The Norwegian Oil Fund (‘Government Pension Fund – Global’) is worth over NOK 10.6 trillion (USD 1.15 USD trillion)1 making it the largest sovereign wealth fund in the world (Norges Bank Investment...

When weighing up which inhaler to prescribe, a doctor may prioritise a patient’s preferences over the expected harms from the associated carbon emissions. Parker argues that this is wrong.1 Doctors have a pro-tanto duty to switch from a high-carbon metered-dose inhaler (MDI) to a low-carbon dry-powdered inhaler (DPI)—even though this provides no direct patient benefit—unless switching would undermine trust or significantly worsen a patient’s health. He goes on to state that even if DPIs are more expensive for the National Health (...) Service (NHS) then this is justified so long as it does not ‘significantly threaten’ the NHS’ ability to protect and promote health. This may appear to be a radical proposal, challenging the ethical principles of autonomy, health entitlements and justly distributed resources. However, we will claim that it is only radical in so far as one perceives (A) patient autonomy and healthcare entitlements as existing within a vacuum, unrelated to other foundational ethics concerns and (B) the health consequences of a given healthcare budget are limited solely to the designated recipients rather than all affected parties. Here, we test the claim that our responsibility for promoting patient autonomy …. (shrink)

In the face of environmental crises such as climate change, pollution and biodiversity loss—which all adversely impact on health—Gils-Schmidt and Salloch explore whether physicians can be justified in taking climate issues into account in clinical care.1 While their approach centres on the ‘climate-sensitive’ decisions, physicians can carry out on the micro-level of clinical decision-making, they encourage further discussions on how climate-related issues can be included across different levels of decision-making in healthcare. We propose a list of tasks and a model (...) to assist with navigating the range of factors and structural elements an environmentally sensitive ethics must address. Stephen Gardiner’s notion of a perfect moral storm is central to understanding these issues.2 Gardiner describes how a perfect moral storm occurs in the centre of three overlapping conditions for human action and policymaking in the face of climate change. This storm is driven by: (1) a lack of interest among current generations to meet global needs and accommodate the well-being of future generations, (2) a lack of ecological concerns for other parts of nature than humans and (3) weak ethical and political theories and institutions shaping policy decisions on issues with severe implications across borders and generations. Moreover, these conditions are embedded in the existing, complex world of ethically unjustified power imbalances and social injustice. The growing awareness of healthcare’s climate footprint has amplified and accelerated global, grassroots action to make healthcare more environmentally friendly. This includes incorporating environmental impacts into quality improvement methodologies, building communities of practice to explore how to make …. (shrink)

In this critical discussion, I evaluate David Chalmers’ position on the moral grounding question from his (2022) Reality +. The moral grounding question asks: in virtue of what does an entity x have moral standing? Chalmers argues for the claim that phenomenal consciousness is a necessary condition for moral standing. After a brief introduction to his book, I evaluate his position on the moral grounding question from the perspective of access consciousness as opposed to phenomenal consciousness, as well as the (...) Jain doctrine of non-violence, and the differentiation of creatures in terms of their sense capacities. (shrink)

_Disaster Psychiatry: Intervening When Nightmares Come True_ captures the state of disaster psychiatry in the aftermath of the terrorist attacks of September 11, 2001. This emergent psychiatric specialty, which is increasingly separated from trauma and grief psychiatry on one hand and military psychiatry on the other, provides psychotherapeutic assistance to victims during, and in the weeks and months following, major disasters. As such, disaster psychiatrists must operate in the widely varying locales in which natural and man-made disasters occur, and they (...) must establish their role among the chaotic array of organizations involved in direct disaster response. Editors Anand Pandya and Craig Katz have captured the challenge and promise of disaster psychiatry through first-person narratives. We hear from psychiatrists who have encountered disasters at various stages of their career and in widely varying social, political, and personal contexts. Accounts of psychiatric involvement with adults and children during and after 9/11 have understandable pride of place in this collection. But they are balanced by richly informative narratives about other domestic and international disasters. Fraught with the drama attendant to the events they describe, these essays delineate the dizzying array of challenges that confront the disaster psychiatrist. They range from the intense emotional responses that are part of the aftermath of any disaster, to the need to legitimize a psychiatric presence within diverse cultural and medical contexts, to the subtle task of providing therapeutic boundaries at a time when all rules seem to be suspended. Special attention is given to the daunting task of working with children whose parents' are disaster victims. What emerges from these testimonies is compelling documentation of skilled and compassionate psychiatrists at the outer limits of their specialty, pursuing their calling into uncharted realms of therapeutic engagement. (shrink)

Autumn Fiester's “Neglected Ends: Clinical Ethics Consultation and the Prospects for Closure” (2015) demonstrates how a focus on recommendations in clinical ethics consultations (CECs) can fail to...

Past discussions on the silence of the Buddha have focused on speculations on the “reasons” of the Buddha’s silence. Most scholars offer an analysis of the Buddha’s pragmatic considerations or his argument on human epistemic limits, that is, either that the metaphysical questions are irrelevant to the cessation of suffering or that the metaphysical contents cannot be known. This paper argues that the silence of the Buddha can be seen as a “speech act” whose absence of words actually achieves two (...) purposes, first, the silence expresses the Buddha’s refusal to participate in these debates, and second, the silence creates a “space” which guides the interlocutors to re-direct the focus of their religious understanding. It will be illustrated that this silence of the Buddha is a point of both distinction and connectivity between philosophy as pure speculation on the one hand, and religion as a problem-solving practice on the other. (shrink)

Karsten Struhl has offered an intriguing account of what kind of illusion the self is. His account is based on Buddhist philosophy, neuropsychology, and neuroscience. This critical notice examines his arguments, and aims to question whether or not the self is the kind of illusion Struhl argues it to be.

While the concepts of race and ethnicity have been abused historically, they are potentially invaluable in epidemiology and public health. Epidemiology relies upon variables that help differentiate populations by health status, thereby refining public health and health care policy, and offering insights for medical science. Race and ethnicity are powerful tools for doing this. The prerequisite for their responsible use is a society committed to reducing inequalities and inequities in health status. When this condition is met, it is irresponsible not (...) to utilize these concepts. (shrink)

There are three theories in the epistemology of modality that have received sustained attention over the past 20 years: conceivability-theory, counterfactual-theory, and deduction-theory. In this paper we argue that all three face what we call the problem of modal epistemic friction. One consequence of the problem is that for any of the three accounts to yield modal knowledge, the account must provide an epistemology of essence. We discuss an attempt to fend off the problem within the context of the internalism (...) versus externalism debate about epistemic justification. We then investigate the effects that the PMEF has on reductive and non-reductive theories of the relation between essence and modality. (shrink)

I examine social capital’s impact on financial reports. Based on the social capital literature, I predict that the quality of the financial reports is higher when a firm is headquartered in a region with high social capital. Consistent with this prediction, I find that the firms that are headquartered in this type of region in the USA have a lower probability of committing fraud by misrepresenting financial information. Further, I find that the firms in regions with high social capital have (...) lower levels of discretionary accruals and much more readable annual reports. (shrink)

Used wisely the concepts of race and ethnicity in research have great potential, but used unwisely they can do immense damage. We need to consider the potential issues that might require a change of emphasis or application of ethics in a multi-ethnic society. Doing no harm (non-maleficence) is the most important ethical pillar in the ethnicity and health field. Ethnic differences can be used in damaging ways. Without the ethic of beneficence in place it is better not to draw attention (...) to ethnic differences. Respect is the pre-condition for autonomy. Autonomy of ethnic minority populations to live in their own traditional way is not easy to achieve in multi-ethnic societies. There are difficult issues in multi-ethnic societies that require great sensitivity to create a sense of fairness and justice. Justice is the core value that underpins equity. There is a deep paradox – to promote equality, we may need to treat people and groups unequally. Ethical codes need to be modified to emphasize the importance of including ethnic minority populations in research and not bypassing them, as has been happening. It is correct, for example, that potential research participants' personal details are guarded. If such a person, however, does not read it may be unethical to send written information about a project. It may be more ethical to tele phone or even call at the doorstep of such a person. The history of racism in research is worrying, not least the fear that it might return. We need a governing code of conduct. Ethical research can help ethnic minority groups to move from the shadows of society and participate in a vibrant, healthy, multi-ethnic society. (shrink)

This article examines the impact of education on South Asian women's participation in traditional practices of `arranged marriages' and dowries. It is based upon research carried out by the author in East London. Sixty in-depth interviews were conducted with South Asian women, as well as participant observation of living with a South Asian community for a period of six months. The article explores which women participate in `arranged marriages' and receive dowries and which do not. The data indicate that women (...) with high levels of education are rejecting certain aspects of their traditions. However, women who continue the practices of `arranged marriages' and dowries have lower levels of education. They feel the continuation of such practices are part of their own South Asian identity in British society. The research demonstrates that women's level of education affects their participation in traditional South Asian practices. For some British-born South Asian women a process of redefinition is taking place. Their identities are shifting, complex and multifaceted and take on new meanings as they choose whether or not to participate in South Asian traditions. (shrink)

Ancient and modern cosmopolitanisms -- The rise of economic individualism and the development of the commercial community -- Martha Nussbaum and the individual at the center: liberties and capabilities, theory and practice -- Jürgen Habermas and the individual in community: freedom and responsibility in the nation-state -- David Held: freedom and accountability beyond the nation-state -- Cosmopolitan virtues for a modern world -- Cosmopolitanism law -- Conclusion: our futures, together.

Introduction: An ethnographer among the anthropologists -- The world at hand: between scientific and literary inquiry -- A method of experience: reading, writing, teaching, fieldwork -- For the humanity yet to come: politics, art, fiction, ethnography -- Coda: The anthropologist as critic.

Sen’s capabilities approach offers a radical generalisation of the conventional approach to welfare economics. It has been highly influential in development and many researchers are now beginning to explore its implications for health care. This paper contributes to the emerging debate by discussing two examples of such applications: first, at the individual decision making level, namely the right to die, and second, at the social choice level. For the first application, which draws on Nussbaum’s list of capabilities, it is argued (...) that many capabilities are ambiguously or indirectly related to the right to die, but the ability to form a concept of the good life and plan one’s own life provides a direct justification for such a right. In the second application, the focus is specifically on healthcare rationing and it is argued that, although not committed to age based rationing, the capabilities approach provides a more natural justification of age related access to health care than the fair innings argument, which is often used to justify the alleged ageism inherent in quality adjusted life years maximisation. (shrink)

We discuss the close relationship between structural theorems in (generalized) stability theory, and graph regularity theorems.

This volume provides an overview of issues arising in work on the foundations of decision theory and social choice. The collection will be of particular value to researchers in economics with interests in utility or welfare, but also to any social scientist or philosopher interested in theories of rationality or group decision-making.

Modal epistemology has been dominated by a focus on establishing an account either of how we have modal knowledge or how we have justified beliefs about modality. One component of this focus has been that necessity and possibility are basic access points for modal reasoning. For example, knowing that P is necessary plays a role in deducing that P is essential, and knowing that both P and ¬P are possible plays a role in knowing that P is accidental. Chalmers (2002) (...) and Williamson (2007) provide two good examples of contrasting views in modal epistemology that focus on providing an account of modal knowledge where necessity and possibility are basic access points for modal knowledge, and Yablo (1993) provides a good account of how we have justified beliefs about modality. In contrast to this tradition I argue for and outline a modal epistemology based on objectual understanding and essence, rather than knowledge or justification and necessity and possibility. The account employs a non-modal conception of essence and takes objectual understanding of essence, rather than knowledge of essence to be basic in modal reasoning. I begin by articulating Kvanvig’s (2003) account of objectual understanding, on which objectual understanding of Φ is not equivalent to propositional knowledge of Φ. I then argue that an epistemology of essence that uses property variation-in-imagination is better construed as a model that delivers objectual understanding of essence rather than knowledge of essence. I argue that this is so, since the latter and not the former runs into a version of the Meno paradox. I show how this account can be applied to two issues in modal epistemology: the Benacerraf problem for modality, and the architecture of modal knowledge. (shrink)

An explicit formal-ontological representation of entities existing at multiple levels of granularity is an urgent requirement for biomedical information processing. We discuss some fundamental principles which can form a basis for such a representation. We also comment on some of the implicit treatments of granularity in currently available ontologies and terminologies (GO, FMA, SNOMED CT).

Human Aspiration is the first chapter of the magnum opus book "Life Divine". Here in in this chapter Sri Aurobindo one of the most modern prolific philosophers of Renaissance India has highlighted his focal points as to what Man's eternal aspiration has been, that is, God, Light , Freedom & Eternity. Despite technological and scientific advancements, Mans is still thirsty, it is because he aspires for a Divine Life. The article talks about the "Human aspiration" of eternity in details.

In this article we survey Ásta’s (2008, 2013) conferralist account of essence, which provides a broadly anti-realist picture of essence. We first offer some thoughts on the difference between realist and anti-realist accounts of essence in general. Then we present Ásta’s notion of a conferred property and sketch her conferralist account of essence. Finally, we examine some critical questions conferralism faces.

We give a commentary on Newelski's suggestion or conjecture [8] that topological dynamics, in the sense of Ellis [3], applied to the action of a definable group $G(M)$ on its “external type space” $S_{G,\textit{ext}}(M)$, can explain, account for, or give rise to, the quotient $G/G^{00}$, at least for suitable groups in NIP theories. We give a positive answer for measure-stable (or $fsg$) groups in NIP theories. As part of our analysis we show the existence of “externally definable” generics of $G(M)$ (...) for measure-stable groups. We also point out that for $G$ definably amenable (in a NIP theory) $G/G^{00}$ can be recovered, via the Ellis theory, from a natural Ellis semigroup structure on the space of global $f$-generic types. (shrink)

In this paper I articulate the question of whether machines can have emotions. I then reject a common argument against why they cannot have emotions based on the lack of a capacity for feelings. The goal of this paper is not to decisively show that machines can have emotions, but to decisively show that the naïve argument for the conclusion that they cannot needs to be critically examined. I argue that machines that have artificial general intelligence can have emotions based (...) on having the capacity to make judgments that are essential and constitutive of certain emotions, such as anger. I argue against the view that phenomenological or physiological profiles are essential to anger on the basis of emotion regulation. I consider a long list of objections to the position that machines can have emotions. (shrink)

We prove that any field definable in (Q p, +, ·) is definably isomorphic to a finite extension ofQ p.

Since January 2004, violent conflicts in the deep South of Thailand have caused 4,453 deaths and 7,239 injuries in 10,386 violent incidents. The numbers are increasing every day. Myriads of studies, strategies and proposals have been put forth to address and redress this deep-rooted problem. This paper is a modest attempt to find analysis and inspiration from the rich cultural resources of Buddhism to address the question of conflict and conflict transformation in Thai society. The Buddhist ‘Genesis’ or The Aggañña-sutta (...) has been analyzed by Thai and Western Buddhist scholars as offering an allegorical tale which details a long, inter-dependent process of human beings’ moral degradation on the one hand, and socio-political evolution on the other. This is considered to be the Buddhist equivalent of the Genesis without God. This paper offers a re-reading of this important sutta as a narrative of conflict and conflict transformation. It argues that the personal conflict of the two young Brahmins aspiring to be fully ordained is transcended and transformed by the Buddha’s allegorical tale of human socio-political evolution. This paper offers an analysis of the narration and demonstrates that in the narrating process, the Buddha was ‘substituting’ the Hindu creation myth with the Discourse on What is Primary (Aggañña-sutta). This narrative replacement subverts the deep-rooted cultural force of the Hindu creation myth which serves as a cosmological justification for a hierarchy of classes/castes in the social world. Once the Hindu creation myth is de-mythologized, the structure of meaning for the personal conflict of the two Brahmins evaporates. In this way, the Buddha’s approach to conflict transformation addresses three dimensions simultaneously, namely, the personal, the socio-political and the cosmological. This re-reading is one paradigmatic example of how to revitalize Buddhism to function as an agent of social transformation by offering a Buddhist creative approach to conflict transformation. (shrink)

This article argues that nonviolence in the twenty-first century would increasingly be moving towards the color gray by addressing three related questions. First, given the way in which the media reported the news, how can the twentieth century be remembered especially in relation to what has taken place at the dawn of the twenty-first century? Second, how should “unusual” nonviolent protest actions – throwing shit, blood, and shoes at people – be construed from the perspective of nonviolent alternatives? Third, as (...) more parties become interested and consequently nonviolent actions become widespread, are they becoming less of an alternative and more of a normal course of action? As a result of the mainstreaming nonviolence trend, has anything been taken away from it? Confronting these questions as a way to critically examine the prospects for nonviolent actions at present, the paper concludes with a philosophical argument in favor of gray as the color of nonviolent alternatives in the twenty-first century. (shrink)

We introduce and study the notions of a PAC-substructure of a stable structure, and a bounded substructure of an arbitrary substructure, generalizing [10]. We give precise definitions and equivalences, saying what it means for properties such as PAC to be first order, study some examples (such as differentially closed fields) in detail, relate the material to generic automorphisms, and generalize a "descent theorem" for pseudo-algebraically closed fields to the stable context. We also point out that the elementary invariants of pseudo-algebraically (...) closed fields from [6] are also valid for pseudo-differentially closed fields. (shrink)

The Unified Medical Language System and the Gene Ontology are among the most widely used terminology resources in the biomedical domain. However, when we evaluate them in the light of simple principles for wellconstructed ontologies we find a number of characteristic inadequacies. Employing the theory of granular partitions, a new approach to the understanding of ontologies and of the relationships ontologies bear to instances in reality, we provide an application of this theory in relation to an example drawn from the (...) context of the pathophysiology of hypertension. This exercise is designed to demonstrate how, by taking ontological principles into account we can create more realistic biomedical ontologies which will also bring advantages in terms of efficiency and robustness of associated software applications. (shrink)

As the prevalence of dementia rises, it is increasingly important to determine how to best respect incapable individuals' autonomy during end‐of‐life decisions. Many philosophers advocate for the use of advance directives in these situations to allow capable individuals to outline preferences for their future incapable selves. In this paper, however, I consider whether advance directives lack moral authority in instances of dementia. First, I introduce several scholars who have argued that changes in peoplewith dementia's values throughout disease progression reduce the (...) validity of their advanced wishes. I then outline Karin Jongsma's rejection of this claim, which she calls the “losing and choosing” distinction. Jongsma argues that changes in people with dementia's values should not be respected, because they are unchosen and dictated by the disease. I critique her claim that the process of value change is morally relevant when determining which values we respect. I argue that if individuals with dementia are capable of valuing, their contemporary values should be respected, even when they conflict with past preferences outlined in an advance directive. As such, situations of value change diminish the moral authority of advance directives for individuals with dementia. (shrink)

This article explores Gypsy Travellers' changing views on their children's education. It highlights the positive means some schools use to encourage greater involvement of Gypsy Traveller parents. It argues that current educational policy needs to be re-developed to incorporate more effective and affirmative responses to interrupted and nomadic learning. It draws heavily on interviews with Gypsy Traveller families in an effort to give 'voice' to an under-represented community.

We study type-definable subgroups of small index in definable groups, and the structure on the quotient, in first order structures. We raise some conjectures in the case where the ambient structure is o-minimal. The gist is that in this o-minimal case, any definable group G should have a smallest type-definable subgroup of bounded index, and that the quotient, when equipped with the logic topology, should be a compact Lie group of the "right" dimension. I give positive answers to the conjectures (...) in the special cases when G is 1-dimensional, and when G is definably simple. (shrink)

First, it is pointed out how the author's new differential Galois theory contributes to the understanding of the differential closure of an arbitrary differential field . Secondly, it is shown that a superstable differential field has no proper differential Galois extensions.