For contagious diseases like measles a successful immunization program can result in herd protection. Small outbreaks may still occur but fade out soon, because the possibilities for the pathogen to spread in the ‘herd’ are very small. This implies that people who refuse to participate in such a program will still benefit from the protection it offers, but they don’t do their part in maintaining protection. Isn’t that a case of freeriding—and isn’t that unfair towards all the people who do (...) collaborate? If so, that might be considered an additional ground for making vaccination mandatory or compulsory.In this paper I argue that vaccination refusal can be considered as freeriding, but that this might not be unfair. The public good of herd protection is a peculiar public good because it supervenes on private benefits that are enjoyed by all who do opt for vaccination. For vaccinated individuals, the additional benefit of herd protection comes about, as it were, for free, and hence they can’t complain that others benefit without sharing in the burdens. There are however still other grounds for making vaccination compulsory or at least for seeing refusal as a morally wrong choice. (shrink)

One of the societal problems in a new influenza pandemic will be how to use the scarce medical resources that are available for prevention and treatment, and what medical, epidemiological and ethical justifications can be given for the choices that have to be made. Many things may become scarce: personal protective equipment, antiviral drugs, hospital beds, mechanical ventilation, vaccination, etc. In this paper I discuss two general ethical principles for priority setting (utility and equity) and explain how these principles will (...) often point in diverging directions. Moreover, each of these principles can be understood in different, again often competing, ways. Notwithstanding these controversies and conflicts, in the context of pandemic response there are at least some points of convergence: several policies can be justified by appeal to different ethical principles and theories. Convergence may be found with respect to a focus on saving the most lives (instead of other aggregative accounts); giving priority antiviral prophylaxis and therapy for life-saving pandemic responders; and, partly depending on epidemiology of the pandemic, to prioritise vaccination of children. Although decision-making about access to intensive care will involve choices with immediate tragic implications, the ethical complexity of these choices is relatively modest (although decisions will not be easy): there are persuasive moral reasons for giving priority to patients who are expected to benefit most within the shortest time. Finally, in the last section I tentatively argue that constraints on people’s freedom, as necessary for an effective public health approach, may support giving somewhat more weight to saving the most lives, than to concerns of equity. (shrink)

The American Journal of Bioethics, Volume 12, Issue 2, Page 16-17, February 2012.

Some screening tests for donor blood that are used by blood services to prevent transfusion-transmission of infectious diseases offer relatively few health benefits for the resources spent on them. Can good ethical arguments be provided for employing these tests nonetheless? This paper discusses—and ultimately rejects—three such arguments. According to the ‘rule of rescue’ argument, general standards for cost-effectiveness in healthcare may be ignored when rescuing identifiable individuals. The argument fails in this context, however, because we cannot identify beforehand who will (...) benefit from additional blood screening tests. On the ‘imposed risk’ argument, general cost-effectiveness standards do not apply when healthcare interventions impose risks on patients. This argument ignores the fact that imposing risks on patients is inevitable in healthcare and that these risks can be countered only within reasonable limits. Finally, the ‘manufacturing standard’ argument premises that general cost-effectiveness standards do not apply to procedures preventing the contamination of manufactured medical products. We contend that while this argument seems reasonable insofar as commercially manufactured medical products are concerned, publicly funded blood screening tests should respect the standards for general healthcare. We conclude that these particular arguments are unpersuasive, and we offer directions to advance the debate. (shrink)

Many nursing homes have an influenza vaccination policy in which it is assumed that express (proxy) consent is not necessary. Tacit consent procedures are more efficient if one aims at high vaccination rates. In this paper I focus on incompetent residents and proxy consent. Tacit proxy consent for vaccination implies a deviance of standard proxy consent requirements. I analyse several arguments that may possibly support such a deviance. The primary reason to offer influenza vaccination is that vaccinated persons have a (...) significantly reduced risk of getting the flu. This reason however cannot support the assumption that each nursing home resident is ‘better off ’ if she is vaccinated. Neither can it support tacit proxy consent policies. More promising are arguments that take the collective nature of infectious diseases into account. A potentially strong, but ultimately insufficient, argument for non‐express consent is that vaccination contributes to prevention of harm to others. Other arguments emphasise the importance of group protection: herd immunity. I discuss three collective reasons for aiming at herd immunity: solidarity, a common interest in reducing the risk of illness, and a common interest in the prevention of an influenza outbreak. The latter argument appears to be most important. An outbreak is not just detrimental to the health of residents; it is detrimental to their everyday social life as well. Outbreaks can be seen as a collective evil. My analysis shows that there are valid (though not necessarily sufficient) moral arguments for a tacit proxy consent policy. (shrink)

Templates travel because they offer a tractable format that can be used for model-building in a variety of domains. It is often because of this quality that a particular template is chosen. But one cannot assume that there are always templates ready to model a new phenomenon, and moreover, templates have also been designed at some point. A critical aspect of this designing process is the choice of the mathematical objects with which one hopes to capture this phenomenon. This means (...) that one has to assess which of the properties of different kinds of mathematical objects and which combinations of them are most appropriate. The selection of these objects is based on whether their properties enable the model to perform its function. This selection of mathematical objects is similar to the selection of materials in mechanical design. (shrink)

The article argues for the possibility of translation manuals having an implicit internal structure. This structure is composed of specific methodological assumptions and techniques. Using the (N)-type and (G)-type distinction developed by Fuller for the study of scientific behavior, it is shown that these are incomplete characterizations of translation manuals. A more complete characterization must involve an analysis of how the presence or absence of methodological rules influences the interpretation of specific research questions. It is further argued that while Quine's (...) original indeterminacy thesis cannot be completely rejected, in some cases it can be modified to reflect the importance of the methodological constraints. Finally, it is suggested that the more critical analysis of translation manuals will benefit the on-going debates in the study of scientific behavior. (shrink)

From Newton da Costa’s works, many people in France know only the revival of paraconsistency. We give some reasons in defence of investigations in this part of logic. But above all we recall one of the major contributions of Newton da Costa: his proof, in 1991, in collaboration with Doria, of the gödelian undecidability of motion in mathematical physics, a result which was somewhat foreseen on other grounds by Duhem in 1906.

Objective This study aims to increase self-awareness in patients with Parkinson’s disease (PD) using a newly developed mindfulness-based intervention, tailored for the specific needs of PD patients. Its impact on self-awareness and patients’ daily lives is currently being evaluated. Background Recently, the phenomenon of impaired self-awareness for motor symptoms (ISAm) and some non-motor symptoms has been described in PD. ISAm can negatively influence patients’ daily lives, e.g., by affecting therapy adherence, and is therefore the main focus of this study. The (...) main goal is the development of IPSUM (“Insight into Parkinson’s Disease Symptoms by using Mindfulness”), a PD-specific intervention for increasing patients’ mindfulness and thereby reducing ISAm. Methods The effectiveness of IPSUM is evaluated by comparison of an intervention group with a waitlist-control group. A pre-post design with an additional 8-week follow-up measurement is applied, resulting in three measurement points: before, directly after and 8 weeks after completing the intervention protocol. In total, up to 180 non-depressed PD patients without severe cognitive impairment (non-demented) will be included. The primary outcome is a quantitative score for measuring ISAm. Secondary outcome measures are affective changes, neuropsychological performance and self-awareness of cognition. At pre- and post-measurement an fMRI scan is performed to connect behavioral and neurobiological findings. At post- and follow-up-measurement each patient will take part in a semi-structured interview to explore IPSUM’s impact on self-awareness and patients’ everyday lives. Results The conception of the intervention protocol is finished, the resulting 8-week program is presented in detail. It has successfully been tested in the first group of patients, their feedback so far was quite promising. Recruitment is ongoing and a first interim analysis will be performed once 30 patients have completed IPSUM. Conclusion For the first time, the intervention protocol of IPSUM has successfully been tested in a group of PD patients. As the study goes on, more quantitative data is collected for statistical analyses to evaluate its effectiveness. More qualitative data is collected to evaluate feasibility and effectiveness. We hope for this intervention to be capable of reducing the patients’ ISAm and improving their quality of life on many levels. (shrink)

Religionen unterbreiten Sinnstiftungsangebote und beeinflussen nicht unwesentlich den Umgang der Menschen miteinander. Sie können zu Fortschritt und Freiheit der Menschen beitragen, aber auch zu Fanatismus und Intoleranz führen. Deshalb ist ihr Stellenwert in einer säkularen Gesellschaft umstritten. Welcher Umgang mit Religionen empfiehlt sich? Ist es für eine soziomoralische Fundierung der Gesellschaft nicht besser, allein auf eine vernunftbasierte Ethik zu setzen? Und lassen sich Glauben und Wissen überhaupt miteinander versöhnen? Mit Beiträgen von Konrad Paul Liessmann, Volker Gerhardt, Nadia Baghdadi und Jan (...) Assmann. (shrink)

The aim of this book is to foster a more explicit and direct discussion of the concept of sacrifice and its importance in moral philosophy. Acts of self-sacrifice have a special place in our moral lives. We admire and celebrate those who give up their lives so that others may live. Despite this important role that sacrifice plays in our moral thinking, moral philosophers have had surprisingly little to say about the nature of sacrifice. This lack of attention to the (...) nature of sacrifice is particularly important given that sacrifice also has an important role to play in several key debates in moral philosophy. The chapters in this volume make an important contribution to our understanding of sacrifice in three areas. The first part of the book investigates the nature of sacrifice. The next group of chapters investigates the role of sacrifice in moral philosophy. Three of these pieces investigate the role of sacrifice in our moral lives generally, while two investigate the role of sacrifice in relation to particular moral theories. The final two chapters investigate the value of sacrifice in relation to political and theological issues. The chapters in this book were originally published as a special issue of the International Journal of Philosophical Studies. (shrink)

In der vorliegenden Arbeit wird eine normative Analyse und Verteidigung der Erbschaftssteuer unternommen. Zunächst wird eine egalitaristische Argumentation für die Steuer entfaltet. Aufgrund ihrer progressiven Struktur ist die Erbschaftssteuer ein geeignetes Instrument, um der wachsenden ökonomischen Ungleichheit entgegenzuwirken und letztlich verschiedene egalitäre Ideale (politische Gleichheit, Chancengleicheit etc.) zu befördern. Anschließend wird untersucht, wie aus normativer Perspektive zu beurteilen ist, dass der Erblasser bei Erhebung der Steuer nicht mehr lebt. Die restliche Arbeit besteht in einer Auseinandersetzung mit den wichtigsten Einwänden gegen (...) die Erbschaftssteuer. So wird oft behauptet, diese verletze die natürlichen Eigentumsrechte des Erblassers bzw. des Erben und sie ignoriere zudem die Verdienstansprüche des Erblassers. Schließlich sei die Steuer aus diversen "familien-basierten" Erwägungen abzulehnen. Nicht nur werden diese Einwände erfolgreich zurückgewiesen; ferner wird gezeigt, dass einige der, diesen Argumenten zugrundeliegenden, Prinzipien selbst zur Verteidigung einer egalitären Erbschaftssteuer (also einer Erbschaftssteuer, die aus egalitären Prinzipien folgt) herangezogen werden können. (shrink)

This article follows the discussion begun by Pierre-Marie Beaude on the distinction between singularity and intention in aesthetics, considered in its relation to theology. If it is admitted that an author really has an intention, this may be perceivably different than a particular expression of singularity. Also, the concept of intention can be considered from an analytical perspective based on linguistic criteria, with intention becoming an intentional state and the substantival proposition an intentional object. Propositional attitudes, particularly the attitude of (...) belief, play a primary role in this perspective. This allows for the consideration of theological discourse as a collection of sentences meant to incite to a transfer of belief. (shrink)

L’art pictural religieux non figuratif est difficile à interpréter, et encore plus à théoriser. Plusieurs au xxe siècle ont tenté de le faire selon différentes perspectives. On a élaboré des solutions crypto-réaliste, puis expressionniste et, plus récemment, minimaliste. Tous ces points de vue semblent insuffisants pour rendre compte de la dimension religieuse dans l’art non figuratif. On pourrait enfin envisager une quatrième solution, rhétorique cette fois, qui jetterait un éclairage nouveau sur ce genre d’oeuvre tout en proposant quelques clés d’interprétation (...) aux amateurs d’art ainsi qu’aux artistes qui s’y intéressent. Non figurative pictorial art is difficult to interpret and even more difficult to theorize upon. Several attempts to do so were undertaken throughout the 20th century. Crypto-realist, expressionist and minimalist explanations have been proffered. None of these perspectives, however, sufficiently accounts for the religious dimension in non-figurative art. A rhetorical approach may provide a solution which will shed light on this particular form of artistic expression at the same time that it suggests a number of hermeneutical keys that may prove useful to art-lovers and artists alike. (shrink)

L’auteur, qui se propose de publier, pour le bicentenaire de la naissance d’Édouard Reuss , sa correspondance avec Michel Nicolas , présente l’état de ces lettres inédites et les circonstances de leur rédaction. Il montre qu’elles éclairent l’élaboration de la production littéraire des deux protagonistes et l’évolution de la théologie protestante au XIX e siècle en France. Pour illustrer le combat commun des deux correspondants pour le progrès des sciences théologiques en France, il présente enfin les passages qui concernent le (...) projet de création d’une revue scientifique. Il suggère au passage l’influence insoupçonnée de M. Nicolas sur la théologie protestante française, en particulier sur l’évolution des sciences bibliques. The author, who proposes to publish, for the bicentennial of Edouard Reuss’ birth , his correspondence with Michel Nicolas , presents the state of these yet unpublished letters and the circumstances in which they were written. He shows that they enlighten the literary production of both protagonists and the evolution of French Protestant theology in the 19th century. To illustrate their common struggle for the advance of theological sciences in France, he presents at last passages which concern the project to create a scientific periodical. He also suggests the unsuspected influence of M. Nicolas on French Protestant theology, in particular on the evolution of biblical sciences. (shrink)

Is philosophy endangered by a scientific culture increasingly influenced by demands of utility and efficiency? What are the goals and intentions of philosophy, and what are the reasons that one practices philosophy at all? The main questions of this collection concern the self-understanding of philosophy. Prominent authors consider historical, systematic, and social approaches to this question and discuss possible answers. The purpose is not merely to legitimate philosophical practice but to understand what such practice consists in at all.

The Communist Party of Germany (KPD) first coined the united-front policy in 1921, representing a promising effort to bolster Communist influence in the workers’ movement of that country. As the first part of the article shows, the KPD recruited large numbers of new members and significantly improved its electoral returns as a result. Despite this success, however, the party only pursued the united-front policy in two phases (1921–3 and 1926). As illustrated in the second part of the article, the KPD (...) bid farewell to the united front as ‘Stalinisation’ began to set in during the Weimar Republic’s final years – with lethal consequences, as its abandonment decisively abetted the victory of German fascism. (shrink)