Selected, expanded, refereed papers from the first international RLA Conference, University of Sydney/ACU, 1994.

North America is in the grips of an epidemic of opioid-related poisonings. Overdose education and naloxone distribution programmes emerged as an option for structurally vulnerable populations who could not or would not access mainstream emergency medical services in the event of an overdose. These task shifting programmes utilize lay persons to deliver opioid resuscitation in the context of longstanding stigmatization and marginalization from mainstream healthcare services. OEND programmes exist at the intersection of harm reduction and emergency services. One goal of (...) OEND programmes is to help redress the health-related inequities common among people who use drugs, which include minimizing the gap between people who use drugs and the formal healthcare system. However, if this goal is not achieved these inequities may be entrenched. In this article, we consider the ethical promises and perils associated with OEND as task shifting. We argue that public health practitioners must consider the ethical aspects of task shifting programmes that may inadvertently harm already structurally vulnerable populations. We believe that even if OEND programmes reduce opioid-related deaths, we nevertheless question if, by virtue of its existence, OEND programmes might also unintentionally disenfranchise structurally vulnerable populations from comprehensive healthcare services, including mainstream emergency care. (shrink)

In this paper, I discuss St. Thomas’s explanation of how God knows the possibles—things He could create but never does create. Thomas’s full explanationincludes a discussion of the nature of possibility, the reality of the possibles, and whether there are divine ideas of the possibles. In this paper, I critique someof James Ross’s positions as he best represents the self-proclaimed “voluntarist” school. I believe that Ross gives Thomas’s texts an incomplete reading on this issue and I seek to (...) provide what is missing in Ross’s reading by highlighting Thomas’s notion of virtual practical knowledge. The concept of virtual practical knowledge is overlooked even by most “traditional” Thomists, and yet I have found that virtual practical knowledge is Thomas’s richest explanation of how God knows the possibles because it incorporates the principles that Thomas introduces in his general theory of divine knowledge. (shrink)

Four ethical values — maximizing benefits, treating equally, promoting and rewarding instrumental value, and giving priority to the worst off — yield six specific recommendations for allocating medical resources in the Covid-19 pandemic: maximize benefits; prioritize health workers; do not allocate on a first-come, first-served basis; be responsive to evidence; recognize research participation; and apply the same principles to all Covid-19 and non–Covid-19 patients.

According to Glannon and Ross, for an act to be considered altruistic, it cannot be obligatory nor motivated by expectation of self-reward. Given that parents are obligated to help their children and stand to benefit greatly from donating, the authors conclude that parent to child organ donation is not altruistic. Are they correct? I am not sure. In my view, this is a semantic question and the answer depends upon how one defines altruism. Altruism is a complex subject that (...) means different things to different people. If we say that an altruistic act is one that is performed voluntarily, is risky or costly to the actor, and is designed only to benefit others with no expectation of self-reward, then it may be difficult or impossible to identify any such acts. When one risks her own life to save a stranger, others may ask: “Did she really act solely to benefit another or was she motivated, at least in part, by a need to satisfy her conscience or a desire to feel good about herself?” This question is relevant to the motivation of living organ donors. In contrast to the authors' answer that strangers who donate organs do so only out of concern for other people, Carl Fellner argued that many living organ donors, even those who are not related to their recipients, act to benefit themselves. If Fellner is correct, and if organ donation by parents is not altruistic because of the possibility of self-reward, perhaps the same is true of organ donation by strangers. (shrink)

BackgroundThe U.S. Food and Drug Administration traditionally has kept confidential significant amounts of information relevant to the approval or non-approval of specific drugs, devices, and biologics and about the regulatory status of such medical products in FDA’s pipeline.ObjectiveTo develop practical recommendations for FDA to improve its transparency to the public that FDA could implement by rulemaking or other regulatory processes without further congressional authorization. These recommendations would build on the work of FDA’s Transparency Task Force in 2010.MethodsIn 2016-2017, we convened (...) a team of academic faculty from Harvard Medical School, Brigham and Women’s Hospital, Yale Medical School, Yale Law School, and Johns Hopkins Bloomberg School of Public Health to develop recommendations through an iterative process of reviewing FDA’s practices, considering the legal and policy constraints on FDA in expanding transparency, and obtaining insights from independent observers of FDA.ResultsThe team developed 18 specific recommendations for improving FDA’s transparency to the public. FDA could adopt all these recommendations without further congressional action.FundingThe development of the Blueprint for Transparency at the U.S. Food and Drug Administration was funded by the Laura and John Arnold Foundation. (shrink)

Tamar Ross, Professor of Jewish Philosophy at Bar-Ilan University, is a constructive theologian who has made original and important contributions to feminist Orthodoxy.

This article considers three recent attempts by David Armstrong, Ross Cameron, and Jonathan Schaffer to provide truthmakers for negative existential truths. It is argued that none of the proposed truthmakers are up to the task of making any negative existential truth true and, it will turn out, for the same reason.

In dialogue with Kristin Ross and Fred Moten, as well as recent theorizations of destituent power, this article aims to trace the practical logic that governs place-based politics in our anarchic epoch, including the construction of collective formations that defend them.

Western art gardens have enjoyed a chequered relationship with philosophical aesthetics. At different times, they have been both lauded and rejected as exemplars of art, and, for most of the last 150 or so years, they have been largely ignored. However, during the last 25 years, there has been a welcome resurgence of philosophical interest in such gardens. This study situates the work stemming from this revival of interest in its historical context and assesses its adequacy in accounting for gardens (...) in accordance with a range of pan-art criteria. The study argues that contemporary philosophical accounts of gardens are inadequate in some important ways, particularly with respect to gardens’ temporality, ontology, and arthood, and the ways in which gardens are experienced. In response to the arguments of Amie Thomasson, Dominic McIver Lopes, and some other contemporary philosophers, which advocate philosophical accounts of individual arts rather than pan-art accounts, the study develops a partial, new account of gardens that aims to remedy the perceived inadequacies in existing accounts. The new account claims that gardens are singular, not multiple, artworks and that they have an identity not unlike that possessed by humans and other animals; that, metaphorically speaking, our garden experiences may be helpfully illuminated by the application of theories developed in the context of contemporary, improvisatory dance; and that the “ordinariness” of many of gardens materials may be better understood in terms of Arthur Danto’s claim that esse est interpretari, that is, that meaning and value derive from the interpretative process. The new account also proposes personhood as a potentially useful heuristic for understanding how gardens are experienced and understood. The concept of “garden,” and the related constitutive garden aspects, features, and issues are established at the opening of the study with reference to an actual garden. Thereafter, the sources on which the study draws, and which it critiques, are all archival. They include recent philosophical monographs by Mara Miller (The Garden as Art), Stephanie Ross (What Gardens Mean), and David Cooper (A Philosophy of Gardens), and a range of historical and other contemporary monographs and papers written by philosophers, garden historians, and landscape architects and theorists. (shrink)

The case of Twin B involves the decision to send a newborn to a less intensive Level 2 special care nursery (SCN) than to the Level 3 neonatal intensive care unit (NICU) that is considered optimal by the physician. The physician’s acceptance of the transfer is against the child’s best interest and is due to parental convenience. In analyzing the case, we reject the best interest standard. Our rejection is partly supported by the views of Douglas Diekema, John Hardwig, and (...) Lannie Ross. Instead of the best interest standard, we offer and defend an approach we base on a microeconomic analysis of externalities, such as those involved with automobile emissions. This extends our previously presented general microeconomic approach to patient decision-making. It provides a clearer way to evaluate situations, like those of Twin B, in which burdens faced by family members may be used to determine the appropriate level of treatment for a decisionally incapable patient. (shrink)

In their recent article, Glannon and Ross remind us that family members have obligations to help each other that strangers do not have. They argue, I believe correctly, that what creates moral obligations within families is not genetic relationship but rather a sharing of intimacy. For no one are these obligations stronger than they are for parents of young children. This observation leads the authors to the logical conclusion that organ donation by a parent to her child is not (...) optional but rather a prima facie duty. However, Glannon and Ross go a step further by suggesting that because parent-to-child organ donation is a duty, it cannot be altruistic. They assert that “altruistic acts are optional, nonobligatory…supererogatory…. Given that altruism consists in purely optional actions presupposing no duty to aid others, any parental act that counts as meeting a child's needs cannot be altruistic.” Here I think the authors go too far. (shrink)

In a recent article in this journal, we argued that living organ donation from a parent to a child should be described as a beneficent rather than an altruistic act. Emotional relationships can generate an obligation of beneficence to help those with whom we have these relationships. This may involve an obligation for a parent to donate an organ to a child, even though it entails some risk to the parent. The parent's donation is not altruistic because altruistic acts are (...) not obligatory but optional, and they are motivated solely or primarily by other-regarding concerns. In contrast, donor parents' other-regarding concerns are inseparable from their own self-regarding concerns. An individual who donates to a stranger is acting altruistically. She may choose to help others to whom she is not emotionally related for a variety of reasons—sympathy, compassion, generosity, or a desire to give something back to humanity. But she does not have an obligation to do so. Although she may benefit as a consequence of donating, this is not her reason for donating. Instead, her action is motivated by a concern for the recipient's own sake. This is what makes the donation altruistic, and it can be justified without any expectation of benefit to the donor. However, although the potential competent donor decides whether the donation is in her best interests, physicians have the right to refuse to perform a transplant if the risks to the donor are too great or the potential benefits to the recipient are too small. (shrink)

The increasing demand for transparency in AI has recently come under scrutiny. The question is often posted in terms of “epistemic double standards”, and whether the standards for transparency in AI ought to be higher than, or equivalent to, our standards for ordinary human reasoners. I agree that the push for increased transparency in AI deserves closer examination, and that comparing these standards to our standards of transparency for other opaque systems is an appropriate starting point. I suggest that a (...) more fruitful exploration of this question will involve a different comparison class. We routinely treat judgments made by highly trained experts in specialized fields as fair or well-grounded even though—by the nature of expert/layperson division of epistemic labor—an expert will not be able to provide an explanation of the reasoning behind these judgments that makes sense to most other people. Regardless, laypeople are thought to be acting reasonably—and ethically—in deferring to the judgments of experts that concern their areas of specialization. I suggest that we reframe our question regarding the appropriate standards of transparency in AI as one that asks when, why, and to what degree it would be ethical to accept opacity in AI. I argue that our epistemic relation to certain opaque AI technology may be relevantly similar to the layperson’s epistemic relation to the expert in certain respects, such that the successful expert/layperson division of epistemic labor can serve as a blueprint for the ethical use of opaque AI. (shrink)

While the idea of a cosmopolitan order embracing all humankind is ancient, after the Cold War it was widely believed to be an emerging future. As global interdependence and interaction through new technologies increased, literature of cosmopolitan globalization argued that these changes were setting the stage for a structural transformation of world politics. Yet, a revolt against globalism and increasingly divisive and unstable international order has dramatically contradicted this idea. This presents a puzzle for International Relations theory: Why have attempts (...) to construct cosmopolitan order struggled to emerge in the modern global world? Cosmopolitan Imaginaries and International Disorder argues that advocacy for cosmopolitan order reform in the modern world has struggled to recognize the political identities of states and populations and to legitimize its proposed political hierarchies. As a result, these efforts have been overwhelmed by states shoring up their power and remobilizing exclusionary nationalist identities, especially when struggles are intensified in contexts of international instability and economic turmoil. In developing a theory to explain these patterns of cosmopolitan politics, this book offers insight into the limits and role of cosmopolitanism in a dividing international order after liberal globalism. (shrink)

New York City hospitals expanded resources to an unprecedented extent in response to the COVID pandemic. Thousands of beds, ICU beds, staff members, and ventilators were rapidly incorporated into h...

This article examines part of the development of North African Manichaeism, with a specific focus on Aduersus Manichaeos, an anti-Manichaean tretaise attributed to Evodius of Uzalis. Evodius, a friend of Augustine of Hippo, probably wrote Aduersus Manichaeos in the years 425. The treatise constitutes an important source on North African Manichaeism, written two decades after the major anti-Manichaean works of Augustine. A preliminary section discusses Evodius’ sources. Unlike Augustine he was not a former member of the Manichaean movement, and his (...) Adversus Manichaeos lacks the insiders’ knowledge of Augustine’s treatises. Nevertheless, it will be argued that Evodius had prepared himself thoroughly in order to write his anti-Manichaean treatise. The subsequent section offers an overview of testimonia on the Manichaean canon in the Latin world. These testimonia seem to suggest —that over time— the North African Manichaeans held one particular letter of Mani, the Epistula Fundamenti, in high esteem. The concluding section briefly addresses the genre, status, contents and circulation of Mani’s letter. (shrink)

This paper provides an overview of the societal impact of a rising dementia population and examines the legal and ethical implications posed by voluntary registries as a community-oriented solution to improve interactions between law enforcement and individuals with dementia. It provides a survey of active voluntary registries across the United States, with a focus on Arizona, which has the highest projected growth for individuals living with dementia in the country.

This paper offers a unified explanation for the procreation asymmetry and the non-identity thesis – two of the most intractable puzzles in population ethics. According to the procreation asymmetry, there are moral reasons not to create lives that are not worth living but no moral reasons to create lives that are worth living. I explain the procreation asymmetry by arguing that there are moral reasons to prevent the bad, but no moral reasons to promote the good. Various explanations for the (...) procreation asymmetry have failed to explain the non-identity thesis: if one could create a person with a good life or a different person with a better life, one has a moral reason to create the better life. I argue that reflections on the misfortune of unfulfilled potential allow us to circumvent the non-identity problem. (shrink)

Crowdfunded microfinance provides financial resources to impoverished entrepreneurs across the globe based on online appeals describing the entrepreneur’s values and venture potential and is considered a key player in the ethical finance movement. Despite knowledge that the content of the appeals impacts funding success, little is known regarding the role of religious expression, which is common and consequential in socially-oriented contexts. We leverage role congruity theory to address a theoretical tension concerning the effects of religious expression on crowdfunded microfinance funding (...) outcomes. Religious expression is associated with perceptions of trustworthiness, rule-following, and ethicality—qualities that would suggest an entrepreneur would likely avoid opportunist behavior and repay the loan. However, appeals to a higher power may be incongruent with the role of an entrepreneur to the extent that such expression communicates a lack of proactiveness and self-reliance. We use a two-study design to help resolve this tension. Our field study incorporating 253,130 loans from Kiva reveals that religious expression negatively influences funding, particularly for women. Our experiment using 1,795 individual loan assessments shows that the negative influence of religious expression is attenuated when individual lenders exhibit higher levels of religiosity. Post hoc analysis suggests campaigns can mitigate the negative impact of religious expression by being careful to also include aspects highlighting an entrepreneurial orientation. Overall, our work extends prior research suggesting that language tied to ethical or virtuous behaviors is generally not rewarded by lenders as using such language may make the applicant appear inconsistent with role of a stereotypical entrepreneur. (shrink)

Abstract. In this essay I take Michael Polanyi's analysis of scientific discovery and extend it to encompass fresh encounters with the living God. Given the embodied character of all human knowing, Polanyi challenged objectivism and positivism as untenable. In its place, Polanyi noted that the tacit skills established when a physicist learns to detect radio waves has its counterpart in a Christian's being trained to find God. Once trained, stubborn organismic habits constrain both physicist and believer within a socially approved (...) heuristic circle that can be broken only by the act of discovery. The puzzlement that erupts at the onset of an inquiry ultimately finds relief only in an expanded encounter with the realities that one has been trained to serve. Thus, the act of discovery not only serves to disrupt the tradition as it has been received but also reveals that the realities being served make themselves known in novel ways. The lifelong pursuit of God and the lifelong pursuit of novel manifestations of radio waves thus share a common epistemological and phenomenological underpinning. (shrink)

In this commentary piece, I argue that Asay’s accounts of truth and truthmaking in A Theory of Truthmaking give no role to the idea that truth depends on being. In fact, some of the positions taken in the book are in tension with this idea that has been central to truthmaker theory. I consider how three aspects of Asay’s account relate to the idea that truth depends on being.

This essay intends to create a path forward for philosophical work in higher education that is sensitive to the discursive, organizational, economic, epistemic, and political cultures of the institution. This essay will therefore not provide a grand theory of higher education that might be overlaid onto university practice. Instead, as we will argue, any viable philosophy of higher education must not only recognize but also be prepared to account for and harness the heterogeneity of theoretical, organizational, economic, epistemic, and professional (...) perspectives that are the ground of institutions of higher learning. (shrink)

While the science of animal consciousness has seen a surge of new work, its most basic methodology remains highly disputed. In this paper I identify four candidate norms of inquiry that have been implicitly introduced in the recent literature. I call these (1) expansive theorizing, (2) indirect inquiry, (3) lowering epistemic standards, and (4) inflating epistemic standards. In each section, an instantiation of the norm of inquiry is discussed, and the broader lessons that can be taken from avoiding it are (...) drawn out. Interestingly, each of these candidate norms of inquiry have something in common: they implicitly hold that, to study animal consciousness, ordinary scientific standards must in some way be departed from. The overarching claim of this paper is that this is a mistake. In response to this, I propose four alternative candidate norms of inquiry. I call these (1) weighted development, (2) evidential foundations, (3) knowledge directed, and (4) anti-proof. The overarching norm of ‘no exceptionalism’ is then proposed with the goal of establishing a minimal methodological consensus. (shrink)

Is there a pro tanto moral reason to create a life merely because it would be good for the person living it? Proponents of the procreation asymmetry claim there is not. Defending this controversial no reason claim, some have suggested that it is well in line with other phenomena in the moral realm: there is no reason to give a promise merely because one would keep it, and there is no reason to procreate merely to increase the extent of justice (...) in the world. Allegedly, some analogs extend so far as to support a unified theory of the no reason claim and the nonidentity thesis, that is, the view that of two persons leading lives of positive wellbeing, there is a reason to create the person with higher wellbeing. I dismantle the proposed analogs and show that they fail to meet various desiderata. Moreover, I refute Johann Frick's argument that the no reason claim follows from the assumption that reasons of beneficence are reasons to act for the sake of people. By criticizing attractive defenses for the no reason claim, I weaken its plausibility. (shrink)

[1] If only Boghossian’s eminently reasonable book were required reading for every freshman considering entrance into the humanities—the next generation of lay-people would be saved from the uncomprehending repetition of relativist slogans, and future scholars would be kept from mounting baroque, ineffectual attempts at their defense. Fear of Knowledge is engaging, easy to read, and hard to dispute. It’s a satisfying work for those in the choir who will enjoy seeing written on the page precisely what we would say to (...) constructivists were we endowed with Boghossian’s rhetorical elegance. And a great many in the po-mo congregation can expect the book sent to them as suggested reading by their more analytically minded colleagues. I’ve already ordered a few in an attempt to stave off inane conversations I would otherwise certainly face this holiday season. [2] Boghossian begins by addressing a relativistic claim he calls equal validity, ‘that there are many radically different yet “equally valid” ways of knowing the world, with science being just one of them’ (p. 2). As Boghossian surely re-. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Vessel of Honor: The Virgin Birth and the Ecclesiology of Vatican II by Brian A. GraebeAaron Pidel S.J.Vessel of Honor: The Virgin Birth and the Ecclesiology of Vatican II. By Brian A. Graebe (Steubenville, OH: Emmaus Academic, 2021), 351 pp.Though Mary's undiminished virginity in giving birth (virginitas in partu) was long understood to be an event as miraculous and a teaching as authoritative as her virginity in conceiving (...) (virginitas ante partum), virginitas in partu underwent a kind of existential reinterpretation in the middle of the twentieth century. Authors such as Albert Mitterer and Karl Rahner suggested that, physically speaking, Jesus's birth might have happened like any other, rupturing the hymen, distending the birth canal, and causing Mary pain, albeit not in the spiritually disintegrating way common to postlapsarian humanity. These arguments effectively "unsettled" the traditional understanding of virginitas in partu, leading theologians of the highest stature to distinguish between the doctrine itself and the anatomical aspects attached to it over time. Fr. Brian Graebe has written a fine book arguing that the bodily dimensions of the virgin birth, including the physical "seal" of virginity, belong to the substance of the doctrine. This more inclusive understanding not only does better justice to the data of tradition, he argues, but illuminates the ecclesiology of the Second Vatican Council. The book impresses by its theologically reflective method, its clarity of exposition, [End Page 1106] and its depth of research—especially into the archival and antepreparatory sources of Vatican II.Vessel of Honor responds in effect to Rahner's argument that physical intactness is peripheral to the dogmatic core of Mary's virginity in partu. To show otherwise, Rahner contended, one would need to show that such a doctrine can be found directly in the apostolic teaching, or that it, "being implicitly contained therein, has grown out of the apostolic doctrine, by a legitimate historical, logical, and theological process, as its authentic development" (68–69). If the bodily aspects of this doctrine really belonged to the deposit of faith, in other words, one would need to show how they are implied in the traditio divino-apostolica, as well as how they cohere organically with the rest of the deposit. The two major parts of Vessel of Honor respond in turn to each aspect of Rahner's challenge.The first three chapters argue that Mary's bodily integrity in parturition belongs at least implicitly to the traditio divino-apostolica. Turning first to the postapostolic tradition, Fr. Graebe shows that—apart from the early exceptions of Origen and Tertullian—patristic sources either affirm or strongly imply a miraculous delivery. This constant witness culminates in the Lateran Council (649 AD), which, while not itself an ecumenical council, was received into the magisterium of Pope Martin and affirmed by the Third Council of Constantinople (680 AD). Its teaching that Mary "gave birth without corruption" (incorruptibiliter... genuisse) would be defended by Paschasius, Ratramnus, Thomas Aquinas, and others. This consensus remained undisturbed until the eve of Vatican II.Even at Vatican II, Fr. Graebe argues in the next chapter, the Council Fathers intended to reaffirm the more inclusive idea of virginitas in partu against those who would marginalize its bodily dimensions. Here he really breaks new ground, delving deep into the antepreparatory, preparatory, and conciliar drafting history. He shows convincingly that many of the chief drafters of the final formula—"Our Lord, who did not diminish his mother's virginal integrity but sanctified it..." (Lumen Gentium §57)—saw it as excluding Rahner's and Mitterer's minimalizing interpretations. Drawing on material from the Vatican Apostolic Archives, Fr. Graebe shows that some of the very theologians who voted to omit the pointed phrase "in the birth itself" (in ipsomet partu) did so for tonal rather than substantive reasons.The third chapter argues that Mary's physical integrity in birth is to be believed with divine and Catholic faith, despite the ongoing confusion introduced by Rahner and others. Admittedly, Vatican II did not define but merely reaffirmed the traditional understanding of virginitas in partu. But there are other reasons for including it in the traditio divino-apostolica. [End Page 1107] Drawing heavily... (shrink)

Thought: A Journal of Philosophy, EarlyView.

Midrash Genesis Rabbah takes aim at a variety of ideological adversaries, but the most subtle polemic is directed at sages who went beyond standard hermeneutical practices to embrace mystical approaches to Torah learning. This essay seeks to expose the use of satire and other literary forms of critique among passages treating cosmology and Torah study. Analytic tools developed by Pierre Bourdieu, especially as they pertain to exposing the use of the symbolic language intrinsic to the establishment of systems of social (...) authority, will be employed to delineate the ideological conflict among sages developing diverse approaches to ascending the religious hierarchy within early rabbinism. (shrink)