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Moral realism does not imply any interesting moral statements. However, There are pragmatic consequences of our acceptance of moral realism. If we accept moral realism we have good reasons to be concerned about moral arguments, And we are able to account for moral fallibility. If, On the other hand, We accept moral irrealism, A concern for moral arguments and moral consistency seems completely arbitrary, And we have difficulties to account for moral fallibility. We may even come to think, When accepting moral irrealism, That our lives lose much of their meaning

Why should we respect the privacy of donors of biological material? The question is answered in the present article in general philosophical terms from the point of view of an ethics of honour, a libertarian theory of rights, a view of respect for privacy based on the idea that autonomy is of value in itself, and utilitarianism respectively. For different reasons the ethics of honour and the idea of the value of autonomy are set to one side. It surfaces that the moral rights theory and utilitarianism present conflicting answers to the question. The main thrust of the argument is that there is no way of finding an overlapping consensus, so politicians have to take decisions that are bound to be controversial in that they can be questioned on reasonable philosophical grounds

Aims The aim of this study was to examine if it is plausible to interpret the appearance of shame in a Swedish healthcare setting as a reaction to having one's honour wronged. Methods Using a questionnaire, we studied answers from a sample of long-term sick-listed patients who had experienced negative encounters (n=1628) and of these 64% also felt wronged. We used feeling wronged to examine emotional reactions such as feeling ashamed and made the assumption that feeling shame could be associated with having one's honour wronged. In statistical analyses relative risks (RRs) were computed, adjusting for age, sex, disease-labelling, educational levels, as well as their 95% CI. Results Approximately half of those who had been wronged stated that they also felt shame and of those who felt shame, 93% (CI 91 to 95) felt that they had been wronged. The RR was 4.5 (CI 3.0 to 6.8) for shame when wronged. This can be compared with the other emotional reactions where the RRs were between 1.1 (CI 0.9 to 1.3)–1.4 (CI 1.2 to 1.7). We found no association between country of birth and feeling shame after having experienced negative encounters. Conclusions We found that the RR of feeling shame when wronged was significantly higher compared with other feelings. Along with theoretical considerations, and the specific types of negative encounters associated with shame, the results indicate that our research hypothesis might be plausible. We think that the results deserve to be used as point of departure for future research

A member of Jehovah’s Witnesses agreed to receive blood when alone, but rejected it once the elders were present. She insisted that the elders should stay, they were allowed to do so, and she bled to death. Was it all right to allow her to have the elders present when she made her final decision? Was it all right to allow her to bleed to death? It was, according to an anti-paternalist principle, which I have earlier defended on purely utilitarian grounds. The thrust of the present argument is that the principle stands even in cases with context-sensitive preferences. However, my utilitarian argument to this effect must now rely on something other than J.S. Mill’s standard presumption that in most cases the individual makes the right choices for herself. A reference to the general trust in the system of healthcare is essential to the utilitarian defense of the anti-paternalistic principle.

Different attempts have been made to answer Reich’s question of why the majority of those who are hungry don’t steal and why the majority of those who are exploited don’t strike. The two most influential approaches have been the ideological one and the gunman theory. The gunman theory seems to have the upper hand. However, there are cases where oppression takes place in the absence of any gunman. The usual example is the democratic welfare state. We can conceive of such instances of (continued) oppression by a minority of a majority as cases of rational injustice. Unless the privileged minority accepts the introduction of just institutions, there is no way of introducing them. And, for simple egoistic reasons, the minority doesn’t cooperate with the majority. So it is rational for the oppressed majority to endure

There are no private particular actions that should be altogether free of social interference. No absolute distinction can be made between types of actions affecting others and those affecting only the agent. Relative to a purpose in formulating an act of law, for instance, such a distinction can, however, be made. The idea of social freedom could therefore be thought to imply that even if there are no absolutely private particular actions, and even if society could interfere for any purpose to regulate the actions of the individual, not any reason for such interference is acceptable from the point of view of liberty. Acts of law should not be made unnecessarily inclusive with respect to their purpose and they should be designed to further public security. Not even in this weak formulation, however, can the principle of social liberty be defended against moral criticism. Some ‘illiberal’ laws, in this sense, should after all be passed. Examples can be found in taxation law.The only reasonable conclusion to draw from all this is that there is no tenable principle of liberty.That there is no tenable principle of liberty does not mean that everything that has been condemned in the name of liberty should now be regarded as right. Many things said to result in a limitation of freedom could be wrong for other reasons. But probably not all of them are. So it will, I think, have some effects on our political views in general, if we accept the conclusion of this essay

It is argued that there are moral costs of our accepting ‘strict materialism’, the view that there is no such phenomenon as an irreducible first‐person point of view. If we accept strict materialism, then we have to give up some considered moral views, such as the principle of an agent‐relative morality and the hedonistic principle. The necessity involved is not logical, however, but pragmatic. Strict materialism does not imply that these moral views are false; it is our belief in them that is undermined by pur belief in strict materialism. If there is no irreducible first‐person point of view these moral views simply do not seem to make any moral sense. Since these moral views are prima facie very plausible, the moral costs of our accepting strict materialism are considerable.

This article discusses under what circumstances patients who are suffering from senile dementia or mental retardation should be submitted to coercive care, who should decide about this kind of coercion, and in what legal framework it should take place. A distinction is drawn between modest (i.e. of moderate degree) and meddlesome coercion. The use of modest coercion is defended. It is argued that medical personnel ought to decide exclusively about the use of modest coercion. However, no law should render legitimate the use of even modest coercion. It is conceded that to prohibit the use of a kind of coercion that is expected to take place is hypocrisy. It is argued that this is, however, an acceptable form of hypocrisy