Skip to main content
Log in

A reply to Gillham on the impairment principle

  • Scientific Contribution
  • Published:
Medicine, Health Care and Philosophy Aims and scope Submit manuscript

Abstract

The impairment argument claims that abortion is immoral, because it results in a greater impairment to a fetus than other actions that are clearly immoral, such as inflicting fetal alcohol syndrome. Alex Gillham argues that the argument requires clarification of the meaning of greater impairment. He proposes two definitions, and points out the difficulties with each. In response, I argue that while the impairment argument’s definition of greater impairment is narrow in scope, it is sufficient for its intended purpose. Broadening its scope to more controversial comparisons of impairment is likely to undermine the intuitive appeal of the impairment principle that the argument is based upon.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Notes

  1. There are variations of the impairment argument (Hendricks 2018; Blackshaw and Hendricks 2021), but they are all predicated on the same concept of lesser (n) and greater (n + 1) impairment.

  2. See Blackshaw (2019); Crummett (2020); Pickard (2020); Räsänen (2020); Simkulet (2021); Singh (2022); Cushing (2023).

  3. Suggested by an anonymous reviewer.

  4. Most ethicists agree that giving a fetus FAS is immoral, although there are exceptions. For example, Flanigan (2020) argues that prenatal injury is permissible, based on the premise that abortion is permissible.

References

Download references

Funding

The author has no competing interest or funding to disclose. The author did not receive support from any organization for the submitted work.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Bruce P. Blackshaw.

Ethics declarations

Conflict of Interest

The author has no relevant financial or non-financial interests to disclose.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Blackshaw, B.P. A reply to Gillham on the impairment principle. Med Health Care and Philos 27, 31–35 (2024). https://doi.org/10.1007/s11019-023-10180-w

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11019-023-10180-w

Keywords

Navigation