According to the bioethical principle of individual decisional autonomy, the patient has a right of informed consent to any medical or experimental procedure. The principle is politically liberal by advocating significant individual freedom as guaranteed by law and secured by civil liberties. When practiced in illiberal communities, might it have a political liberalizing effect? I respond first by analyzing cross-national norms of individual decisional autonomy to identify tensions with illiberal community; second, by examining examining Singapore in a single case study to show that liberal bioethics does not promote political liberalization; and third, by showing that the possibility of practicing liberal bioethics in research, clinically as well as in education, does not require a democratic order, and that liberal bioethics is unlikely to encourage the liberalization of illiberal political communities. Hence, it may never contribute to the development of globally effective cross-national norms for the legal regulation of bioethical research and clinical practice. Fourth, to bolster this analysis, I anticipate several possible objections to various of its aspects.

This article aims to make a threefold contribution to the study of soft power. First, considering that the potential of soft power of illiberal states is both underestimated and distorted, this study presents a two-dimensional conceptualization of Russia’s soft power, distinguishing between Russia’s posture toward the liberal international order, and sources of Russia’s foreign policy. Second, it analyzes whether Russian soft power in the Western Balkan countries remains ideologically relevant beyond its hitherto conceptualizations as either the result of its historic cultural ties with the region, or a reflection of Russian foreign policy strategies. Through an analysis of elite discourses and news media as exemplified in speeches, press releases, and interviews, this article locates, challenges, and develops on Russia’s soft power indicators in the Western Balkans. Finally, it contributes to surmounting the residing liberal democratic bias in the study of soft power of illiberal states, showing that not only can they be ideologically attractive but that their scope of influence differs according to the multi-layered nature of soft power.