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Before bioethics finds a way to accommodate that insight it will continue to be an occupation for the upper-middle-class academic, serving the interests of the really rich and powerful. NOTES 1. Fran Abrams, Below the Breadline: Living on the Minimum Wage (London: Profile Books, 2002), p. 45. 2. ; Barbara Ehrenreich, Nickeled and Dimed: Undercover in Low Wage USA (New York: Granta, 2002); Polly Toynbee, Hard Work: Life in Low-Pay Britain (London: Bloomsbury, 2003). 3. St. Thomas Aquinas, “Summa Theologica, Question LXXXII,” Philosophy in the Middle Age, eds.

Sidney Morgenbesser, Patrick Suppes, and Morton White (New York, St. Martins Press, 1969), pp. 440–472. 5. Alan Wertheimer, Coercion (Princeton, Princeton University Press, 1987), p. 209. 6. Heta Häyry, The Limits of Medical Paternalism (London, Routledge, 1991). 36 SØREN HOLM 7. John Harris, “This Won’t Hurt… Your Bank Balance. Short of Cash and in Possession of Two Kidneys? Philosopher John Harris Thinks You Should be Able to Sell One of them to the NHS—and the Medical Establishment is Taking him Seriously,” The Guardian, 3 December 2003.

5 Nozick’s basic idea is that the feature that makes some offers coercive is that the situation in which the person given the offer finds himself departs from what could normally be expected. The problem that Nozick recognizes is that “what could normally be expected” can be understood in two quite different ways. It can be understood either as an empirical statement about the normal development of a state of affairs in a given society, or as a normative statement describing what the person in question is morally justified in expecting.

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