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Pragmatism, Bioethics and the Grand American Social Experiment
There is tension in bioethics between two strains of pragmatism. The
most prominent strain, following John Dewey, proposes a content-rich
ethos of controlled, collective moral inquiry. A second strain,
descending from Charles Peirce and Josiah Royce, favors an
open-ended approach where diverging moral communities evolve without
extensive inter-communal oversight. This essay defends the second
strain. The Deweyan approach, I argue, exhibits a problematic
quasi-foundationalist character insofar as it canonizes a dubious
constellation of “liberal” political values and seeks to establish
these values by interposing a consensus of moral experts where
genuine inter-communal dialogue, and compromise, would be more
fruitful. I hold that the alternative approach of Peirce and Royce
is preferable, and truer to the fundamental commitments of classical
American pragmatism. Recognizing the epistemic fallibility of various
content-rich moral-political formulations, Peirce and Royce hope to
cultivate and sustain moral inquiry by allowing each moral community
(1) to generate and test its own moral system (as long as it does so
peaceably) and (2) to freely make or refuse to make collaborative
arrangements with other moral communities. This approach is
illustrated in a brief discussion of the Oregon Medicaid Experiment.
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