Disability, Offense, and the Expressivist Objection to Medical Aid in Dying.

IF 1.3 3区 哲学 Q3 ETHICS
Brent M Kious
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引用次数: 0

Abstract

One criticism of medical aid in dying (MAID) is the expressivist objection: MAID is morally wrong because it expresses judgments about disabilities or persons with disabilities, that are offensive, disrespectful, or discriminatory. The expressivist objection can be made at the level of individual patients, medical providers, or the state. The expressivist objection originated with selective abortion, and responses to it in that context typically claim either that selective abortion does not express specific judgments about disabilities, or that any judgments expressed are not offensive. This response is inadequate: MAID often does express negative judgments about disabilities, which could reasonably be seen as offensive. But, does this offensiveness make MAID wrong? Drawing on Joel Feinberg's account of offense, I argue that it is unlikely that the offensiveness of the judgments expressed by individuals who seek MAID or through the state's legalization of MAID is enough to make it morally impermissible.

残疾、犯罪和表达主义对临终医疗援助的反对。
对临终医疗救助(MAID)的一种批评是表达主义反对:临终医疗协助在道德上是错误的,因为它表达了对残疾或残疾人的判断,是冒犯、不尊重或歧视性的。表达主义反对意见可以在患者个人、医疗服务提供者或国家层面提出。表达派的反对意见起源于选择性堕胎,在这种情况下对其的回应通常声称,选择性堕胎没有表达对残疾的具体判断,或者所表达的任何判断都不具有冒犯性。这种回应是不充分的:MAID 通常确实表达了对残疾的负面判断,这可以被合理地视为冒犯。但是,这种冒犯性会使 MAID 错误吗?借鉴乔尔-费恩伯格(Joel Feinberg)关于冒犯的论述,我认为,寻求残疾辅助器具的个人或通过国家将残疾辅助器具合法化所表达的判断的冒犯性,不太可能足以使其在道德上不被允许。
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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
30
期刊介绍: This bimonthly publication explores the shared themes and concerns of philosophy and the medical sciences. Central issues in medical research and practice have important philosophical dimensions, for, in treating disease and promoting health, medicine involves presuppositions about human goals and values. Conversely, the concerns of philosophy often significantly relate to those of medicine, as philosophers seek to understand the nature of medical knowledge and the human condition in the modern world. In addition, recent developments in medical technology and treatment create moral problems that raise important philosophical questions. The Journal of Medicine and Philosophy aims to provide an ongoing forum for the discussion of such themes and issues.
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