Toward A Sociological Imagination builds on the ideas C. Wright Mills expressed in The Sociological Imagination for an approach to the scientific method broad enough to open up to the full range of knowledge within the sociology discipline. In this book, nine sociologists and one philosopher provide detailed tests of the utility of the approach within diverse substantive sociological areas.

With each of our three criminal-law topics—defining offenses, apprehending suspects, and establishing punishments—we feel, I believe, strong moral resistance to the idea that our practices should be settled by a prospective-participant perspective. This becomes quite clear when we look at how the “reforms” suggested by institutional viewing might combine once we consider all three topics together: imagine a more extensive and swifter use of the death penalty in homicide cases coupled with somewhat lower standards of evidence; or think of backing (...) a strict-liability criminal statute with the death penalty. Of course, such “reforms” would increase the execution of innocents; but, their proponents will tell us, any penal system involves the punishment of some innocents, and, if it provides for the death penalty, the execution of some innocents. Moreover, why is it worse for innocents to be punished than for innocents to suffer an equivalent harm in some other way? Formulated from a prospective-participant perspective: Why not run a small risk of being innocently executed in exchange for reducing, much more significantly, the risk of dying prematurely in other ways? (shrink)

Cognitivism about trust says that it requires belief that the trusted is trustworthy; non-cognitivism denies this. At stake is how to make sense of the strong but competing intuitions that trust is an attitude that is evaluable both morally and rationally. In proposing that one's respect for another's agency may ground one's trusting beliefs, second-personal accounts provide a way to endorse both intuitions. They focus attention on the way that, in normal situations, it is the person whom I trust. My (...) task is to develop an account of the latter insight without the controversial theoretical commitments of the former. I propose a functional account for why the second and third-personal ‘systems’ operate not just in parallel, but in tandem, in support of a cognitivist account of trust. (shrink)

According to the received view in philosophy of mind, mental states or properties are _realized_ by brain states or properties but are not identical to them. This view is often called _realization_ _physicalism_. Carl Gillett has recently defended a detailed formulation of the realization relation. However, Gillett’s formulation cannot be the relation that realization physicalists have in mind. I argue that Gillett’s “dimensioned” view of realization fails to apply to a textbook case of realization. I also argue Gillett counts as (...) realization some cases that should not count if realization physicalism is to be distinguished from its competitors in the usual ways. I conclude that the relation described by Gillett cannot be realization. (shrink)

During the past ten years Integrative Social Contracts Theory (ISCT) has become part of the repertoire of specialized decision-oriented theories in the business ethics literature. The intention here is to (1)␣provide a brief overview of the structure and strengths of ISCT; (2) identify recurring themes in the extensive commentary on the theory including brief mention of how ISCT has been applied outside the business ethics literature; (3) describe where research appears to be headed; and (4) specify challenges faced by those (...) who seek to reform ISCT. Key themes in the critiquing literature relate to (a) the identification process for hypernorms; (b) justification of the recognition of hypernorms; (c) proposals for considering meso or meta norms; (d)␣clarification of the relationship between stakeholder concepts and ISCT; (e) problems with potentially unoccupied moral free space; (f) sources of ethical obligation within the ISCT framework; and (g) the potential role for concepts of stakeholder dialogue and engagement. (shrink)

Philosophy &Public Affairs, Volume 47, Issue 4, Page 412-424, Fall 2019.

Firms possessing a unique competency to rescue the victims of a human catastrophe have a minimum moral obligation to devote substantial resources toward best efforts to aid the victims. The minimum amount that firms should devote to rescue is the largest sum of their most recent year’s investment in social initiatives, their five-year trend, their industry’s average, or the national average. Financial exigency may justify a lower level of investment. Alternative social investments may be continued if they have an equally (...) compelling rationale. These duties apply to the global pharmaceutical companies in the context of the AIDS pandemic in sub-Saharan Africa. (shrink)

Numa sociedade democrática, as regras sociais são impostas a cada um por todos. Como “recebedores” de tais regras, tendemos a pensar que elas deviam ser designadas para engendrar a melhor distribuição possível de bens e males ou qualidade de vida. Enquanto autores das regras, tendemos a pensar que os malefícios por nós impostos através de tais regras têm maior peso moral que os danos que nós meramente deixamos de evitar ou mitigar. Embora as atuais teorias sejam dominadas pela primeira perspectiva, (...) uma concepção adequada da justiça exige um balanceamento de ambas tendências. O tema da equidade na saúde é bem apropriado para mostrar como concepções da justiça puramente dirigidas aos recebedores estão fadadas ao fracasso e como esboçar uma alternativa mais promissora. (shrink)

Governments and their international agencies (FAO, World Bank) conceive of the eradication of hunger and poverty as a worthy wish that will eventually be realized through economic growth. They also make great cosmetic efforts to present as good-looking trend pictures as they can. Citizens ought to insist that the eradication of severe deprivations is a human rights correlative duty that permits no avoidable delay. Academics ought to collaborate toward providing a systematic alternative monitoring of what progress has really been made (...) against undernourishment and other povertyrelated deprivations. (shrink)

The view that the relationship between minds and brains can be thought of on the model of software and hardware is pervasive. The most common versions of the view, known as functionalism in philosophy of mind, hold that minds are realized by brains.

A common view is that the truth of multiple realization—e.g., about psychological states—entails the truth of functionalism. This is supposed to follow because what is multiply realized is eo ipso realized. I argue that view is mistaken by demonstrating how it misrepresents arguments from multiple realization. In particular, it undermines the empirical component of the arguments, and renders the multiplicity of the realization irrelevant. I suggest an alternative reading of multiple realizability arguments, particularly in philosophy of psychology. And I explain (...) the proper way to understand the relation between realization and multiple realization. (shrink)

Feeling moved or touched can be accompanied by tears, goosebumps, and sensations of warmth in the centre of the chest. The experience has been described frequently, but psychological science knows little about it. We propose that labelling one’s feeling as being moved or touched is a component of a social-relational emotion that we term kama muta. We hypothesise that it is caused by appraising an intensification of communal sharing relations. Here, we test this by investigating people’s moment-to-moment reports of feeling (...) moved and touched while watching six short videos. We compare these to six other sets of participants’ moment-to-moment responses watching the same videos: respectively, judgements of closeness, reports of weeping, goosebumps, warmth in the centre of the chest, happiness, and sadness. Our eighth time series is expert ratings of communal sharing. Time series analyses show strong and consistent cross-correlations of feeling moved and touched and closeness with each other and with each of the three physiological variables and expert-rated communal sharing – but distinctiveness from happiness and sadness. These results support our model. (shrink)

'Methinks I am like a man, who having narrowly escap'd shipwreck', David Hume writes in A Treatise of Human Nature, 'has yet the temerity to put out to sea in the same leaky weather-beaten vessel, and even carries his ambition so far as to think of compassing the globe'. With these words, Hume begins a memorable depiction of the crisis of philosophy and his turn to moral and political philosophy as the path forward. In this groundbreaking work, Thomas W. (...) Merrill shows how Hume's turn is the core of his thought, linking Hume's metaphysical and philosophical crisis to the moral-political inquiries of his mature thought. Merrill shows how Hume's comparison of himself to Socrates in the introduction to the Treatise illuminates the dramatic structure and argument of the book as a whole, and he traces Hume's underappreciated argument about the political role of philosophy in the Essays. (shrink)

The Reformed theological tradition has maintained that faith consists in trust, with that trust involving belief of certain doctrinal propositions. This paper has two aims. First, it contributes towards rehabilitating this conception of faith. I start, accordingly, by setting out the Reformers’ basic case: faith consists in trust because faith is a response to the promises of God, by which the Christian receives God’s forgiveness and is united with God. This argument is independent of any commitment to nondoxasticism or doxasticism (...) about faith. Second, it argues for a methodological commitment which the Reformers’ conception of faith-as-trust complies with, which I think is independently compelling, and which has significant implications for contemporary debates on faith: the kind of faith that matters is that which enables the individual to stand justified, or righteous, before God. Philosophical accounts of faith are unavoidably entangled with theological disputes about justification. (shrink)

Trust is difficult to define. Instead of doing so, I propose that the best way to understand the concept is through a genealogical account. I show how a root notion of trust arises out of some basic features of what it is for humans to live socially, in which we rely on others to act cooperatively. I explore how this concept acquires resonances of hope and threat, and how we analogically apply this in related but different contexts. The genealogical account (...) explains both why the notion has such value for us and why it is difficult to define. (shrink)

Extant social contracts, deriving from communities of individuals, constitute a significant source of ethical norms in business. When found consistent with general ethical theories through the application of a filtering test, these real social contracts generate prima facie duties of compliance on the part of those who expressly or impliedly consent to the terms of the social contract, and also on the part of those who take advantage of the instrumental value of the social contracts. Businesspeople typically participate in multiple (...) communities and, as a consequence, encounter conflicting ethical norms. Priority rules can be devised to resolve such conflicts. The framework of extant social contracts merges normative and theoretical research in business ethics and specifies a domain for empirical studies. (shrink)

Consider what the brain-state theorist has to do to make good his claims. He has to specify a physical–chemical state such that any organism (not just a mammal) is in pain if and only if (a) it possesses a brain of suitable physical–chemical structure; and (b) its brain is in that physical–chemical state. This means that the physical–chemical state in question must be a possible state of a mammalian brain, a reptilian brain, a mollusc’s brain (octopuses are mollusca, and certainly (...) feel pain), etc. At the same time, it must not be a possible (physically possible) state of the brain of any physically possible creature that cannot feel pain. Even if such a state can be found, it must be nomologically certain that it will also be a state of the brain of any extraterrestrial life that may be found that will be capable of feeling pain before we can even entertain the supposition that it may be pain. It is not altogether impossible that such a state will be found... . But this is certainly an ambitious hypothesis. (Putnam 1967/1975, p. 436) The belief that mental states are multiply realized is now nearly universal among philosophers, as is the belief that this fact decisively refutes the identity theory. I argue that the empirical support for multiple realization does not justify the confidence that has been placed in it. In order for multiple realization of mental states to be an objection to the identity theory, the neurological differences among pains, for example, must be such as to guarantee that they are of distinct neurological kinds. But the phenomena traditionally cited do not provide evidence of that sort of variation. In particular, examples of neural plasticity do not provide such evidence. (shrink)

Since Hilary Putnam offered multiple realization as an empirical hypothesis in the 1960s, philosophical consensus has turned against the idea that mental processes are identifiable with brain processes, and multiple realization has become the keystone of the 'antireductive consensus' across philosophy of science. Thomas W. Polger and Lawrence A. Shapiro offer the first book-length investigation of multiple realization, which serves as a starting point to a series of philosophically sophisticated and empirically informed arguments that cast doubt on the generality (...) of multiple realization in the cognitive sciences. They argue that mind-brain identities have played an important role in the growth and achievements of the cognitive sciences, and suggest that there is little prospect for multiple realization in an empirically-based theory of mind. This leads Polger and Shapiro to offer an alternative framework for understanding explanations in the cognitive sciences, as well as in chemistry, biology, and other non-basic sciences. (shrink)

This article develops a social epistemological analysis of Web-based search engines, addressing the following questions. First, what epistemic functions do search engines perform? Second, what dimensions of assessment are appropriate for the epistemic evaluation of search engines? Third, how well do current search engines perform on these? The article explains why they fulfil the role of a surrogate expert, and proposes three ways of assessing their utility as an epistemic tool—timeliness, authority prioritisation, and objectivity. “Personalisation” is a current trend in (...) Internet-delivered services, and consists in tailoring online content to the interests of the individual user. It is argued here that personalisation threatens the objectivity of search results. Objectivity is a public good; so there is a prima facie case for government regulation of search engines. (shrink)

Although many challenges remain, business ethics is flourishing in North America. Prominent organizations give annual business ethics awards, investments in socially screened mutual funds are increasing, ethics officers and corporate ombudspersons are more common and more influential, and new ideas are being tested in practice. On the academic side, two major journals specializing in business ethics are well-established and other major journals often include articles on business ethics and new organizations emphasizing ethics have been initiated. Within business schools, the number (...) of endowed chairs is growing and the ethics curriculum is expanding. Canada is a major player in the business ethics discipline while business ethics in Mexico is just beginning to emerge as a focus of interest in both the business and academic communities. (shrink)

This paper extends the discussion of guanxi beyond instrumental evaluations and advances a normative assessment of guanxi. Our discussion departs from previous analyses by not merely asking, Does guanxi work? but rather Should corporations use guanxi? The analysis begins with a review of traditional guanxi definitions and the changing economic and legal environment in China, both necessary precursors to understanding the role of guanxi in Chinese business transactions. This review leads us to suggest that there are distinct types of, and (...) uses for guanxi. We identify the potentially problematic aspects of certain forms of guanxi from a normative perspective, noting among other things, the close association of particular types of guanxi with corruption and bribery. We conclude that there are many different forms of guanxi that may have distinct impacts on economic efficiency and the well-being of ordinary Chinese citizens. Consistent with Donaldson and Dunfee (1999), we advocate a particularistic analysis of the different forms of guanxi. (shrink)

A project on teaching business ethics at The Wharton School concluded that ethics should be directly incorporated into key MBA courses and taught by the core business faculty. The project team, comprised of students, ethics faculty and functional business faculty, designed a model program for integrating ethics. The project was funded by the Exxon Education Foundation.The program originates with a general introduction designed to familiarize students with literature and concepts pertaining to professional and business ethics and corporate social responsibility. This (...) may be accomplished through orientation sessions, readings, packages, short classes and lectures. (shrink)

Why are people trustworthy? I argue for two theses. First, we cannot explain many socially important forms of trustworthiness solely in terms of the instrumentally rational seeking of one’s interests, in response to external sanctions or rewards. A richer psychology is required. So, second, possession of moral character is a plausible explanation of some socially important instances when people are trustworthy. I defend this conclusion against the influential account of trust as ‘encapsulated interest’, given by Russell Hardin, on which most (...) trustworthiness is explained by the interest of continuing relationship. (shrink)

The essays in this volume honor the work of political scientist and Eric Voegelin scholar, Barry Cooper, by considering how political philosophy (a form of hunting) and empiricism get "woven" together (to borrow a metaphor from Plato). In other words, they consider how science needs to be conducted if it is to remain true to our commonsense experience of the world and to facilitate political judgment. Several of the essays cover Eric Voegelin, including his understanding of consciousness, a comparison of (...) him and Leo Strauss, and his self-understanding as a scholar. Other essays consider terrorism, technology, religion and the modern world, the divided line in Plato's Republic, and the political significance of hope. The volume also includes a number of essays that consider different aspects of Canadian politics, including its strong regionalism, political culture, public law, and the infamous "Calgary School" of political science. These essays are united by the concern that political science must "weave" together political philosophy and empiricism. This task was what Aristotle meant when he characterized political science as a matter of practical wisdom. It is an insight that was also central for Voegelin's restoration of political science in the twentieth century, and that these essays continue into the twenty-first century. Political analysis begins in whatever contemporary crisis the analyst has found himself. The analyst sifts through competing claims of political meaning asserted by the partisans in the crisis. From there he ascends to greater luminosity concerning the human condition by viewing those claims in light of the "major questions in the history of political thought." They inform one another, as the search for order is necessarily the search for order that is conducted by a particular individual's consciousness in the context of a particular community in space and time. This volume will be of special interest to scholars of political philosophy as well as citizens and statesmen interested in how an engagement in the history of political philosophy can facilitate political judgment in particular political circumstances. Publisher's note. (shrink)

My topic is the confluence of two recently active philosophical research programs. One research program concerns the metaphysics of realization. The other research program concerns scientific explanation in terms of mechanisms. In this paper I introduce a distinction between descriptive and explanatory approaches to realization. I then use this distinction to argue that a well-known account of realization, due to Carl Gillett, is incompatible with a well-known account of mechanistic explanation, due to Peter Machamer, Lindley Darden, and Carl Craver (MDC, (...) Philos Sci 57: 1-25, 2000). This is surprising, not least of which because Gillett has cited MDC's work as evidence that his account of realization is the right way to think about realization in the sciences. (shrink)

Challenges influential interpretations of Aristotelian ethical and political philosophy.

Fifty years ago J. J. C. Smart published his pioneering paper, “Sensations and Brain Processes.” It is appropriate to mark the golden anniversary of Smart’s publication by considering how well his article has stood up, and how well the identity theory itself has fared. In this paper I first revisit Smart’s text, reflecting on how it has weathered the years. Then I consider the status of the identity theory in current philosophical thinking, taking into account the objections and replies that (...) Smart discussed as well as some that he did not anticipate. Finally, I offer a brief manifesto for the identity theory, providing a small list of the claims that I believe contemporary identity theorist should accept. As it turns out, these are more or less the ones that Smart defended fifty years ago. (shrink)

One-third of all human lives end in early death from poverty-related causes. Most of these premature deaths are avoidable through global institutional reforms that would eradicate extreme poverty. Many are also avoidable through global health-system reform that would make medical knowledge freely available as a global public good. The rules should be redesigned so that the development of any new drug is rewarded in proportion to its impact on the global disease burden (not through monopoly rents). This reform would bring (...) drug prices down worldwide close to their marginal cost of production and would powerfully stimulate pharmaceutical research into currently neglected diseases concentrated among the poor. Its feasibility shows that the existing medical-patent regime (trade-related aspects of intellectual property rights—TRIPS—as supplemented by bilateral agreements) is severely unjust—and its imposition a human-rights violation on account of the avoidable mortality and morbidity it foreseeably produces. (shrink)

Existentialism has come to be identified as a critical, reactionary way of thinking, celebrating the individual, freedom, embodiment, and the limits of rationality and systematic theorizing. For the most part this assessment is true of the early and, by now, “classical” works of existentialism, those that first burst upon the philosophical and cultural scene. Circulating Being centers on the later works of several well-known French existentialists (Camus, Marcel, Sartre, Merleau-Ponty) to trace out the development of their existential thinking about language, (...) communicative life, ethics, and politics. This development “from embodiment to incorporation” carries existentialism beyond identification with the mere reactionary and reveals how, while prefiguring postmodernism in important ways, the existential thinkers dealt with here reveal themselves to be reconstructive of the Western tradition. This is apparent in the growing appreciation of difference in their late works along with a reluctance to surrender the ideal of unity, and in their reappropriation of truth and justice while repudiating a totalizing metaphysics. (shrink)

Journal of Mass Media Ethics, Volume 26, Issue 2, Page 183-186, April-June.

This paper explains how a five minute-segment from “Monty Python and the Holy Grail” can be an effective pedagogical tool for distinguishing validity from soundness and for explaining several other concepts relevant to critical thinking courses. After viewing the “We’ve found a witch” scene, students are given a transcript of the sketch and asked to put arguments into a valid form. Once these arguments have been represented, students are charged with determining whether the argument is sound and, if unsound, with (...) determining which of the premises is controversial. The author argues that using this segment has a number of pedagogical benefits as it encourages real live critical thinking, can be used to teach additional critical thinking concepts (e.g. reasoning with analogies), and can help students be more cautious about making over-reaching claims in their own arguments. (shrink)

On patrol in Afghanistan, Sgt Blackman—referred to as ‘Marine A’ at the subsequent trial—pulled a wounded Taliban fighter out of view and shot him at close range. He was subsequently convicted for murder. I argue that, given premises endorsed in In Defence of War, Nigel Biggar is committed to the justifiability of that battlefield killing.

Moral universalism centrally involves the idea that the moral assessment of persons and their conduct, of social rules and states of affairs, must be based on fundamental principles that do not, explicitly or covertly, discriminate arbitrarily against particular persons or groups. This general idea is explicated in terms of three conditions. It is then applied to the discrepancy between our criteria of national and global economic justice. Most citizens of developed countries are unwilling to require of the global economic order (...) what they assuredly require of any national economic order, for example, that its rules be under democratic control, that it preclude life-threatening poverty as far as is reasonably possible. Without a plausible justification, such a double standard constitutes covert arbitrary discrimination against the global poor. Key Words: contextualism • corruption • discrimination • Rawls • resource exports • world poverty. (shrink)

We live in a world of radical inequality: Hundreds of millions suffer severe, lifelong poverty. Many others are quite well off and affluent enough significantly to improve the lives of the global poor. Does this radical inequality constitute an injustice in which we are involved? An affirmative answer finds broad support in different strands of the Western moral tradition, which also support the same program of institutional reform. This reform centers around a Global Resources Dividend, or GRD. A GRD in (...) the amount of one percent of the global social product would raise some $300 Billion a year. This amount is too small to lead to economic dislocation. But it is large enough to eradicate global poverty within one or two decades. (shrink)

For some thirteen years now, the World Bank (‘the Bank’) has regularly reported the number of people living below an international poverty line, colloquially known as ‘$1/day’.3 Reports for the most recent year, 1998, put this number at 1,175.14 million.4 The Bank’s estimates of severe income poverty — its global extent, geographical distribution, and trend over time — are widely cited in official publications by governments and international organizations and in popular media, often in support of the view that liberalization (...) and globalization have helped to reduce poverty worldwide. For instance, the President of the World Bank recently declared: “Over the past few years, these better policies have contributed to more rapid growth in developing countries’ per capita incomes than at any point since the mid-1970s. And faster growth has meant poverty reduction: the proportion of people worldwide living in absolute poverty has dropped steadily in recent decades, from 29% in 1990 to a record low of 23% in 1998. After increasing steadily over the past two centuries, since 1980 the total number of people living in poverty worldwide has fallen by an estimated 200 million — even as the world’s population grew by 1.6 billion.”. (shrink)

In Natural Minds Thomas Polger advocates, and defends, the philosophical theory that mind equals brain -- that sensations are brain processes -- and in doing so brings the mind-brain identity theory back into the philosophical debate about consciousness. The version of identity theory that Polger advocates holds that conscious processes, events, states, or properties are type- identical to biological processes, events, states, or properties -- a "tough-minded" account that maintains that minds are necessarily indentical to brains, a position held (...) by few current identity theorists. Polger's approach to what William James called the "great blooming buzzing confusion" of consciousness begins with the idea that we need to know more about brains in order to understand consciousness fully, but recognizes that biology alone cannot provide the entire explanation. Natural Minds takes on issues from philosophy of mind, philosophy of science, and metaphysics, moving freely among them in its discussion.Polger begins by answering two major objections to identity theory -- Hilary Putnam's argument from multiple realizability and Saul Kripke's modal argument against mind-brain identity. He then offers a detailed account of functionalism and functional realization, which offer the most serious obstacle to consideration of identity theory. Polger argues that identity theory can itself satisfy the kind of explanatory demands that are often believed to favor functionalism. (shrink)

By now it is cliché to observe that so-called reductionism is not one mammoth doctrine. There are, as it were, many reductionisms. Needless to say, there are at least as many antireductionisms. Despite the fact that neither reductionisms nor their counterparts are single and unified doctrines there do seem to be some family resemblances. One, it seems to me, is that both reductionisms and antireductionisms are acute responses to certain metaphysical worries. Some of these worries are metaphysical in nature, and (...) others are worries about the nature of metaphysics. My contention is that these worries are by and large misguided, and thus that the anxious reactions of both reductionists and antireductionists are unwarranted. For the present purposes I will distinguish between reductionist and antireductionist theses, on the one hand, and reductionist and antireductionist approaches, on the other. This is a perhaps clumsy distinction, and I don’t know that it carves reductionism at its joints. But I think it can be made to do some work. By theses I have in mind particular views about the nature of reduction and reductive relations, which can be worked out in various ways some of which will be discussed below. By approaches I have in mind the motivations and background assumptions that go into formulating or adopting particular theses. Individual reductionists and antireductionists usually hold what we might then call a theory, a combination of an approach and a thesis. A great deal has been written about the merits of or truth of any number of 1 reductionist or antireductionist theses. Presumably there are some assumptions about approaches and motivations lurking in the background. But very little has been said about the merits of the various approaches themselves. Put another way: There is a lively debate over whether particular reductionist theses can solve certain problems or avoid certain objections. But not enough attention has been given to whether these are problems worth solving or objections worth overcoming. (shrink)

In a democratic society, the social rules are imposed by all upon each. As “recipients” of the rules, we tend to think that they should be designed to engender the best attainable distribution of goods and ills or quality of life. We are inclined to assess social institutions by how they affect their participants. But there is another, oft-neglected perspective which the topic of health equity raises with special clarity: As imposers of the rules, we are inclined to think that (...) harms we inflict through the rules have greater moral weight than like harms we merely fail to prevent or to mitigate. What matters morally is not merely how we affect people, but how we treat them through the rules we impose. While current (consequentialist and Rawlsian) theorizing is dominated by the first perspective and thus supports purely recipient-oriented moral conceptions, an adequate approach to social justice requires a balancing of both. Such balancing results in a relational conception of justice, which distinguishes various ways in which an institutional scheme may causally affect the quality of life of its participants.This essay argues that the strength of our moral reason to prevent or mitigate particular medical conditions depends not only on what one might call distributional factors, such as how badly off the people affected by these conditions are in absolute and relative terms, how costly prevention or treatment would be, and how much patients would benefit from given treatment. Rather, it depends also on relational factors, that is, on how we are related to the medical conditions they suffer. It then discusses some implications of this view for understanding responsibilities for international health outcomes. (shrink)