Shortages of new therapeutics to treat coronavirus disease (COVID-19) have forced clinicians, public health officials, and health systems to grapple with difficult questions about how to fairly allocate potentially life-saving treatments when there are not enough for all patients in need (1). Shortages have occurred with remdesivir, tocilizumab, monoclonal antibodies, and the oral antiviral Paxlovid (2) -/- Ensuring equitable allocation is especially important in light of the disproportionate burden experienced during the COVID-19 pandemic by disadvantaged groups, including Black, Hispanic/Latino and (...) Indigenous communities, individuals with certain disabilities, and low-income persons. However, many health systems have resorted to first-come, first-served approaches to allocation, which tend to disadvantage individuals with barriers in access to care (3). There is mounting evidence of racial, ethnic, and socioeconomic disparities in access to medications for COVID-19 (4, 5). -/- One potential method to promote equitable allocation is to use a weighted lottery, which is an allocation strategy that gives all eligible patients a chance to receive the scarce treatment while also allowing the assignment of higher or lower chances according to other ethical considerations (6). We sought to assess the feasibility of implementing a weighted lottery to allocate scarce COVID-19 medications in a large U.S. health system and to determine whether the weighted lottery promotes equitable allocation. (shrink)

A time-symmetric formulation of nonrelativistic quantum mechanics is developed by applying two consecutive boundary conditions onto solutions of a time- symmetrized wave equation. From known probabilities in ordinary quantum mechanics, a time-symmetric parameter P0 is then derived that properly weights the likelihood of any complete sequence of measurement outcomes on a quantum system. The results appear to match standard quantum mechanics, but do so without requiring a time-asymmetric collapse of the wavefunction upon measurement, thereby realigning quantum mechanics with an important (...) fundamental symmetry. (shrink)

The covariant Klein-Gordon equation requires twice the boundary conditions of the Schrödinger equation and does not have an accepted single-particle interpretation. Instead of interpreting its solution as a probability wave determined by an initial boundary condition, this paper considers the possibility that the solutions are determined by both an initial and a final boundary condition. By constructing an invariant joint probability distribution from the size of the solution space, it is shown that the usual measurement probabilities can nearly be recovered (...) in the non-relativistic limit, provided that neither boundary constrains the energy to a precision near ℏ/t 0 (where t 0 is the time duration between the boundary conditions). Otherwise, deviations from standard quantum mechanics are predicted. (shrink)

Provider claims to conscientious objection have generated a great deal of heated debate in recent years. However, the conflicts that arise when providers make claims to the "conscience" are only a subset of the more fundamental challenges that arise in health care practice when patients and providers come into conflict. In this piece, the author provides an account of patient-provider conflict from within the moral tradition of St. Thomas Aquinas. He argues that the practice of health care providers should be (...) understood as a form of practical reasoning and that this practical reasoning must necessarily incorporate both "moral" and "professional" commitments. In order to understand how the practical reasoning of provider should account for the needs and commitments of the patient and vice versa, he explores the account of dependence provided by Alasdair MacIntyre in his book Dependent Rational Animals. MacIntyre argues that St. Thomas’ account of practical reasoning should be extended and adapted to account for the embodied vulnerability of all humans. In light of this insight, providers must view patients not only as the subjects of their moral reflection but also as fellow humans upon whom the provider depends for feedback on the effectiveness and relevance of her practical reasoning. The author argues that this account precludes responsive providers from adopting either moral or professional conclusions on the appropriateness of interventions outside the individual circumstances that arise in particular situations. The adoption of this orientation toward patients will neither eradicate provider-patient conflict nor compel providers to perform interventions to which they object. But this account does require that providers attend meaningfully to the suffering of patients and seek feedback on whether their intervention has effectively addressed that suffering. (shrink)

Stone, J. Thoughts on supposed "Death of law".--Krishna Iyer, V. R. Jurisprudence and jurisconscience.--Sharma, G. S. Law and social change in India.--Sharma, S. D. The concept of justice in Manu.--Chand, H. Legal values for a developing country.--Ramarao, T. S. The new international law relating to the rights and duties of States.--Sinha, B. S. Custom and customary law in Indian jurisprudence.--Mazumdar, D. L. Techno-economic structure of our industrial society.--Subrahamanian, N. Law and social change.

A reprint of Freud's lectures of 1910. In his philosophically critical preface, Allers briefly but effectively points up logical and scientific weaknesses in Freud's theories, attributes their peculiar success to the appealing ambiguity of approach as between the scientific and the historical, then finds their chief merit in furthering the recognition of man's "historicity."--L. K. B.

Four excellent essays which attempt, with admirable clarity and simplicity and in amazingly brief scope, to present the outline of an ethical viewpoint integrating a teleological naturalistic self-realizationism, intuitionistic ideal utilitarianism, and the ethical insights of Christianity. The semantic-epistemological issue between intuitionism and naturalism is neglected, but there are clear indications that if pressed, the nod would go to the latter. Self-realization is not taken as the end--in view of right choice; on the contrary, it is rejected as such in (...) favor of ideal utilitarianism, though it remains basic as the "ground or reason" why conduct aiming at that end is right. Designed for and understandable by the intelligent layman, these essays should interest the professional student of ethics as well.--L. K. B. (shrink)

This well-translated and slightly revised edition of El Hombre en la Encrucijada approaches the problem of social crisis and creative integration of conflicting strains into higher "forms of material and spiritual life" with Spanish intimacy and terseness and with wide erudition in unusual combination with a sense of reality. Part II treats the modern period as a series of crises, roughly describable as the inception, spread, and ultimate failure of secular, scientific intellectualism. This work combines the usual "cultural heritage" and (...) "crisis" themes with striking success.--L. K. B. (shrink)

A philological examination of the text of the Pensées.--L. K. B.

In a refreshingly direct paper and two critical replies, these writers try to work out a practicable criterion for the ethical judgments pressed upon scientists by the far-reaching effects of their work.--L. K. B.

A meticulous examination of the logical and axiological principles of analogical inference in legal reasoning. The first part presents an elementary but useful survey of traditional and modern logical analyses of analogy and analogical inference. In the second part, these concepts are examined in their juridical applications. Much is made of the conclusion that analogical inference cannot be rendered "binding" by logical considerations alone; to make up for this in legal reasoning, axiological principles must be employed.--L. K. B.

Five previously published articles dealing with various topics in philosophy of history. They center on the problem of a metaphysics adequate to a radical emphasis on history over against nature and to a conception of values as emergent through history.--L. K. B.

A literary re-appraisal of the style of the Argentine writer, Sarmiento. --L. K. B.

To the task undertaken here of articulating the common values and goals which should be ours as heirs of Western culture, Greene brings a scholarly grasp of the history of ideas, a sensitive insight into the actual ideals of our nation, and a responsible concern for an honest and critical national self-understanding. The result is not novel; but it does offer a well expressed and compelling Christian, liberal social philosophy, stressing reverence for God, respect for man, and rich participation in (...) all areas of human activity. --L. K. B. (shrink)

A revised edition of a work originally published in 1952, this book offers an entertaining exposé of various pseudoscientific fads and cults, from dowsing and flying saucers to flat earth theories and dianetics. It includes brief but responsible chapters on the theories of Wilhelm Reich, Count Korzybski, and J. B. Rhine.--L. K. B.

A collection of essays on various aspects of philosophy of science, written around the turn of the century by a perceptive historian of science and methodologist who, under the influence of Peirce, Mach and Peano, anticipated many basic doctrines of the later semantically oriented analytic philosophy. The short introduction discusses Vailati's viewpoint in connection with his chief contemporaries; a brief biography and bibliography are provided. --L. K. B.

A technical but lucid and relatively elementary discussion of the development of the physical concepts of space and time and the bearing of the parity hypothesis of Lee and Yang on the future course of this development.--L. K. B.

A collection of six unrelated articles by as many authors. First come three scholarly studies, dealing with causality in Aristotle, St. Augustine's metaphysics of created being, and St. Thomas as a commentator on Aristotle. The fourth is an exposition of Hegel's views on scepticism. Next comes a reconstruction, within the scholastic spirit, of "classical formal logic." The concluding and most interesting article is a bibliographical survey of recent works in the history of ancient philosophies. --L. K. B.

A metaphysical scheme which is both a philosophy and a personal religion, presented confessionally in four terse and lyrical essays. The basic concepts are authenticity, solitude, heroism, act, life and death. God is conceived as finite and multiple, engendered through history, "the fundamental meaning toward which converge the most intense fibres of the heroism which forms our history." --L. K. B.

The first volume of a projected two-volume treatise which will provide for the first time a systematic and comprehensive exposition of an important branch of mathematical logic. Previously published research is integrated and revised in the light of later results, and much new material is presented. Highly technical and, even in introductory sections, extraordinarily dense in style, this is a work for specialists. An important contribution.--L. K. B.

A remarkably condensed statement of the main features of Ortega's philosophy, organized "biographically" around three stages of his intellectual development, termed "objectivism," "perspectivism," and "ratio-vitalism," with chief attention given to the last. The presentation is marked by a soberness unusual in writers on Ortega. As a result, a certain fairness and balance are achieved, yet not at the cost of any adequacy to the vitality of Ortega's own thought.--L. K. B.

This is a book review of David Hull's edited volume of collected papers, Science and Selection.

Jewish and Christian philosophy existed side by side in the Middle Ages. Both sought the same goal: the explanation of God and His universe. Both utilized the same sources; yet each attained different philosophical and theological systems. The Meditation of the Sad Soul illustrates this divergence between Christian and Jewish thought. Furthermore, since it stands midway between Neo-platonic and Aristotelian Judaism, it underlines the development of key philosophical concepts common to both Judaism and Christianity. Abraham Bar Hayya lived in eleventh (...) century Barcelona, an intellectual center for both Jews and Arabs. The major points of his philosophy blend rabbinical, Neo-platonic and Aristotelian ideas, yet maintain a unique independence of their own. For instance, Abraham cut through the rabbinical and Aristotelian proofs of God, demanding instead a primary positive faith in God's existence. Caught up in the theology of light, he rejected the Platonic idea that darkness was merely an absence of light. Rather, darkness had a force equal to light. Most important, darkness and light were opposites, as were good and evil. God created both. Abraham insists that each had an independent existence in the world. Abraham's thought shows a more "rational" strain which appears later in Christian and even Jewish "heresies." Since good and evil exist as positive forces, man can freely choose his path to salvation. Abraham never gets caught in the Augustinian dilemma of will, grace, and predestination. Further examples of Abraham's independent position crop up in his ideas of creation and time. Creation ex nihilo, of course, but creation in time. Time must have a beginning and, consequently, an end. But man does not have to await passively the Messiah's rectification of sin. Man must repent here on earth and actively lead a good life. He cannot repent after death. How influential was Abraham's tract? The editor calls it a "minor classic" yet does not indicate that it formed a basis for later Christian theology. Maimonides knew it and rejected some of its basic tenets. Still, the book is important since it indicates a striking combination of traditional philosophy subjected to a new critical rationalism, an it foreshadows some of the questions raised by deviant Christian and Jewish theologians.--J. K. B. (shrink)

The chief of these five essays is the effort of a composer and conductor, deeply attached to Kant and widely read in mathematics and popularized physics, to disclose in "music's innate design" a key to the nature of "subliminal" reality, the "Ever Present." Result: both the order of music and the order of subliminal reality are elliptical. The accompanying essays, of chiefly biographical interest, present a philosophical critique of the new mathematics and geometry by a doctrinaire young Kantian. -- L. (...) K. B. (shrink)

A disciple's exposition of the semi-mystical system of Msgr. Mario Sturzo, drawing solely on the latter's La Filosofia dell' Avvenire. Supposedly a critical re-thinking of the system, the author proposes with an air of daring to alter some of Sturzo's verbal formulas. --L. K. B.

Although it deals with the important problem of the metaphysical implications of linguistic structure and the basis for selection of a cognitive language, and contains some interesting theses, this book is made almost useless by its imprecise and unclear argumentation and awkward style.--L. K. B.

Part I aims at the constructive establishment of a concept of the self to undergird the theologically indispensable concept of the soul. It begins with a judgment theory of cognition, from which a "substantival" subject is extracted. Having a creative power constituting it a free and responsible agent, this subject is related through moral consciousness and will to an objective moral order. Part II, concerned with the problem of God and the objective validity of religious belief, begins in religion as (...) such, where theism is held to recommend itself strongly under a symbolic interpretation, then develops a metaphysical support for the central tenets of this creed. The guiding methodological convictions are revealed in a major emphasis on introspection, a firm rejection of the sensationalist conception of experience, and an insistence on the primacy of thought over words. Professor Campbell has here carried on the tradition of British Idealism and Rationalism with insight and ingenuity, in dignified and deliberate defiance of the prevailing empiricist and linguistic dogmas. Despite its high rank among similar efforts, however, this work does not represent a real advance beyond the recent impasses, nor a resolution of the genuine epistemological and methodological enigmas plaguing contemporary philosophy. --L. K. B. (shrink)

A dry record, without argument, of conclusions reached on a wide variety of topics through fifty years of scholastic philosophizing.--L. K. B.