The philosopher as insider and outsider.
Philosophers may play the role of insider, e.g., serving as advisor to government commissions, or of outsider, commenting on the work of such commissions. Each role may raise dilemmas. It is argued that as insider the philosopher's primary duties should be to clarify and inform, as well as philosophize with the commissioners, and help them stay on a course in which moral considerations are given their proper weight. Fulfilling these duties means that the philosopher will sometimes have to help produce a weaker intellectual document than he would prefer, or lose a chance to directly promote the public good. The insider philosopher will also have to consider whether it is appropriate for a policy proposal from a commission to differ from much current government policy, and how morally appropriate compromise can be reached among commissioners. Given his understanding of how an insider philosopher should function and how commission reports are constructed, the outsider philosopher can comment both on how close a report comes to being perfect of its type, and how far short of an ideal philosophical analysis even a perfect government report is. It may be appropriate for him to give greater weight to the public good, if his comments are very likely to affect it, than the insider philosopher. Examples for discussion are drawn from government reports on organ transplantation, embryo research, terminating care, and compensation for research subjects.
Kamm
F M
FM
Department of Philosophy, New York University, New York City 10003.
D026683:Advisory Committees; D026688:Bioethical Issues; D003220:Conflict, Psychological; D018864:Cultural Diversity; D026689:Ethical Analysis; D026822:Ethicists; D004992:Ethics, Medical; D016332:Fetal Tissue Transplantation / Q000331:legislation & jurisprudence; D006266:Health Education / Q000331:legislation & jurisprudence; D006291:Health Policy / Q000331:legislation & jurisprudence*; D006292:Health Priorities / Q000331:legislation & jurisprudence; D006801:Humans; D033183:Interdisciplinary Communication; D028681:Moral Obligations; D009014:Morals; D016377:Organ Transplantation / Q000331:legislation & jurisprudence; D010686:Philosophy, Medical; D035842:Research Subjects; D040841:Resource Allocation; D012935:Social Justice; D012945:Social Values; D009927:Tissue and Organ Procurement; D014481:United States; D028722:Virtues