On Nudging and Informed Consent-Four Key Undefended Premises

摘要

In his article "Nudging and Informed Consent," ShlomoCohen (2013) argues, among other things, that 1) "to the extent that the nudge-influenced decision making is rational-in whatever sense," there is no opposition on grounds of respect for autonomy; 2) even nudges that take advantage of or induce epistemically or rationally flawed processes are ethically permissible so long as patients are not deceived; 3) preferences that result from taking advantage of or inducing such flawed processes are still normatively valuable because they are the patient's actual preferences; and 4) nudges that take advantage of these processes are more ethical when they exert their impact on the environment rather than the patient directly.