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"To this it may be said that so far I may have argued a relatively uncontroversial case, but one that could not be made out in respect of more extreme forms of disability and dependence, such as those in which the physically and mentally incapacitated are incapable of all or all but the most minimal responses to others, human beings who do not or no longer achieve the status of Lockean persons, human beings whose potentialities for rationality or affective response have been permanently frustrated. It will be urged that of such we can only say that at most they can be passive objects of benevolence designed to limit their suffering, beings whose existence can only be a cost, but not in any way a benefit to others. How could they be our teachers? This is a powerful and widely influential view."

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