James Rachels and the morality of euthanasia.

Theoretical medicine and bioethics Pub Date : 2024-04-01 Epub Date: 2024-03-12 DOI:10.1007/s11017-024-09658-2
Timothy J Furlan
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Abstract

My fundamental thesis is that Rachels dismisses the traditional Western account of the morality of killing without offering a viable replacement. In this regard, I will argue that the substitute account he offers is deficient in at least eight regards: (1) he fails to justify the foundational principle of utilitarianism, (2) he exposes preference utilitarianism to the same criticisms he lodges against classical utilitarianism, (3) he neglects to explain how precisely one performs the maximization procedure which preference utilitarianism requires, (4) his account of the sanctity of life is subject to the very criticism he levels against the traditional position, (5) he cannot justify the exceptions he makes to his interpretation of the sanctity of life, (6) his account could easily be used to justify murder, (7) his embrace of autonomy as an ethical principle undermines his preference utilitarianism, and (8) he cannot maintain the moral identification of acts of killing and letting die.

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詹姆斯-拉切斯与安乐死的道德问题。
我的基本论点是,拉切尔斯否定了西方关于杀人道德的传统观点,却没有提出可行的替代方案。在这方面,我将论证他提供的替代论述至少在八个方面存在缺陷:(1)他未能证明功利主义的基本原则,(2)他将偏好功利主义暴露在他对古典功利主义提出的同样批评之下,(3)他忽略了解释如何精确地执行偏好功利主义所要求的最大化程序,(4)他对生命神圣性的论述受到了他对传统立场提出的批评、(5)他无法证明他对生命神圣性的例外解释是合理的;(6)他的论述很容易被用来为谋杀辩护;(7)他将自主性作为一项伦理原则破坏了他的偏好功利主义;以及(8)他无法维持对杀人和放任死亡行为的道德认同。
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