Publications

Are Markets Amenable to Consequentialist Evaluation?”

Business Ethics Quarterly, forthcoming

There is an ongoing debate over the moral limits of the market. Many participants endorse the plausible idea that a market’s moral status depends, at least in part, on its consequences. For example, Satz holds that markets whose operation undermines citizens’ ability to interact as equals are bad. And Brennan and Jaworski maintain that markets trading in any good or service permissibly possessed may be arranged to operate without bad consequences. This plausible normative claim about markets depends on a descriptive one. Namely, that individual markets have descriptive properties which would provide a suitable basis for their consequentialist evaluation. This descriptive claim, I argue, is false. Markets’ consequences are a joint production. There is no principled means by which the consequences of one may be distinguished from those of another. Thus, the plausible idea is false. A market’s moral status cannot depend on its consequences.

Contact me for any of the papers below.

The Best Option Argument and Kidney Sales: A Reply to Albertsen

Journal of Medical Ethics, forthcoming

In a recent article, Albertsen both elaborates the best option argument for regulated markets and levels a justice-based objection to kidney sales. In the present article, I show that Albertsen has crucially misunderstood the best option argument. It isn’t a defense of kidney sales, as Albertsen claims. It’s a reply to an objection. The objection, perennial in the debate, opposes kidney sales on the grounds that sellers would be harmed. The best option argument – proving that prohibitions tend to set back the interests of those denied their preferred option – shows this thinking to be confused. If sound, the best option argument dramatically undercuts any attempt to oppose a market citing would-be sellers’ interests.

Kidney Sales and Disrespectful Demands: A Reply to Rippon

Journal of Medicine and Philosophy, forthcoming

Simon Rippon, revising an earlier argument against kidney sales, now claims that offers involving the performance of invasive acts, when extended to people under pressure, constitute a kind of rights violation, Impermissibly Disrespectful Demands. Since offers involving kidney sales so qualify, Rippon finds prima facie reason to prohibit them. The present paper levels four independent objections to Rippon’s argument: the account of Impermissibly Disrespectful Demands implausibly condemns kidney donation as much as kidney sales; the normative importance of having autonomous veto control over bodily incursions does not plausibly underwrite a right to not be extended invasive offers under pressure; Impermissibly Disrespectful Demands can easily be transformed into innocuous offers; and the prohibition has greater welfare costs than Rippon acknowledges.

Exploitation, Coercion, and Other Problems with Kidney Donation

Think 2024, 23(66): 47-52

Kidney failure is a major killer. Many lives could be saved through organ donation if people were less reluctant to part with their spare kidney. Should we incentivize donation by paying people to do it?

The Altruism Requirement as Moral Fiction

Journal of Medicine and Philosophy, 2024 49(3):257-270

It is widely agreed that living kidney donation is permitted but living kidney sales is not. Call this the Received View. One way to support the Received View is to appeals a particular understanding of the conditions under which living kidney transplantation is permissible. It is often claimed that donors must act altruistically, without the expectation of payment and for the sake of another. Call this the Altruism Requirement. On the conventional interpretation, the Altruism Requirement is a moral fact. It states a legitimate constraint on permissible transplantation and is accepted on the basis of cogent argument. The present paper offers an alternative interpretation. I suggest the Altruism Requirement is a moral fiction – a kind of motivated falsehood. It’s false that transplantation requires altruism. But the Requirement serves a purpose. Accepting it allows kidney donation but not kidney sale. It, in short, rationalizes the Received View.  

Kidney Donors’ Interests and the Prohibition on Sales

Bioethics, 2023 37:831-837

Potential kidney donors may be subject to harmful pressure to donate. This pressure may take almost any form; people have diverse interests, and anything that could set them back may qualify as pressure. Given features of the context—the high stakes, the involvement of family, and the social meaning of donation—such pressure may be especially harmful. The use of such pressure is the predictable consequence of the prohibition on kidney sales. Potential donors have something—a transplantable kidney—that is both valuable and scarce. Many of them, informed about donation, decide against it. Those in need of a transplant may seek to persuade the unwilling. Given the prohibition, the donation cannot be made more attractive in absolute terms by, say, the addition of money. However, it can be made more attractive in relative terms. The application of harmful pressure has the desired effect. Potential donors' interests should figure more prominently in the discussion of transplant policy. Those who defend the prohibition have made virtually no attempt to account for its impact on that group.

A Regulated System of Incentives for Living Kidney Donation: Clearing the Way for an Informed Assessment

American Journal of Transplantation, 2022 22(11): 2509-2514

Co-authored with Arthur Matas.

To increase rates of living kidney donation, trials of a regulated system of incentives have been proposed. Unfortunately, much discussion of this life-saving possibility has been unproductive. Objections commonly leveled against it: fail to engage with it; conflate it with underground, unregulated markets; speculate without evidence; and reason fallaciously, favoring rhetorical impact over logic. The present paper is a corrective. It identifies these common errors so they are not repeated, thus allowing space for an assessment of the proposal on its merits.

Relationship Sensitive Consequentialism Is Regrettable

Social Theory and Practice, 2020 46(2):257-276

Co-authored with Andrew T. Forcehimes.

Personal relationships matter. Traditional Consequentialism, given its exclusive focus on agent-neutral goodness, struggles to account for this fact. A recent variant of the theory—one incorporating agent-relativity—is thought to succeed where its traditional counterpart fails. Yet, to secure this advantage, the view must take on certain normative and evaluative commitments concerning personal relationships. As a result, the theory permits cases in which agents do as they ought, yet later ought to prefer that they had done otherwise. That a theory allows such cases is a serious defect. We thus conclude that, in terms of how the theories handle personal relationships, agent-relative consequentialism fairs no better than its traditional counterpart.

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Understanding Choice, Pressure, and Markets in Kidneys

Journal of Medical Ethics, 2020 46:277-278

Here I briefly respond to a recent paper by Julian Koplin, in which he criticizes my earlier work in this journal. I show that Koplin has misunderstood the distinction I’ve made between pressure to vend and pressure with the option to vend. I also show that his pessimism about the market regulations I favor is unwarranted.

Book Review: Taking Utilitarianism Seriously, by Christopher Woodard

Journal of Value Inquiry, 2020 54(4):663-668

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When the Patina of Empirical Respectability Wears Off: Motivational Crowding and Kidney Sales

Ethical Theory and Moral Practice, 2019 22(5):1055-1071

An increasingly common objection to kidney sales holds that the introduction of monetary incentives may undermine potential donors’ altruism, discourage donation, and possibly result in a net reduction in the supply of kidneys. To explain why incentives might be counterproductive in this way market opponents marshal evidence from behavioral economics. In particular, they claim that the context of kidney sales is ripe for motivational crowding. However, on inspection it becomes apparent that the evidence touted by market opponents not only lends no credence to their claims, but also provides some positive reason to doubt them.

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Organ Donor or Gratuitous Moral Failure? Pick One

Think, 2018 17(50):85-89

Many are unwilling to donate their vital organs in death. To affirm this choice is to prefer the integrity of one's corpse over possibly saving and improving the lives of others. This position enjoys no sound defence. Refusing to donate amounts to a gratuitous moral failure

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Non-Compliance Shouldn’t Be Better

Australasian Journal of Philosophy, 2018 97(1):46-56

Co-authored with Andrew T. Forcehimes.

Agent-relative consequentialism is thought attractive because it can secure agent-centred constraints while retaining consequentialism’s compelling idea – the idea that it is always permissible to bring about the best available outcome. We argue, however, that the commitments of agent-relative consequentialism lead it to run afoul of a plausibility requirement on moral theories. A moral theory must not be such that, in any possible circumstance, were every agent to act impermissibly, each would have more reason (by the lights of the very same theory) to prefer the world thereby actualized over the world that would have been actualized if every agent had instead acted permissibly.

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Actualism Doesn’t Have Control Issues: A Reply to Cohen and Timmerman

Philosophia, 2019 47(1):271-277

Co-authored with Andrew T. Forcehimes.

Recently, Cohen and Timmerman (2016) argue that actualism has control issues. The view should be rejected, they claim, as it recognizes a morally irrelevant distinction between counterfactuals over which agents exercise the same kind of control. Here we reply on behalf of actualism.

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Are There Distinctively Moral Reasons?

Ethical Theory and Moral Practice, 2018 (21)3:699-717

Co-authored with Andrew T. Forcehimes.

A dogma of contemporary normative theorizing holds that some reasons are distinctively moral while others are not. Call this view Reasons Pluralism. This essay looks at four approaches to vindicating the apparent distinction between moral and non-moral reasons. In the end, however, all are found wanting. Though not dispositive, the failure of these approaches supplies strong evidence that the dogma of Reasons Pluralism is ill-founded.

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A Mistake in the Commodification Debate

Journal of the American Philosophical Association, 2017 3(3):354-371

A significant debate has developed around the question: What are the moral limits of the market? This paper argues that this debate proceeds on a mistake. Both those who oppose specific markets, and those who defend them, adopt the same deficient approach. Participants illicitly proceed from an assessment of the transactions comprising a market, to a judgment of that market’s permissibility. This inference is unlicensed. We may know everything there is to know about the transactions in a specific market – they might all be absolutely bad – but we will not yet know whether that market should be prohibited. To discern this one must supply a rather different assessment. One must compare the outcome in which that market is permitted with the best outcome available in its absence. None in this debate has offered such a judgment.

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Reassessing Likely Harms to Vendors in Regulated Kidney Markets

Journal of Medicine & Philosophy, 2017 42:634-652

With a reply by Julian Koplin.

Julian Koplin, drawing extensively on empirical data, has argued that vendors, even in well-regulated kidney markets, are likely to be significantly harmed. I contend his reasoning to this conclusion is dangerously mistaken. I highlight two failures. First, Koplin is insufficiently attentive to the differences between existing markets and the regulated markets proposed by advocates. On the basis of this error he wrongly concludes that many harms will persist even in a well-regulated system. Second, Koplin misunderstands the utilitarian assessment of the market. He focuses on the costs and benefits of the transaction for the vendor. But the relevant comparison is between an individual’s welfare across different courses of action, namely vending and the non-vending alternative.

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Book Review: Markets Without Limits, by Jason Brennan and Peter Jaworski

Economics and Philosophy, 2016 33(2):326-332

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Beneficence: Does Agglomeration Matter?

Journal of Applied Philosophy, 2017 34(4):17-33

Co-authored with Andrew T. Forcehimes.

When it comes to the duty of beneficence, a formidable class of moderate positions holds that morally significant considerations emerge when one’s actions are seen as part of a larger series. Agglomeration, according to these moderates, limits the demands of beneficence, thereby avoiding the extremely demanding view of Singer. This idea has much appeal. What morality can demand of people is, it seems, appropriately modulated by how much they’ve already done. A number of recent proposals appeal to agglomeration. None of them, we argue in this essay, succeed.

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Misplaced Paternalism and Other Mistakes in the Debate Over Kidney Sales

Bioethics, 2015 31(3):190-198

Erik Malmqvist defends the prohibition on kidney sales as a justifiable measure to protect individuals from harms they have not autonomously chosen. This appeal to ‘group soft paternalism’ requires that three conditions be met. It must be shown that some vendors will be harmed, that some will be subject to undue pressure to vend, and that we cannot feasibly distinguish between the autonomous and the non-autonomous. I argue that Malmqvist fails to demonstrate that any of these conditions are likely to obtain.

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Well-Being: Reality’s Role

Journal of the American Philosophical Association, 2015 2(3): 456-468

Co-authored with Andrew T. Forcehimes.

A familiar objection to mental state theories of well-being proceeds as follows: Describe a good life. Contrast it with one identical in mental respects, but lacking a connection to reality. Then observe that mental state theories of well-being implausibly hold both lives in equal esteem. Conclude that such views are false. Here we argue this objection fails. There are two ways reality may be thought to matter for well-being. We want to contribute to reality, and we want our experience of the world to be veridical. Yet, if one accepts that reality matters in either of these ways, one must posit differences in well-being where no such differences exist.

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The Difference We Make: A Reply to Pinkert

Journal of Ethics & Social Philosophy, 2015 September.

Co-authored with Andrew T. Forcehimes.

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The Best Argument Against Kidney Sales Fails

Journal of Medical Ethics, 2015 41(6):443-446 Editor’s Choice

Simon Rippon has recently argued against kidney markets on the grounds that introducing the option to vend will result in many people, especially the poor, being subject to harmful pressure to vend. Though compelling, Rippon’s argument fails. What he takes to be a single phenomenon—social and legal pressure to vend—is actually two. Only one of these forms of pressure is, by Rippon’s own account, harmful. Further, an empirically informed view of the regulated market suggests that this harmful pressure is easily avoided. Thus, the harm that is the lynchpin of Rippon’s opposition is neither a necessary feature of the market nor is it likely to play a significant role in its operation.

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Your Mother Doesn’t Love You For Who You Are

Think, 2015 14(29):95-97

There are good reasons to think that mothers love their children, and love them for who they are. There are also good reasons to think that contingent events can decisively influence who one becomes. This entails, I argue, that your mother does not love you for who you are.

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Kidneys Save Lives. Markets Would Probably Help

Public Affairs Quarterly, 2014 28(1):71-95