Scott Alexander, curated
← Back to curation

Determining Consent

Quality
73
Strong
Claude Shift
52
Moderate
RWI
2
of 10

Summary

A brave, careful ethics essay on consent and severe intellectual disability. Opening from his own hospital experience (institutionalized patients sentenced to lifelong celibacy), Scott works through the Anna Stubblefield case (a professor who used pseudoscientific 'facilitated communication' to 'receive' consent from a nonverbal man, DJ) and Peter Singer's NYT defense. He separates four levels: LEGALLY, Stubblefield should go to jail (the act recklessly risked rape with no safeguarding process); POLITICALLY, we should build a surrogate-consent process like the one used for surgery on the disabled; ETHICALLY, in the abstract, totally forbidding sex to those who can't verbally consent but can give reliable cues isn't clearly right (vs the eugenicists who merely sterilized); PHILOSOPHICALLY, enforcing one position on everyone regardless of their evident wishes isn't 'promoting consent.'

Why this score

Quality 73 · Strong. 73 — high-Strong. A sophisticated, brave treatment of a genuinely hard problem, with a sharp legal/political/ethical/philosophical disaggregation, a charitable reading of Singer, and honesty about the discomfort. Bounded to a specific hard case, which holds it just short of Excellent.

Claude’s paradigm shift 52 · Moderate. 52 — Moderate. The four-level disaggregation is a sharp framing, but the underlying utilitarian-vs-deontological tension isn't new.

Real-world impact 2 · Minor. 2 — a within-discourse ethics essay (a careful-thinking exemplar); no material reach.