Alasdair McIntyre in After Virtue presents two contrasting arguments. Shortened up and re-cast slightly, they are:
(a) Justice demands that every citizen should enjoy equal opportunity to develop his or her talents. But that requires equal access to health care and education. That means no citizen should be able to buy an unfair share of those services, as might be offered on an open market. Thus, government should provide medical and educational services, and private providers should be abolished as unjust.
(b) Everyone has a right to incur only those obligations he or she desires. Doctors must be free to practice as they wish, and patients must be free to choose their health care. Teachers, likewise, must be free to teach as they choose; students, free to choose how they will learn. Freedom requires the abolition of restraints on private decisions imposed by licensing and regulation, whether by universities, trade associations, or government.
McIntyre observes that the first argument is based in equality, while the second is based on liberty. His point is that the two arguments are incommensurate–they talk past each other. The vocabulary for discussing “ought” has come unhinged, what McIntyre calls a symptom of “moral disorder.” Continue reading