Kasper Lippert-Rasmussen

Adherents of particularism draw rather strong implications of this view. However, particularism has never been stated in a canonical way. We locate the core of particularism as a claim about how different reasons combine to generate the Tightness or wrongness of an action. Using the notion of an ordering of alternatives containing separable factors, we show that particularism can be stated more generally as the denial that there exist separable factors.With this definition in place, we show that, once subjected to a number of clarifications, particularism largely does have the implications often associated with it. However, we find the various arguments that have been given in support of particularism to be very poor. We conclude that particularists do have a point when they claim that some form of generalism cannot simply be taken for granted. But no particular reasons in favour of being a particularist have been offered.

According to US law, insurance companies can lawfully differentiate individual health insurance premiums on the basis of non-genetic medical information, but not on the basis of genetic information. The article reviews the case for such genetic exceptionalism. First, I critically assess some standard justifications. Next, I scrutinize an argument appealing to the view that genetically based premium differentiation expresses that persons do not all merit equal concern and respect. In the final section, I argue that even if genetic exceptionalism is unjustified, there is a forceful luck egalitarian argument against basing premiums on genetic risks, to wit, that this tends to make some individuals worse off than others as a result of the bad brute luck involved in having a genetically determined, above-average risk of developing health problems