L. W. Sumner

Ever since medical assistance in dying (MAID) became legal in Canada in 2016, controversy has enveloped the refusal by many faith‐based institutions to allow this service on their premises. In a recent article in this journal, Philip and Joshua Shadd have proposed ‘changing the conversation’ on this issue, reframing it as an exercise not of conscience but of an institutional right of self‐governance. This reframing, they claim, will serve to show how health‐care institutions may be justified in refusing to provide MAID on moral or religious grounds. I argue that it will not make it easier to justify institutional refusal, and is likely to make it harder.

Since philosophers began thinking seriously about the moral status of non-human animals, many of the practices we once took for granted have come to be condemned as unjustifiable, among them our reliance on animals as a food source. While the arguments which have been adduced in support of moral vegetarianism invoke quite different moral frameworks, they begin with a common concern for the welfare of animals. In the real world of practising vegetarians, this concern tends to be subordinated to considerations of health or food scarcity. Philosophical vegetarians need not deny, and have not denied, the importance of these further considerations. But among philosophers the case for moral vegetarianism has rested primarily on arguments from animal welfare.

Remember the fifties? That was, among other things, when it was outré for moral philosophers acutally to use moral discourse and de rigueur to theorize about its use. It was when we all read Stevenson and Hare and learned to believe that moral judgments had no truth values and were used to express emotion or to issue imperatives. It was when we came to realize that all previous moral philosophy rested on the mistake of supposing that moral judgments were propositions. How remote it all seems now. Today we write about social justice, sex, death, politics as though there were no question this might be improper. We no longer have the time and patience for the idler and more distant questions of the metalevel. It is correct certainly to call this progress but at a certain price. We tired of the old questions but we never learned how to answer them. The very grip of the noncognitivist fad made illuminating answers unlikely. Perhaps now that the fad is buried and forgotten we can go back to the issues and deal with them in a more fruitful manner.