Bioethical decision-making depends on presuppositions about the function and goal of bioethics. The authors in this issue of The Journal of Medicine and Philosophy share the assumption that bioethics is about resolving cases, not about moral theory, and that the best method of bioethical decision-making is that which produces useful answers. Because we have no universally agreed upon background moral theory which can serve as the basis for bioethical decision-making, they try to move bioethics away from theory. For them, a (...) good method of bioethical decision-making is one which resolves cases in ways that are justifiable to the parties involved, not necessarily in ways that bring us ‘close’ to the right and the true. The authors consider how the move away from theory and toward actual cases is best accomplished. In particular, the debate in this issue is about specification, specified principlism, and casuistry. (shrink)

ABSTRACTHow should we conceive of a right to reproduce? And, morally speaking, what might be said to justify such a right? These are just two questions of interest that are raised by the technologies of assisted reproduction. This paper analyses the possible legitimate grounds for a right to reproduce within the two main theories of rights; interest theory and choice theory.

I begin by proposing and explicating a plausible articulation of the view that morality is overriding. I then argue that it would be desirable for this thesis to be sustained. However, the prospects for its vindication will depend crucially on which moral theory we adopt. I examine some schematic moral theories in order to bring out which are friendly and which unfriendly to moral overridingness. In light of the reasons to hope that the overridingness thesis can be sustained, theories apparently (...) incompatible with it – I argue that consequentialism is one – have a count against them. (shrink)

I argue it is inconsistent to believe that overconsumption is wrong or bad yet believe that having children is morally permissible, insofar as they produce comparable environmental impacts, are voluntary choices, and arise from similar desires. This presents a dilemma for "mainstream environmentalists": they do not want to abandon either of those fundamental beliefs, yet must give up one of them. I present an analogical argument supporting that conclusion. After examining four attempts to undermine the analogy, I conclude that none (...) of them successfully locates a significant, relevant difference between procreation and eco-gluttony (roughly, consumption exceeding that of the average American). Thus, in order to be consistent, one must be in favour of both or opposed to both. Mainstream environmentalism, then, is not an option, and should be replaced by radical environmentalism, the view that both overconsumption and (in most cases) having children are morally problematic in an overcrowded world. (shrink)