We typically judge that hasteners are causes of what they hasten, while delayers are not causes of what they delay. These judgements, I suggest, are sensitive to an underlying metaphysical distinction. To see this, we need to pay attention to a relation that I call positive security-dependence, where an event E security-depends positively on an earlier event C just in case E could more easily have failed to occur if C had not occurred. I suggest that we judge that an (...) event C is a cause of a later event E only if E security-depends positively on C. This explains our causal judgements in typical cases of hastening and delaying as well as in atypical cases, where we judge that hasteners are not causes of what they hasten or that delayers are causes of what they delay. (shrink)

Longtermism is the view that the most urgent global priorities, and those to which we should devote the largest portion of our resources, are those that focus on (i) ensuring a long future for humanity, and perhaps sentient or intelligent life more generally, and (ii) improving the quality of the lives that inhabit that long future. While it is by no means the only one, the argument most commonly given for this conclusion is that these interventions have greater expected goodness (...) per unit of resource devoted to them than each of the other available interventions, including those that focus on the health and well-being of the current population. In this paper, I argue that, even if we grant the consequentialist ethics upon which this argument depends, and even if we grant one of the axiologies that are typically paired with that ethics to give the argument, we are not morally required to choose an option that maximises expected utility; indeed, we might not even be permitted to do so. Instead, I will argue, if the argument's consequentialism is correct, we should choose using a decision theory that is sensitive to risk, and allows us to give greater weight to worse-case outcomes than expected utility theory does. And, I will show, such decision theories do not always recommend longtermist interventions. Indeed, sometimes, they recommend exactly the opposite: sometimes, they recommend hastening human extinction. Many, though not all, will take this as a reductio of the consequentialism or the axiology of the argument. I remain agnostic on the conclusion we should draw. (shrink)

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. To illustrate this point, let us consider the following: > A is an acclaimed oboist, for whom the practice and performance of music has brought deep joy throughout their adult life. A, however, develops a condition which will not only cause the rapid loss of their manual dexterity and capacity to hear, but will also certainly be fatal within the year. Suppose further that Drug Z, if taken now, will slow the loss of A ’s dexterity and hearing, but will hasten their demise by a number of months. > > A considers the choice of whether or not to take the drug. A believes that they have had a long and joyful life, but would, all else equal, like to spend as much time as possible with their family. However, A also understands that, without the capacity to enjoy the music which has been central to their life, that those remaining months would likely be joyless in a meaningful way. Taking this background, let us consider the first of A ’s options: to prioritise retaining their ability to enjoy music, and, therefore, to take the drug. Within this branch of the choice, there are two potential future selves: call these …. (shrink)

Human obsolescence is imminent. We are living through an era in which our activity is becoming less and less relevant to our well-being and to the fate of our planet. This trend toward increased obsolescence is likely to continue in the future, and we must do our best to prepare ourselves and our societies for this reality. Far from being a cause for despair, this is in fact an opportunity for optimism. Harnessed in the right way, the technology that hastens (...) our obsolescence can open us up to new utopian possibilities and enable heightened forms of human flourishing. (shrink)

Eyal et al have recently argued that researchers should consider conducting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) human challenge studies to hasten vaccine development. We have conducted (J. L.) and overseen (L. D.) human challenge studies and agree that they can be useful in developing anti-infective agents. We also agree that adults can autonomously choose to undergo risks with no prospect of direct benefit to themselves. However, we disagree that SARS-CoV-2 challenge studies are ethically appropriate at this time, for (...) 3 reasons: (1) current scientific knowledge of SARS-CoV-2 infection is insufficient to manage risks; (2) autonomous decision making, while necessary, does not override concerns about risk; and (3) undertaking challenge studies now would imperil confidence in the research enterprise, potentially undermining the global response to the coronavirus disease 2019 (COVID-19) pandemic. (shrink)

Spatially situated opinions that can be held with different degrees of conviction lead to spatiotemporal patterns such as clustering (homophily), polarization, and deadlock. Our goal is to understand how sensitive these patterns are to changes in the local nature of interactions. We introduce two different mixing mechanisms, spatial relocation and nonlocal interaction (“telephoning”), to an earlier fully spatial model (no mixing). Interestingly, the mechanisms that create deadlock in the fully spatial model have the opposite effect when there is a sufficient (...) amount of mixing. With telephoning, not only is polarization and deadlock broken up, but consensus is hastened. The effects of mixing by relocation are even more pronounced. Further insight into these dynamics is obtained for selected parameter regimes via comparison to the mean-field differential equations. (shrink)

The U.S. Supreme Court's majority opinion in Vacco v. Quill assumes that the principle of double effect explains the permissibility of hastening death in the context of ordinary palliative care and in extraordinary cases in which painkilling drugs have failed to relieve especially intractable suffering and terminal sedation has been adopted as a last resort. The traditional doctrine of double effect, understood as providing a prohibition on instrumental harming as opposed to incidental harming or harming asa side effect, must (...) be distinguished from other ways in which the claim that a result is notintended might be offered as part of ajustification for it. Although double effectmight appropriately be invoked as a constrainton ordinary palliative care, it is not clearthat it can be coherently extended to justifysuch practices as terminal sedation. A betterapproach would reconsider double effect'straditional prohibition on hastening death as ameans to relieve suffering in the context ofacute palliative care. (shrink)

There has been much debate regarding the 'double-effect' of sedatives and analgesics administered at the end-of-life, and the possibility that health professionals using these drugs are performing 'slow euthanasia.' On the one hand analgesics and sedatives can do much to relieve suffering in the terminally ill. On the other hand, they can hasten death. According to a standard view, the administration of analgesics and sedatives amounts to euthanasia when the drugs are given with an intention to hasten death. In this (...) paper we report a small qualitative study based on interviews with 8 Australian general physicians regarding their understanding of intention in the context of questions about voluntary euthanasia, assisted suicide and particularly the use of analgesic and sedative infusions (including the possibility of voluntary or non-voluntary 'slow euthanasia'). We found a striking ambiguity and uncertainty regarding intentions amongst doctors interviewed. Some were explicit in describing a 'grey' area between palliation and euthanasia, or a continuum between the two. Not one of the respondents was consistent in distinguishing between a foreseen death and an intended death. A major theme was that 'slow euthanasia' may be more psychologically acceptable to doctors than active voluntary euthanasia by bolus injection, partly because the former would usually only result in a small loss of 'time' for patients already very close to death, but also because of the desirable ambiguities surrounding causation and intention when an infusion of analgesics and sedatives is used. The empirical and philosophical implications of these findings are discussed. (shrink)

In the beginning of the COVID pandemic, researchers and bioethicists called for human challenge trials to hasten the development of a vaccine for COVID. However, the fact that we lacked a specific, highly effective treatment for COVID led many to argue that a COVID challenge trial would be unethical and we ought to pursue traditional phase III testing instead. These ethical objections to challenge trials may have slowed the progress of a COVID vaccine, so it is important to evaluate their (...) merit. One common way of doing so is to make an analogy to other social practices that are relevantly similar and which we currently sanction. We submit that non-directed live organ donation (NDLOD) is a promising analogy. After arguing that the risks to volunteers for each activity appear similar, we explore potential disanalogies that would undermine the comparison. We note that there are differences in both the kind and certainty of benefit secured by NDLOD compared to challenge trials. We conclude these differences are insufficient to make NDLOD permissible and challenge trials impermissible. Ultimately, if we think the risks associated with NDLOD are ethically permissible, then we should think the same of the risks associated with COVID challenge trials. (shrink)

The recent social crisis in Brazil has given political players of a certain leaning the excuse they needed to make political maneuvers of a suspicious nature. Backed by corporations, the mainstream media and agribusiness, such measures, which have also been called “reforms,” have been hastened by members of the legislature in collusion with the highest-ranking government leaders. Their scheme was hatched at the height of the crisis of President Dilma’s government and culminated with her impeachment. Shortly after the usurpation of (...) the executive branch, much of the Brazilian public began to perceive it as a farce created by the privileged classes with the ideological support of the mass media. In light of this context, the goal of this paper is to reflect critically on the Brazilian scenario, endorsing alternative interpretations to those espoused by the mainstream media. The paper begins with the problematization of the concept of crisis in Bobbio (2004) and Santos (2007) in order to gain insight into the reasons behind of the offensive waged by the privileged classes in command of Brazil. Next the paper examines the concept of conscientization found in Gramsci (2011) and Freire (2006), which interprets knowledge as a means to resist oppression via political engagement. The paper concludes by recovering the concept of politics from the outworn view of it as an art to the understanding of politics, per Arendt (2002), as an instrument of humanization and social inclusion. (shrink)

Central elements of Roman Catholic treatment ethics include: 1) that rejection of treatment with the intent of hastening death (even for a good end) is ethically equivalent to active euthanasia with the same intent; 2) a distinction between morally obligatory “ordinary” treatment and morally optional “extraordinary treatment”; 3) that the quality of the patient’s life is not be a legitimate basis for rejecting treatment; and 4) that extraordinary treatment is not forbidden, but optional, and that it is the patient (...) or the patient’s legal surrogate–not the doctor– who has the right to choose or reject it. Despite these principles, even in a cultural climate fully sympathetic to Catholic treatment ethics, it is appropriate as a legal matter to maintain the doctrine of informed consent under which it is possible for patients or their surrogates to reject life-preserving treatment, including for unethical reasons. It is normally impossible to enforce in practice in the external forum a differentiation between rejection of treatment for ethically acceptable and ethically unacceptable reasons. By contrast, in cases of direct killing, such as assisting suicide, the intent to cause death is unmistakable (as opposed to accepting an increased risk of death as a foreseeable but unintended consequence of pursuing a good end). In a pluralistic society Catholic ethics cannot be legislatively enforced on the ground that they are compelled by Catholic teaching. However, the basic principles of Catholic treatment ethics may be justified based on logic and widely accepted norms of human equality independently of revelation or ecclesiastical authority. Particularly in protecting the right of individuals to choose and obtain life-saving medical treatment regardless of their “quality of life,” and in suicide prevention, secular law can and should be congruent with key aspects of Catholic health care ethics. (shrink)

The bi-polar confrontation between the Soviet Union and the USA involved many leading game theorists from both sides of the Iron Curtain: Oskar Morgenstern, John von Neumann, Michael Intriligator, John Nash, Thomas Schelling and Steven Brams from the United States and Nikolay Vorob’ev, Leon A. Petrosyan, Elena B. Yanovskaya and Olga N. Bondareva from the Soviet Union. The formalization of game theory took place prior to the Cold War but the geopolitical confrontation hastened and shaped its evolution. In our article (...) we outline four similarities and differences between Western GT and Soviet GT: 1) the Iron Curtain resulted in a lagged evolution of GT in the Soviet Union; 2) Soviet GT focused more on operations research and issues of centralized planning; 3) the contemporary Western view on Soviet GT was biased and Soviet contributions, including works on dynamic stability, non-emptiness of the core and many refinements, suggest that Soviet GT was able to catch up to the Western level relatively fast; 4) international conferences, including Vilnius, 1971, fostered interaction between Soviet game theorists and their Western colleagues. In general, we consider the Cold War to be a positive environment for GT in the West and in the Soviet Union. (shrink)

Euthanasia and the duty to die have both been thoroughly discussed in the field of bioethics as morally justifiable practices within medical healthcare contexts. The existence of a narrow connection between both could also be established, for people having a duty to die should be allowed to actively hasten their death by the active means offered by euthanasia. Choosing the right time to end one’s own life is a decisive factor to retain autonomy at the end of our lives. However, (...) there is no definitive consensus on why physicians should be the ones performing the medical procedure to end a person’s life. The moral problems arising from such assertion are not to be taken lightly, for medical tradition has long regarded the duty not to kill, not to actively end a patient’s life, as the core moral obligation that gives meaning to the medical profession. Our concern is to question the moral justifiability of the arguments offered by physicians not to actively help patients die. (shrink)

Relying on euthanasia’s definitionally derived set of propositions to provide its purpose, claims, and benefit, we obtain the core concept. Nonetheless, given its core concept, euthanasia is demonstrated to provide no benefit to the animal to justify its use. Euthanasia 1) cannot possibly, and therefore does not, end unbearable suffering, 2) it fails to hasten death, and 3) it, therefore, provides no perceptible relief to the patient. These findings are significant because the argument’s validity does not permit euthanasia to satisfy (...) its definitionally derived purpose, claims, or benefit on logical grounds. In other words, the argument is that as a form of legalized assisted suicide, euthanasia is wrong but not in the way principled arguments would suggest. Additionally, irrespective of euthanasia actually doing what it claims, if it is allowed to be provisioned, then euthanasia will affect vulnerable populations exactly like nonprincipled arguments claim. Therefore, despite sharing aspects with each type of argument in the extant literature, my argument against euthanasia can be categorized as neither principled nor nonprincipled, which makes it significant because it may be the first of a new category of argument against the concept and practice to enter the discourse on euthanasia. As a corollary, since we prove that unbearable suffering logically entails death, when it is authentic signifying that death is imminent, because euthanasia’s only purpose is to end unbearable suffering by inducing death, euthanasia is completely obviated. (shrink)

In this paper I shall argue in Section II that two of the standard arguments that have been put forth in support of Einstein’s Special Theory of Relativity do not support that theory and are quite compatible with what might be called an updated and perhaps even an enlightened Newtonian view of the Universe. This view will be presented in Section I. I shall call it the neo-Newtonian Theory, though I hasten to add there are a number of things in (...) it that Newton would not accept, though perhaps Galileo might have. Now there may be other arguments and/or pieces of empirical evidence which support the Special Theory of Relativity and cast doubt upon the neo-Newtonian view. Nevertheless, the two that I am going to examine are usually considered important. It might also be claimed that the two arguments that I am going to examine have only heuristic value. Perhaps this is so but they are usually put forward as supporting the Special Theory and refuting the neo-Newtonian Theory. Again I must stress that it is not my aim to cast any doubt on the Special Theory of Relativity nor on Einstein. His Special Theory and his General Theory stand at the zenith of human achievement. My only aim is to cast doubt on the assumption that the two arguments I examine support the Special Theory. (shrink)

We know that Homo sapiens will not exist forever. Given this, how should our species end? What are the reasons, if any, to delay our extinction? In this paper, I show that the pre-eminent reasons which favour prolonging the existence of the species are partial: they will arise from the particular attachments and projects of the final few generations. While there may also be impartial reasons to prolong the species, these reasons are liable, with time, to reverse their valence: we (...) can be reasonably confident that they will ultimately recommend hastening the demise of the species. Consequently, it is likely that our descendants will eventually face a difficult -- possibly tragic -- conflict, between partial duties that recommend living on, and an impartial duty to extinguish the species. (shrink)

This chapter constructs the argument that corporate and political policies known to accelerate anthropogenic global warming, and subsequent climate change, constitute crimes against humanity—predicated on failures to avoid reasonably foreseeable threats to sustained human existence. Given the moral gravity of crimes against humanity it follows that financial divestment is ethically obligatory for institutions wishing to avoid moral association. The moral case for fossil fuel divestment, in the wake of such crimes, derives from (a) the ethical implications of negative responsibility, or (...) what constitutes culpability by omission; (b) institutional collaboration based upon immediate financial interests tied to climate inaction; and (c) institutional complicity derived from financial support of corporate behaviors that hasten global warming. Possible objections are examined and refuted. (shrink)