Paternalism and Voluntariness

Abstract

Among fundamental, widely shared values, there are two which often come into conflict, creating a serious moral dilemma, viz., the value of individual well-being and the value of individual self-direction. These values issue in two fundamental moral principles, one which prescribes the protection of others from harm (the principle of beneficence), and one which proscribes interfering with a person's right to direct his own life and actions (the principle of liberty). When an individual is doing or choosing something which subjects him to harm or significant risk of harm, the question of paternalistic interference arises. Since John Stuart Mill's On Liberty, there have been a number of attempts to say when such protective interference with adults is morally acceptable.