Saving Lives: For the Best Outcome?
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Updated: Nov 7, 2025

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Published on: April 7, 2023
1Department of Philosophy, Harvard University, 25 Quincy Street, Cambridge, MA 02138 USA.
Abstract:
In this article, I critique a moral argument developed in Frances Kamm's Intricate Ethics: Rights, Responsibilities, and Permissible Harm. The argument, which I label the Best Outcome Argument, aims to criticize the Taurekian idea that it is not worse if more people die than if fewer do in conflict situations, where it is hard to distinguish individuals from one another solely by reference to the relative strength of their claims. I argue that the Best Outcome Argument is flawed for three reasons: (1) the symmetry feature defined by the impartiality principle holds only in a limited class of conflict situations; (2) individuals should be treated in a consistent way throughout the whole process of reasoning; (3) comparative evaluations gained in different contexts, at least in some cases, cannot be used in one and the same argument.
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Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
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