Scott Alexander explores the complex ethical and legal issues surrounding sexual consent for institutionalized and intellectually disabled individuals, arguing for a nuanced approach that balances protection and autonomy. Longer summary

Scott Alexander discusses the complex issue of consent for institutionalized and intellectually disabled individuals, particularly regarding sexual activity. He explores the tension between protecting vulnerable people from abuse and respecting their autonomy and human desires. The post examines current practices in mental hospitals, long-term care facilities, and legal cases involving disabled individuals. Scott argues that while strict legal protections are necessary, there may be ethical grounds for a more nuanced approach in certain situations, allowing for non-verbal forms of consent and considering the overall well-being of the individuals involved. He critiques both overly restrictive policies and potentially exploitative ones, advocating for a careful, case-by-case consideration of these sensitive issues. Shorter summary