Since Mill's seminal work On Liberty, philosophers and political theorists have accepted that we should respect the decisions of individual agents when those decisions affect no one other than themselves. Indeed, to respect autonomy is often understood to be the chief way to bear witness to the intrinsic value of persons. In this book, Sarah Conly rejects the idea of autonomy as inviolable. Drawing on sources from behavioural economics and social psychology, she argues that we are so often irrational in (...) making our decisions that our autonomous choices often undercut the achievement of our own goals. Thus in many cases it would advance our goals more effectively if government were to prevent us from acting in accordance with our decisions. Her argument challenges widely held views of moral agency, democratic values and the public/private distinction, and will interest readers in ethics, political philosophy, political theory and philosophy of law. (shrink)

Too often, we as individuals do things that harm us, that seriously interfere with our being able to live in the way that we want. We eat food that makes us obese, that promotes diabetes, heart failure and other serious illness, while at the same time, we want to live long and healthy lives. Too many of us smoke cigarettes, even while acknowledging we wish we had never begun. We behave in ways that undercut our ability to reach some of (...) our most valued goals, despite education and despite incentives to choose the right thing. What should be done?If I were to try to harm someone else in a way that alters his future seriously and perhaps irrevocably for the worse, I would be stopped. When it comes to hurting myself, though, we have a common belief that it is wrong to interfere, even if I foresee that I will very much regret what I have done, often when it is too late to fix what I have let happen. I think this makes no sense. If it is permissible, even obligatory, to stop me when I do something that seriously interferes with someone else's chances of achieving the life he wants, I think …. (shrink)

A compelling argument for the morality of limitations on procreation in lessening the harmful environmental effects of unchecked populationWe live in a world where a burgeoning global population has started to have a major and destructive environmental impact. The results, including climate change and the struggle for limited resources, appear to be inevitable aspects of a difficult future. Mandatory population control might be a possible last resort to combat this problem, but is also a potentially immoral and undesirable violation of (...) human rights. Since so many view procreation as an essential component of the right to personal happiness and autonomy, the dominant view remains that the government does not have the right to impose these restrictions on its own citizens, for the sake of future people who have yet to exist.Sarah Conly is first to make the contentious argument that not only is it wrong to have more than one child in the face of such concerns, we do not even retain the right to do so. In One Child, Conly argues that autonomy and personal rights are not unlimited, especially if one's body may cause harm to anyone, and that the government has a moral obligation to protect both current and future citizens. Conly gives readers a thought-provoking and accessible exposure to the problem of population growth and develops a credible view of what our moral obligations really are, to generations present and future. (shrink)

I argue that it can be morally permissible to coerce people into doing what is good for their own health. I discuss recent initiatives in New York City that are designed to take away certain unhealthy options from local citizens, and argue that this does not impose on them in unjustifiable ways. Good paternalistic measures are designed to promote people's long-term goals, and to prevent them from making short-term decisions that interfere with reaching those, and New York's attempts to ban (...) the sale of sugary drinks larger than 16 ounces and the use of trans fats fall within those parameters. Given our tendency to cognitive bias, we need help in making choices that truly instantiate our values. (shrink)

In Tess of the d’Urbervilles, the innocent Tess is the object of Alec d’Urberville’s dishonorable intentions. Alec uses every wile he can think of to seduce the poor and ignorant Tess, who works keeping hens in his mother’s house: he flatters her, he impresses her with a show of wealth, he gives help to her family to win her gratitude, and he reacts with irritation and indignation when she nonetheless continues to repulse his advances, causing her to feel shame at (...) her own ingratitude and confusion as to what is right. Tess, anchored both by her own sense of virtue and her distrust of Alec’s character, continues to hold out until one fatal night when, through Alec’s machinations, they are lost together in a wood. At Tess’s insistence Alec leaves her to scout out the path home. When he returns, he finds her asleep under a tree. Hardy does not go into detail at this critical juncture. Rather, he reflects “why it was that upon this beautiful feminine tissue, sensitive as gossamer, and practically blank as snow as yet, there should have been traced such a coarse pattern as it was doomed to receive; why so often the coarse appropriates the finer thus, the wrong man the woman, the wrong woman the man, many thousand years of analytical philosophy have failed to explain to our sense of order.”. (shrink)

The right to health care is a right to care that is not too costly to the provider, considering the benefits it conveys, and is effective in bringing about the level of health needed for a good human life, not necessarily the best health possible. These considerations suggest that, where possible, society has an obligation to provide preventive health care, which is both low cost and effective, and that health care regulations should promote citizens’ engagement in reasonable preventive health care (...) practices. (shrink)

It has apparently become fashionable of late to criticize utilitarianism for what is thought to be, in a word, its insensitivity. Utilitarianism is said to ignore the complexities of character of its agents, and because of this to impose upon them a burden they cannot well bear—a failure which, in the end, renders the adoption of the utilitarian goal fundamentally unappealing, since the more utilitarian agents try to maximize utility the more happiness is destroyed. More traditional criticisms have, of course, (...) centered around the issue of rights, obligations, and justice. The claim that utilitarianism must tolerate such unappealing practices as the punishment of the innocent has led many to reject it. At the same time, of course, perhaps just as many have defended it, demonstrating that no form of utilitarianism would allow much of this; some forms would allow none of it; and that lastly, and most importantly, it is question-begging to reject the theory for failing to acknowledge the existence of a thing when it is the very aim of that theory to call that existence into question. The debate over justice, although stirring, has often seemed destined to end in stale-mate. (shrink)

I am grateful to the Journal of Medical Ethics for asking these critics to discuss my book, and am grateful to each of the critics themselves for raising interesting and often difficult issues for me to think about.Alan Wertheimer makes a number of good points. One of the most significant, to me, is how paternalism might function at what I will call an institutional level. In my book, I endorse paternalistic actions by the state, when the cost benefit analysis justifies (...) that. I have not supported paternalistic interventions by private individuals, though. For one thing, private individuals will make decisions without public input, and without their justification being examined by experts in the field, and for these reasons they are too likely to make mistakes as to when intervention is appropriate. For another, the interventions by random individuals haranguing us about our failure to eat our broccoli is likely to drive us crazy—unexpected interference from people with no particular authority will give us just that sense of harassment I say paternalists need to avoid.However, between the public, authorised actions of a democratic state and the private actions of individuals with no authority lies the significant area of non-state institutions. Such institutions develop regulations and standards their members are expected to act in accordance with, and these in turn can have a significant impact on private persons. Of course, there have also been legal actions, notably court decisions, that have played a role here, but much of the specific interpretation of things like consent has been determined by the medical community developing what it believes to be an appropriate ethic for itself. And we know, here, that in recent years there has been a movement away from the paternalism that was once common, and a reorientation towards respect for …. (shrink)

This is a really good book. Brettschneider’s When the State Speaks is both provocative and persuasive, resolving a stubborn conflict within democratic theory in a way many will initially reject, but which he argues for so effectively that, by the end, the controversial appears the commonsensical.The problem Brettschneider addresses is one with which we are all familiar. In democracies we believe in the right to free speech. We believe that this right is implied by the underlying principles of democracy, and (...) believe that the exercise of this right is essential for democracy to function. We are presented with a conflict when some people use their right to free speech to advocate values that are contradictory to democracy: to argue that not everyone should be allowed to speak, to argue that not all citizens are equal, to argue that some people should be discriminated against for reasons of race, religion, sex, or other distinctions that, in a democracy, we hold to be irrelevant. The probl. (shrink)

Critics have argued that utilitarians, by the very nature of the system they endorse, cannot maintain their integrity; and that they cannot, in the end, be individuals of the sort human beings want to be. In my dissertation I explore this criticism and argue that utilitarianism need not endanger integrity, that it need not undercut autonomy, and that it need not deny individuality of any sort. ;Bernard Williams is the major proponent of this criticism. Williams argues that a utilitarian cannot (...) maintain the commitment to projects and principles which is necessary for a person to be an individual. He cannot have what Williams calls "ground projects," projects which are so central to him that they are what give point to his life. The reasons Williams gives for this are varied, and the connections between his various criticisms are not always clear. In the thesis I first analyze the arguments Williams uses against utilitarianism. I show that Williams' arguments that a utilitarian cannot have ground projects depends on a false assumption about the emotional attachment required for a person to be committed to his projects in a way that individuates. I argue that Williams demands an emotional attachment that blinds one to rational consideration, in a way that we will find unacceptable. ;Williams offers an account of individuality which claims that utilitarianism does not allow the proper sort of emotional attachment to projects because it is too necessarily rational a system. W. D. Falk, on the contrary, offers a theory which if correct will show utilitarianism to be an insufficiently rational system. Falk argues that any moral system which declares that there are universal moral rules by which all people's behavior should be regulated undercuts the autonomy of the agents to whom it dictates. If one is to be autonomous, one must do only what one has reason to do. An agent has reason to do something only if he would be motivated to do it upon reflection. If utilitarianism does not motivate some particular agent, that agent, in order to preserve rationality and autonomy, ought not to follow utilitarianism. ;In response to these criticisms I suggest a more plausible notion of individuality which requires neither irrational emotional attachment nor Falk's subjective standard of rational choice. I then advocate a modified form of utilitarianism which does not pose the dangers to individuality which traditional forms of utilitarianism may. In this version, we broaden the notion of utility so that our evaluative beliefs are of special importance in our determination of what things have utility. When utility-maximization is construed in this way it does not pose special dangers for individuality. (shrink)