The National Health Service (NHS) in the UK is currently facing a significant waiting list backlog following the disruption of the COVID-19 pandemic, with millions of patients waiting for elective surgical procedures. Effective treatment prioritisation has been identified as a key element of addressing this backlog, with NHS England's delivery plan highlighting the importance of ensuring that those with ‘the clinically most urgent conditions are diagnosed and treated most rapidly’. Indeed, we describe how the current clinical guidance on prioritisation issued (...) by The Federation of Surgical Specialty Associations serves this aim. However, whilst there are strong reasons to prioritise elective surgery in accordance with clinical need, we argue that it would be a mistake to assume that prioritisation in accordance with clinical need requires only a clinical or scientific judgement. The understanding of clinical need that we choose to employ in a prioritisation system will be grounded by some key ethical judgements. Moreover, we may also have to make trade-offs between addressing clinical need, safeguarding equality, and achieving other benefits. As the UK faces up to the backlog, it is important that surgical prioritisation guidelines enshrine a broad range of values that we believe ought to determine access to care in non-emergency circumstances. Our analysis suggests that the current approach to prioritisation is not a sufficiently nuanced way of balancing the different moral values that are operative in this context. (shrink)

Why should we seek and tell the truth? Does anyone know what truth is? Many are skeptical about the relevance of truth. Truth Matters endeavours to show why truth is important in a world where the very idea of truth is contested. Putting philosophers in conversation with educators, literary scholars, physicists, political theorists, and theologians, Truth Matters ranges across both analytic and continental philosophy and draws on the ideas of thinkers such as Aquinas, Balthasar, Brandom, Davidson, Dooyeweerd, Gadamer, Habermas, Kierkegaard, (...) Plantinga, Ricoeur, and Wolterstorff. Some essays attempt to provide a systematic account of truth, while others wrestle with the question of how truth is told and what it means to live truthfully. Contributors address debates between realists and anti-realists, explore issues surrounding relativism and constructivism in education and the social sciences, examine the politics of truth telling and the ethics of authenticity, and consider various religious perspectives on truth. Most scholars agree that truth is propositional, being expressed in statements that are subject to proof or disproof. This book goes a step farther: yes, propositional truth is important, but truth is more than propositional. To recognize how it is more than propositional is crucial for understanding why truth truly matters. Contributors include Doug Blomberg (ICS), Allyson Carr (ICS), Jeffrey Dudiak (King’s University College), Olaf Ellefson (York University), Gerrit Glas (VU University Amsterdam), Gill K. Goulding (Regis College), Jay Gupta (Mills College), Clarence Joldersma (Calvin College), Matthew J. Klaassen (ICS), John Jung Park (Duke University), Pamela J. Reeve (St. Augustine’s Seminary), Amy Richards (World Affairs Council of Western Michigan), Calvin Seerveld (ICS), Ronnie Shuker (ICS), Adam Smith (Brandeis University), John Van Rys (Redeemer University College), Darren Walhof (Grand Valley State University), Matthew Walhout (Calvin College), and Lambert Zuidervaart (ICS). (shrink)

'The men of culture are the true apostles of equality.' Matthew Arnold's famous series of essays, which were first published in book form under the title Culture and Anarchy in 1869, debate important questions about the nature of culture and society that are as relevant now as they have ever been. Arnold seeks to find out 'what culture really is, what good it can do, what is our own special need of it' in an age of rapid social change (...) and increasing mechanization. He contrasts culture, 'the study of perfection', with anarchy, the mood of unrest and uncertainty that pervaded mid-Victorian England. How can individuals be educated, not indoctrinated, and what is the role of the state in disseminating 'sweetness and light'? This edition reproduces the original book version and enables readers to appreciate its immediate historical context as well as the reasons for its continued importance today, in the face of the challenges of multi-culturalism and post-modernism. ABOUT THE SERIES: For over 100 years Oxford World's Classics has made available the widest range of literature from around the globe. Each affordable volume reflects Oxford's commitment to scholarship, providing the most accurate text plus a wealth of other valuable features, including expert introductions by leading authorities, helpful notes to clarify the text, up-to-date bibliographies for further study, and much more. (shrink)

Matthew Stuart offers a fresh interpretation of John Locke's Essay Concerning Human Understanding, arguing for the work's profound contribution to metaphysics. He presents new readings of Locke's accounts of personal identity and the primary/secondary quality distinction, and explores Locke's case against materialism and his philosophy of action.

Recent debates within the autism advocacy community have raised difficult questions about who can credibly act as a representative of a particular population and what responsibilities that...

In the burgeoning philosophical literature on conceptual engineering improving our concepts is typically portrayed as the hallmark activity of the field. However, Herman Cappelen has challenged the idea that we can know how and why conceptual changes occur well enough to actively intervene in revising our concepts; the mechanisms of conceptual change are typically inscrutable to us. If the ‘inscrutability challenge’ is correct, the practical aspect of conceptual engineering may seem to be undermined, but I argue that endorsing such pessimism (...) would be a mistake. Even if the inscrutability challenge is correct, conceptual engineers often have good reasons to try to preserve existing concepts. I examine several cases where concept preservation is important and draw lessons about this activity for conceptual engineers. (shrink)

If you do not know the correct answer, guess.Design addresses need, of various types. A designer “designs” to address, to propose a possibility, or to meet a need. A great variety of things are designed: shoes, posters, watches, houses, televisions, keyboards, movies, washing machines, toasters, belts, and cars, to mention only some.A designer, be he or she an architect, interior designer, graphic designer, product designer, or industrial designer, nearly always provides drawings, models, written descriptions, and overarching ideas in response to (...) a need, articulated, stated, by someone. The need might be one that the designer recognizes on his or her own and decides to address, or the need might come to the... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Role of Glass in Interior Architecture:Aesthetics, Community, and PrivacyMatthew Ziff (bio)Design education seeks to infuse students with knowledge, skills, and attitudes, regarding the design of the built environment. In the areas of knowledge and attitude, sophistication and competence are developed through both practice (largely carried out in the design studio environment), and engagement with critical analysis (largely carried out in seminar classes and traditional lecture format class environments). (...) For design students the world of design is both to be known and understood, and to be created, at their own studio desk. In order to both know and create design, students often behave like nocturnal predators, seeking what is necessary in a mode that is often unobserved, and then returning to digest their catch, to produce responsive and synthetic work. One arena in which design students find rich fields of information is that of material characteristics. Materials used in the design and construction of the built environment form a significant portion of the skeleton of a designer's body of knowledge, skills, and attitudes toward design. A current hotbed of material character and application is that of the world of glass. This essay is an exploration of some of the issues that the architectural uses of glass raise from the point of view of design student exploration.Materials evoke physical and psychological responses. Human beings are complex creatures and an individual's response to specific material applications can be unpredictable. Even so, it is reasonable to expect that there are shared attitudes that form the basis for responses to the physical character of the built environment. From delight, to confusion, materials used in the architecture of things large and small, from buildings to fountain pens, contain literal meaning, or expression of method, as well as possible symbolic and cultural meaning. The contemporary use of glass, particularly in interior architecture, presents a vivid arena for emotional and intellectual stimulation and response. [End Page 10]Glass planes that are sheer, opaque, translucent, colorful, brittle, imposing in mass, irregular in surface texture, flawlessly smooth, deformed through casting or by application of pressure and heat, are being used to create spaces that convey ambiguous relationships between private experience and public display. What is an ambiguous relationship? It is one to which a reasonable response is a high degree of uncertainty regarding the course of action one might take, or in the degree of understanding of the context one can develop. To know that the stair in the train station leads to track 4 is a condition that can be created by the use of unambiguous design; a visual connection from where one has to make a choice of paths to follow to the destination, track 4, creates a clear understanding of where track 4 is to be found. If track 4 can be seen from the position at which a choice is required, then certainty, clarity, is possible, if not probable. Visual connection is exactly what clear glass allows, and provides, yet ambiguity results because of the physical, hard barrier, transparency aside. "I can see track 4, but I cannot get there". The clarity provided by being able to see through glass, or even by being able to see light coming through translucent glass, is not sufficient to offset the uncertainty, or the mixed message, of not being able to get there, to touch what we can see.Glass in interiors offers a tactile and sensory titillation; the excitement of knowing that with a single swing of a hammer, or an umbrella handle, the beautiful sheet of curved frosted lemon ice colored tempered glass can be shattered into fragments.Windows have long been the predominant interior and exterior architectural element in which glass has played a major role. The glass used in Windows on the World, the famous restaurant atop the World Trade Center, destroyed during its collapse, and the glass used in a simple double hung window in a one story ranch house each share architectural duties of providing view from inside to outside, light transmission from outside to inside, heat gain, and acoustical isolation. Human eyes are sometimes described as "windows to the soul," which suggests the ability to... (shrink)

Focusing on Prussia from the Napoleonic era to the Revolution of 1848, this book boldly reinterprets the origins of German nationalism by tracing its links to eighteenth-century Enlightenment thought. It also presents a new perspective on the role of discourse in historical change, emphasizing how the concept 'nation' transformed the horizon of Prussian political debate.

In the face of the Brexit vote and the election of Trump, there is serious worry about whether the liberal, democratic, and cosmopolitan values thought to underlie progressive immigration policies are in fact widely shared. In this article, I examine these worries and provide suggestions about how those who do favor just progressive immigration policies might best respond to the problems we currently face.

We are happy to announce that Libertarian Papers has been chosen for inclusion in the web archives of the Library of Congress. This means that, once archived, the complete journal will be available indefinitely both to researchers at Library facilities and by special arrangement. Of course, because Libertarian Papers uses an open-access format, the use of ….

I offer an account of truth that combines elements of deflationism and traditional correspondence theories. We need such an intermediary account, I argue, in order to adequately answer two kinds of questions: "Why do we find it obvious that 'p' is true iff p?" and "Why is it contingent that 'p' is true iff p?" If what it is for 'p' to be true is explained by simply saying that p, as the deflationist claims, it is hard to see how (...) it could be contingent that 'p' is true iff p. But if it is claimed instead that what it is for a sentence to be true is for it to correspond to a fact, we still need some explanation of why 'p's correspondence with reality insure that p, and vice versa. What we need, I claim, is to recognize a structure to truth: truth for sentences, utterances, and other non-propositional entities depends on, and is analyzable in terms of, the expression of true propositions. Propositional truth can then be treated as insubstantial, as deflationary, and truth for other entities as substantial, consisting of correspondence to a fact . ;This account of truth, which I call Weak Deflationism, anchors the dissertation. In an introductory chapter, I give a partial defense of realism about propositions and properties, later defending Platonism against attacks by David Lewis. After formulating Weak Deflationism, I examine its implications for such matters as the "absurd comparison" objection, the truthmaker project in ontology, and non-factualist theories in metaethics. In a final chapter, I provide a Kripke-inspired modification of Weak Deflationism aimed to avoid liar-like paradox. Premised on a distinction between propositions that predicatively involve truth, i.e., truth-dependent propositions, and those that do not, truth-independent propositions, I argue that truth for the latter is deflationary and that truth for the former consists in being determined by the totality of truth-independent fact. Falsity is understood as truth of the negation. Liars are then counted neither true nor false, and paradox is averted. (shrink)

It’s generally assumed that a compositional semantic theory will have to recognise a semantic category of expressions which serve simply to pick out some one object: e-type expressions. Kripke’s views about names, Kaplan’s about indexicals and demonstratives, the standard Tarskian semantics for bound variables, Heim and Kratzer’s Strawsonian view about definites, even an analysis of indefinites, assume as much. In this thesis, I argue that recent advances in the semantics of names and of quotation, and in metaphysics, give good reason (...) to doubt there is such a category. I do so in two parts. In the first part, comprising about two thirds of the thesis, I combine two recent views, one from semantics and one from metaphysics. From semantics, I take over predicativism about names, the view, as one might have guessed, that names are predicates. From metaphysics, I take over the doctrine that there are temporal parts. Putting them together, I hold that the semantic contribution of the name ’Joan’, in a sentence like ’Joan is a barrister’, is a predicate, and in particular a predicate the extension of which is Joan’s temporal parts. Names are not, as is commonly thought, e-type expressions. In the second part, building on the first, I further undermine the existence of a semantically important category of e-type expressions by arguing that a construction which might be thought to mandate such a category, namely de re attitude ascriptions, in fact, when properly analysed, does not do so. I argue this by considering the nature of transparent occurrences of expressions in opaque contexts in general, and in particular by considering the phenomenon of mixed quotation. I present a new theory of it, and show how it can be parlayed into a new Fregean theory of de re attitude ascriptions. The thesis overall, then, will provide strong evidence against the semantic importance of e-type expressions either in language, or in thought. (shrink)

The general issue addressed in this dissertation is: what do the models of formal model-theoretic semantics represent? In chapter 2, I argue that those of first-order classical logic represent meaning assignments in possible worlds. This motivates an inquiry into what the interpretations of first-order quantified model logic represent, and in Chapter 3 I argue that they represent meaning assignments in possible universes of possible worlds. A possible universe is unpacked as one way model reality might be. The problem arises here (...) as to how we are to understand the distinction between the actual and the possible as it relates to modal reality. ;Along with the development of the main arguments in Chapters 2 and 3, the dissertation assesses the status of semantic accounts or logical properties and relations. Specifically, what does the model-theoretic account of a logically possible situation add to the syntactic account ? ;Proofs of invalidity in terms of the models of formal semantics do not establish that it is possible for the premises to be true and the conclusion false, since a formal model is merely given by a consistent set of sentences. Unless there is some way to generate a non-formal model from a formal one, such proofs do not really go beyond syntactic notions. The dissertation ends by concluding that there is no way to generate a non-formal model from a formal one without relying on logical intuitions that are syntactical. ;Hence efforts to construct a semantic basis for model logic independent of syntactic commitments are misguided. However, in classical logic the independence of the semantic account from the syntactic one is grounded on the intuition that it is metaphysically possible for there to be a denumerably infinite totality of objects. (shrink)

Generativism about memory justification is the view that memory can generate epistemic justification. Generativism is gaining popularity, but process reliabilists tend to resist it. Process reliabilism explains the justification of beliefs by way of the reliability of the processes they result from. Some advocates of reliabilism deny various forms of generativism. Other reliabilists reject or remain neutral about only the more extreme forms. I argue that an extreme form of generativism follows from reliabilism. This result weakens a long-standing argument for (...) reliabilism. (shrink)

Responses to public health emergencies can entail difficult decisions about restricting individual liberties to prevent the spread of disease. The quintessential example is quarantine. While isolating sick patients tends not to provoke much concern, quarantine of healthy people who only might be infected often is controversial. In fact, as the experience with severe acute respiratory syndrome (SARS) shows, the vast majority of those placed under quarantine typically don't become ill. Efforts to enforce involuntary quarantine through military or police powers also (...) can backfire, stoking both panic and disease spread. Yet quarantine is part of a limited arsenal of options when effective treatment or prophylaxis is not available, and some evidence suggests it can be effective, especially when it is voluntary, home-based and accompanied by extensive outreach, communication and education efforts. Even assuming that quarantine is medically effective, however, it still must be ethically justified because it creates harms for many of those affected. Moreover, ethical principles of reciprocity, transparency, non-discrimination and accountability should guide any implementation of quarantine. (shrink)

Accumulating evidence indicates that simulated natural settings can engage mechanisms that promote health. Simulations offer alternatives to actual natural settings for populations unable to travel outdoors safely; however, few studies have contrasted the effects of simulations of natural settings to their actual outdoor counterparts. We compared the impacts of simulated and actual natural settings on positive and negative affect (mood) levels using a pooled sample of participants enrolled in extant experimental studies. Relevant articles were identified from a review of research (...) published/in press by March 2020 and updated during the peer review of the current study. Of 16 articles identified, 6 met the inclusion criteria and administered a single cross-cutting, standardized instrument [the Positive and Negative Affect Schedule (PANAS)] before and after exposure. Random effects meta-analysis of pooled effects showed that positive affect increased in the actual settings but not in their simulated counterparts (Hedge's g = 0.87; 95% CI, 0.54, 1.20). We observed little difference in effects on negative affect change scores ( g = −0.28; 95% CI, −0.62, 0.06), with studies generally showing reductions in negative affect in both settings. Further research with additional populations, settings, antecedent conditions, and durations would provide a more robust understanding of differences in effects between these two ways to enhance mood by viewing nature. (shrink)

In this paper I argue that anyone who accepts a Rawlsian account of justice should favor granting family-based immigration benefit to same-sex couples. I first provide a brief over-view of the most relevant aspects of Rawls's position, Justice as Fairness. I then explain why family-based immigration benefits are an important topic and one that everyone interested in immigration and justice must consider. I then show how same-sex couples are currently systematically excluded from the benefits that flow from family-based immigration rights. (...) Next I argue that people in the constitutional and legislative stages of Rawls's original position would act to protect family-based immigration rights for themselves and show how these rights are rights of the current citizens of a state to bring in certain outsiders and not rights of outsiders seeking to enter. Importantly, this argument takes place entirely within the bounds of Rawls's domestic theory of justice and does not make reference to his more controversial views found in his account of international justice. I then show that there is no acceptable reason to restrict these rights to opposite-sex couples and good reason to extend them to same-sex couples. Finally I consider two objections to my account and show why they do not threaten my conclusion. (shrink)

Temporary labor migration programs have been among the most controversial topics in discussions of immigration reform. They have been opposed by many, perhaps most, academics writing on immigration, by immigration reform activists, and by organized labor. This opposition has not been without some good reasons, as many historical temporary labor migration programs have led to significant injustice and abuse. However, in this paper I argue that a well-crafted temporary labor migration program is both compatible with liberal principles of justice and (...) likely to be an important part of a sensible immigration policy for the near future, at least. I show how the many injustices and high potential for abuse of earlier programs may be avoided. I also show good reason to favor a well-crafted temporary labor migration program over either the more likely alternative outcome of officially tight borders (which would almost certainly maintain our current dependence on large-scale unauthorized immigration) and the much less likely option of nearly open borders. As increased labor migration of all sorts is an intrinsic part of increased economic globalization, it is especially important to craft guidelines for just temporary labor migration programs if we are to both gain the advantages of globalization and protect the rights of workers. (shrink)

Ultimate reality is often characterized in terms of a variety of what are thought to be incompatible concepts, like God, Dao, Brahman, etc. This book examines the plausibility of a genuine religious pluralism, arguing against relativism but in favor of the authenticity of a plurality of the world's major religious traditions.

Putative examples of true contradictions in the social world have been given by dialetheists such as Graham Priest, Richard Routley, and Val Plumwood. However, we feel that it has not been decisively argued that these examples are in fact true contradictions rather than merely apparent. In this paper we adopt a new strategy to show that there are some true contradictions in the social world, and hence that dialetheism is correct. The strategy involves showing that a group of sincere dialetheists (...) can, given an appropriately formed institution, bootstrap contradictions into existence. We discuss objections and consider the implications of this finding for debates over logic. (shrink)

Recent arguments over whether certain public health interventions should be mandatory raise questions about what counts as a "mandate." A mandate is not the same as a mere recommendation or the standard of practice. At minimum, a mandate should require an active opt-out and there should be some penalty for refusing to abide by it. Over-loose use of the term "mandate" and the easing of opt-out provisions could eventually pose a risk to the gains that truly mandatory public health interventions, (...) such as childhood vaccines, have provided over the last 50 years. Already, confusion about what counts as a mandate, and about what criteria should be used to determine when a public health intervention should be implemented as a mandate, has led to some inappropriate public policy decisions. For instance, by any reasonable criteria, the yearly influenza vaccine should be mandatory for health care workers. To enforce this mandate, those who refuse vaccination should be required to sign a waiver, and patients - especially those at high risk from flu - should be informed when they receive care from unvaccinated practitioners. (shrink)

Public policy issues around access to networked information are explored and examined. Long viewed as the quintessential public good, information has evolved into a critically important market commodity in little more than a generation. New technologies and a political climate in which the meaning of universal access to information is no longer commonly understood and in which its importance is no longer taken for granted pose significant challenges for American society. Libraries, as information commons, offer the means of meeting those (...) challenges. Historical, economical, and professional factors that shape the conflict are described and discussed. (shrink)

*The views represented are the author's alone and should not be construed as representing policies of the American Medical Association.

Confidentiality is a core value in medicine and public health yet, like other core values, it is not absolute. Medical ethics has typically allowed for breaches of confidentiality when there is a credible threat of significant harm to an identifiable third party. Medical ethics has been less explicit in spelling out criteria for allowing breaches of confidentiality to protect populations, instead tending to defer these decisions to the law. But recently, issues in military detention settings have raised the profile of (...) decisions to breach medical confidentiality in efforts to protect the broader population. National and international ethics documents say little about the confidentiality of detainee medical records. But initial decisions to use detainee medical records to help craft coercive interrogations led to widespread condemnation, and might have contributed to detainee health problems, such as a large number of suicide attempts several of which have been successful. More recent military guidance seems to reflect lessons learned from these problems and does more to protect detainee records. For the public health system, this experience is a reminder of the importance of confidentiality in creating trustworthy, and effective, means to protect the public's health. (shrink)