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Updated: Mar 17, 2026

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Author Spotlight: Automated Lifespan Monitoring – Discovering Aging Dynamics with the Lifespan Machine
Published on: January 26, 2024
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Age and Death: A Defence of Gradualism
1Clinical Center Department of Bioethics & Fogarty International Center, National Institutes of Health.
Summary
This study refutes criticisms of gradualism in the ethics of death, arguing that the badness of dying depends on future lost potential and cognitive state. It offers insights for healthcare policy regarding interventions for the young.
Area of Science:
- Philosophy of Death
- Bioethics
- Moral Philosophy
Background:
- Standard 'comparativist' views deem death bad due to lost future goods.
- Jeff McMahan's 'gradualist' view posits death's badness depends on lost goods and cognitive development at death.
Purpose of the Study:
- To examine and refute two criticisms of gradualism.
- To develop and address a novel criticism regarding gradualism's relation of morbidity and mortality.
- To provide implications for healthcare policy decisions.
Main Methods:
- Critical analysis of existing arguments against gradualism.
- Development of a new philosophical argument concerning gradualism.
- Examination of the implications of gradualism for health economics and policy.
Main Results:
- The two prominent criticisms of gradualism were found to misinterpret McMahan's work.
- A novel criticism regarding the relationship between morbidity and mortality within gradualism was presented and refuted.
- The analysis yields implications for prioritizing healthcare interventions for the very young.
Conclusions:
- Gradualism, despite challenges, offers a nuanced view of the badness of death.
- The ethical evaluation of death should consider developmental and cognitive factors.
- Healthcare policy should carefully weigh life-saving versus disease-mitigating interventions for infants and children.
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