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Coercive paternalism and back-door perfectionism.(Author meets critics: response)(Critical essay)(Author abstract)

Pugh, Jonathan

Journal of Medical Ethics, May, 2014, Vol.40(5), p.350(2) [Periódico revisado por pares]

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  • Título:
    Coercive paternalism and back-door perfectionism.(Author meets critics: response)(Critical essay)(Author abstract)
  • Autor: Pugh, Jonathan
  • Assuntos: Autonomy (Philosophy) -- Health Aspects ; Paternalism -- Health Aspects ; Perfection -- Health Aspects ; Medical Care -- Social Aspects
  • É parte de: Journal of Medical Ethics, May, 2014, Vol.40(5), p.350(2)
  • Descrição: In this response piece, I argue that the 'coercive paternalism' that Sarah Conly endorses in her book Against Autonomy veers towards a back-door perfectionism. Although Conly points out that coercive paternalism does not mandate the imposition of alien values upon us in the same way that perfectionism does, I argue that coercive paternalism might yet impose an alien weighting of our own values; this, I suggest, means that coercive paternalism remains perfectionist in spirit, if not in letter. I go on to concede to Conly that coercive paternalism might be warranted in preventing actions that threaten health and that are only carried out on the basis of cognitive error. However, I conclude by claiming that we must take great care about what we presume that people are consuming only on the basis of cognitive error. More specifically, I suggest that it is crucial that we avoid defining our terms in such a manner that it becomes impossible for agents to choose some action that poses a risk to their health without them being accused of making a cognitive error in weighing their values in that way.
  • Idioma: English

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