Ramsey famously pronounced that discounting “future enjoyments” would be ethically indefensible. Suppes enunciated an equity criterion implying that all individuals’ welfare should be treated equally. By contrast, Arrow accepted, perhaps rather reluctantly, the logical force of Koopmans’ argument that no satisfactory preference ordering on a sufficiently unrestricted domain of infinite utility streams satisfies equal treatment. In this paper, we first derive an equitable utilitarian objective based on a version of the Vickrey–Harsanyi original position, extended to allow a variable (...) and uncertain population with no finite bound. Following the work of Chichilnisky and others on sustainability, slightly weakening the conditions of Koopmans and co-authors allows intergenerational equity to be satisfied. In fact, assuming that the expected total number of individuals who ever live is finite, and that each individual’s utility is bounded both above and below, there is a coherent equitable objective based on expected total utility. Moreover, it implies the “extinction discounting rule” advocated by, inter alia, the Stern Review on climate change. (shrink)

Ramsey famously condemned discounting “future enjoyments” as “ethically indefensible”. Suppes enunciated an equity criterion which, when social choice is utilitarian, implies giving equal weight to all individuals’ utilities. By contrast, Arrow accepted, perhaps reluctantly, what he called Koopmans’ :287–309, 1960) “strong argument” implying that no equitable preference ordering exists for a sufficiently unrestricted domain of infinite utility streams. Here we derive an equitable utilitarian objective for a finite population based on a version of the Vickrey–Harsanyi original position, where (...) there is an equal probability of becoming each person. For a potentially infinite population facing an exogenous stochastic process of extinction, an equitable extinction biased original position requires equal conditional probabilities, given that the individual’s generation survives the extinction process. Such a position is well-defined if and only if survival probabilities decline fast enough for the expected total number of individuals who can ever live to be finite. Then, provided that each individual’s utility is bounded both above and below, maximizing expected “extinction discounted” total utility—as advocated, inter alia, by the Stern Review on climate change—provides a coherent and dynamically consistent equitable objective, even when the population size of each generation can be chosen. (shrink)

In response to recent work on the aggregation of individual judgments on logically connected propositions into collective judgments, it is often asked whether judgment aggregation is a special case of Arrowian preference aggregation. We argue for the converse claim. After proving two impossibility theorems on judgment aggregation (using "systematicity" and "independence" conditions, respectively), we construct an embedding of preference aggregation into judgment aggregation and prove Arrow’s theorem (stated for strict preferences) as a corollary of our second result. Although (...) we thereby provide a new proof of Arrow’s theorem, our main aim is to identify the analogue of Arrow’s theorem in judgment aggregation, to clarify the relation between judgment and preference aggregation, and to illustrate the generality of the judgment aggregation model. JEL Classi…cation: D70, D71.. (shrink)

Metalogic is an open-ended cognitive, formal methodology pertaining to semantics and information processing. The language that mathematizes metalogic is known as metalanguage and deals with metafunctions purely by extension on patterns. A metalogical process involves an effective enrichment in knowledge as logical statements, and, since human cognition is an inherently logic–based representation of knowledge, a metalogical process will always be aimed at developing the scope of cognition by exploring possible cognitive implications reflected on successive levels of abstraction. Indeed, it is (...) basically impracticable to maintain logic–and–metalogic without paying heed to cognitive theorizing. For it is cognitively irrelevant whether possible conclusions are deduced from some premises before the premises are determined to be true or whether the premises themselves are determined to be true first and, then, the conclusions are deduced from them. In this paper we consider the term metalogic as inherently embodied under the framework referred to as cognitive science and mathematics. We propose a metalogical interpretation of Arrow’s impossibility theorem and, to that end, choice theory is understood as a mental course of action dealing with logic and metalogic issues, in which a possible mathematical approach to model a mental course of action is adopted as a systematic operating method. Nevertheless, if we look closely at the core of Arrow’s impossibility theorem in terms of metalogic, a second fundamental contribution to this framework is represented by the Nash equilibrium. As a result of the foregoing, therefore, we prove the metalogical equivalence between Arrow’s impossibility theorem and the existence of the Nash equilibrium. More specifically, Arrow’s requirements correspond to the Nash equilibrium for finite mixed strategies with no symmetry conditions. To demonstrate this proof, we first verify that Arrow’s set and Nash’s set are isomorphic to each other, both sets being under stated conditions of non–symmetry. Then, the proof is completed by virtue of category theory. Indeed, the two sets are categories that correspond biuniquely to one another and, thus, it is possible to define a covariant functor that preserves their mutual structures. According to this, we show the proof–dedicated metalanguage as a precursor to a special equivalence theorem. (shrink)

Since Sen's insightful analysis of Arrow's Impossibility Theorem (Sen, 1970/1979), Arrow's theorem is often interpreted as a consequence of the exclusion of interpersonal information from Arrow's framework. Interpersonal comparability of either welfare levels or welfare units is known to be sufficient for circumventing Arrow's impossibility result (e.g. Sen, 1970/1979, 1982; Roberts, 1980; d'Aspremont, 1985). But it is less well known whether one of these types of comparability is also necessary or whether Arrow's conditions can (...) already be satisfied in much narrower informational frameworks. This note explores such a framework: the assumption of (ONC+0), ordinal measurability of welfare with the additional measurability of a 'zero-line', is shown to point towards new, albeit limited, escape-routes from Arrow's theorem. Some existence and classification results are established, using the condition that social orderings be transitive as well as the condition that social orderings be quasi-transitive. (shrink)

In this paper, I investigate the relationship between preference and judgment aggregation, using the notion of ranking judgment introduced in List and Pettit. Ranking judgments were introduced in order to state the logical connections between the impossibility theorem of aggregating sets of judgments and Arrow’s theorem. I present a proof of the theorem concerning ranking judgments as a corollary of Arrow’s theorem, extending the translation between preferences and judgments defined in List and Pettit to the conditions on (...) the aggregation procedure. (shrink)

This paper is concerned with social choice without completeness of social preference. Completeness requires that pairs of alternatives are perfectly comparable. We introduce the concept of minimal comparability, which requires that for any profile, there is some comparable pair of distinct alternatives. Complete silence should be avoided according to this condition. We show that there exists no normatively desirable aggregation rule satisfying minimal comparability.

Health equity can be defined as the absence of disadvantage to individuals and communities in health outcomes, access to health care, and quality of health care regardless of one’s race, gender, nationality, age, ethnicity, religion, and socioeconomic status. Health equity concerns those disparities in public health that can be traced to unequal, systemic economic, and social conditions. Despite significant improvements in the health of the overall population, health inequities in America persist. Racial and ethnic minorities continue to (...) experience higher rates of morbidity and mortality than non-minorities across a range of health issues. For example, African-American children with asthma have a seven times greater mortality rate than Non-Hispanic white children with the illness. While cancer is the second leading cause of death among all populations in the U.S., ethnic minorities are especially burdened with the disease. (shrink)

In a quantum universe with a strong arrow of time, it is standard to postulate that the initial wave function started in a particular macrostate---the special low-entropy macrostate selected by the Past Hypothesis. Moreover, there is an additional postulate about statistical mechanical probabilities according to which the initial wave function is a ''typical'' choice in the macrostate. Together, they support a probabilistic version of the Second Law of Thermodynamics: typical initial wave functions will increase in entropy. Hence, there are (...) two sources of randomness in such a universe: the quantum-mechanical probabilities of the Born rule and the statistical mechanical probabilities of the Statistical Postulate. I propose a new way to understand time's arrow in a quantum universe. It is based on what I call the Thermodynamic Theories of Quantum Mechanics. According to this perspective, there is a natural choice for the initial quantum state of the universe, which is given by not a wave function but by a density matrix. The density matrix plays a microscopic role: it appears in the fundamental dynamical equations of those theories. The density matrix also plays a macroscopic / thermodynamic role: it is exactly the projection operator onto the Past Hypothesis subspace. Thus, given an initial subspace, we obtain a unique choice of the initial density matrix. I call this property "the conditional uniqueness" of the initial quantum state. The conditional uniqueness provides a new and general strategy to eliminate statistical mechanical probabilities in the fundamental physical theories, by which we can reduce the two sources of randomness to only the quantum mechanical one. I also explore the idea of an absolutely unique initial quantum state, in a way that might realize Penrose's idea of a strongly deterministic universe. (shrink)

Arrow's account (1951/1963) of the problem of social choice is based upon the assumption that the preferences of each individual in the relevant group are expressible by a single ordering. This paper lifts that assumption and develops a multidimensional generalization of Arrow's framework. I show that, like Arrow's original framework, the multidimensional generalization is affected by an impossibility theorem, highlighting not only the threat of dictatorship of a single individual, but also the threat of dominance of a (...) single dimension. In particular, even if preferences are single-peaked across individuals within each dimension – a situation called intradimensional single-peakedness – any aggregation procedure satisfying Arrow-type conditions will make one dimension dominant. I introduce lexicographic hierarchies of dimensions as a class of possible aggregation procedures under intradimensional single-peakedness. The interpretation of the results is discussed. (shrink)

One of the questions that is addressed, from various perspectives, is the origin of time-asymmetry. Given the time-symmetry of the dynamical laws, all inferences about the future that are derivable from a dynamical theory are matched by inferences about the past. For Huw Price, who discusses the origins of cosmological time asymmetry, this is reason to treat all time-asymmetric cosmological theories with caution. He dismisses both the inflationary model and Stephen Hawking’s proposal to account for time-asymmetry with his famous “no (...) boundary condition.” Instead, on the basis of the fact that we have no a priori reasons to distinguish between initial and final conditions, he advocates Gold’s time-symmetric model for the universe, in which the thermodynamical arrow of time is tied to the expansion of the universe, so that in the contracting phase towards the big crunch, entropy decreases. (shrink)

Arrow’s impossibility result stems chiefly from a combination of two requirements: independence and fixity. Independence says that the social choice is independent of individual preferences involving unavailable alternatives. Fixity says that the social choice is fixed by a social preference relation that is independent of what is available. Arrow found that requiring, further, that this relation be transitive yields impossibility. Here it is shown that allowing intransitive social indifference still permits only a vastly unsatisfactory system, a liberum veto (...) oligarchy. Arrow’s argument for independence, though, undermines any rationale for fixity. (shrink)

American Indian/Alaska Native (AI/AN) populations in the United States continue to experience overall health inequity, despite significant improvement in health status for nearly all other racial‐ethnic groups over the past 30 years. Nurses comprise the bulk of healthcare providers in the U.S. and are in an optimal position to improve AI/AN health by transforming both nursing education and practice. This potential is dependent, however, on nurses’ ability to recognize the distinct historical and political conditions through which AI/AN health inequities (...) have been produced and sustained. Nurse providers, educators, and leaders must in turn recognize how the sustained conditions of marginalization and expropriation that underpin current AI/AN health inequities continue to shape contemporary AI/AN health outcomes. This manuscript builds upon the extant literature of AI/AN historical health policy and utilizes decolonial theorizations of nursing and a cultural safety framework to propose a series of immediately actionable steps for nursing intervention into AI/AN health inequity. Ultimately, we suggest that it is crucial for nurses to collaborate with AI/AN individuals and communities across educational and clinical settings to further refine these approaches in alignment with the disciplinary obligation of promoting social justice within healthcare. (shrink)

Since 1984, the idea of health equity has proliferated throughout public health discourse with little mainstream critique for its variability and distance from its original articulation signifying social transformation and a commitment to social justice. In the years since health equity’s emergence and proliferation, it has taken on a seemingly endless range of invocations and deployments, but it most often translates into proactive and apolitical discourse and practice. In Margaret Whitehead’s influential characterization, achieving health equity requires determining (...) what is inequitable by examining and judging the causes of inequalities in the context of what is going on in the rest of society. However, it also remains unclear how or if public health actors examine and judge the causes of health inequality. In this article, we take the concept of health equity itself as an object of study and consider the ways in which its widespread deployment has entailed a considerable emptying of its semantic and political content. We point toward equity’s own discursive productivity as well as the quantifying imperative embedded within evidentiary norms that govern knowledge making, and performance management regimes that govern public health practices. Under current conditions of knowledge making and performance evaluation, a range of legitimate action and inaction is produced at the same time that more socially transformative action is legitimately curtailed—not merely by politics, but by the rules of the field in which public health actors work. Ultimately, meaningful progress on a normative ethical idea like health equity will require both substantial philosophical content and an analysis of what is going on in the rest of society. (shrink)

One of the most difficult problems in the foundations of physics is what gives rise to the arrow of time. Since the fundamental dynamical laws of physics are (essentially) symmetric in time, the explanation for time's arrow must come from elsewhere. A promising explanation introduces a special cosmological initial condition, now called the Past Hypothesis: the universe started in a low-entropy state. Unfortunately, in a universe where there are many copies of us (in the distant ''past'' or the (...) distant ''future''), the Past Hypothesis is not enough; we also need to postulate self-locating (de se) probabilities. However, I show that we can similarly use self-locating probabilities to strengthen its rival---the Fluctuation Hypothesis, leading to in-principle empirical underdetermination and radical epistemological skepticism. The underdetermination is robust in the sense that it is not resolved by the usual appeal to 'empirical coherence' or 'simplicity.' That is a serious problem for the vision of providing a completely scientific explanation of time's arrow. (shrink)

We argue that a semantics for counterfactual conditionals in terms of comparative overall similarity faces a formal limitation due to Arrow’s impossibility theorem from social choice theory. According to Lewis’s account, the truth-conditions for counterfactual conditionals are given in terms of the comparative overall similarity between possible worlds, which is in turn determined by various aspects of similarity between possible worlds. We argue that a function from aspects of similarity to overall similarity should satisfy certain plausible constraints while (...) Arrow’s impossibility theorem rules out that such a function satisfies all the constraints simultaneously. We argue that a way out of this impasse is to represent aspectual similarity in terms of ranking functions instead of representing it in a purely ordinal fashion. Further, we argue against the claim that the determination of overall similarity by aspects of similarity faces a difficulty in addition to the Arrovian limitation, namely the incommensurability of different aspects of similarity. The phenomena that have been cited as evidence for such incommensurability are best explained by ordinary vagueness. (shrink)

Jonathan Aldred shares our desire to promote a reconciliation between social choice theory and deliberative democracy in the interests of a more comprehensive and compelling account of democracy.1 His comments on some details of our analysis – specifically, our use of Arrow’s conditions of universal domain and independence of irrelevant alternatives – give us an opportunity to clarify our position. His discussion of the independence condition in particular identifies some ambiguity in our exposition, and as such is useful. (...) We are less impressed by the way Aldred characterizes the overall terms of the reconciliation we propose. We believe that his argument on this matter should be resisted because it provides deliberative democrats with a bad excuse to dismiss social choice theory altogether, which is surely not what he intends. (shrink)

In order to make scientific results relevant to practical decision making, it is often necessary to transfer a result obtained in one set of circumstances—an animal model, a computer simulation, an economic experiment—to another that may differ in relevant respects—for example, to humans, the global climate, or an auction. Such inferences, which we can call extrapolations, are a type of argument by analogy. This essay sketches a new approach to analogical inference that utilizes chain graphs, which resemble directed acyclic graphs (...) (DAGs) except in allowing that nodes may be connected by lines as well as arrows. This chain graph approach generalizes the account of extrapolation I provided in my (2008) book and leads to new insights that integrate the contributions of the other participants of this symposium. More specifically, this approach explicates the role of “fingerprints,” or distinctive markers, as a strategy for avoiding an underdetermination problem having to do with spurious analogies. Moreover, it shows how the extrapolator’s circle, one of the central challenges for extrapolation highlighted in my book, is closely tied to distinctive markers and the Markov condition as it applies to chain graphs. Finally, the approach suggests additional ways in which investigations of a model can provide information about a target that are illustrated by examples concerning nanomaterials in sunscreens and Wendy Parker’s discussion of fingerprints in climate science. (shrink)

This paper aims to illuminate some issues in the equality, priority, or what debate. I characterize egalitarianism and prioritarianism, respond to the view that we should care about sufficiency or compassion rather than equality or priority, discuss the levelling down objection, and illustrate the significance of the distinction between prioritarianism and egalitarianism, establishing that the former is no substitute for the latter. In addition, I respond to Bertil Tungodden's views regarding the Slogan, the levelling down objection, the Pareto Principle, leximin, (...) the principle of personal good, strict moderate egalitarianism, the Hammond Equity Condition, the intersection approach, and non-aggregative reasoning. (shrink)

Fragile states and developing countries increasingly contract out health services to non-state providers (NSPs) (such as non-governmental organisations, voluntary sector and private sector). The paper identifies ethical issues when contracts involve devolution of health services to NSPs and proposes procedures to prevent or resolve these ethical dilemmas. Ethical issues were identified by examining processes of contracting out. Health needs could be used to select areas to be contracted out and to identify service needs. Health needs comprise “disease-burden-related needs”, “health-service needs”, (...) and “urgency of health-service needs”. The mix of services should include an analysis of cost-effectiveness. NSPs should be selected fairly, without bias, and conflicts of interest during their work must be avoided. The population’s views must be respected and accountability structures established. Devolved health services should ensure equity of access to healthcare. The services ought to be sustainable and evaluated objectively. Of these issues, conflicts of interest among NSPs and sustainability of health services have not attracted attention in the literature on ethics of health policy. Fair procedures could address these ethical issues—for example, public consultation on issues; decisions based on the public consultation and made on evidence; principles of decisions stated and reasonable; decisions given adequate publicity; a mechanism established to challenge decisions; assurance that mechanisms meet the above conditions; and regular review of the policies. These procedures are complemented by improving self-governance of NSPs, countries’ development of guidelines for devolving health services, and measures to educate the public of the client countries on these issues. (shrink)

A model of a new version of Zeno's arrow paradox is presented in a plausible extension of Newtonian collision mechanics. In exploring various avenues for resolution of the paradox, it becomes evident that a prerelativistic classical physical topology which is locally deterministic can mechanically generate nonclassical ontological properties such as the appearance of a particle in many places at once. It can also mimic some properties of quantum physics, including unprepared spatially-separated correlations. 1 Zeno's arrow paradox 2 Newtonian (...) collision mechanics and extensions of it 3 Our initial condition (IC) 4 Demonstrating the model paradox 5 Resolving the paradox 6 Unprepared correlations in spatially-separated events 7 Lessons. (shrink)

An essay in normative jurisprudence where the author is concerned with delineating and evaluating legal decision procedures. The appeal to precedent and equity are critically examined and found to be deficient. Wasserstrom proposes as an improvement a two-level decision procedure, which is like precedent in appealing to a rule of law as a necessary condition for deciding a case, and like equity "in that considerations of justice are directly relevant to the justification of any decision." He frankly admits (...) that this decision procedure is an improvement at the "price of becoming imprecise at certain crucial points." The discussion is informed throughout with an appreciation of both legal and philosophical treatments of the issues.--S. M. W. (shrink)

Diversity, equity, and inclusion (DEI) policies and programs are crucial tools for reducing social inequality within organizations. However, the recent decline in DEI practices and the inconsistencies found in existing research underscore the need for new theoretical approaches. This essay seeks to offer a fresh perspective on the strengths and limitations of DEI initiatives through the lens of granular interactions thinking theory. It posits that while DEI policies and programs generally create conditions conducive to greater value creation and (...) improved adaptability to changing environments and challenges, maintaining direction and operational certainty within an organization with high DEI demands significant energy investment. To sustain DEI and enhance its effectiveness, these policies need to go beyond simply increasing diversity and ensuring equal access to opportunities. They must also focus on empowering a diverse workforce to contribute to the organization’s success actively. Additionally, fostering a workplace culture that enhances members’ adaptive cognitive processing and skills can reduce the energy required to sustain DEI efforts, making these practices more sustainable in the long term. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Standards of Music Education and the Easily Administered Child/Citizen: The Alchemy of Pedagogy and Social Inclusion/Exclusion Thomas S. Popkewitz and Ruth Gustafson University of Wisconsin-Madison Educational standards are forsome a corrective device to promote the twin goals of excellence and equity by making explicit the performance outcomes ofschooling. For others, performance standards do not do what they say and install the wrong goals for teaching. But various sides (...) in the debate assume that school subjects teach the subjects and what is needed are more effective and efficient classroom practices. Our approach is different. We consider the standards of school subjects as related to the conditions of state governing. School subjects inscribe principles that administer the conduct ofthe child who is to grow into the "reasonable citizen." The Standards Movement is more than what is publicly discussed. Pedagogy embodies particular ways ofthinking or a system ofreason in which pedagogy orders who we are, who we should become, and who are not qualifiedto become that "we." If we think of modern schooling as an inscription device in the fonning of the citizen through the development ofthe child, the crux of the debate is not whether to have standards. It is how particular standards are inscribed through pedagogicalpractices. Ifwe treat school subjects as analogous to a uniform system of taxes, the developmentofuniformmeasurements, andurban planning in the modem state, our concern is with the boundaries created about the rules and standards of reason and the reasonable person. Pedagogygoverns inadoublesense: schoolmusic embodies representations that constitute the objects that children act on as real, and it generates principles to orderand patrol the borders that qualify and disqualify individuals for participation. The standards that govern music education can be thought about as an alchemy.1 The field of music is transported and translated into school subjects andpedagogical content. As the sorcerer ofthe middle ages sought to turn lead into gold, a specializedpedagogyplaces children in a new set ofrelations that is no longerthe academic field of music. Why is the alchemy important? First, the alchemy ofschool subjects is a particular system of reason that fabricates the kinds of people administered in schooling. Second, the alchemy reconfigures the sensitivities and awarenesses of the field of music to make the child's "soul" the site of administration. That soul in music and other school subjects is talked about today as personaldevelopment, self-reflection,personality, and character. Third, school subjects are sites in which the relations between the state, society, community, and individuality are worked and reworked to produce the borders ofinclusion and exclusion. The first section of this paper considers school subjects as a practice of governing that administersprinciples (orstandards ifwecanplay with that word) about who we are and should be. The second section considers psychology as the translation device that transports academic disciplines into school subjects. It may seem odd at firstglancebutthesamepsychologicaltransportation systems exist across school subjects. The historical intervention of the transportation system, we argue in the third section, has little to do with understanding music or science, but with governing the soul. In that section we examine the different cultural practices that overlap to©Philosophy ofMusic Education Review 10, no. 2 (Fall, 2002): 80-91. Thomas S. Popkewitz/Ruth Gustafson 81 generate principles that orderthe nature ofmusic, the child/childhood, teaching, and reflection and subjectivity in music education. The discussion is not about the internal structure or the goodness ofmusic education but the particular frames of reference that form the evidence and possibilities of reform in school subjects. We take up the task ofinquiry into the alchemy of music as part of a broader project to show the contingency ofthe arrangement that we live by showing how thought has played a part in holding those arrangements together and to contestthe strategiesthatgovernthehumanpossibilities. The Art ofGoverning: Standards as Mapping Who We are/to Become Themodern state governs through developing a precise system of classifications and the correct sorting devices to chart a course ofaction that will change society for the better and which will prevent any futurejoining ofthe ranks ofthe poorly performing. To govern is to develop systems ofclassification that calculate and make legiblepeople fortheadministrationofthe society and the citizen. Mass schooling is a central institution in... (shrink)

The author suggests that law is best represented, understood, and taught in the form of open‐ended, defeasible, normative, conditional propositions. The meaning, role, and significance of defeasibility is explained by presenting three ‘canonical forms’ and by distinguishing exceptions and overrides. The role of equity in the law of contract, as understood by the author, is taken as an exemplar of override and parallels are drawn with policy in the English law of tort and with mercy in the criminal law (...) of England and Wales. The third and preferred canonical form is sequenced and internally differentiated and seeks a satisfactory middle way between all‐or‐nothing rules and wild‐card discretion and a reconciliation of the surface demands of legal rules and the deeper values embedded in law. The suggested approach therefore resists closure and seeks a conceptual restructuring of law which opens it up to the influence of notions such as justice and equity and locates them as open‐ended conditions of defeasance inhabiting the express or implied ‘unless…’ clause which is taken to be an element in every fully‐formed statement of law. This approach accommodates law as a locus not only of traditional rule‐based reasoning, but also of open‐ended internal moral reasoning invoking deeper values inherent in law and only imperfectly captured and implemented by formal legal rules. (shrink)

Health equity is a global concern. Although health equity extends far beyond the equitable distribution of healthcare, equitable access to healthcare is essential to the achievement of health equity. In Canada, Indigenous Peoples experience inequities in health and healthcare access. Cultural safety and trauma‐ and violence‐informed care have been proposed as models of care to improve healthcare access, yet practitioners lack guidance on how to implement these models. In this paper, we build upon an existing framework of (...) equity‐oriented care for primary healthcare settings by proposing strategies to guide nurses in operationalizing cultural safety and trauma‐ and violence‐informed care into nursing practice at the individual level. This component is one strategy to redress inequitable access to care among Indigenous Peoples in Canada. We conceptualize barriers to accessing healthcare as intrapersonal, interpersonal, and structural. We then define three domains for nursing action: practicing reflexivity, prioritizing relationships, and considering the context. We have applied this expanded framework within the context of Indigenous Peoples in Canada as a way of illustrating specific concepts and focusing our argument; however, this framework is relevant to other groups experiencing marginalizing conditions and inequitable access to healthcare, and thus is applicable to many areas of nursing practice. (shrink)

A counterlegal is a counterfactual conditional containing an antecedent that is inconsistent with some set of laws. A backtracker is a counterfactual that tells us how things would be at a time earlier than that of its antecedent, were the antecedent to obtain. Typically, theories that evaluate counterlegals appropriately don’t evaluate backtrackers properly, and vice versa. Two cases in point: Lewis’ ordering semantics handles counterlegals well but not backtrackers. Hiddleston’s :632–657, 2005) causal-model semantics nicely handles backtrackers but not counterlegals. Taking (...) Hiddleston’s account as a starting point, I offer steps toward a theory capable of handling both counterlegals and backtrackers. The core contribution of this paper is a means for evaluating counterlegals relative to minimally-illegal models. (shrink)

Large-scale data systems are increasingly envisioned as tools for justice, with big data analytics offering a key opportunity to advance health equity. Health systems face growing public pressure to collect data on patient “social factors,” and advocates and public officials seek to leverage such data sources as a means of system transformation. Despite the promise of this “data-driven” strategy, there is little empirical work that examines big data in action directly within the sites of care expected to transform. In (...) this article, I present a case study on one such initiative, focusing on a large public safety-net health system’s initiation of sexual orientation and gender identity data collection within the clinical setting. Drawing from ethnographic fieldwork and in-depth interviews with providers, staff, and administrators, I highlight three main challenges that elude big data’s grasp on inequality: provider and staff’s limited understanding of the social significance of data collection; patient perception of the cultural insensitivity of data items; and clinic need to balance data requests with competing priorities within a constrained time window. These issues reflect structural challenges within safety-net care that big data alone are unable to address in advancing social justice. I discuss these findings by considering the present data-driven strategy alongside two complementary courses of action: diversifying the health professions workforce and clinical education reform. To truly advance justice, we need more than “just data”: we need to confront the fundamental conditions of social inequality. (shrink)

This paper considers the proposal to pay people to get vaccinated against the SARS-CoV-2 virus. The first section introduces arguments against the proposal, including less intrusive alternatives, unequal effects on populations and economic conditions that render payment more difficult to refuse. The second section considers arguments favouring payment, including arguments appealing to health equity, consistency, being worth the cost, respect for autonomy, good citizenship, the ends justifying the means and the threat of mutant strains. The third section spotlights (...) long-term and short-term best practices that can build trust and reduce ‘vaccine hesitancy’ better than payment. The paper concludes that people who, for a variety of reasons, are reluctant to vaccinate should be treated like adults, not children. Despite the urgency of getting shots into arms, we should set our sights on the long-term goals of strong relationships and healthy communities. (shrink)

In a recent paper Samir Okasha has suggested an application of Arrow’s impossibility theorem to theory choice. When epistemic virtues are interpreted as ‘voters’ in charge of ranking competing theories, and there are more than two theories at stake, the final ordering is bound to coincide with the one proposed by one of the voters, provided a number of seemingly reasonable conditions are in place. In a similar spirit, Jacob Stegenga has shown that Arrow’s theorem applies to (...) the amalgamation of evidence; the ‘voters’ here are the different sources of evidence. As with Okasha’s proposal, it is not clear how to avoid Arrow’s pessimistic conclusion.In this paper we develop a novel argument that purports to show that, in typical examples, Arrow’s result does not obtain when dealing with evidence amalgamation. The reason is that we cannot escape the well-known Duhem problem: the evidence actually confirms complex conjunctions that include various auxiliary hypotheses. We argue that confirmational holism induces us to restrict the domain of a reasonable amalgamation function, thus violating one of Arrow’s conditions. The upshot is that we are now able to see the Duhem problem under a different, positive light – namely, as a phenomenon that makes the aggregation of the evidence possible in the first place, when there are at least three options on the table. (shrink)

Seeking the good life: Socrates' erotic revolution -- At home in the universe: the Stoics as Existentialists -- Senses of the self: Augustine and the ascent of the soul -- Overcoming alienation: Rousseau's search for authenticity -- Becoming who we are: Kierkegaard against his age (and ours) -- Single in the crowd: Thoreau's existential experiment at Walden Pond -- No short cut to Paradise: the lonely passion of William James -- Beyond Nihilism: Nietzsche and the ethics of utopia -- Between (...) solitude and solidarity: the two worlds of Albert Camus -- The desire to be God: Sartre and the winding roads of freedom -- Dramatist of a broken world: the soft theism of Gabriel Marcel -- Thinking without banisters: Hannah Arendt and the face of radical evil. (shrink)

Some argue that time’s causal arrow is grounded in an underlying thermodynamic asymmetry. Often, this is tied to Humean skepticism that causes produce their effects, in any robust sense of ‘produce’. Conversely, those who advocate stronger notions of natural necessity often reject thermodynamic reductions of time’s causal arrow. Against these traditional pairings, I argue that ‘reduction-plus-production’ is coherent. Reductionists looking to invoke robust production can insist that there are metaphysical constraints on the signs of objects’ velocities in any (...) state, given other—including far later—states’ properties. The Past Hypothesis may thus be a metaphysical condition, not a physical law. (shrink)

Wulf Gaertner provides a comprehensive account of an important and complex issue within social choice theory: how to establish a social welfare function while restricting the spectrum of individual preferences in a sensible way. Gaertner's starting point is K. J. Arrow's famous 'Impossibility Theorem', which showed that no welfare function could exist if an unrestricted domain of preferences is to be satisfied together with some other appealing conditions. A number of leading economists have tried to provide avenues out (...) of this 'impossibility' by restricting the variety of preferences: here, Gaertner provides a clear and detailed account, using standardized mathematical notation, of well over forty theorems associated with domain conditions. Domain Conditions in Social Choice Theory will be an essential addition to the library of social choice theory for scholars and their advanced graduate students. (shrink)

Nurse practitioners (NPs) are increasingly called on to provide high‐quality health‐care particularly for people who face significant barriers to accessing services. Although discourses of social justice have become relatively common in nursing and health services literature, critical analyses of how NP roles articulate with social justice issues have received less attention. In this study, we examine the role of NPs from a critical social justice perspective. A critical social justice lens raises morally significant questions, for example, why certain individuals and (...) groups bear a disproportionate burden of illness and suffering; what social conditions contribute to disparities in health and social status; and what social mandate NPs ought to develop in response to these realities. In our analysis, we draw on lessons learned from the initial Canadian experience with the introduction of NPs in the 1970s to consider the renewed and burgeoning interest in NPs in Canada, Australia and elsewhere. As we argue, a critical social justice perspective (in addition to the biomedical foci of NP practice) will be essential to sustaining long‐term, socially responsive NP roles and achieving greater equity in health and health‐care. (shrink)

Collaborative research practices in the field of plant genetic resources must follow the principles of fairness and equity as defined in the Convention on Biological Diversity (CBD) and in the International Treaty on Plant Genetic Resources for Food and Agriculture (ITPGRFA). In this context the concepts of fairness and equity generally refer to the substantive and procedural dimensions associated with sharing the benefits of this research. But neither term is clearly defined by these international treaties, and the meanings (...) attributed to the concepts vary among different societies. This paper looks at the question of how to account for the diversity among value systems when conducting research that implicates diverse stakeholders and respects the requirements of fairness and equity. We incorporated an auto-ethnography method developed as part of a multi-stakeholder network involved in research projects on plant genetic resources in West Africa. A theatrical device was used as a framework for testing the principles of fairness and equity, helping us to collectively identify feelings of injustice, and explore the conditions for making collaborative research practices more ethical in ways that respect the perspectives of different stakeholders. In an environment of extensive political and socio-cognitive inequality, this approach makes it possible to explain the criteria relating to interactional justice and expectations in terms of socio-political and socio-emotional benefits. It also invites us to consider the principles of fairness and equity in a framework of ethical competence that goes beyond international directives. (shrink)

Older minority Americans experience worse health outcomes than their white counterparts, exhibiting the need for social justice in all areas of their health care. Justice, fairness, and equity are crucial to minimizing conditions that adversely affect the health of individuals and communities. In this paper, Alzheimer's disease (AD) is used as an example of a health care disparity among elderly Americans that requires social justice interventions. Cultural factors play a crucial role in AD screening, diagnosis, and access to (...) care, and are often a barrier to support and equality for minority communities. The “conundrum of health disparities” refers to the interplay between disparity, social justice, and cultural interpretation, and encourages researchers to understand both (1) disparity caused by economic and structural barriers to access, treatment, and diagnosis, and (2) disparity due to cultural interpretation of disease, in order to effectively address health care issues and concerns among elderly Americans. (shrink)

ABSTRACT When melancholy is mentioned in connection with pietism, it is usually associated with self-ordained contrition and castigation which, according to the opponents of this religious movement, is prone to drive the believers into pathological dejection or even suicide. The example of the radical pietist Frankfurt physician Johann Christian Senckenberg, however, demonstrates the need for a more differentiated approach. As Senckenberg attained his medical knowledge primarily through physical and mental self-observation, he experienced the sadness of his own soul as absence (...) of divine grace and increased irritability resulting from his own wilfulness and lack of faith in God. Similarly, he interpreted his hypochondriac affliction as a divine punishment for his lustfulness and culinary debauchery. Concluding that both ailments could be remedied by dietetic moderation, steadfastness against temptations and withdrawal from the company of sinners, temporary seclusion and abstinence to him did not at all serve the crucifixion of the flesh, but rather functioned as part of a dietary cure, from which the sufferer could emerge cheerfully and strengthened. In this way, he could not only identify melancholy as a pathological yet treatable condition, but also solve the seeming contradiction between pious humility and independent self-preservation. (shrink)

In view of the time-symmetric nature of the laws of physics, time asymmetry in the universe must arise from “initial” conditions. A fully time-symmetric oscillating model is presented which exists in a highly compressed, highly ordered state att=0 and evolves forward, in the thermodynamic sense, as ∣t ∣ increases. This model offers the possibility of accounting for several fundamental and puzzling aspects of our universe, including matter-antimatter asymmetry, the large entropy per baryon, primordial density enhancements sufficient to form galaxies, (...) and large-scale homogeneity. (shrink)

Unmet legal needs contribute to housing, income, and food insecurity, along with other conditions that harm health and drive health inequity. Addressing health injustice requires new tools for the next generations of lawyers, doctors, and other healthcare professionals. An interprofessional group of co-authors argue that law and medical schools and other university partners should develop and cultivate Academic Medical-Legal Partnerships (A-MLPs), which are uniquely positioned to leverage service, education, and research resources, to advance health justice.

All the attempts to find the justification of the privileged evolution of phenomena exclusively in the external world need to refer to the inescapable fact that we are living in such an asymmetric universe. This leads us to look for the origin of the “arrow of time” in the relationship between the subject and the world. The anthropic argument shows that the arrow of time is the condition of the possibility of emergence and maintenance of life in the (...) universe. Moreover, according to Bohr’s, Poincaré’s and Watanabe’s analysis, this agreement between the earlier-later direction of entropy increase and the past-future direction of life is the very condition of the possibility for meaningful action, representation and creation. Beyond this relationship of logical necessity between the meaning process and the arrow of time the question of their possible physical connection is explored. To answer affirmatively to this question, the meaning process is modelled as an evolving tree-like structure, called “Semantic Time”, where thermodynamic irreversibility can be shown. (shrink)

This paper is chiefly aimed at individuating some deep, but as yet almost unnoticed, similarities between Aristotle's syllogistic and the Stoic doctrine of conditionals, notably between Aristotle's metasyllogistic equimodality condition and truth-conditions for third type conditionals. In fact, as is shown in §1, Aristotle's condition amounts to introducing in his metasyllogistic a non-truthfunctional implicational arrow '', the truth-conditions of which turn out to be logically equivalent to truth-conditions of third type conditionals, according to which only the (...) impossible follows from the impossible. Moreover, Aristotle is given precisely this non-Scotian conditional logic in two so far overlooked passages of Themistius' Paraphrasis of De Caelo. Some further consequences of Aristotle's equimodality condition on his logic, and notably on his syllogistic, are pointed out and discussed at length. A extension of Aristotle's condition is also discussed, along with a full characterization of truth-conditions of fourth type conditionals. (shrink)

Local food systems can have economic and social benefits by providing income for producers and improving community connections. Ongoing global climate change and the acute COVID-19 pandemic crisis have shown the importance of building equity and resilience in local food systems. We interviewed ten stakeholders from organizations and institutions in a U.S. midwestern city exploring views on past, current, and future conditions to address the following two objectives: 1) Assess how local food system equity and resilience were (...) impacted by the COVID-19 pandemic, and 2) Examine how policy and behavior changes could support greater equity and resilience within urban local food systems. We used the Community Capitals Framework to organize interviewees’ responses for qualitative analyses of equity and resilience. Four types of community capital were emphasized by stakeholders: cultural and social, natural, and political capital. Participants stated that the local food system in this city is small; more weaknesses in food access, land access, and governance were described than were strengths in both pre- and post-pandemic conditions. Stakeholder responses also reflected lack of equity and resilience in the local food system, which was most pronounced for cultural and social, natural and political capitals. However, local producers’ resilience during the pandemic, which we categorized as human capital, was a notable strength. An improved future food system could incorporate changes in infrastructure (e.g., food processing), markets (e.g., values-based markets) and cultural values (e.g., valuing local food through connections between local producers and consumers). These insights could inform policy and enhance community initiatives and behavior changes to build more equitable and resilient local food systems in urban areas throughout the U.S. Midwest. (shrink)

The distribution of matter in our universe is strikingly time asymmetric. Most famously, the Second Law of Thermodynamics says that entropy tends to increase toward the future but not toward the past. But what explains this time-asymmetric distribution of matter? In this paper, I explore the idea that time itself has a direction by drawing from recent work on grounding and metaphysical fundamentality. I will argue that positing such a direction of time, in addition to time-asymmetric boundary conditions, enables (...) a better explanation of the thermodynamic asymmetry than is available otherwise. (shrink)

Statistical physics cannot explain why a thermodynamic arrow of time exists, unless one postulates very special and unnatural initial conditions. Yet, we argue that statistical physics can explain why the thermodynamic arrow of time is universal, i.e., why the arrow points in the same direction everywhere. Namely, if two subsystems have opposite arrow-directions at a particular time, the interaction between them makes the configuration statistically unstable and causes a decay towards a system with a universal (...) direction of the arrow of time. We present general qualitative arguments for that claim and support them by a detailed analysis of a toy model based on the baker’s map. (shrink)

This paper examines social choice theory with the strong Pareto principle. The notion of conditional decisiveness is introduced to clarify the underlying power structure behind strongly Paretian aggregation rules satisfying binary independence. We discuss the various degrees of social rationality: transitivity, semi-transitivity, the interval-order property, quasi-transitivity, and acyclicity.

Salient landmarks enhance route learning. We hypothesised that semantically salient nostalgic landmarks would improve route learning compared to non-nostalgic landmarks. In two experiments, participants learned a route through a computer-generated maze using directional arrows and wall-mounted pictures. On the test trial, the arrows were removed, and participants completed the maze using only the pictures. In the nostalgia condition, pictures were of popular music artists and TV characters from 5 to 10 years ago. In the control condition, they were recent pictures (...) of these same artists and characters. In Experiment 1, in the test trial, participants in the nostalgia condition completed the maze faster than controls. Experiment 2 conceptually replicated these findings and extended them by exploring boundary conditions. Participants had to learn two mazes sequentially. In Maze 1, we placed nostalgic/control landmarks only at non-decision points (whereas we placed them at decision points in Experiment 1). In Maze 2, we placed nostalgic/control landmarks at decision points during acquisition but removed them in the test trial (whereas they were present in the test trial in Experiment 1). In both mazes, participants in the nostalgia (compared to control) condition completed the test trial faster. (shrink)

This paper is concerned with selecting an appropriate perspective from which to understand and evaluate social-decision procedures. Distinguishing between "agent rationality" and "option-rationality", the author argues that a rational agent may choose a social-decision procedure that is not itself agent-rational (but merely option-rational). The argument puts the voter's paradox in a context allowing evaluation of (a) its general import and (b) practical proposals for avoiding it in particular cases. Arrow's four conditions for a social-decision procedure are shown to (...) have little relevance to the understanding or evaluation of constitutions. The author concludes that the more fruitful perspective for discussing social-decision procedures is that of option-rationality rather than (as Arrow, Wolff, and others have supposed) that of agent-rationality. (shrink)

Corruption involves greed, money, and risky decision-making. We explore the love of money, pay satisfaction, probability of risk, and dishonesty across cultures. Avaricious monetary aspiration breeds unethicality. Prospect theory frames decisions in the gains-losses domain and high-low probability. Pay dissatisfaction (in the losses domain) incites dishonesty in the name of justice at the individual level. The Corruption Perceptions Index, CPI, signals a high-low probability of getting caught for dishonesty at the country level. We theorize that decision-makers adopt avaricious love-of-money aspiration (...) as a lens and frame dishonesty in the gains-losses domain (pay satisfaction-dissatisfaction, Level 1) and high-low probability (CPI, Level 2) to maximize expected utility and ultimate serenity. We challenge the myth: Pay satisfaction mitigates dishonesty across nations consistently. Based on 6500 managers in 32 countries, our cross-level three-dimensional visualization offers the following discoveries. Under high aspiration conditions, pay dissatisfaction excites the highest- (third-highest) avaricious justice-seeking dishonesty in high (medium) CPI nations, supporting the certainty effect. However, pay satisfaction provokes the second-highest avaricious opportunity-seizing dishonesty in low CPI entities, sustaining the possibility effect—maximizing expected utility. Under low aspiration conditions, high pay satisfaction consistently leads to low dishonesty, demonstrating risk aversion—achieving ultimate serenity. We expand prospect theory from a micro and individual-level theory to a cross-level theory of monetary wisdom across 32 nations. We enhance the S-shaped Curve to three 3-D corruption surfaces across three levels of the global economic pyramid, providing novel insights into behavioral economics, business ethics, the environment, and responsibility. (shrink)

According to common interpretations of mill's 'proof' of utility (chapter 4 utilitarianism), The conclusion, "the general happiness is desirable", Is said to be a simple maximizing conception and to ignore the competing desirability or deontic claims of justice. I offer a construction of the 'proof' such that the term "general happiness" in the conclusion is seen to include equitable distribution of happiness among persons as a rational condition of goodness. This construction turns crucially on the idea that each person has (...) an equal rational claim for as much happiness as possible; accordingly, As a consequence of resolving the conflict of rational claims, The general happiness is conceived as that state of affairs in which each person gains as much happiness as possible compatible with a like result for all others. (shrink)