper, I reply to Bülow.

In their important article, Haward et al. (2020) discuss whether guidelines for treating extremely premature babies should be altered to free up ventilators during crises such as COVID-19 pandemic. The authors’ claim is that premature babies do not deserve special consideration for ventilator treatment but merely equal consideration. In this brief commentary, I continue their discussion by considering additional factors that may help us determine whom we should save in a crisis: babies or the elderly.

ZusammenfassungAusgehend von den Positionen Ronald Dworkins, Rebecca Dressers und Agnieszka Jaworskas untersucht der Beitrag das Spannungsverhältnis zwischen vorgängigem und aktualem Selbstbestimmungsrecht demenzkranker Patienten und verbindet die Diskussion über das Autonomiepotential der Betroffenen mit einer Theorie praktischer Selbstverhältnisse, die die Patienten zumindest in den Anfangs- und den mittleren Stadien der Krankheit aufrechterhalten können. Theoretisches Grundgerüst für die Auseinandersetzung mit den Möglichkeiten und Grenzen der Patientenautonomie Demenzkranker ist dabei zunächst die Opposition zwischen Äquivalenz- und Nichtäquivalenztheorien der Personalität, in die sich auch die (...) divergierenden Positionen von Dworkin und Dresser einordnen lassen. Durch Einbeziehung des Ansatzes von Jaworska, die Demenzbetroffenen eine sogenannte capacity to value zuschreibt, versucht der Beitrag zu zeigen, dass strikte Äquivalenz- oder Nichtäquivalenztheorien der Personalität, die wiederum für ein umfassendes oder stark limitiertes Verständnis der Patientenautonomie Demenzkranker argumentieren, zu kurz greifen. Im Anschluss an die von Jaworska herausgestellte Fähigkeit der Betroffenen, Wertungen und Wertschätzungen vorzunehmen, kann stattdessen ein Verständnis der Personalität Demenzkranker erarbeitet werden, das mit geringeren Rationalitätsannahmen operiert als strikte Nichtäquivalenztheorien und das auch die Bedingungen für die Ausübung von Patientenautonomie weiter fasst, ohne vollständig in einer Konzeption relationaler Autonomie aufzugehen. Darüber hinaus ermöglicht dieser Ansatz, erste Grundzüge einer Theorie praktischer Selbstverhältnisse bei Demenzbetroffenen zu skizzieren. (shrink)

Nicht nur in der Demenzethik, sondern auch in grundlegenden Fragen zum Personen-Status von Demenzbetroffenen sind Verweise auf narrative Modelle, die die personale Identität Demenzkranker aufzeigen sollen, populär. Ziel des Beitrages ist eine kritische Auseinandersetzung mit den Voraussetzungen und argumentativen Problemen, die sich im Anschluss an diese ‚narrativen Demenztheorien‘ ergeben. Nach einer Einführung in die Begrifflichkeiten philosophischer Identitätskonzeptionen und einem exemplarischen Einblick in Modelle narrativer Demenztheorien werden Einwände gegen diese Positionen diskutiert. So ist zunächst unklar, welches Verständnis von ‚Narration‘ und ‚narrativer (...) Identität‘ in narrativen Demenztheorien vorausgesetzt wird. Beim Versuch der Klärung des Begriffs einer ‚narrativen Identität‘ zeigt sich anschließend, dass sich narrative Demenztheorien nicht nur in Widersprüche verwickeln, sondern sich zudem Probleme ergeben, die aus der relationalen Struktur narrativer Demenztheorien resultieren und die u.a. in den von Peter Lamarque geäußerten Trivialitätseinwand münden. Soll die personale Identität Demenzbetroffener rekonstruiert werden, so empfiehlt es sich vielmehr, auf holistische Konzeptionen, die die gesamte Biographie einer Person narrativ aufarbeiten, zu verzichten und stattdessen episodische Artikulationen zu berücksichtigen, die die auch von Vertretern narrativer Ansätze geforderte Aufwertung des aktualen Erlebenszustandes der Betroffenen leisten können. Eine solche alternative Herangehensweise wird am Ende des Beitrags durch Einbezug der Ansätze Galen Strawsons und Jeff McMahans vorgestellt. (shrink)

Bioethics is an interdisciplinary science that deals with the moral aspects of medicine, biotechnology and the value of life in general. Quality of life concept is the basis for one of the models of bioethics. Its supporters understand the value of human life by relying on the categories of its qualitative characteristics. They argue that the value of life is relative and depends on certain criteria, and prove the permissibility to terminate it in some cases. Quality of life conception is (...) criticized, above all, by those scholars who rely on religious ideas of the equal value and inviolability of all people’s lives. This article reveals several examples of such criticism in the works of Polish and American authors: T. Biesaga, H. Ciach, G. Hołub, P. Kieniewicz, R. P. George and P. Lee. Citing the arguments of that Christian thinkers, the author forms her own attitude to the problem. The ethical and ontological sources of quality of life concept, namely utilitarianism and naturalism, become the main object of criticism. It is significant that in the utilitarian appeal to maximize happiness as pleasure and calculate the gain or loss they see an attempt to establish the primacy of the overall well-being over an individual’s life as well as a reason for killing those individuals whose lives do not meet quality criteria and impair overall well-being. They also criticize such a consequence of the naturalistic view as reduction of the personality to its manifestations. The absence of such manifestations becomes for the supporters of the quality of life concept the basis for conclusion about a low quality of life of some individuals. One more critical remark towards the quality of life concept concern erasing of differences between humans and animals and their interests. The technocratic attitude that permits any manipulations of a human life if only they can be performed is criticized too. The author demonstrates that the fundamental fault of the quality of life concept which is criticized by all its opponents is a limited understanding of human nature and human life. (shrink)

In recent years, philosophers have proposed a variety of accounts of the nature of harm. In this paper, I consider several of these accounts and argue that they are unsuccessful. I then make a modest case for a different view.

Desire satisfaction theories of well-being and deprivationism about the badness of death face similar problems: desire satisfaction theories have trouble locating the time when the satisfaction of a future or past-directed desire benefits a person; deprivationism has trouble locating a time when death is bad for a person. I argue that desire satisfaction theorists and deprivation theorists can address their respective timing problems by accepting fusionism, the view that some events benefit or harm individuals only at fusions of moments in (...) time. Fusionism improves on existing solutions to the timing problem for deprivationism because it locates death’s badness at the same time as both the victim of death and death itself, and it accounts for all of the ways that death is bad for a person. Fusionism improves on existing solutions to the problem of temporally locating the benefit of future and past-directed desires because it respects several attractive principles, including the view that the intrinsic value of a time for someone is determined solely by states of affairs that obtain at that time and the view that intrinsically beneficial events benefit a person when they occur. (shrink)

It seems plausible that (i) how much punishment a person deserves cannot be affected by the mere existence or nonexistence of another person. We might have also thought that (ii) how much punishment is deserved cannot increase merely in virtue of personal division. I argue that (i) and (ii) are inconsistent with the popular belief that, other things being equal, when people culpably do very wrong or bad acts, they ought to be punished for this—even if they have repented, are (...) now virtuous, and punishing them would benefit no one. Insofar as we cannot deny (i), we are either forced to abandon the popular belief in desert, or else allow that personal division could, as I put it, “multiply desert.” Some may not find the latter, considered by itself, troubling. But I argue that the thesis that division multiplies desert faces a potentially serious problem, which arises in the context of personal fusion. It is difficult to see how to maintain a particular family of desert views in light of the cases here presented. (shrink)

This essay serves as an introduction to this issue of the Journal of Medicine and Philosophy. The five articles in this issue address a range of topics from the human embryo and substantial change to conceptions of disability. They engage claims of moral status, defense of our humanity, and argue for an accurate and just classification of persons of different communities within a healthcare system. I argue in this essay that though their concerns are diverse, the authors in this issue (...) help to answer a common question: “Who counts as one of us?” Reading these articles through the lens of membership and the themes of dignity illustrates this commonality and bears fruit for further reflection on many of the challenging issues addressed in the subsequent papers. (shrink)

Many contemporary ethicists use case-based reasoning to reach consistent beliefs about ethical matters. The idea is that particular cases elicit moral intuitions, which provide defeasible reasons to believe in their content. However, most proponents of case-based moral reasoning are not very explicit about how they resolve inconsistencies and how they abstract principles from judgments about particular cases. The aim of this article is to outline a methodology—called Consistency Reasoning Casuistry—for case-based reasoning in ethics. This methodology draws on Richmond Campbell and (...) Victor Kumar’s naturalistic model for the resolution of inconsistencies between the content of intuitions about particular cases. I argue that reasons similar to those that motivate their model also support a more abstract form of moral reasoning that goes beyond mere resolutions of inconsistencies between case judgments and demands the formulation of more abstract moral norms. Consistency Reasoning Casuistry, it is argued, is a good candidate for a methodology for case-based moral reasoning that is in harmony with paradigms of contemporary moral psychology and that can accommodate the methodology implicit in the work of many contemporary ethicists. (shrink)

According to philosophers who ground your anticipation of future experiences in psychological continuity and connectedness, it is rational to anticipate the experiences of someone other than yourself, such as a self that is the product of fission or of replication. In this article, I concur that it is rational to anticipate the experiences of the product of fission while denying the rationality of anticipating the experiences of a replica. In defending my position, I offer the following explanation of why you (...) have good reason to anticipate the experiences of your post-fission successor but not your replica: in the former case, you become somebody else, whereas, in the latter case, you are merely replaced by somebody else. (shrink)

The philosophical study of well-being concerns what makes lives good for their subjects. It is now standard among philosophers to distinguish between two kinds of well-being: - lifetime well-being, i.e., how good a person's life was for him or her considered as a whole, and - temporal well-being, i.e., how well off someone was, or how they fared, at a particular moment in time or over a period of time longer than a moment but shorter than a whole life, say, (...) a day, month, year, or chapter of a life. Many theories have been offered of each of these kinds of well-being. A common view is that lifetime well-being is in some way constructed out of temporal well-being. This book argues that much of this literature is premised on a mistake. Lifetime well-being cannot be constructed out of temporal well-being, because there is no such thing as temporal well-being. The only genuine kind of well-being is lifetime well-being. The Passing of Temporal Well-Being will prove essential reading for professional philosophers, especially in moral and political philosophy. It will also be of interest to welfare economists and policy-makers who appeal to well-being. (shrink)

While agreeing with the main conclusion of Dominic Wilkinson and colleagues (Wilkinson, Butcherine, and Savulescu 2019), namely, that there is no moral difference between treatment withholding and withdrawal as such, we wish to criticize their approach on the basis that it treats the widespread acceptance of withdrawal aversion (WA) as a cognitive bias. Wilkinson and colleagues understand WA as “a nonrational preference for withholding (WH) treatment over withdrawal (WD) of treatment” (22). They treat WA as a manifestation of loss aversion (...) and refer to Kahneman and colleagues (1991), which defined this effect as follows: “the disutility of giving up an object is greater that the utility associated with acquiring it” (194). In a previous work, Wilkinson and Savulescu understood nonequivalence between treatment withholding and withdrawal as a reflection of slightly different, although related, phenomena: status quo bias or omission bias (Wilkinson and Savulescu 2012, 130–131). In neither of these two papers do they describe precisely the relation between these well-known psychological effects and WA, nor do they explain why they treat these effects as examples of nonrational preferences, despite the fact that these issues have been the subject of wide-ranging discussions on the intersection of psychology, economy, and philosophy. (shrink)

The present paper constitutes an introduction to a special issue of Diametros devoted to Setting Health-Care Priorities. What Ethical Theories Tell Us by Torbjörn Tännsjö. The book in question states that there are three moral theories which have valid implications in the field of the distribution of medical resources in a healthcare system: utilitarianism, the maximin/leximin view, and egalitarianism. A number of authors have contributed to this special issue with papers which challenge this thesis. Robert E. Goodin argues that, besides (...) general moral theories, some local principles of justice might be valid. Quinn Hiroshi Gibson states that Tännsjö should have considered the Rawlsian view on justice in its contractualist reading. Jay A. Zameska argues that his “revised lexical sufficientarianism” constitutes a more reliable moral view than prioritarianism. Finally, Lasse Nielsen points out that there is more to say about distributive justice than consequentialist theories can grasp. Moreover, he puts forward an argument in defense of prioritarianism. The final article in this issue constitutes Tännsjö’s replies to his critics. (shrink)

In this paper, I criticize the view that non-conscious entities—such as plants and bacteria—have well-being. Plausible sources of well-being include pleasure, the satisfaction of consciously held desires, and achievement. Since nonconscious entities cannot obtain well-being from these sources, the most plausible source of well-being for them is the exercise of natural capacities. Plants and bacteria, for example, certainly do exercise natural capacities. But I argue that exercising natural capacities does not in fact contribute (in a non-instrumental way) to well-being. I (...) do so by presenting cases in which human beings exercise natural capacities that they do not enjoy exercising and that they do not desire (non-instrumentally) to exercise. I also argue that plausible views about fortune—how one’s well-being ranks on an appropriate scale—do not support the claim that exercising natural capacities contributes to well-being. (shrink)