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Tim Aylsworth's avatar

Hi Richard! I always enjoy reading these posts, even though I think they are often unfair to deontology. In the case of this post, I thought I could point out an example of something that bugged me.

In the fourth paragraph, you represent deontologists as caring more about "moral abstractions" than saving lives. In response, you "[S]urely lives matter more than moral abstractions". There are many instances where I would be inclined to agree with you on that point. But there are other cases where I'm not so sure. Consider a case where a doctor is reasonably certain that one treatment option will save the patient's life, but the patient (who has decision-making capacity) refuses that treatment. Respect for the patient's autonomy requires the doctor to let the patient die. Many people tend to think that the doctor would act wrongly if she were to act against the patient's wishes and give her the treatment without consent. This is true even if that choice leads to the patient dying. Isn't this a case where a moral abstraction (respect for autonomy) gets more weight than human life?

I construed the principle in terms of respect for autonomy, and I presume that you would find other ways of justifying the doctor's decision to refrain from treating the patient. Perhaps you could point out the harms that would result from doctors treating patients paternalistically, the harms that would result from them ignoring consent, and so on. I'd be fine with that, but it would seem to me that concern about those potential harms is yet another moral abstraction. In a one-off scenario, the doctor is not considering all the possible consequences of doctors acting in such a way, she is simply considering what she should do in this situation. It seems to me that she would act wrongly if she were to treat the patient without consent, even if that means letting the patient die.

The second point I would make (and I apologize for having such a long comment), is that your argument against deontology seems to press a point that could equally be pushed against consequentialists. You ask what argument they have other than "I find the verdicts more appealing." Don't the arguments for consequentialism bottom out in a similar way? You say that lives matter more than moral abstractions. Why think that? Presumably, it's because you find that verdict more appealing. It often seems abhorrent to let people die for the sake of moral abstractions. Pointing to such unappealing verdicts is one way to justify consequentialist principles. So this seems like a place where someone could offer a "partners in crime" response to your objection. That's my first response to this argument. My second response is that many deontological theories (like Kant's) do not come about from appealing to intuitions about cases. They come from principles that are the result of arguments (as the mere means principle is grounded in arguments in Groundwork II). We might think those arguments fail, but I think it's fair to say that those principles come from arguments rather than intuitions about cases (the same could be said for Korsgaard who creates her own version of those arguments).

Anyway, I always enjoy reading these even when I disagree with certain points. One lesson I've learned from your blog is that there might well be deontologists who hold the cartoonish versions of the principles you are attacking, but I have realized that I am most certainly not one of them. In your most recent post, I realized that I am one of the "radical deontologists" who is strongly opposed to much of what goes on in the status quo, and I agree with your concerns about the deontologists who do not share our goals (e.g., effective altruism, factory farming of animals, etc.). Just wanted to share my objections! Perhaps we can chat about them in New Orleans!

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