RT Journal Article SR Electronic T1 The tension between self governance and absolute inner worth in Kant’s moral philosophy JF Journal of Medical Ethics JO J Med Ethics FD BMJ Publishing Group Ltd and Institute of Medical Ethics SP 645 OP 647 DO 10.1136/jme.2004.010058 VO 31 IS 11 A1 M Häyry YR 2005 UL http://jme.bmj.com/content/31/11/645.abstract AB The concepts of autonomy as the self governance of individuals and dignity as the inner worth of human beings play an important role in contemporary bioethics. Since both notions are crucial to Immanuel Kant’s moral theory, it would be tempting to think that Kantian ethics could ease the friction between the two concepts. It is argued in this paper, however, that this line of thought cannot be supported by Kant’s original ideas. While he did make a conscious effort to bring autonomy and dignity together, his emphasis on the absolute inner worth of our collective humanity made it impossible for him to embrace fully the personal self determination of individuals, as it is usually understood in today’s liberal thinking.