A Lack of Respect in Bioethics
Samuel Kerstein points out that although respect is a commonly deployed concept in bioethics, requirements of respect usually amount to respect for autonomy, or for giving proper weight to the choices made by competent persons. Kerstein argues that increased emphasis on another sense of respect, respect for the worth of persons, will greatly enrich discussions in several areas of bioethics. He sketches a Kantian account of respect for persons’ worth, one that incorporates a prohibition on using them merely as means as well as a prescription to treat them as having unconditional, preeminent value. He then applies the account to questions regarding the morality of physician-assisted dying, the ethical distribution of scarce, life-saving medical resources, and morally appropriate reasons for having children.