Paternalistic Intervention

Donald VanDeVeer probes the moral complexities of the question: under what conditions is it permissible to intervene invasively in the lives of competent persons--for example, by deception, force, or coercive threat--for their own good? In a work with broad significance for law, public policy, professional-client relations, and private interactions, he presents a theory of an autonomy-respecting" paternalism. Originally published in 1986. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

When, if ever, is it permissible to intervene in a person's affairs for his or her own good? This, in essence, is the moral problem of paternalism. Many consider paternalism morally objectionable. In this book, Jason Hanna argues boldly for an alternative pro-paternalist view: that intervention is permissible so long as it serves the best interest of the person subject to it, without thereby wronging others. To Hanna, the moral debate over paternalism is most fundamentally a debate about the weight and relevance of a certain kind of reason or rationale for intervention. In arguing that paternalistic rationales provide valid and weighty reasons, Hanna considers the objections that paternalism is disrespectful, that it wrongly imposes values on people, that it violates individual rights, and that it is likely to be misapplied or abused. He argues that each of these objections fails to demonstrate that there is anything distinctively problematic about paternalism. Moreover, he attempts to situate pro-paternalism within a popular rights-based moral theory. Hanna shows that popular alternatives to pro-paternalism confront serious problems of their own, especially insofar as they attempt to distinguish permissible intervention on behalf of incompetent persons from impermissible intervention on behalf of competent adults. Although the book's central aim is to defend a moral view, it suggests how this view can be fruitfully applied in a number of real-world contexts.

Should governments save people from themselves? Do governments have the right to influence citizens' behavior related to smoking tobacco, eating too much, not saving enough, drinking alcohol, or taking marijuana—or does this create a nanny state, leading to infantilization, demotivation, and breaches in individual autonomy? Looking at examples from both sides of the Atlantic and around the world, Government Paternalism examines the justifications for, and the prevalence of, government involvement and considers when intervention might or might not be acceptable. Building on developments in philosophy, behavioral economics, and psychology, Julian Le Grand and Bill New explore the roles, boundaries, and responsibilities of the government and its citizens. Le Grand and New investigate specific policy areas, including smoking, saving for pensions, and assisted suicide. They discuss legal restrictions on risky behavior, taxation of harmful activities, and subsidies for beneficial activities. And they pay particular attention to "nudge" or libertarian paternalist proposals that try to change the context in which individuals make decisions so that they make the right ones. Le Grand and New argue that individuals often display "reasoning failure": an inability to achieve the ends that they set themselves. Such instances are ideal for paternalistic interventions—for though such interventions might impinge on autonomy, the impact can be outweighed by an improvement in well-being. Government Paternalism rigorously considers whether the state should guide citizen decision making in positive ways and if so, how this should be achieved.

Should the government influence or coerce us for our 'own good'? This volume discusses specific applications in policy and law.

This philosophical treatise explores the place of paternalism in caring for others. It provides guidelines for balancing respect for the recipients' autonomy with the good that can be provided by intervening in their lives.

Argues that laws that enforce what is good for the individual's well-being, or hinder what is bad, are morally justified.

A powerful critique of nudge theory and the paternalist policies of behavioral economics, and an argument for a more inclusive form of rationality.

Paternalism interferes with a person's liberty or autonomy to promote the person's good or to protect him from self-harm. The aim of this book is to critically evaluate the conceptual and justificatory models related to paternalism in the context of moral philosophy. Analysis of selected legal cases complements the theoretical investigation.

""Public Bioethics collects the most influential essays and articles of James F. Childress, a leading figure in the field of contemporary bioethics. These essays, including new, previously unpublished material, cohere around the idea of "public bioethics," which involves analyzing and assessing public policies in biomedicine, health care, and public health, often through public deliberative bodies. The volume is divided into four sections. The first concentrates on the principle of respect for autonomy and paternalistic policies and practices. The second explores the tension among bioethics, public policy, and religious convictions. It pays particular attention to the role of religious convictions in the formation of public policies and to the basis and limits of exemptions of health care providers who conscientiously oppose providing certain legal and patient-sought services. The third section looks at practices and policies related to organ transplantation. Childress focuses particularly on determining death, obtaining first-person consent for deceased organ donation, and allocating donated organs effectively and fairly. The book's fourth and final section maps the broad terrain of public health ethics, proposes a triage framework for the use of resources in public health crises, addresses public health interventions that potentially infringe civil liberties, and sheds light on John Stuart Mill's misunderstood legacy for public health ethics."--Provided by publisher.