Diversity ethics. An alternative to Peter Singer’s ethics
Éticas de la diversidad. Una alternativa a la ética de Peter Singer
Caroline Guibet Lafaye*
CNRS – Centre Maurice Halbwachs
caroline.guibet-lafaye@ens.fr
Javier Romañach
Cabrero
Foro de Vida Independiente
jromanac@diversocracia.org
Abstract: Contemporary moral philosophy has different approaches to provide justice and
equality to groups that are traditionally discriminated on the grounds of
gender, religion, age, sexual orientation, etc. On the other hand, functionally
diverse (disabled) people have had a parallel approach to their discrimination,
excluded from mainstream diversities. Including functional diversity and the
diversity model in modern recognition and redistribution theories, as another
human diversity, provides an extended ethical approach: diversity ethics. This
general framework also includes other fundamental ideas for equality such as
human fragility, social domination logics, self-respect and auto-recognition.
Diversity ethics provides sound foundations to defend justice and equality for
all human diversities and an alternative to other approaches that broaden the
moral community, excluding some humans, like Peter Singer’s ethics.
Keyywords: Diversity, moral community, justice, equality, recognition, redistribution,
self-respect, dignity, functional diversity, disability, capabilities, Peter
Singer
Resumen: La filosofía contemporánea moral tiene diferentes enfoques para proporcionar justicia e igualdad a los
grupos tradicionalmente discriminados por razón de género, religión, edad, orientación sexual, etc. Por otra parte, las personas con diversidad funcional
(discapacidad) han tenido un enfoque paralelo a su discriminación, y han sido excluidas de las aproximaciones generales a la diversidad. La
inclusión de la diversidad funcional y el modelo de la diversidad en las teorías modernas del reconocimiento y la redistribución, como otra diversidad humana más, genera un enfoque ético ampliado: la ética de la diversidad. Este marco general también incorpora otras ideas fundamentales para la igualdad, como la fragilidad
humana, la lógica social de la dominación, la autoestima y el auto-reconocimiento. La ética de la diversidad proporciona fundamentos sólidos para defender la justicia y la igualdad de todas las diversidades humanas
y una alternativa a otros enfoques que amplían la comunidad moral, excluyendo a algunos seres humanos, como la ética de Peter Singer.
Palabras-clave : Diversidad, comunidad moral, justicia, igualdad, reconocimiento, redistribución, autoestima, dignidad, diversidad funcional, discapacidad, capacidades, Peter
Singer
1. Introduction
Societies have been coping with human diversity for centuries, and have
developed moral foundations to provide different people or groups of people
with equality in rights and treatment, specially during the past 50 years, in
which several social movements have raised voice against discrimination
demanding equality, and several human rights conventions have been approved to
protect children, woman, migrants, indigenous, functional diverse1 (disabled) people, etc.
These moral approaches have been incorporating all human, and even non human
diversities, and have sometimes divergent conclusions and proposals.
In this text we will try to provide a new proposal, based on recognition and
redistribution theories, that will include the last part of diversity to join
the equality struggle: functional diversity, most known as disability. Some
authors have developed interesting ideas and foundations in that field that
could provide a wider range of ideas to face fields as human fragility,
auto-recognition of diversity and bioethics.
In this proposal diversity ethics is explained and structured, and it will be
used to overcome ethical approaches oriented to include non humans in the moral
community, excluding some humans that are part of human diversity: Peter
Singers’ ethics.
Peter Singer presented as a major philosophical innovation his apprehension and
his justification of what we should understand today as the ethical pertinent
limits of the moral community. He proposes an extension towards the animal
species. Indeed, Peter Singer takes as a starting point the premise that
traditionally humanists have drawn the line between animals and human beings,
developing an speciesism that has been disrespectful with animals. His
position, at least an innovation in philosophy, is to include non-human beings
in the moral community and exclude certain entities previously considered as
part of it, such as “embryos, fetus or comatose individual”. This new drawing of moral community boundaries, in which we would have duties,
would allow dealing with ethical dilemmas, in particular in the medical field,
bypassing our Judeo-Christian heritage, making us sensitive to the respect of
human life at any development level it is considered. It is indeed about
breaking with the so-called doctrine of the sanctity of human life. The perspective offered by Singer could be an attractive way to solve some of
the moral dilemmas, particularly those raised by new medical technologies.
In this text, we will show, first, that diversity ethics is a more robust
extension of the limits of moral community than the one Singer wishes to
sustain. Second, we will show the limits and inherent contradictions in the
approach advocated by Singer, pla-cing ourselves in the same point of view he
does, e.g. adopting a pragmatic and consequentialist approach. Finally bioethical positions
based on diversity ethics will be described.
2. Issues on diversity and humanity
Humanity is conformed by diversity, in the same way nature is full of diversity2. There is almost no human being genetically equal to another, with the rare
exception of some twins. In the biological sense there are different races,
different genders, different abilities and ways of functioning, sexual
orientations, and a human being is different in different ages, etc.
In a social sense, that is, as a consequence of the social construction through
history, some other differences have been built between groups of human beings:
religion, culture, language, country of birth, wealth, class, etc.
The first group of diversities is inherent to humanity, and the second is
inherent to social development in different parts of the planet.
Both types of diversities have historically led to inequality, fear, slavery,
injustice, discrimination, wars and oppression, as diversity has never been
fully accepted in societies through history. But, fear of diversity can have,
despite human social behaviour roots, also philosophical roots: “Political theorist Arlene Saxonhouse (1992) traces the fear of diversity in
Western thought to the pre-Socratics.” (Jakobsen, 1998, 4).
3. Ethics and diversity
Rousseau was the precursor of the efforts that have been developed since the
Enlightenment, back in the XVIIIth century to outline injustice, facing the fact that inequality, and therefore
diversity, exists in human nature but needs not lead to social inequality in
access to justice and freedom.
“…instead of destroying natural inequality, the fundamental compact substitutes,
for such physical inequality as nature may have set up between men, an equality
that is moral and legitimate, and that men, who may be unequal in strength or
intelligence, become every one equal by convention and legal right.” (Rousseau, 1762, chapter 9).
However, it was mainly in the XXth and XXIst century when different types of human diversity have been approached by
different authors, in search of an ethic foundation that would provide justice,
equality and freedom to society. In the past, “the promi-se of enlightenment ethics was that conflict, specifically the
interreligious conflict sparked by the Reformation, could be resolved while
maintaining universal respect for diversity. The light of reason, a reason
supposedly universal to all humanity, was to fulfil this promise. Thus, reason
was thought to provide the key to maintaining a unified moral framework which
could both respect and contain diversity.” (Jakobsen, 1998, 4).
Unfortunately, the interreligious conflict remained, and remains even today, and
justice did not arrive to different groups, such as women or people from
different race, functionally diverse (disabled) people, etc. These groups
started, in different stages of history, their own search for ethical grounds
that could bring justice and equality to their people and philosophical
background to their political struggles.
Unfortunately, these approaches have always been developed to provide rational
and political basis orientated to a determined discriminated and/or oppressed
group. Usually these groups would ignore, both in the political and in the
ethical field, the rest of diversities within society, and even the rest of
diversities within the group, reproducing a uniform simple group pattern,
ignoring their own complexity3.
In that way, concerning feminism:
“The past several decades have seen repeated challenges to dominative feminist
theo-ries and practices which would deny the diversity and complexity of those
women who are subject of feminist movement(s). Women of color, lesbians, poor
and working-class women, Jewish women, “Third World women,” sex radicals, disabled woman… (this list can never be completed) have repeatedly challenged theoretical and
political practices which would narrow the focus of feminism and reinscribe
social structural limitations along the lines of race, sexuality, class,
religion, ability… (Beck 1982, Moraga and Anzaldúa 1981, Lorde 1984, Samis 1987, Zandy 1990, Mohanty et al. 1991, Eiesland 1994).”
(Jakobsen, 1998, 1).
Centuries after the Enlightment, efforts have also been developed to bring
together the different religious approaches. “In the last decade, there have been a number of interesting attempts to
formulate a global ethic. These attempts were initiated by ecu-menical
religious leaders, but have subsequently made their way into more general
discourse, especially with the people within the United Nations.” (Struhl, 2006, 13). In this effort an attempt was made to join cultural, race
and religious diversities.
The result of this effort is the “Declaration toward a Global Ethic”, whose principles are:
“I. No new global order without a new global ethic
II. A fundamental demand: Every human being must be treated humanely
III. Irrevocable directives
1. Commitment to a Culture of Non-violence and Respect for Life
2. Commitment to a Culture of Solidarity and a Just Economic Order
3. Commitment to a Culture of Tolerance and a Life of Truthfulness
4. Commitment to a Culture of Equal Rights and Partnership Between Men and Women
IV. Transformation of Consciousness”. (Global Ethic Foundation, 1993).
But, as it can be observed by prior references and ideas, a part of human
diversity has usually been left out: functional diversity. Even though it is
clearly “one of many areas in which true equality requires not identical treatment, but
rather differential treatment in order to accommodate differential social needs”. (Kymlicka, 1992, 113).
As another human diversity in struggle for equality, during the last decades,
theoretical work has been developed around this group, especially by British
sociologists like Colin Barnes, Geof Mercer and Tom Shakespeare4, and by moral philosophers such as Amartya Sen and Martha Nussbaum.
Despite these theoretical efforts, insufficient attention has been devoted to
functional diversity compared to other minorities such as women or religious
minorities, and is still not considered as a part of human diversity issues in
most fields, probably on the grounds of a quite simple issue: it’s been studied and named as an ability issue, weakly related to human diversity, as the “disability” word clearly indicates.
Only since 2006, in Spain and mostly in Spanish, this issue has had a clear
diversity approach with what is called the diversity model or approach. This model has been developed in two books an several articles
related to different fields such as anthropology, sociology, bioethics, social
work, law, moral and science philosophy, feminism, etc. by different authors
from Spain and Argentina, like Miguel Ferreira, Mario Toboso, Soledad Arnau,
Francisco Guzmán, Agustina Palacios, Carolina Ferrante, Manuel Lobato, Javier Romañach, Antonio Iañez, etc.
3.1 Functional diversity (disability) and the diversity approach. A choice for
our future society.
Functional diversity activists have turned to bioethics in search of theoretical
models based on clear rational grounds that would provide answers to bioethical
challenges around functional diversity. Those activists also know that “the best examples of debates about moral issues that are in need of
clarification and rigor that a philosopher can provide occur in the field of
medical ethics” (Singer, 2002, 68).
The result of this activity had as an outcome the diversity model or approach. This approach was used to establish bioethics positions on issues
related to the functional diversity in a second book: “Bioethics at the other side of the looking glass”.5
The diversity model is an extension or evolution of the social model of disability. The social model6 was based on US Independent Living movement’s ideas (Shapiro, 1994), can be traced to Michael Oliver (1983) and was – and keeps being – developed by British sociologists like Colin Barnes, Geof Mercer and Tom
Shakespeare (Barnes, Mercer, Shakespeare, 1999).
As it had happened before, the new model is also based in “…the problem of obligations to our future generations, it undermined the
assumption that a moral community can consist only of members who are in one
time or era” (Singer, 2002, 130).
Knowing that nowadays society discriminates on the grounds of functional
diversity (Palacios and Romañach, 2006, 55-99), the model states that a choice has to made concerning the kind of society we want to have in the future:
“…it’s a task projected to give the same value to all human beings that will exist in
it [the world] in the future” (Romañach, 2009, 59). Do we want a future non-discriminatory society in which every
individual no matter how capable, or smart, or productive, or skilled, or able
to run and walk able to speak, or able to hear, etc. has a chance to live and
enjoy life at any age? Or do we want a discriminatory society in which only
people who are useful, capable, smart, skilled, with good sight and hearing,
etc. will be welcome and allowed to live and enjoy what society provides?
The way we and our descendents will live in the future, depends on how we see
each other today. It depends on the concept we have of what a human being is
today, and if we want to select or not the human beings that will be allowed to
join us in the future. It also depends on whether we want to be welcome in our
society as we grow old or have an accident.
The diversity model makes a clear choice: actions must be taken today in order
to have a future society in which every human being will be welcome and has a
chance to enjoy what life in society can provide. And enjoying that life means
providing equal opportunities to everyone, so we may live the life we want to
live, regardless of our physical condition, in the absence of arbitrary
external social restrictions.
This clear choice is not present in prior approaches, because functional
diversity has never been considered a part of diversity in moral philosophy, as
all attempts to include it (Nussbaum, Sen) where done without the certainty
that functional diversity is inherent to humanity and is not a medical, but a
social issue.
In a first approach, this might be seen as a limited struggle of a few
individuals7 who want to stop being discriminated and have equal opportunities in an
oppressive society which nowadays is not constructed to fully accept human
diversity.
As an example, accessibility to the environment and buildings in modern
developed countries is seen as a demand of the approximately 2% of the
population who actually use wheelchairs. But the diversity approach provides a
different way to perceive the same reality. In developed countries, 100% of the
babies are carried around in strollers and is an important chance that anyone
in their 20s today will be using a wheelchair if he or she reaches the age of
90.
Considering it from a strictly utilitarian point of view, making the environment
accessible will therefore increase the level of happiness and comfort to 100%
of the population (not only the babies, but their parents and relatives and
anyone who at the end of the life, or sometime before that, will have to use
wheelchairs during a certain period or permanently to move around). That is to
say that, accepting that people who cannot walk are an equal part of society
and have the same dignity, and providing solutions to this reality, will
increase the level of happiness
8, as it can create the most good for each person (see Roberts, 2002).
This obvious approach has not been addressed before, because inequality has been
established concerning functional diversity on the grounds of “ability”, focusing on functional diverse people’s abilities or capabilities (see Toboso and Guzmán, 2009). This focus on ability has been the traditional moral approach to
functional diversity, and always left out a group of people “who we think have no abilities, or those whose abilities were never promoted” (Palacios and Romañach, 2006, 97); and discriminating that group of people made traditional models
insufficient for a solid theoretical model that could be used in bioethical
issues. This focus has supported different moral approaches like Nussbaum’s Capabilities approach (2006) or Peter Singer’s ethics (2002).
The diversity approach rejects ability as a centerpiece for a philosophical
approach to functional diversity. Dignityx is the main founding of the diversity model or approach, and dignity is divided
into two branches or foundations: intrinsic dignity and extrinsic dignity. The first is related to the equal value of every human life and the second is
related to equal rights for everyone. Nowadays society provides neither the
same intrinsic dignity nor the same extrinsic dignity to functionally diverse
people. Therefore, it becomes necessary to develop new theoretical approaches
that introduce in the bioethics debate a full support of intrinsic dignity for
people who are discriminated on the on the grounds of their functional
diversity.” (see Romañach et al. 2009).
The diversity model demands a new bioethical approach that includes the voice of
functionally diverse people10 considering their own reality and experience of life. The goal of the model is
to grant that the bioethical community will understand that functionally
diverse people are not human beings that suffer for being different, but for
being systematically discriminated or ignored due to their difference, and by
the fact that their lives have been, and still are, systematically undervalued.
The diversity model has been extended taking in consideration critic
sociological proposals of discrimination mechanisms, through which
discrimination takes effect in functionally diverse people daily life
(mechanisms based on bio-political power techniques, on medical normalization
of the body11). It also considers the imposition on practices of a habitus (Bourdieu, 1997), oriented by normalization.
Consequently, and as needed for any social evolution, the task of working deeper
in that analysis becomes necessary in order to break domination logics
(domination imposed through body, regulation, classification and submission)
and to provide theoretical tools in an alternative liberating way (Romañach et al., 2009).
From this point of view, this paper is an extension of the diversity model, in
order to cover, and make it compatible with, or included in, other moral
philosophy proposals.
This humanist approach was constructed after performing an analysis of human and
social, legal and bioethical reality (Romañach et al., 2009) as lived and perceived by people who are discriminated on the
grounds of functional diversity. Some of the diversity model key principles are
not found in the complementary philosophical proposals that will be described
later in this text, and will therefore provide new contributions to the
diversity ethics proposal. The key principles established in the model are:
- Functional diversity is part of human diversity
- Diversity is inherent in humanity and it enriches our society
- Society should respect and provide full dignity for all human diversity
To achieve full dignity for all human diversity society should:
· Give the same value to the lives of all human beings
· Respect the rights of all persons
The model relies on mutual recognition, as both the value of life and rights are
“given” by society, but it also relies on self-recognition; on self-diversity and
self-recognition of fragility for all human beings, and humanism.
Together with the feminine approach to ethics, known as “care ethics” (Noddings, 1984), the diversity model also contributes to provide a new ethical
approach to different human realities and challenges such as the “inDependency” or care situations. Care ethics diminishes the traditional asymmetry between
the functional diverse people and the rest of society, as it proposes a double
way relation between subjects: “Clearly, the cared-for depends upon the one-caring. But the one-caring is also
oddly dependent upon the cared for.” (Noddings, 1984, 48). In this way a new interdependency is proposed, that
shortens distance between all humans, including in a way a less unequal status
for functional diversity. Nevertheless, it should be pointed out that care
ethics never included functional diversity (Arnau Ripollés, 2009). Furthermore, this model has been used to question the sufficiency of
contemporary theoretical models
12 such as Rawls’ Theory of Justice13 and Nussbaum’s Capabilities approach (Nussbaum, 2006).
4. Facing the challenge of extending the diversity theoretical framework
All different theoretical approaches to diversity reach a point in which other
diversities must be considered, as a complex human reality within each one of
them.
“Contemporary challenges for modern moral reasoning from a number of perspectives
have lead to a recognition that moral claims are made within the social world
moral multiplicity. This world is marked by diversity and complexity-diversity
created by differences within and among persons and a correlative complexity
created by multiple criss-crossing our relations and resulting contradictions.
Challenges to moral reasoning have also initiated a passionate debate as to
whether morality can be sustained at all in the face of moral diversity.” (Jakobsen, 1998, 4).
Thus different diversities from within feminists have raised different moral
approaches:
“These challenges come from our ideals movements which have articulated “different” moral voices-feminist, womanist, mujérista, and lesbian to name a few (Gilligan 1982, Cannon 1988, Isasi-Díaz 1993, Hoaglnd 1988) - as well as from post-modern critiques of modern
conceptions of subjectivity and agency (Benhabib et al. 1995). The
relationships among and between these various perspectives on their critiques
are hotly debated. For example, Mohanty (1994, 163, fn 4) reads the two sides
is producing different types of analysis. Lugones argues that “post-modern literature… goes against a politics of identity and toward minimizing the political
significance of groups”; while her position, one of which can also be seen in “the literature on mestizaje, affirms a complex version of identity politics and
a complex conception of groups” (475).” (Jakobsen, 1998, 4, footnote 7).
These different voices have mainly raised within a certain oppressed or conflict
group, maintaining moral issues around the singularity of the group, defined by
a pre-established borderline with the rest of society.
To overcome that limitation, moral philosophers like Axel Honneth and Nancy
Fraser have developed new broader moral approaches that intend to establish
common grounds and proposals in mutual recognition and redistribution theory,
incorporating all diversities. Unfortunately, nowadays this approach does not
include functional diversity.
4.1. Mutual recognition and redistribution
The insufficiency of a single approach to face moral challenges for society,
demands a more complex method. As described Honneth and Fraser social movements
are nowadays facing the challenge of integrating redistribution and
recognition:
“Within social movements such as feminism, for example, activist tendencies that
look to redistribution as the remedy for male domination are increasingly
dissociated from tendencies that look instead to recognition of gender
difference.” (Fraser and Honneth, 2003, 8).
Both authors consider redistribution and recognition as key issues in future
diversity ethics. Redistribution’s origins can be found in the liberal tradition, especially its late XXth century. In the latter part of the century, when it was richly expanded by
philosophers such as John Rawls and Ronald Dworkin, in their theories of
distributive justice. They tried to synthesize the traditional liberal emphasis
on individual liberty with the egalitarianism of social democracy, proposing
new conceptions of justice that could justify socio-economic redistribution.
Insufficiency of Rawls’ “Theory of justice” to address functional diversity has already been pointed out by Martha
Nussbaum. Starting from Scanlon’s proposals Nussbaum states that: “Either we persist in our pursuit of the contract doctrine, and say that the
contracting parties are also trustees for those who are incapable of
participating; or we may say that the contract doctrine offers an account of
only one type of morality: we need a different account to cope with the facts
of extreme dependency.” (Nussbaum, 2006, 136).
In order to solve that issue, Martha Nussbaum, following Eva Kittay and Amartya
Sen tried to include functional diversity in these contractualist theories, and
proposed the capabilities approach, closely linked to human rights (Nussbaum, 2006, 150). Nussbaum
proposal goes beyond Rawls theory of justice, and proposes some reformulations,
based on Kittay’s and Sen’s ideas, and a list of ten items that would guarantee functional diverse people
dignity, and define a basic social justice (Nussbaum, 2006, 76).
Nussbaum’s Capabilities approach is a solid step to include functional diversity in moral
philosophy, nevertheless, the analysis performed from the diversity approach
has already stated the insufficiency of her approach in this respect, as “…her approach to support intrinsic or moral dignity is not solid or consistent,
as she mixes medical model’s thesis, and considers the cure of functional diversity as a moral obligation
of a just society, emphasizing the medical aspects of the person must be
repaired so that you can access the list of “capabilities”” (Romañach, 2009, 36). This approach would then exclude some human beings that would
have to be “repaired” to have access to the capabilities list, giving less value to those person’s lives.
Furthermore, even if conflicts over interests were justly adjudicated, society
would remain normatively deficient while its members are systematically denied
the recognition they deserve. And this recognition is not just an unmet
courtesy that people need.
Recognition designates a relation that structures and constitutes self-identity
as auto-consciousness, and reciprocal relation between subjects in which each
sees the other as its equal but as separate. One becomes an individual subject
only in virtue of recognizing and being recognized by another subject.
Therefore, recognition implies the Hegelian thesis that social relations are
prior to individuals, and that intersubjectivity is prior to subjectivity.
Recognition theory is currently undergoing a renaissance, as neo-Hegelian
philosophers such as Charles Taylor and Axel Honneth are making it a central
issue in their politics of difference. In fact, recognition “is proving central to efforts to conceptualize today’s tools for over identity and difference. Whether the issue is an indigenous
land claims or women’s keyword, homosexual marriage or Muslim headscarves, moral philosophers
increasingly use the term “recognition” to unpack the moment if basis of political claims. They find that a category
that conditions subjects’ autonomy on intersubjective regard well captures the moral stakes of many
contemporary conflicts.” (Fraser and Honneth, 2003, 1).
Gender, religion, culture, race and sexual orientation are taken in account by
recognition philosophers but, functional diversity is consistently omitted as
part of diversity, or as a part of the conflict between human identity and
human difference.
Despite this omission, recognition can be thought as a fundamental part of
future diversity ethic theories, as it has no specific mention to functional
diversity exclusion. Some concepts like dignity, which is a centerpiece in the
diversity approach, and many other aspects of functional diversity struggle,
like emancipation and inviolability of physical integrity, can also be found in
recognition theories.
However, it is the combination of both recognition and redistribution that is
now understood as the path to follow to achieve justice, as it has been pointed
out by modern authors working on recognition:
“As social struggles of the last few decades have made clear, justice demands
more than fair distribution of material goods.”… “Regularly, members of marginalized and subaltern groups have been systematically
denied recognition for the worth of their culture and way of life, the dignity
of their status as persons, and the inviolability of their physical integrity.
Most strikingly in the politics of identity, their struggles for recognition
have come to dominate the political landscape. Consequently, if social theory
is to provide an adequate account of actual fields of social conflict, it to us
for both to situate the motivation for these emancipatory struggles within the
social world and provide an account of what justifies them.” (Honneth, 1996, x).
As for today, the relation between recognition and redistribution theories and
functional diversity can be resumed in the following terms: recognition does
not explicitly exclude functional diversity, but it does not include functional
diversity as any other diversity yet; and redistribution has proven to be
insufficient to provide sound moral founding for this group of people.14
Thus, we will propose an extension of this recognition and redistribution
theories that would include the diversity approach, contributing to the
construction of a wider and more solid model. It would include functional
diversity’s issues – that affect about a 10% of the population. It would provide more equality and
diminish discrimination, even perhaps erase it. This model would also provide
theoretical grounds to deal with bioethical issues. We propose to name this new
approach as “Ethics of diversity”.
4.2. Self-respect. Fundamental social achievements approach.
On the process of extending the theoretical framework, it is important to
include a concept and demand from the functional diversity social movements,
that has not been considered before: self-respect.15 This concept is considered essential not only for functional diverse people, as
the need for self-respect and self-esteem in diversity:
“…Painful feelings and unhappiness resulting from a lack of self-esteem, can
therefore be a legitimate focus of social attention. In some cases, it is clear
that the fact of being unhappy is a legitimate cause of social concern,
regardless of how it occurred (which explains the existence, in France, for
example, of Centers of Clinical psychotherapy). At the very least, it seems
crucial to identify appropriate social measures that will contribute by
redistributive channels, to guarantee a minimum of individual and social
achievements that would feed, positively, everyone’s self-respect. The fundamental concern of social achievements, discussed here
in a broad outline, demands that institutions and social policies take in
account agents’ and, indirectly, their achievements in private spheres. These compensation
measures will focus on individual achievements or results in their social
dimension, assuming that individuals take responsibility for their private
accomplishments. Unlike attention exclusively focused on opportunities or
capabilities, the approach based on fundamental social achievements is
concerned with distribution lots, once individual achievements have been
completed, that is to say at the end of redistribution. In that way, it rejects
the notion of responsibility provides sufficient justification for existing
social inequalities or the situation of poor people considered “undeserving” and most disadvantaged. It finally offers a way to reconcile the desire for
redistribution and recognition.” (Guibet Lafaye, 2007).
For the approach based on fundamental social achievements, equality for the poor
should be measured at the end of the redistribution process, including social
self-respect. But recognition would not suffice to grant this issue. This same
approach can be extended to any diversity that requires both recognition and
redistribution, as indigenous, functionally diverse people, migrants, etc.
5. Towards a new diversity ethics approach
Constructing ethics of diversity should be done in an open collaborative way,
with a constant effort to include new foundations and ideas that would lead to
the same goal: a future society in which all human diversity is welcome and
equality granted for all.
Some authors like Honneth and Fraser have started working under those premises,
developing a common framework that will assess diverging answers (Fraser and
Honneth, 2003, 5), providing an starting point that will incorporate
fundamental pieces for diversity ethics. Nevertheless, the door will remain
open for other ethical developments diversity ethics may include in its future evolutions.
5.1. Contributions of the diversity approach
As it has been explained, redistribution theories explicitly excluded functional
diversity from start, and there have been attempts to make it fit within that
framework, but those attempts have been analyzed and considered insufficient by
the diversity approach. Although recognition theories do not explicitly exclude
functional diversity, they do not include functional diversity as any other
diversity yet. Therefore, including functional diversity in these theories will
add some pieces to the puzzle contributing to build a stronger approach.
In first place, diversity approach can easily be extended to any human
diversity: gender, sexual orientation, religion, race, age, etc. by just taking
away the word “functional” from the first statement of its premises (see section 3.1). The result would
then be:
- Diversity is part of human diversity
- Diversity is inherent in humanity and it enriches our society
- Society should respect and provide full dignity for all human diversity
To achieve full dignity for all human diversity society should:
· Give the same value to the lives of all human beings
· Respect the rights of all persons
Dignity, understood as giving the same value to all human beings, and same
rights to all persons, would become a center piece of recognition and
distribution, and would explicitly mean same value for human lives and same
rights for all persons.
In the other hand, the diversity approach is built from the most fragile
situation of any human being, making human fragility another fundamental
founding of this new ethic approach. Any human being is bound to contingency,
and is consequently a potential candidate for this type of diversity, as
accidents happen through life than can put any one in that situation.
Furthermore, functional diversity is unconsciously desired by all who want to
live a long life, as statistics show that it is inherent to the process of
ageing.
This makes functional diversity not only a recognition issue, but also a self-recognition issue. It may be not that frequent for humans to, voluntarily or
involuntarily, change race, gender, culture, sexual orientation or religion,
but no one can be sure today of what will happen to him or herself tomorrow,
thus all humans are potential candidates for functional diversity. What is
missing is just awareness of this fragility. In fact, awareness of the
functional diversity we all had when we were babies.
This lack of awareness is not casual but it is a consequence of domination
logics: “functionally diverse people embody domination logics through an specific habitus (Bourdieu, 1991) in which good, beautiful and healthy normative is registered;
on the other hand, the body is central to regulatory and political control
issues that come from Bio-politics and Normalization Technologies (Foucault,
1992; 1998).” (Romañach et al., 2009).
The diversity model states that nowadays society provides no equality in functional diversity
(Palacios and Romañach, 2006, 65-98), that moral issues have consequences in the future society,
and that a choice must be done today on two types of future social
construction: a non-discriminatory society built to include the fragility
derived from functional diversity, or a discriminatory society constructed only
for useful “normal” persons, in which fragility would be considered a human flaw. The diversity
model also warns that “normality” is a social construction and domination logics consequence, not a biological
question.
The diversity approach naturally fits under Hegelian human recognition, that we
can find in Honneth’s thesis, where recognition is prior to redistribution, as human beings should
first recognize their own fragility and diversity and then select
redistribution as an essential tool to grant justice and rights. And with those
rights and adequate resources, an easy path to enjoy self-respect would be
established.
In the same way society accepts newborn’s fragility and provides redistribution to bear a child while his or her
fragility is assumed, this concept should naturally expand to all society, all
ages and all fragility derived from human diversity. And, as indicated before,
this redistribution should be measured at the end of the process, evaluating
individually achieved social self-respect and self-esteem.
5.2. Fitting all pieces
The new ethics of diversity recognition would rely then on breaking domination
logics to obtain a basic human recognition of self reality and humanity. That
humanity would inherently include self diversity, which would incorporate human
fragility as a starting point of social progress. As a consequence,
redistribution theories, following the social achievements approach and
policies, should be developed to guarantee justice and diversity social
support, because diversity and fragility of other human beings would become
recognized in ourselves.
In order to be coherent with that diversity recognition, society should give all
human lives the same values and provide all persons with the same rights in a
struggle for a future society in which all diversities would be celebrated and
supported16.
With this new ethics of diversity, foundations for bioethical issues, specially
those related with functional diversity, would be part of a new extension of
recognition and redistribution theories.
6. Confronting diversity ethics with Peter Singers ethics
Once the main structure of the diversity model has been established, we are
ready to confront it with Singer’s ethical arguments to prove its strength. We will do this in two steps. First
we will point out incoherencies, contradictions and wrong assumptions in his
ethics. Then we will compare diversity ethics bioethical positions with Singers’ opinions, and point out the different future societies both positions may lead
to.
6.1. Peter Singer and the moral status of nonhuman beings
6.1.1. The moral community: from description to evaluation
The thesis defended by Peter Singer is quite original in moral philosophy as it
suggests extending the limits of the moral community to ontic entities – which, until now, have been excluded – and to exclude others which were undoubtedly considered part of it. For Singer,
it is about adopting a perspective that definitively breaks with the classical
humanism, on behalf of animal respect:
“Many authors challenged humanism, that is, the doctrine that all and only human
lives have an equal, absolute value (Glover 1977; Tooley 1983; Rachels 1986;
Kuhse 1997). The humanistic view has two sides: an inclusive one which grants
privileged moral status to all humans, and an exclusive one which grants that
status only to humans. By emphasizing the moral irrelevance of the species
membership, and by arguing that, for example, the embryo, the fetus, of the
comatose are not humans in the evaluative sense, those authors undermine the
inclusive side of humanism and, accordingly, the traditional notion of moral
community. This naturally furthered the revision of the moral status of
nonhumans which, through its criticism of the exclusive side of humanism, the
ethics of animal liberation was pursuing.” (Singer, 2002, 131)
17.
The evaluative perspective - rather than descriptive - that P. Singer proposes
over the moral community places its core in the criteria of rationality,
autonomy and self-consciousness (Singer, 1993, p. 188). These criteria for
assessing humanity should replace the simple reference to the biological
species. The membership of the moral community would no longer have ontic basis
(i.e. linked to the specie) but would be based on “ability”. According to Singer, what is important is not whether a life is human or
nonhuman; rather, what is of central importance from an ethical perspective
what interests and capacities this being has. Based on the principle of the
equal consideration of interests, Singer argues against the privileged status
of humans and the conventional assumption that we are, simply because we are
human.
The consequence of P. Singer’s dual perspective - descriptive and evaluative - taken on human entities
consists in the exclusion of some of them, especially “embryos, fetus or comatose individual [which] are not human in the evaluative sense” (Singer, 2002, 131), and newborns with “incurable medical condition” (Singer, 2002, 284). This redefinition of the limits of the moral community is inseparable from a
reinterpretation of the frontiers of humanity and of what is worthy or not to
be recognized as human. The question then is:
“Political philosophy seems to see the concept of person unproblematic. This is
not so in bioethics. Though the word “person” is, in current use, often used as if it meant the same as “human being,” the terms are generally not seen as equivalent in bioethical discussions. Most
authors in fact use “person” to refer in an unambiguous way to the second of the already mentioned senses of
the word “human,” that is, the philosophical sense of possessing certain characteristics like
self-awareness and rationality; this is distinct from the biological sense of “human,” meaning belonging to the species
Homo sapiens.” (Singer, 2002, 133).
In fact, “a distinction is often made between two uses of “person,” the descriptive (also sometimes labeled as metaphysical) and the normative (or
moral). On this view, to say of some being that she is a person in the
descriptive sense is to cover some information about what the being is like,
and this can amount to saying that she has characteristics a, b, c; on the
other hand to use the term “person” in a normative way is to use it simply to ascribe moral properties - usually
some rights or duties, and frequently the right to life - for being so
denominated (Feinberg 1980).” (Singer, 2002, 133).
Nevertheless, this position is far from unanimity. Concerning the embryo status,
the failure to reach agreement on this debate has been raised by Habermas:
“Despite these differences, there is something we can learn from the abortion
debate, a debate that has seriously been sustained for decades; the failure of
all attempts to arrive at a neutral cosmovisional description (i.e. not prejudiced) moral status of nascent human life, a description that is
acceptable to all citizens of a secular society. One part describes the embryo
in early development stage as a “bunch of cells,” in contraposition to the person of the newborn, to whom human dignity
corresponds in a strict moral sense. The other part considers the fertilization
of human egg relevant as the beginning of a process of development as an
individual governed by itself. Seeing things in this way, all biologically
determinable specimen as belonging to the species must be considered as a
potential person and bearer of fundamental rights.” (Habermas, 2002, 48).
This raises two irreconcilable visions of a “person” whose use as the foundation of dignity. Actually,
“found[ing] the dignity of man on the notion of person is doubly problematic. First, the
concept of “person” states a dignity that is not characteristic of men. This concept also applies
to God and the angels (if any), other non-human rational beings and even
animals possess self-awareness. Secondly, this dignity does not extend to all
men: the embryos, newborns, the comatose human beings, certain types of
functional diversity (handicap) mental, etc. are excluded because they do not
exhibit the characteristics of the “person”.” (Bouriau, 2007, 11-12).
Peter Singer proposes a reformulation of this issue from a different moral
perspective, that is not in ontic or species terms, (i.e. referin to the specie) but in ethical terms:
“…a question about which only a few philosophers have appreciated that the crucial
issue is not as many people assume, “When does the fetus become a human being?”, but rather “What are the characteristics of a being that make it wrong to kill that being?”. It is by no means obvious that being a member of the sapiens Homo Species is what counts on the second question. Sentience or even a certain measure of
self-awareness might be more appropriate characteristics to choose.” (Singer, 2002, 61).
This new determination of the moral community borders, and of whom might deserve
respect – i.e. not being annihilated– means that killing someone with “sensibility or even a certain dose of auto-consciousness” would be a crime. That includes some animals and, from this point of view, it
would not include certain Homo Sapiens beings. This is a central point on his thesis to support the idea that some
animals should not be killed, while some traditionally considered humans can.
6.1.2. Aporia and counterfactuality of a position called pragmatic
Thus, this redefinition of the contours of the moral community - that imposes
moral obligations regarding those who are included - is supposed to provide
answers to delicate situations that are frequently considered to be associated
with forms of life that deviate from what is recognized as the standard.
Therefore:
“In the case of defective infants, however, replacement could be a desirable
option. Suppose that a couple plans to have two children. The first child is
normal but the second is diagnosed immediately after birth as a sever case of
spina bifida. If it lives, the child will grow up paralyzed from the waist
down, incontinent and mentally retarded – though he might, for all that, have a tolerable pleasant existance, if it is
intensively cared for. Suppose the couple do not wish to give the child up to
an institution, fearing that it might not receive the best care there. Yet they
are equally unhappy at the prospect of trying to bring up such a child. They
still want two normal children. They feel that with the burden of a handicapped
as well as a normal child to bring up, however, they cannot have another child.
The replaceability principle would allow them to kill the defective infant and
then go ahead with another pregnancy.” (Singer, 2002, 120)
18.
As stated, he considers that certain humans could easily be replaced, because in
that way we would spare them and their relatives a miserable live, reviewing
the idea of equality. That allows him to suggest:
“I wanted to point out that the only logical alternative – to do anything possible to preserve life at any cost – was extremely cruel in those cases where the only prospect was months of
suffering before a premature death. A decision not to do everything possible to
preserve life, on the other hand, already involves an implicit judgment that
the quality of that life is so poor that it is not worth prolonging it - in other words, a judgment that
some lives are not worth living. Once such decision had been taken, it might be
kinder to take active steps to end that life quickly, rather than to allow an
infant to die from dehydration, or from an infection” (Singer, 2002, 69).
P. Singer’s ontological proposition has therefore consequences and a moral impact, as he
judges irresponsible to contribute to preseveration of a being in this type of
existence (“It does not seem quite wise to increase any further draining of limited
resources by increasing the number of children with impairments.”19), particularly on the basis of a reference to the quality of life – a concept hard to evaluate as it might be subjective and controversial
(Fagot-Largeault 1991; Guibet Lafaye 2009b). In short, there would be a moral duty to end, or to prevent the survival of a human being “paralyzed from chest down” and “incontinent”, even when that human can live perfectly well in nowadays society. Actually,
that is the case of one of the authors of this text. This position should therefore face many objections.
In first place, this moral duty is introduced by a logical error included in the
reasoning proposed by Singer. Indeed if you replace a human being with another
to be born, that will not be the same human being, but a different one (see
Guibet Lafaye, 2009c). The logical error sometimes comes in the form of medical inaccuracy,
because the proposed description of a condition such as spina bifida refers to
its most advanced form, is not correct all cases. This is particularly true
when Singer discusses the tendency of being mentally retarded. On the issue of
being “mentally retarded”, Peter Singer makes another mistake, as spina bifida does not necessarily lead
to that “retardation”.
20
In second place, Peter Singer tends to assume what it is called the medical
model of functional diversity, that is, to consider a human being just by its
biological or medical description. As a consequence he questions:
“But how do we square this view with our intuitions about the reverse case, when
a couple are considering having a child who, perhaps because it will inherit a
genetic defect, would lead a throughly miserable life and die before its second
birthday?” (Singer, 2002, 115).
In fact the same individual can be defined in different ways. If we use a
medical model definition one would be a “spine core injured person, incontinent, spastic, paralyzed from chest down, with
dexterity problems in upper limbs, etc.” But the same individual can also be described as a “computer scientist, social activist and writer, bioethics expert, friend of his
friends, lover of his family, etc.”. These are not divergent descriptions of an individual reality which is nothing
to say that one is more real or relevant than the other. These two descriptions
are equally true. Stressing the first one is, in fact, motivated by the
projection on ignored situations - because they are not lived in first person – of presumed sufferance.
21 The prevalence of the first description is motivated by an aversion to
sufferance that is widely shared by common sense.
Finally the theoretical position defended by P. Singer will highlight a specific
feature in bioethics and medical ethics discourse and reflection, that gives a
central role to the experience in first person - in this case an argument of
last resort - that is not recognizez in other forms of normative elaboration or
analysis principles in the philosophical discourse. Even if such an argument
does have an impact on the evolution of normative debate in the public sphere,
it cannot become a central moral argument, insofar as personal experience can
influence the reflection both in one direction and in the opposite (see the
sharing of individual experiences in the bioethics États Généraux in France, 2009). At a first level of analysis this can be observed in the
contrast between the P. Singer’s experience, and the experience of one of the authors of this text, who was R&D computer science researcher and a “first-class” citizen when at the age of 28 he had a motorcycle accident, and now lives with
a quadriplegia that was the outcome of the accident.
Had this author read Peter Singer’s thesis before the accident, he would have probably agreed with them.
Furthermore he has publicly stated that before the accident “he would have preferred to be dead rather than live in a wheelchair”.22 A similar change of position was assumed by P. Singer. In fact, this is a
similar but more extended experience as the one Peter Singer lived “when (instead of doing what his critics said his philosophy would demand), he
did not kill his mother, who had advanced Alzheimer’s disease and whose care was consuming money that could, those critics said,
more profitable be spent elsewhere.” (Singer, 2002, 11). No matter how coherent P. Singer’s position from a principles analysis is, its limits must be admitted, as his
ethics should become a model for action.
Furthermore the consequence of accepting that “ability” as the relevant issue to consider a being as part of the moral community is
that:
“If we were to encounter alien beings from another planet, something that looks
like green slime but engages in complex behaviours, we would not be justified
in failing to extend respectful treatment to the aliens merely on the ground
that they belong to another species. If they proved to be like humans in
morally relevant respects, then they should be treated the same as humans. Very
roughly speaking, if the aliens showed a capacity for rational, autonomous
agency, we would be required to include them within the scope of our moral
principles.” (Arneson, 1998).
If we accept Singer’s ethics “the problem is to specify moral principles that yield intuitively satisfactory
implications for the treatment of human individuals and other individual
animals given that cognitive capacities differ across species and individuals.” (Arneson, 1998). That is to say, it would be very hard to obtain moral grounds
for equality, non discrimination and justice.
Singer is also incoherent when he confronts presupposed sufferance of animals
and functionally diverse humans, as he concedes the benefit of doubt to
animals: “On the other hand, it is difficult to establish that an animal has not will to
live, and even in the case of the hen there might be enough reasons to think if
it would not be best to concede the benefit of doubt”.
But when it comes to what he considers not to be humans, or what he considers to
be replaceable humans, prudence and benefit of doubt disappear (Singer, 2002,
95): “I wanted to make clear that the only logical alternative - insisting in
preserving that live at all cost-was extremely cruel for the kid in those cases
in which these only perspective was of months of sufferance before a premature
death.” And his incoherent attitude to concede benefit of doubt is not based in
scientific evidence, but on his own subjective perspective.
6.2. Bioethical responses to Peter Singer’s thesis
Once diversity ethics is constructed including all pieces as previously
described, some bioethical positions have already been developed from one of
its parts, the diversity approach. The ethics of diversity legitimates a future
society in which recognition of all human diversity and fragility would be
granted. In order to sustain that guarantee all human lives would be valued as
equal.
Human lives equal value would then give support to consistent and coherent
bioethics positions such as the following. Concerning research on humans, “it should not be allowed to investigate in humans who do not give their consent” (Romañach, 2009, 204-205), always, because consent, i.e. individual personal consent is the only guarantee we have for equality, and
consent provided by others (e.g. by tutors), has historically proved not to be
always in the best interest of the individual whose consent has been overtaken.
Furthermore, experience shows that overriding consent in history has lead to
unequal societies. Following that argument, sterilization of functionally
diverse people should be banned for the future.
Concerning new genetics, although they can be used in a positive way, the way we’re facing and using them today means “undermining the normative autocomprehension of people that guide their own lives
and show respect for each other” (Habermas, 2002, 45), a threat to diversity, specially functional diversity23 and a new subtle form of eugenics (Romañach, 2009, 159).
Eugenics that can also be detected in modern abortion laws24, embryo selection, sterilization and infanticide. Diversity ethics clearly states
that “selecting an embryo means a genetic selection under major cultural patterns, and
is therefore eugenics, in the same it is considered to be eugenics infanticide
on the grounds of functional diversity, and that eugenics means giving a
different value to the lives of functionally diverse and therefore a decrease
of their full dignity” (Romañach, 2009, 204-205); and that “today eugenic practices occur through abortion, genetic selection and
sterilization, that the door to a death in dignity should be opened when
conditions exist to ensure full dignity in functional diversity”.
Furthermore past eugenics practices and experiences prove that accepting
eugenics in a society has lead to unequal societies, and they should be not be
allowed any further (Evans, 2004).
Therefore, ethics on diversity would frontally confront all Singer’s thesis in ethical and bioethical issues related to functional diversity, on
the grounds of a solid and coherent ethical approach, and a moral community
definition that should be considered if a future society in which all humans
would be accepted in equal terms and social justice is desired.
7. Conclusions
Our aim in this article is to propose a solid powerful extension of recognition
and redistribution ethics: diversity ethics. These ethics reinforce prior
approaches due to the inclusion of functional diversity as part of human
diversity to be accounted for in moral philosophy, the need to break social
domination logics, and to analyze redistribution at the end of the process, to
ensure it will account for self-respect and self-esteem, another forgotten
issue in diversity.
The inclusion of functional diversity in recognition and redistribution ethics
proposes the idea of auto-recognition of fragility and diversity in all humans,
as we’re all functionally diverse and risk personal discrimination on those grounds.
Furthermore, a pragmatic approach of dignity, based on giving the same value
for all human lives, is included in diversity ethics, providing tools to face
bioethical challenges.
Diversity ethics is proposed as a choice for the future society, as we are to
choose now whether in the future we will live in a non-discriminatory society
in which all human diversity is welcome and every individual regardless of her
or his differences, abilities and productivity has a chance to live and enjoy
life at any age; or we will live in a society in which not all diversity is
accepted, a discriminatory society in which only people who are useful,
capable, smart, skilled, with good sight and hearing, etc. will be welcome and
allowed to live and enjoy what society provides.
Making a clear choice of the first option, diversity ethics has been confronted
with P. Singer’s ethics, that have chosen the second option, showing their weakness and
incoherencies. Alternative bioethical positions have also been exposed, that
are coherent with the choice of a future society in which all humans will have
the right to justice and equality, as we need a society different from the one
we have today, a society in which inequalities are reproduced through
generations.
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Notes
1. The term “functional diversity” as a substitute of “disability” was first proposed by Romañach and Lobato, (2005) and it is a part of the diversity model (Palacios and Romañach, 2006, 2007). It should be noted that it is the first non-negative description on this reality
that evades the ability concept.
2. According to Synopsis and classification of living about 1.4 million living species of all kinds of organisms have been described.
3. Nevertheless, the will to defend a minority group does not necessarily lead to
biased and unilateral proposals, focused exclusively on the rights or interests
of particular groups, but it is also useful to develop comprehensive conceptual
approaches that would consider each minority group in its specificity and
diversity.
4. Recently, some Spanish and Argentinean sociologists have also developed work in
this field (see Romañach et al., 2009).
5. There is only a Spanish version, as the book has not yet been translated to
English (Romañach, 2009).
6. The social model ideas have also been included in the UN Convention of the
rights of persons with disabilities. UNITED NATIONS (2006). “Convention on the Rights of Persons with Disabilities”
7. A 10% of the population is discriminated on the grounds of functional diversity.
8. To read about a modern reflection about happiness see: Guibet Lafaye (2009a).
9. The pragmatic approach to the dignity concept in the diversity model was
performed after analyzing several international documents related with
bioethics and human rights and performing a semantic distillation of what it
meant in those documents.
10. It should be noted that many approaches on the field (e.g. Nussbaum
Capabilities model) have been proposed by people who do not live that reality
daily.
11. As pointed out by Foucault (1992, 1998).
12. See Romañach (2009, 23-28) and Guzmán, Romañach and Toboso (2009).
13. Rawls, 1971, tr. sp., 51.
14. Furthermore, moral philosophy does not often deal with bioethics challenges
such as genetic selection, abortion, medical research, embryo moral status,
etc. These are crucial issues for functional diversity, as functionally diverse
people feel threatened by some experts’ positions and practices in those fields, that include Peter Singer: “We are threatened when Peter Singer, a professor of bioethics, writes: “It does not seem quite wise to increase any further draining of limited
resources by increasing the number of children with impairments.”” (DISABLED PEOPLE INTERNATIONAL EUROPE (DPI), 2000).
15. As stated in the Independent Living philosophy: “Independent Living is a philosophy and a movement of people with disabilities
who work for self-determination, equal opportunities and self-respect”.
16. In the way outlined by Galston (1995).
17. This ambition of animal condition liberation had already been adopted in the
past: “But is there any reason why we should be suffered to torment them?. Not that I
can see.” ….“The day may come when the rest of the animal creation may acquire those right which never
could have been witholden from them but by the hand of tyranny.” (Bentham, 1780, 235).
18. Before starting the analysis, it should be noted that P. Singer commits a
fallacy, since he draws a conclusion not related to the initial premise of his
reasoning, but a term he introduced after the exposure of the situation
initially described.
19. DISABLED PEOPLE INTERNATIONAL EUROPE (2000).
20. Moreover “retarded” constitutes a normative description that corresponds to a value given to a
certain mind in a given time, comparing it to other minds. But anyone’s mind is different from the others, and drawing the line between what is
retarded, and what is not, is a social issue, not a biological issue.
21. Concerning the issues on sufferance and lifes not worth to be lived see: Romañach, 2009, 65-81.
22. Romañach, 2009, 58, footnote 70. The role of experience in first person as an argument of last
resort, is confirmed by the normative changes induced to end-of-life requests
of Vincent Humbert in France, or Ramon Sampedro in Spain. For a reverse view on Sampedro’s case see Romañach, 2005.
24. DISABLED PEOPLE INTERNATIONAL EUROPE (2000).
25. Spain approved in 2010 a new abortion law that maintains the eugenic abortion.