Dworkin accepts the notion society may sometimes justiably restrict a persons liberty for purposes of self- protection or the prevention of harms to others. Dworkin argues that some limited forms of state paternalism can be justified. Goldman argues that in few extraordinary cases, strong paternalism in medicine is unjustified. Patients have a right of self-determination, a right of freedom to make their own choices. Decisions regarding their own futures should be left upto them because pesons are the best judges of their own interests and because self- determination is valuable for its own sake regardless of its general positive effects. He argues there are two arguments against paternalism. The first argument hold that allowing an individual free choice is not most likely to result in harm taken in its objective sense. It admits likely harm in the objective sense but holds that even greater harm to the individual is likely to ensue from the interference.
