In Racial Prescriptions, Jonathan Xavier Inda offers a critical and timely analysis of the making of BiDil, the first (and only) drug that was marketed exclusively to African Americans. Sibille Merz speaks to him about the re-articulation of racial politics under neoliberalism, the legacies of scientific racism and the molecularization of biopolitics in the genomic age.

Xavier Landes,Martin Andersen,Klemens Kappel.

The past decade has seen a burgeoning of scholarly interest in conscientious objection in health care. Specifically, several commentators have discussed the implications that conscientious objection has for the delivery of timely, efficient, and nondiscriminatory medical care. In this paper, I discuss the main argument put forward by the most prominent critics of conscientious objection—what I call the Professional Duty Argument or PDA. According to proponents of PDA, doctors should place patients’ well-being and rights at the center of their professional (...) practice. Doctors should be prepared to set their personal moral or religious beliefs aside where these beliefs conflict with what is legal and considered good medical practice by relevant professional associations. Conscientious objection, on this account, should be heavily restricted, if even allowed at all. I discuss two powerful objections against PDA. The first objection, which I call the fallibility objection, notes that law and professional codes of conduct are fallible guides for ethical conduct and that conscientious objection has in the past and continues today to provide a check on aberrations in law and professional convention. The second, which I call the professional discretion objection, states that restrictions on conscientious objection undermine one of the cornerstones of good medical practice, namely, a practitioner’s right to independent professional judgment. I argue that these two objections give us reason to retain conscience clauses in professional codes of conduct. (shrink)

It is shown that axiomatic extensions of intuitionistic propositional calculus defining univocally new connectives, including those proposed by Gabbay, are strongly complete with respect to valuations in Heyting algebras with additional operations. In all cases, the double negation of such a connective is equivalent to a formula of intuitionistic calculus. Thus, under the excluded third law it collapses to a classical formula, showing that this condition in Gabbay's definition is redundant. Moreover, such connectives can not be interpreted in all Heyting (...) algebras, unless they are already equivalent to a formula of intuitionistic calculus. These facts relativize to connectives over intermediate logics. In particular, the intermediate logic with values in the chain of length n may be "completed" conservatively by adding a single unary connective, so that the expanded system does not allow further axiomatic extensions by new connectives. (shrink)

Several ethicists have defended the use of responsibility-based criteria in healthcare rationing. Yet in this article we outline two challenges to the implementation of responsibility-based healthcare rationing policies. These two challenges are, namely, that responsibility for past behavior can diminish as an agent changes, and that blame can come apart from responsibility. These challenges suggest that it is more difficult to hold someone responsible for health related actions than proponents of responsibility-sensitive healthcare policies suggest. We close by discussing public health (...) policies that could function as an alternative to contentious, responsibility-sensitive rationing policies. (shrink)

This book is centred around a traditional, vocational account of medical ethics – what is sometimes called a Hippocratic medical ethics but what Curlin and Tollefsen label ‘The Way of Medicine’. Th...

In “The Pecking Order,” Dalton Conley argues that inequalities between siblings are larger than inequalities at the level of the overall society. Our article discusses the normative implications for institutions of this observation. We show that the question of state intervention for curbing intra-family inequality reveals an internal tension within liberalism between autonomy and toleration, which bears on the forms that the intervention of institutions may take. Despite the pros and cons of both commitments, autonomy-based liberalism appears more compatible with (...) the involvement of the state for egalitarian reasons within the family than toleration-based liberalism.Export citation Request permission. (shrink)

Thomas Riisfeldt’s essay1 is a valuable contribution to the literature on palliative sedation, appropriately titrated administration of opioids (ATAOs) and euthanasia. In this response, I will not deal with the author’s empirical claim about the relationship between opioid use, palliative sedation and survival time. Rather, I will briefly critique the author’s discussion of doctrine of double effect (DDE) and its application to palliative sedation and opioid use at the end of life. That is, I will focus on the ethical claims (...) made by the author. Riisfeldt argues that DDE is incompatible with both Kantian deontology and Millian consequentialism. Yet, I will argue that the DDE is coherent and defensible when interpreted from the perspective of the philosophy of Thomas Aquinas, the theorist who first proposed the doctrine. I will also argue that Riisfeldt mischaracterises ATAOs and palliative sedation as procedures that hasten death as a means to relieve pain. While death may indeed be hastened by ATAOs and palliative sedation, it is not at all clear that clinicians intend to hasten death as a means to relieve pain. Indeed, clinical guidelines explicitly prohibit the intentional hastening of death. Riisfeldt provides a brief summary of the DDE. He describes DDE as a ‘strange hybrid of four principles’. He lists the four criteria that must be met for an act with a good and a bad effect to be permissible. These criteria are the ‘intention and means criteria’ and the ‘intrinsic and proportionality criteria’ (p.127). The author uses Kant and Mill as lens through which to highlight a tension between the intrinsic and proportionality criteria of DDE. The author claims that ‘the intrinsic criterion is derived from deontology, the predominant form of which is championed by Kant’, and that ‘the proportionality criterion is derived from consequentialism, the predominant form of …. (shrink)

An extensions by new axioms and rules of an algebraizable logic in the sense of Blok and Pigozzi is not necessarily algebraizable if it involves new connective symbols, or it may be algebraizable in an essentially different way than the original logic. However, extension whose axioms and rules define implicitly the new connectives are algebraizable, via the same equivalence formulas and defining equations of the original logic, by enriched algebras of its equivalente quasivariety semantics. For certain strongly algebraizable logics, all (...) connectives defined implicitly by axiomatic extensions of the logic are explicitly definable. (shrink)

Cette recension a déjà paru sur le blog Abandonedfootnotes. Nous remercions Xavier Marquez de nous avoir autorisé à la reproduire ici. I have previously encouraged people to read Randall Collins' work (his infrequently updated blog, The Sociological Eye, is typically excellent), but it is only recently that I tackled his book on interaction rituals. And despite its forbidding title, seemingly promising a work on some technical topic in the sociology of religion, this is a very good book that (...) (...) - Recensions. (shrink)

In the absence of new physics around \ GeV, the electroweak vacuum is at best metastable. This represents a major challenge for high scale inflationary models as, during the early rapid expansion of the universe, it seems difficult to understand how the Higgs vacuum would not decay to the true lower vacuum of the theory with catastrophic consequences if inflation took place at a scale above \ GeV. In this paper we show that the non-minimal coupling of the Higgs boson (...) to curvature could solve this problem by generating a direct coupling of the Higgs boson to the inflationary potential thereby stabilizing the electroweak vacuum. For specific values of the Higgs field initial condition and of its non-minimal coupling, inflation can drive the Higgs field to the electroweak vacuum quickly during inflation. (shrink)

In this work, Xavier Lakshmanan argues for a textual linguistic approach to Christian theology. The book takes its shape in conversation with Paul Ricoeur’s philosophical thought, demonstrating how Ricoeur’s hermeneutic philosophy can inform the way Christians interpret and appropriate biblical narratives without delimiting the potential of the text or eroding the distinctiveness of its language. The text can be appropriated in ways that address the fundamental questions of life. New meanings are constantly generated from the same text in order (...) to describe and redescribe existence, and form human identity. The self is linked inseparably with narrative; every interpretation of narrative is at the same time a reinterpretation of the self and of its possibilities. In such interpretative processes, the reader interprets the text and the text interprets the reader at the same time through an interactive reading. Accordingly, the aim of interpreting the narratives is to open up the world of the text in front of the text and in front of the reader. Here what the text uncovers is the «textual» structure of existence itself. The reality that unfolds through language discloses the possibilities of existence, and in this way the text creates a future. A revised identity emerges against the horizon of that future to give a coherent and dynamic account of the self against a horizon of hope. (shrink)

Replying to Samuel Knafo and Benno Teschke, this article shows how Political Marxism offers powerful conceptual tools to understand modes of production that structure historical processes as fundamentally constituted by exploitative social and political relations. I explain how structure, or rules of reproduction, should be understood as alienated social relations, which are inherent to all class societies. Understanding structure this way leaves ample space for – and makes inevitable – the consideration of agency.

"Beau mystère que ce Mémorial l Que s'est-il exactement passé, ce 23 novembre 1653? Qu'a voulu dire Pascal avec ces phrases tronquées ou allusives? De quel Feu parle-t-il? De quelle certitude? De quelle séparation? A qui s'adresse-t-il? Les mots énigmatiques qu'il énonce, je pressens qu'ils sont la clef d'une vie. Je suis aussi curieux de les décortiquer que si j'avais retrouvé la bande sonore de l'Annonciation ou la vidéo de la chute de Paul de Tarse sur le chemin de Damas. (...) Mais au-delà de la curiosité vient l'aventure : la lecture de Pascal m'entraîne plus loin que je voudrais". Par le commentaire suivi qu'il fait du Mémorial en tant qu'écrivain et romancier, Xavier Patier nous offre une entrée personnelle et magnifique dans l'oeuvre et la pensée de Blaise Pascal. (shrink)

Several bioethicists have recently discussed the complexity of defining human death, and considered in particular how our definition of death affects our understanding of the ethics of vital organ procurement. In this brief paper, we challenge the mainstream medical definition of human death—namely, that death is equivalent to total brain failure—and argue with Nair-Collins and Miller that integrated biological functions can continue even after total brain failure has occurred. We discuss the implications of Nair-Collins and Miller’s argument and suggest that (...) it may be necessary to look for alternative biological markers that reliably indicate the death of a human being. We reject the suggestion that we should abandon the dead-donor criteria for organ donation. Rather than weaken the ethical standards for vital organ procurement, it may be necessary to make them more demanding. The aim of this paper is not to justify the dead donor rule. Rather, we aim to explore the perspective of those who agree with critiques of the whole brain and cardiopulmonary definitions of death but yet disagree with the proposal that we should abandon the dead-donor rule. We will consider what those who want to retain the dead-donor rule must argue in light of Nair-Collins and Miller’s critique. (shrink)

Many ethicists argue that we should respect persons when we distribute resources. Yet it is unclear what this means in practice. For some, the idea of respect for persons is synonymous with the idea of respect for autonomy. Yet a principle of respect for autonomy provides limited guidance for how we should distribute scarce medical interventions. In this article, however, I sketch an alternative conception of respect for persons—one that is based on an ethic of mutual accountability. I draw in (...) particular upon Stephen Darwall’s writings on respect and the second-person standpoint. I consider the implications of this conception of respect for the distribution of scarce, lifesaving healthcare resources. A second-personal account of respect rules out aggregative approaches to distribution, and instead requires that we give individual consideration to the claims that persons in need make on the resources in our control. The principles that we use to govern our allocation of resources, furthermore, should be principles that are acceptable to all reasonable agents. Building on this insight, the final section of this paper considers how a principle of need can be used as a means to make decisions about the allocation of lifesaving resources. -/- . (shrink)

The book by Magali Année, Tyrtee et Kallinos, claims to establish new and ambitious grounds on which to found an interpretation of Tyrtaeus’ and Kallinos’ works. By analysing the underlining networks of phonic‑syllabic repetitions in the available fragments, she studies how those two poets have elaborated a paroenetic‑incantatory diction to make the audience accept the content of the exhortation as an already‑lived experience. For instance, she argues that any item in the phonic sequence ‑μεν/μην/μον/μν‑, even as a palindrome, refers to (...) the action denoted by the verb μένειν, “to resist”. Année elaborates the conditions for the plausibility of her original interpretation through a re‑evaluation of the frameworks through which archaic poems are usually interpreted, and she proposes a new edition of the testimonies and fragments on the ground of radical textual conservatism. After summarising the author’s arguments in detail, I conclude that, in spite of their merits, they fail to meet the author’s objectives completely. I discuss in turn : how the author arranges the new edition of the testimonies and fragments ; how she argues for her central view about phonic‑syllabic repetitions and the elaboration of the secondary layer of meaning ; and how she analyses meter, which she presents as one of the bases for phonic‑pragmatic constructs ; and how she conceives of her hermeneutical approach. On this last point, I specifically address the author’s view on the relationship between testimonies and fragments, the type of meaning she focuses on, the deconstruction of pre‑interpretations, and textual conservatism. I argue that the Année’s proposed underlying network of meaning comes at the expense of “meaning” in the more usual sense ; we could however have expected her to elaborate on how her proposed layer of meaning enriches or enhances our understanding of the more usual layer. Tyrtee et Kallinos therefore represents an alternative to traditional interpretative approaches, with limits of its own, rather than a re‑founding. (shrink)

The book provides a detailed introduction to a major debate in bioethics, as well as a rigorous account of the role of conscience in professional decision-making. Exploring the role of conscience in healthcare practice, this book offers fresh counterpoints to recent calls to ban or severely restrict conscience objection. It provides a detailed philosophical account of the nature and moral import of conscience, and defends a prima facie right to conscientious objection for healthcare professionals. The book also has relevance to (...) broader debates about religious liberty and civil rights, such as debates about the rights and duties of persons and institutions who refuse services to clients on the basis of a religious objection. The book concludes with a discussion of how to regulate individual and institutional conscientious objection, and presents general principles for the accommodation of individual conscientious objectors in the healthcare system. This book will be of value to students and scholars in the fields of moral philosophy, bioethics and health law. (shrink)

En enero de 1974 Zubiri dio un breve curso en la Sociedad de Estudios y Publicaciones de Madrid sobre el tema Tres dimensiones del ser humano: individual, social e histórica. Meses después publicó la última de esas lecciones bajo el título de La dimensión histórica del ser humano. El presente volumen recoge el texto de las tres conferencias, más la versión escrita de la última de ellas. La tesis que Zubiri desarrolla en estas lecciones es que el ser humano es (...) a la vez y necesariamente individual, social e histórico, y que estas dimensiones vienen exigidas por su propia realidad específica, que es pluralizante, continuante y prospectiva. (shrink)

The past decade has seen a burgeoning of scholarly interest in conscientious objection in healthcare. While the literature to date has focused primarily on individual healthcare practitioners who object to participation in morally controversial procedures, in this article we consider a different albeit related issue, namely, whether publicly funded healthcare institutions should be required to provide morally controversial services such as abortions, emergency contraception, voluntary sterilizations, and voluntary euthanasia. Substantive debates about institutional responsibility have remained largely at the level of (...) first-order ethical debate over medical practices which institutions have refused to offer; in this article, we argue that more fundamental questions about the metaphysics of institutions provide a neglected avenue for understanding the basis of institutional conscientious objection. To do so, we articulate a metaphysical model of institutional conscience, and consider three well-known arguments for undermining institutional conscientious objection in light of this model. We show how our metaphysical analysis of institutions creates difficulties for justifying sanctions on institutions that conscientiously object. Thus, we argue, questions about the metaphysics of institutions are deserving of serious attention from both critics and defenders of institutional conscientious objection. (shrink)

Introduction Dans ses Essais philosophiques, Hans Jonas rattache son questionnement sur la technologie moderne à une perspective de philosophie morale. L’introduction du recueil est en effet pour lui l’occasion de revenir sur l’ensemble de son parcours intellectuel, et de préciser dans quel contexte son « attention philosophique»s’est portée sur le « défi moral de la technologie moderne ». Abandonnant l’optimisme un peu naïf qu’il confesse avoir nourri à l’égard des possibilités de la techn...

Xavier Landes | : In this article, consensus, defined as the consent of all citizens, is argued to be the first best for part of the liberal tradition on political legitimacy. Consensus would be the foundation of the liberal society that, when out of reach, needs to be approximated through, for instance, voting. I build on the timid attempts in political theory at using the theorem of the second best as a tool to settle difficult decision making in applied (...) political theory. More precisely, I defend the view that consensus would be the first best for part of the liberal tradition on political legitimacy. Furthermore, I illustrate how moral, factual, disagreements may create second-best problems, especially in terms of stability. Finally, I spell out some reasons why such problems directly affect a liberal order, on pragmatic grounds. The final purpose is to contribute to the literatures on legitimacy and on the application of the theorem of the second best outside economics. The key idea is to stress that much more work has to be done for “importing” the theorem of the second best into political theory. | : Dans cet article, le consensus, défini comme le consentement de tous les citoyens, est présenté comme remplissant la fonction d’optimum de premier rang [first best] pour une partie de la tradition libérale quant à la légitimité politique. Le consensus fonderait la société libérale qui, lorsque hors d’atteinte, nécessiterait d’être approximer au travers, par exemple, du vote. Je m’appuie sur les timides tentatives en théorie politique d’utiliser le théorème de l’optimum de second rang [second best] comme outil pour résoudre des prises de décision difficiles en théorie politique appliquée. Plus précisément, je défends l’idée que le consensus serait l’optimum de premier rang pour une partie de la tradition libérale quant à la légitimité politique. De plus, j’illustre comment les désaccords moraux, factuels peuvent créer des problèmes d’optimum de second rang, en particulier en termes de stabilité. Enfin, j’expose quelques raisons pour lesquelles de tels problèmes affectent directement un ordre libéral, d’un point de vue pragmatique. Le but final est de contribuer aux littératures sur la légitimité et sur l’application du théorème d’optimum de second rang à l’extérieur des sciences économiques. L’idée principale est de souligner qu’il reste beaucoup de travail afin d’« importer » le théorème d’optimum de second rang en théorie politique. (shrink)

In this article we defend the inferential view of scientific models and idealisation. Models are seen as “inferential prostheses” (instruments for surrogative reasoning) construed by means of an idealisation-concretisation process, which we essentially understand as a kind of counterfactual deformation procedure (also analysed in inferential terms). The value of scientific representation is understood in terms not only of the success of the inferential outcomes arrived at with its help, but also of the heuristic power of representation and their capacity to (...) correct and improve our models. This provides us with an argument against Sugden’s account of credible models: the likelihood or realisticness (their “credibility”) is not always a good measure of their acceptability. As opposed to “credibility” we propose the notion of “enlightening”, which is the capacity of giving us understanding in the sense of an inferential ability. (shrink)

Depuis une vingtaine d’années, le concept de « médecine personnalisée » désigne la possibilité d’adapter finement les diagnostics et thérapies au profil biologique, en particulier génétique, de chaque patient·e. L’article traite d’un aspect spécifique de la médecine personnalisée, celui du statut qu’y acquiert « l’environnement ». Il est unanimement admis que les gènes n’expliquent qu’un faible pourcentage des phénotypes pathologiques, l’environnement en constituant le principal facteur explicatif. Les efforts pour identifier et caractériser ces facteurs environnementaux sont aujourd’hui rassemblés sous une (...) nouvelle étiquette, l’ exposomique. Elle connaît deux orientations. L’une conduit à une vision industrielle, orientée vers la recherche de cibles susceptibles d’intervention technique. L’autre vise la critique des choix politiques et sociaux en matière de santé publique. L’article porte sur cette croisée des chemins dans la manière d’appréhender les rapports entre santé et environnement. (shrink)

La conception américaine de la convergence technologique, promue par le programme NBIC (Nano-Bio-Info-Cogno), est orientée vers la recherche d’une intégration de tous les domaines du réel (la nature, la vie, l’esprit, la société) dans la représentation unitaire d’un monde constitué de systèmes hiérarchiques complexes et couplés entre eux. Il s’agit par conséquent d’une vision totalisante, témoignant d’un idéal de contrôle et de maîtrise que rien ne paraît devoir limiter. Les Grecs avaient un...

Simondon situou o conjunto de seus trabalhos sob o signo de uma confrontação entre a filosofia e as ciências humanas. Partindo da constatação de que as ciências humanas de sua época são insuficientemente unificadas e que elas perdem a realidade do homem concreto e completo, ele quer propor uma filosofia da individuação humana que possa renovar os saberes sobre o homem. Esta filosofia da individuação se apresenta como um esforço para casar estreitamente duas dimensões da realidade humana que são habitualmente (...) tratadas separadamente: as formas de organização social de um lado, os modos de confrontação à matéria do outro. Em suma, o social e o técnico. Na capacidade de pensar conjuntamente estas duas dimensões, do social e do técnico, lança-se, segundo Simondon, a possibilidade de propor um novo humanismo à altura dos desafios contemporâneos. (shrink)

La pensée technique peut-elle être l’occasion d’un renouveau de la réflexion transcendantale, ou bien est-elle vouée à demeurer tributaire du « préjugé anthropologique » dont Foucault a repéré la mise en place au XIXe siècle avec la formation des sciences humaines, et qui a eu pour conséquence précisément la dissolution du transcendantal dans l’empirique? Cet article opte résolument pour la première solution, et examine les approches qui vont dans ce sens en refusant de penser les techniques à partir de la (...) finitude anthropologique. (shrink)