MIP does not save the impairment argument against abortion: a reply to Blackshaw and Hendricks

Author:

Crummett Dustin

Abstract

Perry Hendricks’ original ‘impairment argument’ against abortion relied on ‘the impairment principle’ (TIP): ‘if it is immoral to impair an organism O to the nth degree, then, ceteris paribus, it is immoral to impair O to the n+1 degree.’ Since death is a bigger impairment than fetal alcohol syndrome (FAS), Hendricks reasons that, by TIP, if causing FAS is immoral, then, ceteris paribus, abortion is immoral. Several authors have argued that this conclusion is uninteresting, since the ceteris paribus clause is not satisfied in actual cases of abortion: women have reasons for wanting abortions which do not apply to drinking during pregnancy, so all else is not equal, and the conclusion is irrelevant to the morality of actual abortions. In a recent article in this journal, Hendricks and Bruce Blackshaw try to evade this criticism by replacing TIP with the ‘modified impairment principle’ (MIP): ‘if it is immoral to impair an organism O to the nth degree for reason R, then, provided R continues to hold (or is present), it is immoral to impair O to the n+1 degree.’ MIP allows us to derive the ultima facie wrongness of abortion (not just its ceteris paribus wrongness) because MIP lacks a ceteris paribus clause. But I argue that this lack also renders MIP false: MIP faces counterexamples and implausibly produces genuine moral dilemmas. Since the moral principle on which it relies is false, the modified impairment argument fails. I close by considering what a principle would need to do for the impairment argument to succeed.

Publisher

BMJ

Subject

Health Policy,Arts and Humanities (miscellaneous),Issues, ethics and legal aspects,Health (social science)

Reference7 articles.

1. Even if the fetus is not a person, abortion is Immoral: the impairment argument;Hendricks;Bioethics,2019

2. Strengthening the impairment argument against abortion;Blackshaw;J Med Ethics,2021

3. Violinists, demandingness, and the impairment argument against abortion;Crummett;Bioethics,2020

4. The impairment argument for the immorality of abortion revisited;Blackshaw;Bioethics,2020

5. Abortion is incommensurable with fetal alcohol syndrome;Pickard;Bioethics,2020

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1. The SIA Can’t Just Go with the FLO;HEC Forum;2023-07-13

2. Impairing the impairment argument;Journal of Medical Ethics;2023-06-28

3. The impairment argument, ethics of abortion, and nature of impairing to the n + 1 degree;Medicine, Health Care and Philosophy;2023-01-27

4. Maternal autonomy and prenatal harm;Bioethics;2023-01-07

5. Three Problems with the Impairment Argument;Asian Bioethics Review;2022-11-07

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