Abstract
The idea of moral reform requires that morality be more than a description of what people do value, for there has to be some measure against which to assess progress. Otherwise, any change is not reform, but simply difference. Therefore, I discuss moral reform in relation to two prescriptive approaches to common morality, which I distinguish as the foundational and the pragmatic. A foundational approach to common morality (e.g., Bernard Gert’s) suggests that there is no reform of morality, but of beliefs, values, customs, and practices so as to conform with an unchanging, foundational morality. If, however, there were revision in its foundation (e.g., in rationality), then reform in morality itself would be possible. On a pragmatic view, on the other hand, common morality is relative to human flourishing, and its justification consists in its effectiveness in promoting flourishing. Morality is dependent on what in fact does promote human flourishing and therefore, could be reformed. However, a pragmatic approach, which appears more open to the possibility of moral reform, would need a more robust account of norms by which reform is measured.
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Notes
This principle of non-maleficence is different from preventing harm or alleviating suffering, which are not strictly speaking basic moral duties in Gert’s system (unless they are some role-specific duty).
Quote from Beauchamp and Childress is from [3].
In general, neither children nor severely disabled persons are likely to pose significant increased risk of harm to an adult rational person and moral agent, so it may be that there is also an implicit appeal here to the notion of low threat potential.
On Gert’s view, children are not moral agents but are (usually) included by moral agents in the group to whom moral rules apply. A being that is not a moral agent may be included in the group to whom moral rules apply, but it is not irrational to not include them, and there may be disagreement about what beings should be included and to what extent [1, pp. 140–143].
We might also note that there is a developing debate about the capacities of those who are cognitively disabled with respect to their status as moral agents to which Gert’s view about rational persons may not be wholly congenial.
Nor is included anything about the highly probable need for extensive care of aged and infirm rational persons.
Women apparently also continue to be the primary elder-caregivers.
Conditions of responsibility, too, would have to be specified, and might include situations in which one is the only one available or capable to help.
Something like what Kant meant by imperfect duties, which, while still duties, did not admit of the same degree of precision as perfect duties.
Arras makes a similar point in his discussion of the need in “free standing legal pragmatism” for “some normative conception of what constitutes good results” [16]. Raz, too, makes the point that norms are required to measure moral reform qua reform of morality understood as normative and not just a descriptive account of a social tradition [17].
This makes the pragmatic approach something like rule utilitarianism.
Jansen argues that clinical pragmatism has no standard for what would count as a successful moral decision [19, p. 25]. I am extending that point to the idea of moral reform.
Tong, in discussing clinical pragmatism, points out the danger of privileging medical facts over nonmedical values [20].
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Acknowledgments
This article was written in part while I was a Visiting Scholar in the Philosophy Department at Dartmouth College and I am grateful for that support. Thanks also to Jed and Perry Williamson for their hospitality, to the members of the Central European Pragmatist Forum for helpful discussions about pragmatism, and to Carson Strong for insightful comments and suggestions on earlier versions of this paper.
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Wallace, K.A. Common morality and moral reform. Theor Med Bioeth 30, 55–68 (2009). https://doi.org/10.1007/s11017-009-9096-2
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DOI: https://doi.org/10.1007/s11017-009-9096-2