There is considerable enthusiasm about the prospect that artificial intelligence (AI) will help to improve the safety and efficacy of health services and the efficiency of health systems. To realize this potential, however, AI systems will have to overcome structural problems in the culture and practice of medicine and the organization of health systems that impact the data from which AI models are built, the environments into which they will be deployed, and the practices and incentives that structure their development. (...) This perspective elaborates on some of these structural challenges and provides recommendations to address potential shortcomings. (shrink)

This book investigates context-sensitivity in natural language by examining the meaning and use of a target class of theoretically recalcitrant expressions. These expressions-including epistemic vocabulary, normative and evaluative vocabulary, and vague language -exhibit systematic differences from paradigm context-sensitive expressions in their discourse dynamics and embedding properties. Many researchers have responded by rethinking the nature of linguistic meaning and communication. Drawing on general insights about the role of context in interpretation and collaborative action, Silk develops an improved contextualist theory of CR-expressions (...) within the classical truth-conditional paradigm: Discourse Contextualism. The aim of Discourse Contextualism is to derive the distinctive linguistic behavior of a CR-expression from a particular contextualist interpretation of an independently motivated formal semantics, along with general principles of interpretation and conversation. It is shown how in using CR-expressions, speakers can exploit their mutual grammatical and world knowledge, and general pragmatic reasoning skills, to coordinate their attitudes and negotiate about how the context should evolve. The book focuses primarily on developing a Discourse Contextualist semantics and pragmatics for epistemic modals. The Discourse Contextualist framework is also applied to other categories of epistemic vocabulary, normative and evaluative vocabulary, and vague adjectives. The similarities/differences among these expressions, and among context-sensitive expressions more generally, have been underexplored. The development of Discourse Contextualism in this book sheds light on general features of meaning and communication, and the variety of ways in which context affects and is affected by uses of language. Discourse Contextualism provides a fruitful framework for theorizing about various broader issues in philosophy, linguistics, and cognitive science. (shrink)

The second premise of the Kalām cosmological argument, as defended by William Lane Craig, has two supporting arguments; the Hilbert’s Hotel argument and the suc.

Edward Wilson Averill By the phrase 'anthropocentric account of color' I mean an account of color that makes an assumption of the following form: two ...

This paper examines the view that desires are beliefs about normative reasons for action. It describes the view, and briefly sketches three arguments for it. But the focus of the paper is defending the view from objections. The paper argues that the view is consistent with the distinction between the direction of fit of beliefs and desires, that it is consistent with the existence of appetites such as hunger, that it can account for counterexamples that aim to show that beliefs (...) about reasons are not sufficient for desire, such as weakness of will, and that it can account for counterexamples that aim to show that beliefs about reasons are not necessary for desire, such as addiction. The paper also shows how it is superior to the view that desires are appearances of the good. (shrink)

According to the subjective view of lying, speakers can lie by asserting a true proposition, as long as they believe this proposition to be false. This view contrasts with the objective view, according to which lying requires the actual falsity of the proposition asserted. The aim of this paper is to draw attention to pairs of assertions that differ only in intuitively redundant content and to show that such pairs of assertions are a reason to favour the subjective view of (...) lying over the objective one. (shrink)

It is standard, both in the philosophical literature and in ordinary parlance, to assume that one can fall short of responding to all one’s moral reasons without being irrational. Yet when we turn to epistemic reasons, the situation could not be more different. Most epistemologists take it as axiomatic that for a belief to be rational is for it to be well-supported by epistemic reasons. We find ourselves with a striking asymmetry, then, between the moral and epistemic domains concerning what (...) is taken for granted about whether failures to respond to reasons are failures of rationality. My aim in this paper is to interrogate this asymmetry, and ultimately to argue that the asymmetry is groundless. Instead, I will offer an error theory to explain the asymmetry in intuitions. This error theory suggests that we should amend the conventional wisdom about the relationship between epistemic reasons and rationality. (shrink)

Many epistemologists call themselves ‘fallibilists’. But many philosophers of language hold that the meaning of epistemic usages of ‘possible’ ensures a close knowledge- possibility link : a subject’s utterance of ‘it’s possible that not-p’ is true only if the subject does not know that p. This seems to suggest that whatever the core insight behind fallibilism is, it can’t be that a subject could have knowledge which is, for them, possibly false. I argue that, on the contrary, subjects can have (...) such possibly false knowledge. My ultimate aim, then, is to vindicate a very robust form of fallibilism. Uniquely, however, the account I offer does this while also allowing that concessive knowledge attributions – sentences of the form “I know that p, but it’s possible that not-p” – are not only infelicitous but actually false whenever uttered. The account predicts this result without conceding KPL. I argue that my account has the resources to explain some related cases for which the KPL account yields the wrong predictions. Taken as a whole, the linguistic data not only do not support the proposal that subjects cannot have possibly false knowledge, but indeed positively favor the proposal that they can. (shrink)

Abstract: This working paper focuses on the question whether there is a therapeutic imperative that, in specific situations, would oblige us to perform genome editing at the germline level in the context of assisted reproduction. The answer to this central question is discussed primarily with reference to specific scenarios where preimplantation genetic diagnosis (PGD) does not represent an acceptable alternative to germline genome editing based on either medical, or ethical, or – from the perspective of the potential parents – moral (...) or religious grounds. This article deals with four different types of case constellations that result from these possible reasons against PGD as well as from the necessity or dispensability of a subsequent “control PGD.” These cases are discussed based on hypotheses concerning contextual factors and theoretical assumptions. In conclusion, we point out that if our assumptions are correct, there is probably no therapeutic imperative for genome editing at the germline level. We draw this rationale from the fact that germline interventions are likely not person-affecting. However, we caution the reader that our result is preliminary and needs to be more carefully examined in future work in light of the bioethical debate and potential objections. -/- // Abstract: Im Zentrum dieses Working Papers steht die Frage, ob es einen therapeutischen Imperativ geben kann, der uns, in bestimmten Situationen, verpflichten würde, eine Genomeditierung (genome editing) auf Keimbahnebene im Rahmen der assistierten Befruchtung vorzunehmen. Die Antwort auf diese zentrale Frage wird insbesondere mit Bezug auf Fälle diskutiert, in denen das Verfahren der Präimplantationsdiagnostik (PID) keine aus entweder medizinischen oder ethischen oder – aus Sicht der potentiellen Eltern – moralischen bzw. religiösen Gründen akzeptable Alternative zu einem Keimbahneingriff darstellt. Die möglichen Gründe gegen die PID sowie die Erforderlichkeit oder Verzichtbarkeit einer nachfolgenden «Kontroll-PID» ergeben vier verschiedene Fallkonstellationen, denen sich der Beitrag zuwendet. Auf Grundlage von Hypothesen zu kontextuellen Faktoren und theoretischen Annahmen diskutieren wir diese Fälle. Im Ergebnis verweisen wir darauf, dass es, wenn unsere Annahmen zutreffen, vermutlich keinen therapeutischen Imperativ zum genome editing auf Keimbahnebene gibt. Dies begründet sich daraus, dass der Keimbahneingriff vermutlich nicht als personenbezogen (person-affecting) zu bezeichnen ist. Wir weisen jedoch darauf hin, dass unser Ergebnis vorläufig ist und unter Berücksichtigung der bioethischen Debatte und möglicher Einwände genauer geprüft werden muss. -/- // Résumé: Ce Working Paper se concentre sur la question de l’existence d’un impératif thérapeutique qui, dans des situations spécifiques, nous obligerait à réaliser une édition du génome au niveau de la lignée germinale dans le cadre de la procréation assistée. Afin de répondre à cette question centrale nous développons quatre scénarios spécifiques dans lesquels le diagnostic préimplantatoire (DPI) ne représente pas une alternative acceptable à l’édition du génome germinal pour des raisons médicales, éthiques ou – du point de vue des futurs parents – morales ou religieuses. Cet article traite de quatre constellations différentes de cas résultant des raisons mises en avant pour s'opposer au DPI ainsi que de la nécessité ou de l’inutilité d’un ultérieur « DPI de contrôle » Ces cas sont discutés sur la base d’hypothèses portant sur les facteurs contextuels et sur les présupposés théoriques. En conclusion, nous soulignons que si nos hypothèses sont correctes, il n’y a probablement aucun impératif thérapeutique justifiant l’édition du génome au niveau de la lignée germinale. Nous arrivons à cette conclusion parce qu’une intervention au niveau de la lignée germinale n’est probablement pas susceptible d’affecter la personne. Cependant, nous mettons en garde le lecteur sur le fait que notre conclusion est préliminaire et qu’elle doit être examinée avec soin dans des futurs travaux instruits par le débat bioéthique et par les éventuelles objections. (shrink)

Relationalists about episodic memory must endorse a disjunctivist theory of memory-experience according to which cases of genuine memory and cases of total confabulation involve distinct kinds of mental event with different natures. This paper is concerned with a pair of arguments against this view, which are analogues of the ‘causal argument’ and the ‘screening off argument’ that have been pressed in recent literature against relationalist (and hence disjunctivist) theories of perception. The central claim to be advanced is that to deal (...) with these two arguments, memory disjunctivists both can and should draw on resources that are standardly appealed to by rival common factor theories of episodic memory, and, in particular, to the idea that genuine memories and merely apparent ones are to be distinguished, at least in part, in terms of the distinctive ways in which they are caused. On the proposed view, there are substantive causal constraints associated both with cases of genuine memory and with cases of mere confabulation. The resulting theory thus tells us something important about the nature both of genuine memories and of mere confabulations, namely, that such experiences must be caused in certain distinctive ways and cannot occur except as the result of a distinctive sort of causal process. In addition, the theory enables the disjunctivist to offer a unified response to an important pair of arguments against her view. (shrink)

A pragmatic approach to business ethics is argued for in this volume, which demonstrates the usefulness of the approach by applying it to a variety of issues. These issues are broad and far-reaching and include the relations between rational and moral//ethical decision-making, the limits of loyalty to employers, the impact of trust on business and the role of commercial public opinion polling during elections. The author also covers advertising, tobacco promotion, manufacture and marketing of armaments, concentration and taxation of wealth, (...) and the North American Free Trade Agreement. (shrink)

In order for the so-called strengthened impairment argument to succeed, it must posit some reason R that causing fetal alcohol syndrome is immoral, one that also holds in cases of abortion. In formulating SIA, Blackshaw and Hendricks borrow from Don Marquis to claim that the reason R that causing FAS is immoral lies in the fact that it deprives an organism of a future like ours. I argue here that SIA fails to show that it is immoral to cause FAS (...) and abort fetuses that will not be born because it deprives them of an FLO. This is because fetuses that will not be born have no chance of having an FLO in the first place, so causing FAS for and aborting them cannot deprive them of one. I then consider three responses to my argument. I conclude that each fails. SIA does not accomplish its task of showing why it is immoral to impair fetuses that will not be born. Perhaps it can accomplish the task of showing why it is immoral to impair fetuses that will be born, but not without sacrificing at least some of its alleged significance. (shrink)

This article explores Sylvia Wynter’s analysis of gender as a category differentially applied across the global color line and María Lugones’ account of the coloniality of gender. While Wynter’s and Lugones’s work offer consequential insights for queer, trans, and intersex studies and activism, they have deliberately engaged these particular discourses and histories of struggle in limited ways. Wynter analyzes the contradictions of Western feminists’ organizing against female genital cutting in Africa, but she does not link her conclusions to their ramifications (...) for activism against genital cutting on children deemed intersex. Lugones uses the existence of intersex people as a turning point in her critique of Aníbal Quijano when developing her concept of the coloniality of gender, but she does not go further to connect global intersex activism and decolonial feminist struggles. This article explores the work of Wynter and Lugones for their compatibility with trans and intersex studies and activism, and the places where their work can be furthered through insights from trans and intersex studies. It concludes that to move beyond the coloniality of gender requires trans and intersex liberation and that trans and intersex liberation must be understood in a broader decolonial feminist framework. (shrink)

It's often said that it is impossible to respond to non-evidential considerations in belief-formation, at least not directly and consciously. Many philosophers think that this provides grounds for accepting a normative thesis: typically, some kind of evidentialism about reasons for belief, or what one ought to believe. Some also think it supports thinking that evidentialist norms are constitutive of belief. There are a variety of ways in which one might try to support such theses by appeal to the impossibility-claim. In (...) this paper, I put pressure on these various attempts by raising a simple yet overlooked problem for them. In brief, the problem is that it isn't true that one cannot (directly and consciously) respond, in belief-formation to considerations that don't actually constitute (good) evidence for the proposition under consideration; what is true, at most, is that one cannot (directly and consciously) respond, in belief-formation to considerations that one oneself takes to be evidentially irrelevant to that proposition. While this point is obvious once stated, its significance hasn't been appreciated, or so I'll argue. Once we take full account of it, the standard arguments from the impossibility-claim to evidentialism don't go through. (shrink)

The paper aims to disarm arguments, prevalent in diverse philosophical contexts, that deny the legitimacy of attributions of propositional attitudes on the grounds that the putative subject lacks one or more of the requite concepts. Its strategy is to offer and defend an extremely minimal account on concept possession. The agenda of the paper broadens into a defence of the thesis that concepts are a linguistic epiphenomenon: talk about them emerges as the result of certain contingently available and pleonastic ways (...) of talking about propositional attitudes. (shrink)

Little scholarly attention has been paid to the torture scenes in Ian Fleming’s canon of Bond novels and short stories (1953–1966), despite the fact that they represent some of the most potent sites of the negotiations of masculinity, nationhood, violence and the body for which Fleming’s texts are critically renowned. This article is an intersectional feminist reading of Fleming’s canon, which stresses the interpenetrations of homophobia, anticommunism and misogyny that are present in Fleming’s representation of torture. Drawing on close readings (...) of Fleming’s novels and theoretical discussions of heteronormativity, homophobia and national identity, this article argues that Fleming’s representations of torture are sites of literary meaning in which the boundaries of hegemonic masculinity are policed and reinforced. This policing is achieved, this article argues, through the associations of the perpetration of torture with homosexuality and Communism, and the survival of torture with post-imperial British hegemonic masculinity. Fleming’s torture scenes frequently represent set pieces in which Bond must reject or endure the unsolicited intimacy of other men; he must resist their seductions and persuasions and remain ideologically undefiled. Bond’s survival of torture is a metonymy for Britain’s survival of post-Second World War social and political upheaval. Further, the horror of torture, for Fleming, is the horror of a hierarchy of hegemonic masculinity in disarray: Bond’s survival represents the regrounding of normative heterosexual masculinity through the rejection of homosexuality and Communism. (shrink)

Twenty-five years ago some young artists initiated V2, a contemporary interdisciplinary arts centre focusing on art and technology and its social, cultural relations. V2 focuses on the interference between media itself, and the social and cultural impact of (media) technology. In its projects V2 explores the relationship between the arts, science and technology by bringing together artists from different art disciplines, scientists and people from different practices thus initiating interdisciplinary working relations among them, this within concrete art projects. Research is (...) an important aspect of all activities within V2; it concerns presentation, hardware and software development, publications and artist in residencies and the education activities. V2 looks for the encounter between practice and theory within these projects. V2 operates within diverse (inter)national and local collaborations - some structural, some on a project basis. (shrink)

Many philosophers think that requirements of rationality are “wide-scope”. That is to say: they are requirements to satisfy some material conditional, such that one counts as satisfying the requirement iff one either makes the conditional’s antecedent false or makes its consequent true. These contrast with narrow-scope requirements, where the requirement takes scope only over the consequent of the conditional. Many of the philosophers who have preferred wide-scope requirements to narrow-scope requirements have also endorsed a corresponding semantic claim, namely that ordinary (...) talk about rationality, despite appearances to the contrary, expresses wide-scope claims. In doing so, they seek to avoid attributing massive error to ordinary speakers. However, it is becoming increasingly clear that the wide-scope semantics inadequately captures the meaning of ordinary talk about rationality. It seems, then, that we are left with a dilemma: either give up the view that requirements of rationality are wide-scope, or accept an implausible semantics for ordinary talk about rationality, or attribute massive error to speakers. In this paper, I argue that this dilemma is only apparent, since we can appeal to a standard kind of contextualist semantics for modals to explain why narrow-scope talk comes out true in virtue of the wide-scope requirements. My view, then, combines wide-scoping about the explanatorily fundamental requirements of rationality with a contextualist variant of a narrow-scope semantics. I argue that this view gives us the best of both worlds, as well as solving related puzzles and challenges for the extant views in the literature. (shrink)

We present a plural logic that is as expressively strong as it can be without sacrificing axiomatisability, axiomatise it, and use it to chart the expressive limits set by axiomatisability. To the standard apparatus of quantification using singular variables our object-language adds plural variables, a predicate expressing inclusion (is/are/is one of/are among), and a plural definite description operator. Axiomatisability demands that plural variables only occur free, but they have a surprisingly important role. Plural description is not eliminable in favour of (...) quantification; on the contrary, quantification is definable in terms of it. Predicates and functors (function signs) can take plural as well as singular terms as arguments, and both many-valued and single-valued functions are expressible. The system accommodates collective as well as distributive predicates, and the condition for a predicate to be distributive is definable within it; similarly for functors. An essential part of the project is to demonstrate the soundness and completeness of the calculus with respect to a semantics that does without set-theoretic domains and in which the use of settheoretic extensions of predicates and functors is replaced by the sui generis relations and functions for which the extensions were at best artificial surrogates. Our metalanguage is designed to solve the difficulties involved in talking plurally about individuals and about the semantic values of plural items. (shrink)

This article argues that lingering uncertainty about the normative foundations of research ethics is perpetuated by two unfounded dogmas of research ethics. The first dogma is that clinical research, as a social activity, is an inherently utilitarian endeavor. The second dogma is that an acceptable framework for research ethics must impose constraints on this endeavor whose moral force is grounded in role-related obligations of either physicians or researchers. This article argues that these dogmas are common to traditional articulations of the (...) equipoise requirement and to recently articulated alternatives, such as the non-exploitation approach. Moreover, important shortcomings of these approaches can be traced to their acceptance of these dogmas. After highlighting these shortcomings, this article illustrates the benefits of rejecting these dogmas by sketching the broad outlines of an alternative called the "integrative approach" to clinical research. (shrink)

There is a need to consider the impact of the new resident-hours regulations on the variety of aspects of medical education and patient care. Most existing literature about this subject has focused on the role of fatigue in resident performance, education, and health care delivery. However, there are other possible consequences of these new regulations, including a negative impact on decision ownership. Our main assumption of is that increased shift work in medicine can decrease ownership of treatment decisions and impact (...) negatively on quality of care. We review some potential components of decision ownership in treatment context and suggest possible ways in which the absence of decision ownership may decrease the quality of medical decision making. The article opens with the definition of decision ownership and the overview of some contextual factors that may contribute to the development of ownership in medical residency. The following section discusses decision ownership in medical care from the perspe... (shrink)

In contemporary society, private debt has substituted for other ways of financing the consumption of basic social goods like housing, education, and medical care. This is at least partially due to increased inequality, which has allowed costs to rise faster than median incomes, as well as due to stagnating public provisions. Debt-financed access to basic goods is problematic because it creates new kinds of unfreedom and undermines the value of the freedoms that the indebted do manage to keep or acquire. (...) Debt-financing qualifies freedom in this way by placing certain kinds of conditions on our acquisition and consumption of the goods that we buy. These conditions compromise the very freedom that we seek and value when acquiring and consuming these goods. It does so, first, by transferring the burden of providing basic goods from the public to private individuals, thereby further constraining those who already face the most constraints in accessing basic goods. And, second, the conditional character of debt-financed consumption undermines the value that we attach to having basic social goods. At the very least, this gives us strong reasons to want to regulate the conditions that creditors can place on debtors, at least with respect to basic social goods. Further, at best, the most desirable alternative to debt-financed consumption is the unconditional public provision of basic goods like housing, education, and medical care. (shrink)

Skepticism about the internal world is actually more troubling than skepticism about the external world.

Against the two dominant ethical paradigms of continental philosophy–Emmanuel Levinas’s ethics of the other and Michel Foucault’s ethics of self-cultivation—The Self-Emptying Subject theorizes an ethics of self-emptying, or kenosis, one that reveals the immanence of an impersonal and dispossessed life without a why. Rather than align immanence with the enclosures of the subject, Dubilet engages the history of Christian mystical theology, modern philosophy, and contemporary theories of the subject to rethink immanence as what precedes and exceeds the very difference between (...) the (human) self and the (divine) other, between the subject and transcendence. By arguing that transcendence operates on life in secular as well as religious domains, the book challenges a dominant distribution of concepts within contemporary theoretical discourse, which associates transcendence exclusively with religion and theology and immanence exclusively with modern secularity and philosophy. -/- The Self-Emptying Subject argues that it is important to resist framing the relationship between medieval theology and modern philosophy as a transition from the affirmation of divine transcendence to the establishment of autonomous subjects. Through an engagement with Meister Eckhart, G. W. F. Hegel, and Georges Bataille, it uncovers a medieval theological discourse that rejects the primacy of pious subjects and the transcendence of God (Eckhart); retrieves a modern philosophical discourse that critiques the creation of self-standing subjects through a speculative rewriting of the concepts of Christian theology (Hegel); and explores a discursive site that demonstrates the subjecting effects of transcendence across theological and philosophical operations and archives (Bataille). Taken together, these interpretations suggest that if we suspend the antagonistic relationship between theological and philosophical discourses and decenter our periodizing assumptions and practices, we might encounter a yet unmapped theoretical fecundity of self-emptying that frees life from transcendent powers that incessantly subject it to their own ends. (shrink)

If a potential person would have a good life if he were to come into existence, can we coherently regard his coming into existence as better for him than his never coming into existence? And can we regard the situation in which he never comes into existence as worse for him? In this paper, we argue that both questions should be answered affirmatively. We also explain where prominent arguments to differing conclusions go wrong. Finally, we explore the relevance of our (...) answers to issues in population ethics. (shrink)

Blackshaw and Hendricks recently developed a strengthened version of the impairment argument (SIA) that imports Marquis’ account of the wrongness of abortion. I then argued that if SIA imports Marquis’ account, then it restates Marquis’ position and thus is not very significant. In turn, Blackshaw and Hendricks explained why they take SIA to be importantly different from Marquis’ account. I have two aims in this response. First, I reconstruct Blackshaw and Hendricks’ arguments for the claim that SIA is importantly different (...) from Marquis’ account. Second, I argue that SIA is not importantly different from Marquis’ account in the respect that Blackshaw and Hendricks take it to be. (shrink)

The revival of classical liberal thought has reignited a debate about economic freedom and social justice. Classical liberals claim to defend expansive economic freedom, while their critics wish to restrict this freedom for other values. However, there are two problems with the role ‘economic freedom’ plays in this debate: inconsistency in the use of the concept and indeterminacy with respect to its definition. Inconsistency in the use of the concept ‘freedom’ has mistakenly made a certain kind of ‘left-wing’ critique of (...) poverty, and of markets generally, appear to be a concern with inequality in means to enjoy freedom, not with freedom itself. Indeterminacy about which beings and doings the basic liberties protect misrepresents the left-wing position as about something other than economic freedom. Inconsistency and indeterminacy lead to artificial narrowness in current debates and to a failure to see that disagreement is based not just on moral differences but also on conceptual confusion. This confusion leads both classical liberals and their critics to claim more than they may legitimately do, and to ignore a position that accepts the standard of definition of freedom but arrives at different institutional conclusions about what secures that freedom. (shrink)

The aim of this encyclopedia is to provide a comprehensive reference work on scientific and other scholarly research on the quality of life, including health-related quality of life research or also called patient-reported outcomes research. Since the 1960s two overlapping but fairly distinct research communities and traditions have developed concerning ideas about the quality of life, individually and collectively, one with a fairly narrow focus on health-related issues and one with a quite broad focus. In many ways, the central issues (...) of these fields have roots extending to the observations and speculations of ancient philosophers, creating a continuous exploration by diverse explorers in diverse historic and cultural circumstances over several centuries of the qualities of human existence. What we have not had so far is a single, multidimensional reference work connecting the most salient and important contributions to the relevant fields. Entries are organized alphabetically and cover basic concepts, relatively well established facts, lawlike and causal relations, theories, methods, standardized tests, biographic entries on significant figures, organizational profiles, indicators and indexes of qualities of individuals and of communities of diverse sizes, including rural areas, towns, cities, counties, provinces, states, regions, countries and groups of countries. (shrink)

This paper introduces a symposium on Equality versus Priority. It explains how cases involving risk are key to distinguishing these views and discusses a 'social egalitarian' critique of both 'telic egalitarians' and 'telic prioritarians'.

ABSTRACT:The judgments of conscientious and informed experts play a central role in two elements of clinical equipoise. The first, and most widely discussed, element involves ensuring that no participant in a randomized trial is allocated to a level of treatment that everyone agrees is substandard. The second, and less often discussed, element involves ensuring that trials are likely to generate social value by producing the information necessary to resolve a clinically meaningful uncertainty or disagreement about the relative merits of a (...) set of interventions. The distribution of judgments in expert communities can take many forms, each with important implications for whether a trial satisfies one or both elements of clinical equipoise. In this article we use a graphical approach to represent three ways in which expert community uncertainty can vary: by spread, modality, and skew. Understanding these different distributions of expert judgment has three important implications: it helps to make operational the requirement of social value, it shows that some conditions for initiating studies to promote social value diverge from common assumptions about clinical equipoise, and it has important implications for how trials should be designed and monitored, and what patients should be told during informed consent. (shrink)

Outside the philosophy classroom, global skeptics – skeptics about all (purported) knowledge of the external world – are rare. But there are people who describe themselves as “skeptics” about various more specific domains, including self-professed “skeptics” about the reality of anthropogenic climate change. There is little to no philosophical literature that juxtaposes the climate change skeptic with the external world skeptic. While many “traditional” epistemologists assume that the external world skeptic poses a serious philosophical challenge in a way that the (...) climate change skeptic doesn’t, many “applied” or “social” epistemologists assume that there isn’t much to be learned from debates about the external world skeptic, finding her challenge to be distant from both common sense and real-world concerns. I try to show that both of these views are mistaken. The external world skeptic raises deep questions that are important for our everyday deliberation about what to believe, and there are significant structural parallels between the arguments for external world skepticism and those for at least a form of climate change skepticism that is idealized – but not too idealized! – from the views of flesh-and-blood climate change skeptics. As such, we have strong reasons to think in parallel about how to reply to both skeptics’ challenges. I thus finish by (briefly) considering how different widespread responses to the external world skeptic might or might not generalize happily to the climate change skeptic’s challenge. (shrink)

After criticizing three common conceptions of therelationship between practical ethics and ethical theory, analternative modeled on Aristotle's conception of the relationshipbetween rhetoric and philosophical ethics is explored. Thisaccount is unique in that it neither denigrates the project ofsearching for an adequate comprehensive ethical theory norsubordinates practical ethics to that project. Because the purpose of practical ethics, on this view, is tosecure the cooperation of other persons in a way that respectstheir status as free and equal, it seeks to influence thejudgments (...) of others by providing them with reasons that areaccessible to their own understanding. On this account, theindependence of practical ethics is rooted in an appreciation ofthe constraints that non-ideal circumstances place on the rolethat the philosophically refined premises of moral theory canplay in such public deliberations. Practical and philosophicalethics are united, not by shared theoretical frameworks orprinciples, but by the need to exercise intelligently the sameintellectual and affective capacities. They are separated, notby the particularity or generality of their starting points, butby their responsiveness to the practical problem of facilitatingsound normative deliberations among persons as we find them,under non-ideal circumstances. (shrink)

We reply to critics of the World Health Organisation's Report "Making Fair Choices on the Path to Universal Health Coverage". We clarify and defend the report's key moral commitments. We also explain its role in guiding policy in the face of both financial and political constraints on making fair choices.

Scholars have paid little attention to the classifications among goods that Epicureans posit. This paper remedies that deficiency. I argue for three claims. First, if we take instrumental goods to be those that are a means or causally lead to the intrinsic good and we take constitutive goods to be those that are part of or amount to the intrinsic good, then the Epicureans probably took reverence for a wise man and wisdom to be instrumental goods but self-sufficiency and phronesis (...) to be constitutive goods. Second, Epicurean personal goods are those that produce eudaimonia but are firmly up to us to achieve rather than owing to chance. Third, Epicurean immortal goods are those that bring about divinely resilient tranquility for those who cultivate them. I then show how positing these classifications enables the Epicureans to claim that godlike happiness is achievable through our own efforts no matter the external circumstances. (shrink)

Esta obra apresenta uma reflexão sobre a identidade dos professores de língua portuguesa construída nos Parâmetros Curriculares Nacionais e nas Orientações Curriculares Nacionais para o ensino de Língua Portuguesa. Este estudo foi motivado, porque em tais documentos curriculares há uma imposição de uma nova postura teórico-prática que acaba forjando uma nova identidade a tais profissionais. O autor utilizou a abordagem discursivo-desconstrutiva apresentada por Coracini em reflexões que tratam da mesma temática. A obra gira em torno da questão kantiana “quem somos (...) nós?”, tendo como preocupação principal a identidade do professor de Língua Portuguesa construída sob força de lei, num processo que envolve uma certa violência simbólica, em termos da teoria de Bourdieu e Passeron. (shrink)

Geach's account of the Aristotelian logic of categorical sentences supplemented the views shared by Frege, Russell, Quine and others. I argue that this particular predicate logic approach and Geach's points apply to only one variety of natural language categorical sentences. For example, it takes the universal categorical as a universal conditional “If anything is a man, then it is mortal”. A different natural language form can and should be invoked: “Every man is a mortal.” Employing special restricted quantifiers in a (...) version of predicate logic, we justify a full square of opposition and the rules of quality and quantity that Geach rejected. (shrink)

We offer a summary of the WHO Report "Making Fair Choices on the Path to Universal Health Coverage".

Many public health dilemmas involve a tension between the promotion of health and the rights of individuals. This article suggests that we should resolve the tension using our familiar liberal principles of government. The article considers the common objections that liberalism is incompatible with standard public health interventions such as anti-smoking measures or intervention in food markets; there are special reasons for hard paternalism in public health; and liberalism is incompatible with proper protection of the community good. The article argues (...) that we should examine these critiques in a larger methodological framework by first acknowledging that the right theory of public health ethics is the one we arrive at in reflective equilibrium. Once we examine the arguments for and against liberalism in that light, we can see the weaknesses in the objections and the strength of the case for liberalism in public health. (shrink)

Problems of Vision is divided into three parts. The first part argues for the “insight at [the] core” of the causal theory of perception.