Tesis doctoral presentada en el departament de Lògica Història i Filosofia de la Ciencia de la Universitat de Barcelona per optar al títol de Doctor en Filosofia.

Some medical services have long generated deep moral controversy within the medical profession as well as in broader society and have led to conscientious refusals by some physicians to provide those services to their patients. More recently, pharmacists in a number of states have refused on grounds of conscience to fill legal prescriptions for their customers. This paper assesses these controversies. First, I offer a brief account of the basis and limits of the claim to be free to act on (...) one’s conscience. Second, I sketch an account of the basis of the medical and pharmacy professions’ responsibilities and the process by which they are specified and change over time. Third, I then set out and defend what I call the “conventional compromise” as a reasonable accommodation to conflicts between these professions’ responsibilities and the moral integrity of their individual members. Finally, I take up and reject the complicity objection to the conventional compromise. Put together, this provides my answer to the question posed in the title of my paper: “Conscientious refusal by physicians and pharmacists: who is obligated to do what, and why?”. (shrink)

Humans have two kinds of beliefs, intuitive beliefs and reflective beliefs. Intuitive beliefs are a fundamental category of cognition, defined in the architecture of the mind. They are formulated in an intuitive mental lexicon. Humans are also capable of entertaining an indefinite variety of higher‐order or‘reflective’propositional attitudes, many of which are of a credat sort. Reasons to hold reflective beliefs are provided by other beliefs that describe the source of the reflective belief as reliable, or that provide an explicit argument (...) in favour of the reflective belief. The mental lexicon of reflective beliefs includes not only intuitive, but also reflective concepts. (shrink)

A common objection to Humeanism about natural laws is that, given Humeanism, laws cannot help explain their instances, since, given the best Humean account of laws, facts about laws are explained by facts about their instances rather than vice versa. After rejecting a recent influential reply to this objection that appeals to the distinction between scientific and metaphysical explanation, I will argue that the objection fails by failing to distinguish between two types of facts, only one of which Humeans should (...) regard as laws. I will then conclude by rebutting a variant of this objection that appeals to a principle of metaphysical explanation recently put forward by Kit Fine. (shrink)

Metacognition – the ability to represent, monitor and control ongoing cognitive processes – helps us perform many tasks, both when acting alone and when working with others. While metacognition is adaptive, and found in other animals, we should not assume that all human forms of metacognition are gene-based adaptations. Instead, some forms may have a social origin, including the discrimination, interpretation, and broadcasting of metacognitive representations. There is evidence that each of these abilities depends on cultural learning and therefore that (...) cultural selectionmight shape humanmetacognition. The cultural origins hypothesis is a plausible and testable alternative that directs us towards a substantial new programme of research. (shrink)

The concept of performance has gradually become established in health policies. Presented as necessary and positive, it is often reduced to efficiency, which results in policies and management styles aimed at optimisation. While they are supposed to guarantee the sustainability of our healthcare systems, these practices have made them fragile. Insights from the life sciences help us understand why. Indeed, biologists observe that living beings do not prioritise optimisation but robustness. To cope with fluctuations, a robust organisation operates with redundancies, (...) apparent waste, heterogeneity, organised fluctuations, slowness, and hesitation. It functions sub‐optimally. This article offers a theoretical reflection and management directions for more robust healthcare systems. (shrink)

In this paper I discuss two philosophical issues that hold special interest for empirical researchers studying happiness. The first issue concerns the question of how the psychological notion(s) of happiness invoked in empirical research relates to those traditionally employed by philosophers. The second concerns the question of how we ought to conceive of happiness, understood as a purely psychological phenomenon. With respect to the first, I argue that ‘happiness’, as used in the philosophical literature, has three importantly different senses that (...) are often confused. Empirical research on happiness concerns only one of these senses, and serious misunderstandings about the significance of empirical results can arise from such confusion. I then argue that the second question is indeed philosophical and that, in order to understand the nature of (what I call) psychological happiness, we need first to determine what a theory of happiness is supposed to do: what are our theoretical and practical interests in the notion of happiness? I sketch an example of how such an inquiry might proceed, and argue that this approach can shed more light on the nature and significance of happiness (and related mental states) than traditional philosophical methods. (shrink)

This commentary uses the dynamic of identity-protective cognition to pose a friendly challenge to Jussim (2012). Like other forms of information processing, this one is too readily characterized as a bias. It is no mistake, however, to view identity-protective cognition as generating inaccurate perceptions. The “bounded rationality” paradigm incorrectly equates rationality with forming accurate beliefs. But so does Jussim's critique.

In these writings by one of our most creative legal philosophers, Meir Dan-Cohen explores the nature of the self and its response to legal commands and mounts a challenge to some prevailing tenets of legal theory and the neighboring moral, political, and economic thought. The result is an insider's critique of liberalism that extends contemporary liberalism's Kantian strand, combining it with postmodernist ideas about the contingent and socially constructed self to build a thoroughly original perspective on some of the most (...) vital concerns of legal and moral theory.Dan-Cohen looks first at the ubiquity of legal coercion and considers its decisive impact on the nature of legal discourse and communication, on law's normative aspirations and claim to obedience, and on the ideal of the rule of law. He moves on to discuss basic values, stressing the preeminence of individual identity and human dignity over the more traditional liberal preoccupations with preference-based choice and experiential harm. Dan-Cohen then focuses more directly on the normative ramifications of the socially constructed self. Fundamental concepts such as responsibility and ownership are reinterpreted to take account of the constitutive role that social practices--particularly law and morality--play in the formation of the self.Throughout, Dan-Cohen draws on a uniquely productive mix of philosophical traditions and subjects, blending the methods of analytic philosophy with the concerns of Continental philosophers to reconceive the self and its relation to ethics and the law. (shrink)

Prudential hedonism has been beset by many objections, the strength and number of which have led most modern philosophers to believe that it is implausible. One objection in particular, however, is nearly always cited when a philosopher wants to argue that prudential hedonism is implausible—the experience machine objection to hedonism. This paper examines this objection in detail. First, the deductive and abductive versions of the experience machine objection to hedonism are explained. Following this, the contemporary responses to each version of (...) the argument are assessed and the deductive version is argued to be relatively ineffective compared to the abductive version. Then, a taxonomy of the contemporary critical responses to the abductive version is created. Consideration of these responses shows that the abductive version of the objection is fairly powerful, but also that one type of response seems promising against it. This response argues that experience machine thought experiments seem to elicit judgments that are either too biased to be used as evidence for the objection or not obviously in favour of reality. It is argued that only this type of refutation seems likely to convince proponents of the abductive version that the objection is much weaker than they believe it to be. Finally, it is suggested that more evidence is required before anything definitive can be said on the matter. (shrink)

This article develops, illustrates, and defends a conception of immanent critique. Immanent critique is construed as a form of hermeneutical practice and second-order political and normative criticism. The common charge that immanent critique is a form of philosophical conventionalism necessarily committed to value relativism and to the rejection of transcultural and cosmopolitan norms is denied. But immanent critique insists that meaningful and potentially efficacious criticism must be connected to relevant criteria and understandings internal to the culture or social order at (...) which the criticism is directed. The complaint that this demand will likely limit political and moral criticism is also denied, and the ability of immanent critique to develop from convention unconventional thinking is defended and demonstrated. (shrink)

Commonsense psychology and cognitive science both regularly assume the existence of representational states. I propose a naturalistic theory of representation sufficient to meet the pretheoretical constraints of a "folk theory of representation", constraints including the capacities for accuracy and inaccuracy, selectivity of proper objects of representation, perspective, articulation, and "efficacy" or content-determined functionality. The proposed model states that a representing device is a device which changes state when information is received over multiple information channels originating at a single source. The (...) changed state of a representing device is a representation. The unitary information source which would give rise to the information impinging on the representing device, and hence, give rise to the representation, is the content of the representation. The model meets the pretheoretic constraints, and also conforms to available neurobiological data for two invertebrate species. (shrink)

This essay defends a novel interpretation of the term xìng 性 as it occurs in Chinese texts of the late Warring States period (roughly 320–221 BCE). The term played an important role both in the famous controversy over the goodness or badness of people’s xìng and elsewhere in the intellectual discourse of the period. Extending especially the work of A.C. Graham, the essay stresses the importance for understanding xìng of early Chinese assumptions about spontaneity, continuity, health, and (in the human (...) case) motivation. These assumptions make xìng fundamentally different from the contemporary nature concepts with which it is often equated. In particular, people’s xìng is not a near-equivalent of human nature or (in modern Chinese) of rénxìng 人性. (shrink)

It is sometimes said that a society should be judged ethically by how it treats its least-fortunate or worst-off members. In one interpretation this is not a point about justice, but instead about moral virtues such as compassion and charity. In our response to the least fortunate among us, we display, or show that we lack, fundamental moral virtues of fellow feeling and concern for others in need. In a different interpretation, however, this point is about justice and a just (...) society—the justice of a society is shown especially in how it treats its least-fortunate members. (shrink)

Interest in the political relevance of the emotions is growing rapidly. In light of this, Hannah Arendt’s claim that the emotions are apolitical has come under renewed fire. But many critics have misunderstood her views on the relationship between individuals, emotions and the political. This paper addresses this issue by reconstructing the conceptual framework through which Arendt understands the emotions. Arendt often describes the heart – where the emotions reside – as a place of darkness. I begin by tracing this (...) metaphor through her work to demonstrate that it is meant to convey the inherently uncertain nature of emotions rather than a devaluation of them. I proceed to challenge the notion that Arendt adopts the Enlightenment dichotomy between reason and emotion. In fact, she rejects both as a basis for politics. However, she does identify some constructive roles for the emotions. I argue that fear is intrinsically connected to courage – the principal political virtue – in Arendt’s philosophy. In ligh... (shrink)

The leader–member relationship has been identified as a key determinant of successful working relationships and business outcomes in China. A high-quality leader–member relationship helps managers and employees to meet the demands they face and gives them the opportunity to develop socially, emotionally and morally. Such relationships form the basis of the overall well-being and success of the organisation. This article contributes to relationally oriented leadership theories and more specifically to the leader–member exchange theory by examining the theory in the context (...) of Western expatriate managers and Chinese employees in China. The first aim of the study is to analyse the similarities and differences between the LMX theory, which owes its origins to Western corporate experience, and the social and moral norms of guanxi, a crucial element in the Chinese value system. Since Westerners and Chinese people can give different interpretations to guanxi, the second aim of the article is to discuss the ethical challenges to the Western manager arising from guanxi. The findings of this study have implications not only for China, but also for other Chinese communities where guanxi is endorsed and practised. (shrink)

The Later Moists grounded our linguistic abilities in our ability to distinguish between kinds on the basis of manifest similarities and differences among things. Proper names, however, require a different treatment. According to the Moists, when we use a proper name, we borrow a word for one kind of thing and use it to refer to something else, as when we name dogs “crane.” This view probably responds in part to arguments that the possibility of using any word to refer (...) to any thing threatens the stability of language. Proper names may borrow from terms with existing uses, but arguably they do not thereby undermine those uses. (shrink)

The concept of protosemiosis or semiosis at the lower levels of the living goes back to Giorgio Prodi, Thomas A. Sebeok and others. More recently, a typology of proto-signs was introduced by Sharov and Vehkavaara. Kull uses the term of vegetative semiosis, defined by iconicity, when referring to plants and lower organism semiosis. The criteria for the typology of proto-signs by Sharov and Vehkavaara are mostly based on two important presuppositions: agency and a lack of representation in low-level semiosis. We (...) would like to focus on an alternative approach to protosign classification. In particular, we aim to provide a sign-typological characteristic of proteins (in analogy to Maran’ s classification of environmental signs). Our approach is focused on representation, that is, we only consider the relation between a sign and its object. We are considering representation independently from the role of interpretant and interpretation (which is an epiphenomenon of agency). Two hypotheses are investigated and accordingly evaluated in this paper: (I) Proteins are indexical protosigns. (II) Proteins are iconic protosigns. The conclusion our argumentation leads to supports the hypothesis (II). (shrink)

We define a structure which is much simpler than a morass, but whose existence is equivalent to the existence of a morass.

The intense and extensive debate over human embryonic stem cell research has focused primarily on the moral status of the human embryo. Some commentators assign full moral status of normal adult human beings to the embryo from the moment of its conception. At the other extreme are those who believe that a human embryo has no significant moral status at the time it is used and destroyed in stem cell research. And in between are many intermediate positions that assign an (...) embryo some degree of moral status between none and full. This controversy and the respective positions, like the abortion controversy, is by now well understood, despite the lack of progress in resolving it. I have argued briefly elsewhere that early embryos do not have significant moral status, but I do not want to reenter that debate here. Instead, I want to focus on an issue that has had relatively little explicit and separate attention, but is likely to loom larger in light of the Obama administration’s partial lifting of the Bush administration’s restriction on the embryos that can be used in stem cell research that receives federal funding. (shrink)

This article addresses two controversial open questions in philosophical aesthetics: the nature and value of the aesthetic and of aesthetic experience when approached from the standpoint of ‘aesthetics of everyday life’ (AEL). Contrasting ‘strong’ AEL accounts that consider them radically different from those in the sphere of art, I claim that extending the realm and scope of aesthetics towards everyday life does not necessarily dispense with the concepts of the aesthetic and aesthetic experience as shaped in relation to the arts. (...) Drawing on ‘weak’ formulations of AEL and on theories that call attention to concepts of art different from modern ones, I defend a normative but open model of the aesthetic and aesthetic experience pertaining to both art and everyday life. This more integrative theoretical framework needs to include clear and consistent views of the aesthetic as well as of the self, intersubjectivity, and everyday life. (shrink)

“The Standard Interpretation” of Descartes on material falsity states that Descartes believed that materially false ideas (MFIs) lack “objective reality” [realitas objectiva]. The argument for the Standard Interpretation depends on a statement from the “Third Meditation” that MFIs are caused by nothing. This statement, in conjunction with a causal principle introduced by Descartes, seems to entail that MFIs lack objective reality. However, the Standard Interpretation is incorrect. First, I argue that, despite initial appearances, the manner in which Descartes understands the (...) proposition that MFIs are caused by nothing does not entail that they lack objective reality. Secondly, I argue that Descartes is committed to the objective reality of MFIs because of his quasi-scholastic explanation of MFIs. (shrink)

Naturalist theories of the meaning of life are sometimes criticised for not setting the bar high enough for what counts as a meaningful life. Tolstoy’s version of this criticism is that Naturalist theories do not describe really meaningful lives because they do not require that we connect our finite lives with the infinite. Another criticism of Naturalist theories is that they cannot adequately resolve the Absurd—the vast difference between how meaningful our actions and lives appear from subjective and objective viewpoints. (...) This article proposes a novel view, Optimistic Naturalism, in order to refute these criticisms. Optimistic Naturalism is the view that scientific and technological advancement might allow us to lead Truly Meaningful lives in a purely physical universe by enabling our actions, which we find meaningful partly because they might have particular infinite consequences, to actually have infinite consequences for life. The central tenets of Optimistic Naturalism are Infinite Consequence and Scientific Optimism. By explaining how the correct connection of the subjective and objective meaning of actions can result in True Meaning, Infinite Consequence provides a theoretical blueprint for resolving the Absurd. Scientific Optimism provides reason to think that it is possible to follow that blueprint in a purely physical universe. Therefore, when taken together, these two principles provide relatively plausible reasons to think that at least one kind of Naturalist theory can connect the finite with the infinite in a meaningful way and resolve the Absurd. (shrink)

The availability of a range of new psychotropic agents raises the possibility that these will be used for enhancement purposes (smart pills, happy pills, and pep pills). The enhancement debate soon raises questions in philosophy of medicine and psychiatry (eg, what is a disorder?), and this debate in turn raises fundament questions in philosophy of language, science, and ethics. In this paper, a naturalistic conceptual framework is proposed for addressing these issues. This framework begins by contrasting classical and critical concepts (...) of categories, and then puts forward an integrative position that is based on cognitive-affective research. This position can in turn be used to consider the debate between pharmacological Calvinism (which may adopt a moral metaphor of disorder) and psychotropic utopianism (which may emphasize a medical metaphor of disorder). I argue that psychiatric treatment of serious psychiatric disorders is justified, and that psychotropics are an acceptable kind of intervention. The use of psychotropics for sub-threshold phenomena requires a judicious weighing of the relevant facts (which are often sparse) and values. (shrink)

It is widely held that the Experience Machine is the basis of a serious objection to Hedonistic theories of welfare. It is also widely held that Desire Satisfactionist theories of welfare can readily avoid problems stemming from the Experience Machine. But in this paper, we argue that if the Experience Machine poses a serious problem for Hedonism, it also poses a serious problem for Desire Satisfactionism. We raise two objections to Desire Satisfactionism, each of which relies on the Experience Machine. (...) The first is very much like the well-known Experience Machine objection to Hedonism. The second asks whether someone who accepts Desire Satisfactionism should want to form a desire to plug into the Experience Machine. (shrink)

Some recent work in philosophy of religion addresses what can be called the “axiological question,” i.e., regardless of whether God exists, would it be good or bad if God exists? Would the existence of God make the world a better or a worse place? Call the view that the existence of God would make the world a better place “Pro-Theism.” We argue that Pro-Theism is not implausible, and moreover, many Theists, at least, (often implicitly) think that it is true. That (...) is, many Theists think that various good outcomes would arise if Theism is true. We then discuss work in cognitive science concerning human cognitive bias, before discussing two noteworthy attempts to show that at least some religious beliefs arise because of cognitive bias: Hume’s, and Draper’s and Nichols’s. We then argue that, as a result of certain cognitive biases that result when good outcomes might be at stake, Pro-Theism causes many Theists to inflate the epistemic probability that God exists, and as a result, Theists should lower the probability they assign to God’s existence. Finally, based our arguments, we develop a novel objection to Pascal’s wager. (shrink)

Despite the importance of ethical leadership, the impacts of its different facets on firm-level performance are unclear. Drawing on the resource-based view of the firm and the group engagement model, we propose that ethical leadership consisting of leader humane orientation, leader responsibility and sustainability orientation and leader moderation orientation are beneficial to firm performance, and leader justice orientation plays moderating roles. We empirically tested this theoretical framework employing multi-source survey data collected from 264 Chinese firms. The findings reveal that both (...) leader humane orientation and leader responsibility and sustainability orientation have positive influences on both firm financial and social performance, while leader moderation orientation only has positive influence on firm financial performance. In addition, leader justice orientation positively moderates the relationship between leader humane orientation and leader responsibility and sustainability orientation and financial performance as well as the relationship between leader moderation orientation and social performance. These findings provide theoretical and practical implications for understanding how different facets of ethical leadership jointly function to influence firm performance. (shrink)

We present a novel generative model for natural language tree structures in which semantic (lexical dependency) and syntactic (PCFG) structures are scored with separate models. This factorization provides conceptual simplicity, straightforward opportunities for separately improving the component models, and a level of performance comparable to similar, non-factored models. Most importantly, unlike other modern parsing models, the factored model admits an extremely effective A* parsing algorithm, which enables efficient, exact inference.

Contingent Valuation has been promoted as a catch-all approach to environmental valuation. While there have been numerous attempts in recent years to place monetary values on environmental amenities, studies have often reported a high frequency of protest, zero or inordinately large dollar-value responses. This paper reports on the results of a survey designed to obtain information on how people actually interpret questions of paying to avoid changes in their views of Rangitoto Island. Evidence suggests that the meaning respondents attach to (...) the actual dollar values they offer or bid are inconsistent with the conventional logic that underlies Contingent Valuation. Instead, respondents might be seen to be expressing views about how things ought to be in society, and that it is simply not right to develop Rangitoto Island. (shrink)

I’m grateful for the opportunity to give the 2019 AJTP Lecture and for the leeway since then allowed me in developing ideas first presented there; it is indulgent of this journal to publish the overlong result in two parts, of which this is the first.1 The philosophical tradition epitomized by William James and Charles S. Peirce figured importantly in my early philosophical formation, but I am not a scholar of their work; nevertheless, Mike Hogue—at the time the editor of AJTP (...) and once a doctoral student at the University of Chicago Divinity School at the same time as me—approached me about the AJTP Lecture after learning that I had taught a class in the University of Chicago Divinity School called “American... (shrink)

Many scientists have until recently considered consciousness to be unsuitable for scientific research. As Damasio remarks, 'studying consciousness was simply not the thing to do before you made tenure, and even after you did it was looked upon with suspicion' . Prompted by technological developments as well as conceptual changes, this attitude has changed within the last decade or so, and an explanation of consciousness is currently seen by many as one of the few remaining major unsolved problems of modern (...) science. It has become customary to describe this change in terms of an ongoing 'Consciousness Boom'. What is occasionally forgotten, however, is that although contemporary main stream neuroscience might only recently have started to investigate consciousness, the topic is by no means a terra incognita for those familiar with the philosophical tradition. Since the beginning of the modern era, consciousness has been subjected to intense investigations by such diverse thinkers as Descartes, Locke, Leibniz, Hume, Kant, Hegel, Kierkegaard, Nietzsche, James, Dilthey, Bergson and many others. As for more recent times, consciousness and subjectivity have been of main concern to phenomenologists throughout the twentieth century, whereas the interest in these issues in analytical philosophy has only been particularly evident in the last ten to fifteen years. The majority of the systematic investigations in analytical philosophy have moreover been conducted in a rather ahistorical manner, with no particular attention being paid to the possible resources of the tradition. But by ignoring the tradition one might miss out on important insights that in the best of circumstances end up being rediscovered decades or centuries later. (shrink)

Revisiting the author’s characteristic line of interpretation of the Madhyamaka philosophy of Nāgārjuna and Candrakīrti, this essay responds to critiques thereof by arguing for the sense Madhyamaka makes, on the author’s interpretation, as a Buddhist position. For purposes of the argument, it is allowed that especially on the author’s characteristic interpretation, Madhyamaka appears to have affinities with the “personalist” doctrine long regarded by Indian and Tibetan Buddhist traditions as unorthodox. In particular, it is accepted that on this interpretation, Mādhyamika arguments (...) to the effect that conventional truth cannot be explained away by any “ultimate” truth are tantamount to the view that a personal level of description cannot coherently be thought superseded by the kind of impersonal analysis typical of Abhidharma literature. The main burden of the essay is to explain the sense it makes to think this supposedly unorthodox embrace of the category person counts, in fact, as elaborating the tradition’s orienting no-self doctrine. (shrink)

The article deals with the notion of the genetic code and its metaphorical understanding as a “language”. In the traditional view of the language metaphor of the genetic code, combinations of nucleotides are signs of amino acids. Similarly, words combined from letters represent certain meanings. The language metaphor of the genetic code, 171–200, 2011) assumes that the nucleotides stay in the analogy to letters, triples to words and genes to sentences. We propose an application of mathematical linguistic methods on the (...) notion of the genetic code. We provide quantitative analysis of mRNA strings and natural language texts. This analysis is sensitive to the detection of the code units hierarchy. We also take into consideration a representative quantitative analysis of DNA, RNA and proteins. Our analysis of mRNA confirms an assumption that the design of the genetic code cannot analogize DNA bases and letters. The notion of the letter is much more appropriate if analogized with triplets or amino acids, 187–191, 2017). (shrink)

Quel type de releve pour la metaphysique l'ethique envisagee comme - philosophie premiere - propose-t-elle? La phenomenologie peut-elle ressaisir le fondement de tout phenomene, obeir a une demarche encore transcendantale tout en destituant l'ego de sa principialite sans cesse reconduite depuis Descartes? La requalification des categories theologiques imposee par la distance de l'autrement qu'etre peut-elle laisser inchange le nom meme de Dieu auquel elle nous ordonne comme a notre definitive tache? Ces questions, Levinas aura contribue a les formaliser et a (...) en imposer l'urgence avec une radicalite a nulle autre pareille. Cet ouvrage se propose d'en eclairer quelques unes a partir d'analyses genetiques de sa pensee, de confrontations avec quelques hautes figures de la tradition philosophique (Husserl et Heidegger, mais aussi Descartes, Spinoza, Derrida, etc.) et de la reactivation de quaestiones disputatae lourdes d'enjeux. Car l'ethique dispense une lumiere propre, sans laquelle nombre de questions nous resteraient durablement insoupconnees; cette lumiere elle-meme doit etre decomposee et se preter a analyse. Lumiere jetee par l'ethique, lumiere jetee sur l'ethique: telle est, en son double genitif, la lucidite de l'ethique.". (shrink)

Moral minds -- Fear morality -- Humanistic morality.

Descartes held the doctrine that the eternal truths are freely created by God. He seems to have thought that a proper understanding of God's freedom entails such a doctrine concerning the eternal truths. In this paper, I examine Descartes' account of divine freedom. I argue that Descartes' statements about indifference, namely that indifference is the lowest grade of freedom and that indifference is the essence of God's freedom are not incompatible. I also show how Descartes arrived at his doctrine of (...) the creation of the eternal truths by consideration of the nature of God's freedom. Footnotes1 In this paper, I employ the following abbreviations:AT: Descartes, René Oeuvres de Descartes, C. Adam and P. Tannery (eds) (Paris: J. Vrin, 1996) (cited by volume and page number).CSM: Descartes, René The Philosophical Writings of Descartes, vols 1 and 2, J. Cottingham, R. Stoothoff, D. Murdoch (transl.) (Cambridge: Cambridge University Press, 1985) (cited by volume and page number).CSMK: Descartes, René The Philosophical Writings of Descartes, vol. 3, J. Cottingham, R. Stoothoff, D. Murdoch, A. Kenny (transl.) (Cambridge: Cambridge University Press, 1991) (cited by page number). (shrink)

After a unilateral focus on medical professional obligations to patients in most of the 20th century, there is a growing, if modest, interest in patient responsibility. This article critiques some public assertions, explores the ethics literature, and attempts to find some consensus and moral grounds for positions taken on the question, "Does a patient have moral obligations in the process of interactions with medical and other professional caregivers?" There is widespread agreement on a few responsibilities, such as "truth telling" and (...) "avoiding harm to others," but no apparent consensus either on the list of duties or on the appropriate justification for such duties. The context and clinical realities of patient interactions are noted to suggest that feasibility is important in making judgments of patient obligations. (shrink)

The COVID-19 pandemic has revealed the vulnerability of the US generic drug supply chain to foreign production. Many policies have been proposed to mitigate this vulnerability. In this article, we argue that nonprofit drug manufacturers have the potential to make important contributions.