Identity-relative paternalism is internally incoherent

Journal of Medical Ethics 49 (6):404-405 (2023)
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Abstract

Identity-Relative Paternalism, as defended by Wilkinson, holds that paternalistic intervention is justified to prevent an individual from doing to their future selves (where there are weakened prudential unity relations between the current and future self) what it would be justified to prevent them from doing to others.1 Wilkinson, drawing on the work of Parfit and others, defends the notion of Identity-Relative Paternalism from a series of objections. I argue here, however, that Wilkinson overlooks a significant problem for Identity-Relative Paternalism—namely, that it yields unactionable and self-contradictory results when applied to choices where both options present potential harms to future selves.

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Eli Schantz
Indiana University School of Medicine-South Bend

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