The liberal theory of the independent individual as the basic unit of society is full of exceptions. When my own baby was awaiting birth, paddling away at my insides to strengthen her lungs and her bones, she was decidedly non-autonomous. She is swept out of moral consideration with the claim that she is not a person until she can survive without my involvement.
When the aged reach a certain point of weakness and inability, some doctors and ethicists are as ready to deny personhood at the end of life as they were at the beginning. The end of life is [sometimes] graciously excused as an exceptional time—there was a lot of autonomy in the middle, so the end can’t be held against the individual, or the theory.
All of this is nonsense. It would be fairer to say that dependence is our default state, and self-sufficiency the aberration. Our lives begin and (frequently) end in states of near total dependence, and much of the middle is marked by periods of need.
- Leah Libresco Sargeant














