A collection celebrating some of the best essays from the Blackwell journals, Bioethics and Developing World Bioethics. Contributors include Helga Kuhse, Michael Selgelid and Baroness Mary Warnock, former Chair of the British Government’s Committee of Inquiry into Human Fertilization and Embryology’s. Traces some of the most important concerns of the 1980s, such as the ethics of euthanasia, reproductive technologies, the allocation of scarce medical resources, surrogate motherhood, through to a range of new issues debated today, particularly in the field of (...) genetics. Includes contributions that are still as hotly debated today as they were 20 years ago and serves as a salutary reminder that free and open discussion is vital to the health of the discipline itself. Includes eight sections comprising some of the journals' best publications in methodological issues, the health care professional-patient relationship, public health ethics, research ethics, genetics, as well as beginning- and end-of-life issues. Will serve the academic bioethicists as well as students of bioethics as an excellent source book. (shrink)
Healthcare professionals’ capacity to protect themselves, while caring for infected patients during an infectious disease pandemic, depends on their ability to practise universal precautions. In turn, universal precautions rely on the availability of personal protective equipment. During the SARS-CoV2 outbreak many healthcare workers across the globe have been reluctant to provide patient care because crucial PPE components are in short supply. The lack of such equipment during the pandemic was not a result of careful resource allocation decisions in the global (...) north, where the short supply could be explained through their high cost. Instead, they were the result of democratically elected governments prioritising low tax regimes over an adequate resourcing of their healthcare delivery systems. Such decisions were made despite global health experts warning about the high probability of pandemics like SARS-CoV2 occurring during our lifetimes. Avoidable allocation decisions by democratically elected political leaders resulted in a lack of sufficient PPE for healthcare professionals. After discussing and discounting various ethical arguments in support of a professional obligation to treat, even without or with suboptimal PPE, I conclude that these policy decisions were sufficiently grave that they provide a sound ethical rationale to justify healthcare workers’ refusal to provide care to infected patients. (shrink)
The Early Modern Subject explores the understanding of self-consciousness and personal identity--two fundamental features of human subjectivity--as it developed in early modern philosophy. Udo Thiel presents a critical evaluation of these features as they were conceived in the seventeenth and eighteenth centuries. He explains the arguments of thinkers such as Descartes, Locke, Leibniz, Wolff, and Hume, as well as their early critics, followers, and other philosophical contemporaries, and situates them within their historical contexts. Interest in the issues of self-consciousness and (...) personal identity is in many ways characteristic and even central to early modern thought, but Thiel argues here that this is an interest that continues to this day, in a form still strongly influenced by the conceptual frameworks of early modern thought. In this book he attempts to broaden the scope of the treatment of these issues considerably, covering more than a hundred years of philosophical debate in France, Britain, and Germany while remaining attentive to the details of the arguments under scrutiny and discussing alternative interpretations in many cases. (shrink)
Knowing that technologies are inherently value-laden and systemically interwoven with society, the question is how individual engineers can take up the challenge of accepting the responsibility for their work? This paper will argue that engineers have no institutional structure at the level of society that allows them to recognize, reflect upon, and actively integrate the value-laden character of their designs. Instead, engineers have to tap on the different institutional realms of market, science, and state, making their work a ‘hybrid’ activity (...) combining elements from the different institutional realms. To deal with this institutional hybridity, engineers develop routines and heuristics in their professional network, which do not allow societal values to be expressed in a satisfactory manner. To allow forms of ‘active’ responsibility, there have to be so-called ‘accountability forums’ that guide moral reflections of individual actors. The paper will subsequently look at the methodologies of value-sensitive design and constructive technology assessment and explore whether and how these methodologies allow engineers to integrate societal values into the design technological artifacts and systems. As VSD and CTA are methodologies that look at the process of technological design, whereas the focus of this paper is on the designer, they can only be used indirectly, namely as frameworks which help to identify the contours of a framework for active responsibility of engineers. (shrink)
This paper makes a conceptual inquiry into the notion of ‘publics’, and forwards an understanding of this notion that allows more responsible forms of decision-making with regards to technologies that have localized impacts, such as wind parks, hydrogen stations or flood barriers. The outcome of this inquiry is that the acceptability of a decision is to be assessed by a plurality of ‘publics’, including that of a local community. Even though a plurality of ‘publics’ might create competing normative demands, its (...) acknowledgment is necessary to withstand the monopolization of the process of technology appraisal. The paper presents four ways in which such an appropriation of publicness takes place. The creation of dedicated ‘local publics’, in contrast, helps to overcome these problems and allows for more responsible forms of decision-making. We describe ‘local publics’ as those in which stakeholders from the different publics that are related to the process of technology implementation are brought together, and in which concerns and issues from these publics are deliberated upon. The paper will present eight conditions for increasing the effectiveness of such ‘local publics’. (shrink)
Emotions are often met with suspicion in political debates about risky technologies, because they are seen as contrary to rational decision making. However, recent emotion research rejects such a dichotomous view of reason and emotion, by seeing emotions as an important source of moral insight. Moral emotions such as compassion and feelings of responsibility and justice can play an important role in judging ethical aspects of technological risks, such as justice, fairness, and autonomy. This article discusses how this idea can (...) be integrated into approaches for political decision making about risk. The article starts with an analysis of the dichotomous view of reason and emotion in risk theory, in approaches to participatory risk assessment as well as in relevant approaches to political philosophy. This article then presents alternative approaches in political philosophy and political theory that do explicitly endorse the importance of emotions. Based on these insights, a procedural approach for policy making is presented, in which emotional responses to technological risks, and the ethical concerns that lie behind them, are taken seriously. This approach allows for morally better political decisions about risky technologies and a better understanding between experts and laypeople. (shrink)
According to some philosophers of technology, technology embodies moral values in virtue of its functional properties and the intentions of its designers. But this paper shows that such an account makes the values supposedly embedded in technology epistemically opaque and that it does not allow for values to change. Therefore, to overcome these shortcomings, the paper introduces the novel Affordance Account of Value Embedding as a superior alternative. Accordingly, artefacts bear affordances, that is, artefacts make certain actions likelier given the (...) circumstances. Based on an interdisciplinary perspective that invokes recent moral anthropology, I conceptualize affordances as response-dependent properties. That is, they depend on intrinsic as well as extrinsic properties of the artefact. We have reason to value these properties. Therefore, artefacts embody values and are not value-neutral, which has practical implications for the design of new technologies. (shrink)
Ever-increasing numbers of human interactions with intelligent software agents, online and offline, and their increasing ability to influence humans have prompted a surge in attention toward the concept of (online) manipulation. Several scholars have argued that manipulative influence is always hidden. But manipulation is sometimes overt, and when this is acknowledged the distinction between manipulation and other forms of social influence becomes problematic. Therefore, we need a better conceptualisation of manipulation that allows it to be overt and yet clearly distinct (...) from related concepts of social influence. I argue that manipulation is careless influence, show how this account helps to alleviate the shortcomings of the hidden influence view of manipulation, and derive implications for digital ethics. (shrink)
Social media use is soaring globally. Existing research of its ethical implications predominantly focuses on the relationships amongst human users online, and their effects. The nature of the software-to-human relationship and its impact on digital well-being, however, has not been sufficiently addressed yet. This paper aims to close the gap. I argue that some intelligent software agents, such as newsfeed curator algorithms in social media, manipulate human users because they do not intend their means of influence to reveal the user’s (...) reasons. I support this claim by defending a novel account of manipulation and by showing that some intelligent software agents are manipulative in this sense. Apart from revealing a priori reason for thinking that some intelligent software agents are manipulative, the paper offers a framework for further empirical investigation of manipulation online. (shrink)
This chapter defends the view that manipulated behaviour is explained by an injustice. Injustices that explain manipulated behaviour need not involve agential features such as intentionality. Therefore, technology can manipulate us, even if technological artefacts like robots, intelligent software agents, or other ‘mere tools’ lack agential features such as intentionality. The chapter thus sketches a comprehensive account of manipulated behaviour related to but distinct from existing accounts of manipulative behaviour. It then builds on that account to defend the possibility that (...) we are being manipulated by technology. (shrink)
More and more researchers argue that online technologies manipulate human users and, therefore, undermine their autonomy. We call this the MAL view on online technology because it argues from Manipulation to Autonomy-Loss. MAL enjoys public visibility and will shape the academic discussion to come. This view of online technology, however, fails conceptually. MAL presupposes that manipulation equals autonomy loss, and that autonomy is the absence of manipulation. That is mistaken. In short, an individual can be manipulated while being fully personally (...) autonomous. Internet policy researchers should be aware of this point to avoid looking in the wrong place in future research on manipulative and harmful online technology. (shrink)
The standard way to test alternative descriptive theories of moral judgment is by asking subjects to evaluate sacrificial dilemmas, where acting classifies as a utilitarian moral judgment and not acting classifies as a deontological moral judgment. Previous research uncovered many situational factors that alter subject’s moral judgments without affecting which type of action utilitarianism or deontology would recommend. This literature review provides a systematic analysis of the experimental literature on the influence of situational factors on moral judgments in sacrificial dilemmas. (...) It analyses 53 articles in detail and reports mean effect sizes, as well as operationalizations, for 36 situational factors that significantly influence moral judgment. Moreover, the review discusses how the impact of situational factors relates to a dual process theory of moral judgment. It supports the view that utilitarian judgments are driven by controlled cognitive processes and shows that the drivers of deontological judgments depend on valence. (shrink)
Are we being manipulated online? If so, is being manipulated by online technologies and algorithmic systems notably different from human forms of manipulation? And what is under threat exactly when people are manipulated online? This volume provides philosophical and conceptual depth to debates in digital ethics about online manipulation. The contributions explore the ramifications of our increasingly consequential interactions with online technologies such as online recommender systems, social media, user-friendly design, micro-targeting, default-settings, gamification, and real-time profiling. The authors in this (...) volume address four broad and interconnected themes: • What is the conceptual nature of online manipulation? And how, methodologically, should the concept be defined? • Does online manipulation threaten autonomy, freedom, and meaning in life, and if so, how? • What are the epistemic, affective, and political harms and risks associated with online manipulation? • What are legal and regulatory perspectives on online manipulation? The Philosophy of Online Manipulation brings these various considerations together to offer philosophically robust answers to critical questions concerning our online interactions with one another and with autonomous systems. It will be of interest to researchers and advanced students working in moral philosophy, digital ethics, philosophy of technology, and the ethics of manipulation. (shrink)
This article argues that manipulation is negligent influence. Manipulation is negligent in the sense that manipulators do not chose their method of influence because for its potential to reveal reasons to their victims. Thus, manipulation is a lack of care, or negligence, exclusively understood exclusively in terms of how one influences. That makes the proposed account superior to the most influential alternative, which analyses manipulation disjunctively as violation of several distinct types of norms. The implication is a paradigm shift in (...) understanding manipulation in terms of what manipulators intend to do toward a focus on what they fail to do or intend. (shrink)
This book offers a systematic look at current challenges in moral epistemology through the lens of research on higher-order evidence. Fueled by recent advances in empirical research, higher-order evidence has generated a wealth of insights about the genealogy of moral beliefs. Higher-Order Evidence and Moral Epistemology explores how these insights have an impact on the epistemic status of moral beliefs. The essays are divided into four thematic sections. Part I addresses the normative significance of higher-order evidence for moral epistemology. Part (...) II covers the sources of higher-order evidence in moral epistemology, such as disagreement and moral testimony, for both individuals and groups. The essays in Part III discuss permissible epistemic attitudes regarding a body of moral evidence, including the question of how to determine the permissibility of such attitudes. Finally, Part IV examines the relevance of higher-order evidence for phenomena of practical concern, such as fundamentalist views about moral matters. This volume is the first to explicitly address the implications of higher-order evidence in moral epistemology. It will be of interest to researchers and advanced graduate students working in epistemology and metaethics. (shrink)
I make a case for distinguishing clearly between subjective and objective accounts of undercutting defeat and for rejecting a hybrid view that takes both subjective and objective elements to be relevant for whether or not a belief is defeated. Moderate subjectivists claim that taking a belief to be defeated is sufficient for the belief to be defeated; subjectivist idealists add that if an idealised agent takes a belief to be defeated then the belief is defeated. Subjectivist idealism evades some of (...) the objections levelled against moderate subjectivism but can be shown to yield inconsistent results in some cases. Both subjectivisms should be rejected. We should be objectivists regarding undercutting defeat. This requirement, however, is likely to be problematic for a popular interpretation of evolutionary debunking arguments in metaethics as it can be shown that existing objectivist accounts of defeat do not support such arguments. I end by discussing the constraints of developing such an account. (shrink)
Digital tracing technologies are heralded as an effective way of containing SARS-CoV-2 faster than it is spreading, thereby allowing the possibility of easing draconic measures of population-wide quarantine. But existing technological proposals risk addressing the wrong problem. The proper objective is not solely to maximise the ratio of people freed from quarantine but to also ensure that the composition of the freed group is fair. We identify several factors that pose a risk for fair group composition along with an analysis (...) of general lessons for a philosophy of technology. Policymakers, epidemiologists, and developers can use these risk factors to benchmark proposal technologies, curb the pandemic, and keep public trust. (shrink)
New network technologies are framed as eliminating ‘transaction costs’, a notion first developed in economic theory that now drives the design of market systems. However, the actual promise of the elimination of transaction costs seems unfeasible, because of a cyclical pattern in which network technologies that make that promise create processes of institutionalization that create new forms transaction costs. Nonetheless, the promises legitimize the exemption of innovations of network technologies from critical scrutiny.
Several moral objectivists try to explain the reliability of moral beliefs by appealing to a third factor, a substantive moral claim that explains, first, why we have the moral beliefs that we have and, second, why these beliefs are true. Folke Tersman has recently suggested that moral disagreement constrains the epistemic legitimacy of third-factor explanations. Apart from constraining third-factor explanations, Tersman’s challenge could support the view that the epistemic significance of debunking explanations depends on the epistemic significance of disagreement. This (...) paper aims to show that disagreement does not constrain the epistemic legitimacy of third-factor explanations in metaethics, and it suggests a way forward in addressing the view that debunking depends on disagreement. First, Tersman’s constraints are impossible to violate, given the assumption that the justification relation exhibits monotonicity. Second, some disagreements are irrelevant, given that they cannot be about beliefs whose reliability the objectivist seeks to defend. Third, actual disagreement about moral beliefs is implausible, given recent ethnographic findings. In light of this discussion, the paper shows that the prospects of the disagreement view depend on which moral beliefs objectivists need to defend and the criteria we use to assess epistemically relevant moral disagreement. (shrink)
Evolutionary debunking arguments purport to show that robust moral realism, the metaethical view that there are non-natural and mind-independent moral properties and facts that we can know about, is incompatible with evolutionary explanations of morality. One of the most prominent evolutionary debunking arguments is advanced by Sharon Street, who argues that if moral realism were true, then objective moral knowledge is unlikely because realist moral properties are evolutionary irrelevant and moral beliefs about those properties would not be selected for. However, (...) no evolutionary, causal explanation plays an essential role in reaching the argument’s epistemological conclusion. Street’s argument depends on the Benacerraf-Field challenge, which is the challenge to explain the reliability of our moral beliefs about causally inert moral properties. The Benacerraf-Field challenge relies on metaphysically necessary facts about realist moral properties, rather than on contingent Darwinian facts about the origin of our moral beliefs. Attempting to include an essential causal empirical premise yet avoiding recourse to the Benacerraf-Field problem yields an argument that is either self-defeating or of limited scope. Ultimately, evolutionary, causal explanations of our moral beliefs and their consequences do not present the strongest case against robust moral realism. Rather, the question is whether knowledge of casually-inert, mind-intendent properties is plausible at all. (shrink)
Moral philosophy continues to be enriched by an ongoing empirical turn,mainly through contributions from neuroscience, biology, and psychology. Thusfar, cultural anthropology has largely been missing. A recent and rapidly growing‘ethical turn’ within cultural anthropologynow explicitly and systematically studiesmorality. This research report aims to introduce to an audience in moral philosophyseveral notable works within the ethical turn. It does so by critically discussing theethical turn’s contributions to four topics: the definition of morality, the nature ofmoral change and progress, the truth of (...) moral relativism, and attempts to debunkmorality. The ethical turn uncovers a richer picture of moral phenomena on theintersubjective level, one akin to a virtue theoretic focus on moral character, withstriking similarities of moral phenomena across cultures. Perennial debates are notsettled but the ethical turn strengthens moral philosophy’s empirical turn and itrewards serious attention from philosophers. (shrink)
I address Andrew Moon's recent discussion (2016, this journal) of the question whether third-factor accounts are valid responses to debunking arguments against moral realism. Moon argues that third-factor responses are valid under certain conditions but leaves open whether moral realists can use his interpretation of the third-factor response to defuse the evolutionary debunking challenge. I rebut Moon's claim and answer his question. Moon's third-factor reply is valid only if we accept externalism about epistemic defeaters. However, even if we do, I (...) argue, the conditions Moon identifies for a valid third-factor response are not met in the case of moral realism. (shrink)
Evidence from biology and psychology suggests that our moral views depend on our evolutionary history. For example, if we humans would have evolved to live like hive bees, we would probably think very differently about moral questions such as whether we have a duty to care for our children. The findings from biology and psychology threaten to ‘debunk’ the justification of judgements about objective moral truths. Objective moral truths are always the same and they do not vary with our contingent (...) evolutionary history, whereas our moral judgements do. It has been argued that we, therefore, cannot tell right from wrong. In my thesis, I investigate the epistemology behind the evolutionary debunking of morality. Evolutionary explanations of morality, I argue, do not imply that our moral judgements are false. This leaves the possibility that evolution undercuts our (alleged) evidence for our moral judgements. Our evolutionarily influenced moral judgements might turn out to be unreliable guides to the moral truth, just like sight is a lousy guide to the external world in bad lighting conditions. However, I show that as long as we have reason to initially trust our moral beliefs, evolution does not provide us with reason to give up our moral beliefs. If evolution undercuts our moral beliefs, evolutionary considerations must show that true moral judgements do not qualify as knowledge because moral judgements are not cognitive achievements but comparable to lucky guesses. The thesis thus answers how empirical investigations of morality might have justificatory implications and the findings are relevant for deciding whether new factual information can alter how we think about right and wrong. (shrink)
What should I do? What can I hope for? The essays are weighted towards the practical philosophy, which Kant himself described as the keystone of his complete philosophical system.
A prominent view in contemporary philosophy of technology suggests that more technology implies more possibilities and, therefore, more responsibilities. Consequently, the question ‘What technology?’ is discussed primarily on the backdrop of assessing, assigning, and avoiding technology-borne culpability. The view is reminiscent of the Olympian gods’ vengeful and harsh reaction to Prometheus’ play with fire. However, the Olympian view leaves unexplained how technologies increase possibilities. Also, if Olympians are right, endorsing their view will at some point demand putting a halt to (...) technological development, which is absurd. Hence, we defend an alternative perspective on the relationship between responsibility and technology: Our Promethean view recognises technology as the result of collective, forward-looking responsibility and not only as a cause thereof. Several examples illustrate that technologies are not always the right means to tackle human vulnerabilities. Together, these arguments prompt a change in focus from the question ‘What technology?’ to ‘Why technology?’. (shrink)
Recent economic and political advances in developing countries on the African continent and South East Asia are threatened by the rising death and morbidity rates of HIV/AIDS. In the first part of this paper we explain the reasons for the absence of affordable access to essential AIDS medication. In the second part we take a closer look at some of the pivotal frameworks relevant for this situation and undertake an ethical analysis of these frameworks. In the third part we discuss (...) a few of the proposed solutions to the problem and conclude with an argument in support of our preferred course of action. In this article we argue for compulsory licensing of essential AIDS medications in the current conditions of public health emergency. We argue on broadly consequentialist grounds that compulsory licensing is preferable both morally and pragmatically to the alternatives, notably the currently offered price cuts and drug donation schemes. (shrink)
Empirical moral psychology is sometimes dismissed as normatively insignificant because it plays no decisive role in settling ethical disputes. But that conclusion, even if it is valid for normative ethics, does not extend to bioethics. First, in contrast to normative ethics, bioethics can legitimately proceed from a presupposed moral framework. Within that framework, moral psychology can be shown to play four significant roles: it can improve bioethicists’ understanding of the decision situation, the origin and legitimacy of their moral concepts, efficient (...) options for implementing decisions, and how to change and improve some parts of their moral framework. Second, metaethical considerations suggest that moral psychology may lead to the radical revision of entire moral frameworks and thus prompt the radical revision of entire moral frameworks in bioethics. However, I show that bioethics must either relinquish these radical implications of moral psychology and accept that there are limits to progress in bioethics based on moral psychology or establish an epistemic framework that guides radical revision. (shrink)
This chapter first introduces naturalistic approaches to ethics more generally and distinguishes methodological ethical naturalism (the focus of this chapter), from metaphysical ethical naturalism. The second part then discusses evolutionary ethics as a specific variant of methodological ethical naturalism. After introducing the concepts of evolutionary theory that are relevant for evolutionary ethics, I will sketch the history of evolutionary ethics, which offers an interesting lesson about why it became a controversial topic, and then focus on four central questions about ethics (...) that can be approached from within the framework of evolutionary ethics: 1. What should we do? 2. Why are we moral? 3. Are there moral facts? 4. Can we have justified moral beliefs and moral knowledge? (shrink)
We construct a model for the level by level equivalence between strong compactness and supercompactness in which below the least supercompact cardinal κ, there is a stationary set of cardinals on which SCH fails. In this model, the structure of the class of supercompact cardinals can be arbitrary.
Most epistemologists maintain that we are rationally required to believe what our evidence supports. Generally speaking, any factor that makes it more probable that a given state of affairs obtains (or does not obtain) is evidence (for that state of affairs). In line with this view, many metaethicists believe that we are rationally required to believe what’s morally right and wrong based on what our moral evidence (e.g. our moral intuitions, along with descriptive information about the world) supports. However, sometimes (...) we get information about our evidence, such as a theory that explains that all moral intuitions are ultimately caused by evolutionary forces. Such genealogical claims like this take form as a puzzle about how to rationally respond to higher-order evidence in moral epistemology. How should we change our moral views in response to genealogical claims about the evolutionary origin of our moral beliefs or about widespread moral disagreement? This introductory chapter first explains the issue about how to change our moral views based on an easily accessible example. Then it shows how recent debates about the puzzle of higher-order evidence bears on recent debates in moral epistemology, notably the debates about evolutionary debunking arguments in metaethics, the epistemic significance of moral peer disagreement, moral testimony, and collective moral knowledge before it introduces the chapters of this book. (shrink)
The late Robert Veatch, one of the United States’ founders of bioethics, never tired of reminding us that the paradigm-shifting contribution that bioethics made to patient care was to liberate patients out of the hands of doctors, who were traditionally seen to know best, even when they decidedly did not know best. It seems to us that with the advent of COVID-19, health policy has come full-circle on this. COVID-19 gave rise to a large number of purportedly “ethical” guidance documents (...) aiming to assist health care providers and practitioners with responding to the ethical challenges that might arise in their response to the pandemic. Ethics has two primary functions: provide clear action guidance, and provide clear action justification. The documents in question arguably reflect the ultimate policy triumph of bioethical “principlism”, and, perhaps surprisingly, as a corollary, the ultimate triumph of “doctor-knows-best”. (shrink)
The way pollution is managed in Western countries is based on the preservation of the taboo character of waste, which is conceived to be privately produced and seen as a threat to public health. Public authorities have been given the responsibility to isolate waste and hide it from public eyes. However, this dominant approach is challenged by the emergence of new forms of pollution. New conceptual and policy frameworks to manage environmental degradation have to be developed. The prevailing institutional structures, (...) however, obstruct the successful societal uptake of alternative frameworks. (shrink)