A number of philosophers working in applied ethics and bioethics are now earnestly debating the ethics of what they term “moral bioenhancement.” I argue that the society-wide program of biological manipulations required to achieve the purported goals of moral bioenhancement would necessarily implicate the state in a controversial moral perfectionism. Moreover, the prospect of being able to reliably identify some people as, by biological constitution, significantly and consistently more moral than others would seem to pose a profound challenge to egalitarian (...) social and political ideals. Even if moral bioenhancement should ultimately prove to be impossible, there is a chance that a bogus science of bioenhancement would lead to arbitrary inequalities in access to political power or facilitate the unjust rule of authoritarians; in the meantime, the debate about the ethics of moral bioenhancement risks reinvigorating dangerous ideas about the extent of natural inequality in the possession of the moral faculties. (shrink)

:Several lines of reasoning have been employed to both approve and disapprove two of Nicholas Agar’s positions: his argument that the creation of postpersons is imaginable and possible and his inductive argument disfavoring the creation of postpersons. This article discusses a number of these lines of reasoning, arguing that1)The creation of postpersons is imaginable if they are envisaged as morally enhanced beings.2)The creation of postpersons is justified, subject to the condition that we create morally enhanced postpersons.The reason given for the (...) first point is that it is possible to imagine postpersons who are morally enhanced, provided that we consider moral enhancement as an augmented inclination to act in line with how we believe we ought to act. There are two reasons offered for the second point: the first indicates probability, and the second offers proof. That is, if we assume that the higher moral status of postpersons implies their enhanced morality, we can conclude, inductively, that postpersons will not be inclined to annihilate mere persons. For if mere persons have moral inhibitions against obliterating some species of a lower moral status than their own, morally enhanced postpersons will be even less likely to do the same to mere persons. In fact, they might consider it their moral duty to preserve those beings who enabled them to come into existence. Moreover, even if morally enhanced postpersons decide to annihilate mere persons, we can conclude, deductively, that such a decision is by necessity a morally superior stance to the wish of mere persons to continue to exist. (shrink)

BackgroundThe COVID-19 pandemic has changed the healthcare landscape drastically. Stricken by sharp surges in morbidity and mortality with resource and manpower shortages confounding their efforts, the medical community has witnessed high rates of burnout and post-traumatic stress amongst themselves. Whilst the prevailing literature has offered glimpses into their professional war, no review thus far has collated the deeply personal reflections of physicians and ascertained how their self-concept, self-esteem and perceived self-worth has altered during this crisis. Without adequate intervention, this may (...) have profound effects on their mental and physical health, personal relationships and professional efficacy.MethodsWith mentions of the coronavirus pervading social media by the millions, this paper set out to collate and thematically analyse social media posts containing first-person physician reflections on how COVID-19 affected their lives and their coping mechanisms. A consistent search strategy was employed and a PRISMA flowchart was used to map out the inclusion/exclusion criteria.ResultsA total of 590 social media posts were screened, 511 evaluated, and 108 included for analysis. Salient themes identified include Disruptions to Personal Psycho-Emotional State, Disruptions to Professional Care Delivery, Concern for Family, Response from Institution, Response from Society and Coping Mechanisms.ConclusionIt is evident that the distress experienced by physicians during this time has been manifold, multi-faceted and dominantly negative. Self-concepts were distorted with weakened self-esteem and perceived self-worth observed. The Ring Theory of Personhood (RToP) was adopted to explain COVID-19’s impact on physician personhood as it considers existential, individual, relational and social concepts of the self. These entwined self-concepts serve as ‘compensatory’ to one another, with coping mechanisms buffering and fortifying the physician’s overall personhood. With healthcare institutions playing a vital role in providing timely and targeted support, it was further proposed that a comprehensive assessment tool based on the RToP could be developed to detect at-risk physicians and evaluate the presence and effectiveness of established support structures. (shrink)

I want to thank all of those who have commented on my article in the Journal of Medical Ethics.1 The commentaries address a wide cross-section of the issues raised in my article. I have organised my responses thematically.The state of playAllen Buchanan's scepticism2 about moral statuses higher than personhood derives, in part, from our apparent inability to describe them. We seem to have little difficulty in imagining what it might be to have scientific understanding far beyond that of any human (...) scientist. By contrast, it is exceedingly difficult to describe moral statuses superior to that of any person. Boosting cognitive capacities seems to result in cognitively superior persons—not post-persons . I offer an explanation of our moral myopia.2 We are necessarily clueless in respect of moral statuses superior to our own. If mice understood practical reasons sufficiently well to truly understand why persons have a moral status superior to their own then they would be capable of the feats of practical reason constitutive of personhood—they would be persons. Our cluelessness about post-persons is compatible both with their possible existence and with their necessary non-existence. I propose an inductive argument for the existence of statuses superior to personhood. The observed existence of many moral statuses up to and including persons provides moderately strong inductive support for the possibility of post-persons.Who do we trust to make decisions about higher moral statuses?What precisely does the inductive argument predict? If my diagnosis of our moral myopia about post-personhood is correct, then mere persons cannot really understand what properties of post-persons give them a superior status. They will be able to infer their existence indirectly by an appeal to the predicted judgments of beings who lack our cognitive limitations. Wasserman3 questions my suggestion that we should defer to the sincere moral judgments of …. (shrink)

We outline an argument favoring voluntary moral bioenhancement as a response to existential risks humanity exposes itself to. We consider this type of enhancement a solution to the antithesis between the extinction of humanity and the imperative of humanity to survive at any cost. By opting for voluntary moral bioenhancement; we refrain from advocating illiberal or even totalitarian strategies that would allegedly help humanity preserve itself. We argue that such strategies; by encroaching upon the freedom of individuals; already inflict a (...) degree of existential harm on human beings. We also give some pointers as to the desirable direction for morally enhanced post-personhood. (shrink)