Several attempts have been made to apply the choice-sensitive theory of distributive justice, luck egalitarianism, in the context of health and healthcare. This article presents a framework for this discussion by highlighting different normative decisions to be made in such an application, some of the objections to which luck egalitarians must provide answers and some of the practical implications associated with applying such an approach in the real world. It is argued that luck egalitarians should address distributions of health rather (...) than healthcare, endorse an integrationist theory that combines health concerns with general distributive concerns and be pluralist in their approach. It further suggests that choice-sensitive policies need not be the result of applying luck egalitarianism in this context. (shrink)

Influential theories on affect and emotion propose a fundamental differentiation between emotion and cognition, and research paradigms designed to test them focus on differences rather than similarities between affective and cognitive processes. This research orientation is increasingly challenged by the widespread and successful use of cognitive research paradigms in the study of affect and emotion—a challenge with far-reaching implications. Where and on what basis should theorists draw the line between cognition and emotion, and when is it useful to do so? (...) Should researchers build more global, integrative models of cognition and emotion, or should they rely on local, content-specific models that draw attention to a differentiation between affective and cognitive processes? This special issue compiles different viewpoints on fundamental issues in the relationship between affect and cognition. (shrink)

Due to the shortage of organs, it has been proposed that the ban on organ sales is lifted and a market-based procurement system introduced. This paper assesses four prominent proposals for how such a market could be arranged: unregulated current market, regulated current market, payment-for-consent futures market, and the family-reward futures market. These are assessed in terms of how applicable prominent concerns with organ sales are for each model. The concerns evaluated are that organ markets will crowd out altruistic donation, (...) that consent to sell organs is invalid, that sellers will be harmed, and that commodification of organs will affect human relationships in a negative way. The paper concludes that the family-reward futures market fares best in this comparison but also that it provides the weakest incentive to potential buyers. There is an inverse relationship between how applicable prominent critiques are to organ market models and the increase in available organs they can be expected to provide. (shrink)

While COVID-19 vaccines provide light at the end of the tunnel in a difficult time, they also bring forth the complex ethical issue of global vaccine distribution. The current unequal global distribution of vaccines is unjust towards the vulnerable living in low-income countries. A vaccine tax should be introduced to remedy this. Under such a scheme, a small fraction of the money spent by a country on vaccines for its own population would go into a fund, such as COVAX, dedicated (...) to buying vaccines and distributing them to the world’s poorest. A vaccine tax would provide a much-needed injection of funds to remedy the unequal distribution of vaccines. The tax allows for a distribution that, to a lesser degree, reflects the ability to pay and is superior to a donation-based model because it minimises the opportunity for free-riding. (shrink)

According to luck egalitarianism, it is unjust if some are worse off than others through no fault or choice of their own. The most common criticism of luck egalitarianism is the ‘harshness objection’, which states that luck egalitarianism allows for too harsh consequences, as it fails to provide justification for why those responsible for their bad fate can be entitled to society's assistance. It has largely gone unnoticed that the harshness objection is open to a number of very different interpretations. (...) We present four different interpretations of the harshness objection in which the problem pertains to counterintuitive implications, badness of outcome, disproportionality, or inconsistency, respectively. We analyse and discuss appropriate luck egalitarian replies. Disentangling these different versions clarifies what is at the heart of this dispute and reveals the point of the harshness objection. We conclude that only the inconsistency version involves a durable problem for luck egalitarianism. (shrink)

Should priority in the allocation of organs be given to those who have previously donated or declared their willingness to do so? This article examines the Israeli priority rule in light of two prominent critiques of priority rules, pertaining to failure to reciprocate and unfairness. The scope and content of these critiques are interpreted from the perspective of equality of opportunity. Because the Israeli priority rule may be reasonably criticized for unfairness and failing to reward certain behaviors, the article develops (...) an adjusted priority rule, which removes and adjust the elements in the Israeli priority rule deemed problematic. However, such a priority rule is complex to the extent that it may fail to increase donation rates and furthermore introduce new concerns of fairness, as the better off may be better able to navigate the complex adjusted priority rule. (shrink)

Nietzsche was a harsh critic of German culture and yet, at the same time, realized he was quite inseparable from it. His disagreement with the Germans began as a dispute with Richard Wagner and then, after renouncing him, increasingly turned into an internal dispute with himself. This subject is important for a philosophical understanding of his thought as a whole.

Hassoun argues that the poor in the world have a right to health and that the Global Health Impact Index provides consumers in well-off countries with the opportunity to ensure that more people have access to essential medicines. Because of this, these consumers would be ethically obliged to purchase Global Health Impact Index-labeled products in the face of existing global inequalities. In presenting her argument, Hassoun rejects the so-called democratic account of ethical consumption in favor of the positive change account. (...) Two versions of the democratic change account are relevant. One underscores the importance of democratic procedures and institutions, while the other stresses our fundamental moral equality. While at least one prominent institutionalist account has problems, revised versions would be less vulnerable to Hassoun’s counterexamples. Furthermore, institutionalist accounts come with the epistemological gains from democratic procedures and deliberations, which may be especially important under uncertainty. Finally, and perhaps more challenging for the Global Health Impact index project, this measure may place the burden unfairly on those who need to buy medicines. This is a pivotal insight from the non-institutionalist version of the democratic account of ethical consumption. (shrink)

The wishes of registered organ donors are regularly set aside when family members object to donation. This genuine overruling of the wishes of the deceased raises difficult ethical questions. A successful argument for providing the family with a veto must (a) provide reason to disregard the wishes of the dead, and (b) establish why the family should be allowed to decide. One branch of justification seeks to reconcile the family veto with important ideas about respecting property rights, preserving autonomy, and (...) preventing harm. These arguments are ultimately unsuccessful. Another branch of arguments is consequentialist, pointing out the negative consequences of removing the veto. Whether construed as concerning family distress or as a potential drop in the organs available, these arguments are unsuccessful; the first fails to recognize the tremendous distress associated with waiting for an organ, while the second has little supporting evidence. A final section considers and rejects whether combining some of the arguments just examined could justify the family veto. We should thus remove the family veto in organ donation. (shrink)

Dieser Sammelband zeigt anhand von Problemen der Lexik und Grammatik romanischer Sprachen sowie der linguistischen Metasprache, daß die onomasiologische und die semasiologische Perspektive in ihrer Komplementarität unabdingbare Bezugspunkte einer sich als 'kognitiv' verstehenden Sprachwissenschaft sein sollten. Mit im Detail unterschiedlicher Perspektivierung werden Fragen der synchronischen und diachronischen Lexikologie und Grammatik diskutiert, ausgewählte Konzept- bzw. Funktionsbereiche im Detail analysiert und Probleme der Grammatikographie und der Konzeptualisierung von Sprache beleuchtet.

Age-based rationing remains highly controversial. This question has been paramount during the Covid-19 pandemic. Analyzing the practices, proposals, and guidelines applied or put forward during the current pandemic, three kinds of age-based rationing are identified: an age-based cut-off, age as a tiebreaker, and indirect age rationing, where age matters to the extent that it affects prognosis. Where age is allowed to play a role in terms of who gets treated, it is justified either because this is believed to maximize benefits (...) from scarce resources or because it is believed to be in accordance with the value of fairness understood as (a) fair innings, where less priority is given to those who have lived a full life or (b) an egalitarian concern for the worse off. By critically assessing prominent frameworks and practices for pandemic rationing, this article considers the balance the three kinds of age-based rationing strike between maximizing benefits and fairness. It evaluates whether elements in the proposals are, in fact, contrary to the justifications of these measures. Such shortcomings are highlighted, and it is proposed to adjust prominent proposals to care for the worse off more appropriately and better consider whether the acquired benefits befalls the young or the old. (shrink)

Luck egalitarianism is often taken to task for its alleged harsh implications. For example, it may seem to imply a policy of nonassistance toward uninsured reckless drivers who suffer injuries. Luck egalitarians respond to such objections partly by pointing to a number of factors pertaining to the cases being debated, which suggests that their stance is less inattentive to the plight of the victims than it might seem at first. However, the strategy leaves some cases in which the attribution of (...) individual responsibility is appropriate . One such case is oral health or significant aspects of this. It is appropriate, the paper argues, to hold people responsible for a number of factors that affect their oral health. A luck egalitarian approach inspired by John Roemer can assess whether people have acted responsibly by comparing their choices to those of their peers. A luck egalitarian approach to oral health would recommend prioritizing scarce resources in a responsibility-weighted queuing system and include copayment and general taxation among its measures of financing. (shrink)

Rare diseases pose a particular priority setting problem. The UK gives rare diseases special priority in healthcare priority setting. Effectively, the National Health Service is willing to pay much more to gain a quality-adjusted life-year related to a very rare disease than one related to a more common condition. But should rare diseases receive priority in the allocation of scarce healthcare resources? This article develops and evaluates four arguments in favour of such a priority. These pertain to public values, luck (...) egalitarian distributive justice the epistemic difficulties of obtaining knowledge about rare diseases and the incentives created by a higher willingness to pay. The first is at odds with our knowledge regarding popular opinion. The three other arguments may provide a reason to fund rare diseases generously. However, they are either overinclusive because they would also justify funding for many non-rare diseases or underinclusive in the sense of justifying priority for only some rare diseases. The arguments thus fail to provide a justification that tracks rareness as such. There are no data in this work. (shrink)

There is much disagreement among many commentators of Hannah Arendt's work about whether her contributions to politics and philosophy contain a clandestine version of decisionism or, by contrast, represent an explicit attempt to break away from the elements of voluntarism, arbitrariness, and irrationality, which are considered to be inherent to any theory of the decision. Despite the many disagreements that set apart these two interpretations of Arendt, however, there is a common presupposition that both share. They are in agreement concerning (...) the decision: it is a threat and a vice, intrinsically dangerous and potentially totalitarian in nature, which ought to be expelled from any theory of politics with a normative content. As a result, the terms of the debate pertain solely to whether Arendt was a (crypto-) decisionist and not to the nature and evaluation of the decision as such. This paper argues, contrary to Arendt's critics, that although elements of a theory of the decision can be found scattered throughout many of her writings, she was nonetheless unswerving in her opposition to decisionism. But unlike her defenders, it also argues that had Arendt built on these elements to elaborate a systematic theory of the decision, she would have avoided many of the flaws and inconsistencies that plague her concept of politics. (shrink)

This paper addresses theoretically the question how virtual communication may affect cooperation in work teams. The degree of team virtualization, i.e. the extent to which interaction between team members occurs online, is related to parameters of the exchange. First, it is assumed that in online interaction task uncertainties are higher than in face-to-face contacts. Second, the gratifying value of peer rewards is assumed to be lower in online contacts. Thirdly, it is assumed that teams are different in the extent to (...) which members depend on their peers for positive affections, operationalized by the extent to which team members are interested in social relationships for their own sake, independently from their work interactions. Simulation results suggest both positive and negative effects of team virtualization on work-cooperation. (shrink)

Machiavelli's 500-year-old treatise The Prince outlined the central features of the realist tradition in international relations. His premises led him to question the likelihood of efficacious and stable international law and international courts, a skepticism that has present-day proponents. Machiavelli's reluctance was due to a combination of features of human nature and a focus on anarchic features of the relations among states. This article challenges these assumptions and implications: Other interpretations of human nature are closer to Machiavelli's text, and current (...) relations among states are significantly different. The revised assumptions should make Machiavelli's followers more optimistic about international law and international courts. (shrink)

The aim of this paper is to shed light upon Bitinna's reference to a goddess who is described as ‘tyrant’ in Herondas 5.77. Light is also shed on the delineation of Bitinna's character and social status in terms of the immediate context of mimiamb 5 as well as of the wider Alexandrian cultural context of Herondas' work. Bitinna's reference is for the first time examined in relation to the depiction of her character and it is shown that the goddess-tyrant must (...) be Aphrodite. (shrink)

In December 2015, Wales became the first country in the UK to move away from an opt-in system in organ procurement. The new legislation introduces the concept of deemed consent whereby a person who neither opt in nor opt out is deemed to have consented to donation. The data released by the National Health Service in July 2017 provide an excellent opportunity to assess this legislation in light of concerns that it would decrease procurement rates for living and deceased donation, (...) as well as sparking an increase in family refusals. None of these concerns have come to pass, with Wales experiencing more registered donors, fewer family refusals and more living donations. However, as the number of actual donors has dropped slightly from a high level, the situation must be monitored closely in the years to come. (shrink)

The scarcity of livers available for transplants forces tough choices upon us. Lives for those not receiving a transplant are likely to be short. One large group of potential recipients needs a new liver because of alcohol consumption, while others suffer for reasons unrelated to their own behaviour. Should the former group receive lower priority when scarce livers are allocated? This discussion connects with one of the most pertinent issues in contemporary political philosophy; the role of personal responsibility in distributive (...) justice. One prominent theory of distributive justice, luck egalitarianism, assesses distributions as just if, and only if, people's relative positions reflect their exercises of responsibility. There is a principled luck egalitarian case for giving lower priority to those who are responsible for their need. Compared to the existing literature favouring such differentiation, luck egalitarianism provides a clearer rationale of fairness, acknowledges the need for individual assessments of responsibility, and requires initiatives both inside and outside of the allocation systems aimed at mitigating the influence from social circumstances. Furthermore, the concrete policies that luck egalitarians can recommend are neither too harsh on those who make imprudent choices nor excessively intrusive towards those whose exercises of responsibility are assessed. (shrink)

In its first part, the article reconstructs descriptions of corporal perception of simultaneity.concepts and categories of time are secondary to these perceptions and objectified by means of language. In a second part, with reference to system theory, the perspective is turned around, so that simultaneity is discussed as a secondary mode of social relations and the inner stream of consciousness; in this view, simultaneity is based on world experience and techniques of synchronization. In conclusion, the paper analyses how modern electronic (...) mass media and especially television produces and manipulates autonomously worldwide synchronization. German Der Aufsatz rekonstruiert im ersten Teil sozialphänomenologische Beschreibungen der leibfundierten Erfahrung von Gleichzeitigkeit. Abstrakte Zeitvorstellungen und Zeitkategorien sind dem nachgeordnet und werden mittels Sprache objektiviert. Im zweiten Teil wird mit Bezug auf die soziologische Systemtheorie die Perspektive umgedreht und diskutiert, ob Gleichzeitigkeit nicht vielmehr ein nachrangiger Modus sozialer Beziehungen sowie des inneren Bewusstseinsstroms ist und grundlegend auf Welterfahrung und Techniken der Uhrenkoordination respektive Isochronie beruht. Abschließend wird untersucht, wie moderne elektronische Massenmedien, insbesondere das Fernsehen, weltweite Synchronisation herstellen und diese eigenständig manipulieren. (shrink)

In the process of making bedsteads, Plato claimed, makers look towards the ‘idea’ of the bed. But what is that idea? Two candidates come to mind: shape and purpose. The fact that we identify objects of very different shape, not even involving a bedstead, as beds seems to render purpose conceptually superior. But, then, what is a bed’s purpose? An obvious response appears tobe: lying down and sleeping. Yet, first, beds are not needed for that. Secondly, precisely when a bed (...) is slept on, it is not perceived as a design object. Thirdly, beds constitute a kind of existential furniture, associated with giving birth, making love, suffering illness and dying. All such issues humans really care about, however, are strikingly indifferent towards the design of beds. As elsewhere, the maxim that form follows function fails. Design thinking might rather make headway when beds are conceived of as peculiar spaces within spaces. (shrink)

Art is whatever it is mediated through anticipations of diverse kinds. To the temporal art of music such anticipations are crucial. Composers and performers build up expectations in their musical works and interpretations, thwart them, delay their fulfillment, fulfill them. Some of these expectations arise on the level of chosen genre, others are peculiar to the individual composition. Listeners, correspondingly, may adjust their expectations or, alternatively, attempt to uphold them at any price, turning them into prejudices. And, as anything in (...) art, musical anticipations are prone to ambiguities; they may, e.g., be redeemed at a surface level while being countered subliminally. (shrink)

The expulsion of prejudice is the centrepiece of intellectual progress, as it has been understood since the Enlightenment. that this fight has not been successful since is obvious, but this does not invalidate it. There is no reason to believe that people in the 20th century had fewer (rather than merely different) prejudices than people had in the 18th century; yet we might simply conclude that the fight has not been conducted resolutely enough. The question whether or not this might (...) be the right conclusion, however, depends on an answer to a more fundamental question; whether prejudices, as such, are a proper object to fight against in the first place. The argument of this book, is an attempt to show that they are not. The author begins by reconstructing the Enlightenment's main objection to prejudice, challenging the conclusion that all prejudices must be destroyed and focusing on the context of decision and action. The book goes on to consider the relationship between prejudice and experience, and explores a particular defence of prejudice developed in hermeneutics. A final chapter drives home the general conclusion of the book. To make the case for a reinterpretation of the concept of prejudice, it addresses particularly contentious issues, exploring dogmatism, fundamentalism and racist prejudices. (shrink)

Die philosophiegeschichtlichen, sprachphilosophischen, rationalitäts- und wissenschaftstheoretischen Versuche einer Transformation der Philosophie, der Karl-Otto Apels Lebenswerk gilt, bezeichnet Apel deshalb als »Transzendentalpragmatik«, weil sie ihren Einheitssinn in dem Gedanken finden, daß nichts außer der menschlichen Praxis des Argumentierens die kontexttranszendierende Gültigkeit unserer Meinungen über Tatsachen und Normen ermöglicht. Die einzelnen Beiträge beleuchten Konsequenzen und Probleme des transzendentalpragmatischen Programms in einem breiten Spektrum gegenwärtiger philosophischer Diskussionen, das von theoretischen Fragen der Bedeutungstheorie bis zu praktischen Fragen eines modernitätskritischen Dialogs zwischen »Erster« und »Dritter« (...) Welt reicht. (shrink)