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Materialist Ethics and the “Except Me” Tradition

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In this post I asked how a materialist could apply for a position as a professional ethicist. I asked: “Why should I pay someone $68,584 to say there is no real ultimate ethical difference between one moral response and another because they must both lead ultimately to the same place – nothingness.”

My point is illustrated by this quotation from professional materialist ethicist Peter Singer:

Whatever the future holds, it is likely to prove impossible to restore in full the sanctity-of-life view. The philosophical foundations of this view have been knocked asunder. We can no longer base our ethics on the idea that human beings are a special form of creation made in the image of God, singled out from all other animals, and alone possessing an immortal soul. Our better understanding of our own nature has bridged the gulf that was once thought to lie between ourselves and other species, so should we believe that the mere fact that a being is a member of the species Homo Sapiens endows its life with some unique, almost infinite value?

Peter Singer, “Sanctity of Life or Quality of Life?” Pediatrics 72, no. 1 (July 1983): 128-29.

The question at the end of the quotation is fascinating, because it highlights the branch-sawing nature of Singer’s project. People have no more intrinsic worth than pigs. Indeed, there is no such thing as “intrinsic worth,” because “worth” implies the “good” and the “good” does not exist. Everything is ultimately meaningless. But if that is true – and here’s where the branch sawing comes in – why should anyone care what a particularly clever hairless ape who goes by the name of “Peter Singer” says about anything? Are not his pronouncements as ultimately meaningless as everything else? Isn’t his solution to ethics as arbitrary as any other solution?

Here Singer is part of a larger post-modern tradition that I call the “except me” tradition. The post modern literature is full of long books by deconstructionists like Jacques Derrida who insist that long books have no intrinsic meaning (except books written by Derrida apparently). Similarly Singer insists that concepts like “good” and “evil” have no intrinsic meaning, except, apparently, when he says something is good.

The absurdity of all of this is palpable and it is hard to believe that Singer and Derrida don’t know this. Nevertheless, Derrida wrote long books and Singer makes ethical pronouncements. I suppose it is easy enough to understand why. Derrida sold a lot of books and Singer sits in a lucrative, secure and comfy endowed chair at Princeton. What is truly baffling to me is why anyone with a modicum of intelligence would listen to their self-referentially incoherent branch-sawing rantings. It is a mystery.

This brings me to a comment to my prior post by Mark Frank

I suspect Barry’s OP is based on a faulty idea of what an ethicist does. I am sure it is not his/her job to tell medical staff, patients and families what is the right thing to do. That would be incredibly patronising and lead to terrible problems if their own principles were very different from the person they were advising. It would be like Richard Dawkins coming along and telling the pregnant mother she ought to have an abortion because the child is disabled. I am sure their job is to help the people involved decide what is the right thing to do by pointing out precedents, consequences, different ways of looking at things etc.

Well Mark, I do have an idea about what ethicists do, and I hope it is not, as you say, faulty. I suppose that ethicists such as Singer say things about ethics and the basis for ethics (or the lack thereof) such as the Singer quotation above. Singer is a “preference utilitiarian” and in Practical Ethics he wrote concerning killing: “. . . the wrong done to the person killed is merely one factor to be taken into account, and the preference of the victim could sometimes be outweighed by the preferences of others.” (p. 95) Mark, I presume that if he were to advise someone regarding an “ethical” decision, he would bring the view that human beings are merely clever animals with no more intrinsic value than other animals and the view that granny’s desire to live may be outweighed by your desire to kill her to that conversation. Am I wrong?

By the way, I suspect Singer would apply the “except me” concept to considerations of whether his preference to live should be outweighed by someone else’s preference to kill him. I would bet dollars to doughnuts that he is an absolutist concerning the value of his own life.

Comments
Mark F said:
Similar grounds to yourself I dare say – it is a waste, it is an opportunity to relieve suffering etc.
You're mistaking an argument or a ruling with the grounds for the argument or ruling. You have said that it is your job as a subjective ethicist to interpret the rules and laws of stakeholders, not bring your own subjective ethical views into the matter. "Relieving the suffering of others" only became a matter up for consideration in this example because it is the manager's personal ethical view and he holds it as superior to that of the company policy - the policy that supposedly grounds your ethical considerations. That is what you are paid to do, isn't it? To interpret and make rulings according to the company's policies and guidelines and not your own subjective views ... right? In our example, the people that hired you, and the laws of the state governing that company, in no way imply that it is the duty of the company to "relieve suffering". Why would you argue that the company "should" relieve the suffering of others when it can when it is in no way mentioned in the policies you have been hired to interpret?William J Murray
September 9, 2014
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WJM
n what grounds would a subjectivist find the grocery store’s policy unethical, if there is no superceding law or policy to consider (like, say, from the state).
Similar grounds to yourself I dare say - it is a waste, it is an opportunity to relieve suffering etc. I really don't want to do the whole objective/subjective debate yet again. I have explained many times why a subjective view can be supported by reasons. So often I wrote it up in a document which you may have seen before.Mark Frank
September 9, 2014
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Mark's personal morality "It is ethically supportable if I feel like doing it" Mark's institutional morality (filtered through the ethicist) "It is ethically supportable if we feel like doing it."StephenB
September 9, 2014
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WJM. I understand. But trying to get someone like Mark Frank to follow his own logic to where it must lead is like trying to nail jello to a wall. Why does he do it? Again I can only speculate, but my "avoid dissonance at all costs; even at the cost of making myself look like an idiot" is the best I can come up with.Barry Arrington
September 9, 2014
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MF @ 38. When you make absurd statements (e.g., an ethicist does not make ethical judgments) you are either stupid or dishonest. You insist you are not dishonest. OK.Barry Arrington
September 9, 2014
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Mr. Arrington, Well, I never post for the benefit of those that deny the obvious. I post for the pote4ntial benefit of others watching who may only need to have the obvious pointed out to them.William J Murray
September 9, 2014
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Mark F said:
Absolutely. Both a subjectivist and an objectivist may find their employer’s policy not to be ethical. I had hoped I had made that clear. They just would not be doing what the company was paying them to do.
On what grounds would a subjectivist find the grocery store's policy unethical, if there is no superceding law or policy to consider (like, say, from the state).William J Murray
September 9, 2014
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barry One of your favourite arguments is "I am obviously right therefore you are stupid or dishonest". Once you get to that stage I can only assume you have no reasons to justify your position.Mark Frank
September 9, 2014
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WJM Absolutely. Both a subjectivist and an objectivist may find their employer's policy not to be ethical. I had hoped I had made that clear. They just would not be doing what the company was paying them to do. (Subjectivists do have reasons for their beliefs - just not ultimate reasons)Mark Frank
September 9, 2014
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WJM, you are taking Mark's words at face value and that is a mistake. He took the position you ascribed to him only to maintain his absurd "an ethicist does not bring his ethical viewpoint to the table" position, and he took that position to in order to dodge the question I posed to him in the OP. And he dodged the question in the OP because the obvious answer to the question makes him very uncomfortable.Barry Arrington
September 9, 2014
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MF: "I have answered sincerely . . ." OK. I will take you at your word and withdraw my charge of dishonesty. This leaves the other option I discussed above. BTW, when you deny the obvious I will always call you on it. And as we have already observed in our previous discussion of "obvious things materialists must deny" you have to do that a lot.Barry Arrington
September 9, 2014
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Mark F said:
Understand, interpret, and help people conform to, the laws and values of their employer, the state and other similar institutions.
One wonders if there can be a case where the rules and/or values of the institution the ethicist is employed by could be found, by the ethicist, to be unethical? Let's float a test case. The policy of a grocery store chain is to destroy all produce, bakery and deli items that do not sell in a day. A local manager instead donates all the food to a local food bank/shelter that gives food to the poor, homeless and hungry. The ethicist is brought in to make a determination of what the ethical thing is to do. If it is the ethicist's job, as described by Mark F, to simply interpret the rules and policies of the company and other stakeholders, such as the state and its laws, and there is no law against destroying the food and, for the sake of discussion, the food bank/shelter is solely liable if the food is bad, then how should the subjectivist rule? Well, if his job is only to interpret the rules of stakeholders involved, the only rules present that matter are the company's rules. So, he must find that it is unethical for the employee to distribute the food to the food bank instead of destroying it. He certainly cannot find that it is unethical for the company to destroy the food, even if there would be no legal liability whatsoever to donating that food to the food bank. Right? So the ethical thing to do, in this case, for the subjectivist, is to order the food destroyed and let those people go hungry. Because, after all, the company doesn't have a rule or a policy to keep people from starving, and it's the ethicist's job to interpret the rules, not question the rules themselves. Right? Whereas, the objectivist has grounds to question those rules even if no overruling institutions, like the state, holds any law that would overturn store policy. The objectivist holds that destroying good food while others nearby go hungry is itself unethical whether or not there is any formal policy or law, and can instead advise the company that the employee is in the right, ethically speaking, and that they need a new policy about the perishable food.William J Murray
September 9, 2014
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Tim
Objectivists will necessarily believe that at least one of the parties in an ethical conflict is objectively wrong. Uuh, doesn’t everybody believe this?
A subjectivist may not believe that any of the parties is objectively wrong - because they don't believe ethical issues are necessarily objective (although frequently they are based on objective facts). If X asserts "this film is funny" and Y asserts "this film is not funny" then that may simply be them expressing their different opinions and neither is wrong.Mark Frank
September 9, 2014
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Barry
No Mark. You did not answer the question @ 25. You dodged it. Don’t you see; the question is rhetorical. The answer is manifest. And denying the manifest answer is a dodge.
You asked “am I wrong?”. And now you tell me that  the only answer that counts as answer as far as you are concerned is “no”. Is this a lawyer’s trick - to ask a question and then accuse some of not answering it because they didn’t give the answer you wanted?
I do not charge dishonestly lightly. But you insist on clinging to your absurd “an ethicist does not bring his ethical viewpoint to the table” position. This forces me to conclude that you are either hopelessly stupid or being dishonest. I know you are not hopelessly stupid. Sadly, that leaves but one alternative.
I have answered sincerely and outlined my reason for my answer. (It is question about how someone would behave and I don’t know the person). You have not responded to my reason but simply asserted that my point of view is either stupid or dishonest. Given the above I think the time has come to stop debating this issue. This is a shame because it is quite an interesting topic - but there has to be a minimum level of courtesy and reasonableness in the debateMark Frank
September 9, 2014
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MF, Thank you for clarifying your position. I am struck by the following:
Objectivists will necessarily believe that at least one of the parties in an ethical conflict is objectively wrong.
Uuh, doesn't everybody believe this? A simple example, "It is right and correct that MF send me all his money." Does anybody think there are two sides to this story, that MF's (assumed) inclination to retain his wallet is also correct. No? MF, I am glad you are more of a subjectivist, and although you find it distasteful, I will find it much more tasteful to have your money -- tens and twenties, please.Tim
September 9, 2014
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No Mark. You did not answer the question @ 25. You dodged it. Don’t you see; the question is rhetorical. The answer is manifest. And denying the manifest answer is a dodge. I do not charge dishonestly lightly. But you insist on clinging to your absurd “an ethicist does not bring his ethical viewpoint to the table” position. This forces me to conclude that you are either hopelessly stupid or being dishonest. I know you are not hopelessly stupid. Sadly, that leaves but one alternative.
Objectivists will necessarily believe that at least one of the parties in an ethical conflict is objectively wrong.
Certainly if one of the parties is Peter Singer or someone influenced by him and suggests that granny’s preference to live may be outweighed by others’ preference to knock her in the head, the objectivist will believe one of the parties is objectively wrong. Nevertheless, your statement is wrong. Objectivists do not insist there are no difficult questions upon which reasonable people can disagree.
They will therefore be less inclined to adopt a solution that incorporates that party’s views and so they have less options for finding a mutually acceptable solution.
Yes, almost by definition objectivists will exclude objectively immoral options. Thus, objectively immoral solutions (let’s knock granny in the head) will be off the table. I can’t argue with that.
Peter Singer’s views seem to be an irrelevant distraction.
Only to someone who wants to avert his eyes from Singer's refreshingly honest (albeit somewhat brutal) conclusions regarding the logical end of materialist metaphysics vis-à-vis ethics.
I only have a vague idea of his beliefs but I get the impression he is a materialist but believes in objective moral truths
The second part of that sentence proves the first part. Singer is the last person in the world who would say there is such a thing as objective moral truth.
Even if he is a subjectivist he is not typical in his subjective views or the strength with which he puts them forward.
I will grant that. He is atypically honest about the logical consequences of materialist metaphysics.Barry Arrington
September 9, 2014
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Barry I have not explained my position as clearly as I should. I guess it is your legal training and not your Christian values that leads you to quickly jump to accusations of dishonesty. My answer to your repeated question was in comment #25 written several hours before your accusation of not answering it (note Tim thanked me for answering the question). Anyhow here is my attempt to summarise my position as clearly and concisely as I can. I believe every word I write.I think the significant change is “laws and values” where before I wrote “laws and rules”. --------------------------------- The OP question Barry asked, in the context of a clinical ethicist, was: Why should I pay someone $68,584 to say there is no real ultimate ethical difference between one moral response and another because they must both lead ultimately to the same place – nothingness. Barry doesn’t differentiate between materialist, atheist, moral subjectivist and moral relativist. Even if you think they imply each other, the fact is that these are different views. I am assuming that what Barry is really getting at is moral subjectivism – the view that there is no ultimate foundation for moral judgements (a view I happen to share). I suggest a moral subjectivist is more likely to do the job well (and thus provide a reason for paying him) than someone who believes they know the objective truth about morality. I believe the argument holds even if you are a moral objectivist. This is not a dispute about whether moral subjectivism or objectivism is correct. The argument is: All the evidence I have read suggests a clinical ethicist’s job includes two relevant tasks (they certainly have to do many other things as well but they are not relevant). 1) Understand, interpret, and help people conform to, the laws and values of their employer, the state and other similar institutions. 2) Find a solution for difficult situations where stakeholders have conflicting ethical views which is as acceptable as possible for all stakeholders but also complies with (1 ). We have an example of such a difficult situation in the news in the UK at the moment. How do objectivist and subjectivists match up against these two requirements? 1) Objectivists often disagree about what the objective moral truth is (sometimes violently). So there is no guarantee that their views will be the same as the employer, the state and other similar institutions. Most subjectivists also have strong moral views, but, on the whole, I think they are less likely  to pursue them in opposition to their employer’s views. Of course ideally the employer finds someone who passionately shares their values – in which case an objectivist would probably pursue his values more strongly - but it is hard to be sure about a person’s values when they are being interviewed and values change. 2) Objectivists will necessarily believe that at least one of the parties in an ethical conflict is objectively wrong. They will therefore be less inclined to adopt a solution that incorporates that party’s views and so they have less options for finding a mutually acceptable solution. A subjectivist may find one or more of the parties’ views distasteful but on the whole they will be more inclined to accept alternative viewpoints and therefore will have  more options for finding a mutually acceptable solution. Note that in practice most employees, including no doubt clinical ethicists, are less than perfect employees and interpose their own moral views in opposition to those of their employer. In some cases this may be what most of us would accept as the right thing to do – but they would be less perfect employees as a result.  Peter Singer’s views seem to be an irrelevant distraction.  I only have a vague idea of his beliefs but I get the impression he is a materialist but believes in objective moral truths – albeit ones that most people would not accept. Even if he is a subjectivist he is not typical in his subjective views or the strength with which he puts them forward.Mark Frank
September 9, 2014
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Tim
You claim that Singer would be doing the job rather poorly.
I said he would be doing the job rather poorly if he brought the ethical view you describe into his job.  As one of my assumptions was that a clinical ethicist should not attempt to get others to adopt his ethical views this seems to follow.
Here, I would ask that we stipulate Singer is an empathic, caring listener, and so on, but one that explained the ethical dimensions of the decision at hand according to his moral philosophy.
Maybe I wasn’t clear. I was trying to say that for a clinical ethicist those ethical dimensions should be the ethical dimensions of his employer – not his own. Therefore Singer would have failed according to my criterion (unless his employer happened to share his rather unusual values).
As for your question to Barry in 24, it is like so many others, a false dilemma. Suppose you were employing a clinical ethicist. Would you want one that reflected your own values or one that was convinced they knew the moral truth and would do their best to conform to his values? If the ethicist I employed reflected my own values, I would know that they knew the moral truth and I would expect them to conform to it.
(If the ethicist reflected your own values you would believe they knew the moral truth. I am assuming you are subject to error like all other human beings and therefore it is possible you made a mistake. Or are you perfect?) However, the dilemma I posed was rather different. Again I apologise if I was not clear. When I said “someone who reflected your own values” I meant someone who effectively worked using your ethical values whether they believed in them or not. The alternative was someone who believed they knew the moral truth but these values were different from yours (you must admit this is possible) and attempted to work using his/her own values. There is I suppose a third possibility – someone who perversely reflected a different set of values from your own and did not believe in those values – I cannot imagine why anyone would do that.  I think this is a pretty clear set of mutually exclusive alternatives and therefore presents a real dilemma. Incidentally can you give me one or two examples of the  many other false dilemmas you mention?Mark Frank
September 9, 2014
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Readers, I am saddened by Mark Frank’s refusal to acknowledge the obvious. He points to a lengthy description of a clinical ethicist’s description of his job and asks us to use that as the basis of our understanding of what clinical ethicists do. Fair enough. The description contains the following:
my philosophy of clinical ethics is to frame advice and solutions in a way that is ethically supportable they should function as informers and guides about the case’s ethical dimensions, as well as the ethical supportability of different solutions
Mark then says that all this means is that the job of the ethicist is merely to “interpret the laws and rules of the institution.” Nonsense on a stick. Mark is intelligent enough to know that “ethical” is not subsumed by “legal,” and when he suggests otherwise we can be sure he is being dishonest. Sad. A few weeks ago Mark and I had a discussion about the obvious things that materialists must deny. Add this to the list: Mark denies the obvious fact that his own example demonstrates that clinical ethicists advise people about what is ethical. Why would Mark deny such an obvious fact? As I said in 23 above, my best guess is that it is part of his coping mechanisms to deal with the dissonance he feels living his everyday life as if his most deeply held metaphysical commitments were false. In this particular instance, if Mark acknowledged the obvious, he would have to answer the question I asked in the OP and re-asked in comments 10 and 17. Answering that question would make Mark very uncomfortable, and he would rather resort to absurd interpretations of the very text he himself proposed as the baseline than answer that question. Mark proposes a question to me in 24. There is an obvious answer to the question, but I refuse to give him the courtesy of a straightforward answer to a simple question when he refuses to extend the same courtesy to me.Barry Arrington
September 9, 2014
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Mark, Sarcasm aside, this is where we will part ways. You claim that Singer would be doing the job rather poorly. My point is that based on your own lengthy description of clinical ethicist in post #16, Singer would be doing the job quite well! Here, I would ask that we stipulate Singer is an empathic, caring listener, and so on, but one that explained the ethical dimensions of the decision at hand according to his moral philosophy. The only problem is practically nobody would hire him because very few are willing to extend his moral philosophy into their own lives. Come to think of it, he is not even willing to extend it into his own. I direct your attention to "Other Peoples' Mothers". Anyway, thanks for answering the question. As for your question to Barry in 24, it is like so many others, a false dilemma.
Suppose you were employing a clinical ethicist. Would you want one that reflected your own values or one that was convinced they knew the moral truth and would do their best to conform to his values?
If the ethicist I employed reflected my own values, I would know that they knew the moral truth and I would expect them to conform to it. It is the same for everybody.Tim
September 9, 2014
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#22 Tim Amongst all the sarcasm I guess the question you wanted me to answer is this one?
Mark, I presume that if he were to [“frame advice and solutions in a way that is ethically supportable”], he would bring the view that human beings are merely clever animals with no more intrinsic value than other animals and the view that granny’s desire to live may be outweighed by your desire to kill her to that conversation. Am I wrong?
The answer is I have no idea because I don't know Peter Singer. If he did, he would be doing the job rather poorly.Mark Frank
September 8, 2014
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#17 Barry As I said in my reply to Dick #8 above and said several times on the other OP, as I understand it there are two relevant parts to a clinical ethicist’s job:   * interpret the laws and rules of the institution * help all the parties involved come to a decision which they and the institution are as comfortable with as possible.   Presumably “ethically supportable” refers to the first part. If he had meant – “what I believe to be right” then he would have written that. If he is acting as clinical ethicist then he will be employed by an institution. If he is doing the job as specified then "ethically supportable" will  refer to the rules and values of the institution and quite probably the state.That is what he is paid to do. This may conflict with his own values and as a person he may decide he would be morally better to act in a different way but then he would be doing the job less well.  Don't you think a moral relativist (which incidentally is not the same as a materialist) would find this easier to cope with than an objectivist? Would Peter Singer be prepared to do the job well?  I have no idea. I don’t the man. Suppose you were employing a clinical ethicist. Would you want one that reflected your own values or one that was convinced they knew the moral truth and would do their best to conform to his values?Mark Frank
September 8, 2014
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Nice Tim. You are, of course, correct. Duck and dodge is on full display. In fairness Mark is not the only materialist who employs these tactics. Personally, I suspect it is part of their coping mechanisms for dealing with the dissonance caused by, on the one hand espousing a materialist metaphysics, and on the other hand living their everyday lives as if their core metaphysical beliefs are false. Just a guess.Barry Arrington
September 8, 2014
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Ok. We get it. A moral philosopher is not exactly the same as a clinical ethicist. MF continues to submit that Professor Singer "might not be good at it", but look closely at the reason given:
nor would anyone who was certain about [sic] they considered to be the moral truth.
But, a moral truth is a truth isn't it? Does this mean that the only good clinical ethicist achieves that status by not knowing what is true? Hah! But I digress . . . MF seems totally willing to believe that the actual training the ethicist would receive under the likes of Singer would have little to no effect in the ethicist's job. (If he/she were good at it.) What a nice description of clinical ethicist Mark gave us. As we all get lulled asleep by what is nothing more than a description of the world's best sounding board, I hope nobody missed the phrase, they should function as informers and guides about the case’s ethical dimensions I have a feeling that MF would find a clinical ethicist who relied on Christian grounding concerning "ethical dimensions" to be at best incomplete or, more likely, just plain wrong-headed. On to more important things: MF, all has been stipulated, just answer the stinkin' question! Else, I shall foist another bit of doggerel on you. Awwww, I'll do it anyway. Consider now Frank’s five rules of posting. (Raise all your glasses, and I’ll do the toasting.) “Dodge-duck-dip-and-dive, Dodge (Again) and you’ll thrive!” No need to debate. Re-shift, and he’s coasting.Tim
September 8, 2014
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Arcatia_Bogart
What about the word stakeholder don’t you understand? Are you saying that blacks in the US aren’t stakeholders in decisions made that affect them? And what about the word consensus don’t you understand? Consensus does not mean majority rules. It means far more than that.
Stakeholder Just as the word implies, a stakeholder is anyone who has a stake in the outcome of a decision. Blacks were stakeholders then and they are stakeholders now. Consensus In a small group context, a consensus decision is one that everyone can live with in an environment where no one is voted down. In a political context, a consensus decision is one that is arrived at by a majority where the minority is voted down. Now, please answer my questions: In the United States, stakeholders once reached a consensus decision that that blacks may be marginalized. Now they have reached a consensus decision that that blacks may not be marginalized. Which consensus decision was ethically supportable and which one was not? Why?StephenB
September 8, 2014
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StephenB: "In the United States, stakeholders once reached a consensus decision that that blacks may be marginalized. Now they have reached a consensus that that blacks may not be marginalized. Which consensus decision was ethically supportable and which one was not? Why?" What about the word stakeholder don't you understand? Are you saying that blacks in the US aren't stakeholders in decisions made that affect them? And what about the word consensus don't you understand? Consensus does not mean majority rules. It means far more than that.Acartia_bogart
September 8, 2014
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The "ethically supportable" phrase jumped out at me too. It is difficult to read it other than as, "able to be rationalized." As in: It would be financially convenient to sell massive amounts of this pharmaceutical, but it likely has some very harmful side-effects. How can we make this happen in a way that is ethically supportable? Having a moral relativist to advise in these circumstances would, no doubt, be worth every bit of $68K.Phinehas
September 8, 2014
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Mark .."my philosophy of clinical ethics is to frame advice and solutions in a way that is ethically supportable and around which stakeholders may reach consensus” In the United States, stakeholders once reached a consensus decision that that blacks may be marginalized. Now they have reached a consensus that that blacks may not be marginalized. Which consensus decision was ethically supportable and which one was not? Why?StephenB
September 8, 2014
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Mark, You are missing the point. I accept for the sake of discussion that everything you say about an ethicist’s job is accurate. The job cannot, by definition, be performed in an ethical vacuum, which the passage you quote supports: “my philosophy of clinical ethics is to frame advice and solutions in a way that is ethically supportable and around which stakeholders may reach consensus” He frames his advice to the participants in a way that is “ethically supportable.” If this means anything it means that some advice is “ethically supportable” and some is not. So I repeat my question (your dodging of which is on the record for everyone to see):
Mark, I presume that if he were to [“frame advice and solutions in a way that is ethically supportable”], he would bring the view that human beings are merely clever animals with no more intrinsic value than other animals and the view that granny’s desire to live may be outweighed by your desire to kill her to that conversation. Am I wrong?
Barry Arrington
September 8, 2014
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#10 Barry I guess that short excerpt is not clear enough.  The point is that he does not see it as his job to decide what is right or wrong or to influence stakeholders to adopt his ethical views. It is about getting stakeholders to clarify their own values, finding a compromise between different stakeholders with conflicting values, and applying the laws and rules of the state and the institution.  I don’t think Peter Singer would be particularly good at this but nor would anyone who was certain about they considered to be the moral truth. This longer excerpt may help (my emphasis).
I believe the philosophy of clinical ethics to be determined by the goals of clinical ethics. I see its goals related to problem solving and conflict resolution in clinical cases. In addition clinical ethics is about giving all stakeholders a voice, and making them feel heard, regardless of their background. Often problems arise where the participants are in conflict, sometimes at an impasse, because of value-laden goals and understandings, or when stakeholders believe that their voices are not being heard/their values appreciated. Within this context, my philosophy of clinical ethics is to frame advice and solutions in a way that is ethically supportable and around which stakeholders may reach consensus. Ideally, solutions should be supported bottom-up and preferably stem from stakeholder initiatives. Clinical ethicists should not act as final judges about what is right or wrong in a specific case. Instead, they should function as informers and guides about the case’s ethical dimensions, as well as the ethical supportability of different solutions.  In order to achieve my goals I seek to listen, rephrase, synthesize, analyze and uncover the stakeholder’s (differing) positions and values. Communication and information are key methods to show concern and to achieve my goals of clinical ethics. Listening to the different stakeholders helps me to appreciate their perspectives and enables me to provide them with a voice. Rephrasing stakeholder perspectives aims to make their positions transparent and assists in achieving clarity.  Subsequent synthesis of these positions clarifies their interrelation. Synthesis and transparency also serve for outsiders, to appreciate the different positions and makes stakeholders accountable. Finally, I seek to use analysis of the different positions to uncover the different values at stake. The adagio for a clinical ethics consultant in my hospital is: help them to help themselves. The clinical competencies of the ASBH suggest that a clinical ethicist is not supposed function as an authoritarian consultant and to impose his/her viewpoints. My philosophy of clinical ethics is therefore to enlighten the stakeholder’s perspectives in a particular case, and to help them help themselves in approaching the cases according to my philosophy set out above.
Mark Frank
September 8, 2014
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