•  27
    Procreation vs. Consumption
    Environmental Ethics 45 (3): 265-286. 2023.
    Recently, it has been argued by several scholars that we have moral reasons to limit our procreation due to the harmful environmental consequences it entails. These calls for procreative restraint are typically made in relation to other lifestyle choices, such as minimizing driving and air travel. In such comparisons, it is assumed that the environmental impact of procreation encompasses the lifetime consumption of the child created, and potentially that of further descendants. After an overview…Read more
  •  29
    The Sum of Averages: An Egyptology-Proof Average View
    Utilitas 35 (2): 103-118. 2023.
    Contemporary population ethics is dominated by views that aggregate by summing, whether of well-being or of some construct based on well-being. In contrast, average well-being is generally considered axiologically irrelevant. To many of us, however, the number of future people does not seem important, as long as it is sufficient to enable rich and varied life experiences, and as long as the population continues throughout time. It therefore seems relatively plausible to aggregate future well-bei…Read more
  •  21
    Advice on Vaping in the Face of Empirical and Ethical Uncertainty
    American Journal of Bioethics 22 (10): 20-22. 2022.
    E-cigarettes are a uniquely close substitute to combustible cigarettes. Close not just in nicotine content, but also in shape, taste and even inhalation and arm movement. Their availab...
  •  16
    Regulating online defaults
    In Michael Klenk & Fleur Jongepier (eds.), The Philosophy of Online Manipulation, Routledge. 2022.
    To an ever-greater extent, we spend our lives in an online environment designed by corporations. These corporations have an interest in shaping not only our purchasing behavior, but also our focus of attention and engagement and to some extent our worldview and identity. As a means to this end, they collect and trade in personal information. One important method of behavioral influence employed to advance these purposes is default-setting - the design of a product or a situation such that one op…Read more
  •  15
    Anti-paternalism
    Dissertation, Royal Institute of Technology, Stockholm. 2006.
    This is a thesis about anti-paternalism – the liberal doctrine that we may not interfere with a person’s liberty for her own good. Empirical circumstances and moral values may certainly give us reason to avoid benevolent interference. Anti-paternalism as a normative doctrine should, however, be rejected. Essay I concerns the definitions of paternalism and anti-paternalism. It is argued that only a definition of paternalism in terms of compound reason-actions can accommodate its special moral pro…Read more
  •  15
    Anti-paternalism and Public Health Policy
    Dissertation, Royal Institute of Technology, Stockholm. 2009.
    This thesis is an attempt to constructively interpret and critically evaluate the liberal doctrine that we may not limit a person’s liberty for her own good, and to discuss its implications and alternatives in some concrete areas of public health policy. The thesis starts theoretical and goes ever more practical. The first paper is devoted to positive interpretation of anti-paternalism with special focus on the reason component – personal good. A novel generic definition of paternalism is propos…Read more
  •  21
    Advances in genetic diagnostics lead to more patients being diagnosed with hereditary conditions. These findings are often relevant to patients’ relatives. For example, the success of targeted cancer prevention is dependent on effective disclosure to relatives at risk. Without clear information, individuals cannot take advantage of predictive testing and preventive measures. Against this background, we argue that healthcare professionals have a duty to make actionable genetic information availab…Read more
  •  66
    Respecting Children's Choices
    Moral Philosophy and Politics 7 (2): 199-218. 2020.
    The traditional liberal view on conflicts between care for wellbeing and respect for choice and desire is that we should look to degrees of competence and voluntariness to determine which moral imperative should take priority. This view has likely influenced the common view that children’s choices should be considered only to the extent that this promotes their future autonomy and helps us determine their best interests. I reject both the general traditional liberal view and its application to c…Read more
  •  36
    Shove and Nudge: A Commentary on Iserson
    Journal of Clinical Ethics 31 (1): 89-91. 2020.
    In this comment on Kenneth Iserson’s article, ”Do You Believe in Magic? Shove, Don’t Nudge: Advising Patients at the Bedside,” I discuss the definition of and the moral evaluation of nudging. I propose that using persuasive descriptions and intentionally building trust in patients by one’s demeanor is a form of nudging. I argue that nudging is not necessarily morally problematic, but that it can be controlling and can limit liberty, despite proponents’ claims to the contrary. I agree with Iserso…Read more
  •  33
    E-cigarettes : The Long-Term Liberal Perspective
    Nicotine and Tobacco Research 23 (1): 9-13. 2021.
    The debate for and against making e-cigarettes available to smokers is to a large extent empirical. We do not know the long-term health effects of vaping and we do not know how smokers will respond to e-cigarettes over time. In addition to these empirical uncertainties, however, there are difficult moral issues to consider. One such issue is that many smokers in some sense choose to smoke. Though smoking is addictive and though many start young, it does not seem impossible to plan for and implem…Read more
  •  46
    How Many Parents Should There Be in a Family?
    Journal of Applied Philosophy (3): 467-484. 2020.
    In this article, I challenge the widespread presumption that a child should have exactly two parents. I consider the pros and cons of various numbers of parents for the people most directly affected – the children themselves and their parents. The number of parents, as well as the ratio of parents to children, may have an impact on what resources are available, what relationships can develop between parents and children, what level of conflict can be expected in the family, as well as the costs …Read more
  •  523
    Paternalism towards children
    In Anca Gheaus, Gideon Calder & Jurgen de Wispelaere (eds.), The Routledge Handbook of the Philosophy of Childhood and Children, Routledge. pp. 123-133. 2018.
    Debates on the nature and justifiability of paternalism typically focus only on adults, sometimes presuming without argument that paternalism towards children is a non-issue or obviously justified. Debates on the moral and political status of children, in turn, rarely connect with the rich literature on paternalism. This chapter attempts to bridge this gap by exploring how issues that arise in the general debate on paternalism are relevant also for the benevolent interference with children. I su…Read more
  •  326
    Paternalism by and towards groups
    In Kalle Grill & Jason Hanna (eds.), The Routledge Handbook of the Philosophy of Paternalism, Routledge. pp. 46-58. 2018.
    In many or most instances of paternalism, more than one person acts paternalistically, or more than one person is treated paternalistically. This chapter discusses some complications that arise in such group cases, which are largely ignored in the conceptual debate. First, a group of people who together perform an action may do so for different reasons, which makes it more challenging to determine whether the action is paternalistic. This gives us some reason not to pin the property of being pat…Read more
  •  117
    The case for banning cigarettes
    Journal of Medical Ethics 42 (5): 293-301. 2016.
    Lifelong smokers lose on average a decade of life vis-à-vis non-smokers. Globally, tobacco causes about 5–6 million deaths annually. One billion tobacco-related deaths are predicted for the 21st century, with about half occurring before the age of 70. In this paper, we consider a complete ban on the sale of cigarettes and find that such a ban, if effective, would be justified. As with many policy decisions, the argument for such a ban requires a weighing of the pros and cons and how they impact …Read more
  •  611
    Epistemic Paternalism in Public Health
    Journal of Medical Ethics 31 (11): 648-653. 2005.
    Receiving information about threats to one’s health can contribute to anxiety and depression. In contemporary medical ethics there is considerable consensus that patient autonomy, or the patient’s right to know, in most cases outweighs these negative effects of information. Worry about the detrimental effects of information has, however, been voiced in relation to public health more generally. In particular, information about uncertain threats to public health, from—for example, chemicals—are sa…Read more
  •  91
    While paternalism has been a long-standing philosophical issue, it has recently received renewed attention among scholars and the general public. Comprising twenty-seven chapters by a team of international contributors, this handbook is divided into five parts: (i) What is Paternalism; (ii) Paternalism and Ethical Theory; (iii) Paternalism and Political Philosophy; (iv) Paternalism without Coercion; (v) Paternalism in Practice. Within these sections central debates, issues, and questions are exa…Read more
  •  15
    Incentives, equity and the Able Chooser Problem
    Journal of Medical Ethics 43 (3): 157-161. 2017.
    Health incentive schemes aim to produce healthier behaviors in target populations. They may do so both by making incentivized options more salient and by making them less costly. Changes in costs only result in healthier behavior if the individual rationally assesses the cost change and acts accordingly. Not all people do this well. Those that fail to respond rationally to incentives will typically include those who are least able to make prudent choices more generally. This group will typically…Read more
  •  746
    Responsibility, Paternalism and Alcohol Interlocks
    Public Health Ethics 5 (2): 116-127. 2012.
    Drink driving causes great suffering and material destruction. The alcohol interlock promises to eradicate this problem by technological design. Traditional counter-measures to drink driving such as policing and punishment and information campaigns have proven insufficient. Extensive policing is expensive and intrusive. Severe punishment is disproportionate to the risks created in most single cases. If the interlock becomes inexpensive and convenient enough, and if there are no convincing moral …Read more
  •  1113
    Evaluating Consequences
    In Kattan (ed.), Encyclopedia of Medical Decision Making, Sage Publications. 2009.
    Decisions in medical contexts have immediate and obvious consequences in terms of health and sometimes death or survival. Medical decisions also have less obvious and less immediate consequences, including effects on the long-term physical and mental well-being of patients, their families and of care-givers, as well as on the distribution of scarce medical resources. Some of these consequences are hard to measure and estimate. Even harder, perhaps, is the determination of the relative value of d…Read more
  •  771
    Public health policy often limits people’s liberty for their own good. The very point of many types of public health measures is to restrict people’s options in order to stop them from doing unhealthy things, for example use harmful recreational drugs or drive without a seatbelt. While such restrictive public health policies enjoy widespread support, so does the traditional liberal idea that liberty (or autonomy) is a higher value, to be given priority in most, if not all, circumstances. In this…Read more
  •  165
    Neutrality as a constraint on political reasoning
    Ethical Perspectives 19 (3): 547-557. 2012.
    George Sher’s book Beyond Neutrality: Perfectionism and Politics has, he says, two main purposes. The first is to “defuse the main reasons to deny that the state may seek to promote the good”, the other is to “develop a conception of the good that is worth promoting” (1). In this article, I will not be concerned with either of these aims. Instead, I will focus on Sher’s preliminary discussion of the “scope and meaning” of neutralism (20). I consider Sher’s careful analysis of the structure of ne…Read more
  •  115
    Who owns my avatar? -Rights in virtual property
    with Anders Eriksson
    Proceedings of DiGRA 2005 Conference: Changing Views – Worlds in Play. 2005.
    This paper presents a framework for discussing issues of ownership in connection to virtual worlds. We explore how divergent interests in virtual property can be mediated by applying a constructivist perspective to the concept ownership. The simple solutions offered today entail that a contract between the game producer and the gamer gives the game developer exclusive rights to all virtual property. This appears to be unsatisfactory. A number of legitimate interests on part of both producers and…Read more
  •  1137
    The Legalization of Drugs (review)
    Theoria 73 (4): 248-255. 2007.
  •  81
    A number of ethical frameworks have been proposed to support decision-making in public health and the evaluation of public health policy and practice. This is encouraging, since ethical considerations are of paramount importance in health policy. However, these frameworks have various deficiencies, in part because they incorporate substantial ethical positions. In this article, we discuss and criticise a framework developed by James Childress and Ruth Bernheim, which we consider to be the state …Read more
  •  12189
    Normative and Non-normative Concepts: Paternalism and Libertarian Paternalism
    In Daniel Strech, Irene Hirschberg & Georg Marckmann (eds.), Ethics in Public Health and Health Policy, Springer. pp. 27-46. 2013.
    This chapter concerns the normativity of the concepts of paternalism and libertarian paternalism. The first concept is central in evaluating public health policy, but its meaning is controversial. The second concept is equally controversial and has received much attention recently. It may or may not shape the future evaluation of public health policy. In order to facilitate honest and fruitful debate, I consider three approaches to these concepts, in terms of their normativity. Concepts, I claim…Read more
  •  154
    I first distinguish four types of objection to paternalism and argue that only one – the principled objection – amounts to a substantive and distinct normative doctrine. I then argue that this doctrine should be understood as preventing certain facts from playing the role of reasons they would otherwise play. I explain how this filter approach makes antipaternalism independent of several philosophical controversies: On the role reasons play, on what reasons there are, and on how reasons are rela…Read more
  •  426
    Anti-paternalism and Invalidation of Reasons
    Public Reason 2 (2): 3-20. 2010.
    I first provide an analysis of Joel Feinberg’s anti-paternalism in terms of invalidation of reasons. Invalidation is the blocking of reasons from influencing the moral status of actions, in this case the blocking of personal good reasons from supporting liberty-limiting actions. Invalidation is shown to be distinct from moral side constraints and lexical ordering of values and reasons. I then go on to argue that anti-paternalism as invalidation is morally unreasonable on at least four grounds, n…Read more
  •  820
    The normative core of paternalism
    Res Publica 13 (4): 441-458. 2007.
    The philosophical debate on paternalism is conducted as if the property of being paternalistic should be attributed to actions. Actions are typically deemed to be paternalistic if they amount to some kind of interference with a person and if the rationale for the action is the good of the person interfered with. This focus on actions obscures the normative issues involved. In particular, it makes it hard to provide an analysis of the traditional liberal resistance to paternalism. Given the fact …Read more
  •  42
    Introduction
    Social Theory and Practice 41 (4): 577-578. 2015.
    Introduction: Preference, Choice and (Libertarian) Paternalism Kalle Grill & Danny Scoccia This special issue originated in a workshop organized by one of the editors, Kalle Grill, at Umeå University in March 2014, with funding from The Swedish Foundation for Humanities and Social Sciences. The theme of the workshop was Respecting Context-Dependent Preferences. Contributors to this issue who were also speakers at the Umeå workshop are Richard Arneson, Kalle Grill, Jason Hanna, Sven Ove Hansson…Read more