La notion de personnalité de l’État est une notion originale apparue pour penser l’unité de volonté et de représentation d’un corps collectif. La théorie de la personnalité de l’État ne se conçoit que dans une relation étroite avec la théorie moderne de la représentation telle qu’on la trouve formulée chez Hobbes notamment. La représentation n’est pas ici la répétition d’une volonté préexistante, mais la production de l’unité même du représenté. Ainsi comprise, la théorie de la personnalité de l’État a remplacé (...) l’ancienne théorie des deux corps du roi qui permettait de penser la permanence de l’institution monarchique par-delà la contingence de ses incarnations concrètes. Mais elle remplit une fonction analogue qui est de permettre de penser la continuité d’une volonté collective, celle de l’État, par-delà les discontinuités de ses représentations concrètes. (shrink)

F. P. Ramsey was a remarkably creative and subtle philosopher who in the briefest of academic careers made significant contributions to logic, philosophy of mathematics, philosophy of language and decision theory. His few published papers reveal him to be a figure or comparable importance to Russell, Carnap and Wittgenstein in the history of analytical philosophy. This book was the first critical study of Ramsey's work, offering a thorough exposition and interpretation of his ideas, setting the ideas in their historical context, (...) and assessing their significance for contemporary research. The study is intended to complement the reissue of Ramsey's papers edited by Professor Hugh Mellor. (shrink)

Carroll Izard completed his dissertation in 1952, beginning a career spanning more than six decades that coincided with clinical psychology maturing as a profession, and the birth of clinical science and cognitive neuroscience. Izard’s focus on discrete emotions as evolved systems that organize information, prepare responses, and shape the development of personality and relationships persisted through his career, despite “emotions” often being overshadowed by psychodynamic, behavioral, or cognitive perspectives. His theoretical work anticipated and now integrates contemporary neuroscience and relational perspectives. (...) Exploration of discrete emotions has kept lines of inquiry open that enrich our understanding of psychopathology. Izard also embraced clinical science, combining basic research with effectiveness studies addressing the unmet need for mental health services via emotion-focused interventions. (shrink)

Children and individuals with developmental disabilities compared to typical participants are disadvantaged not only by virtue of being vulnerable to risks inherent in research participation but also by the higher likelihood of exclusion from research altogether. Current regulatory and ethical guidelines although necessary for their protection do not sufficiently ensure fair distributive justice. Yet, in view of disproportionately higher burdens of co-occurring physical and mental disorders in individuals with DD, they are better positioned to benefit from research by equitable participation. (...) Greater elucidation of this ethical dilemma is called for by researchers, institutional review boards, and funding agencies to urgently redress the imbalance. This article discusses many of the regulatory principles to ensure better research participation of children and individuals with DD: human rights, validity, distributive justice, beneficence/nonmaleficence, and autonomy. (shrink)

Joseph Keim Campbell has attempted to say “farewell” to a particular version of source incompatibilism, viz. direct source incompatibilism, arguing that direct source incompatibilism is committed to two theses that are in tension, thereby threatening the coherence of the position. He states that direct source incompatibilism is committed to the following claims: SI-F: there are genuine Frankfurt-style counterexamples. SI-D: there is a sound version of the Direct Argument. Campbell argues that both of these theses cannot be simultaneously held since a (...) sound version of the Direct Argument would undermine Frankfurt-style counterexamples, and vice versa. After laying out Campbell’s argument, I will first make some preliminary comments regarding actual direct source incompatibilists and their commitment to SI-F and SI-D. I then object to Campbell’s argument, arguing that one can accept both SI-F and SI-D, thereby vindicating direct source incompatibilism from the charge of incoherence. (shrink)

This paper examines a recent attempt at updating Anselm’s ontological argument by employing the notion of mediated and unmediated causal powers. After presenting the updated argument and the underlying metaphysical framework of causal powers that is utilized in the argument, I show that some of the key assumptions can be rejected. Once we closely examine some of the assumptions, it will also be evident that the updated version in some ways collapses back to Anselm’s original version and so is subject (...) to some of the same worries. (shrink)

Several philosophers have argued that property dualism and substance materialism are incompatible positions. Recently, Susan Schneider has provided a novel version of such an argument, claiming that the incompatibility will be evident once we examine some underlying metaphysical issues. She purports to show that on any account of substance and property-possession, substance materialism and property dualism turn out incompatible. In this paper, I argue that Schneider’s case for incompatibility between these two positions fails. After briefly laying out her case for (...) incompatibility, I present an account of substance—one that relies on a relational ontology—that makes the combination of substance materialism and property dualism unproblematic. Then I show that even under the theories of substance that Schneider considers—those that rely on a constituent ontology—there still is no incompatibility problem. (shrink)

Analyticity, or the 'analytic/synthetic' distinction is one of the most important and controversial problems in contemporary philosophy. It is also essential to understanding many developments in logic, philosophy of language, epistemology and metaphysics. In this outstanding introduction to analyticity Cory Juhl and Eric Loomis cover the following key topics: The origins of analyticity in the philosophy of Hume and Kant Carnap's arguments concerning analyticity in the early twentieth century Quine's famous objections to analyticity in his classic 'Two Dogmas of Empiricism' (...) essay The relationship between analyticity and central issues in metaphysics, such as ontology The relationship between analyticity and epistemology Analyticity in the context of the current debates in philosophy, including mathematics and ontology Throughout the book the authors show how many philosophical controversies hinge on the problem of analyticity. Additional features include chapter summaries, annotated further reading and a glossary of technical terms making the book ideal to those coming to the problem for the first time. (shrink)

Relationships between children and parents pervade the Star Wars saga, especially if people include surrogate parents. Anakin's relationship with his mother, Shmi, in the prequels impacts his trajectory toward the dark side. In The Mandalorian, Mando's role as a surrogate father to Grogu transforms them into a “Clan of Two”. But the most significant parent‐child relationship in the saga may be the one between Luke Skywalker and Darth Vader. Confucius's teachings highlight the importance of benevolence, social order, and ritual propriety (...) among other virtues and values. This chapter shows that understanding Luke's surrender to Vader in terms of Confucian filial piety makes sense of how Luke is able to overcome the allure of the dark side and become a Jedi. Confucius's Analects has a moral framework called “exemplarism”. This is the idea that moral knowledge and practice do not start with principles, rules, duties, consequences, or character traits. (shrink)

How does a country repair its harm to a vulnerable minority targeted during times of national fear because of race? How did the United States redress its then popular yet unconstitutional WWII incarceration of 120,000 innocent Japanese Americans in desolate barbed wire prisons without charges, hearings, or bona fide evidence of military necessity? In response to a Congressional inquiry, political lobbying, and lawsuits, the Civil Liberties Act of 1988 directed the President to apologize and authorized over one billion dollars in (...) reparations. Congress also created a fund to educate the public about the government’s false assertion of “national security” to restrict civil liberties. Some considered redress a tremendous victory — rewriting history and personal healing. Others questioned reparations for one U.S. group but not others. Japanese American Redress served as a catalyst for reparations movements worldwide. This paper examines its genesis, legal implementation, and apparent effects. It also explores wide-ranging political mobilization and social meanings of redress and “unfinished business”. Reparations cannot be measured by laws alone. Diverse communities must engage contested questions of history, justice, and belonging. Reparations claims face often unforeseen benefits and limitations. The paper concludes with these “lessons learned” to date. (shrink)

In this article, we discuss the ethical dimensions for the prescribing behaviours of opioids for a chronic pain patient, a scenario commonly witnessed by many physicians. The opioid epidemic in the USA and Canada is well known, existing since the late 1990s, and individuals are suffering and dying as a result of the easy availability of prescription opioids. More recently, this problem has been seen outside of North America affecting individuals at similar rates in Australia and Europe. We argue that (...) physicians are also confronted with an ethical crisis where a capitalist-consumerist society is contributing to this opioid crisis in which societal, legal and business interests push physicians to overprescribe opioids. Individual physicians often find themselves unequipped and unsupported in attempts to curb the prescribing of opioid medications and balance competing goals of alleviating pain against the judicious use of pain medications. Physicians, individually and as a community, must reclaim the ethical mantle of our profession, through a more nuanced understanding of autonomy and beneficence. Furthermore, physicians and the medical community at large have a fiduciary duty to patients and society to play a more active role in curbing the widespread distribution of opioids in our communities. (shrink)

In one of their arguments against the radical neuron doctrine, Gold & Stoljar (G&S) use the idea that, in certain situations, equivalent terms may not be substitutable into statements that regard properties of the objects to which the terms refer. This device allows G&S to refute the necessity of the conclusion that “the science of the mind equals the science of the brain” even though they take as a premise that the mind equals the brain. I argue, however, that this (...) practice leaves the meaning of the “science of the mind” and the “science of the brain” indeterminate. (shrink)

The fundamental reason that the genetics of behavior has remained so controversial for so long is that the layer of theory between data and their interpretation is thicker and more opaque than in more established areas of science. The finding that variations in tiny snippets of DNA have small but detectable relations to variation in behavior surprises no one, at least no one who was paying attention to the twin studies. How such snippets of DNA are related to differences in (...) behavior—known as the gene‐to‐behavior pathway—is the great theoretical problem of modern behavioral genetics.Given that intentional human breeding is a horrific prospect, what kind of technology might we want (or fear) out of human behavioral genetics? One possibility is a technology that could predict important behavioral characteristics of humans based on their genomes alone. A moment's thought suggests significant benefits and risks that might be associated with such a possibility, but for the moment, just consider how convincing it would be if on the day of a baby's birth we could make meaningful predictions about whether he or she would become a concert pianist or an alcoholic. This article will consider where we are right now as regards that possibility, using human height and intelligence as the primary examples. (shrink)

n recent years, there has been a resurgence of academic interest in Adam Smith. As a consequence, a large number of PhD dissertations on Smith have been written by international scholars - in different languages, and in many diverse disciplines, including economics, women’s studies, philosophy, science studies, political theory and english literature: diversity which has enriched the area of study. In response to this activity, and in order to making these contributions more easily accessible to other Smith scholars, Leonidas Montes (...) and Eric Schliesser have edited this important new book. Of interest to Smith scholars and those interested in the history of economic thought in general, the contributions to this book are self-consciously interdisciplinary and skilfully employ many different methodologies. (shrink)

Ernesto Neto's installation at the Panthéon in Paris, Leviathan Toth (2006), brings us into a semiotics of intensities that does not belong to the ‘aesthetic regime’ as described by Jacques Rancière but rather to a Diagrammatic Agency of Contemporary Art. In this case study, the latter is constructed after Deleuze and Guattari – from a politics of the Body without Organs critically and clinically identified to a Body without Image.

Recent work within psychology demonstrates that unconscious cognition plays a central role in the judgments and actions of individuals. We distinguish between two basic types unconscious social cognition: unconsciousness of the influences on judgments and actions, and unconscious of the mental states that give rise to judgments and actions. Influence unconsciousness is corroborated by strong empirical evidence, but unconscious states are difficult to verify. We discuss procedures aimed at providing conclusive evidence of state unconsciousness, and apply them to recent empirical (...) findings. (shrink)

The introduction considers the state of scholarship on empiricism as a philosophical and historical category, particularly as it pertains to experimental philosophy. It concludes that empiricism properly understood is a rich category encompassing epistemic, semantic, methodological, experimental, and moral elements. Its richness makes it a suitable lens through which to account for actual historical complexity. The introduction relates the category to the work of Sir Isaac Newton, who influenced all of empiricism’s elements.

Gadamer's book extends and codifies the main hermeneutical concepts of Bultmann, Heidegger, and their adherents, and can be considered a summa of what Robinson calls "The New Hermeneutic." By Robinson and other theologians, and by Continental literary critics, Wahrheit und Methode has been welcomed as a philosophical justification for "vital and relevant" interpretations that are unencumbered by a concern for the author's original intention. On this point "The New Hermeneutic" reveals its affinities with "The New Criticism" and the newer "Myth (...) Criticism." All three have impugned the author's prerogative to be the determiner of textual meaning. Gadamer, however, grounds his anti-intentionalism only partially in aesthetics and not at all in the collective unconscious but primarily in the radical historicism of Martin Heidegger. (shrink)

The aesthetic theory of Graham Harman’s Object-Oriented Ontology (OOO) revolves around the concept of allure, a nonliteral experience of an object’s displacement from its qualities that draws attention to a deeper reality. But applying allure to aesthetic interpretation is hampered in two ways. First, OOO necessarily moves between the constrained viewpoint of experience and a more global perspective. Yet mixing these “inside” and “outside” views can risk ambiguity. Second, the phenomenological difference between the parts and qualities of an object must (...) be clarified before Harman’s model of wholes and parts can be incorporated into OOO aesthetics. Addressing these two ambiguities will make it possible to further develop OOO’s resources for aesthetic commentary. For instance, one conclusion is that allure itself has two varieties: a tension between the object and its qualities (“allusion”) and a tension between the whole and its parts (“collusion”). These options parallel Harman’s twofold critique of reductionism. Another conclusion is that the literal needs an explanation within the framework of OOO insofar as it is a genuine feature of experience. (shrink)

Written in 1839 and chosen as the winning entry in a competition held by the Royal Norwegian Society of Sciences, Schopenhauer's Prize Essay on the Freedom of the Will marked the beginning of its author's public recognition and is widely regarded as one of the most brilliant and elegant treatments of free will and determinism. Schopenhauer distinguishes the freedom of acting from the freedom of willing, affirming the former while denying the latter. He portrays human action as thoroughly determined but (...) also argues that the freedom which cannot be established in the sphere of human action is preserved at the level of our innermost being as individuated will, whose reality transcends all dependency on outside factors. This volume offers the text in a previously unpublished translation by Eric F. J. Payne, the leading twentieth-century translator of Schopenhauer into English, together with a historical and philosophical introduction by Günter Zöller. (shrink)

I examine challenges to images of a personal god definitive for normatively policed theism (often called “traditional theism”), questioning whether a subject can be conscious of a transcendent being. I examine the challenges to show that disappointment with such images calls for rethinking terms like “transcendence” in horizontal rather than vertical registers. Through this, I indicate an irony in yearning for transcendence, one in which there is movement toward—rather than beyond—the utterly ordinary. We will see that such un-extra-ordinary transcendence makes (...) a difference once difference is no longer determined under the hegemony of what Levinas calls “the atheistic I.” I bring together resources from feminist philosophies and Asian religions both to elaborate on the nature of the atheistic I and to rehabilitate a redeeming appreciation of the ordinary. My hope is to ameliorate disempowered estrangement by indicating ways the ordinary generates, not inhibits, becoming. However, my broader intent is to contribute to shifting sands in contemporary philosophy of religion due to recent calls for diversifying the field by including multiple religions, questioning the centrality of belief, and engaging multiple methods relevant in religious studies. (shrink)

In this paper, I bring together Jewish and Buddhist philosophical resources to develop a notion of radical responsibility that can confront a complicity within nursing and health care between empathy and (neo)liberal white supremacist hegemony. My inspiration comes from Angela Davis's call for building coalitions to advance struggles for peace and justice. I proceed as follows. First, I note ways phenomenology clarifies empathy's seeming foundational role in nursing care, and how such a formulation can be complicit with assumptions about private (...) individualism. Second, I turn to the Jewish philosophies of Martin Buber and Emmanuel Levinas, and their advocacy for a kind of responsibility that precedes the constitution of individuality as this can provide a resource for action and practice circumventing liberal influenced empathy. I note critical reservations about direct and practical application of Levinasian ethics in nursing care, and turn to engaged Buddhist philosophies of interdependence—such as in Thich Nhat Hanh and the Dalai Lama—as a corrective. Third, I conclude by indicating ways interreligious radical responsibility can reorient us toward housekeeping habits of character and away from exceptional crisis management, noting specific examples and actions in health care, nursing education and nursing scholarship. (shrink)

Many despair at trying to understand something’s meaning and express dissatisfaction with language wholesale. What if some things simply are not understandable? Thich Nhat Hanh coined interbeing to name the fundamental principle of interdependence defining Buddhist ontologies, and uses interbeing to dislodge despair resulting from rigid expectations of how things must be. Thich also criticized a standard view of language as generating those rigid expectations. Drawing upon classical humanist traditions, Hans-Georg Gadamer promoted a hermeneutics whereby interpreters overcome existential alienation. In (...) his theory of understanding meaning, Gadamer rehabilitated language as having its being in revealing aspects of truth. By situating Gadamer’s hermeneutics within Thich’s interbeing, I develop limits of understanding that facilitate freedom from despair about meaning and language. Thich and Gadamer both taught that the quest for stability within change is misguided. This requires rigorous attention to the limits of understanding. Attention to these limits serves to liberate people from clinging to the illusion that all things are understandable and despair accompanying the incapacity to understand some things. (shrink)

Much of the theoretical work on strategic voting makes strong assumptions about what voters know about the voting situation. A strategizing voter is typically assumed to know how other voters will vote and to know the rules of the voting method. A growing body of literature explores strategic voting when there is uncertainty about how others will vote. In this paper, we study strategic voting when there is uncertainty about the voting method. We introduce three notions of manipulability for a (...) set of voting methods: sure, safe, and expected manipulability. With the help of a computer program, we identify voting scenarios in which uncertainty about the voting method may reduce or even eliminate a voter's incentive to misrepresent her preferences. Thus, it may be in the interest of an election designer who wishes to reduce strategic voting to leave voters uncertain about which of several reasonable voting methods will be used to determine the winners of an election. (shrink)

Novels in general use three different modes of reporting: narration, dialogue and description. Understanding that even with a given mode, such as the description of a stone, the relation between the diachronic flow of language and the synchronic focus of attention can be manipulated, we can still note that in general narration reports occurrences in a reading time considerably less than actual time. , dialogue reports occurrence in a reading time roughly congruent with actual time , and description reports occurrences (...) in a reading time considerably greater than actual time . Thus, in the interweaving of narration, dialogue and description a narrative not only defamiliarizes what it reports but guides the reader's consciousness through rhythms of correspondence between reading time and actual time. As long as we do not stay entirely in one mode—and we never do—these rhythms adjust the movement of our consciousness so that unconsciously at least we more or less approach synchronicity, depending on the particular techniques—but we never achieve it. Spatial form may be thought of as a tendency, but in ordinary language it is never achieved. Eric S. Rabkin is professor of English at the University of Michigan at Ann Arbor. The author of Narrative Suspense, The Fantastic in Literature, and many articles on science fiction, he is also the coauthor of Form in Fiction and Science Fiction: History, Science, Vision. He contributed "Metalinguistics and Science Fiction" to the Autumn 1979 issue of Critical Inquiry. (shrink)

Hans Jonas (1903-1993), philosophe juif allemand, eleve de Husserl, Heidegger et Bultmann, ami de Hannah Arendt, successivement etabli en Palestine, au Canada et a New-York, a elabore une pensee originale, trop souvent recue dans la dispersion. On le connait tantot pour ses travaux sur la Gnose, tantot pour son livre Le Concept de Dieu apres Auschwitz, ou encore sa biologie philosophique, ou enfin le principe responsabilite qu'il a formule. On se propose ici d'exposer les grands themes de cette oeuvre - (...) le nihilisme gnostique, l'enracinement dans le monde materiel, la refondation ethique - en prenant le concept de vie pour fil directeur parce qu'il donne a cette oeuvre plurielle son foyer et son unite. C'est en effet la decouverte d'un air de famille entre l'esprit de la Gnose et la pensee heideggerienne de l'existence qui conduit Hans Jonas a prendre conscience de l'oubli de la vie par la philosophie et a en repenser le concept dans un dialogue avec les donnees de la biologie. Fort d'une philosophie de la vie ainsi concue, il peut alors prendre en charge les defis contemporains lances par la technique en proposant une ethique de la responsabilite, qui fixe des obligations a l'egard de la vie et des generations futures. Eric Pommier est professeur agrege et docteur en philosophie de l'Universite Paris I Pantheon Sorbonne. Membre associe du CERSES, il poursuit ses recherches sur la philosophie contemporaine ainsi que sur le theme de la vie tant au plan phenomenologique qu'ethique a la Pontificia Universidad Catolica a Santiago. (shrink)

Ecologists traditionally regard time as part of the background against which ecological interactions play out. In this book, Eric Post argues that time should be treated as a resource used by organisms for growth, maintenance, and offspring production. Post uses insights from phenology -- the study of the timing of life-cycle events -- to present a theoretical framework of time in ecology that casts long-standing observations in the field in an entirely new light. Combining conceptual models with field data, he (...) demonstrates how phenological advances, delays, and stasis, documented in an array of taxa, can all be viewed as adaptive components of an organism's strategic use of time. Post shows how the allocation of time by individual organisms to critical life history stages is not only a response to environmental cues but also an important driver of interactions at the population, species, and community levels. To demonstrate the applications of this exciting new conceptual framework, Time in Ecology uses meta-analyses of previous studies as well as Post's original data on the phenological dynamics of plants, caribou, and muskoxen in Greenland.--Back cover. (shrink)

McCullough et al.'s functionalist model of revenge is highly compatible with the person-centered approach to moral judgment, which emphasizes the adaptive manner in which social perceivers derive character information from moral acts. Evidence includes act–person dissociations in which an act is seen as less immoral than a comparison act, yet as a clearer indicator of poor moral character.

The Type VI secretion system is a multiprotein and mosaic apparatus that delivers protein effectors into prokaryotic or eukaryotic cells. Recent data on the enteroaggregative Escherichia coli T6SS have provided evidence that the TssA protein is a key component during T6SS biogenesis. The T6SS comprises a trans-envelope complex that docks the baseplate, a cytoplasmic complex that represents the assembly platform for the tail. The T6SS tail is structurally, evolutionarily and functionally similar to the contractile tails of bacteriophages. We have shown (...) that TssA docks to the membrane complex, recruits the baseplate complex and initiates and coordinates the polymerization of the inner tube with that of the sheath. Here, we review these recent findings, discuss the variations within TssA-like proteins, speculate on the role of EAEC TssA in T6SS biogenesis and propose future research perspectives. In the environment, bacteria have to cope with other microbial species and therefore have evolved anti-microbial mechanisms. The bacterial Type VI secretion system transports toxins into bacterial and/or eukaryotic cells using a contractile mechanism. At the architectural level, the T6SS could be viewed as a nano-speargun assembled in the bacterial cytoplasm and anchored to a trans-envelope complex. We describe and speculate on recent findings demonstrating that the TssA subunit is involved in the different stages of T6SS biogenesis. (shrink)

While evaluation of ethical aspects in health technology assessment has gained much attention during the past years, the integration of ethics in HTA practice still presents many challenges. In response...

Christopher Pincock discusses the nature of the explanation of the universality of certain natural phenomena, such as critical phenomena. Under what conditions can they be called emergent?

Recently, Eric Yang and Stephen Davis have defended what they call the separationist view of hell against an objection leveled by Jeremy Gwiazda by invoking the concept of hard-heartedness as an account of why some would eternally choose to remain in hell. Gwiazda’s objection to the separationist view of hell is an instance of a broader strategy of objection invoked by other universalists to argue that God could guarantee universal salvation while respecting libertarian freedom—an objection that Kronen and I have (...) dubbed the Infinite Opportunity Argument. Yang’s and Davis’s reply to Gwiazda thus amounts to a response to the Infinite Opportunity Argument, and the merits of their reply bear on the feasibility of the freedom-respecting version of universalism that the argument supports. I argue that the kind of hard-heartedness that must be posited in order to derail the Infinite Opportunity Argument—the kind of absolute hard-heartedness that Yang and Davis explicitly invoke—suffers significant problems that prevent it from posing a serious challenge to freedom-respecting universalism. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Kennedy Institute of Ethics Journal 12.1 (2002) 95-102 [Access article in PDF] Bioethics Inside the Beltway Some Initial Reflections on NBAC Eric M. Meslin and Harold T. Shapiro On 3 October 2001, Executive Order 12975 expired, and with it so too did the National Bioethics Advisory Commission (NBAC). Established by President Bill Clinton in 1995, NBAC was the fifth national committee since 1974 created to advise the U.S. government (...) on bioethics policy. In the long political tradition in this country that national bioethics policy advice should use temporary rather than permanent bodies, NBAC followed in the footsteps of the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research (1974-78); the President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research (1980-83); the Ethics Advisory Board (1978-80); and the Biomedical Ethics Advisory Committee (1988-89). Arguably, other distinguished panels could lay claim to recognition as a "national bioethics committee" including the Advisory Committee on Human Radiation Experiments (ACHRE) (1994-95); the Fetal Tissue Transplantation Research Panel (1988); the Human Embryo Research Panel (1994); and the National Institutes of Health (NIH) Recombinant DNA Advisory Committee (RAC), which continues to function.These committees and commissions form a kind of a continuum, albeit occasionally interrupted by periods during which no such bodies existed. Each arose from a particular confluence of events and circumstances. NBAC was no different; its history can be traced both to a series of discussions within the White House Office of Science and Technology Policy beginning in 1993 (NBAC 1998a, p. 3), and to a specific recommendation from ACHRE that called for a national committee to address ethical issues in human subjects research (ACHRE 1995, p. 817). Nbac's Impact In his useful comparison of the accomplishments of the National Commission and the President's Commission, Brad Gray concluded that seven lessons were learned, the sixth of which was that "nothing substitutes for having a perceptible impact on either policy or practice" (Gray 1995, p. 304). Assessing NBAC's [End Page 95] impact on "policy or practice" is difficult, particularly given the fact that it so recently completed its work. More time may be needed before a full assessment can be undertaken of the impact of its six reports (and their total of 120 recommendations). Instead, in this essay we offer some reflections on NBAC's initial impact, using some specific examples of how bioethics gets done Inside the Beltway. Eliciting Reaction If immediate reaction by the White House is any measure of impact, then Cloning Human Beings (NBAC 1997) had a significant one. The day after he received this report in a Rose Garden ceremony, President Clinton submitted a bill to Congress that would have extended the moratorium on federal funding to create a child using somatic cell nuclear transfer. This bill never passed, nor has any other bill emerged that has enjoyed the support of the House and the Senate. Five states have enacted legislation to date, but these vary in their permissibility from bans on all forms of cloning to bans similar to the one proposed by NBAC, which recommended a time-limited prohibition only on somatic cell transfer to create a child (reproductive cloning).If the Cloning report elicited speedy action from the White House, this paled in comparison to the reaction that led to and, in turn, was created by Ethical Issues in Human Stem Cell Research (NBAC 1999a). Those who believe that government moves slowly need only be reminded of the events of 8-14 November 1998 (and, as we shall mention below, the further events of 14 July 1999). Some will recall that early in the second week of November 1998, James Thomson and his colleagues published in Nature and John Gearhart and his colleagues published in the Proceedings of the National Academy of Sciences that they had isolated and cultured human primordial stem cells and germ cells respectively. Within days of these remarkable reports, Advanced Cell Technology (ACT) announced via an article written by Nicholas Wade in the... (shrink)