RT Journal Article SR Electronic T1 Fine-tuning the impairment argument JF Journal of Medical Ethics JO J Med Ethics FD BMJ Publishing Group Ltd and Institute of Medical Ethics SP 641 OP 642 DO 10.1136/medethics-2020-106904 VO 47 IS 9 A1 Bruce Philip Blackshaw A1 Perry Hendricks YR 2021 UL http://jme.bmj.com/content/47/9/641.abstract AB Perry Hendricks’ original impairment argument for the immorality of abortion is based on the impairment principle: if impairing an organism to some degree is immoral, then ceteris paribus, impairing it to a higher degree is also immoral. Since abortion impairs a fetus to a higher degree than fetal alcohol syndrome (FAS) and giving a fetus FAS is immoral, it follows that abortion is immoral. Critics have argued that the ceteris paribus is not met for FAS and abortion, and so we proposed the modified impairment principle (MIP) to avoid these difficulties. Dustin Crummett has responded, arguing that MIP is open to various counterexamples which show it to be false. He also shows that MIP can generate moral dilemmas. Here, we propose a modification to MIP that resolves the issues Crummett raises. Additionally, Alex Gillham has criticised our appropriation of Don Marquis’ ‘future like ours’ reasoning about the wrongness of impairment. We show that his objections have minimal implications for our argument.