David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medicine and Philosophy 35 (2):101-129 (2010)
The structure of our ethical experience depends, crucially, on a fundamental distinction between what we are responsible for doing or deciding and what is given to us. As such, the boundary between chance and choice is the spine of our conventional morality, and any serious shift in that boundary is thoroughly dislocating. Against this background, I analyze the way in which techniques of prenatal genetic diagnosis (PGD) pose such a fundamental challenge to our conventional ideas of justice and moral responsibility. After a short description of the situation, I first examine the influential luck egalitarian theory of justice, which is based on the distinction between choice and luck or, more specifically, between option luck and brute luck, and the way in which it would approach PGD (section II), followed by an analysis of the conceptual incoherencies (in section III) and moral problems (in section IV) that come with such an approach. Put shortly, the case of PGD shows that the luck egalitarian approach fails to express equal respect for the individual choices of people. The paradox of the matter is that by overemphasizing the fact of choice as such, without regard for the social framework in which they are being made, or for the fundamental and existential nature of particular choices—like choosing to have children and not to undergo PGD or not to abort a handicapped fetus—such choices actually become impossible
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
Elizabeth S. Anderson (1999). What is the Point of Equality? Ethics 109 (2):287-337.
Richard J. Arneson (1989). Equality and Equal Opportunity for Welfare. Philosophical Studies 56 (1):77 - 93.
Kurt Bayertz (2003). Human Nature: How Normative Might It Be? Journal of Medicine and Philosophy 28 (2):131 – 150.
G. A. Cohen (1989). On the Currency of Egalitarian Justice. Ethics 99 (4):906-944.
Yvonne Denier (2005). On Personal Responsibility and the Human Right to Healthcare. Cambridge Quarterly of Healthcare Ethics 14 (02):224-234.
Citations of this work BETA
A. E. Hinkley (2010). Genetic Testing, Conscientious Refusal of Medical Treatment to Children, and Organ Donation: An Introduction. Journal of Medicine and Philosophy 35 (2):81-85.
Similar books and articles
Peter Vallentyne (2003). Brute Luck Equality and Desert. In Sabrina Olsaretti (ed.), Desert and Justice. Clarendon Press.
Will Barrett (2006). Luck and Decision. Journal of Applied Philosophy 23 (1):73–87.
Ryan Long (2011). The Incompleteness of Luck Egalitarianism. Social Philosophy Today 27:87-96.
Timothy Hinton (2002). Choice and Luck in Recent Egalitarian Thought. Philosophical Papers 31 (2):145-167.
Kristin Voigt (2007). The Harshness Objection: Is Luck Egalitarianism Too Harsh on the Victims of Option Luck? [REVIEW] Ethical Theory and Moral Practice 10 (4):389 - 407.
Carl Knight (2011). Inequality, Avoidability, and Healthcare. Iyyun 60:72-88.
Peter Vallentyne (2006). Hurley on Justice and Responsibility. [REVIEW] Philosophy and Phenomenological Research 72 (2):433 - 438.
H. De Schutter & L. Ypi (2012). Language and Luck. Politics, Philosophy and Economics 11 (4):357-381.
Martin E. Sandbu (2004). On Dworkin’s Brute-Luck–Option-Luck Distinction and the Consistency of Brute-Luck Egalitarianism. Politics, Philosophy and Economics 3 (3):283-312.
Gideon Elford (2013). Equality of Opportunity and Other-Affecting Choice: Why Luck Egalitarianism Does Not Require Brute Luck Equality. [REVIEW] Ethical Theory and Moral Practice 16 (1):139-149.
Added to index2010-07-27
Total downloads14 ( #110,445 of 1,096,880 )
Recent downloads (6 months)3 ( #106,891 of 1,096,880 )
How can I increase my downloads?