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This contribution will restrict itself to Den Hartogh’s conceptual framework and formulate some hesitations about Den Hartogh’s moral premisses which he calls ‘ethical atoms’ (p. 159-160, 317). For at least two reasons I will discuss these premisses with a certain reluctance. First of all, the sensitive nature of what is at stake here: matters of life and death and the question of what we owe others and ourselves; secondly and more on a more personal level, my hesitations do not lead to any clear alternative moral premisses. Especially with regard to Den Hartogh’s central premiss concerning self-determination, I sympathise Velleman’s approach in one of his famous articles: I am neither completely pro nor completely con. I am more, like, not so sure.