Delivering high quality genomics-informed care to patients requires accurate test results whose clinical implications are understood. While other actors, including state agencies, professional organizations, and clinicians, are involved, this article focuses on the extent to which the federal agencies that play the most prominent roles — the Centers for Medicare and Medicaid Services enforcing CLIA and the FDA — effectively ensure that these elements are met and concludes by suggesting possible ways to improve their oversight of genomic testing.

In this paper a new resolution to the gamer’s dilemma is presented. The first part of the paper is devoted to strictly formulating the dilemma, and the second to establishing its resolution. The proposed resolution, the grave resolution, aims to resolve not only the gamer’s dilemma, but also a wider set of analogous paradoxes – which together make up the paradox of treating wrongdoing lightly.

Most people agree that murder is wrong. Yet, within computer games virtual murder scarcely raises an eyebrow. In one respect this is hardly surprising, as no one is actually murdered within a computer game. A virtual murder, some might argue, is no more unethical than taking a pawn in a game of chess. However, if no actual children are abused in acts of virtual paedophilia (life-like simulations of the actual practice), does that mean we should disregard these acts with the (...) same abandon we do virtual murder? In this paper I shall outline several arguments which attempt to permit virtual murder, whilst prohibiting virtual paedophilia. (shrink)

Montefiore and Formosa (Ethics Inf Technol 24:31, 2022) provide a useful way of narrowing the Gamer’s Dilemma to cases where virtual murder seems morally permissible, but not virtual child molestation. They then resist the dilemma by theorising that the intuitions supporting it are not moral. In this paper, I consider this theory to determine whether the dilemma has been successfully resisted. I offer reason to think that, when considering certain variations of the dilemma, Montefiore and Formosa’s theory may not be (...) the most likely theory available to us. (shrink)

In this paper I will evaluate Ali’s dissolution of the gamer’s dilemma. To this end the dilemma will be summarized and Ali’s dissolution formulated. I conclude that Ali has not dissolved the dilemma (at least not fully).

I argue that there exists a proportional relationship between degrees of moral culpability and degrees of probability, where the more an agent believes her actions will result in certain consequences, the more morally culpable she is for these consequences. I assert that this degree of probability is necessarily diminished by the existence of active supernatural powers. Consequently, agents who believe in such powers are less morally culpable than agents who do not.

The Gamer’s Dilemma (Luck, 2009a) is a paradox concerning the moral permissibility of two types of acts performed within computer games. Some attempt to resolve the dilemma by finding a relevant difference between these two acts (Bartel, 2012; Patridge, 2013; Young, 2016; Nader, 2020; Kjeldgaard-Christiansen, 2020; and Milne & Ivankovic, 2021), or to dissolve the dilemma by arguing that the permissibility of these acts is not as they seem (Ali, 2015; Ramirez, 2020). More recently some have attempted to resist the (...) dilemma by undermining the intuitions supporting it (Montefiore & Formosa, 2022; Formosa et al., 2023). The purpose of this paper is to consider what might follow from such resistance. (shrink)

One response to the existential threat posed by a super-intelligent AI is to design it to be friendly to us. Some have argued that even if this were possible, the resulting AI would treat us as we do our pets. Sparrow (AI & Soc. https://doi.org/10.1007/s00146-023-01698-x, 2023) argues that this would be a bad outcome, for such an AI would dominate us—resulting in our freedom being diminished (Pettit in Just freedom: A moral compass for a complex world. WW Norton & Company, (...) 2014). In this paper, I consider whether this would be such a bad outcome. (shrink)

In this paper we consider whether Christopher Bartel has resolved the gamer’s dilemma. The gamer’s dilemma highlights a discrepancy in our moral judgements about the permissibility of performing certain actions in computer games. Many gamers have the intuition that virtual murder is permissible in computer games, whereas virtual paedophilia is not. Yet finding a relevant moral distinction to ground such intuitions can be difficult. Bartel suggests a relevant moral distinction may turn on the notion that virtual paedophilia harms women in (...) a way that virtual murder does not. We argue that this distinction is only in a position to provide a partial solution to the dilemma. (shrink)

In the following essay I use an extended commentary on Dave Elder-Vass’s The Reality of Social Construction to explore the issue of what progress in realism means. I set out and critique the concept of the norm circle in order to consider how an argument is developed as realist social theory and what limits that might have in terms of the recognized realist concept of adequacy. Specifically, I address the way realist social theory can become restricted to an internal exploration (...) of realism whilst issues of real world relevance are deferred. (shrink)

What is the relation between what we ought to do, on the one hand, and our epistemic access to the ought-giving facts, on the other? In assessing this,it is common to distinguish ‘objective’ from ‘subjective’ oughts. Very roughly, on the objectivist conception what an agent ought to do is determined by ought-giving facts in such a way that does not depend on the agent’s beliefs about, or epistemic access to, those facts; whereas on the subjectivist conception, what an agent ought (...) to do depends on his beliefs. This paper defends the need for, and explicates, a third category of ‘ought’: ‘warranted oughts’. Section 1 introduces the distinction between objective and subjective ‘oughts’. Sections 2–3 draw attention to some serious problems with each. Section 4 examines, though rejects, a recent attempt to replace subjective ‘oughts’ with objective ‘wide-scope oughts’ operating on belief-action combinations. Section 5 explicates the notion of a warranted ‘ought’ and defends the account against some possible objections. The resulting a picture is one in which an adequate analysis of practical normativity requires both objective and warranted ‘oughts’. Section 6 concludes by responding to a worry about countenancing both. (shrink)

Safe and effective methods of preconception gender selection through flow cytometric separation of X- and Y-bearing sperm could greatly increase the use of gender selection by couples contemplating reproduction. Such a development raises ethical, legal, and social issues about the impact of such practices on offspring, on sex ratio imbalances, and on sexism and the status of women. This paper analyzes the competing interests in preconception gender selection, and concludes that its use to increase gender variety in a family, and (...) possibly for selecting the gender of firstborn, might in many instances be ethically acceptable. (shrink)

In humans, gender is both a concept and performance embodied by females and males, a corporeal technology that is produced dialectically. The process of gendering robots makes especially clear that gender belongs both to the order of the material body and to the social and discursive or semiotic systems within which bodies are embedded. This article explores and interrogates the gendering of humanoid robots manufactured today in Japan for employment in the home and workplace. Gender attribution is a process of (...) reality construction. Roboticists assign gender based on their common-sense assumptions about female and male sex and gender roles. Whereas the relationship between human bodies and genders is a contingent one, I argue that gendered robots render that relationship a necessary one by conflating bodies and genders. Humanoid robots are the vanguard of posthuman sexism, and are being developed within a reactionary rhetorical climate. (shrink)

The Derrida Dictionary is a comprehensive and accessible guide to the world of Jacques Derrida, the founder of deconstruction and one of the most important and influential European thinkers of the twentieth century. Meticulously researched and extensively cross-referenced, this unique book covers all his major works, ideas and influences and provides a firm grounding in the central themes of Derrida's thought. Students will discover a wealth of useful information, analysis and criticism. A-Z entries include clear definitions of all the key (...) terms used in Derrida's writings and detailed synopses of his key works. The Dictionary also includes entries on Derrida's major philosophical influences and those he engaged with, such as Kant, Hegel, Husserl, Freud, Heidegger, Foucault, Lacan and Levinas. It covers everything that is essential to a sound understanding of Derrida's philosophy, offering clear and accessible explanations of often complex terminology. The Derrida Dictionary is the ideal resource for anyone reading or studying Derrida, deconstruction or modern European philosophy more generally. (shrink)

This paper discusses how adoption of the social dimensions of the marketing concept may unintentionally restrict innovation and corporate entrepreneurship, ultimately reducing social welfare. The impact of social marketing on innovation and entrepreneurship is discussed using the case of multinational pharmaceutical firms that are under pressure when marketing HIV treatments in poor countries.The argument this paper supports is that social welfare may eventually be diminished if forced social responsibility is imposed. The case of providing subsidized AIDS medication to less developed (...) nations is used to illustrate how social blackmail may result in less innovation, entrepreneurship, and product development efforts by the pharmaceutical industry, ultimately reducing social welfare. (shrink)

Purpose This paper aims to evaluate a potential resolution to the gamer’s dilemma that arises from Gary Young’s metaethical theory of constructive ecumenical expressivism. Design/methodology/approach In this paper, the gamer’s dilemma is reformulated as a paradox and the potential resolution is evaluated in light of this new formulation. Findings The author argues that this resolution does resolve the dilemma, but CEE itself has limited appeal. Originality/value This paper contributes to the growing scholarship dedicated to resolving the gamer’s dilemma.

Advance directives such as living wills are attractive in that they give us a sense of control over our futures. But they also tend to obscure conflicts between a patient's competent wishes and later, incompetent interests. They allow caregivers to avoid evaluating quality of life in assessing the best interests of incompetent patients.

A common view of the relation between oughts and reasons is that you ought to do something if and only if that is what you have most reason to do. One challenge to this comes from what Jonathan Dancy calls ‘enticing reasons.’ Dancy argues that enticing reasons never contribute to oughts and that it is false that if the only reasons in play are enticing reasons then you ought to do what you have most reason to do. After explaining how (...) enticing reasons supposedly work and why accepting them may appear attractive, I firstly show why we are not committed to accepting them into our conceptual framework and then argue that no reasons work in the way enticing reasons are claimed to. Thus we should reject the category of enticing reasons entirely. (shrink)

This essay critiques feminist treatments of maternal-fetal "relationality" that unwittingly replicate features of Western individualism (for example, the Cartesian division between the asocial body and the social-cognitive person, or the conflation of social and biological birth). I argue for a more reflexive perspective on relationality that would acknowledge how we produce persons through our actions and rhetoric. Personhood and relationality can be better analyzed as dynamic, negotiated qualities realized through social practice.

Embryonic stem cell research has been a source of ethical, legal, and social controversy since the first successful culturing of human ESCs in the laboratory in 1998. The controversy has slowed the pace of stem cell science and shaped many aspects of its subsequent development. This paper assesses the main issues that have bedeviled stem cell progress and identifies the ethical fault lines that are likely to continue.The time is appropriate for such an assessment because the field is poised for (...) a period of rapid development. President Obama has removed the Bush administration’s restrictions on federal funding. A huge influx of federal research funds is in the offing and presumably a more rapid maturing of the science will take place. Stem cell science is also moving into the clinical realm. In March 2009, the Food and Drug Administration approved the first clinical trial with an ESC-derived therapy for spinal cord injuries, an important first step — though by no means a final or a sure one — in moving ESC research out of the laboratory into clinical medicine. Finally, recent work with induced pluripotent stem cells suggests that non-embryonic sources of pluripotent stem cells may one day be routinely available. Such a development will lessen the temperature of the ethical debate while raising other issues. (shrink)

Conclusions reached using common sense reasoning from a set of premises are often subsequently revised when additional premises are added. Because we do not always accept previous conclusions in light of subsequent information, common sense reasoning is said to be nonmonotonic. But in the standard formal systems usually studied by logicians, if a conclusion follows from a set of premises, that same conclusion still follows no matter how the premise set is augmented; that is, the consequence relations of standard logics (...) are monotonic. Much recent research in AI has been devoted to the attempt to develop nonmonotonic logics. After some motivational material, we give four formal proofs that there can be no nonmonotonic consequence relation that is characterized by universal constraints on rational belief structures. In other words, a nonmonotonic consequence relation that corresponds to universal principles of rational belief is impossible. We show that the nonmonotonicity of common sense reasoning is a function of the way we use logic, not a function of the logic we use. We give several examples of how nonmonotonic reasoning systems may be based on monotonic logics. (shrink)

Indirect situationist critiques of virtue ethics grant that virtue exists and is possible to acquire, but contend that given the low probability of success in acquiring it, a person genuinely interested in behaving as morally as possible would do better to rely on situationist strategies - or, in other words, strategies of environmental or ecological engineering or control. In this paper, I develop a partial answer to this critique drawn from work in early Confucian ethics and in contemporary philosophy and (...) psychology. From early Confucian ethics, I lean on the concept of li, or ritual. Ritual represents both a set of situational manipulations that are especially effective at directly producing moral behavior and at indirectly cultivating virtue over time, and also a virtue that consists of facility with and expertise in these situational manipulations. Appealing to the particular example of social power, I then argue that one is justified in attempting to acquire virtue if one knows that one will frequently encounter circumstances in which purely situationist strategies lose effectiveness, if these circumstances also carry moral urgency: the risk of great harm or opportunity for great benefit to others is high, and if utilizing the potent combination of situationist strategies and virtue envisioned by the early Confucians as ritual is possible. (shrink)

Kierkegaard's impact on the development of critical theory has received scant study; it is the aim of the book to fill this scholarly lacuna. Kierkegaard and Critical Theory seeks to expose the complexity not only of Kierkegaard but of the Frankfurt School and their cohort, highlighting the ways in which the Danish religious thinker has been redeemed for a multiculture activist ethics in spirit with the fundamental aims of the Frankfurt School.

In his book, The Last Word, Thomas Nagel expresses the hope that there exists no God. Guy Kahane, in his paper ‘Should We Want God to Exist?’, attempts to defend Nagel from an argument that concludes such a hope may be impermissible. In this paper we present a new defense for the hope that God does not exist.

A couple may have a child to provide stem cells for another child. They may also use preimplantation testing—even, troubling though it is, prenatal testing and selective abortion—to ensure a close tissue match.

PurposeThe purpose of this paper is to outline a case where people's intuitions regarding the ethical status of an action performed in a massively multiplayer online role‐playing game are divided, and provide an argument to resolve this division.Design/methodology/approachThis paper takes a philosophical approach, from the analytical tradition. It details the main arguments for each side and provides counter‐arguments in order to indicate the salient points.FindingsThe paper argues that, of the three arguments for the morality of particular virtual action outlined in (...) this paper, none are satisfactory. An argument for the immorality of the action in questions based upon the fairness/sportsmanship distinction is offered.Originality/valueThe development of case‐based ethical studies, which draw upon current and controversial events within popular virtual environments, are useful in the construction of a deeper understanding of moral action within such spaces. (shrink)

In L'Arrêt de mort, as Derrida suggests, an ‘epochal suspension’ manifests itself, compulsively pulsating so as to conjure a certain spectrality beyond all consciousness, perception, or ordinary attentiveness. Re-reading Blanchot's text, I argue that it is on the borderlines of sleep that the ‘arrythmic pulsation’ of the arrêt de mort happens as impossible event – ‘the state of suspension in which it's over – and over again, and you'll never have done with that suspension itself’, to quote Derrida once more. (...) While ‘Living On’ makes little of sleep, however, I take this cue to follow a pathway which leads from Blanchot to Levinas. Blanchot's writing exposes the sleep of reason which occurs in the very promise of perfect day, a promise which mutates in the dream he associates with the ‘other night’, a dream which harbours the irrepressible return of ‘time's absence’, and which opens on to the very ‘outside’ which the world – and the self – lacks or wants (as much as ‘world’ or ‘self’ seek to overcome this ‘outside’ as such). Levinas, meanwhile, wants to think irremissible pure existing (il y a) in terms of insomnia; in contrast, consciousness seeks to assert itself over the unremitting presence of the ‘there is’ through its capacity for unconsciousness or sleep. This essay seeks to attend to the complexities of a certain ‘fatality of being’ that threatens to sweep away the ‘ego’ as consciousness's capacity to sleep is confronted by the radical vigilance of insomnia and the deep anonymity of the night (Existence and Existents). (shrink)

Although business ethics has a long history as a core theme within the realm of strategic management it has not received considerable attention in top strategy journals until recently. In this paper, we assess the state of business ethics research published over a 5-year period (2006–2010) in Strategic Management Journal to ascertain whether there has been an increase in business ethics research published in the top strategy outlet. The results of our content analysis reveal that ethics research in SMJ is (...) indeed on the rise yet this research stream is still underrepresented with only 5.8 % of all articles published over the five-year period having an ethics theme. Moreover, the link between Corporate Social Performance and Financial Performance was identified as the top theme during the review period. (shrink)

Fuzzy logics are systems of logic with infinitely many truth values. Such logics have been claimed to have an extremely wide range of applications in linguistics, computer technology, psychology, etc. In this note, we canvass the known results concerning infinitely many valued logics; make some suggestions for alterations of the known systems in order to accommodate what modern devotees of fuzzy logic claim to desire; and we prove some theorems to the effect that there can be no fuzzy logic which (...) will do what its advocates want. Finally, we suggest ways to accommodate these desires in finitely many valued logics. (shrink)

Philosophers have made numerous and varied attempts to analyse the concept of a miracle. To the end, an assortment of necessary and sufficient conditions for the truth an instantiation of a miracle have been offered. In this paper we discuss one of the most common of these conditions - the violation restriction. This restriction holds that all miracles involve a violation of a law of nature.

Craig Callender attempts to overturn conventional wisdom within decision theory by contending that rational intertemporal choices need not always conform to an exponential discounting function. He argues that there are cases in which hyperbolic discounting is the height of rationality. This paper does not seek to undermine Callender’s conclusions, but instead raises two interrelated theoretical concerns with his way securing them. The first concern is with his dismissal of influential dual-system explanations of rationality. It is argued that Callender’s criticisms of (...) said explanations fail to assess them at anything like their full weight. It is then suggested that dual-systems approaches in cognitive science do have substantial theoretical problems, but that Callender fails to identify them. The second concern builds on the first and suggests that Callender’s arguments against consensus normative standards might motivate a more dramatically reimagined notion of rationality than the one he seems to embrace. (shrink)

In this paper I shall assess Clarke’s assertion that all definitions of miracles that purport to satisfy the criterion of religious inclusiveness should substitute the term ‘supernatural’ for ‘non-natural’. In addition, I shall attempt to strengthen Clarke’s conception of the supernatural by offering an analysis of what it means for something to be ‘above’ nature. Lastly, I shall offer a new argument as to why Clarke’s intention-based definition of miracles is necessarily less religiously inclusive than Mumford’s causation-based definition.