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Culture War Roundup for the week of April 27, 2026

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It's an argument against Utilitarianism only if you ignore 2nd-order effects. (This happens a lot with arguments against Utilitarianism.)

Take the extreme variant of the trolley problem, where a doctor has 5 sick patients who each need a different organ transplant. In the doctor's waiting room, there's a healthy patient. Should the doctor kill the healthy patient and use their organs to save the 5 sick people? After all, it'll be saving 5 lives at the cost of one; Utilitarianism demands that you kill the healthy person, right? It's exactly the same as pulling a lever on the train track to save 5 people, right?

... except no, because no one wants to live in a society where at any moment you can be righteously murdered for your organs. That's an insane way for a society to function. Everyone would be terrified all the time. No one would set foot in a hospital. There'd be constant revenge killings against doctors. Everyone who could afford bodyguards would hire them. Everyone would carry whatever weapons they could get their hands on. Society would collapse in about two days. The outcome is: you get no organ transplants, because you've destroyed the mechanisms that allowed for organ transplants in the first place.

Same thing with Nazi experimentation on live prisoners. The Utilitarian argument against it isn't just "the prisoners suffering is bad", it's that plus "if your society has a policy of experimenting on live prisoners, that generates a bunch of horrific problems", such as:

  • Significantly increased terror among the population
  • Dehumanisation of prisoners and any social group they're drawn from
  • Slippery slope to even less humane treatment of people
  • Slippery slope to expanding the number of valid targets
  • General breaking of bright lines around things like bodily autonomy, torture, etc

... so it's very much not an "unalloyed good", even leaving the suffering of the prisoners aside. (For that matter, even if we ignore 2nd-order effects, I'm not sure that the medical advances necessarily do outweigh the suffering of the prisoners! Then there's also the fact that there's no single unambiguous way to add up "greatest utility for the greatest number". You can absolutely have a version of Utilitarianism that prioritises additional utils for people at the bottom. And then, on top of that, there's no single way to convert pain/pleasure/satisfaction/whatever into utility; pain might have a much stronger contribution than pleasure. The weakness of Utilitarianism IMO is that it's inherently flexible and ambiguous like this.)

It might well be possible to construct a situation where Utilitarianism does give an unacceptable answer. But I don't think this is it. And typically, when these arguments go "Utilitarian says we should do X, which we can all agree has bad consequences" -- that's almost intrinsically self-defeating, because Utiliarianism is all about weighing up the consequences and minimising the badness!