Post-truth politics has been diagnosed as harmful to both knowledge and democracy. I argue that it can also fundamentally undermine epistemic autonomy in a way that is similar to the manipulative technique known as gaslighting. Using examples from contemporary politics, I identify three categories of post-truth rhetoric: the introduction of counternarratives, the discrediting of critics, and the denial of more or less plain facts. These strategies tend to isolate people epistemically, leaving them disoriented and unable to distinguish between reliable and (...) unreliable sources. Like gaslighting, post-truth politics aims to undermine epistemic autonomy by eroding someone's self-trust, in order to consolidate power. Shifting the focus to the effects on the victim allows for new insights into the specific harms of post-truth politics. Applying the concept of gaslighting to this domain may also help people recognize a pernicious dynamic that was invisible to them before, giving them an important tool to resist it. (shrink)

A standing presumption in the literature is that devil’s advocacy is an inherently beneficial argumentative move; and that those who take on this role in conversation are paradigms of argumentative virtue. Outside academic circles, however, devil’s advocacy has acquired something of a notorious reputation: real-world conversations are rife with self-proclaimed devil’s advocates who are anything but virtuous. Motivated by this observation, in this paper we offer the first in-depth exploration of non-ideal devil’s advocacy. We draw on recent analyses of two (...) better known discursive practices—mansplaining and trolling—to illuminate some of the signature traits of vicious devil’s advocacy. Building on this comparative examination, we show that all three practices trade on a manipulation of illocutionary force; and we evaluate their respective options for securing plausible deniability. (shrink)

How is it that a speaker _S_ can at once make it obvious to an audience _A_ that she intends to communicate some proposition _p_, and yet at the same time retain plausible deniability with respect to this intention? The answer is that _S_ can bring it about that _A_ has a high justified credence that ‘_S_ intended _p_’ without putting _A_ in a position to know that ‘_S_ intended _p_’. In order to achieve this _S_ has to exploit a (...) sense in which communication can be lottery-like. After defending this view of deniability I argue that it compares favorably to a rival account recently developed by Dinges and Zakkou (Mind, https://doi.org/10.1093/mind/fzac056, 2023 ). (shrink)

Moorean constructions are famously odd: it is infelicitous to deny that you believe what you claim to be true. But what about claiming that p, only to immediately put into question your evidence in support of p? In this paper, we identify and analyse a class of quasi-Moorean constructions, which we label counterevidentials. Although odd, counterevidentials can be accommodated as felicitous attempts to mitigate one’s claim right after making it. We explore how counterevidentials differ from lexicalised mitigation operators, parentheticals, and (...) anaphoric mitigation devices, and consider some cognate non-assertoric constructions. We conclude by exploring the implications of our analysis for theorising about linguistic responsibility, assertion, and lying. (shrink)

Social scripts, like A gives a compliment, B says ‘thank you’, pervade and shape natural language discourse and social interactions. Scripts usually promote cooperation between conversational participants, but not always. For example, if A pays B a ‘compliment’ like ‘nice legs’, A puts B in a double bind of either abiding by the compliment script by saying ‘thank you’ and being humiliated, or breaking the script and risking escalation. In this paper, I take a philosophical lens to the notion of (...) a social script. I give a theoretical overview of what it would mean to disrupt a social script and explain why and when it is prudential to do so. Then I give several examples of disruptions of social scripts. This essay makes four key contributions to the philosophical literature on social scripts: (1) it introduces a new distinction between interpersonal and structural scripts; (2) it illuminates how interpersonal social scripts can be pernicious by creating a double bind; (3) it analyzes what it is to disrupt a social script; and (4) in doing so, it challenges the orthodoxy about the relationship between cooperation and disruption in political action. (shrink)

We can currently see the formation of new nationalist and racist parties or tendencies within established parties to lean towards right-wing politics within many European countries; from the Alternative für Deutschland in Germany, the Partij voor de Vrijheid (PVV) in the Netherlands, Lega Nord or Lega in Italia, Vox in Spain, the Freiheitliche Partei Österreichs, Front National in France, the Sverigedemokraterna in Sweden, Fidesz in Hungary, and Golden Dawn in Greece, to name only a few. At the same time, there (...) has been a surge in racist, fascist, and antisemitic attacks within Europe. Since 1991, Neo-Nazi gangs have attacked migrants and members of antifascist groups, burned down housing facilities for asylum seekers (including facilities for Ukrainian refugees in 2022), disrupted social initiatives, and spread fear (BfV, 2022; cf. Speit, 2021). However, most of these activities were described as the criminal action of socially marginalized individuals, downplaying the organized structure behind these far-right activities and, thus, paving the way for more attacks. Part of this paper is to show how the epistemic tools developed by the epistemology of ignorance literature can help to understand (a) why the organized structures of far-right movements are unintelligible within the dominant frame of intelligibility in Europe and (b) how the silence about far-right movements shifts the boundaries for what can be said or done, thus, having deeply problematic repercussions for who can feel safe in Europe. This paper has a modest aim: By bringing into focus contexts of social injustice that have not received much attention in the current literature and by understanding them with the help of existing research from the debate on problematic epistemic practices and philosophy of language, the paper aims to highlight some problematic practices. (shrink)

A formal, speaker-based definition for the linguistic trope known as a ‘dogwhistle’ is provided. This definition is supported by an 11-part typological model for distinguishing dogwhistles from similar linguistic tropes (i.e., puns, innuendo, inside jokes) and other speech acts. The model is applied to many data examples from a variety of sources. The model allows for data input, filtering against the criteria, and classification of the speech act as a dogwhistle or not. Additionally, the model can highlight how well the (...) data example adheres to certain criteria. This informs interpretations about whether the speech act is a successfully constructed dogwhistle as well as provide possible reasons for failed dogwhistles. This analysis deepens our understanding of political and social discourse and the ways it can be manipulated for personal gains, resulting in new insight that helps dismantle strategic racism (Haney-López, 2014) and other threats to democracy. (shrink)

Recently, there has been growing interest in methodological issues of non-ideal theoretical philosophy. While some explicitly commit to non-ideal theorising, others doubt that there is anything useful about the ideal/non-ideal distinction in theoretical philosophy. The aim of this paper is twofold. On the one hand, I propose a way of doing non-ideal theoretical philosophy, once we realise how limited certain idealised projects are. Since there is a big overlap between projects that are called non-ideal and applied, the second aim is (...) to distinguish between these categories in order to show that applied theoretical philosophy is only worth pursuing if it operates in a non-ideal framework. I argue that we should be pluralistic about possible non-ideal theories and view the ideal/non-ideal differences as a matter of degree, rather than kind. As an example, I show how my version of non-ideal theory is useful to a concrete debate in philosophy of language. My proposal allows us to identify already existing non-ideal approaches to linguistic meaning and encourages us to further engage in the debate on non-ideal theoretical philosophy. (shrink)

In paradigmatic cases of subtweeting, one Twitter user critically or mockingly tweets about another person without mentioning their username or their name. In this chapter, we give an account of the strategic aims of subtweeting and the mechanics through which it achieves them. We thereby hope to shed light on the distinctive communicative and moral texture of subtweeting while filling in a gap in the philosophical literature on strategic speech in social media. We first specify what subtweets are and identify (...) the central features that give rise to their strategic mechanics. Next, we draw attention to problematic aspects of subtweeting and consider conditions under which subtweeting can be justified on moral and prudential grounds. The chapter concludes by discussing practical upshots and noting avenues for future work. (shrink)

I analyse the political, economic, and cultural circumstances that have given rise to persistent political disputes about race (known colloquially as “the culture war”) among a subset of Americans. I argue that they point to a deep tension between widely held normative aspirations and pervasive and readily observable material facts about our society. The characterological pathologies this gives rise to are discussed, and a normatively preferable path forward for an individual attempting to reconcile themselves to the current social order is (...) suggested. (shrink)

Communication can be risky. Like other kinds of actions, it comes with potential costs. For instance, an utterance can be embarrassing, offensive, or downright illegal. In the face of such risks, speakers tend to act strategically and seek ‘plausible deniability’. In this paper, we propose an account of the notion of deniability at issue. On our account, deniability is an epistemic phenomenon. A speaker has deniability if she can make it epistemically irrational for her audience to reason in certain ways. (...) To avoid predictable confusion, we distinguish deniability from a practical correlate we call ‘untouchability’. Roughly, a speaker has untouchability if she can make it practically irrational for her audience to act in certain ways. These accounts shed light on the nature of strategic speech and suggest countermeasures against strategic speech. (shrink)

Political communication in modern democratic societies often requires the speaker to address multiple audiences with heterogeneous values, interests and agendas. This creates an incentive for communication strategies that allow politicians to send, along with the explicit content of their speech, concealed messages that seek to secure the approval of certain groups without alienating the rest of the electorate. These strategies have been labeled dogwhistling in recent literature. In this article, we provide an analysis of overt intentional dogwhistling. We recognize two (...) main stages within the OIDs’ way of conveying a concealed message: the expression of a perspective together with the transmission of an accompanying positioning message vis-à-vis the OID targeted sub-audience, and the inferential extraction of a set of cognitive and non-cognitive contents inferred on the basis of the former stage. Furthermore, we identify three linguistic mechanisms whereby these contents may be transmitted: conventional meaning, conversational implicature and perlocutionary inferencing. Hence, on our view OIDs are not a uniform category, as they may differ as to what extent the concealed content is speaker-meant, and thus actually communicated by the speaker. (shrink)

I introduce game-theoretic models for threats to the discussion of threats in speech act theory. I first distinguish three categories of verbal threats: conditional threats, categorical threats, and covert threats. I establish that all categories of threats can be characterized in terms of an underlying conditional structure. I argue that the aim—or illocutionary point—of a threat is to change the conditions under which an agent makes decisions in a game. Threats are moves in a game that instantiate a subgame in (...) which the addressee is ‘under threat’. (shrink)

This chapter provides a high-level introduction to the topic of propaganda. We survey a number of the most influential accounts of propaganda, from the earliest institutional studies in the 1920s to contemporary academic work. We propose that these accounts, as well as the various examples of propaganda which we discuss, all converge around a key feature: persuasion which bypasses audiences’ rational faculties. In practice, propaganda can take different forms, serve various interests, and produce a variety of effects. Propaganda can aim (...) to affect not only audiences’ beliefs and attitudes, but also their emotions and moods, and in turn how audiences subsequently reason or act. While propaganda is often thought of as false or misinformation, it can instead involve framing effects (“The war on drugs”), covert messaging (“There are Muslims among us”), emotionally charged slogans (“Make America Great Again”), or myths (“The American dream”). These forms of propaganda mislead audiences, not by introducing false information, but by making some beliefs and values, rather than others, salient. In fact, propaganda can even employ straightforwardly true claims (again, as in “There are Muslims among us”) and seemingly objective bureaucratic reports (“Crime has risen 4.2%”). To understand how these and other mechanisms enable propaganda to persuade by arational means, further study is needed. To that end, throughout the chapter we identify a number of places where the study of meaning and communication can help elucidate propaganda, as well as the places where propaganda issues challenges for the study of meaning. (shrink)

This paper aims to deepen our understanding of so-called covert dogwhistles. I discuss whether a covert dogwhistle is a specific sort of mechanism of manipulation or whether, on the contrary, it draws on other already familiar linguistic mechanisms such as implicatures or presuppositions. I put forward a series of arguments aimed at illustrating that implicatures and presuppositions, on the one hand, and covert dogwhistles, on the other, differ in their linguistic behaviour concerning plausible deniability, cancellability, calculability and mutual acceptance. I (...) concluded this paper by outlining a simple theory for covert dogwhistles according to which they are attitude-foregrounders. (shrink)

One potentially ethically relevant feature of an utterance is that utterance's influence on the likelihoods that our future discourses wind up with one Stalnakerian ‘common ground’ or body of shared information rather than another. Such likelihoods matter ethically, so the ways our utterances influence them can matter ethically, despite the fact that such influences are often unintended, and often hard to see. By offering a relatively neutral descriptive framework that can enhance our collective sensitivity to and discussion of ethically, socially, (...) and politically important features of language use, this paper contributes to the ethics of language use. It discusses ways in which utterances can influence the likelihoods of future common grounds by deploying one system of categorization rather than another, and argues that language’s effects on the evolution of discourse can affect the paths to and probabilities of different sorts of consensus. (shrink)

Adversariality in argumentation is typically theorized as inhering in, and applying to, the interactional roles of proponent and opponent that arguers occupy. This paper considers the kinds of adversariality located in the conversational roles arguers perform while arguing—specifically listening. It begins by contending that the maximally adversarial arguer is an arguer who refuses to listen to reason by refusing to listen to another’s reasons. It proceeds to consider a list of lousy listeners in order to illustrate the variety of ways (...) that the conversational role of listener can be performed adversarially. Because conversational roles, while not adversarial by nature, can be enacted adversarially, arguers are properly subject to praise and blame for their performances of these roles. Thus, the paper concludes, argumentation theory stands in need of an articulated normative vocabulary and theory to codify, apply, explain, and justify the norms of listening governing, guiding, and appraising arguers’ performances of listening in argumentation. (shrink)

Tainted political symbols ought to be confronted, removed, or at least recontextualized. Despite the best efforts to achieve this, however, official actions on tainted symbols often fail to take place. In such cases, I argue that political vandalism—the unauthorized defacement, destruction, or removal of political symbols—may be morally permissible or even obligatory. This is when, and insofar as, political vandalism serves as fitting counter-speech that undermines the authority of tainted symbols in ways that match their publicity, refuses to let them (...) speak in our name, and challenges the derogatory messages expressed through a mechanism I call derogatory pedestalling: the glorification or honoring of certain individuals or ideologies that can only make sense when members of a targeted group are taken to be inferior. (shrink)

This dissertation fits within the literature on subordinating speech and aims to demonstrate that how language subordinates is more complex than has been described by most philosophers. I argue that the harms that subordinating speech inflicts on its targets (chapter one), the type of authority that is exercised by subordinating speakers (chapters two and three), and the expansive variety of subordinating speech acts themselves (chapter three) are all under-developed subjects in need of further refinement—and, in some cases, large paradigm shifts. (...) I also examine cases that have yet to be adequately addressed by philosophers working on this topic, like the explosion of abusive speech online (chapter four) or the distinctive speech acts of protest groups (chapter five). I argue that by considering these alongside the ‘paradigm’ cases of subordinating speech that inform most models, we are better able to capture the lived realities of this phenomena, as described by members of groups targeted by such speech. I develop a novel account of speaker authority to explain the variety of pragmatic effects subordinating speech generates. Instead of seeing this authority as reducible to either a formal position or a merely local, linguistic phenomenon, I argue for a conception of speaker authority that is a richly contextual social fact, distributed unevenly among members of different social groups. I also develop an account of collective authority that explains how a group of speakers can join together to subordinate in a way that no individual speaker is capable of doing. This account, I argue, is better able to explain the social reality of subordinating speech than individualist models. Overall, I show how a more fine-grained account of subordinating speaker authority gives us a more accurate picture of the different subordinating speech acts available to different speakers, along with how these may harm their targets. (shrink)

Members of the field of philosophy have, just as other people, political convictions or, as psychologists call them, ideologies. How are different ideologies distributed and perceived in the field? Using the familiar distinction between the political left and right, we surveyed an international sample of 794 subjects in philosophy. We found that survey participants clearly leaned left (75%), while right-leaning individuals (14%) and moderates (11%) were underrepresented. Moreover, and strikingly, across the political spectrum, from very left-leaning individuals and moderates to (...) very right-leaning individuals, participants reported experiencing ideological hostility in the field, occasionally even from those from their own side of the political spectrum. Finally, while about half of the subjects believed that discrimination against left- or right-leaning individuals in the field is not justified, a significant minority displayed an explicit willingness to discriminate against colleagues with the opposite ideology. Our findings are both surprising and important, because a commitment to tolerance and equality is widespread in philosophy, and there is reason to think that ideological similarity, hostility, and discrimination undermine reliable belief formation in many areas of the discipline. (shrink)

Words change meaning, usually in unpredictable ways. But some words’ meanings are revised intentionally. Revisionary projects are normally put forward in the service of some purpose – some serve specific goals of inquiry, and others serve ethical, political or social aims. Revisionist projects can ameliorate meanings, but they can also pervert. In this paper, I want to draw attention to the dangers of meaning perversions, and argue that the self-declared goodness of a revisionist project doesn’t suffice to avoid meaning perversions. (...) The road to Hell, or to horrors on Earth, is paved with good intentions. Finally and more importantly, I want to demarcate what meaning perversions are. This, I hope, can help us assess the moral and political legitimacy of revisionary projects. (shrink)

One of the characteristics of what has been called “dogwhistle politics” is the presence of a rhetoric that targets minority groups implicitly. For example, terms like ‘illegals’ and ‘illegal immigrants’, used to target Latin-Americans, have come to permeate the American political discourse as well as everyday conversations. Here I focus on how such expressions, which I call illegality frame code words (IFCW, for short), can be countered by recalcitrant hearers. I begin with the assumption that IFCWs are racial code words, (...) conversational devices that convey implicit racial appeals while allowing for deniability. I then discuss how the existence of an Illegality Frame in the American Immigration debate supports their deniability. Lastly, I discuss how recalcitrant hearers can counter utterances that contain them. In particular, I propose reframing as an adequate strategy. In reframing, agents take control of the goals or the QUD (question under discussion) of the conversation to exclude certain topics from the common ground and include others. The idea is to “change the conversation” to neutralize problematic moves. This maneuver is advantageous not only because it helps to hinder veiled discriminatory practices, but also because it affords control over “the terms of the conversation”. (shrink)

In recent years, scholars have vividly debated over the definition and features of dogwhistles. As Jennifer Saul has widely argued in her works, political dogwhistles are powerful tools of manipulation. However, the current debate still lacks a convincing definition of dogwhistles, which sometimes are treated like spy codes while, at other times, they are labelled as instances of hate speech, as in Santana (2019). Instead, I propose a definition of dogwhistles that is based on the analysis of the audience design (...) of utterances. I claim that dogwhistles are speech acts designed to secretly change the conversational role of a subset of the audience. Furthermore, they qualify as forms of disguisement - and not concealment, as claimed by the received view - that violate two important conversational responsibilities of the speaker (Clark and Carlson 1992). (shrink)

This paper discusses the speech act of disavowal, focusing in particular on disavowals of prior speech acts. It is argued that disavowals are often used when speakers wish to distance themselves in certain ways from some past speech act, but cannot (or should not) retract it. An account is offered according to which disavowals involve three components: an admission of having performed the target act, a denunciation of that act, and an accounting for the act. Disavowals are compared to the (...) related speech acts of denial, retraction, apology, as well as the use of figleaves in political speech. (shrink)

Philosophy and Phenomenological Research, Volume 104, Issue 1, Page 171-185, January 2022.

Toxic speech inflicts damage to mental and physical health. This process can be chronic or acute, temporary or permanent. Understanding how toxic speech inflicts these harms requires both an account of linguistic practices and, because language is inherently social, tools from epidemiology. This paper explores what we can learn from two epidemiological models: a common source model that emphasizes poisons, and a propagated transmission model that better fits contagions like viruses.

Journal of Social Philosophy, Volume 53, Issue 3, Page 387-403, Fall 2022.

The role of microaggressions has gained increasing philosophical attention in recent years. However, microaggressions only tell part of the story. An often-overlooked component of inequality is the uneven and unjust distribution of microaffirmations. In this paper, I give a new definition of microaffirmations as signals that a recipient belongs to some valued or high-status class. Microaffirmations can—but need not—lead individuals to gain a sense of confidence, belonging, and merit. I then explain the harms of microaffirmations, arguing that when microaffirmations are (...) distributed inequitably, they can have larger ramifications for injustice, harming some vulnerable groups more than others. In addition, microaffirmations can lead individual actors to make choices based on who gives them microaffirmations and where they receive them, and thus can have outsized influence over the direction of an individual’s life because individuals tend to migrate to where they feel valued, appreciated, and included. I then turn to solutions to the problems I raise. I argue we should attend to and attempt to rectify inequalities in microaffirmations because doing so can help ensure not just the absence of negative attention, but also that the presence of positive attention is flowing in a just and equitable way. (shrink)

Journal of Social Philosophy, EarlyView.

Until recently, the accepted wisdom in the US was that overt racism would doom a national political campaign. This led to the use of covert messaging strategies like dogwhistles. Recent political events have called this wisdom into question. In this paper, I explore what has happened in recent years to our norms against racist speech, and to the ways that they are applied. I describe several mechanisms that seem to have contributed to the changes that I outline.

In this project, I develop the concept of a sexualized violence figleaf, a speech mechanism often used in sexualized violence discourse to dismiss or characterize assault as some other kind of thing: a misunderstanding, a change of heart by the victim, a mischaracterization of the perpetrator, or any other number of things which are not rape, or violence. Sexualized violence figleaves are an extension of Jennifer Saul's work on racial and gender figleaves, as the underlying mechanics of the utterance track (...) those of Saul's figleaves. In other words, I am developing a figleaf variant, showing that this conceptual tool is useful for analysing utterances beyond racist, sexist, and conspiracist speech, upon which Saul focuses. Rather, bringing figleaves into the realm of sexualized violence discourse illuminates features of the discourse which are often obscured by the prevalence of strong social intuitions about rapists and their corresponding character. (shrink)

Recently, Jennifer Saul (“Racial Figleaves, the Shifting Boundaries of the Permissible, and the Rise of Donald Trump”, 2017; “Racist and Sexist Figleaves”, 2021) has explored the use of what she calls “figleaves” in the discourse on race and gender. Following Saul, a figleaf is an utterance that, for some portion of the audience, blocks the conclusion that some other utterance, R, or the person who uttered R is racist or sexist. Such racial and gender figleaves are pernicious, says Saul, because, (...) among other things, they can shift the boundaries of what is deemed acceptable to think or say. This paper expands on Saul’s picture in a threefold way: It is first argued that appeals to statistics can function as figleaves. It is then argued that—as far as figleaves go—there is reason to believe that statistics-as-figleaves are especially pernicious. Finally, the paper explores some strategies for counterspeech. (shrink)

I argue that popular understandings of white nationalist double speak strategies do not fully represent the practice of these strategies, and identify a linguistic tactic used by white nationalists that I call sugar-coating. Sugar-coating works by packing an otherwise unacceptable utterance together with some kind of reward, thereby promoting uptake. I contrast this with existing notions of double speak, such as figleaves (Saul 2017, 2021), dogwhistles (Haney-López 2014), and bullshit (Kenyon and Saul 2022). I argue that sugar-coating more accurately reflects (...) the practice of white nationalist recruitment rhetoric, as described in the Daily Stormer Style Guide. (shrink)

How do social actors get addressees to stop retreating to metadiscussions that derail ground-level discussions, and why do they expect the strategies to work? The question is of both theoretical and practical interest, especially with regard to ground-level discussions of systemic sexism and racism derailed by qualifying “not all men” and “not all white people” perform the sexist or racist actions that are the topic of discussion. I use a normative pragmatic approach to analyze two exemplary messages designed to halt (...) retreats to metadiscussions about using “not all men” and “not all white people” qualifiers in discussions of systemic sexism and racism. I find that social actors use strategies that may at first glance appear to be out of bounds in an ideal critical discussion—e.g., demanding, shouting, cussing, sarcasm, name-calling—to cultivate a context where using not-all qualifiers becomes increasingly costly. The strategies are designed to get addressees to recognize that using not-all qualifiers is not an epistemic correction of a hasty generalization or ethical intervention to halt promulgation of stereotypes about men and white people. Instead, the strategies display that using not-all qualifiers is a fallible sign of willful hermeneutical ignorance, willful ignorance, and an attempt to reassert a measure of social dominance. These findings affirm the need to investigate the various strategies and normative materials social actors actually bring to bear to regulate disagreement. (shrink)

Transhumanism at once embodies our most modern thinking and our biggest longstanding problems. Transhumanism aims to enhance human core capacities: health-span, lifespan, and cognition. The thesis answers the following ethical challenges arising from transhumanist aims. First, whether transhumanism can be an ethical endeavour if it relies on authoritarian intervention by governments and governing bodies to change, generate and enforce behaviour, or to influence and enforce the uptake of medical procedures. Second, the thesis answers the challenge that it is unethical deliberately (...) to encourage the uptake of and pursuit of medical transhumanism given the extent of accessibility and distributive issues that remain unresolved in existing medicine. Finally, the thesis addresses a particular mental health crisis that is often predicted for transhuman beings, namely loss of meaning from loss of death and vulnerability, resulting in widespread loss of social cohesion. The thesis argues that the right solution to the first two problems is a libertarian paternalist approach, viz. nudging, and that this approach will also neutralise the risk of widespread and inevitable boredom or alienation that might otherwise result from the widespread introduction of human enhancement if people are nudged to engage more and more reflectively in their enhancement choices. Additionally, lifestyle issues like obesity, heart disease, cancers, and inaccessibility of vaccines and birth control pose unresolved problems for existing general medicine, killing millions every year worldwide. As a result, another serious challenge for enhancement medicine, which I propose would be addressed by the nudge approach, is to justify its place in the professional domain of medicine. (shrink)