The historical product aspects affect consumer happiness and choice, it is important to consider they affect tourists' impressionslike their market worth, genuineness, and remembrance value which affect travelers' opinions and purchase choices. The essential elements that influence travelers' choices and draw attention to disparities differently men and women value these attributes. The results imply that cultural products might be made more appealing by adjusting them to suit the tastes of tourists. This offers insightful information that can be used to enhance (...) the creation and promotion of products and plansfor the cultural tourism industry. To analyze the data, use the SPSS software. Due to any possible prejudices in expressed data and the personal nature of visitor views, the assessment has limitations. Furthermore, the range of elements affecting tourist choices is not fully captured by focusing on certain cultural characteristics of products. To surmount challenges in evaluating the correlation between indigenous products attributes and visitor opinions, guarantee a varied sample to apprehend differing inclinations and incorporate sophisticated analytics to more effectively comprehend and cater to particular customer requirements. Furthermore, collaborating with cultural specialists can improve product solutions' validity and credibility. By aware of these variables, marketing campaigns can be more focused and successful in raising visitor happiness and involvement. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Reality+: Virtual Worlds and the Problems of Philosophy by David J. ChalmersAnand Jayprakash Vaidya (bio)Reality+: Virtual Worlds and the Problems of Philosophy. By David J. Chalmers. New York, NY: W.W Norton & Company, 2022. Pp. xi + 520. Hardcover $22.49, isbn 978-0-393635-80-5.It isn't uncommon to think that virtual worlds, the worlds we engage with in video games, for example, are not real or at least less real than (...) the ordinary world. After all, they are worlds that are created by us, and thus are less real than the world we didn't create, mind-independent reality. However, in Reality+, David Chalmers argues for the thesis that virtual reality is genuine reality.Reality+ is the twenty-first century equivalent of Bertrand Russell's twentieth century The Problems of Philosophy, published 110 years prior. Like Russell, Chalmers' goal is to explain the basic problems of philosophy to a wide audience.The book's twenty-four chapters are organized into seven different parts: virtual worlds, knowledge, reality, real virtual reality, mind, value, and foundations. Each section has about three to four chapters. Having taught the book in an upper-division philosophy of mind course, I would say that the first nine chapters should be read together to get a good sense of the whole project, because they give shape and structure to Chalmers' basic arguments and positions. The following fifteen self-explanatory, self-contained, chapters, are independently engaging, and can be taught separately, as standalone works of philosophy.Chalmers engages in what he terms technophilosophy, which is the combination of (1) asking philosophical questions about technology and (2) using technology to help answer traditional questions of philosophy. He claims that he draws inspiration for the project from Patricia Churchland's 1986 Neurophilosophy, where she does the equivalent of (1) and (2) with neuroscience. Reality+ delivers clear arguments, referencing historical and contemporary philosophical work, while frequently drawing from science fiction, including several outstanding Rick and Morty -style illustrations. The use of science fiction helps to connect students to abstract ideas, while the robustly constructed arguments serve to instruct students on how to go about critically examining the ideas. My students found the book accessible and engaging. I imagine the book [End Page 1] will become even more relevant to successive classes, as the issues Chalmers discusses grow more dominant in the future.Chapter 1, "Is this the real life?", begins by discussing Indian and Chinese philosophy in relation to Greek philosophy with respect to theme of illusion/dreams vs. reality. In all three traditions, one finds discussion of the nature of reality and whether we can know it. Chalmers thinks that each of these traditions helps to formulate the basic questions of his book: the knowledge question, the reality question, and the value question.The knowledge question: can we know whether or not we are living in a virtual world? In part 2, Chalmers argues that we cannot know that we are not living in a virtual world. He does so by defending his own version of Nick Bostrom's simulation argument (2003), which very roughly goes as follows: (1) If there is nothing (technological or otherwise) that would serve to block the creation of a perfect simulation of a humanlike being into existence (what he calls a sim blocker), then most humanlike beings are simulations. (2) if most humanlike beings are simulations, we are probably simulations. So, (3) if there are no sim blockers, we are probably sims.The reality question: are virtual worlds real? He argues that virtual worlds are genuinely real by examining a variety of definitions of what makes something real in chapter 6. I will examine this argument in more detail in the following section.The value question: can you lead a good life in a virtual world? He argues that one can, in parts 5 and 6. He says: "In principle, life in virtual reality can have the same sort of value as life in nonvirtual reality. To be sure, life in virtual reality can be good or bad" (p. 311).As successful as Reality+ is, philosophical counterpoints arose in my mind. In the next section, I present... (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)

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)

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.

Few people doubt that severe poverty is a pressing moral issue. But what sorts of obligations, if any, do affluent people have toward the severely poor? If one accepts the idea that one has some obligations to the severely poor there still remains disagreement about the magnitude of this obligation and when it obtains. I consider Peter Singer's influential "shallow pond" argument, which holds that affluent people have greater obligations toward the severely poor than ordinary moral judgments suggest. Critics hold (...) that Singer's view is excessively demanding and therefore untenable. I thus turn to the parable of the Good Samaritan and Christian accounts of neighbor-love to help attenuate this criticism. Drawing from Christian conversations on neighbor-love, I attempt to demonstrate that accepting an obligation to assist does not necessarily result in one abandoning one's special relations, abnegating self-regard, or no longer pursuing other non-moral strivings. (shrink)

Representing a spectrum of intellectual concerns and methodological commitments in religious ethics, the contributors to this focus issue consider and assess the advantages and disadvantages of the shift in recent comparative religious ethics away from a rootedness in moral theory toward a model that privileges the ethnography of moral worlds. In their own way, all of the contributors think through and emphasize the meaning, importance, and place of normativity in recent comparative religious ethics.

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Egalitarian Liberalism Revisited: On the Meaning and Justification of Social Justice by Per SundmanBharat RanganathanEgalitarian Liberalism Revisited: On the Meaning and Justification of Social Justice Per Sundman uppsala, sweden: uppsala universitet, 2016. 242 pp. $72.50Across a range of contemporary disciplines, discussions about justice abound. Despite the prevalence of these discussions, however, there is little consensus about what justice is and whether (and, if so, how) appeals to it (...) should be made. Moreover, if the interconnectedness and pluralism that obtain in our rapidly globalizing world are taken seriously, concerns about the content, meaning, and use of justice are amplified. Against this backdrop, Per Sundman aims to explicate and evaluate one particular form of justice: egalitarian liberalism. On his definition, egalitarian liberalism is "best understood as a triune conjunction of equality of opportunity, desert and self-ownership" (10). Over the course of eight substantive chapters, Sundman labors to show how these criteria both reinforce and don't contradict each other, aiming to clarify the meaning of social justice while considering known alternatives.To develop this argument, Sundman covers a truly impressive range of topics in contemporary debates about justice, including consequentialism and deontology, equality of opportunity and equality of resources, capabilities and rights, corrective and distributive policies, the natural and social lotteries, status in moral and political communities, and the politics of recognition and misrecognition. On the whole, covering such a range of topics proves to be a strength. Sundman introduces the reader to a number of important topics and how several important thinkers have treated those topics, and his discussion of these topics and thinkers is evenhanded and insightful. If you're familiar with (and interested in) one or more of these debates, you will be delighted to find a theological ethicist engaging in them. There's also a further reason for delight: Sundman enters and engages in these debates without bringing the all-too-frequent (and oftentimes empty) charge that liberalism is "impoverished"—a point to which I'll return. But depending on your level of familiarity with recent debates in moral and political philosophy, you may be left unsatisfied with some aspects of Sundman's discussion. Specifically, some of these topics and thinkers deserve further attention and scrutiny than Sundman provides, especially important given Sundman's stated desire to navigate alternative understandings. [End Page 189]I do want to draw the reader's attention to the penultimate chapter of Sundman's book, "Save Us from Liberalism." But first I want to make a larger point. I mentioned what I think is an all-too-frequent charge made in theological ethics: namely, that liberalism is impoverished. Sometimes, this charge is entirely warranted. But oftentimes, at least in my experience, it is empty: the person bringing the charge neither distinguishes among the diversity that obtains within liberalism nor charitably reads and represents the thinker with whom they are trying to engage. Given this disciplinary shortcoming, Sundman is to be commended for turning to Christian critiques of liberalism only after he's carefully worked (and guided the reader) through the myriad topics and thinkers that constitute egalitarian liberalism writ large.So what about this chapter in particular? Focusing on Christian communitarians—for example, Stanley Hauerwas and John Milbank—Sundman explores whether authentic Christian ethics contradicts and is superior to egalitarian liberalism. In the first half of the chapter, he examines the different ways in which Christian communitarians understand obedience to God's commands and have criticized the putative liberal obsession with "autonomy." Following an important discussion where he contrasts Christian and liberal understandings of the circumstances of justice, the second half of Sundman's chapter argues briefly but persuasively against Christian exclusivity (e.g., the recently popular Benedict Option) and for Christians to act out of love, for justice, and in the world.There is much to recommend about this book. Both substantively and structurally, it is admirable and instructive.Bharat RanganathanUniversity of Notre DameCopyright © 2018 Society of Christian Ethics... (shrink)

"A rough spade for a rugged landscape" : on savage selves and more civil places -- "What remains of the harvest when the fence grazes the crop?" : on the proper violence of agrarian citizenship -- "The life of the thief leaves the belly always boiling" : on the nature and restraint of the criminal animal -- "Millets sown yield millets, evil sown yields evil" : on the moral returns of agrarian toil -- "Let the water for the paddy also (...) irrigate the grass" : on the sympathies of an aqueous self. (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...

Describes and evaluates a number of existing criticisms of the formal theory of rationality and subjective expected utility theory. The author argues that rationality is not a behavioural entity, but rather has to do with the relation between an agent's preferences and his or her behaviour.

There are three main questions one can ask about *intuition*. The analytical—phenomenological question is: what is the correct conceptual analysis and phenomenological account of intuition? The empirical-cognitive question is: what is the correct process-wise robust account of *intuition* phenomenon? In this paper we provide an answer to a third question, the cross-cultural question concerning sufficiently similar, yet distinct, uses of *intuition* in classical Indian philosophy. Our aim is to compare these uses of *intuition* to some conceptions of *intuition* in Western (...) philosophy. We conceive of our project here as an attempt to fill a gap in current research on *intuition*, which focuses predominantly on Western conceptions of rational intuition. (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)

It is known Hrushovski and Pillay that a group G definable in the field \ of p-adic numbers is definably locally isomorphic to the group \\) of p-adic points of a algebraic group H over \. We observe here that if H is commutative then G is commutative-by-finite. This shows in particular that any one-dimensional group G definable in \ is commutative-by-finite. This result extends to groups definable in p-adically closed fields. We prove our results in the more general context (...) of geometric structures. (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)

In the last fifty years, average overall health status has increased more or less in parallel with a much celebrated decline in mortality, attributed mostly to poverty reduction, sanitation, nutrition, housing, immunization, and improved medical care. It is becoming increasingly clear, however, that these achievements were not equally distributed. In most countries, while some social groups have benefited significantly, the situation of others has stagnated or may even have worsened.If health is a prerequisite to a person functioning as an agent, (...) inequalities in health constitute inequalities in people's capability to function -- a denial of equality of opportunity. So why should a concern with health equity be singled out from the pursuit of social justice more generally? Can existing theories of justice provide an adequate account of health equity? And what ethical problems arise in evaluating health inequalities? These are some of the important questions that this book addresses in building an interdisciplinary understanding of health equity. With contributions from distinguished philosophers, anthropologists, economists, and public-health specialists, it centres on five major themes: what is health equity?; health equity and social justice; responsibilities for health; ethical issues in health evaluation; and anthropological perspectives. (shrink)

Papers presented at a three-day National Symposium on Christian Contribution to Indian Philosophy from 1st to 3rd March 1994 and jointly organized by Indian Council of Philosophical Research and Satya Nilayam Research Institute.

Drawing creatively upon religious ethics and moral and political philosophy, Ranganathan argues here that affluent people have demanding and immediate obligations, through institutional reform and interpersonal giving, to assist severely impoverished people. An essential book for scholars of religion, ethics, developmental studies, and theology.

In this paper I present the distinction between perceptual, reflective, and speculative doubt by engaging with the work of early naiyāyikas. I argue that the definition of the causes of doubt offered by Gautama Akṣapāda in the Nyāya-Sūtra, and commented upon by later naiyāyikas leads to a distinction between perceptual and reflective doubt, but not to a notion of speculative doubt. I then move on to critically assess J.N. Mohanty’s comparison of Descartes’s method of doubt with the Nyāya theory of (...) doubt through the lens of Janet Broughton’s work on Descartes’s Method of Doubt. (shrink)

Information from our senses, memories and thoughts is bound together into a unified whole that constitutes our experience of our world, our Umwelt. However, our ability to investigate our Umwelt through standard Western-derived neuroscience is limited, because of the third-person approach that undergirds the field. Achieving greater coherence in our understanding requires the addition of an approach which is fundamentally integrative. The most comprehensive first-person approach to the nervous system can be found in the introspective traditions of Tantric Hinduism. In (...) this review, we explore the hierarchical ordering of the senses in Hinduism (from most gross to the most subtle, the latter being closer to consciousness), and how this may be linked to sensorimotor coupling in the parietal cortex. We demonstrate how this ordering parallels the developmental history of the sensory cortices over the course of vertebrate evolution. The synergy between biosemiotics and neurophenomenology is made clear, as the idea of a “Great Chain of Semiosis” can be very helpful in understanding the reasons behind the emergence of this sensory hierarchy. The structures of the Subtle body described in Hindu Tantra should be seen as semiotic nodes used by the conscious agent in interacting with the world around it. We propose that metaphor ties together the various sensory mappings of the body at the cognitive level. Integrating insights from Hindu Tantra will help modern science better investigate questions of agency, meaning and semiosis in organisms. (shrink)

Perceptual disjunctivism is a controversial thesis about perception. One familiar characterization of the thesis maintains that there is no common epistemic kind that is present in both veridical and non-veridical cases of perception. For example, the good case, in which one sees a yellow lemon, and the bad case, in which one hallucinates a yellow lemon, share a specific first-person phenomenology, being indistinguishable from the first-person point of view; however, seeing a yellow lemon and hallucinating a yellow lemon do not, (...) according to the disjunctivist, share a common epistemic kind. There are two types of disjunctivism: epistemological vs. metaphysical. John McDowell, 243–255, 2011, Philosophical Explorations, 16, 259–279, 2013) has articulated, refined, and defended one kind of disjunctivism. Tyler Burge, 1–78, 2005, Philosophical Explorations, 13, 43–80, 2011) has objected to many forms of disjunctivism, arguing that they are all inconsistent with the proximality principle in the vision sciences. PP requires an ability-general kind in common between relevantly similar perceptual states, such as seeing a yellow lemon and hallucinating a yellow lemon, which disjunctivism denies. Against the background of this debate some analytic epistemologists, such as Michael Martin, Alan Millar, 176–198, 2007), Berit Brogaard, 46–73, 2011), Duncan Pritchard, and Heather Logue, 105–133, 2013) remain attracted to some version of disjunctivism. Brogaard and Pritchard each have gone on to articulate and defend a version. Pritchard’s, for example, defends epistemological disjunctivism. Martin, Millar, and Logue, by contrast, have defended the idea that the disjunctivist is right about something, but perhaps not wholly correct about the nature of perception. In what follows, I articulate and defend the view that an interesting kind of disjunctivism is to be found through a reading of the Nyāya School of classical Indian philosophy. I articulate a version of perceptual disjunctivism informed by Nyāya perceptual theory that is not derivable from any single Nyāya philosopher. The view I offer is inspired by work on disjunctivism both in Anglo-analytic philosophy and in Nyāya scholarship, such as by Dasti and Phillips, 535–540, 2010), Ganeri, 541–550, 2010), Dasti, 1–15, 2012), Phillips, Vaidya, 562–585, 2013), and Schiller, 1–18, 2019). Importantly, the causal account I offer is distinct from Grice’s single-factor causal theory of perception by crucially involving a multi-factor causal theory of perception. My work on Nyāya perceptual theory derives primarily from Jaysankar Shaw’s account of Nyāya on the sources of knowledge, which is distinct from Stephen Phillips’ well-known account of Nyāya epistemology. Shaw’s theory has been developed and refined through textual analysis and dialectical engagement with the twentieth century Nyāya Pundit Philosopher, Viśvabandhu Tarkatīrtha. Like other modern Nyāya scholars, such as B. K. Matilal, A. Chakrabarti, 1–8, 2010), M. Chadha, J. Ganeri, and S. Phillips, 104–113, 2001, 2012), J. Shaw’s account shows how Nyāya epistemology is a living and continuing form of Indian philosophy. My goal here is twofold. On the one hand, I articulate multi-factor causal disjunctivism and show how it can be applied to the McDowell-Burge debate over the viability of disjunctivism and naïve realism. On the other hand, I aim to start a cross-cultural epistemological conversation with those that have contributed to the Anglo-analytic debate in anthologies, such as Haddock and Macpherson, Byrne and Logue, and introductions, such as Soteriou. The hope is that a cross-cultural epistemological investigation into disjunctivism will lead to better epistemic theorizing about the nature of perception. (shrink)

Breaking from prevailing conceptions of ethics and morality as matters of moral rule or principle, this volume calls attention to ethical life in South Asia—the moral dispositions at work in lived experience, and the embodied practices of ethical engagement through which such dispositions may be cultivated and shared. Taking up themes such as the transmission of tradition, ethical engagements with modernity, ethical practices of the self, and moral relations between self and others, this volume puts South Asian traditions of ethical (...) life into conversation with the Aristotelian, Christian, and liberal traditions that have been so consequential for ethical life in the West. (shrink)

Outcomes research in healthcare has been a topic much addressed in recent years. Efforts in this direction have been supplemented by work in the areas of guidelines for clinical practice and computer-interpretable workflow and careflow models.In what follows we present the outlines of a framework for understanding the relations between organizations, guidelines, individual patients and patient-related functions. The derived framework provides a means to extract the knowledge contained in the guideline text at different granularities, in ways that can help us (...) to assign tasks within the healthcare organization and to assess clinical performance in realizing the guideline. It does this in a way that preserves the flexibility of the organization in the adoption of the guidelines. (shrink)

Modal rationalism includes the thesis that ideal primary positive conceivability entails primary possibility. Modal monism is the thesis that the space of logically possible worlds is coextensive with the space of metaphysically possible worlds. In this paper I explore the relation between the two theses. My aim is to show that the former thesis implies the latter thesis, and that problems with the latter make the former implausible as a complete picture of the epistemology of modality. My argument explores the (...) relation between logical modality and metaphysical modality. (shrink)

Les corps algébriquement clos, réels clos et pseudo-finis n'ont, pour chaque entier n, qu'un nombre fini d'extensions de degré n; nous montrons qu'ils partagent cette propriété avec tous les corps qui, comme eux, satisfont une propriété très rudimentaire de préservation de la dimension, de nature modèle-théorique. Ce résultat est atteint en montrant qu'une certaine action du groupe GLn d'un tel corps n'a qu'un nombre fini d'orbites. /// La korpoj algebre fermataj, reale fermataj kaj pseudofinataj ne havas, pri ciu integro n, (...) pli ol finitan nombron de sternejoj kun grado n; ni montras ke ili kunpartigas tiu ci propecon kun ciu tiel korpoj kiuj kontentigas kiel ili unu tre simplan modelteorian propecon de konserveco de la amplekso. Pri atingi la resultaton, ni montras ke kelka ago de la grupo GLn de tiel korpo havas sole finitan nombron de orbitoj. (shrink)

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)

What are “human rights” supposed to protect? According to most human rights doctrines, including most notably the Universal Declaration of Human Rights , human rights aim to protect “human dignity.” But what this concept amounts to and what its source is remain unclear. According to Glenn Hughes , human rights theorists ought to consider human dignity as an “intrinsically heuristic concept,” whose content is partially understood but is not fully determined. In this comment, I criticize Hughes's account. On my view, (...) understanding inherent human dignity as an intrinsically heuristic concept tethers it to an “indeterminateness of sense,” which leaves it open to exploitation from theorists unsympathetic to the moral salience of rights and what rights are supposed to protect. (shrink)

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)