make decisions for their good, as in the case of those seriously injured or
mentally disturbed. It is also rational for them to protect themselves
against their own irrational inclinations by consenting to a scheme of
penalties that may give them a sufficient motive to avoid foolish actions
and by accepting certain impositions designed to undo the unfortunate
consequences of their imprudent behavior. For these cases the parties
adopt principles stipulating when others are authorized to act in their
behalf and to override their present wishes if necessary; and this they do
recognizing that sometimes their capacity to act rationally for their good
may fail, or be lacking altogether.
28
Thus the principles of paternalism are those that the parties would
acknowledge in the original position to protect themselves against the
weakness and infirmities of their reason and will in society. Others are
authorized and sometimes required to act on our behalf and to do what we
would do for ourselves if we were rational, this authorization coming into
effect only when we cannot look after our own good. Paternalistic deci-
sions are to be guided by the individual’s own settled preferences and
interests insofar as they are not irrational, or failing a knowledge of these,
by the theory of primary goods. As we know less and less about a person,
we act for him as we would act for ourselves from the standpoint of the
original position. We try to get for him the things he presumably wants
whatever else he wants. We must be able to argue that with the develop-
ment or the recovery of his rational powers the individual in question will
accept our decision on his behalf and agree with us that we did the best
thing for him.
The requirement that the other person in due course accepts his condi-
tion is not, however, by any means sufficient, even if this condition is not
open to rational criticism. Thus imagine two persons in full possession of
their reason and will who affirm different religious or philosophical be-
liefs; and suppose that there is some psychological process that will con-
vert each to the other’s view, despite the fact that the process is imposed
on them against their wishes. In due course, let us suppose, both will
come to accept conscientiously their new beliefs. We are still not permit-
ted to submit them to this treatment. Two further stipulations are neces-
sary: paternalistic intervention must be justified by the evident failure or
absence of reason and will; and it must be guided by the principles of
28. For a discussion of this problem see Gerald Dworkin, “Paternalism,” an essay in
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