When the complete human genomehas been sequenced, everyone of us will becomea potential candidate for genetic counselingand testing. Within a short period of timeeveryone will obtain his personal geneticpassport identifying deleterious andsusceptibility genes. With the availability ofpresymptomatic tests for late-onset disordersand the possibilities of prevention andtreatment, the conflict between directivenessand non-directiveness will dominate thecounseling setting. Despite general consent onproviding genetic information in a nondirectivefashion to preserve value neutrality andenhance client's autonomy, there is no acceptedcommon definition of what non-directivenessreally is or (...) ought to be. The article tries toelaborate some aspects which might be fruitfuland clarifying in the complex issues involvedin the black box of genetic counseling. (shrink)

This paper explains why Clark’s Extended Mind thesis is not capable of sufficiently grasping how and in what sense external objects and technical artifacts can become part of our human cognition. According to the author, this is because a pivotal distinction between inside and outside is preserved in the Extended Mind theorist’s account of the relation between the human organism and the world of external objects and artifacts, a distinction which they proclaim to have overcome. Inspired by Charles S. Peirce’s (...) philosophy of mind, in particular, the author tries to find a way out of this ‘inside–outside’ fallacy. External objects, artifacts or processes should, according to him, not be conceived as inanimate and unintelligent matter utilised by a separately living, inner mental sphere that has set certain pre-established goals for itself. Mind has rather an artifactual character. It is not extended by an inner biological cognitive core but rather unfolds itself through objects and artifacts. Mind as such is, especially in our modern technological culture, shaped by virtue of and through technical artifacts. Recognizing this artifactual dimension of mind will, the author concludes, enable a more critical analysis of contemporary claims that ascribe certain original and irreducible features to thinking. (shrink)

Patient rights are universal values which we have to adopt. It is not so easy, however, to put such values and principles into effect. As approaches and attitudes differ from individual to individual, from society to society, and from country to country, a uniform application of these values is difficult. If we want to reach a general conclusion about the status of patient rights in the world as whole, we should examine the situation in individual countries. As far as Turkey (...) is concerned, we can say that, although the idea of patient rights is accepted in principle, patient rights have yet to be adequately implemented. (shrink)

This article focuses on the relationship between morality and law through the debate between William Whewell (1794-1866) and John Stuart Mill (1806-1873), two important moral philosophers of 19th century Britain. Whewell belongs to a tradition maintaining that the basic moral principles can be known intuitively through an inherent faculty such as moral sense or conscience. In the meantime, Whewell argues that the process of knowing these basic principles intuitively is not an irrational process and that the reason is active throughout (...) the whole process of knowing. In this context, the reason is the most basic concept of Whewell's system. In Whewell's system, the will of God is the highest/ultimate good. Relatedly, action in accordance with the will of God is morally right action. On the other hand, utilitarianism, to which Mill belongs, is a moral theory that determines the greatest happiness of the highest number of people as the criterion for morally right action. This theory does not include any metaphysical and theological elements, which argues that morality should be based on experience and introspection. Utilitarianism rejects the claim that there are basic moral principles that can be intuitively known. This approach of utilitarianism makes these two theories natural opponents of each other. One of the topics of the Whewell-Mill debate is the juncture of morality and law. In this context, Whewell's views on the moral-law relationship, Mill's criticism of Whewell on this issue and Whewell's responses to Mill constitute the subject of the article. The main purpose of this study, in which the comparative method is adopted, is to gain new perspectives on the relationship between morality and law. When we focus on the Whewell-Mill debate, we see that Whewell deals with the moral-law relationship on the basis of the concept of right, while Mill deals with the concept of justice. According to Whewell, it is impossible to talk about morality unless there are rights determined by law. In this regard, justice basically means compliance with the law. Like Whewell, Mill accepts that justice is not static but dynamic, and argues that only the utility can determine what just is. Mill objects to Whewell's views on three main criticial points. These are; according to Mill, Whewell first makes law the basis of morality by claiming that it is not possible to talk about morality where there are no laws. Whewell, objecting to this criticism of Mill, states that he does not make law the basis of morality; he says that he needs law to put moral principles into the practice. The second criticism of Mill is that Whewell makes laws the criterion of moral righteousness, which narrows morality down to rights and therefore to law compliance. Whewell objects to Mill, saying that moral rightness is much broader concept than legal rightness. For him, obedience to the law is only part of moral righteousness. Mill’s last criticism is that Whewell made obedience to the law a moral duty, even if it is not just. In Whewell's system, obedience to laws confirming slavery is made a moral duty. Whewell, on the other hand, admits that laws may be immoral from time to time, but states that obedience to these laws is more reasonable than disobeying them; because the problems that will arise from non-compliance with the laws are much greater. What needs to be done is to make sure that more just laws are legislated. However, according to Whewell, legislation is the duty of the jurist, not the moralist. These criticisms made by Mill against Whewell are actually criticisms that is related Mill's own system. Mill neither himself can give satisfactory answers to these criticisms. In conclusion, in the polemic between Whewell and Mill, it is possible to find other different answers of both thinkers regarding the relationship between morality and law. However, it cannot be said that these answers completely solved the problems stated above. (shrink)

In recent days, it has been observed that the number of discussions on the phenomenon of nationalism and religion has increased all over the world, both in the national and international arena. This situation arises from the urge to reactivate the consciousness of being a nation in the memories of societies. The same is true for the Russian Federation. Looking at their historical traditions, autocracy, nationalism and Orthodoxy in the Russian land are inseparable parts of a whole. Christianity, which is (...) one of the most prominent components of the Russian land, constitutes the subject of our research. Our study is based on the assumption that Russian governments and people do not always approach the concept of religion in the same way. In order to clarify this situation, the religious policies and their reflections on the society in the Russian lands were examined from the acceptance of Orthodoxy until the XXIst century. The wide time span created limitations in detailing the developments. On the other hand, it contributed to illuminating the events on the basis of a holistic view and cause-effect connection. While conducting the research, the principles of the holistic approach, historical, descriptive and comparative methods were used. (shrink)

Are critiques of the "West" peculiar to the Muslim world? Are they a reflection of a simple discontent with the international order or a conservative rejection of Western-originated, universal modernity? How should Western intellectuals and leaders respond to the Muslim critiques?

The study of social justice asks: what sorts of social arrangements are equitable ones? But also: how do we derive the inequitable arrangements we often observe in human societies? In particular, in spite of explicitly stated equity norms, categorical inequity tends to be the rule rather than the exception. The cultural Red King hypothesis predicts that differentials in group size may lead to inequitable outcomes for minority groups even in the absence of explicit or implicit bias. We test this prediction (...) in an experimental context where subjects divided into groups engage in repeated play of a bargaining game. We ran 14 trials involving a total of 112 participants. The results of the experiments are statistically significant and suggestive: individuals in minority groups in these experiments end up receiving fewer resources than those in majority groups. Combined with previous theoretical findings, these results give some reason to think that the cultural Red King may occur in real human groups. (shrink)

This book investigates how we should form ourselves in a world saturated with technologies that are profoundly intruding in the very fabric of our selfhood. How do we recognize that smart technological environments, imaging technologies and smart drugs increasingly shape who and what we are and influence who we ought to be? Tackling this issue requires going beyond the persistent and stubborn inside-outside dualism and recognizing that what we consider our "inside" self is to a great extent shaped by our (...) "outside" world. Inspired by various philosophers - especially Nietzsche, Peirce and Lacan -this book demonstrates that the values, goals and ideals that humans encounter in their environments not only shape their identities but also enable them to critically relate to their present state. The author argues against understanding technological self-formation in terms of making ourselves better, stronger, and smarter. Rather, we should conceive it in terms of technological sublimation, which redefines the very notion of human enhancement. In this respect the author introduces an alternative, more suitable theory, namely Technological Sublimation Theory (TST). Extimate Technology will be of interest to scholars and advanced students working in philosophy of technology, philosophy of the self, phenomenology, pragmatism, and history of philosophy. (shrink)

Brain imaging technologies are increasingly used to find networks and brain regions that are specific to the functional realization of particular aspects of the self. In this paper, we aim to show how neuroscientific research and techniques could be used in the context of self-formation without treating them as representations of an inner realm. To do so, we show first how a Cartesian framework underlies the interpretation and usage of brain imaging technologies as functional evidence. To illustrate how material-technological inventions (...) and developments can have a significant and lasting impact on views of the self, we show how this framework was influenced by another technology: the camera obscura. Subsequently, we show that brain imaging technologies challenge the idea that privileged access to the self can be obtained merely through introspection, indicating a strong discontinuity between the Cartesian and the current neuroscientific framework. Building on these insights, we reframe the self in terms of self-formation. This view neither regards the brain as an independent realizer of aspects of the self, nor assumes that self-knowledge can be obtained through introspection. From this perspective, self-formation is realized throughcritical self-identification: instead of offering representational knowledge of an ‘inner self,’ the potential use of brain imaging technologies within this framework lies in their capacity to offer what we call ‘extrospective knowledge’ that pragmatically can contribute to self-formation. Brain imaging technologies contribute to this process because they foreground our neurophysiology, which helps to critically integrate biological aspects into self-formation. (shrink)

The replicator dynamics and Moran process are the main deterministic and stochastic models of evolutionary game theory. The models are connected by a mean-field relationship—the former describes the expected behavior of the latter. However, there are conditions under which their predictions diverge. I demonstrate that the divergence between their predictions is a function of standard techniques used in their analysis and of differences in the idealizations involved in each. My analysis reveals problems for stochastic stability analysis in a broad class (...) of games, demonstrates a novel domain of agreement between the dynamics, and indicates a broader moral for evolutionary modeling. (shrink)

The suspension system is referred to as the set of springs, shock absorbers, and linkages that connect the car to the wheel system. The main purpose of the suspension system is to provide comfort for the passengers, which is created by reducing the effects of road bumpiness. It is worth noting that reducing the effects of such vibrations also diminishes the noise and undesirable sound as well as the effects of fatigue on mechanical parts of the vehicle. Due to the (...) importance of the abovementioned issues, the objective of this article is to reduce such vibrations on the car by implementing an active control method on the suspension system. For this purpose, a conventional first-order sliding mode controller has been designed for stochastic control of the quarter-car model. It is noteworthy that this controller has a significant ability to overcome the stochastic effects, uncertainty, and deal with nonlinear factors. To design a controller, the governing dynamical equation of the quarter-car system has been presented by considering the nonlinear terms in the springs and shock absorber, as well as taking into account the uncertainty factors in the system and the actuator. The design process of the sliding mode controller has been presented and its stability has been investigated in terms of the Lyapunov stability. In the current research, road surface variations are considered as Gaussian white noise. The dynamical system behavior for controlled and uncontrolled situations has been simulated and the extracted results have been presented. Besides, the effects of existing uncertainty in the suspension system and actuator have been evaluated and controller robustness has been checked. Also, the obtained quantitative and qualitative compressions have been presented. Moreover, the effect of controller parameters on the basin of attraction set and its extensiveness has been assessed. The achieved results have indicated the good performance and significant robustness of the designed controller to stabilize the suspension system and mitigate the effects of road bumpiness in the presence of uncertainty and noise factors. (shrink)

Sergius of Reshaina’s Syriac exposition of Aristotle’s _Categories_, with its discussion on substance, quantity, quality, relatives and the other categories, but also the teaching on space from the _Physics_, is presented here in a critical edition with an English translation.

The practice of HARKing---hypothesizing after results are known---is commonly maligned as undermining the reliability of scientific findings. There are several accounts in the literature as to why HARKing undermines the reliability of findings. We argue that none of these is right and that the correct account is a Bayesian one. HARKing can indeed decrease the reliability of scientific findings, but it can also increase it; which effect HARKing produces depends on the difference of the prior odds of hypotheses characteristically selected (...) ex ante and ex post to observing data. Further, we show how misdiagnosis of HARKing can lead to misprescription in the context of the replication crisis. (shrink)

The paper considers the democratic value of the recent public sphere movements—from Occupy Wall Street to Taksim Gezi Park, from Tahrir Square to Sofia. It argues that the mainstream models of democracy fail to grasp the significance of these movements and the emergent political forms within these movements due to their narrow account of politics and democracy. To fully grasp the democratic value of recent public sphere movements, we should approach them from an agonistic perspective. Once democratic politics is viewed (...) from an agonistic perspective, it becomes possible to recognize that while expressing their critique of existing liberal democratic institutions, the recent public sphere movements contested the dominant understanding of democracy and staged an alternative vision of democracy, democratic culture, and new forms of citizenship. (shrink)

Although modern technical and scientific developments in medicine are followed closely in Turkey, it cannot be claimed that the same is true in the field of bioethics. Yet, more and more attention is now being paid to bioethics and ethics training in health sciences. In addition, there are also legal regulations in bioethics, some of which are not so new. The objective of these regulations is to provide technical and administrative control. Ethical concerns are rather few. What attracts our attention (...) most in these regulations is the presence of the idea of "consent". (shrink)

From Cairo to Occupy Wall Street, from Istanbul Gezi Park to DANS protests in Sofia, in recent public sphere movements we have witnessed the emergence of a new wave of creative protest. The surge of creative forms of political action brings to the fore the question of democratic potential of creative political protest. This paper explores in what ways creative protest could deepen democracy. I argue that creative political protest nurtures democracy by generating a peaceful culture of resistance and by (...) providing a peaceful way of responding to politics of intolerance and polarization. (shrink)

A pós-fenomenologia é um enfoque na filosofia da tecnologia que investiga como as tecnologias influenciam e moldam o mundo e o ego. Embora a pós-fenomenologia tenha expressado desde o início a ambição de oferecer uma estrutura não-essencialista e não-fundacionista, o desenvolvimento estrutural desse aspecto está virtualmente ausente. O pragmatismo peirciano, como será proposto, pode fornecer essa estrutura, bem como os blocos de construção para o desenvolvimento da visão da autoformação em termos de sublimação. Essa visão tenta reconhecer que nosso ambiente, (...) que é cada vez mais um ambiente tecnológico e sujeito à mudança radical, molda consideravelmente quem nós somos e influencia quem deveremos ser. E, ao mesmo tempo, resiste à ideia de que o ego não é mais do que um joguete de influências e forças contingentes. (shrink)

This book explores the implications of agonistic democratic theory for political practice. Fuat Gürsözlü argues that at a time when political parties exacerbate political division, political protesters are characterized as looters and terrorists, and extreme partisanship and authoritarian tendencies are on the rise, the agonistic approach offers a much-needed rethinking of political practice to critically understand challenges to democracy and envision more democratic, inclusive, and peaceful alternatives. Inspired by Chantal Mouffe’s agonistic theory and drawing on insights of other prominent (...) agonistic scholars, Gürsözlü offers a distinctive approach that develops the connections between the agonistic approach and political practice. His main claim is that approaching democratic politics from an agonistic perspective changes the way we understand the nature of democratic society, the place of political protest in democracy, the nature of adversarial engagement, and the democratic function of political parties. The book also advances an account of agonistic peace that is best fitted to the pluralistic and inherently conflictual nature of democratic societies. This book should be of interest to anyone working in the field of contemporary political theory, political philosophy, peace studies, and philosophy of peace. (shrink)

Bu makalenin amacı, Türkiye örnekleminde Tanrı algısı üzerine yapılmış ampirik araştırmaların sistematik bir incelemesini sunmaktır. Tanrı algısı çok boyutlu bir yapı olarak ele alınmış ve Tanrı algısının sosyodemografik ve psikolojik süreçleri içeren diğer değişkenlerle ilişkisi tartışılmıştır. Tanrı algısı ile psikopatoloji ve manevi bakım arasındaki ilişki de gözden geçirilmiştir. İnceleme sonucunda Tanrı algısının yaşa göre her zaman anlamlı bir farklılık göstermediği ancak ilişkinin olumlu yönde seyrettiği, yaş ilerledikçe Tanrı algısının daha olumlu olduğu söylenebilir. Cinsiyet farklılığına bakıldığında kadınların erkeklere göre daha olumlu (...) bir Tanrı algısına sahip oldukları, gelir düzeyi ve eğitim düzeyi açısından ise anlamlı bir farklılığın olmadığı görülmüştür. Ayrıca Tanrı algısının okul türüne göre (dini ve seküler okullar) farklılık gösterebildiği, Tanrı algısının oluşumunda anne baba tutumlarının önemli olduğu görülmüştür. Çalışmalar baskıcı, otoriter veya ilgisiz/ ihmalkar anne baba tutumları ile büyüyen insanların Tanrı algılarının daha korku yönelimli olduğunu, demokratik anne baba tutumları ile büyüyenlerin ise daha sevgi yönelimli Tanrı algıları olduğunu göstermiştir. Öznel dindarlık ve olumlu dini başa çıkmanın Tanrı algısı ile pozitif ilişkili olabildiği sonucuna varılmıştır. Sosyodemografik değişkenlere ek olarak, sevgi yönelimli Tanrı algısının daha iyi psikolojik sağlık, daha yüksek iyi oluş, etkili ve olumlu başa çıkma, olumlu benlik saygısı, daha düşük depresyon ve daha düşük psikopatolojik belirtilerle pozitif yönde ilişkili olduğu söylenebilir. Gözden geçirilen 55 çalışma içerisinde pek çok bulguya ulaşılmış olsa da incelenen değişkenlerin çok çeşitli olduğu, ancak her değişken hakkında genel bir çıkarım yapmak için yeterli çalışma olmadığı, bu nedenle halen Türkiye örnekleminde Tanrı algısı ile ilgili çalışmaların artırılması gerektiği düşünülmektedir. Son olarak, daha fazla araştırmaya ihtiyaç duyulan alanlar tartışma bölümünde ele alınmıştır. (shrink)

Scientific curation, where scientific evidence is selected and shared, is essential to public belief formation about science. Yet common curation practices can distort the body of evidence the public sees. Focusing on science journalism, we employ computational models to investigate how such distortions influence public belief. We consider these effects for agents with and without confirmation bias. We find that standard journalistic practices can lead to significant distortions in public belief; that preexisting errors in public belief can drive further distortions (...) in reporting; that practices that appear relatively unobjectionable can produce serious epistemic harm; and that, in some cases, common curation practices related to fairness and extreme reporting can lead to polarization. (shrink)

Muammar b. Abbād al-Sulamī (d.215/830) was one of the most influential figures of his time in terms of recognizing things and making sense of the changes in the universe, which occupies an important place in Islamic thought. Muammar, who was a Basra Mu'tazilite, appears especially with his naturalistic ideas. What makes him stand out is that he also embraced atomism. Although the atomist conception was of foreign origin, the theologians revised it according to their theological views. This view was also (...) presented as a proof of God’s constant activity in the universe. Muammar, who also defined substance, body and accident, which are the basic concepts of kalam cosmology, influenced other theologians, especially with his definition of body. For Muammar, things have a nature. The body creates its accidents as a result of its own nature. Ultimately, in his thought, it is God who gives this nature to the body. Therefore, he accepts that the functioning of the universe takes place within the framework of the laws that God has set in the universe. This idea of Muammar’s about the nature of bodies is actually to demonstrate that the universe functions in a tremendous way in this way. The concept of māna, which is based on Muammar’s thought, occupies an important place at this point. With this concept, which is identified with the understanding of nature, he aimed to exclude the essence of God from the beings. In his view, this concept is also active when it comes to God’s attributes. For him, that’s why God is the wise and the powerful by means of the knowledge and the power that He possesses through the māna. According to Muammar, māna means cause. He argues that the separation of a moving object from an immobile object is the result of a māna. Therefore, objects are also differentiated from each other through a māna. A māna can exist with a māna, which brings forth the idea of the infinity of māna. However, the infinity of māna does not mean the infinity of things. Muammar’s most criticized point is the nature of objects and the fact that they undergo change as a result of this nature, that is, they create their accidents. In this case, the concept of continuous re-creation, which is generally accepted in theology, does not fit Muammar’s system. For Muammar, there is a system based on cause and effect. Although there are criticisms that this relationship he defended belongs to a strict determinist approach, in fact, it can be said that he was concerned with excluding God from situations that take place on the plane of time and space, such as movement and change. Compared to other contemporary theologians who held naturalistic views like him, Muammar’s justification of nature on the basis of māna sets him apart from the others. (shrink)

The Triumph of Liberal Democratic Peace and the Dangers of Its Success” provides an overview of the “liberal democratic peace theory” that is associated with Kant and has been developed by Doyle and other contemporary scholars. The chapter examines the problem of wars that are fought in the name of democracy and the way that the liberal democratic peace theory can end up encouraging military interventions. It argues that a careful understanding of the Kantian democratic peace theory can resist the (...) urge to intervene. It employs Galtung’s notion of cultural violence to provide a critique of interventionist peace action. It concludes by advising that we work to find a way to build bridges between democracies and non-democracies. (shrink)

This book provides insights into the viability of the idea of global constitution. Global constitutionalism has emerged as an alternative paradigm for international law. However, in view of the complex and varied structure of contemporary constitutionalism, in reality it is extremely difficult to use constitutional law to provide a new paradigm for international law. The book argues that the cultural paradigm can offer functional tools for the global constitutionalism discourse. In other words, global constitutionalism could be handled in the context (...) of a global "constitutional culture" instead of a global constitution. This would provide a more realistic basis for discussing global constitutionalization of a society as diverse as the international community, where a globalized polity and a globalized legal system have not yet been achieved. (shrink)

This article exemplifies research on the subjective life experiences of women with breast cancer, designed from a psychoanalytic perspective. Such research aims to reveal the subjective intrapsychic processes of women suffering from breast cancer, which can provide researchers and health care professionals with useful insight. Using Biographic narrative interpretative method, the study reveals some common denominators in the subjective life experiences of women with breast cancer. The study revealed that the subjects consider the diagnosis of breast cancer as one of (...) the four main events in their lives. Even though these events are very different from each other, in terms of type and severity, the results indicate a common process in the way these life events are experienced by the participants. These results are relevant for health care practitioners in structuring their psychosocial support programs so as to better accommodate their patients' psychological needs. (shrink)

Peace, Culture, and Violence examines deeper sources of violence by providing a critical reflection on the forms of violence that permeate everyday life and our inability to recognize these forms of violence. Exploring the elements of culture that legitimize and normalize violence, the essays collected in this volume invite us to recognize and critically approach the violent aspects of reality we live in and encourage us to envision peaceful alternatives. Including chapters written by important scholars in the fields of Peace (...) Studies and Social and Political Philosophy, the volume represents an endeavour to seek peace in a world deeply marred by violence. Topics include: thug culture, language, hegemony, police violence, war on drugs, war, terrorism, gender, anti-Semitism, and other topics.. (shrink)

لا يكاد يخلو تفسير في العصور الأخيرة من الجمع بين علمي الرواية والدراية، وإذا كان ذلك فإن مؤلفه ولا شك على دراية بعلم الحديث وإن تفاوتت الرتبة بين المؤلفين في ذلك، ومن تلك التفاسير: تفسير راموز التحرير و التفسير للطف الله أفندي الأرضرومي، الذي بناه على تفسير البيضاوي وغيرها من التفاسير وضمّنه الكثير من المرويات، ولكن منهجه في سرد المرويات تنوع فيه ولم يلتزم منهج البيضاوي أو الاقتصار على ما فيه من المرويات، وهنا نحاول عرض شخصيته كعارف لعلوم الحديث، من (...) حيث طلبه له ورحلته لأجله وما ألّفه فيه؛ لنظهر شخصيته محدثا ولنبين أثره في هذا العلم ومن ثم الوقوف على أضخم مؤلفاته ألا وهو التفسير لنستعرض مدى استخدامه لملكته الحديثية وأسلوبه في عرض مروياته في تفسيره. (shrink)

Building on the emotion-centered model of voluntary work behavior, this research tests the relations between leader narcissism, followers’ malicious and benign envy, and supervisor-targeted counterproductive work behavior. Results across five studies, two experimental studies, and two field surveys indicate that leader narcissism relates positively to followers’ negative emotions, which in turn mediates the positive relation between leader narcissism and supervisor-targeted CWB. Proposed negative relations between leader narcissism and positive emotions were only partly supported. Our findings advance the understanding of envy (...) and the detrimental impact of leader narcissism on organizational functioning. (shrink)

Germany has just started a public debate on priority-setting, rationing and cost-effectiveness due to the cost explosion within the German health care system. To date, the costs for German health care run at 11,6 % of its Gross Domestic Product (GDP, 278,3 billion €) that represents a significant increase from the 5,9 % levels present in 1970. In response, the German Parliament has enacted several major and minor legal reforms over the last three decades for the sake of cost containment (...) and maintaining stability of the health care system. The Statutory Health Insurance—SHI (Gesetzliche Krankenversicherung—GKV) is based on the fundamental principle of solidarity and provides an ethical and legal framework for implementing equity, comprehensiveness and setting the principles and rules for financing and providing health care services and benefits. Within the SHI system, several major actors can be identified: the Federal Ministry of Health, the 16 state ministries of health, the Federal Joint Committee (G-BA), the physicians (with their associations) and the hospitals (with their organizations) on the provider side, and the sickness funds with their associations on the purchasers’ side. This article reviews the structure and complexities of the German health care system with its major players and participants. The focus will be put on relevant ethical, legal and economic aspects for prioritization, rationalization, rationing and cost-effectiveness of medical benefits and services. In conclusion, this article pleads for open discussion on the challenging subject of priority-setting instead of accepting the implicit and non-transparent rationing of medical services that currently occurs at many different levels within the health care system, as it stands today. (shrink)

The chapter explores Johan Galtung’s theory of cultural violence from the perspective of a hegemony centered account of the social. It argues that once we take hegemony as a central organizing idea of the social, it becomes possible to recognize the limits of Galtung’s account of cultural violence and why his response to it remains weak. It defends a politics of contestation and a politics of disruption as possible ways to counter the risks introduced by cultural violence.