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Foot, Philippa. The Problem of Abortion and the Doctrine of the Double Effect
1967, Oxford Review 5:5-15, reprinted in Virtues and vices. Oxford: Blackwell.
Topics: Applied Ethics; Culture; Gender Sex and Sexuality; Law and Public Policy; Normative Ethics; Personal and Social Identity
Keywords: abortion; double effect; intention; negative duty; positive duty; trolley
Traditions: Analytic; European
Languages: English
Figures: Philippa Foot

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Added by: Simon Fokt

Introduction: One of the reasons why most of us feel puzzled about the problem of abortion is that we want, and do not want, to allow to the unborn child the rights that belong to adults and children. When we think of a baby about to be born it seems absurd to think that the next few minutes or even hours could make so radical a difference to its status; yet as we go back in the life of the foetus we are more and more reluctant to say that this is a human being and must be treated as such. No doubt this is the deepest source of our dilemma, but it is not the only one. For we are also confused about the general question of what we may and may not do where the interests of human beings conflict. We have strong intuitions about certain cases; saying, for instance, that it is all right to raise the level of education in our country, though statistics allow us to predict that a rise in the suicide rate will follow, while it is not all right to kill the feeble-minded to aid cancer research. It is not easy, however, to see the principles involved, and one way of throwing light on the abortion issue will be by setting up parallels involving adults or children once born. So we will be able to isolate the ‘equal rights’ issue and should be able to make some advance.

Comment: The text introduces some crucial distinctions, discussing the difference between 'doing' and 'allowing to happen' and the related negative and positive duties. Foot argues that what matters in the Doctrine is not the directness of the actor's intention, but whether they intend to follow a negative or positive duty. This paper is most useful in teaching on the ethics of abortion and euthanasia, as well as the doctrine of double effect in general.

Difficulty: Intermediate
Recommended use: Introductory reading, Contains a useful overview

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