This interview with David Kleinberg-Levin, Professor Emeritus in the Department of Philosophy at Northwestern University, concerns his recent trilogy on the promise of happiness in literary language. Kleinberg-Levin discusses the relationship between and among philosophy, phenomenology, and literature. Among others, he addresses questions regarding literature’s ability to offer redemption, its response to suffering and justice, literary gesture, the ethics of narrative logic, and the surface of the text.Cet entretien avec David Kleinberg-Levin, Professeur émérite au département de philosophie de la Northwestern (...) University, est consacrée à sa récente trilogie sur la promesse du bonheur dans le langage littéraire. Kleinberg-Levin examine les relations réciproques et internes de la philosophie, de la phénoménologie et de la littérature. Entre autres, il pose des questions sur la capacité de la littérature à offrir une rédemption, sur sa réponse à la souffrance et à la justice, sur le geste littéraire, sur l’éthique de la logique narrative et sur la surface du texte.L’intervista a David Kleinberg-Levin, Professore Emerito presso il Dipartimento di Filosofia della Northwestern University, è dedicata alla sua recente trilogia sulla promessa di felicità nel linguaggio letterario. Kleinberg-Levin esplora il rapporto tra filosofia, fenomenologia e letteratura. In particolare egli affronta le questioni che riguardano la capacità della letteratura di offrire redenzione, la sua risposta alla sofferenza e alla giustizia, il gesto letterario, l’etica della logica narrativa, e la superficie del testo. (shrink)

This article examines Maurice Merleau-Ponty’s reference to Franz Kafka’s “The Metamorphosis” and “Investigations of a Dog” in his lecture on gesture and reconciliation, “Man Seen from the Outside.” Given the centrality of gesture in Kafka’s work, this essay considers the connections between the two figures and the likely influence of Kafka on Merleau-Ponty’s concept of gesture and intentionality. It compares their respective philosophies of gesture as they relate to meaning, reliability, silence, music, and intention. Finally, Kafka’s gestural motif of the (...) springing body is suggested as a significant example of Merleau-Ponty’s “escaping intentions,” expressing a powerful will to intend toward others.Cet article examine la référence de Maurice Merleau-Ponty à La Métamorphose et aux Recherches d’un chien de Franz Kafka dans sa « causerie » sur le geste et la réconciliation : « L’homme vu du dehors ». Étant-donnée la centralité du geste dans l’oeuvre de Kafka, cet article examine les liens entre les deux auteurs et la possible influence de Kafka sur les concepts merleau-pontiens de geste et d’intentionnalité. Nous comparerons leurs philosophies du geste dans leur manière de se rapporter au sens, à la fiabilité, au silence, à la musique et à l’intention. Enfin, le motif gestuel du corps jaillissant chez Kafka sera proposé comme un exemple significatif des « intentions fuyantes » de Merleau-Ponty, exprimant un puissant désir de se diriger vers les autres.Quest’articolo esamina i riferimenti merleau-pontiani a “La Metamorfosi” e a “Indagini di un cane” di Franz Kafka nella sua conferenza sul gesto e la riconciliazione, “L’uomo visto da fuori”. Data la centralità del gesto nell’opera di Kafka, questo saggio si propone di esaminare le connessioni tra i due autori e la possibile influenza di Kafka sulla concezione merleau-pontiana del gesto e dell’intenzionalità. L’articolo confronta le loro rispettive filosofie del gesto nella misura in cui si riferiscono al significato, alla veridicità, al silenzio, alla musica e all’intenzione. Da ultimo, il motivo gestuale del corpo elastico in Kafka è indagato come significativo esempio delle “intenzioni fuggevoli” merleau-pontiane che esprimono una volontà tesa verso gli altri. (shrink)

_This essay outlines the author’s professional trajectory, a good portion of which is a journey through what historian Richard M. Morse called “the strange career of Latin American Studies.” The author’s intellectual interests span several fields but center most often at the intersections of philosophy, women’s and gender studies, and Spanish and Latin American letters. Further channeling Morse, what one’s occupation is called, is far less important than doing one’s work with _cha cha chá.

Recent scholarship has focused on the tensions, contradictions, and limits of place-based branding through labels of origin, place-named agricultural products, and geographical indications. Existing literature demonstrates that even well-intentioned efforts to use place-based branding to protect the livelihoods and cultural and ecological practices of small producers are often undermined by transnational firms, states, and local elites who attempt to capture the benefits of these marketing strategies. Yet, little attention has been given to the implications of place-based branding for competition among (...) geographically dispersed agricultural producers. While place-based branding can be used for emancipatory ends, it can also be used strategically by agricultural producers to expand their market share at the expense of others. To explore these dynamics, I trace an alternative history of place-based branding that begins not in the potentially emancipatory politics of protecting terroir but rather in the tensions and contradictions characterizing the rise and decline of the US food regime. Drawing on a cross-time comparison of branding strategies within the global cotton trade, I make two key arguments. First, I argue that US producers and the US state forged the use of different types of branding strategies in response to the distinct tensions and contradictions characterized by the rise and decline of the US food regime. Second, these distinct branding strategies organized competition among geographically dispersed cotton producers in different ways. (shrink)

SummaryMalaria is a major cause of under-five mortality in Mali and many other developing countries. Malaria control programmes rely on households to identify sick children and either care for them in the home or seek treatment at a health facility in the case of severe illness. This study examines the involvement of mothers and other household members in identifying and treating severely ill children through case studies of 25 rural Malian households. A wide range of intra-household responses to severe illness (...) were observed among household members, both exemplifying and contravening stated social norms about household roles. Given their close contact with children, mothers were frequently the first to identify illness symptoms. However, decisions about care-seeking were often taken by fathers and senior members of the household. As stewards of the family resources, fathers usually paid for care and thus significantly determined when and where treatment was sought. Grandparents were frequently involved in diagnosing illnesses and directing care towards traditional healers or health facilities. Relationships between household members during the illness episode were found to vary from highly collaborative to highly conflictive, with critical effects on how quickly and from where treatment for sick children was sought. These findings have implications for the design and targeting of malaria and child survival programming in the greater West African region. (shrink)

We are in an era of uncertainty over whose rules will govern global economic integration. With the growing market share of Chinese firms and the power of the Chinese state it is unclear if Western firms will continue to dominate transnational governance. Exploring these dynamics through a study of contract rules in the global cotton trade, this article conceptualizes commodity chain governance as a contested process of institution-building. To this end, the global commodity chain/global value chain framework must be revised (...) to better account for the broader institutional context of commodity chain governance, institutional variation across space, and strategic action in the construction of legitimate governance arrangements. I provide a more dynamic model of GCC governance that stresses how strategic action, existing institutions, and dominant discourses intersect as firms and states compete for institutional power within a commodity chain. This advances our understandings of how commodity chain governance emerges and changes over time. (shrink)

In the classic essays Ariel (1900) and Filosofía de la vida artística (1950), the Uruguayan José Enrique Rodó (1872–1917) and the Mexican Samuel Ramos (1897–1959) present distinctive and divergent claims about aesthetics. While Rodó asserts the existence of an innate and abundant aesthetic sensibility among Latin Americans, Ramos believes that aesthetic experience is relatively rare and that aesthetic sensibility needs to be cultivated. While historical grounding in the Latin American context is missing in the works of both Rodó and Ramos, (...) Ariel contains an argument for an innate Latin American aesthetic sensibility linked to high moral development along with the hope that Latin America's youth will use their aesthetic and moral gifts to advance Latin America's place in the 20th century. In Filosofía de la vida artística, Ramos argues that the aesthetic experience in Mexico is far from innate or even widespread: on the contrary, it is rare and much in need of further development. Kant, referenced by both Rodó and Ramos, in his Critique of Judgment, argues against a relationship between aesthetic sensibility and moral capacity. Rodó, then, is at odds with Kant while Ramos's view is closer to Kant's. (shrink)

Leopoldo Zea of Mexico and Miguel de Unamuno of Spain are two exemplary philosophers in twentieth-century transatlantic Hispanism. In this article, these thinkers are put in conversation to explore their contrasting orientations toward existence, which reveal both the breadth of modern Hispanic thought and the benefit of Emilio Uranga’s concept of zozobra, in this case applied by holding in tension the differing approaches of Zea and Unamuno rather than choosing one over the other.

What role do science and scientists play in the transition between food regimes? Scientific communities are integral to understanding political struggle during food regime transitions in part due to the broader scientization of politics since the late 1800s. While social movements contest the rules of the game in explicitly value-laden terms, scientific communities make claims to the truth based on boundary work, or efforts to mark some science and scientists as legitimate while marking others as illegitimate. In doing so, scientific (...) communities attempt to establish and maintain the privileged position of science in contests over policy. In this paper, we situate scientific boundary work within its world historical context in order to ask two key questions: (1) how does scientific boundary work vary across food regimes; and, in turn, (2) what role does scientific boundary work play in the political contestation that drives transitions between food regimes? We explore these questions through the case of one scientific community—the AOAC (Association of Official Analytical Communities)—involved in food safety regulation across the British, US, and corporate food regimes. We argue that scientific boundary work is shaped by historically specific patterns of social conflict within food regimes and, in particular, the double-movement dynamics that Polanyi (The great transformation: the political and economic origins of our times. Boston: Beacon, 1957[1944]) theorizes. Moreover, as scientific communities reconstruct their internal rules, norms, and procedures to claim their own legitimacy in relation to prevailing forms of social conflict, they also reshape who sets scientific agendas and thus the knowledge available for making new rules within periods of food regime transition. To elaborate this argument in theoretical terms, we build on recent efforts to integrate a neo-Polanyian perspective into food regime analysis and link this to research on scientific boundary work by scholars in science and technology studies. (shrink)

This book demonstrates the vast range of philosophical approaches, regional issues and problems, perspectives, and historical and theoretical frameworks that together constitute feminist philosophy in Latin America and Spain.This is important while feminist philosophy was long dominated by Anglo-American authors. It makes available recent feminist thought in Latin America and Spain to facilitate dialogue among Latin American, North American, and European thinkers.

Imagination has been assigned an important explanatory role in a multitude of philosophical contexts. This paper examines four such contexts: mindreading, pretense, our engagement with fiction, and modal epistemology. Close attention to each of these contexts suggests that the mental activity of imagining is considerably more heterogeneous than previously realized. In short, no single mental activity can do all the explanatory work that has been assigned to imagining.

We often talk of people as being more or less imaginative than one another – as being better or worse at imagining – and we also compare various feats of imagination to one another in terms of how easy or hard they are. Facts such as these might be taken to suggest that imagination is often implicitly understood as a skill. This implicit understanding, however, has rarely (if ever) been made explicit in the philosophical literature. Such is the task of (...) this chapter. I first attempt to flesh out several conditions for an activity to count as a skill. I then attempt to show how imagination can meet such conditions. The chapter concludes with an attempt to answer various worries that might be raised to the claim that imagination should be thought of as a skill. (shrink)

As Hume famously claimed, we are nowhere more free than in our imagination. While this feature of imagination suggests that imagination has a crucial role to play in modal epistemology, it also suggests that imagining cannot provide us with any non-modal knowledge about the world in which we live. This chapter rejects this latter suggestion. Instead it offers an account of “imagining under constraints,” providing a framework for showing when and how an imaginative project can play a justificatory role with (...) respect to our beliefs about the world. That we can be free in our imaginings does not show that they must proceed unfettered; as is argued, our ability to constrain our imaginings in light of facts about the world enables us to learn from them. The important upshot is that imagination has considerably more epistemic significance than previously thought. (shrink)

David Lewis has argued that “having an experience is the best way or perhaps the only way, of coming to know what that experience is like”; when an experience is of a sufficiently new sort, mere science lessons are not enough. Developing this Lewisian line, L.A. Paul has suggested that some experiences are epistemically transformative. Until an individual has such an experience it remains epistemically inaccessible to her. No amount of stories and theories and testimony from others can teach her (...) what it is like to have it, nor is she able to achieve this knowledge by way of imaginative projection. It’s this last claim that is the focus of this paper. In particular, I explore the case for the claim that some experiences are in principle imaginatively inaccessible to someone who has not undergone the experience itself or one relevantly similar. As I will suggest, this case is not as strong as is often thought. Close attention to the mechanisms of imagination, and in particular, to cases of skilled imaginers, suggests how techniques of imaginative scaffolding can sometimes be used to give us epistemic access to experiences we have not had, even ones that are radically different from any that we have had before. As a result, considerably fewer experiences remain imaginatively out of reach than proponents of transformative experience would have us believe. Experience may well be the best teacher, but this paper aims to show that imagination comes in a close second. (shrink)

Underlying much current work in philosophy of imagination is the assumption that imagination is a skill. This assumption seems to entail not only that facility with imagining will vary from one person to another, but also that people can improve their own imaginative capacities and learn to be better imaginers. This paper takes up this issue. After showing why this is properly understood as a philosophical question, I discuss what it means to say that one imagining is better than another (...) and then discuss the kinds of imagination training and techniques that might be employed in an effort to get better at imagining. The discussion of these techniques draws insight from consideration of other skills-based activities, as well as from consideration of the creation of art and our engagement with literature and poetry. Over the course of this discussion, we also gain further insight into the nature of imagination. (shrink)

According to representationalism, the phenomenal character of a mental state reduces to its intentional content. Although representationalism seems plausible with respect to ordinary perceptual states, it seems considerably less plausible for states like moods. Here the problem for representationalism arises largely because moods seem to lack intentional content altogether. In this paper, I explore several possible options for identifying the intentional content of moods and suggest that none of them is wholly satisfactory. Importantly, however, I go on to argue that (...) the plausibility of representationalism should not be seen to rest on the question of whether moods have intentional content but rather on the question of whether the intentional content of moods, were there any, would be sufficient to determine their phenomenal character. As I argue, even if we concede to the representationalist that moods have intentional content, their phenomenal character outstrips their intentional content; thus, the representationalist reduction cannot succeed. Ultimately, then, I conclude that moods do indeed pose a serious objection to the representationalist theory. (shrink)

The relationship between the phenomenology of imagination and the phenomenology of memory is an interestingly complicated one. On the one hand, there seem to be important similarities between the two, and there are even occasions in which we mistake an imagining for a memory or vice versa. On the other hand, there seem to be important differences between the two, and we can typically tell them apart. This paper explores various attempts to delineate a phenomenological marker differentiating imagination and memory, (...) with a special focus on two proposed markers that have generated considerable philosophical discussion: the feeling of pastness and the feeling of familiarity. As we will find, neither of them proves to be up to the task at hand. However, by way of a deeper exploration of the feeling of familiarity, we are able to tease out some important morals for efforts to differentiate imagination and memory on phenomenological grounds and, more generally, for efforts to engage in a descriptive phenomenological enterprise. (shrink)

From the perspective of many philosophers of mind in these early years of the 21st Century, the debate between dualism and physicalism has seemed to have stalled, if not to have come to a complete standstill. There seems to be no way to settle the basic clash of intuitions that underlies it. Recently however, a growing number of proponents of Russellian monism have suggested that their view promises to show us a new way forward. Insofar as Russellian monism might allow (...) us to break out of the current gridlock, it's no wonder that it's become "hot stuff." To my mind, however, the excitement about Russellian monism is misplaced. Though some version of Russellian monism might well be true, I do not believe that it enables us to break free of the dualism/physicalism divide. As I will argue, once we properly understand what's required to flesh out an adequate monistic story, we will see that we are in an important way right back where we started. (shrink)

One common response to the knowledge argument is the ability hypothesis. Proponents of the ability hypothesis accept that Mary learns what seeing red is like when she exits her black-and-white room, but they deny that the kind of knowledge she gains is propositional in nature. Rather, she acquires a cluster of abilities that she previously lacked, in particular, the abilities to recognize, remember, and imagine the color red. For proponents of the ability hypothesis, knowing what an experience is like simply (...) consists in the possession of these abilities. Criticisms of the ability hypothesis tend to focus on this last claim. Such critics tend to accept that Mary gains these abilities when she leaves the room, but they deny that such abilities constitute knowledge of what an experience is like. To my mind, however, this critical strategy grants too much. Focusing specifically on imaginative ability, I argue that Mary does not gain this ability when she leaves the room for she already had the ability to imagine red while she was inside it. Moreover, despite what some have thought, the ability hypothesis cannot be easily rescued by recasting it in terms of a more restrictive imaginative ability. My purpose here is not to take sides in the debate about physicalism, i.e., my criticism of the ability hypothesis is not offered in an attempt to defend the anti-physicalist conclusion of the knowledge argument. Rather, my purpose is to redeem the imagination from the misleading picture of it that discussion of the knowledge argument has fostered. (shrink)

To reduce CO2 emissions requires greater reliance on renewable sources of energy for generating electricity, especially adoption of large-scale wind generation. This study investigates possible approaches and/or policies that increase efficient use of renewable energy and reduce greenhouse gas emissions in a cost effective manner. We develop a constrained optimization model of two electricity systems to identify the impact of increasing wind generating capacity and examine how carbon prices (taxes, allowances) impact the penetration of wind power into the electricity grids. (...) Rather than employ engineering cost functions, marginal cost functions are estimated using hourly offer data from the Alberta Electric System Operator. We determine optimal removal of coal generating facilities as greater levels of wind capacity are installed in an integrated Alberta-BC electricity system; and examine the economic costs and institutional incentives that affect the ability to store intermittent wind-generated power in BC’s hydro reservoirs during low demand. The marginal shadow price of storage is zero, whichindicates that there is more than enough water behind the dams given Alberta’s relatively small demand for storage and limited intertie transmission capacity. (shrink)

Moral distress has been identified as an occupational hazard for clinicians caring for vulnerable populations. The aim of this systematic review was (i) to summarize the literature reporting on prevalence of, and factors related to, moral distress among nurses within acute mental health settings, and (ii) to examine the efficacy of interventions designed to address moral distress among nurses within this clinical setting. A comprehensive literature search was conducted in October 2022 utilizing Nursing & Allied Health, Embase, CINAHL, PsychInfo, and (...) PubMed databases to identify eligible studies published in English from January 2000 to October 2022. Ten studies met inclusion criteria. Four quantitative studies assessed moral distress among nurses in acute mental health settings and examined relationships between moral distress and other psychological and work-related variables. Six qualitative studies explored the phenomenon of moral distress as experienced by nurses working in acute mental health settings. The quantitative studies assessed moral distress using the Moral Distress Scale for Psychiatric Nurses (MDS-P) or the Work-Related Moral Stress Questionnaire. These studies identified relationships between moral distress and emotional exhaustion, depersonalization, cynicism, poorer job satisfaction, less sense of coherence, poorer moral climate, and less experience of moral support. Qualitative studies revealed factors associated with moral distress, including lack of action, poor conduct by colleagues, time pressures, professional, policy and legal implications, aggression, and patient safety. No interventions targeting moral distress among nurses in acute mental health settings were identified. Overall, this review identified that moral distress is prevalent among nurses working in acute mental health settings and is associated with poorer outcomes for nurses, patients, and organizations. Research is urgently needed to develop and test evidence-based interventions to address moral distress among mental health nurses and to evaluate individual and system-level intervention effects on nurses, clinical care, and patient outcomes. (shrink)

Despite rich theoretical development, empirical research on stakeholder management is scant, save its relationship with financial performance. Recent research shows significant intrafirm variability in stakeholder management across time. This study seeks to explain why firms would experience significant changes in stakeholder management. Adapting Wood’s framework to discuss three principles of stakeholder management, the authors identify antecedents of change at the institutional, organizational, and executive levels. Pressures for legitimacy at the institutional level suggest that firm age and size, along with industry (...) shifts in stakeholder management, will increase the likelihood of changes in stakeholder management for the focal firm. The authors posit that organizational risk and performance will also affect the likelihood of change, as will managerial discretion, ownership, and succession. The authors test their predictions using a longitudinal sample of stakeholder management data and discuss the implications of the findings for research and practice. (shrink)

Over the past few decades, as philosophers of mind have begun to rethink the sharp divide that was traditionally drawn between the phenomenal character of an experience (what it’s like to have that experience) and its intentional content (what it represents), representationalist theories of consciousness have become increasingly popular. On this view, phenomenal character is reduced to intentional content. This article explores a key motivation for this theory, namely, considerations of experiential transparency. Experience is said to be transparent in that (...) we ‘look right through it’ to the objects of that experience, and this is supposed to support the representationalist claim that there are no intrinsic aspects of our experience. (shrink)

Lee emphasizes the need to better understand the moral relationship between researchers and participants connoted by precision medicine, with the framework of “the gift” offering bioethics a...

Not all imaginings are successful; sometimes when an imaginer sets out to imagine some target, her imagining involves some kind of mistake. The error can be diagnosed in two ways: the imaginer imagines her target in a way that mischaracterizes it, or the imaginer fails to imagine her target at all and rather imagines something else that is similar in some ways to that target. In ordinary day-to-day imaginings, explanations of type seem most natural, but in discussions of philosophical imaginings, (...) philosophers tend to adopt explanations of type. This paper argues against this tendency. (shrink)

This interdisciplinary new work explores one of the central theoretical problems in linguistics: learnability. The authors, from different backgrounds---linguistics, philosophy, computer science, psychology and cognitive science-explore the idea that language acquisition proceeds through general purpose learning mechanisms, an approach that is broadly empiricist both methodologically and psychologically. Written by four researchers in the full range of relevant fields: linguistics, psychology, computer science, and cognitive science, the book sheds light on the central problems of learnability and language, and traces their implications (...) for key questions of theoretical linguistics and the study of language acquisition. (shrink)

How did meat emerge to become such an important feature in Western society? In both popular and academic literatures, biophysical and political-economic factors are often cited as the reason for meat’s preeminent status. In this paper, we perform a comprehensive investigation of these claims by reviewing the available evidence on the political-economic and biophysical features of meat over the long arc of Western history. We specifically focus on nine critical epochs: the Paleolithic, early to late Neolithic, antiquity, ancient Israel and (...) early Christian societies, medieval Europe, early modern Europe, colonial America, the American frontier, and the modern industrial era. We find that except under conditions of environmental scarcity, the meaning and value of meat cannot be attributed to intrinsic biophysical value or to the political-economic actors who materially benefit from it. Rather, meat’s status reflects the myriad cultural contexts in which it is socially constructed in people’s everyday lives, particularly with respect to religious, gender, communal, racial, national, and class identity. By deconstructing the normalized/naturalized materialist assumptions circling around meat consumption, this paper clears a space for a more nuanced appreciation of the role that culture has played in the legitimation of meat, and by extension, the possibility of change. (shrink)

Philosophers in the Western tradition have both theorized about imagination and used imagination in their theorizing about other matters. In this chapter, I first provide a brief overview of philosophical theorizing about imagination with a special focus on its relation to other mental states such as belief and perception. I then turn to a discussion of the methodological role that imagination has played in philosophy. I here focus on the imaginability principle, i.e., the claim that the imaginability of a given (...) scenario entails that such a scenario is in some sense possible. Relying on this kind of principle, philosophers have used imagination to justify theories in domains such as philosophy of mind, metaphysics and ethics. (shrink)

ABSTRACT:Psychedelics have again become a subject of widespread interest, owing to the reinvigoration of research into their traditional uses, possible medical applications, and social implications. As evidence for psychedelics' clinical potential mounts, the field has increasingly focused on searching for mechanisms to explain the effects of psychedelics and therapeutic efficacy of psychedelic-assisted therapy (PAT). This paper reviews three general frameworks that encompass several prominent models for understanding psychedelics' effects—specifically, neurobiological, psychological, and spiritual frameworks. Following our review, the implications of each (...) framework for ethics and professional competencies in the implementation of psychedelics as medicines are explored. We suggest that interdisciplinary education may be necessary to improve communication between researchers, develop models that effectively incorporate multiple levels of analysis, and facilitate collaboration between professionals with diverse backgrounds in the implementation of psychedelic medicines. We also address pitfalls associated with overemphasis on neuro-mechanisms, risks associated with instigating vulnerable states of consciousness, and hurdles associated with the integration of spiritual frameworks in medicine. Ultimately, as psychedelics push the boundaries of explanatory frameworks focused on one level of analysis, developing new and more useful models to reflect knowledge being produced in this field should be a central aim of psychedelic science going forward. (shrink)

"What does it really mean to "be undocumented," particularly in the contemporary United States? Political philosophers, policymakers and others often define the term "undocumented migrant" legalistically-that is, in terms of lacking legal authorization to live and work in one's current country of residence. Socially Undocumented: Identity and Immigration Justice challenges such a pure "legalistic understanding" by arguing that being undocumented should not always be conceptualized along such lines. To be socially undocumented, it argues, is to possess a real, visible, and (...) embodied social identity that does not always track one's actual legal status in the United States. By integrating a descriptive/phenomenological account of socially undocumented identity with a normative/political account of how the oppression with which it is associated ought to be dealt with as a matter of social justice, this book offers a new vision of immigration ethics. It addresses concrete ethical challenges associated with immigration, such as the question of whether open borders are morally required, the militarization of the Mexico-U.S. border, the perilous journey that many Mexican and Central American migrants undertake to get to the United States, the difficult experiences of many socially undocumented women who cross U.S. borders to seek prenatal care while visibly pregnant, and more"--. (shrink)

Hastings Center Report, Volume 52, Issue 3, Page 9-17, May–June 2022.

The concept of medical necessity plays a central role in many healthcare systems, including Canada's, by helping determine which healthcare services will receive funding. Despite its significance in health policy frameworks, medical necessity has proven to be notoriously difficult to define and operationalise. A shift toward a more personalised and genetically‐informed approach to the provision of healthcare seems likely to heighten associated policy challenges. One of the stated goals of personalised medicine is to save healthcare systems money by facilitating the (...) use of less and more effective treatments. However, any cost saving potential may ultimately be thwarted by physicians' legal and ethical obligations, given that physicians will inevitably be required to implement and define the bounds of genetically‐informed medical necessity for their patients. (shrink)

Journal of Social Philosophy, Volume 53, Issue 3, Page 296-316, Fall 2022.