Almost Over

In Almost Over, F. M. Kamm presents a wide-ranging philosophical discussion of the moral, legal, and medical issues related to aging, dying, and death. She begins by considering different views about whether and why death is bad for the person who dies and what these views imply about the death of humanity. She then considers whether there are conditions under which it might make sense to deliberately bring a person's death about, given the processes of aging and dying that precede it. In the opinion of some it is not only serious illness but ordinary aging that may give rise to this question and Kamm pays particular attention to the various ways in which aging could affect the distribution of goods and bads in a particular life. Specifically, she considers how the limitations and changes due to aging and the dying process affect meaning in one's life, and whether the absence of meaning affects the reasonableness of not resisting or even seeking one's death.

Kamm explores these questions not only as they relate to individuals' decisions but also as they relate to public policy and state action. Recently attempts have been made to help the general public think about end-of-life issues by devising questionnaires and conversation guides; Kamm evaluates some of these resources and articulates the moral implications of the assumptions they make about aging, dying, and value. She also takes up the issue of physician-assisted suicide as a way of ending one's life, considering its moral permissibility and whether or not it ought to be legalized as a matter of public policy. In doing so, she examines arguments from discussions about capital punishment concerning state action and also methods of balancing costs and benefits (including cost effectiveness analysis). In her analysis, Kamm engages with the views of such prominent philosophers, medical doctors, and legal theorists as Shelly Kagan, Susan Wolf, Atul Gawande, Ezekiel Emanual, and Neil Gorsuch, among others, shedding new light on conversations about the moral complexities and consequences of aging, dying, and death.

"A philosophical discussion of moral, legal, and medical issues related to aging, dying, and death [which] considers different views about whether and why death is bad for the person who dies, and whether these views bear on why it would be bad if there were no more persons at all. The book looks at how the general public is being asked to think about end-of-life issues, as well, by examining some questionnaires and conversation guides that have been developed for their use. It also considers views about the process of dying and whether it might make sense to not resist death, or even to bring about the end of one's life, given certain views about meaning in life and what things it is worth living on to get and do"--

In Almost Over, F.M. Kamm addresses issues that are literally matters of life and death, and offers an inviting entry point to her unique way of doing philosophy. She introduces and explains topics in an accessible way, while advancing debates with careful arguments. She also takes on some of our most insightful public intellectuals on these topics, and makes devastating points against their views. She excels at drawing novel conceptual distinctions and revealing previously overlooked logical possibilities; in fact, she often introduces distinctions that are so powerful that one is astonished that no one had thought of them before. Almost Over is a must read for scholars and students in bioethics, and for anyone interested in death, euthanasia, or assisted suicide. -- Jeffrey Brand, Professor of Philosophy, George Washington University

For many years, Kamm has written with great insight about death and related issues such as euthanasia and assisted suicide. She is justly renowned among philosophers for the originality of her ideas and the subtlety and intricacy of her arguments. The essays in Almost Over, while retaining the rigor of her earlier work, engage with the thinking of more popular writers and explore issues of policy as well as philosophical theory. Her thoughts in this book are humane, profound, and wise. They are the mature reflections on the meaning and value of life, and on the meaning of death, of one of the greatest living moral philosophers. -- Jeff McMahan, White's Professor of Moral Philosophy, University of Oxford