The purpose of this paper is to first review William James's explicit positions on paternalism in the context of medical licensure and the annexation of the Philippines. Then I wish to show that these positions, as well as a more generalized antipaternalist stance, are the implications of James's philosophy and psychology and not simply his ‘personal’ sentiments. The elements of James's thought are arranged in such a way as to facilitate a comparison with contemporary behavioral (heuristics and biases) paternalism. The conclusion is that James has arguments against behavioral paternalism avant la lettre that are still useful and deserve discussion.