Efforts to address the "paradox of autonomy in long-term care" attempt to s
alvage an ethic of autonomy by redefining the central concept, and then app
lying it to the long-term care environment. Such attempts are critiqued, an
d an alternative ethic of dignity for long-term care is developed. Autonomy
, it is argued, is crucial to certain aspects of dignity, but should not be
confused with the whole of it. Indeed, long after the capacity for autonom
y has diminished or vanished, basic dignity continues to exert normative fo
rce.