paternalism - fully healthy ( we would intervine in judicial attempts)
autonomy
illness + pain and suffering
paternalism
brain dead
 cognitive capacity
e.g. severely deffective new borns
intervention to stop pain and suffering
derflinger
slippery slopes - what appears to be " free - autonomous choice maybresult of subtle
1. psychological voulnerability coercion of elderly/ infirm " in our achievment / youth oriented society the elderly are practically invited to see themselves as a burden on more youthful generations
  in such a society if active euthenasia comes to be seen as irrational selfish or ecentric
a shift in the " burden of proof" onto patients
2.) healthcare costs - 28% of medicare in the last year of their life 50% pf that in las 2 months of their life
there is a societal impetus to control healthcare cost- government, insures, hospitals, PhD
families
If active euthenasia comes to be seen as a rational cost effective option there is a shift in a buden of proof
the right to die can easily become a duty to die ( cost effective) slippery slopes ( cont.)
dooflinger
solietau prejudice against the disabled
the long standing bias against those with disabilities will make them more likely to experience "forced choice" * = quality of life judgments
slippery slope
making the option of death available without making the means available by which the disable child life lives of meaning becomes forced choice
social contract theory
hobbes
psychological egoism - for every voulentary action, the object to self-interest altuism?
I can sacrifice my interests of ethics, but if it is in my interests fo others, but if it is in my interest to do so i.e. - apparent altuism
social contract theory
blind egoism - the unfettered pursuit of self - interest
imagine each  but ... rational faculty will come into play: each person is an egooistic individual - the result : a state of nature : a war of every man against every man 1- we have equivelant needs
2- what we need doesn't occur naturally in great abundance ( it requires significant labor)
3- no one is so smart or so strong that they could dominate others indefinetly
1. we have a natural right to pursue self- interest
2. rational faculty compells me to do that which is in my self- interest ( e.g. preserving my life" " my well- being")
3. my pursuit of self interest ( my egoism) is rationally groundedA)
4. my use of any means including violence to secure my self interest in justified
5. rational facculty points out to me that others are similarly motivate and justified
egoism and rational and others
6. if we pursue are interest - blindly the result is a state of nature
7. it is not in my self-interest to live in a state of nature
8. It is in my interest to mitigate my pursuit of self-interest
9. only on the assumption that others are willing to do the same ( social contract)
prisoners dilema
you should confess
if mith confesses, then I should confess 5>10
If smith doesn't confess Then I should confess 0>10
smith is also an egois
egoistically motivated
rational
so he will likely confess too\
5 years in jail each
imagine we talk to each other ( analagous to a state of nature)
appeal to his rational self - interest
If neither confess we'll each get 1 yea 1>5 ( social contract)