Rachels Chapt.1
What is Morality?
The Problem of Definition
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to be defined: what it means to be "moral" & "ethical" (used interchangeably)
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"morally right" -- means & rule-oriented talk (e.g. Kant)
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"morally good" -- ends or outcome-oriented talk (e.g., Utilitarianism)
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Definitions in general: state necc. & suff. conditions
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necc: characteristics every morally good deed or outcome has
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sufficient: only morally good deeds or outcomes have these characteristics
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Preminimal Conception:
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Morality concerns "How we ought to live (Socrates) and why" (Rachels)
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Anything beyond this is contentious
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Rachel's "minimal conception", he thinks, is perhaps minimally contentious
Example of Moral Reasoning: Baby Doe
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At issue: whether to operate or not on Baby Jane Doe
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circumstances: multiple defects of spine & brain
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spina bifuda: to correct this condition that the surgery was being considered.
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hydrocephaly: parents eventually consented to insertion of a shunt to relieve
this
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microcephaly
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prognoses
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dim prospects for improvement even with the surgery & no prospect ever
of a meaningful fulfilling existence
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fair prospects for a meaningful existence which would could be made better
by the surgery
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Legal case followed:
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right-to-life groups & the Reagan administration Dept. of Justice filed
suit to force the surgery to be performed
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three arguments
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Benefits Argument
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Medical procedures that wouldn't benefit anyone should not be performed.
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No one would benefit from the surgery . . . since BJD wouldn't
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So, the surgery shouldn't be performed.
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Sanctity of Life Argument
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Every human life is sacred.
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So, every human being should be given whatever medical treatment is needed
to preserve (enhance?) their life.
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The contemplated surgery is needed to preserve (enhance?) BJD's life
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So, the surgery should be performed
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Discrimination Against the handicapped argument
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It's wrong to discriminate against the handicapped.
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Refusal to operate on BJD is discrimination against the handicapped.
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So, the operation should not be refused.
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The rest of the story
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the parents won: the surgery was not performed
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the baby thrived and prospered beyond the parents (and the pessimistic
Dr.'s estimates)
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by age 5 she was attending a school for the handicapped
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using a wheelchair
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R's Assessment {LH's Commentary}
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benefits argument
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no quarrel with the principle {inadequate as stated:
not actual success but only a sufficient probability of success
required: e.g., patient who dies during warranted surgery -- it was still
warranted}
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could go either way
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Con: if no benefit to the child will result from operating
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Pro: if the child will benefit
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sanctity of life argument
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not every human life is sacred (e.g., the brain dead or irreversably comatose)
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the principle is unsound {Factual assertion false
here too -- wasn't needed to preserve BJD's life. Contemplated fix:
change "preserve" to "enhance" or "preserve or enhance". Makes the
corrolary more dubious: e.g., my deviated septum.}
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discrimination argument
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doesn't dispute the principle
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factual issue: same as the benefits argument
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if BJD were likely enough to benefit sufficiently enough from the surgery
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such that the parents would unhesitatingly give the go ahead it BJD weren't
handicapped
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then the charge of discrimination is sustained
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the surgery should not be refused
Reason and Impartiality
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Morals R draws from the case
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Moral judgments must be backed by reasoning involving
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evaluative principles
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and factual considerations
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Practial Syllogism (Aristotle)
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Value or "ought' premise: a normative or evaluative principle
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A judgement of fact: that a particular action accords with (or violates)
the principle
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A conclusion judging that a certain action should (or shouldn't) be done
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Requirement of impartiality of principles
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forbids treating individuals differently without good reason.
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considers each individuals interests equally important
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Further observation: Variety of Evaluative Principles that can be invoked
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Concurring principles (given the facts the parents assumed): Discrimination
& Benefits
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Conflicting principles (given those facts): Sanctity of life
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Dillema this poses for what to do
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what to do on the sanctity of life principle . . . that's one thing
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what to do on the benefits principle . . . that's another
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what to do period -- the ethical question -- not adequately
resolved
The Minimum Conception:
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Morality, at the very least, is the effort to guide one's conduct by
reason -- that is, to do what there are the best reasons for doing -- while
giving equal weight to the interests of each individual who will be affected
by one's conduct.
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Discussion: not wholly uncontentious
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Open question: whether we ought to guide our conduct by reason while
giving equal weight to the interests of each individual who will be affected.
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Dillema concerning the categoricality of the moral "ought": if the
minimum conception is logically part of what "morality" means either
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the open question is not really open -- an absurd question like "Mightn't
this three sided figure be a square?
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or it's not a moral question (in which case morality doesn't really address
the most fundamental question of "how we ought to live"
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so morality tells us how we ought to act provided we seek to be
rational and give equal weight to everyone's interests
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but doesn't tell us how we ought to act period
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Counterproposal
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Moral value (ends-talk) or obligation (means-talk) is categorical
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Morality tells us what we ought to do (or seek) period
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overides all other values & obligations
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comprehends all other values and obligations