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Part of the book series: The International Library of Bioethics ((ILB,volume 90))

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Abstract

Rights are relationships in which the rightsholder is categorically entitled to be left alone (prerogative), to demand some kind of good or performance (claim), to be able to change the status of another (power), or to be exempt from others’ powers (immunity). Looked at ethically, rights are difficult to ground. In the real world, assertions of right tend to be based on specifics of relationships and of the type of situation involved. The existence of an ethical right is often controversial, and is unenforceable in any event. The almost infinite panoply of putative ethical rights-relationships must be reduced to legal rights. Legal rights are limited, written, enforceable, and have no justification except the legitimacy of the government that imposes and seeks to enforce them. Ethically-derived rights cannot serve as a theoretical basis for child welfare. Legal approaches generally prioritize children’s beneficent interests over their abstract rights. Among the putative rights that laws tend to deemphasize, at least in the US, is a presumed right to autonomy. Autonomy is a cluster concept that includes independence from others, choice, authenticity, etc. Empirical studies suggest that most people prioritize relationships, security, and (to a point) material well-being over autonomy. This is in contrast to much philosophical speculation. Furthermore, attention to child autonomy is often a pretext for supplanting parental values. Thus, I reject concern for autonomy as a prominent feature in settling parent-state disputes.

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Notes

  1. 1.

    Medical principlism was initially based on David Ross’s concept, based on special relationships. Ultimately, though, Beauchamp and Childress (2013) have based principlism on a presumed consensus of a presumed common morality. The problems with the notion of a common morality are beyond the scope of this discussion.

  2. 2.

    As this idea gains traction, more moral elements may develop. For example, raising a warning or an alarm may occur in ways that do not fit into Curry’s seven modes of cooperation, even though they constitute positive social interaction. Regardless of how many elements there are, the main point that moral values or principles may form a combinatorial system has great appeal.

  3. 3.

    Two Adamses, two Harrisons, two Roosevelts, and two Bushes.

  4. 4.

    We the People of the United States… do ordain and establish this Constitution for the United States of America. (Emphasis supplied.).

  5. 5.

    This is not a simple matter. First, it isn’t clear what pain is reasonable. Pain is not necessarily harmful, and controlled pain may be either part or a byproduct of a program designed to instill fortitude, as with contact sports. Rites of passage may involve painful or dangerous experiences (Johnson 2011).

  6. 6.

    Ironically, this quote was obiter dictum, that is, a passage in a judicial opinion that did not apply to the issue that the court was considering. The court actually unanimously excused the hospital! This opinion is widely cited because of Cardozo’s reputation and fine writing style, but the opinion technically has never been precedent for consent requirements. In fact, consent requirements had been established in American common law at least 9 years before Schloendorff by the less quotable cases of Mohr v. Williams, 104 N.W. 12, Minnesota Supreme Court, 1905, and Pratt v. Davis, 79 NE 562, Illinois Supreme Court, 1905!

  7. 7.

    Rawls wrote his treatise in 1971. I am not implying that Rawls intended to mislead, but only that he proposed unsubstantiated views on factual matters.

  8. 8.

    This is not to say that adopted children and their parents cannot form wonderful, loving relationships, but only that parent–child relationships are enhanced by perceived similarities.

  9. 9.

    There are many valuable and praiseworthy adult vocations that provide no remuneration.

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Jacobs, A.J. (2022). The Primrose Path: Rights and Autonomy. In: Assigning Responsibility for Children’s Health When Parents and Authorities Disagree: Whose Child?. The International Library of Bioethics, vol 90. Springer, Cham. https://doi.org/10.1007/978-3-030-87698-2_2

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