The dominant language of politics in the United States has been political individualism, with minimal restrictions on property and personal, voluntary conduct. But there are second languages of community that stress cooperation and group action. These second languages include the constitutional tradition for public health. Public health offers a community justification for paternalistic measures that, for example, discourage smoking or require seatbelts.

We have some of our properties purely in virtue of the way we are. (Our mass is an example.) We have other properties in virtue of the way we interact with the world. (Our weight is an example.) The former are the intrinsic properties, the latter are the extrinsic properties. This seems to be an intuitive enough distinction to grasp, and hence the intuitive distinction has made its way into many discussions in philosophy, including discussions in ethics, philosophy of mind, (...) metaphysics, epistemology and philosophy of physics. Unfortunately, when we look more closely at the intuitive distinction, we find reason to suspect that it conflates a few related distinctions, and that each of these distinctions is somewhat resistant to analysis. (shrink)

Some medical services have long generated deep moral controversy within the medical profession as well as in broader society and have led to conscientious refusals by some physicians to provide those services to their patients. More recently, pharmacists in a number of states have refused on grounds of conscience to fill legal prescriptions for their customers. This paper assesses these controversies. First, I offer a brief account of the basis and limits of the claim to be free to act on (...) one’s conscience. Second, I sketch an account of the basis of the medical and pharmacy professions’ responsibilities and the process by which they are specified and change over time. Third, I then set out and defend what I call the “conventional compromise” as a reasonable accommodation to conflicts between these professions’ responsibilities and the moral integrity of their individual members. Finally, I take up and reject the complicity objection to the conventional compromise. Put together, this provides my answer to the question posed in the title of my paper: “Conscientious refusal by physicians and pharmacists: who is obligated to do what, and why?”. (shrink)

Many philosophers believe that when a theory is committed to an apparently unexplainable massive correlation, that fact counts significantly against the theory. Philosophical theories that imply that we have knowledge of non-causal mind-independent facts are especially prone to this objection. Prominent examples of such theories are mathematical Platonism, robust normative realism and modal realism. It is sometimes thought that theists can easily respond to this sort of challenge and that theism therefore has an epistemic advantage over atheism. In this paper, (...) I will argue that, contrary to widespread thought, some versions of theism only push the challenge one step further and thus are in no better position than atheism. (shrink)

Several authors believe that there are certain facts that are striking and cry out for explanation—for instance, a coin that is tossed many times and lands in the alternating sequence HTHTHTHTHTHT…. According to this view, we have prima facie reason to believe that such facts are not the result of chance. I call this view the striking principle. Based on this principle, some have argued for far-reaching conclusions, such as that our universe was created by intelligent design, that there are (...) many universes other than the one we inhabit, and that there are no mathematical or normative facts. Appealing as the view may initially seem, I argue that we lack sufficient reason to accept it. (shrink)

Most research on student plagiarism defines the concept very narrowly or with much ambiguity. Many studies focus on plagiarism involving large swaths of text copied and pasted from unattributed sources, a type of plagiarism that the overwhelming majority of students seem to have little trouble identifying. Other studies rely on ambiguous definitions, assuming students understand what the term means and requesting that they self-report how well they understand the concept. This study attempts to avoid these problems by examining student perceptions (...) of more complex citation issues. We presented 240 students with a series of examples, asked them to indicate whether or not each should be considered plagiarism, and followed up with a series of demographic and attitudinal questions. The examples fell within the spectrum of inadequate citation, patchwriting, and the reuse of other people’s ideas. Half were excerpted from publicized cases of academic plagiarism, and half were modified from other sources. Our findings indicated that students shared a very strong agreement that near verbatim copy and paste and patchwriting should be considered plagiarism, but that they were much more conflicted regarding the reuse of ideas. Additionally, this study found significant correlation between self-reported confidence in their understanding and the identification of more complex cases as plagiarism, but this study found little correlation between academic class status or exposure to plagiarism detection software and perceptions of plagiarism. The latter finding goes against a prevailing sentiment in the academic literature that the ability to recognize plagiarism is inherently linked to academic literacy. Overall, our findings indicate that more pedagogical emphasis may need to be placed on complex forms of plagiarism. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Ideal of Shared Decision Making Between Physicians and PatientsDan W. Brock (bio)IntroductionShared treatment decision making, with its division of labor between physician and patient, is a common ideal in medical ethics for the physician-patient relationship.1 Most simply put, the physician's role is to use his or her training, knowledge, and experience to provide the patient with facts about the diagnosis and about the prognoses without treatment and with (...) alternative treatments. The patient's role in this division of labor is to provide the values—his or her own conception of the good—with which to evaluate these alternatives, and to select the one that is best for himself or herself. As a rough guide to practice, this is a reasonable conception; most of the time it is likely to produce sound treatment decisions. However, as an ideal it is too simplistic, and is subject to several challenges that I will explore in this paper.Some challenges relate to the physician's role. This facts/values division of labor seems to assume that the physician can and should provide the facts about treatment alternatives in a value-neutral form. But some have questioned whether the sciences on which medicine is based are, or can be, value free. Moreover, the concepts of health and disease, and of the normal and pathological, are held by many to be value laden. And even if it is possible for physicians to provide only value-neutral facts to the patient, should the physicians' role be restricted in this way?Other challenges that I will present in the paper are to the patient's role [End Page 28] as provider of the values for the evaluation of the different treatment alternatives. One defense of this role is based on the claim that physicians are not in a position to know reliably what is in a patient's best interests (Buchanan, forthcoming). I believe at least as influential—even if often not explicitly stated—is an extreme subjectivism about values that assumes that the patient's own ultimate values, which define his or her own conception of the good, are incorrigible. By incorrigible, I mean they cannot be mistaken. In the standard case in which treatment is pursued for the patient's benefit, this extreme subjectivism is thought to support the patient's values guiding treatment decision making and treatment. I will explore this incorrigibility claim and will argue that on each of the main philosophical conceptions of the good for persons it is indefensible and should not be the basis for shared treatment decision making.Underlying this view of the physician-patient division of labor are assumptions and beliefs about the nature and relation of facts and values, and science and ethics, that are largely the legacy of a logical positivism that has long since been rejected by most philosophers. It is time that these unstable foundations for our normative ideal of the physician-patient relation were finally removed and replaced with more defensible underpinnings.Two Models of the Physician-Patient RelationshipPositivists insisted on a relatively sharp distinction between descriptive or empirical claims and science, on the one hand, and evaluative claims and ethics, on the other.2 Descriptive statements and the claims of science were to be true or false according to whether they in fact correctly described and explained the world. By remaining properly descriptive or empirical, science could, at least in principle, be entirely value neutral or value free.In its more extreme versions, positivism held that ethical judgments lacked cognitive content, but were instead expressions of emotions or attitudes, and as such could be neither true nor false, correct or mistaken. Because no evaluative statements were held to be logically entailed by any descriptive or empirical statements, moral reasoning was thought to be properly understood not as reasoning but as attempts at nonrational persuasion.3 Many drew from this an extreme subjectivism in ethics along the lines of what I have called above the incorrigibility thesis—there is no meaningful sense in which an individual's ultimate values defining his or her own conception of the good life could be mistaken, false, or unfounded.These... (shrink)

The leading account of intrinsicality over the last thirty years has arguably been David Lewis's account in terms of perfect naturalness. Lewis's account, however, has three serious problems: i) it cannot allow necessarily coextensive properties to differ in whether they are intrinsic; ii) it falsely classifies non-qualitative properties like being Obama as non-intrinsic; and iii) it is incompatible with a number of metaphysical theories that posit irreducibly non-categorical properties. I argue that, as a result of these problems, Lewis's account should (...) be rejected and replaced with an alternative account, which also analyses intrinsicality in terms of perfect naturalness, but which avoids these problems. (shrink)

It is widely recognized that prioritizing health care resources by their relative cost-effectiveness can result in lower priority for the treatment of disabled persons than otherwise similar non-disabled persons. I distinguish six different ways in which this discrimination against the disabled can occur. I then spell out and evaluate the following moral objections to this discrimination, most of which capture an aspect of its unethical character: it implies that disabled persons' lives are of lesser value than those of non-disabled persons; (...) it constitutes “double jeopardy” or violates Frances Kamm's non-linkage principle; it conflicts with equality of opportunity; it conflicts with fairness, which requires ignoring (some/most) differential impacts of treatment; it wrongly gives lower priority to disabled persons for equally effective treatment; it conflicts with giving all persons an equal chance to reach their full potential; and, it is in conflict with giving priority to the worse off. (shrink)

Some influential interpreters of Dharmakīrti have suggested understanding his thought in terms of a ‘sliding scale of analysis.’ Here it is argued that this emphasis on Dharmakīrti's alternating philosophical perspectives, though helpful in important respects, obscures the close connection between the two views in play. Indeed, with respect to these perspectives as Dharmakīrti develops them, the epistemology is the same either way. Insofar as that is right, John Dunne's characterization of Dharmakīrti's Yogācāra as ‘epistemic idealism ’ may not, after all, (...) distinguish this perspective from Sautrāntika; indeed, epistemic idealism can be understood as just the view these positions share. Thus, what distinguishes the ‘Yogācāra’ section of Dharmakīrti's texts is simply his making explicit that epistemological commitments the Sautrāntika does hold are already compatible with idealism. Sautrāntika and Yogācāra thus differ only when one turns to the metaphysical arguments that additionally show that only such mental things as sense data could be real. (shrink)

Careerism refers to an individual’s propensity to achieve their personal and career goals through nonperformance-based activities. We investigated the role of several dispositional predictors of careerism, including Five-factor model personality traits, primary psychopathy, and exchange ideology. Based on data from 131 respondents, as expected, we observed that emotional stability was negatively correlated with careerism. Primary psychopathy and exchange ideology explained additional variance in careerism after accounting for FFM traits. Relative importance analyses indicated that psychopathy and exchange ideology were equally important (...) in predicting careerism. We highlight the need for future research efforts investigating the combined effects of contextual factors—particularly, human resource practices—and individual differences to understand careerism in the workplace. (shrink)

Encyclopedia entry on the life and work of Karl Leonhard Reinhold.

Richard Nisbett and Dov Cohen’s (1996) influential account of “cultures of honor” speculates that honor norms are a socially-adaptive deterrence strategy. This theory has been appealed to by multiple empirically-minded philosophers, and plays an important role in John Doris and Alexandra Plakias’ (2008) antirealist argument from disagreement. In this essay, I raise four objections to the Nisbett-Cohen deterrence thesis, and offer another theory of honor in its place that sees honor as an agonistic normative system regulating prestige competitions. Since my (...) account portrays honor norms as radically different from liberal ones, it actually strengthens Doris and Plakias’ case in some respects: cultures of honor are not merely superficially different from Western liberal ones. Nonetheless, the persistent appeal of honor’s principles, and their moral plausibility in certain contexts, suggests not antirealism, but pluralism—a reply on behalf of realism that itself has considerable empirical support. (shrink)

Organizational citizenship behaviors (OCBs) are essential for effective organizational functioning. Decisions by employees to engage in these important discretionary behaviors are based on how they make sense of the organizational context. Using fairness heuristic theory, we tested two important OCB predictors: manager trustworthiness and interactional justice. In the process, we control for the effects of dispositional factors (propensity to trust) and for system-based organizational fairness (procedural and distributive justice). Results, based on surveys collected from 120 employee–supervisor dyads, indicate that manager (...) trustworthiness explains variance in OCBs over and above the variance accounted for by interactional fairness. Implications for theory and practice are discussed. (shrink)

This paper examines the notion of tolerance in education. In general, tolerance is perceived as a means to resist hostility, raise awareness of cultural differences, mitigate violence, and maintain liberal and democratic values. In education, there are various initiatives, such as the International Day for Tolerance (UNESCO in Declaration of principles on tolerance, 1995), that aim to build resilience against different forms of hate and cultivate openness and acceptance of the other. Yet the idea of tolerance includes different understandings and (...) interpretations. This paper argues that cultivating an embodied sense of tolerance among students, in particular in divisive communities, requires us to move beyond deliberative interpretations of tolerance and to advance a pragmatic understanding of tolerance through an agonistic lens. This paper starts with a review of several dominant interpretations of tolerance. The heart of the paper focuses on interpreting Dewey’s pragmatism as a theoretical basis for advancing tolerance. The final part of the paper explores how pragmatism through an agonistic lens can support a more flexible and humane approach to dealing with political conflicts. (shrink)

Despite the relevance of silence in several psychopathologies, first-person perspectives on silence have been largely neglected in the phenomenological scholarship on those conditions. This paper proposes a phenomenological framework for addressing this neglect and demonstrates its usefulness through a case study of empty silence, an experience which can be found in many first-person accounts of depression. The paper begins by surveying research on silence in depression in mental health research and phenomenological psychopathology. Drawing on the thought of Merleau-Ponty, it then (...) outlines a phenomenological framework for explicating the structure of silence experiences in psychopathology. Finally, it applies this framework to articulate the experiential structure and implications of empty silence, with a particular emphasis on the bodily doubt that can flow from repeated experiences of empty silence. (shrink)

Over the last thirty years there have been a number of attempts to analyse the distinction between intrinsic and extrinsic properties. This article discusses three leading attempts to analyse this distinction that don’t appeal to the notion of nat-uralness: the duplication analysis endorsed by G. E. Moore and David Lewis, Peter Vallentyne’s analysis in terms of contractions of possible worlds, and the analysis of Gene Witmer, William Butchard and Kelly Trogdon in terms of grounding.

行動経済学によって、さまざまに系統的な不合理さが見えてきた。手をかけることが高評価をもたらすIKEA効果、やる気をそいでいる高額ボーナス、自分で思いついた(と思わせられた)意見は好ましい、雑用は一気に 片づけるほうが楽...。行動経済学研究の第一人者が、わたしたちがなぜ、どのように不合理な行動をしてしまうのかをユニークな実験で紹介。わかりやすい数々の実例で経済の真の姿を解明し、よりよい決断へとつなげ る話題作。.

The idea that cultural evolution exhibits variation, competition, and inheritance and therefore can be studied by adjusting the Darwinian theory of evolution by natural selection is an attractive one. It has been argued by a number of authors (e.g., Campbell 1960; Monod 1970; Dawkins 1976; Cavalli-Sforza and Feldman 1981; Boyd and Richerson 1985; Durham 1991; Aunger 2002; Mesoudi et al. 2004) and pursued in a variety of ways, some (Dawkins and memeticists) staying close to the Darwinian model, others (e.g., Boyd, (...) Richerson, and their collaborators) being more innovative. We agree that there are relevant analogies between biological and cultural evolution and, in particular, that cultural items do exhibit variation, competition, and cumulative modification. On the other hand, we believe that a proper understanding of the mechanisms of cultural propagation drawing on the work of cognitive and social scientists (see Sperber and Hirschfeld 1999 for a review) contradicts the idea that culture exhibits inheritance in the strict sense needed for the theory of evolution by natural selection to apply straightforwardly to it. If so, it will take more than adjusting the Darwinian model to be faithful to the Darwinian inspiration. (shrink)

The intense and extensive debate over human embryonic stem cell research has focused primarily on the moral status of the human embryo. Some commentators assign full moral status of normal adult human beings to the embryo from the moment of its conception. At the other extreme are those who believe that a human embryo has no significant moral status at the time it is used and destroyed in stem cell research. And in between are many intermediate positions that assign an (...) embryo some degree of moral status between none and full. This controversy and the respective positions, like the abortion controversy, is by now well understood, despite the lack of progress in resolving it. I have argued briefly elsewhere that early embryos do not have significant moral status, but I do not want to reenter that debate here. Instead, I want to focus on an issue that has had relatively little explicit and separate attention, but is likely to loom larger in light of the Obama administration’s partial lifting of the Bush administration’s restriction on the embryos that can be used in stem cell research that receives federal funding. (shrink)

The continual background awareness of duration is an essential structure of consciousness, conferring temporal extension to the many objects of awareness within the evanescent sensory present. Seeking the possible neural correlates of ubiquitous temporal awareness, this article reexamines fMRI data from off-task “default mode” periods in 25 healthy subjects studied by Grady et al. , 2005). “Brain reading” using support vector machines detected information specifying elapsed time, and further analysis specified distributed networks encoding implicit time. These networks fluctuate; none are (...) continuously active during DM. However, the aggregate regions of greatest variability closely resemble the default mode network. It appears that the default mode network has an important role as a state-dependent monitor of temporality. (shrink)

Our understanding of language, its origins and subsequent evolution, is shaped not only by data and theories from the language sciences, but also fundamentally by the biological sciences. Recent developments in genetics and evolutionary theory offer both very strong constraints on what scenarios of language evolution are possible and probable, but also offer exciting opportunities for understanding otherwise puzzling phenomena. Due to the intrinsic breathtaking rate of advancement in these fields, and the complexity, subtlety, and sometimes apparent non-intuitiveness of the (...) phenomena discovered, some of these recent developments have either being completely missed by language scientists or misperceived and misrepresented. In this short paper, we offer an update on some of these findings and theoretical developments through a selection of illustrative examples and discussions that cast new light on current debates in the language sciences. The main message of our paper is that life is much more complex and nuanced than anybody could have predicted even a few decades ago, and that we need to be flexible in our theorizing instead of embracing a priori dogmas and trying to patch paradigms that are no longer satisfactory. (shrink)

The Later Moists grounded our linguistic abilities in our ability to distinguish between kinds on the basis of manifest similarities and differences among things. Proper names, however, require a different treatment. According to the Moists, when we use a proper name, we borrow a word for one kind of thing and use it to refer to something else, as when we name dogs “crane.” This view probably responds in part to arguments that the possibility of using any word to refer (...) to any thing threatens the stability of language. Proper names may borrow from terms with existing uses, but arguably they do not thereby undermine those uses. (shrink)

Accountants preparing information are in a position to manipulate the view of economic reality presented in such information to interested parties. These manipulations can be regarded as morally reprehensible because they are not fair to users, they involve in an unjust exercise of power, and they tend to weaken the authority of accounting regulators. This paper develops a model for detecting earnings manipulators using financial statements’ ratios in a sample of Spanish listed companies. Our results provide evidence that accounting data (...) can be extremely useful in detecting manipulators. This approach can be used by a large category of users of accounting information among which we can cite stock exchange supervisors or investing professionals. (shrink)

Spinoza was an eclectic reader, and along with works of Latin literature and medical treatises, the Bible and commentary works featured prominently on his bookshelf. As regards the general ambition of philosophy, a new reading of the Bible could help undermine the prejudices of theologians, particularly the idea that the use of reason is impious. Criticism of the politico‐religious nexus based on the Bible shows the link between political ambitions and the instrumentalization of biblical hermeneutics. Scripture is seen as belonging (...) to a history, analogous to the historia naturalis of the natural sciences. Analysis of the Scriptures shows that the concept of chosenness is always linked to the promised land, but never to the increase of knowledge or to the attainment of bliss. Spinoza's work is part of the internal controversies of the Reformation. The originality of Spinoza lies in the complexity of his strategy, which is at the same time hermeneutic, metaphysical, and political. (shrink)

Much evidence has accumulated in favor of such a dual view of reasoning. There is however some vagueness in the way the two systems are characterized. Instead of a principled distinction, we are presented with a bundle of contrasting features - slow/fast, automatic/controlled, explicit/implicit, associationist/rule based, modular/central - that, depending on the specific dual process theory, are attributed more or less exclusively to one of the two systems. As Evans states in a recent review, “it would then be helpful to (...) have some clear basis for this distinction”; he also suggests that “we might be better off talking about type 1 and type 2 processes” rather than systems. We share the intuitions that drove the development of dual system theories. Our goal here is to propose in the same spirit a principled distinction between two types of inferences: ‘intuitive inference’ and ‘reflective inference’. We ground this distinction in a massively modular view of the human mind where metarepresentational modules play an important role in explaining the peculiarities of human psychological evolution. We defend the hypothesis that the main function of reflective inference is to produce and evaluate arguments occurring in interpersonal communication. This function, we claim, helps explain important aspects of reasoning. We review some of the existing evidence and argue that it gives support to this approach. (shrink)

Résumé — Alors que, chez Thomas d’Aquin et Bonaventure, l’infinité divine est encore entendue négativement, c’est précisément chez Henri de Gand que se laisse repérer l’infléchissement vers la positivité annonçant la détermination proprement moderne du concept d’infini : discursivement associée à la bonté, à la totalité et à la perfection, il suppose une conception quantificatrice de l’étant et l’identité de l’être et de la perfection : il énonce alors le degré ontologique suprême au sein d’une hiérarchie des degrés d’être. Dès (...) lors, cette perfection ontologique est thématisée suivant le concept de protensio, concept qui, en énonçant la positivité pure et le mouvement d’autoposition de l’être, rend pensable le primat de l’infini sur le fini.— Mentre in Tommaso d’Aquino e Bonaventura, l’infinità divina è ancora intesa negativamente, è proprio in Enrico di Gand che si può percepire l’inflettere verso la positività che annuncia la determinazione propriamente moderna del concetto di infinito : discorsivamente associato alla bontà, alla totalità e alla perfezione, presuppone una concezione quantificatrice dell’essere e l’identità dell’essere e della perfezione : enuncia allora il grado ontologico supremo in una gerarchia dei gradi dell’essere. Quindi, questa perfezione ontologica viene tematizzata secondo il concetto di protensio, concetto che, nell’enunciare la positività pura e il movimento di autoposizione dell’essere, rende pensabile il primato dell’infinito sul finito. (shrink)

Dharmakīrti, elaborating one of the Buddhist tradition's most complete defenses of rebirth, advanced some of this tradition's most explicitly formulated arguments for mind-body dualism. At the same time, Dharmakīrti himself may turn out to be vulnerable to some of the same kinds of arguments pressed against physicalists. It is revealing, then, that in arguing against physicalism himself, Dharmakīrti does not have available to him what some would judge to be more promising arguments for dualism (arguments, in particular, following Kant's 2nd (...) Critique) – and indeed, that these arguments actually cut against Dharmakīrti's own position. After elaborating and characterizing Dharmakīrti's case for rebirth, then, this article briefly considers an argument that Dharmakīrti cannot himself enlist for this purpose. (shrink)

The collection of texts we read today under the name of Apostolic Fathers has proved to be a very productive source for surveys of the second century Christianity. Due to its heterogeneity, it is hardly a surprise that the question of diakonia, in this corpus, forms a composite image. The aim of this paper is to reassess on comparative basis the material on diakonoi, episkopoi and presbyteroi in the Shepherd of Hermas and Ignatius of Antioch‟s Letters.

Moral identity has been touted as a foundation for understanding moral agency in organizations. The purpose of this article is to review the current state of knowledge regarding moral identity and highlight several promising avenues for advancing current understandings of moral actions in organizational contexts. The article begins with a brief overview of two distinct conceptual perspectives on moral identity—the character perspective and the social-cognitive perspective—that dominate extant literature. It then discusses varying approaches that have been taken in attempting to (...) measure moral identity. The final two sections of the article review empirical findings regarding the antecedents and consequences of moral identity, respectively. Mechanisms and situational factors that are pertinent to moral agency in organizations are emphasized in both sections. (shrink)

This book offers a sustained engagement with the political philosophy of Paul Ricoeur and demonstrates both the significance of the political in his own thinking throughout his career, and how his understanding of the political offers something valuable to current discussions of issues in political philosophy.

The Mind-Body Problem is a by-product of subjective consciousness, i.e. of the self-reference of an awareness system. Given the possibility of a subjective frame placed around the contents of consciousness, and given also the reifying tendency of mind, the rift between subject and object is an inevitable artifact of human consciousness. The closest we can come to a solution is an understanding of the exact nature and situation of the embodied subject. Ontological solutions, such as materialism and idealism, are excluded (...) as part of the problem. Reification is examined as the fundamental movement of mind. Subjectified consciousness is a meta-system whose evolutionary role is to counterbalance the natural realism of mind. The Mind-Body Problem is the contradiction between these natural viewpoints. The intentionality of mind is likened to that of an "interpreted" formal system. The nature of experienced qualia is the same as that of the intentionally created meanings of words or mathematical symbols. The concept of a self who speaks this inner language is examined and rejected. There is a rapprochement between spiritual idealism and scientific materialism in regard to the nature, not only of the object, but also of the subject or self and its potential freedom. (shrink)

Animal research in the United Kingdom is regulated by the Animals Act 1986, which requires a government minister to weigh the expected suffering of animals against the expected benefits of a proposed animal research project—the “cost-benefit assessment”—before licensing the project. Research into the implementation of this legislation has been severely constrained by statutory confidentiality. This paper overcomes this hindrance by describing a critical case study based on unprecedented primary data: pig-to-primate organ transplantation conducted between 1995 and 2000. It reveals that (...) researchers and regulators significantly underestimated the adverse effects suffered by the animals involved, while overestimating the scientific and medical benefits likely to accrue. Applying dynamic policy network analysis to this case in the context of the evolution of animal research policy indicates that an elitist, policy community type network has persisted since shortly after the network’s formation in 1876. Animal research interests have repeatedly withstood pressure for change from animal protection groups because of their greater resources, structural advantages, and a culture of secrecy that facilitates an implementation gap in animal research regulation. (shrink)

Public health emergencies invariably entail difficult decisions among medical and emergency first responders about how to allocate essential, scarce resources. To the extent that these critical choices can profoundly impact community and individual health outcomes, achieving consistency in how these decisions are executed is valuable. Since the terrorist attacks on September 11, 2001, however, public and private sector allocation plans and decisions have followed uncertain paths. Lacking empirical evidence and national input, various entities and actors have proffered multifarious approaches on (...) how best to allocate scarce resources to protect the public's health. Though beneficial in some jurisdictions, these approaches fail to clarify how the type and amount of care delivered in major emergencies might be curtailed. This is due, in part, to a lack of meaningful guidance on shifting standards of care in major emergencies. (shrink)