El siguiente trabajo parte del análisis de dos obras literarias que vieron su aparición en el Siglo XXI: Historia de los abuelos que no tuve, de Ivan Jablonka, y El gueto interior, de Santiago Amigorena, dos novelas que toman como eje temático y vertebrador de las narraciones la búsqueda e indagación del pasado reciente a través de dos historias de vida que guardan una profunda conexión con los hechos acontecidos durante el Holocausto. El objetivo es abordar y analizar la construcción (...) de la voz narrativa en cada una de las obras propuestas a partir de su articulación con la figura del silencio. En la obra de Jablonka, se observa, hay una identificación entre el narrador y sus abuelos paternos, mecanismo que se despliega al anular toda inconsistencia o vacío memorial; el silencio dejado por Mates e Idesa es el silencio de su nieto. Por su parte, en el relato de Amigorena, la voz del narrador toma distancia respecto a los acontecimientos al adoptar un punto de vista externo; a la vez que ficcionaliza la historia de su abuelo Vicente y la envuelve de un silencio absoluto e impotente, deja entrever que ese silencio desolador que atraviesa su historia familiar puede ser resignificado desde el presente. (shrink)

This short article is a commentary to ‘Vulnerability in Research Ethics: A way forward’ from Margaret Meek Lange, Wendy Rogers and Susan Dodds. In their article they describe and accept my criticisms of the subpopulation approach to vulnerability and my analysis of vulnerability based on layers, but they suggest going beyond it using a taxonomy to classify layers of vulnerabilty. I argue that a) we do not need a taxonomy to classify vulnerabilities, b) the authors do not provide an adequate (...) or successful taxonomy, and c) they are unable to link their taxonomy to specific obligations. Thus I propose avoiding an approach that requires taxonomies, and suggest instead using some characteristics of layers of vulnerability. (shrink)

In this article, the authors focus on Argentina's activity in the developing field of regenerative medicine, specifically stem cell research. They take as a starting point a recent article by Shawn Harmon (published in this journal) who argues that attempts to regulate the practice in Argentina are morally incoherent. The authors try to show first, that there is no such ‘attempt to legislate’ on stem cell research in Argentina and this is due to a number of reasons that they explain. (...) Second, by examining the role played by different values, conflicting legal and moral views, and the influence of various actors, they attempt to show that the legislative silence regarding stem cell research may not necessarily be a manifestation of a legal/moral disconnection but rather a survival strategy for navigating the long and heated battle on the moral status of the embryo and the kind of treatment it deserves. (shrink)

“Vulnerability” is a key concept for research ethics and public health ethics. This term can be discussed from either a conceptual or a practical perspective. I previously proposed the metaphor of layers to understand how this concept functions from the conceptual perspective in human research. In this paper I will clarify how my analysis includes other definitions of vulnerability. Then, I will take the practical‐ethical perspective, rejecting the usefulness of taxonomies to analyze vulnerabilities. My proposal specifies two steps and provides (...) a procedural guide to help rank layers. I introduce the notion of cascade vulnerability and outline the dispositional nature of layers of vulnerability to underscore the importance of identifying their stimulus condition. In addition, I identify three kinds of obligations and some strategies to implement them. This strategy outlines the normative force of harmful layers of vulnerability. It offers concrete guidance. It contributes substantial content to the practical sphere but it does not simplify or idealize research subjects, research context or public health challenges. (shrink)

El artículo analiza algunas problemáticas centrales de la literatura caribeña, en particular de expresión francófona y anglófona, relacionadas, por un lado, con la falta de desarrollo y el funcionamiento colonial de sus sistemas literarios, y, por el otro, con el problema social, económico y político de la emigración en las Antillas. Como propongo, es la misma condición migrante de la literatura caribeña, en tanto sistema atravesado por el desplazamiento masivo de sus productores, la que en gran parte determina sus motivaciones (...) e intereses, enfocados a la identidad regional (y a la cultura regionalista) de modo recurrente. El artículo indaga, entre otros lugares-comunes (Glissant) del discurso literario caribeño, su estética geográficamente marcada que es enunciada aun desde un locus migrante (distante) con fines descolonizadores, los cuales se vinculan con la tradición anticolonialista, masculina y de sesgo militante del siglo pasado. Luego de una revisión de este legado a partir de dos aproximaciones críticas (Tinsley, Condé), se lee una serie de textos donde se observa la persistencia de la geoestética antillana, como A Small Place de Jamaica Kincaid, los cuales se apropian creativamente del discurso turístico desde una perspectiva geopolítica de resistencia a las dominaciones aún coloniales. (shrink)

En este trabajo se investigan cuáles fueron las razones de Benjamin para proyectar su tesis doctoral sobre el concepto de "tarea infinita" en la filosofía de la historia de Kant, así como los motivos por los que abandonó ese plan. Se destaca la influencia decisiva de Hermann Cohen en este intento, así como las diferencias entre sus concepciones del mesianismo, y se muestra que en los esbozos de aquel proyecto doctoral frustrado se encuentra en germen la aspiración benjaminiana de fundamentar (...) el conocimiento en una concepción mesiánica de la historia. Además, se sostiene que, con este fin, Benjamin reelaboró la noción de "tarea infinita" en relación con una exigencia de redención que fundamenta la esfera cognoscitiva. In this paper we investigate the reasons which led Benjamin to project his doctoral dissertation on the concept of "infinite task" in Kant's philosophy of history, as well as the motives behind his subsequent abandonment of that project. We stress both the crucial influence of Hermann Cohen behind Benjamin's expectations and the differences between their conceptions of messianism. Our aim is to show that the outlines remaining from Benjamin's frustrated doctoral project contain the seeds of his lasting aspiration to lay the foundation of knowledge in a messianic conception of history. With this intention, we maintain, Benjamin interprets the notion on "infinite task" in connection with a demand of redemption that grounds the cognitive sphere. (shrink)

Se trata de la reseña bibliográfica del libro de Emmanuel Biset et. al., Sujeto, una categoría en disputa.

In this article I focus on two issues concerning bioethics in Argentina: reproductive health and ethics in research. Although these topics are quite dissimilar, they share a particular feature: their special relationship with context.

ABSTRACT This paper focuses on poverty and inequality in the world today. First, it points out how this topic is a main concern for the IAB. Second, it proposes ‘new’ theoretical tools in order to analyze global justice and our obligations towards the needy. I present John Rawls's denial that the egalitarian principle can be applied to the global sphere, his proposed weak duty of assistance, and his consideration of endemic poverty as essentially homegrown. In opposition, I focus on Thomas (...) Pogge as representative of a cosmopolitan view who also holds a critical position towards the international systems which allow and cause poverty. I endorse the general normative proposal that defends every human being as an ultimate unit of moral concern, as well as the strategy of moving away from the charity model of bilateral aid to the realm of rights and duties. These ideas should redesign and broaden the normative and practical roles of institutions, and should also help provide a new approach on bioethical issues such as drug patenting or the imbalance in global research and neglected diseases. (shrink)

Verbal disputes are often seen as closely related to a lack of substantivity. However, a systematic and comprehensive investigation of how verbalness relates to substantivity is still missing. The present paper attempts to close this gap. In addition to offering different conceptions of verbalness, the paper further develops Sider’s (Writing the Book of the World, OUP, Oxford, 2011) notion of substantivity. Ultimately, I argue for a more careful choice of terminology when it comes to assessing a dispute as “(merely) verbal” (...) or “nonsubstantive”. While the paper shows that there is no strict logical relation between mere verbalness and nonsubstantivity construed along the lines set out by Sider, it also demonstrates that further notable notions of (mere) verbalness and substantivity are in fact closely intertwined. (shrink)

In this article I examine several criticisms of the concept of vulnerability. Rather than rejecting the concept, however, I argue that a sufficiently rich understanding of vulnerability is essential to bioethics. The challenges of international research in developing countries require an understanding of how new vulnerabilities arise from conditions of economic, social and political exclusion. A serious shortcoming of current conceptions of vulnerability in research ethics is the tendency to treat vulnerability as a label fixed on a particular subpopulation. My (...) paper examines the role of this “label” metaphor in current statements of research ethics. In contrast to this prevailing “label” metaphor, my own positive account of vulnerability develops a dynamic way of understanding the structure of the concept of vulnerability based on the idea of “layers of vulnerability.” I examine several cases involving women, as they are sometimes labeled as a vulnerable population and sometimes not. My analysis demonstrates the essential role of this revised concept of vulnerability in bioethics and research ethics. (shrink)

The poverty of stimulus argument is one of the most controversial arguments in the study of language acquisition. Here we follow previous approaches challenging the assumption of impoverished primary linguistic data, focusing on the specific problem of auxiliary (AUX) fronting in complex polar interrogatives. We develop a series of corpus analyses of child‐directed speech showing that there is indirect statistical information useful for correct auxiliary fronting in polar interrogatives and that such information is sufficient for distinguishing between grammatical and ungrammatical (...) generalizations, even in the absence of direct evidence. We further show that there are simple learning devices, such as neural networks, capable of exploiting such statistical cues, producing a bias toward correct AUX questions when compared to their ungrammatical counterparts. The results suggest that the basic assumptions of the poverty of stimulus argument may need to be reappraised. (shrink)

Non-communicable diseases are no longer largely limited to high-income countries and the elderly. The burden of non-communicable diseases is rising across all country income categories, in part because these diseases have been relatively overlooked on the global health agenda. Historically, communicable diseases have been prioritized in many countries as they were perceived to constitute the greatest disease burden, especially among vulnerable and poor populations, and strategies for prevention and treatment, which had been successful in high-income settings, were considered feasible and (...) often affordable in low-income settings. This prioritization has reduced the communicable diseases burden globally but has left non-communicable diseases largely neglected. A new approach is urgently needed to tackle non-communicable diseases. Based on an analysis of potential features which may have underlain the different approaches to non-communicable diseases and communicable diseases until now, including acuity of disease, potential for control or cure, cost, infectiousness, blaming of individuals and logistical barriers, little ethical or rational justification can be found to support continued neglect of non-communicable diseases. Justice demands access to quality and affordable care for all. An equitable approach to non-communicable diseases is therefore strongly mandated on medical, ethical, economic, and public health grounds. Funding must not however be diverted away from communicable diseases, which continue to require attention—but concomitantly, funding for non-communicable diseases must be increased. International and multi-sectoral action is required to accelerate progress towards true universal health coverage and towards achievement of all of the sustainable development goals, such that prevention and access to care for non-communicable disease can become a global reality. (shrink)

El siguiente trabajo tiene por objeto analizar la experiencia del Museo popular de Siloé como lugar de memoria, de acuerdo con la categoría acuñada por Pierre Nora. Para ello, se hace una breve descripción del lugar donde se ubica Siloé tanto en términos espaciales, como socio-históricos. A partir de allí, el escrito refiere a los modos que adquirieron las políticas de memoria en Colombia y el posicionamiento fluctuante del Estado en relación con la Memoria en general, y con el conflicto (...) armado en particular. Para luego, ir acercándonos a la experiencia del Museo Popular de Siloé como espacio de resistencia. Al respecto se hace una caracterización en relación con sus iniciativas, funciones y fines, llegando a considerar que los objetivos del Museo son dos, por un lado que los visitantes conozcan la historia de Siloé, la reivindiquen y repliquen; y por otro, incorporar a los jóvenes y niños en la construcción de la memoria colectiva, adquiriendo un sentido pedagógico que conlleva la edificación de una identidad común. (shrink)

El trabajo presenta una revisión analítica de la literatura alrededor de los debates regionales en Argentina, Chile y Uruguay sobre familia, matrimonio y filiación suscitados en torno a la redacción de los códigos civiles en las últimas décadas del siglo XIX y sus primeras reformas, acontecidas en la primera mitad del siglo XX. Se interrogan los distintos mecanismos jurídicos – y los argumentos en que se sustentaron – a través de los cuales se establecieron y se regularon las demarcaciones entre (...) lo público y lo privado, lo político y lo íntimo, lo natural y lo social. (shrink)

Multiple constraints, including semantic, lexical, and usage-based factors, have been shown to influence dative alternation across different languages. This work explores whether fine-grained statistics and semantic properties of the verb affect the acceptability of dative constructions in Spanish. First, a corpus analysis reveals that verbs of different semantic classes occur naturally in alternative dative constructions, a pattern quite different from English. The fact that dative alternation appears independent of semantic classes challenges traditional semantic-based approaches. Second, acceptability rating tasks reveal that (...) dative constructions containing highly entrenched word combinations and frequent word order are judged more acceptable regardless of the verbs' semantics. The results are interpreted in favor of usage-based accounts: Acceptability of dative constructions may be language-specific and depend on patterns of use and conventionalization. (shrink)

The concept of vulnerability has been hotly debated in research ethics literature. Some critics considered it a useless concept. In 2009—against some of those criticisms—I defended the importance of understanding this concept in terms of layers instead of applying it as a label given to certain subpopulations. In this paper, I present some of the limits of this analysis and I also explore the similarities and differences this approach has when compared to using a taxonomy as another answer on how (...) to assess vulnerability. I present the notion of cascade vulnerability and underscore the dispositional character of layers and their relevance to identify and evaluate layers of vulnerability. Finally, I show how this layered account has been incorporated in important documents such as the new 2016 CIOMS-WHO Guidelines. (shrink)

Silence in organizations refers to a state in which employees refrain from calling attention to issues at work such as illegal or immoral practices or developments that violate personal, moral, or legal standards. While Morrison and Milliken (Acad Manag Rev 25:706–725, 2000) discussed how organizational silence as a top-down organizational level phenomenon can cause employees to remain silent, a bottom-up perspective—that is, how employee motives contribute to the occurrence and maintenance of silence in organizations—has not yet been given much research (...) attention. In this paper, we argue that this perspective is a meaningful complementation of the existing literature and that it is sensible to conceptualize distinct forms of employee silence (Pinder and Harlos, Research in personnel and human resources management. JAI Press, Greenwich, 2001; van Dyne et al., J Manag Stud 40:1359–1392, 2003). Drawing on past research and theory we conceptualize four forms of employee silence, namely quiescent, acquiescent, prosocial, and opportunistic silence. We present scales to assess the four forms and provide empirical tests for their distinctiveness and patterns of relationships to various correlates and potential antecedents and consequences. (shrink)

In the recent literature, it has been argued that Nietzsche’s perspectivism should not be reconstructed as an epistemological position. This article criticizes both this view and interpretations that reduce perspectivism to a theory of knowledge. It claims that “perspectivism” is also an appropriate name for Nietzsche’s meta-ethical position. The paper argues that Nietzsche should be interpreted as an anti-realist and moral skeptic. Its epistemological claim is that Nietzsche perspectivism provides a hermeneutic method that allows the human animal to achieve knowledge (...) and truth about the world. The article distinguishes between a strong metaphysical and a weak hermeneutic version of the correspondence theory of truth. It argues that Nietzsche only rejects the former: the possibility of knowledge about the essence of the world and things-in-themselves. With his perspectival hermeneutic method, Nietzsche mainly aims at knowledge and truth about objects that are human products and phenomena. (shrink)

Malgré des changements législatifs "progressifs" concernant la communauté des lesbiennes, gays, bisexuels et transgenres et les technologies de reproduction assistée en Argentine, les femmes et leurs droits sexuels et reproductifs ont été négligés. Cet article présente une perspective critique de certaines de ces modifications législatives dans le pays. Il explique pourquoi certains législateurs et membres de la société sont prêts à défier une approche conservatrice, voire traditionnelle, pour certains groupes tout en ignorant les autres. Plusieurs facteurs sont en jeu. Il (...) n'y a pas une seule explication. Je souligne qu'un double standard frappant prévaut en Argentine en ce qui concerne les femmes et leurs droits sexuels et reproductifs. Je soutiens également qu'il existe une discrimination puissante, en particulier contre les femmes pauvres, qui continuent de souffrir et d'être "punies" à travers la criminalisation de l'avortement. (shrink)

The metalinguistic approach to conceptual engineering construes disputes between linguistic reformers and linguistic conservatives as metalinguistic disagreements on how best to use particular expressions. As the present paper argues, this approach has various merits. However, it was recently criticised in Cappelen’s seminal Fixing Language. Cappelen raises an important objection against the metalinguistic picture. According to this objection – the Babel objection, as I shall call it – the metalinguistic account cannot accommodate the intuition of disagreement between linguistic conservatives and reformers (...) who are speaking different languages. The objection generalises to metalinguistic approaches to e.g. moral disagreements. This paper discusses the Babel objection and shows how to dispel it. (shrink)

Traditional accounts of vulnerability tend to label entire populations as vulnerable. This approach is of limited utility. Instead, this article utilizes a layered approach to vulnerability, identifying multiple vulnerabilities that older people experience. It focuses on distinguishing the different layers of vulnerability that may be experienced by the elderly in middle-income countries of Latin America. In doing so, I show how the layered approach to vulnerability functions, and demonstrate why it is more interesting and useful than the traditional approach. The (...) article achieves three things. First, it unwraps the different potential layers of vulnerability that develop in old age and the multidimensionality aspects of aging. Second, it reestablishes the usefulness of the concept of vulnerability and explains its functioning. Finally, it shows how different policies can be designed in order to address each vulnerability layer. The layered account promotes a multifaceted approach to public policy analyses and design. In this sense, the layered concept of vulnerability is an appealing concept to consider in public health ethics. (shrink)

The goal of this paper is to show how culture – shared norms and values – is challenged and used to facilitate cooperative behavior within the context of farmer field schools (FFS) in central Luzon, Philippines. The success of the FFS is primarily associated with cultural norms that encourage experiential and collective learning and eventually lead to the adoption of integrated pest management (IPM) methods among the farmers. The study was conducted in central Luzon, the rice granary region of the (...) Philippines, from 1992 to 1995 and again in 1999. Both qualitative and quantitative research methods were employed. Results indicate that a keen understanding of Filipino culture and values is essential if FFS is to be successful and if farmers are to successfully learn and practice IPM. (shrink)

The paper examines Martha Nussbaum’s «Aristotelian Social Democracy», and in particular her appropriation of Aristotle’s political philosophy. The paper questions Nussbaum’s claim that Aristotle’s account of human nature and her capabilities approach are not metaphysical. It critically analyses Nussbaum’s egalitarian interpretation of Aristotle’s doctrine of distributive justice, laying out the primary reasons supporting the thesis that Nussbaum’s «Aristotelian Social Democracy» is incompatible with Aristotle’s non-egalitarian political philosophy.

It is widely assumed that language in some form or other originated by piggybacking on pre-existing learning mechanism not dedicated to language. Using evolutionary connectionist simulations, we explore the implications of such assumptions by determining the effect of constraints derived from an earlier evolved mechanism for sequential learning on the interaction between biological and linguistic adaptation across generations of language learners. Artificial neural networks were initially allowed to evolve “biologically” to improve their sequential learning abilities, after which language was introduced (...) into the population. We compared the relative contribution of biological and linguistic adaptation by allowing both networks and language to change over time. The simulation results support two main conclusions: First, over generations, a consistent head-ordering emerged due to linguistic adaptation. This is consistent with previous studies suggesting that some apparently arbitrary aspects of linguistic structure may arise from cognitive constraints on sequential learning. Second, when networks were selected to maintain a good level of performance on the sequential learning task, language learnability is significantly improved by linguistic adaptation but not by biological adaptation. Indeed, the pressure toward maintaining a high level of sequential learning performance prevented biological assimilation of linguistic-specific knowledge from occurring. (shrink)

This essay examines the construction of a symbolic figure who has worked to support the reordering of power relationships. It is the invention of a foreign enemy, Islamic radicalism from which United States has served its objectives of establishing a new hegemony. Since the terrorist threat, has extended a speech level that adulterated and showed us a world divided into two opposite poles: a virtuous and civilized axis that is forced to attack to defend itself, and a barbaric and evil (...) axis that threatens global security. But this process is fraudulent, that has been able to violate international law, has a political, historical and economic issues should be unmasked. (shrink)

El debate en torno a Aristipo de Cirene, cuya concepción de la felicidad coloca en el centro de la escena al placer, pone en tela de juicio las afirmaciones propias de aquellas éticas nucleadas bajo el epíteto de eudemonistas. Con el desplazamiento de la felicidad del sitial del fin, Aristipo reformula la dimensión ética tradicional: a través del ejercicio de la enkráteia, y lejos de caer en un relativismo subjetivista, intenta construir una ética que tenga como base un objetivismo gnoseológico. (...) Demostraremos, además, que al ejercicio de la enkráteia cirenaica subyace la noción de autosuficiencia (autárkeia) -entendida en términos aristotélicos- del individuo. Esto nos enfrentará, irremediablemente, a la noción aristotélica de felicidad (en estrecho vínculo con la noción de enkráteia), la cual no comporta una noción de autosuficiencia individual sino que restringe la posibilidad de la autárkeia a la autosuficiencia de la pólis. The debates on Aristippus of Cyrene, whose happiness' conception puts pleasure in the center of the scene, questions the claims of those ethical nucleated under the epithet "eudemonists". Through the shift of happiness from the shrine of the goal, Aristippus reformulates the traditional ethical dimension: by the enkráteia's exercising -and far from falling into a subjective relativism- he tries to build an ethic based on an epistemological objectivity. We are going to demonstrate also that the self-sufficiency concept (autárkeia) -speaking in Aristotelian terms- of individual underlies the exercise of Cyrenaic enkráteia. It will face us inevitably to the Aristotelian concept of happiness (in close connection with the enkráteia's concept), which doesn't involve a notion of individual self-sufficiency, but rather it restricts the possibility of autárkeia to the pólis' self-sufficiency. (shrink)

According to Bronislaw Baczko, utopias may be considered as different forms—they are not linked to any precise literary genre—of critique of social reality and the quest for alternatives. Some consist of a detailed description of a new social order, whereas others confine themselves to an overall design, which solely defines a series of values and principles. They all contain an ideal of perfection: a utopian view of the world always stems from the awareness of a breach between what must be (...) and social reality, which is deemed to be in crisis and dominated by evil. There is, thus, no utopia without an ideal opposed to reality. That said, idealized as they may be, utopias do allow such reality to cease to be deemed.. (shrink)

This volume establishes Nietzsche's importance as a political philosopher. The introduction and eighteen chapters cover Nietzsche's own political thought, its relation to ethics and morality, his methodology, the historical context, and his infl.

Scholars have long recognized the existence of myriad widespread deep disagreements on values, justice, morality, and ethics. In order to come to terms with such deep disagreements, resistant to rational solution, this article asserts the need for developing an ethics of disagreement. The reality that theoretical disagreements often turn into practical conflicts is a major justification for why such an ethics is necessary. This paper outlines an ethics of deep disagreement that is primarily conceived of as a form of virtue (...) ethics. Such an ethics asks opposing parties in moral and intellectual conflicts to acknowledge that (a) deep disagreements exist, (b) opposing positions should be recognized as worthy of respect, and that (c) one should seek dialogue and mutual understanding. This ethical approach conceives of toleration as a moral and political virtue and presents an argument for toleration based on deep disagreements. (shrink)

This article starts off with a historical section showing that deep disagreements among notions of social and political justice are a characteristic feature of the history of political thought. Since no agreement or consensus on distributive justice is possible, the article argues that political philosophers should – instead of continuously proposing new normative theories of justice – focus on analyzing the reasons, significance, and consequences of such kinds of disagreements. The next two sections are analytical. The first sketches five possible (...) reasons for deep disagreements among notions of social and political justice. The second discusses the meta-ethical relevance of the lack of consensus on justice and rejects ethical realism and cognitivism based on the argument from deep disagreements. (shrink)

This article gives a detailed analysis of Nussbaum’s ‘capabilities approach’ and her claim that it is a genuinely Aristotelian contemporary po-litical philosophy. The paper examines how Nussbaum bases her ‘capabilities approach’ on human nature and questions her assertion that both Aristotle’s account of human nature and her own approach are not metaphysical. In order to analyze the normative dimension of Nussbaum’s ‘capabilities approach’, this article focuses on Aristotle’s doctrine of distributive justice and equality. It shows how Nussbaum adopts and modifies (...) this doctrine in an egalitarian way and demonstrates that her reading and appropriation of it is problematic. With reference to contemporary literature on Aristotle’s Politics, the article criticizes how Nussbaum assimilates Aristotle’s political philosophy into modern values and notions, laying out six primary reasons supporting the thesis that Nussbaum’s ‘capabilities approach’ cannot be regarded as an Aristotelian one. (shrink)

Throughout this essay, I will consider an argument frequently used to justify paternalistic behavior toward a specific class of persons: illiterate people. The argument states that illiterate people are uneducated, lack information and understanding, and are thus unable to make decisions. Therefore, it is argued, paternalism in their case is justified. The conclusion is that illiterate persons cannot be autonomous. The justification for this view is based on an a priori attitude: since it is impossible to communicate, physicians should decide (...) which kind of treatment the illiterate patient should receive. This argument is frequently used even though its proponents may not be aware of its implications. Given the importance and uncritical acceptance this argument has in Argentina, and also in other Latin American countries, I think it is relevant to analyze carefully what it means. I propose a thorough analysis of this argument, of its implications and an evaluation of whether it is acceptable. (shrink)

This paper challenges the traditional account of vulnerability in healthcare which conceptualizes vulnerability as a list of identifiable subpopulations. This list of ‘usual suspects’, focusing on groups from lower resource settings, is a narrow account of vulnerability. In this article we argue that in certain circumstances middle-class individuals can be also rendered vulnerable. We propose a relational and layered account of vulnerability and explore this concept using the case study of cord blood (CB) banking. In the first section, two different (...) approaches to ‘vulnerability’ are contrasted: categorical versus layered. In the second section, we describe CB banking and present a case study of CB banking in Argentina. We examine the types of pressure that middle-class pregnant women feel when considering CB collection and storage. In section three, we use the CB banking case study to critique the categorical approach to vulnerability: this model is unable to account for the ways in which these women are vulnerable. A layered account of vulnerability identifies several ways in which middle-class women are vulnerable. Finally, by utilizing the layered approach, this paper suggests how public health policies could be designed to overcome vulnerabilities. (shrink)