If "slavery" is defined broadly to include bonded child labor and forced prostitution, there are upward of 25 million slaves in the world today. Individuals and groups are freeing some slaves by buying them from their enslavers. But slave redemption is as controversial today as it was in pre-Civil War America. In Buying Freedom, Kwame Anthony Appiah and Martin Bunzl bring together economists, anthropologists, historians, and philosophers for the first comprehensive examination of the practical and ethical implications of slave redemption. (...) While recognizing the obvious virtue of the desire to buy the freedom of slaves, the contributors ask difficult and troubling questions: Does redeeming slaves actually increase the demand for--and so the number of--slaves? And what about cases where it is far from clear that redemption will improve the material condition, or increase the real freedom, of a slave? Buying Freedom includes essays by the editors and by Dean Karlan and Alan Krueger, Carol Ann Rogers and Kenneth Swinnerton, Arnab Basu and Nancy Chau, Stanley Engerman, Jonathan Conning and Michael Kevane, Jok Madut Jok, Ann McDougall, Lisa Cook, Margaret Kellow, John Stauffer, and Howard McGary. (shrink)

Artificial intelligence (AI) is increasingly being developed for use in medicine, including for diagnosis and in treatment decision making. The use of AI in medical treatment raises many ethical issues that are yet to be explored in depth by bioethicists. In this paper, I focus specifically on the relationship between the ethical ideal of shared decision making and AI systems that generate treatment recommendations, using the example of IBM’s Watson for Oncology. I argue that use of this type of system (...) creates both important risks and significant opportunities for promoting shared decision making. If value judgements are fixed and covert in AI systems, then we risk a shift back to more paternalistic medical care. However, if designed and used in an ethically informed way, AI could offer a potentially powerful way of supporting shared decision making. It could be used to incorporate explicit value reflection, promoting patient autonomy. In the context of medical treatment, we need value-flexible AI that can both respond to the values and treatment goals of individual patients and support clinicians to engage in shared decision making. (shrink)

In jurisdictions where voluntary assisted dying is legal, eligibility assessments, prescription and administration of a VAD substance are commonly performed by senior doctors. Junior doctors’ involvement is limited to a range of more peripheral aspects of patient care relating to VAD. In the Australian state of Victoria, where VAD has been legal since June 2019, all health professionals have a right under the legislation to conscientiously object to involvement in the VAD process, including provision of information about VAD. While this (...) protection appears categorical and straightforward, conscientious objection to VAD-related care is ethically complex for junior doctors for reasons that are specific to this group of clinicians. For junior doctors wishing to exercise a conscientious objection to VAD, their dependence on their senior colleagues for career progression creates unique risks and burdens. In a context where senior colleagues are supportive of VAD, the junior doctor’s subordinate position in the medical hierarchy exposes them to potential significant harms: compromising their moral integrity by participating, or compromising their career progression by objecting. In jurisdictions intending to provide all health professionals with meaningful conscientious objection protection in relation to VAD, strong specific support for junior doctors is needed through local institutional policies and culture. There are no data in this work. (shrink)

The Human Fertilisation and Embryology Authority’s recent restrictive recommendations on sex selection have highlighted the need for consideration of the plausibility of ethical arguments against sex selection. In this paper, the author suggests a parental virtues approach to some questions of reproductive ethics as a superior alternative to an exclusively harm focused approach such as the procreative liberty framework. The author formulates a virtue ethics argument against sex selection based on the idea that acceptance is a character trait of the (...) good parent. It is concluded that, because the argument presented posits a wrong in the sex selecting agent’s action that is not a harm, the argument could not function as a justification of the HFEA’s restrictive position in light of their explicit commitment to procreative liberty; it does, however, suggest that ethical approaches focused exclusively on harm fail to capture all the relevant moral considerations and thus that we should look beyond such approaches. (shrink)

BackgroundIn June 2019, the Australian state of Victoria joined the growing number of jurisdictions around the world to have legalised some form of voluntary assisted dying. A discourse of safety was prominent during the implementation of the Victorian legislation.Main textIn this paper, we analyse the ethical relationship between legislative “safeguards” and equal access. Drawing primarily on Ruger’s model of equal access to health care services, we analyse the Victorian approach to voluntary assisted dying in terms of four dimensions: horizontal equity, (...) patient agency, high quality care, and supportive social norms. We argue that some provisions framed as safeguards in the legislation create significant barriers to equal access for eligible patients.ConclusionsWhile safety is undoubtedly ethically important, we caution against an overemphasis on safeguarding in voluntary assisted dying legislation given the implications for equal access. (shrink)

Bioethics, Volume 35, Issue 7, Page 696-703, September 2021.

In their analysis of the eligibility criteria for assisted dying in Canada, Downie and Schuklenk put forward a strong argument for the ethical defensibility of including mental illnesses and disabilities as underlying conditions driving a person’s request for assisted dying.1 In this commentary, we add a view on these debates from our home state of Victoria, Australia, where voluntary assisted dying has been legal since June 2019. We highlight the more conservative approach to eligibility in our setting compared with Canada, (...) and argue for debates about eligibility criteria to be conceptualised as part of a broader discussion about access to assisted dying that includes clinicians’ roles and perspectives. In our view, clinicians’ perspectives may have a significant impact on individuals’ ability to access assisted dying, regardless of legislative or other changes made to any system. ‘Voluntary assisted dying’ is the terminology used in our context, rather than Medical Assistance in Dying, so we will use that term when referring to the Victorian system. There are several key differences between the Canadian and Victorian approaches that are important in relation to the debates addressed by Downie and Schuklenk. First, the emphasis in Victoria is on patient self-administration of the VAD …. (shrink)

This paper argues that doctors' ethical challenges can be usefully conceptualised as role virtue conflicts. The hospital environment requires doctors to be simultaneously good doctors, good team members, good learners and good employees. I articulate a possible set of role virtues for each of these four roles, as a basis for a virtue ethics approach to analysing doctors' ethical challenges. Using one junior doctor's story, I argue that understanding doctors' ethical challenges as role virtue conflicts enables recognition of important moral (...) considerations that are overlooked by other approaches to ethical analysis. (shrink)

Clinical ethics has been developing in paediatric healthcare for several decades. However, information about how paediatricians use clinical ethics case consultation services is extremely limited. In this project, we analysed a large set of case records from the clinical ethics service of one paediatric hospital in Australia. We applied a paediatric-specific typology to the case referrals, based on the triadic doctor–patient–parent relationship. We reviewed the 184 cases referred to the service in the period 2005–2014, noting features including the type of (...) case, the referring department(s) and the patient9s age at referral. The two most common types of referral involved clinician uncertainty about the appropriate care pathway for the child (26% of total referrals) and situations where the child9s parents disagreed with the doctors’ recommendations for the child9s care (22% of total referrals). Referrals came from 28 different departments. Cancer, cardiology/cardiac surgery and general medicine referred the highest numbers of cases. The most common patient age groups were children under 1, and 14–15 years old. For three controversial areas of paediatric healthcare, clinicians had initiated processes of routine review of cases by the clinical ethics service. These insights into the way in which one very active paediatric clinical ethics service is used further our understanding of the work of paediatric clinical ethics, particularly the kinds of ethically challenging cases that paediatricians view as appropriate to refer for clinical ethics support. (shrink)

In contrast to Di Nucci’s characterisation, my argument is not a technoapocalyptic one. The view I put forward is that systems like IBM’s Watson for Oncology create both risks and opportunities from the perspective of shared decision-making. In this response, I address the issues that Di Nucci raises and highlight the importance of bioethicists engaging critically with these developing technologies.

Consequentialist theories that directly assess multiple focal points face an important objection: that one right option may conflict with another. Robert Adams raises an instance of this objection regarding the possibility that the right act conflicts with the right motives. Whereas only partial responses have previously been given, assuming particular views of the relation between motives and acts, an exhaustive treatment is in order. Either motives psychologically determine acts, or they do not – and I defend direct consequentialism on each (...) assumption. Crucially, if motives determine acts, this may be compatible with the ability to act otherwise, but there remains a defense for consequentialism even on these assumptions. What clears consequentialism of conflict is not necessarily that the apparently right act is unavailable, but rather that its outcome is suboptimal once we account for necessary motives. Even if the agent remains free to perform the act, the act costs too much. (shrink)

Undergraduate medical ethics education currently focuses on ethical concepts and reasoning. This paper uses an intern’s story of an ethically challenging situation to argue that this emphasis is problematic in terms of ensuring students’ ethical practice as junior doctors. The story suggests that it is aligning their actions with the values that they reflectively embrace that can present difficulties for junior doctors working in the pressures of the hospital environment, rather than reasoning to an ethically appropriate action. I argue that (...) junior doctors need skills for implementing their ethical decisions and that these ought to form a central component of undergraduate medical ethics education. (shrink)

This paper argues that the professional situation of junior doctors is unique in ethically important ways and thus that ethics work focusing on junior doctors specifically is necessary. Unlike the medical student or the more senior doctor, the doctor in his or her early postgraduate years is simultaneously a responsible health professional, a subjugate learner and a human resource. These multiple roles generate the set of ethical issues faced by junior doctors, a set that has some overlaps with that faced (...) by medical students and with that faced by more experienced doctors but is far from completely continuous with either. Further, the multiple roles that junior doctors play affect their options for negotiating the ethical challenges that they face. Their position determines not only the content of the set of ethical issues that they encounter, but also the kinds of actions they can take in the face of these challenges. Thus considering junior doctors only in combination with medical students or more senior doctors fails on two fronts. Firstly, only a very incomplete set of the ethical issues faced by junior doctors will be addressed, and, secondly, the constraints associated with the specific professional situation of junior doctors will not be adequately considered, limiting the practical applicability for these agents of any such analyses. (shrink)

In a little book of 155 pages the late John Scot Haldane gave the world his final message. Much as his friends and admirers must regret his recent death, we may rejoice that in these few pages he has succeeded in presenting in clear and unmistakable fashion the philosophy which, throughout his long life of highly successful detailed research in physiology combined with equally effective and untiring application of his findings to practical problems, he slowly developed into the outlines of (...) a comprehensive and rounded system. (shrink)

In their account of the value of parental permission, Navin and Wasserman see families as “collective agents” who “form identities” and have interests as a “family unit” that sometimes justify subo...

Originally published in 1929, McDougall examines the pertinent conflict between religion and science. His work exhibits the failure of scientists to explain human action mechanistically, establishes purposive action as a type of event radically different from all mechanistic events, and justifies the belief in teleological causation without which there can be neither religion nor morals. This title will be of interest to students of both the Humanities and Sciences, particularly those studying psychology and philosophy.

Bioethics educators have access to a wide range of teaching approaches, including online strategies which became familiar to many teachers during the pandemic. As teaching contexts continue to evolve, reflection on which approaches best fit our pedagogical aims in bioethics is timely. As a contribution to this reflection, we report our experience incorporating podcasts into our students’ learning in two Australian universities at Masters level. We describe the potential of podcasts to positively impact learning and student experience. We explore them (...) firstly as substitutions for lectures and secondly as supplements or substitutions for readings. Based on our teaching practice, we discuss the use of both bespoke teacher-created podcasts and pre-existing third party podcasts. We suggest that podcasts can engage students effectively in bioethical issues, model philosophical dialogue, facilitate high quality class discussion, and give learners access to both mainstream experts and less powerful voices in an immediate and moving way. (shrink)

The claim that human reproductive cloning constitutes an affront to human dignity became a familiar one in 1997 as policymakers and bioethicists responded to the announcement of the birth of Dolly the sheep. Various versions of the argument that reproductive cloning is an affront to human dignity have been made, most focusing on the dignity of the child produced by cloning. However, these arguments tend to be unpersuasive and strongly criticised in the bioethical literature. In this paper I put forward (...) a different argument that reproductive cloning is an affront to human dignity, one that looks beyond the dignity of the child produced. I suggest that allocating funds to such a pursuit can affront human dignity by diverting resources away from those existing people who lack sufficient health to enable them to exercise basic rights and liberties. This version of the argument posits cloning as an affront to human dignity in particular circumstances, rather than claiming the technology as intrinsically inconsistent with human dignity. (shrink)

Futile treatment is one ethically challenging situation commonly encountered by junior doctors. By analysing an intern's story using a role virtues framework, I propose a set of three steps for junior doctors facing this problem. I claim that junior doctors ought always to investigate the rationale underlying decisions to proceed with apparently futile treatment and discuss their concerns with their seniors, even if such discussion will be difficult. I also suggest that junior doctors facing this ethical challenge ought always to (...) be willing to initiate and engage in ethical dialogue, and that in some situations further action (such as taking concerns outside the team or refusing to participate in treatment) may be morally appropriate. (shrink)

This book, first published 1931, examines the attitudes surrounding the natural sciences at the time of writing, and contends that an unreflective belief in the power of science, and especially in humanity's capacity to turn such knowledge to noble ends, could lead to catastrophic results for human civilisation. Commenting on the forced industrialisation in Russia, India and China that was proceeding with little regard for human life at the time, the unsustainable inequality generated by modern Western capitalism and many other (...) related issues, the author argues that it is necessary to devote the same energy to the resolution of social problems as to scientific research and development. His thesis, though expounded with reference to concrete situation different from our own, is nonetheless as relevant today as it was when first published. (shrink)

The Private Language Sections of Ludwig Wittgenstein’s Philosophical Investigations, -/- generally agreed to run from §§ 243 - 271, but extending to § 315 with the book’s continued -/- treatment of the private object model and the inner and outer conception of the mind, have -/- proved remarkably resistant to any generally agreed interpretation. Even today, ways of -/- looking at these sections which were first in vogue half a century ago when discussions of -/- this aspect of Wittgenstein’s work (...) were at their height, still have their adherents, at a time -/- when the emphasis in Wittgenstein exegesis has graduated towards anti-theoretical, -/- non-doctrinal, and therapeutic conceptions of his entire methodology. Discussion about -/- the rule-following considerations after Saul Kripke’s new interpretation of the argument -/- against private language, which predominated during the last quarter of the 20th century, -/- has tended to be superseded into the new millennium by controversy over substantial v -/- resolute conceptions of nonsense in the Tractatus Logico-Philosophicus, a debate now -/- seen by some interpreters to illuminate Wittgenstein’s later work.This paper sheds light -/- on these complex matters firstly by studying a very popular interpretative approach to the -/- relevant sections within its historical context, and secondly by attempting to grasp his overall -/- methodology, primarily as practised in the private language passages themselves. This can -/- help to show how they may reflect the content of §§ 89 -133. However, just as it can be argued -/- that Hume never fully reconciles the sceptical and naturalistic tendencies in his writing, it can -/- be surmised that Wittgenstein never really finds a proper balance between the avowedly -/- therapeutic intent of those stated passages and what, at least for some commentators, are -/- the clearly discoverable argumentative strategies that he employs throughout his treatment -/- of private language and, indeed, throughout Part 1 of the Philosophical Investigations. (shrink)

When I think about America, I think about a great diversity of types of people, from different backgrounds, national origins, races, religions, classes and points of view. The US is made up of descendants of African slaves and recent African immigrants; mid-western farmers and Asian Americans whose families come from nearly every Asian nation; Jewish families from Eastern Europe and Native Americans who have owned our land for centuries before any others. These are only a few of the stories that (...) make up the rich diversity of American society. Diversity is our greatest asset. (shrink)

The words “idea” and “concept” have been, and still are, the source of so much confusion in psychology that we shall do well to banish them from the vocabulary of that science. I have urged this reform and have endeavoured to promote it by writing a psychology without ideas.It has seemed to me that the word “concept” plays a no less pernicious rôle in logic. But it was not until I began to look into the matter with a view to (...) writing this article that I became aware of the desperate degree and extent of the confusion obtaining in all that pertains to the concepts of logic. (shrink)

A discussion of the concept of Descriptive v Revisionary Metaphysics as it applies to the work of P.F. Strawson amongst others.

The once deeply held conviction that all necessary truths are known a priori is now widely, although by no means universally agreed to have been subjected to penetrating, if not devastating criticism. Scott Soames, for example, on behalf of Saul Kripke, and indirectly of Hilary Putnam, argues that in respect of natural kinds, the introduction of basic essentialist assumptions grounded in our pre-theoretical habits of thinking and speaking – for example, that atomic or molecular structure provides the underlying essence of (...) a substance – allows a sentence like "water = H 2 0," in which the identity sign is flanked by rigid designators to express a metaphysically necessary truth. Yet doubts and puzzlement remain over the status of a posteriori necessities, including those relating to an individual's origin. This paper considers some prominent criticisms that have been made of the Kripke–Putnam approach by A. J. Ayer and Frank Ebersole among others and reveals in what respects they are valid, where they are misplaced, and, perhaps more importantly, why the most valuable aspect of this approach can be seen to reflect aspects of our scientific procedures that do indeed point towards an application for a distinction that roughly mirrors that between epistemic and metaphysical possibility, yet one that is grounded instead in the nature of our actual practices. (shrink)

In his exceptionally well-received history of analytic philosophy,1 Scott Soames presents accounts of the work of Wittgenstein and Ryle that rest on his acceptance of metaphysical preconceptions that these philosophers implicitly question in their writings. Their shared expressive third-person treatments of the mind, for example, serve to emphasise the inadequacy of Soames's distinction between private mental states and physical states/behaviour, which he regularly employs in assessing their views. His treatment of Gilbert Ryle in particular, reflects the radically different conceptions held (...) by Ryle and Soames of the nature of philosophical investigation. Soames charges Ryle with a failure to recognise the distinction between the necessary and the analytic. He also harbours a clear understanding that philosophical problems arise naturally and directly from “our ordinary ways of thinking,”2 where these ways of thinking, the reader discovers, involve metaphysical preconceptions. This is at odds with Ryle's claim that certain category mistakes, playing the role, roughly, of Wittgenstein's misleading pictures, underlie some of the main problems of philosophy. The purpose of this paper is to assess how well Ryle, occasionally aided by Wittgenstein, can be seen to parry Soames's direct onslaught on his work in parts of Dilemmas and in The Concept of Mind. (shrink)

The problem of the relation between mechanism and purpose is of profound theoretical interest. It is the most fundamental of the great perennially disputed problems. And, unlike some other of the great unsolved problems, it is also of far-reaching and profound practical importance. The kind of answer we give to the question affects in a multitude of ways the conduct of our lives, the form and working of all our institutions, our science, our law, our politics, our economics, our morals, (...) our religion. (shrink)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1902 Excerpt:...earth. r' = radius of moon, or other body. P = moon's horizontal parallax = earth's angular semidiameter as seen from the moon. f = moon's angular semidiameter. Now = P (in circular measure), r'-r = r (in circular measure);.'. r: r':: P: P', or (radius of earth): (radios of (...) moon):: (moon's parallax): (moon's semidiameter). Examples. 1. Taking the moon's horizontal parallax as 57', and its angular diameter as 32', find its radius in miles, assuming the earth's radius to be 4000 miles. Here moon's semidiameter = 16';.-. 4000::: 57': 16';.-. r = 400 16 = 1123 miles. 2. The sun's horizontal parallax being 8"8, and his angular diameter 32V find his diameter in miles. ' Am. 872,727 miles. 3. The synodic period of Venus being 584 days, find the angle gained in each minute of time on the earth round the sun as centre. Am. l"-54 per minute. 4. Find the angular velocity with which Venus crosses the sun's disc, assuming the distances of Venus and the earth from the sun are as 7 to 10, as given by Bode's Law. Since (fig. 50) S V: VA:: 7: 3. But Srhas a relative angular velocity round the sun of l"-54 per minute (see Example 3); therefore, the relative angular velocity of A V round A is greater than this in the ratio of 7: 3, which gives an approximate result of 3"-6 per minute, the true rate being about 4" per minute. Annual ParaUax. 95. We have already seen that no displacement of the observer due to a change of position on the earth's surface could apparently affect the direction of a fixed star. However, as the earth in its annual motion describes an orbit of about 92 million miles radius round the sun, the different positions in space from which an observer views the fixed stars from time to time throughout the year must be separated... (shrink)

With characteristic candour, David Hume is prepared to admit that in ordinary life, but certainly not when reflecting on the nature of perceptual experience, he has no option but to ‘believe in the existence of body’ despite his philosophical reasonings to the contrary. In this instance, his commitment to ‘Common Sense’ has become, as it was not to become for his contemporary Thomas Reid, a direct consequence of participating in a day-to-day existence if nevertheless one which he has no option (...) but to reject when reflecting in the study.Ludwig Wittgenstein, on the other hand, presents us with a picture of what has come to be regarded as a form of Humean ‘phenomenalist language’, private in nature, which, in one of the most famous passages of his later philosophy, he appears to reject via a form of reductio ad absurdum argument. In what follows, it will be questioned whether his ‘argument’ clearly represents phenomenalist proposals which Hume’s successors, e. g., A.J. Ayer, accepted without question. If there is a misunderstanding here on both sides, an investigation into its nature must lead to an appreciation of the varying roles attributed by these philosophers to the notion of ‘Common Sense’. (shrink)

The sacred or holy is central to Heidegger’s later writings, “The Thing” and “Building Dwelling Thinking” taking it as their focus. This aspect of his philosophy is often viewed as lacking in coherence1 or an attempt to return to Ancient Greek religion.2 Heideggerian notions of the gods or the sacred have frequently been dismissed or neglected, with even sympathetic commentators like Julian Young playing down their importance.Heidegger’s later thought, however, represents one of the most radical attempts to critically rethink divinity (...) in Western thought, presenting the possibility of dialogue with the non-Western notions of divinity. Focusing on the Shinto notion of divinity,3 in this essay I will... (shrink)