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Hard Choices

How Does Injustice Affect the Ethics of Medical Aid in Dying

Bibliographic Data

ID21598328
AuthorsBrent M Kious (0000-0003-3477-5659, University of Utah, corresponding author)
Year2024
Volume33
Issue3
Pages413-424
Publication date2024-07-01
Open AccessYes
TypeARTICLE
VenueCambridge Quarterly of Healthcare Ethics (JOURNAL)
Journal identifiersISSN: 0963-1801 • E-ISSN: 1469-2147
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s0963180123000531
PMID37842786
OpenAlexW4387661854
LanguageEN
Citations received1
References cited26

Critics of medical aid in dying (MAID) often argue that it is impermissible because background social conditions are insufficiently good for some persons who would utilize it. I provide a critical evaluation of this view. I suggest that receiving MAID is a sort of “hard choice,” in that death is prima facie bad for the individual and only promotes that person’s interests in special circumstances. Those raising this objection to MAID are, I argue, concerned primarily about the effects of injustice on hard choices. I show, however, that MAID and other hard choices are not always invalidated by injustice and that what matters is whether the injustice can be remediated given certain constraints. Injustice invalidates a hard choice when it can, reasonably, be remedied in a way that makes a person’s life go better. I consider the implications of this view for law and policy regarding MAID

Injustice · Medical ethics · Psychiatry · Ethics and Legal Issues in Pediatric Healthcare · Ethics in medical practice · Patient Dignity and Privacy · Psychology · Social Psychology

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  • Trends in hastened death decision criteria

    Open Access•Silvia Marina, Tony Wainwright et al.•Health Policy•2022

  • The Least Worst Death

    Margaret P Battin•The Hastings Center Report•1983

  • Vitalism Revitalized

    David J Mayo, Martin Gunderson•The Hastings Center Report•2002

  • Is There a Duty to Die

    John Hardwig•The Hastings Center Report•1997

  • Burdening Others

    Open Access•Brent M Kious, Brent Kious•The Hastings Center Report•2022

  • Ideal vs. Non‐ideal Theory

    Open Access•Laura Valentini•Philosophy Compass•2012

  • Rethinking Relational Autonomy

    Open Access•Andrea C Westlund•Hypatia•2009

  • A recipe for elder abuse

    Ari Gandsman•Death Studies•2016

  • False Consciousness for Liberals, Part I

    Dan Enoch, David Enoch•The Philosophical Review•2020

Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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