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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.

The expressivist theory of truth (TETT) is stated and defended. According to TETT, to state such things as that it is true that snow is white is to express one's assent to the proposition that snow is white. In contexts where we refer to propositions with the aid of definite descriptions (“What Peter said”) or quantify over them (“Everything Peter says”), in order to say that they are “true”, the word “true” is essential, however. But it does not stand for any genuine property. According to TETT, as here understood, it expresses our readiness or willingness to assent to these propositions. It is argued that TETT, even if still more of a reseach program than a full‐fledged theory, means an improvement over more elaborate minimalist theories of truth put forward by Crispin Wright and Paul Horwich.

Derek Parfit has famously pointed out that ‘total’ utilitarian views, such as classical hedonistic utilitarianism, lead to the conclusion that, to each population of quite happy persons there corresponds a more extensive population with people living lives just worth living, which is better. In particular, for any possible population of at least ten billion people, all with a very high quality of life, there must be some much larger imaginable population whose existence, if other things are equal, would be better, even though its members have lives that are barely worth living. This world is better if the sum total of well-being is great enough, and it is great enough if only enough sentient beings inhabit it. This conclusion has been considered by Parfit and others to be ‘repugnant’.

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

Moral relativism comes in many varieties. One is a moral doctrine, according to which we ought to respect other cultures, and allow them to solve moral problems as they see fit. I will say nothing about this kind of moral relativism in the present context. Another kind of moral relativism is semantic moral relativism, according to which, when we pass moral judgements, we make an implicit reference to some system of morality (our own). According to this kind of moral relativism, when I say that a certain action is right, my statement is elliptic. What I am really saying is that, according to the system of morality in my culture, this action is right. I will reject this kind of relativism. According to yet another kind of moral relativism, which we may call epistemic, it is possible that, when one person (belonging to one culture) makes a certain moral judgement, such as that this action is right, and another person (belong to another culture) makes the judgement that the very same action is wrong, they may have just as good reasons for their respective judgements; it is even possible that, were they fully informed about all the facts, equally imaginative, and so forth, they would still hold on to their respective (conflicting) judgements. They are each fully justified in their belief in conflicting judgements. I will comment on this form of moral relativism in passing. Finally, however, there is a kind of moral relativism we could call ontological, according to which, when two persons pass conflicting moral verdicts on a certain action, they may both be right. The explanation is that they make their judgements from the perspective of different, socially constructed, moral universes. So while it is true in the first person's moral universe that a certain action is right, it is true in the second person's moral universe that the very same action is wrong. I explain and defend this version of ontological moral relativism.

The repugnant conclusion is acceptable from the point of view of total utilitarianism. Total utilitarians do not seem to be bothered with it. They feel that it is in no way repugnant. To me, a hard-nosed total utilitarian, this settles the case. However, if, sometimes, I doubt that total utilitarianism has the final say in ethics, and tend to think that there may be something to some objection to it or another, it is the objection to it brought forward from egalitarian thought that first comes to mind. But if my argument in this article is correct, then it is clear that the repugnant conclusion should be equally acceptable to egalitarians of various different bents as it is to total utilitarians

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

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

Being targeted by Nir Eyal's ingenious argument,1 I am pleased to have the opportunity to respond. It is fairly obvious that my utilitarian argument accomplishes what it is supposed to accomplish, namely a defence of the idea that the notion of informed consent should take roughly the form it takes in Western medicine. But does it fly in the face of commonsense moral thinking? I will argue that it does not.My argument is based on hedonistic utilitarianism.2 This means that it is an instance of the general pattern of argumentation that Eyal presents. It takes slightly different forms in its defence of the place of informed content in research and in the clinic. For reasons of space I will focus exclusively on the clinic.The thrust of the argument is as follows. In many cases, we should allow people to refuse treatment for the simple reason that they presumably know best what is in their interest. As J S Mill used to argue, each person has a privileged position with respect to her own life, which, as it were, she experiences from the inside, and from which she cannot walk away. …

A simple hedonistic theory allowing for interpersonal comparisons of happiness is taken for granted in this article. The hedonistic theory is used to compare utilitarianism, urging us to maximize the sum total of happiness, with prioritarianism, urging us to maximize a sum total of weighed happiness. It is argued with reference to a few thought experiments that utilitarianism is, intuitively speaking, more plausible than prioritarianism. The problem with prioritarianism surfaces when prudence and morality come apart

In the Fall of 1997 the leading Swedish newspaper, Dagens Nyheter, created a media hype over the Swedish policy of compulsory sterilisation that had been in operation between 1935 and 1975. In the discussion that followed the moral condemnation of our medical past was unanimous. However, the reasons for rejecting what had gone on were varied and mutually inconsistent. Three strands of criticism were common: the argument from autonomy, the argument from caution, and the argument from biological scepticism. In the paper it is argued that what point of departure you choose in your criticism of the past should be of consequence also for your ideas about present and future medical practice. In particular, if you rely on the argument from autonomy, you should be prepared to accept a liberal (present and future) use of reproductive techniques.